HomeMy WebLinkAboutL 12961 P 403 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED Recorded: 05/14/2018
Number of Pages: 4 At: 11: 16: 16 AM
Receipt Number : 18-0088516
LIBER: D00012961
PAGE : 403
District: Section: Block: Lot:
0200 599 . 00 02 . 00 005 . 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
RECORDED
Number of pages 2018 clay 14 11:16:16, AN
.JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00012961
Social Security Numbers P 403
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./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A LWDual Town Dual County_
� Held for Appointment
Comm.of Ed. 5. 00 � Transfer Tax
Affidavit �b�, �� 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 f�
Grand Total `U If NO,see,appropriate tax clause on
page# of this instrument.
4 1 Dist. Section Block Lot 5 1 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
TD
22 TD
TD
Mail to:Judith A. Pa ale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901
Co.Name
www.suffolkcountyny.gov/clerk
Title#
8 Suffolk County Reco sement Page
ATT.
m �
This page forms part of the attached IJ made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of� e(R-, "M
In the VILLAGE
or HAMLET of �7Dn�5FYxG'6�.
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12-01-1010 k
(over)
TAX MAP CERTIFICATION CORRECTION
SUFFOLK COUNTY REAL PROPERTY TAX SERVICE AGENCY
FROM: CERTIFIED TO: CERTIFIED
District Section Block Lot District Section Block Lot LIBER PAGE DOCUMENT TYPE
0200 59900 0500 002000 0200 59900 0200 005000 12022 370 DEED
0200 97590 0100 015002 0200 97590 0100 015001 10860 183 DEED
0500 44500 0100 005010 0500 44600 0100 030008 12772 611 DEED
0500 20700 0100 003026 0500 14200 1300 001001 12484 435 DEED
ADD 0500 14200 1300 001003 12484 435 DEED
ADD 0500 14200 1300 001005 12484 435 DEED
ADD 0500 1 14200 1300 1 001006 12484 435 DEED
ADD 0500 14200 1300 001007 12484 1 435 DEED
ADD 0500 32400 0400 003000 12897 1 268 DEED
0800 12700 0500 001000 0800 12700 1500 001000 12291 1 422 DECLARATION
0800 12700 0500 002000 0800 12700 1500 002000 12291 1 422 DECLARATION
0800 12700 0500 003000 0800 12700 1500 003000 12291 1 422 DECLARATION
0800 12700 0500 004000 0800 12700 1500 004000 12291 422 DECLARATION
0800 12700 0500 005000 0800 12700 1500 005000 12291 422 DECLARATION
0800 12700 0500 006000 0800 1 12700 1500 1 006000 12291 422 DECLARATION
0800 12700 0500 007000 0800 12700 .1500 007000 12291 422 DECLARATION
0800 12700 0500 008000 0800 12700 1500 008000 12291 422 DECLARATION
0800 12700 0500 009000 0800 12700 1500 009000 12291 422 DECLARATION
0800 12700 0500 010000 0800 12700 1500 010000 12291 422 DECLARATION
0800 12700 1 0500 011000 0800 12700 1500 011000 12291 422 DECLARATION
0800 12700 0600 001000 0800 12700 1600 001000 12291 422 DECLARATION
0800 12700 0600 002000 0800 12700 1600 002000 12291 422 DECLARATION
0800 1 12700 1 0600 003000 1 0800 1, 12700 1 1600 1 003000 12291 422 DECLARATION
Prepared by: 4m
SIGNATURE OF PRESENTATIVE DATE'
TAX MAP CERTIFICATION CORRECTION
SUFFOLK COUNTY REAL PROPERTY TAX SERVICE AGENCY
FROM: CERTIFIED TO: CERTIFIED
District Section Block Lot District Section Block Lot LIBER PAGE DOCUMENT TYPE
0800 12700 0600 004000 0800 12700 1600 004000 12291 422 DECLARATION
0800 12700 0600 005000 0800 12700 1600 005000 12291 422 DECLARATION
0800 12700 0600 006000 0800 12700 1600 006000 12291 422 DECLARATION
0800 12700 0600 007000 0800 12700 1600 007000 12291 422 _ DECLARATION
0800 12700 0600 008000 0800 12700 1600 008000 12291 422 DECLARATION
0800 12700 0600 009000 0800 12700 1600 009000 12291 422 DECLARATION
0800 12700 1 0600 010000 0800 12700 1600 1 010000 12291 422 DECLARATION
0800 12700 1 0600 011000 0800. 12700 1600 011000 12291 1 422 DECLARATION
0800 12700 1 0600 012000 0800 12700 1600 012000 12291 422 DECLARATION
0800 12700 1 0600 013000 0800 12700 1600 013000 12291 422 DECLARATION
0800 12700 0600 014000 0800 12700 1600 014000 12291 422 1 DECLARATION
ADD 0905 01600 0100 015000 11473 327 DEED
ADD 0905 01600 0200 014000 11473 327 DEED
ADD 0905 1 01600 0100 015000 11661 506 DEED
ADD 0905 01600 0200 1 014000 11661 506 DEED
ADD 0905 01600 0100 015000 12378 787 DEED
ADD 0905 01600 0200 014000 12378 787 DEED
ADD 0905 01600 0100 015000 12622 806 DEED
ADD 1000 06400 0100 011002 12881 870 DEED
1000 11300 0700 019023 1000 11300 0700 019023 , 12931 373 EASEMENT
Prepared by:
SIGNATURE OF RgORESENTATIVE DATE
Q
Jv
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.
JONAAN PRICE
ASSISTANT TO THE DIRECTOR
UNIFORM FORM CERTIFICATE OF ACKNOWLEDGEMENT
STATE OF NY)
COUNTY OF SUFFOLK )
On the day of m in the year°ga the
undersigned, personally appeared 70Y1 221C2personally
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
capaciity(ies), and that by his/her/their signature(s) on the instrument,the .
individual(s),or the person upon behalf for which the individuals)acted,
executed the Instrument.
ANNAMARIA CURELLA
NOTARY PUBLIC,STATE OF NEW YORK
NO.01CUB147653.SUFFOLK COUNTY
TERM EXPIRES JUNE 7.2010
Notary Public