HomeMy WebLinkAboutL 12892 P 133 1111111111111111 IIIIIIIIIIIIIIIIIIIIIIIIIIIIII(1111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED Recorded: 12/12/2016
Number of Pages : 3 At: 02 : 55 : 58 PM
Receipt Number : 16-0196907
LIBER: D00012892
PAGE : 133
District: Section: Block: Lot:
0903 005 . 00 02 . 00 012 . 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 $0 .00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
F2
RECORDED
Number of pages2016 Dec 12 02:55:58 PM
.JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK
record. Please remove all P 133
Social Security Numbers
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recoding/Filing Stamps
3 FEES
Page/Filing Fee
Mortgage Amt.
I. Basic Tax _
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. C Dual Town Dual County
n Held for Appointment
Comm.of Ed. 5. 00 �, k; Transfer Tax
Affidavit �` Mansion Tax
The property covered by this mortgage is
Certified Cop or will be improved by a one or two
NYS Surcharge I5. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total If NO,see appropriate tax clause on
page# of this instrument.
4 Dist. Section Block Lot 5 Community Preservation Fund
Real Property Consideration Amount$
Tax Service
Agency CFF Tax Due $
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD
J• ' t r�(�""o"'- TD
300 �, c l�r. ZFI.
TD
JD I
Mail to:Judith A. Pasca e, Suffolk County Clerk 7 Title Com an_y Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Tide#
g Suffolk County Recording & Endorsement Page
This page forms pan of the attached y
FRONT OF CORRECTION I%t-pj) made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN
In the VILLAGEor HAMLET of sar, Cr 4Ux
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING
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A incDAVIT- TO CORRECT NUMERIC IDENTIFIER
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I,THE UNDERSIGNED,DIRECTOR OF THE REAL PROPERTY TAX SERVICE
AGENCY,PRESENT THIS AFFIDAVIT FOR THE PURPOSE OF CORRECTING
THE-REALPROPERTY-TAX MAP INDENTIFIER(S)LISTED ON TBE REVERSE.
PENNY WEL ALLE
D
UNT_FOR.M I ORM CERTIFYCATE OF ACKivOWT FDC;EMENT
STATE OFNEwYopm )
Com OF SUFFOLK )
On the N� day of bece-vl�6(— in the year the undersigned,
personally appeared V��S ( �` , personally Imown to me
or proved to me on the basis of satisfactory evidence to be the individual(s) whose names) is/are
subscribed to the within instrument and acl mowledbed to me that helshelthey executed the same
in his/her/their capae ty(ies), and that by his/her/their signature(s) on the iustrament, the
nmdividual(s), or the person upon behalf for which the individual(s) acted, executed the
instrument.
�W. PAULINE MARY JENKMS
t' NOTARY PUBLIC,State of New York
Notary Public No.01JE6157327
ouelified In Sutfolk County t
Commission Expires December 04, `