State: New York

Westchester County
Clerk Recording Page

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Westchester County Clerk Recording Page

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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 consisten 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 document
$
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)
On page ______ of document		 Business Entity
[   ]
[   ]
[   ] Check if submitted:
[  ] RP-5217 - [  ]$75 [  ]$165
[  ] TP-584 - Type of property conveyed [1 through 8] ______
[  ] TP-584.1 IT-2663
[   ]
[   ]
2nd party name(s)(i.e. grantor/mortgagor)
On page ______ of document		 Business Entity TAXES PAID: Amount Reference #
Or Check #
[   ] Mortgage Tax $
[   ] Transfer Tax $
[   ] Mansion Tax $
[   ] RECORDING FEES
PAID:		 Amount Reference #
Or Check #
[   ]   $
Tax designation (Section, Block & Lot)
On page ______ of document		 MORTGAGE TAX AFFIDAVITS SUBMITTED:
[   ] 252     [   ] 255     [   ] 280     Other:
[   ] 253     [   ] 260     [   ] 339-ee    
Property Description -- If required, check the one
contained within the document.		 Record and Return To:
On page ______ of document
[   ] Metes & Bounds
[   ] Lot number on map filed i the Office of the County Clerk
[   ] Refer to deed recorded in the Office of the County Clerk
 

LandRecords/Coversheet.doc revised 06/30/05

RECORDING COVER PAGES NY09: WESTCHESTER COUNTY CLERK RECORDING PAGE