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Home My WebLink AboutL 12913 P 361 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I l l l l l l l I I I I I I I I I I I I I I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: MISCELLANEOUS - DEED Recorded: 05/22/2017 Number of Pages : 3�1� At: 10 :35 :57 AM Receipt Number : 17-0085816 LIBER: D00012913 PAGE : 361 District: Section: Block: Lot: 0900 392 . 00 01 . 00 003 .000 EXAMINED AND CHARGED AS FOLLOWS Received the Fallowing 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 $0 . 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL �ff"A JUDITH A. PASCALE County Clerk, Suffolk County FTI F-21 �A h� RECORDED Number of pages — 2017 t9au 22 10:.35:57 All JUDITH A. Pt1SCWLE CLERK OF This document will be public SUFFOLK COUHT L D00012913 record. Please remove all P 361 Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax _ Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation SpecJAssit. _ or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTC.TAX Dual Town Dual County_ R.P.T.S.A. Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit �� Mansion Tax r The property covered by this mortgage is ertified Copy I/ (� or will be improved by a one or two NYS Surcharge T 15. 00 family dwelling only. Sub Total YES or NO Ocher Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund Real Property Consideration Amount$ Tax Service Agency CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Rel eases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD PT5 a��,p2 �� 1y` 9 r• -am' F TD TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Name www.suffolkcountyny.gov/clerk Tide# 8 Suffolk County Recor orsement Pa e This page forms part of the attached ty made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK. 13rc�o6c�av�v`- ��F�i�ryll�n TO In the TOWN of �'Pr In the VILLAGE or HAMLET of f./} (.(lbt l-ko�81U . rt1 u Plyn BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0109..10/08kk (over) r f 1 °t V m CL D D D D D D > D > > D D D D D > o D D O o D 0 y O p O v v v p O p O v p O v v O 0 v v o o v 0 rr 0 ,c v v v v p p p p O v O O v v v v 0 v v o o v o a OQ 4h, m 0 00O Clc 0 m m 0 Q 0 0 0 W m o C) 0 00 ::R m o co -� s Q O O C 0 D C) 00 0 � O x m o � 0 000000000000000C� 000o00000 �] (D w w w CD CO w w w w w w O w w co W A A W W N N �y O O O O O O O O O O O O a 0 0 0 0 0 0 0 0 O 0 y O O O O O O O O O O O O O O O O O O s 0 0 0 0 �• Z h � rn W W W W W W W W W W W W W W W W O N O Q O O A (� c0 c0 co CO CD CO CO (0 CO CO W CO CO W W W -I -I O 0 0 " o) n m NNNNNN NNNNNNNNN . W W CnCn nCD -4 D O O O O O O O O O O O O O O O a 0 0 a 0 0 0 0 T Q Q O O g O Q Q Q Q Q O Q O O Q O O O O Q O O O 0 �- , l m � nMoD0000CD00000000000 0000c. 0:. m s s s s . . . . . . . . . . . . O ••n O O O O O O O O O Q O Q Q O 0 0 0 0 0 0 0 0 0 m 000000 a 0000000 aooaoaaoo � rn � vO 0000aQO000o00a00 000000 00 s s s s s O a O O O O O a o O is N N N O N N s A W N s 0 CO O y M (T� A W N s O W s N N co r ^ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cl 0 0 0 0 0 \ J O O O a Q O a o o 0 0 0 0 0 a 0 0 s 0 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 010 O o 0 0 0 0 0 0 0 N N Cl) .