HomeMy WebLinkAboutL 12866 P 509 i�i�������������� ���������� �����������r��r��������� �iii
I Illl�l II�I I II��I lil�II I I
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Typ� af In�trument: MISCELLANEOUS - DEED Recorded: 06/02/2016
Number of Pages: 3 At: Q3 :49:00 PM
Receipt Number : 16-0084998
LIBER: nooasas6s
PAGE: 509
District: Section: Block: Lot:
0400 267 .Q0 02 . 00 022 .001
EXAMINED AND CHARG$D AS FOLLOWS
Received the Followfng Fees For Above Ins�rument
Exempt Exempt
Page/Filing $0 .00 YES Handling $0 . 00 YES
COE $0 .00 YEfi NYS SRCHG $0. 00 YES
EA-GTY $0 . 00 YES EA-STATE $0. 00 YES
TP-584 $0 . 00 YES Notation $0. 00 YES
Cert.Copies $D . 00 YES RPT $D.QO YES
Fees Paid $0.00
TH�S PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BII,i,
JUD�TH A. PASCALE
County Clerk, Suffalk County
�
❑1 ❑2
�
Number of pages _� RECORDE[1
2015 Jun C12 03:49:0�! Ft7
JUDITH A. PRSCRI.E
CLERK OF
This document will be pablic SUFF�JLK CRUNTV
record. Please remove a!I �. �c�oo12a6�
Social Security Numbers P 509
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEEs
Page/Filing Fee _
Mortgage Amt.
I. Basic Tax
Handling 20. 00 —
2. Additional Tax
TP-584 ' Sub Total
Notation Spec./Assit.
or
EA-52 17(County) _ Sub Total Spec./Add. �
EA-5217(State) TOT.MTG.TAX _
Dual Town Dual County
R.P.T.S.A. –f'/ _ �
� �� Held for Appointment
Comm.of Ed. 5. 00 �. Transfer Tax
� ' Mansion Tax
Affidavit _ ���5�' ---
The property covered by this moRgage is
Certifed Copy or �vill be improved by a one or nvo
NYS Surcharge 15. 00 family dwelling only.
Sub Tota1 YES or NO
Ot�er
Grand Tot '' If NO,see appropriate tax clause on
page# of this instrument.
4 Dist. Section Block Lot 5 Commuaity Preservation Fund
Real Property Consideration Amount $
Tax Service
Agency CPF T�Due $
Verification
I mproved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
�N`• ���a��2u,�(� TD
300 Ce.w$���r. 2�r�• TD
TD
�v��.`i2.�Lp�-, I�9�l
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Com an Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Ticle#
g Suffolk Count Recordin & Endorsement Pa e
This page forms part of the attached ���'11{��I I 11�i,11HRr�,I FI1� .(S� • „ made by:
M�NT) �–
The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of �"""�� ''""'—"`��
In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORD[NG OR F[LING.
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AFFIDAVII' TO CORRECT NUMERIC IDENTIFIER
I, the undersigned, Deputy Director of the Real Property Ta1c Serv'tce Agency, Acting for
the Director of the Rea� Property Tax Service Agency, present this a�iidavit for the
purpose of correcting the Real Property Ta�c Map Identifier(s} list,ed on the reverse.
Gary M. Simonson "� �
Deputy Director
UNIFORM FORM CERTIFICATE OF ACKNOWI_.EDGFMF_N"I'
STATE OF NEW YORK )
���
COUNI'7(OF SUH'FOLK )
�� ���� �v/6
On the day of in the year 2@6� , the undersigned,
persor�ally appeared ��` �� �"� `�`�cS4`J ,personaIly known to me or
proved to me on the basis of sarisfactory evidence to be the individual(s)whose name(s}is/are subscribed
t,o the within instniment and acknowledged to me lhal he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the instr-urnen�, the in�ividual(s), or the person
upon behalf for which the individual{s) acted,executed the instzumen�
��� `
Notary Public
8R!!C�M.H07CHKI55
Notary Public,S�ate a!I�ew York
No.01 HQfiiO$793
Qualified in Svffolk CouRiya�
Commission Expires 04/19/20�.