Transcription of Form TP-584:4/13:Combined Real Estate Transfer …
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New york State department of taxation and FinanceCombined Real EstateTransfer Tax Return,Credit Line mortgage certificate , andCertification of Exemption from thePayment of Estimated Personal Income TaxTP-584 (4/13)Recording office time stampSee Form TP-584-I, Instructions for Form TP-584, before completing this form. Print or A Information relating to conveyanceCondition of conveyance (check all that apply) of fee of a controlling interest (statepercentage acquired %) of a controlling interest (statepercentage transferred %) to cooperative pursuant to or in lieu offoreclosure or enforcement of securityinterest (attach Form , Schedule E)Grantor/TransferorIndividualCorporatio nPartnershipEstate/TrustSingle member LLCO therGrantee/TransfereeIndividualCorporat ionPartnershipEstate/TrustSingle member LLCO ther Name (if individual, last, first, middle initial) ( check if more than one grantor)
New York State Department of Taxation and Finance Combined Real Estate Transfer Tax Return, Credit Line Mortgage Certificate, and Certification of Exemption from the
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