Form Tp-584.1 - Real Estate Transfer Tax Return Supplemental Schedules printable pdf download

TP-584.1 (11/09)

For office use only

New York State Department of Taxation and Finance

Real Estate Transfer Tax Return

Supplemental Schedules

Attach this form with the applicable schedule completed

to Form TP-584 for the following conveyances:

— Conveyances pursuant to or in lieu of foreclosure or pursuant to a secured party’s enforcement of a lien or other

security interest

— Conveyances that consist of a mere change of identity or form of ownership or organization

— Conveyances for which credit for tax previously paid will be claimed

Please print or type

Name of Grantor

Grantor’s social security number or EIN

(as shown on Form TP-584)

Name of Grantee

Grantee’s social security number or EIN

(as shown on Form TP-584)

Location of property conveyed

(as shown on Form TP-584)

Schedule E - Conveyance pursuant to or in lieu of foreclosure or pursuant to a secured party’s enforcement of a lien or other

security interest (Complete the applicable part if condition “e” was checked in Schedule A, Form TP-584)

Part I - Conveyance pursuant to a mortgage foreclosure or any other action governed by the Real Property Actions and

Proceedings Law

1 Amount of foreclosure judgment or bid price

.....................................................................

(see instructions)

2 Amount of any other liens or encumbrances (not included on line 1) remaining on property after the

conveyance ..............................................................................................................................................

3 Add lines 1 and 2

....................................

(if debt is nonrecourse, skip line 4 and enter this amount on line 5)

4 If recourse debt, enter the fair market value of real property

..............................................

(see instructions)

5 Consideration for conveyance

(if recourse debt, enter the amount from line 3 or line 4, whichever is lower;

......................................................................................

also enter on Form TP-584, Schedule B, Part I, line 1)

Part II - Conveyance to a mortgagee or lienor in lieu of foreclosure

6 Unpaid balance of debt secured by mortgage

...................................................................

(see instructions)

7 Amount of any other liens or encumbrances (not included on line 6) remaining on property after the

conveyance ..............................................................................................................................................

8 Add lines 6 and 7

..................................

(if debt is nonrecourse, skip line 9 and enter this amount on line 10)

9 If recourse debt, enter the fair market value of real property

..............................................

(see instructions)

10 If recourse debt, enter the amount from line 8 or line 9, whichever is lower ............................................... 10

11 Any other amount paid by the grantee to the grantor for the real property ................................................. 11

12 Consideration for conveyance

(add lines 10 and 11; enter here and on Form TP-584, Schedule B, Part I,

.......................................................................................................................................................... 12

line 1)

Part III - Conveyance of real property in lieu of or pursuant to a secured party’s enforcement of a lien, security interest or other

rights on or in shares of stock in a cooperative housing corporation and/or associated proprietary lease(s)

13 Unpaid balance of debt secured by the pledge of the shares of stock in the cooperative housing

corporation and/or associated proprietary lease(s)

......................................................... 13

(see instructions)

14 Amount of any other liens, security interest or other obligations (not included on line 13) remaining

on the shares of stock in the cooperative housing corporation and/or associated proprietary

lease(s) after the conveyance ................................................................................................................... 14

15 Add lines 13 and 14

............................ 15

(if debt is nonrecourse, skip line 16 and enter this amount on line 17)

16 If recourse debt, enter fair market value of the shares of stock in the cooperative housing

corporation and/or associated proprietary lease(s)

......................................................... 16

(see instructions)

17 If recourse debt, enter the amount from line 15 or line 16, whichever is lower ........................................... 17

18 Pro rata portion of the total amount of any liens or encumbrances remaining on the real

property of the cooperative housing corporation after the conveyance

......................... 18

(see instructions)

19 Any other amount paid by the grantee to the grantor for the conveyance .................................................. 19

20 Consideration for conveyance

(add lines 17, 18 and 19; enter amount here and on Form TP-584, Schedule B,

................................................................................................................................................ 20

Part I, line 1)

Form Tp-584.1 - Real Estate Transfer Tax Return Supplemental Schedules

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