HomeMy WebLinkAboutL 12937 P 62 1111111 I I I I I I I I I I I I I I I I I I 111111 IIIII IIl11!IIl111111111
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED Recorded: 11/09/2017
Number of Pages : 3 At: 09:51 : 47 AM
Receipt Number : 17-0198329
LIBER: D00012937
PAGE : 062
District: Section: Block: Lot:
0800 001 . 00 01 . 00 006 . 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 $0 . 00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
I❑ 2❑
Number of pages RECORDED
2017 Nov 09 09:51:47 Atl
JUDITH A. PASCALE
This document will be public CLERIC OF
SUFFOLK COUNTY
record. Please remove all L D00012937
Social Security Numbers P 062
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec JAssit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A.
Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit �` Mansion Tax _
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total If NO,see appropriate tax clause on
page# of this instrument.
4 1 Dist. Section Block Lot 5 Community Preservation Fund
Real Property Consideration Amount$
Tax Service
Agency CPF Tax Due $
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
C��tp�a 1111,E TD
TD
3Dp Cry- TD
IISoI
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Title#
g Suffolk County Recording & Endorsement Page
This page forms part of the attached GPM OF CORMON made by:
PE OF I ENT)
The premises herein is situated in
SUFFOLK COUNTY,N�EEW�YORK.
�/��, n
TO In the TOWN of
In the VILLAGE 'S
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
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12 1-e �Q AFFIDAVIT TO CORRECT NUMERIC IDENTIFIER
1,THE-Ur NDERSIGNED,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.
,ION MAN PRICE
ASSISTANT TO THE DIRECTOR
UNIFORM FORM CERTIFICATE OF ACKNOWLEDGEMENT
STATE OF NY)
COUNTY OF SUFFOLK )
On the day of in the ear zo f,the
undersigned, personally appeared_ �OnQ a�P'} Y_C0 , 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.
ANNAMARIA CURELLA
NOTARY PUBLIC,STATE Of NEW YORK
No.01CU6147653,SUFFOLK COUNTY
TERM EXPIRES JUNE 7,2018
Notary Public