Fillable WESTCHESTER COUNTY CLERK RECORDING SHEET (Federal Standard Abstract)

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WESTCHESTER COUNTY CLERK RECORDING SHEET (Federal Standard Abstract)

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WESTCHESTER COUNTY CLERK RECORDING SHEET
110 Dr. Martin Luther King, Jr. Boulevard White Plains, NY 10601
---------- THIS FORM MUST BE COMPLETED AND SUBMITTED WITH EACH DOCUMENT ----------
This page is part of the instrument; the County Clerk will rely on the information
provided on this page for purposes of indexing this document.
To the best of the submitter’s knowledge the information contained on this
Recording Sheet is consistent with the information contained in the attached document.
SUBMITTER INFORMATION: Title Number: __________________________________
Company: ______________________________________________________________________________________________
Address: ________________________________________________________________________________________________
City ____________________________ State: ___________ Zip: ______________ Telephone: _____________________
Attention: _______________________________________________________________________________________________
Document type:
# of pages -
Mortgage Amount
On page _____ of documen
t
$_______________________
OR
Consideration/Conveyance Amt:
$_______________________
Dwelling Type:
For Mortgage Only
On page _____ of document
[ ] 1 to 2 family
[ ] 1 to 6 family
[ ] Not 1 to 6 family
1st party name(s) (i.e. grantor/mortgagor) Business
On page _____ of document Entity
_
________________________________________ [ ]
_
________________________________________ [ ]
_
________________________________________ [ ]
_
________________________________________ [ ]
_
________________________________________ [ ]
TAXES PAID: Reference #
Amount Or Check #
Mortgage Tax $___________________ _________
Transfer Tax $___________________ _________
Mansion Tax $___________________ _________
2nd party name(s) (i.e. grantee/mortgagee) Business
On page _____ of document Entity
_
________________________________________ [ ]
_
________________________________________ [ ]
_
________________________________________ [ ]
_
________________________________________ [ ]
_
________________________________________ [ ]
City(ies) or Town(s) for Property Description
On page _____ of document
_
_________________________________________________________
Property Description -- If required, check the one contained
within the document.
On page _____ of documen
t
[ ] Metes & bounds
[ ] Lot number on map filed in the Office of the County Clerk
[ ] Refer to deed recorded in the Office of the County Clerk
Record and Return To:
_
___________________________________________________
_
___________________________________________________
_
___________________________________________________
_
___________________________________________________
_
___________________________________________________
Cross Reference(s): On page _____ of document
_
__________________________________________________________
_
__________________________________________________________
MORTGAGE TAX AFFIDAVITS SUBMITTED:
[ ] 252 [ ] 255 [ ] 280 Other: ____________
[ ] 253 [ ] 260 [ ] 339-ee ____________
Tax designation (Section, Block & Lot)
On page _____ of documen
_
_________________________________________________________
RECORDING Reference #
FEES PAID: Amount or Check #
$___________________ _________
Check if submitted:
[ ] RP-5217 - [ ] $75 [ ] $165
[ ] TP-584 - Type of property conveyed [1 through 8] _______
[ ] TP-584.1 [ ] IT-2663
LandRecords/Coversheet.doc revised 06/30/05
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WESTCHESTER COUNTY CLERK RECORDING SHEET (Federal Standard Abstract)

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Completed 29 December 2021

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