► .1 �► s s j > J 1 J J J S 1 J J ...► J J ...1 �l ..1 C NN s s -� --� -� -� s s s s s s s -► N N N N s N N C� rn CO CD -I v ti v -4 ti -4 v v V -I -4 -4 -4 to (.n O O -4 Cn -4 � m 00 0 0 w 03 Ou CO CO 00 00 CO 00 00 W CO CO M V O CO W 0) -I -4 m !`-Jl ss 000000 a a000000n0sx03OD � D m O cncnAb. AAO -aAwb. m J J J EDn Z rD J i 1 .� ..1 ..► �► �\ .f -.L1 OD a coCD(] A cD CD W W W W W W W W W W W W W W N W O W W A — 0 m vvvvvvac� vovvvvvvvvvoovvp mmrnmmmmmmmmmmmmmmrnmmmmm 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 m m m m m m m c 0000000000000000 z zzzzzzzzzzzzzzzz m AFFIDAVIT TO CORRECT NUMERIC IDENTIFIER I,THE UNDERSIGNED, ASSISTANT TO THE DIRECTOR OF REAL PROPERTY TAX SERVICE AGENCY, PRESENT THIS AFFADAVIT FOR THE PURPOSE OF CORRECTING THS RE4 PROPERTY TAX MAP INDENTIFIER(S) LISTED ON THE REVERSE. JONATHAN PRICE ASSISTANT TO THE DIRECTOR UNIFORM FORM CERTIFICATE OF ACKNOWLEDGEMENT STATE OF NY) COUNTY OF SUFFOLK ) On the �� day ofin the ear�!?the undersigned,`personally appeared `'r� ^' zr cP personally Itnown 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(les), and that by his/her/their signature(s) on the instrument,the :indi4idual(s), or the person upon behalf for which the individual(s) acted, executed the instrument. T�. Nl1iy! 'Public' r BRUCE M.HOTCHKISS Notary Public,State of New York No.01 H06108793 Qualified in Suffolk County :9-0 Commission Expires 04/19/20— + - CD V m v p, n a a n n n n n n n n D n n n y' 010 ,0000000000000 '.0 0 cr vAAvvvovvvvvvvv � � z 0o n n oo W CO O 0 0 0n M m 0 OO m 0 mas m ro p N L r n zoo °-n n 00 O LL m p 7 C7 D i000ooaC3000000000 a CD CD CD CD C> CD Co CD ua CD ua CD CD rip. • c 0 0 0 0 0 0 0 0 0 a 0 0 0 0 0 0 a A A o a a a a a 0 a a a o a Z �m O a a W C) W W W W 0 W W W W W O O a CD W cD cD CD W CD m CD m CD m y A V -1 N N M N N N N N N N N N 0 D O O O O a 0 0 0 0 0 O O 0 0 O O O a 0 a a a a 0 a a a a Q a O . n a a 0 0 0 0 0 0 0 0 0 0 0 0 0 W 0 D i i i i O O O O O O O O O a 0 0 0 a 0 0 _p OOo000000000000 in v � 0 OLci) O O a CD CD 0 OO 0 00 00 0 Z ilii C� --+ 0 (D C7D V 01 CJlA W OOOOOOOOOO O O Oo0000a0a0oaar+ O o 0 0 0 0 0 0 o a o o (n i N N N N N N N N N N N N N N 0 a (DO00000000oaaa CO w i i i rl i 3 i i i i i i T m O 0 N N cn cn CJ, CA CJ, cn CJs cn cn cn CJi 0 n �I CO CD CA CD CD w CD CD CD Cp CO CD CD CD I� Z A N l CD CD CD CD CD CD CD CO CO CD CD CD o m 0000000OC7000000 p mmmmmmmmmmmmmmm mmmn0c� 0000czc 0000 m 0000000000002 zzzzzzzzzzzz -1 m f '} AFFIDAVIT TO CORRECT NUMERIC IDENTIFIER 1,THE UNDERSIGNED, ASSISTANT TO THE DIRECTOR OF REAL PROPERTY TAX SERVICE AGENCY, PRESENT THIS AFFADAVIT FOR THE PURPOSE OF CORRECTING THE REAL PROPERTY TAX MAP INDENTIFIER(S) LISTED ON THE REVERSE. JONATHAN PRICE ASSISTANT TO THE DIRECTOR UNIFORM FORM CERTIFICATE OF ACKNOWLEDGEMENT 5TATjOF NY ) COUNTY OF SUFFOLK ) On the /9 day of /714:Z in the yeagLi, e undersigned, personally appearedsa--o %��°!n' P , , 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. 4 Notary Publft 8RUCE M.HOTCHIQSS Notary Pablic,State of New York No.01 HOG 108793 Quallfied in Suffolk County Commission Expires 04l19120�`� a A �