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HomeMy WebLinkAboutL 12897 P 413 1111111111111111111111111 I I I I I I I I I 11111111111 I I I 11111 111111 I I I I I1111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: MISCELLANEOUS - DEED Recorded: 01/23/2017 Number of Pages: 3 At: 09 :28 : 16 AM Receipt Number : 17-0012513 LIBER: D00012897 PAGE : 413 District: Section: Block: Lot: 0100 163 . 00 04 . 00 010 . 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 �F2 I Number of pages RECORDED 2017 _ran 23 L19:28:16 Atl JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00012897 Social Security Numbers P 413 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 - FEES Page/Filing Fee Mortgage Amt. 1. 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. Dual Town Dual County_ Held for Appointment Comm.of Ed. 5. 00 � Transfer Tax Affi Mansion Tax The property covered by this mortgage is C rtified C py or will be improved by a one or two NY urcharge 15. 00 family dwelling only. Sub Total YES or NO Other _ Grand Total If NO,see appropriate tax clause on page# of this instrument. f4 1 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 ?P. +�* TD � � TD TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Comvany Information 310 Center Drive, Riverhead, NY 11901 www.suffolkcountyny.gov/clerk Title# e Suffolk County Reco -Endorsement Pa e This page forms part of the attached &2e '4OL— made by: (SPECIFY TYPE OF INSTRUMENT) 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 RECORDING OR FILING. 12-0I0I.J o/UBkk (over) 'r 0 m too" avert 0 DDODoDC] C7o $ ov0 � � r. N . L7 © -4 ( D o 0li 0 0 0 000 0 M m Q o000 : o $ $ oo m � v cn w 0 0 C a 00 Ltl r D co $ $ rn O -• 000000or� 000 �� O d (D Cfl CYT (� CYI CYT N N o $ O o 0 0 o a a o a o �* ddC) 0000 $ OGONO 0 Z L . P. - rn a a► ..► d W W N N co 0 0 -+ {p Ili V AA (l 0 V cD � (,d� � m C0Oao $ W00C COCn4. o �a D a000 0 000 0 r- „n vvvvo © c� 0va000 ; m � vy � � ts �o � owwnpi � wr�+' d -n '0 m c� CD47ooaC5a00aO0 v O OO 00oocacaOOdd rncflwoomrno 00 055500000 aoNNac4, oaaao .� 0 r+ O QONNOQ -+ OWC� OWO co I� O7 NNNNNW (0 (DNNNN m rn Oo W dM00CN0ONMW 0 -► GOON -+ ddOdCT� Nmd rn �'1 -P- -I O N W (D (D tb M � 0 W � D ` J m 0 CAWS CD (0(Yi � n n dL" 4s. W a, -mc, 00c0S W G) ( Z m vvgvavv � ovv rn mmP m m m m �ncnr- rnmm CUOMO � m � r� vv cn m m V m f A.F XDAVIT- TO CORRECT NUNMRIC TDENTLFrER I,THE UNDERSIGNED, DIRECTOR OF THE REAL PROPERTY TAX SERVICE AGENCY,PRESENT THIS AFFIDAVIT FOR THE PURPOSE OF CORRECTING THE REAL PROPERTY TAX MAP INDENTIFIER(S) LISTED ON THE REVERSE. /PENJNY"WELLS LaVALLE '-DIRECTOR' UN'iFORM FORM CERTTFZCATE OF AcKavOWLEDGEMENT STATE OF'NEW YORK ) COUNTY OF Sureou: ) � T On the 03 day of 0,�uin the yearav/? the undersigned, personalty appeared ?e^�"`7we�ls 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 exec-dted the same in his/herltheir capacity(ies), and that by his/her/their signature(s) on the instrmnent, the individnal(s), or the person upon behalf for which the individual(s) acted, executed the instrument. NO Public BRUCE M.HOTCHKISS ""`S Notary Public,state of Now yam IVa QiHO6t08793 Qualmed in suffON Coun Commission Expires wljq �D