CITY OF MOUNT VERNON
DEPARTMENT OF FINANCE
CITY HALL
ROOSEVELT SQUARE
MOUNT VERNON, NY 10550
REAL PROPERTY TRANSFER TAX RETURN
PURSUANT TO CHAPTER 234 OF THE CODE OF THE CITY OF MOUNT VERNON, NY
(Grantee/Buyer)____________________________________________________________________|
Name Address Zip Code
(Grantor/Seller)____________________________________________________________________|
Name Address Zip Code
(Grantee’s Atty.)___________________________________________________________________|
Name Address Zip Code
(Grantor’s Atty.)___________________________________________________________________|
Name Address Zip Code
LOCATION OF PROPERTY TRANSFERRED
Address__________________________________________________________________________|
City Tax Map_________________Section________________Block__________Lot_____________|
DATE OF DELIVERY OF DEED TO GRANTEE___________________20
TOTAL AMOUNT DUE (from page two of form) $
MAKE CERTIFIED CHECK PAYABLE TO THE ORDER OF THE CITY OF MOUNT VERNON
Notes:
1. This return must be completed and filed with the Comptroller of the City of Mount Vernon.
2. The tax due thereon must be paid within thirty (30) days after delivery of the deed by the grantor to the grantee but
before the recording of such deed. This return must be filed by both the grantee and the grantor whether or not a tax is
due thereon and although the consideration for the deed is $100,000 or less.
3. Where the transfer is by a corporation in liquidation or to a corporation in exchange for capital stock, submit balance
sheet.
4. Penalty of 8% of the tax due for the first month of delay plus interest at the rate of 1 ½% of such tax for each additional
month of delay must be added if payment is not made on or before the due date.
AFFIDAVIT OF GRANTEE
I swear (or affirm) that this return, including the accompanying schedules or statements, has been examined by me,
and is, to the best of my knowledge and belief, a true and complete return, made in good faith, pursuant to Chapter 234,
Section 234-48 of the Code of the City of Mount Vernon, NY and the regulations issued under authority thereof.
Sworn to and subscribed to before me _______________________________________
this _______day of___________,20 Name of Grantee
_____________________________________ ______________________________________________
Signature of Officer Administering Oath Signature of owner, partner, officer of corporation, etc
AFFIDAVIT OF GRANTOR
I swear (or affirm) that this return, including the accompanying schedules or statements, has been examined by me,
and is, to the best of my knowledge and belief, a true and complete return, made in good faith, pursuant to Chapter 234,
Section 234-48 of the Code of the City of Mount Vernon, NY and the regulations issued under authority thereof.
Sworn to and subscribed to before me
_______________________________________
this _______day of___________,20 Name of Grantor
_____________________________________ ______________________________________________
Signature of Officer Administering Oath Signature of owner, partner, officer of corporation, etc
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