Fill and Sign the Form Tp 584 I919instructions for Form Tp 584 Taxnygov

NC-584Recording Office Time StampCOUNTY OF NASSAU REAL ESTATE TRANSFER TAX RETURNSee Instructions (NC-584-I) before completing this form. Please print or typeSchedule A - Information Relating to ConveyanceGRANTORName (if individual; last, first, middle initial)Social Security NumberIndividual CorporationMailing AddressSocial Security NumberPartnership OtherCityStateZip CodeFederal Employer ID #GRANTEEName (if individual; last, first, middle initial)Social Security NumberIndividual CorporationMailing AddressSocial Security NumberPartnership OtherCityStateZip CodeFederal Employer ID #Location and description of property conveyedTax Map DesignationAddressCity/VillageTownCountySectionBlockLotUnitType of property conveyed (Check applicable box)1 -3 Family HouseCommercial/Industrial Percentage of real property conveyedResidential Cooperative (see Reminders on reverse side)Apartment Building Date of Conveyancewhich is residential real property:Residential CondominiumOffice Building MonthDayYear %Vacant LandOther (See instructions)Condition of conveyance (Check all that that apply)A - Conveyance of fee interestG - Conveyance for which credit for tax previously paid will be claimed (attach TP-584-1, Schedule G)M - Leasehold assignment or surrenderB - Acquisition of a controlling interest (state percentage acquired _______ %)H - Conveyance of cooperative apartment(s) (see Reminders on reverse side)N - Leasehold grantC -Transfer of a controlling interest (state percentage acquired _______ %)I - SyndicationO - Conveyance of an easementD - Conveyance to cooperative housing corporationJ - Conveyance of air rights or development rightsP - Conveyance for which exemption form transfer tax is claimed (complete Schedule B, Part III)E - Conveyance pursuant to or in lieu of foreclosure or enforcement of security interest (attach TP-584-1, Schedule E)K - Contract assignmentQ - Conveyance of property partly within and partly without the stateF - Conveyance which consists of a mere change of identity or form of ownership or organization (attach TP-584-1, Schedule F)L - Option assignment or surrenderR - Other (describe)Schedule B -Real Estate Transfer Tax Return (Article 31-E of the Tax Law and Title 34 of the Miscellaneous Laws of Nassau County)Part I Computation of Tax Due1Enter amount of consideration for the conveyance (if you are claiming a total exemption from tax, check the exemption claimed box, enter consideration and proceed to Part II)Exemption Claimed12Tax: $5 for each $500, or fractional part thereof, of consideration on line 1 23Amount of credit claimed (see instructions and attach TP-584-1, Schedule G) 34Total Tax due (subtract line 3 from line 2) 4Please make checks payable to: Nassau County Clerk For Recording Officer’s UseAmount ReceivedDate ReceivedTransaction Number NC-584 continuedNASSAU COUNTY REAL ESTATE TRANSFER TAX RETURNSchedule B continuedPart II Explanation of Exemption Claimed in Part I (check any boxes that apply) The following shall be exempt from payment of the real estate transfer tax:The State of New York, or any of its agencies, instrumentalities, political subdivisions, or public corporations (including a public corporation created pursuant to agreement or compact with another state or the Dominion of Canada). The United Nations, the United States of America and any of its agencies and instrumentalities. The exemption of such governmental bodies or persons shall not, however, relieve a grantee from them of liability for the tax. The tax shall not apply to any of the following conveyances:Conveyances to the United Nations, The United States of America, the State of New York, or any of their instrumentalities, agencies or political subdivisions (or any public corporation, including a public corporation created pursuant to agreement or compact with another state or the Dominion of Canada.Conveyances which are or were used to secure a debt or other obligation.Conveyances which, without additional consideration, confirm, correct, modify or supplement a prior conveyance.Conveyances of real property without consideration and otherwise than in connection with a sale, including conveyances conveying realty as bona fide gifts.Conveyances given in connection with a tax sale.Conveyances to effectuate a mere change of identity or form of ownership or organization where there is not a change in beneficial ownership, other than conveyances to a cooperative housing corporation of the real property comprising the cooperative dwelling or dwellings.Conveyances which consist of a deed of partition.Conveyances given pursuant to the federal bankruptcy act.Conveyances of real property which consists of the execution of a contract to sell real property without the use or occupancy of such property or the granting of an option to purchase real property without the use or occupancy of such property.This conveyance was made on or after AUGUST 15, 1999 pursuant to a binding written contract entered into prior to such date, to wit: on ___________, 1999; and the date of execution has been confirmed by independent evidence as determined by the Treasurer of Nassau County. You must complete and submit NC-6-5 EXEMPTION FROM REAL ESTATE TRANSFER TAX AFFIDAVIT.Other (attach explanation) Signature (both the grantor(s) and grantee(s) must sign)The undersigned certify that the above return, including any certification, schedule or attachment, is to the best of his/her knowledge, true and complete. GrantorTitleGranteeTitleReminder: Did you complete all of the required information in Schedules A and B? If you checked E, F or G in Schedule A, provide an additional copy of the TP-584.1 form If you checked Residential Cooperative or H in Schedule A, and/or no recording is required, send this return and your check made payable to: Nassau County Treasurer Transfer Tax Division 240 Old Country Road Mineola, N.Y. 11501 All other payments should be made to: Nassau County Clerk