State: New York

CITY OF MOUNT VERNON
CITY HALL
FINANCE DEPARTMENT
Mount Vernon, N.Y. 10550
REAL PROPERTY TRANSFER TAX RETURN
Pursuant to Chapter 234 of the code of the City of Mount Vernon
| Please Print | FOR DEPARTMENT USE ONLY | |||||||
| (Grantee/Buyer) | ||||||||
| Name | Address | Zip Code | ||||||
| (Grantee/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 | ||||||||
| TOTAL AMOUNT DUE (from back of form) | ||||||||
| MAKE CERTIFIED CHECK PAYABLE TO THE ORDER OF THE CITY OF MOUNT VERNON | ||||||||
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 and the regulations issued under authority thereof.
Signature of Officer Administering Oath
(Name of Grantee)
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 and the regulations issued under authority thereof.
Signature of Officer Administering Oath
(Name of Grantor)
Signature of owner, partner, officer of corporation, etc.
JUD 112 10-96

CITY OF MOUNT VERNON
Computation of Real Property Transfer Tax
Date of Contract of Sale
| SECTION I | ||
| Use only for property located wholly within City of Mount Vernon | ||
| 1. | Total Consideration paid or required to be paid (cash and non cash) |
$ |
| 2. | Exclusion |
|
| 3. | Amount subject to tax (line 1 less line 2) |
|
| 4. | Tax due - 1% of line 3 |
|
| 5. | Add-Penalty and Interest (see note 2 & 4 on front of form) |
|
| 6. | Total Tax, Penalty & Interest Due (enter here and as total amount due on front of form) |
$ |
| SECTION II | |||
| Use only for property located partly within and partly without City of Mount Vernon | |||
| 1. | Total Consideration paid or required to be paid (cash and non cash) |
$ | |
| 2. | Exclusion |
$ | |
| 3. | Amount Subject to Pro-Ration (line 1 less line 2) |
$ | |
| 4. | Full value of property located within City of Mount Vernon |
$ | |
| 5. | Full value of property located outside City of Mount Vernon |
||
| 6. | Total full value (line 4 & line 5) |
||
| 7. | Percentage of total full value of property located within City of Mount Vernon (line 4 ÷ line 6) |
||
| 8. | Amount subject to tax (line 7 x line 3) |
||
| 9. | Tax Due - 1% of line 8 |
||
| 10. | Add - Penalty and interest (see note 2 & 4 on front of form) |
||
| 11. | Total tax, penalty & interest due (enter here and as total amount due on front of form) |
$ | |
TRANSFER TAX AND RELATED DOCS NY12: REAL PROPERTY TRANSFER TAX RETURN PURSUANT TO CHAPTER 234 OF THE CODE OF THE CITY OF MOUNT VERNON