State: New York
Columbia County Supplemental Real Estate Transfer Tax Return
|
COLUMBIA COUNTY SUPPLEMENTAL REAL ESTATE TRANSFER TAX REETURN |
Recording Office Stamp here |
| Schedule A—Information relating to conveyance | |
|
Grantor/Transferor
Individual
PartnershipCorporation Estate/Trust Other |
Name (if individual; last, first, middle initial) | Social Security Number | ||
| Mailing Address | Social Security Number | |||
| City | State | Zip | Federal Employer Identification Number | |
|
Grantor/Transferee
Individual
PartnershipCorporation Estate/Trust Other |
Name (if individual; last, first, middle initial) | Social Security Number | ||
| Mailing Address | Social Security Number | |||
| City | State | Zip | Federal Employer Identification Number | |
| Location and description of property to be conveyed | ||||||
| Tax map designation | Address | City/Village | Town | County | ||
| Section | Block | Lot | ||||
| Type of property conveyed | Date of Conveyance | Date of Contract |
| One Family Residence | ||
| Other |
| Schedule B—Real estate transfer tax return | ||
| Part I. Apportionment | ||
| Portion of property outside of Columbia County:Yes NoIf no, proceed to II. below | ||
| If yes: Taxable on % share of assessed value within Columbia County, calculated as follows: | ||
| a. Total Assessed Value: | a. $ | |
| b. Assessed Value in Columbia County: | b. $ | |
| c. % of Assessed Value in columbia County [b. ÷ a. x 100] | c. $ | |
| d. Columbia County portion of consideration upon which Tax is due [consideration x c. %] | d. $ | |
| Part II. Computation of Tax Due | ||
| a. Amount of full consideration if entire parcel is within county OR d. above if applicable | a. $ | |
| b. If a total exemption is claimed on the TP-584 check here and enter $0 on this line | b. $ | |
| c. Taxable consideration (for one family residence, first $150,000 of consideration is exempt) | c. $ | |
| d. Tax: $1 for each $500, or part thereof, of consideration on line a., b., or c. as applicable | d. $ | |
| Signature (both the grantor(s) and grantee(s) must sign) |
| The undersigned certify that the above information in Schedules A and B, including any return, certification, schedule or attachment, is to the best of his/her knowledge, true and complete, and authorize the person(s) submitting such form on their behalf to receive a copy for purposes of recording the deed or other instrument effecting the conveyance. The contents hereof shall not be otherwise disclosed. |
Grantor
Title
Grantor
Title
Grantee
Title
Grantee
Title
| For Recording Officer's Use | Amount received | Date received | Transaction number |
TRANSFER TAX AND RELATED DOCS NY04: COLUMBIA COUNTY SUPPLEMENTAL REAL ESTATE TRANSFER TAX REETURN
