Tax Map #
DOCUMENT TYPE:
PARTY(IES) OF THE FIRST PART
(NAME, ADDRESS, CITY, STATE AND ZIP CODE)
RECORD & RETURN TO:
(NAME, ADDRESS, CITY, STATE AND ZIP CODE)
ENVELOPE POSTAGE PAID PICK UP
PROPERTY LOCATION: (TOWN OR CITY)
PARTY(IES) OF THE SECOND PART
(NAME, ADDRESS, CITY, STATE AND ZIP CODE)
NUMBER OF PAGES (INCLUDING RECORDING PAGE)
ONE OR TWO FAMILY DWELLING YES NO
TAXABLE MORTGAGE AMOUNT: $
ADDITIONAL TAXABLE AMOUNT $
TOTAL TAXABLE AMOUNT $
TRANSFER CONSIDERATION $
______________________________ CLERK'S RECORDING OFFICE USE ONLY BELOW THIS LINE ______________________________
INSTRUMENT NUMBER
TRANSFER TAX NUMBER
REAL ESTATE TRANSFER TAX
TAX AMOUNT $
CUSTOMER:
RECORDED BY:
ACTING DEPUT CLERK
MORTGAGE SERIAL NUMBER
MORTGAGE TAX $
MORTAGE AMOUNT $
BASIC MORTGAGE TAX $
ADDITIONAL $
SPECIAL $
This sheet constitutes the Clerk's endorsement required by section 316-a(5) and section 319 of the REal Property Law,
Of the State of New York.
Modified: 7/25/2005
**********DO NOT DETACH**********
Susan M. Dwyer,
County Clerk
RECORDING COVER PAGES NY01: CAYUGA COUNTY CLERK'S RECORDING PAGE