HomeMy WebLinkAboutL 12981 P 558 1111111 IIII IIIII 1111111111 IIIII IIIA 11111111111111 IN
1111111 IIIII Illll IIII IIII
SUFFOLK 'COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED Recorded: 10/04/2018
Number of Pages : 3 At: 03 : 41 : 37 PM
Receipt Number : 18-0186386
LIBER: D00012981
PAGE : 558
District: Section: Block: Lot:
0200 756 . 00 01 . 00 009. 021.
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 $0 . 00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
U121
RECORDED
Number of pages 2018 Oct 04 03:41:37 Pt9
AIDITH A. PASi_ALE
CLERK OF
This document will be public SUFFOLK COMTV
record. Please remove all L D00012981
Social Security Numbers P 558
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County_
R.P.T.S.A. Held for Appointment
Comm.of Ed. 5. 00 Gal Transfer Tax
Affidavit Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00family dwelling only.
Sub Total YES or NO
Other
Grand Total �j 3 If NO,see appropriate tax clause on
page# of this instrument.
4 1 Dist. Section Block Lot 5 Community Preservation Fund
Real Property Consideration Amount$
Tax Service
Agency CPF Tax Due $
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
}� RECORD&RETURN TO: Vacant Land
RP/d/t TD
300 e9A&7t TD
ii�xlzk�, 7�( Il Fol TD
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#
8 Suffolk County RecoSAW&&LUQgsement Pa e
This page forms part of the attached /n�'l r,c made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
1�.00khavP�, �uu�
TO In the TOWN of P&yw h'a, -SD
In the VILLAGE
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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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.
JONA AN PRICE
ASSISTANT TO THE DIRECTOR
UNIFORM FORM CERTIFICATE OF ACKNOWLEDGEMENT
STATE OF NY )
COUNTY OF SUFFOLK )
a of in the e r [.k4he
On the day � y ,
undersigned, personally appeared personally
known to me or proved to me on t 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.
$TACY M. �e�Y0*
Notary Public,
No.04S�
pual;t;ed in Suffolk Countll
Commission E)Ores Aug 18,20
Notary Public