HomeMy WebLinkAboutL 12945 P 879 -
��I I I I I 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: 01/11/2018
Number of Pages : 3 At: 02 : 31 : 00 PM
Receipt Number : 18-0006118
LIBER: D00012945
PAGE : 879
District: Section: Block: Lot:
0502 001 . 00 04 . 00 054 .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 $0 . 00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
U1521 -. .
Number of pages RECORDED
2012 Jan 11 02:31:00 Ptl
;JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTS'
record. Please remove all L D00012945
Social Security Numbers P 279
prior to recording.
Deed/Mortgage Instrument Deed I Mortgage Tax Stamp Recording/Filing Stamps
3 f FEES
Page/Filing Fee
Mortgage Amt.
1. Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec JAssit.
or
'EA-52 17(County) Sub Total Spec./Add. —
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
Held Held for Appointment
Comm.of Ed. 5. 00 �� ' ' Transfer Tax
Mansion Tax
Affidavit
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total If NO,see appropriate tax clause on
page# of this instrument.
4 1 Dist. Section Block Lot 5 Community Preservation Fund
Real Property Consideration Amount$
Tax Service
Agency 14 CPF Tax Due $
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
)� ( D1RECORD&RETURN TO: Vacant Land
TD
TD
TD
Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901
www.suffolkcountyny.gov/clerk Title#m
81 Suffolk County RecoE&It f0ftsement Pa e
This page forms part of the attached , ' -`j SC 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 QCP�Q�YL
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
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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
THE REAL 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 of -Ta*-� in the year Off, the
undersigned, personally appeared L�!"1 C&—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.
8TAICY M.> LRff EAAMN
Rlorbary f i4 1!
Ouall<ied In SOO&
OWWfts m E*ka Auo.10.
Notary Public