HomeMy WebLinkAboutL 12849 P 515 I lilifil 1111 Ilifi 11111 IIIII IIIII IIIII 1111111111 III IIII
111111111111111111111 IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED Recorded: 01/21/2016
Number of Pages: 3 At: 02:17 :40 PM
Receipt Number : 16-0009762
LIBER: D00012849
PAGE: 515
District: Section: Block: Lot:
0904 004. 00 01. 00 038 .000
EXAMINED AND CHARGED AS FOLLOWS
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $0.00 YES Handling $0.00 YES
COE $0. 00 YES NYS SRCHG $0.00 YES
EA-CTY $0. 00 YES EA-STATE $0. 00 YES
TP-584 $0. 00 YES Notation $0. 00 YES
Cert.Copies $0. 00 YES RPT $0. 00 YES
Fees Paid $0. 00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
.
❑1 2
•
Number of pages RECORDED
2016 Jan 21 02:17:40 PM
JUDITH R. PRSi_RLE
This document will be public CLERK of
SUFFOLK COUNTY
record. Please remove all L D00012849
Social Security Numbers P 515
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 I FEES
Page/Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total —
Notation Spec JAssit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
-' +• +i� _. Dual Town Dual County
R.P.T.S.A.
Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit Mansion Tax
The property covered by this mortgage is
Certified Copy — or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other _
Grand Total If NO,see appropriate tax clause on
page# of this instrument.
4 Dist. ,Section Block Lot 5 Community Preservation Fund
Real Property Consideration Amount$
Tax Service
Agency CPF Tax Due $
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
PT3A wslc-:- TD
Ik
3
0o Ce r ZL°r7.
//fa/ TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 I Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached l made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of 0-41/11.4
In the VILLAGE :)ro-s Itetlrf/U•-
or HAMLET of Seit4ttat�
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12-0104..10/08kk (over)
TAX MAP CERTIFICATION CORRECTION
SUFFOLK COUNTY REAL PROPERTY TAX SERVICE AGENCY
FROM: CERTIFIED TO: CERTIFIED
District Section' Block Lot District Section' Block r Lot LIBER PAGE DOCUMENT _
ADD 0904 00400 0100 038000 12846 306 DEED
0204 01600 0200 016000 0204 01600 0200 021000 - 12836 871 DEED
1000 01600 0200 001000 1000 13000 0100 001003 12832 243 DEED
1000 01600 0200 _ 001000 1000 13000 0100 001003 12832 244 __ DEED
0900 11800 0200 001000i4 0900 11800 0200 001002 12825 281 DEED
0900 13700 0100 032000tp4 0900 13700 0100 032002 12825 278 DEED
ADD 11 0200 39300 0300 024002 12759 309 DEED
1
1
Prepared by: j1 1 ,( •% o Oil / II
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NATURE OF REPRE I NTA4,.;
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. .
AFFIDAVIT To CORRECT NUMERIC IDENTIFIER
4 •
I, the undersigned, Deputy Director of the Real Property Tax Service Agency, Acting for
the Director of the Real Property Tax Service Agency, present this affidavit for the
purpose of correcting the Real Property Tax Map Identifiers) listed on the reverse.
Gary M. Simonson -},yt -
Deputy Director
UNIFORM FORM CERTIFICATE OF ACKNOWLEDGEMENT
STATE OF NEW YORK )
COUNTY OF SUFFOLK )
On the day of -P+-41-24' 7 in the year' 2011 , the undersigned,
personally appeared 6-v17 3-7--7'7' �^'JO, ' ,personally known to me or
proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person
upon behalf for which the individual(s) acted, executed the instrument.
Notary Public
BRUCE M.HOTCHKISS
Notary Public,State of New York
No.01H06108793
Qualified in Suffolk County
Commission Expires 04/19/20 S"-