County Of Nassau Real Estate Transfer Tax Return
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1
2Recording Office Time Stamp
NC-584
COUNTY OF NASSAU
REAL ESTATE
TRANSFER TAX RETURN
See Instructions (NC-584-I) before completing this form. Please print or type
Schedule A - Information Relating to Conveyance
Name (if individual; last, first, middle initial)
Social Security Number
GRANTOR
Mailing Address
Social Security Number
Individual
Corporation
City
State
Zip Code
Federal Employer ID #
Partnership
Other
Name (if individual; last, first, middle initial)
Social Security Number
GRANTEE
Mailing Address
Social Security Number
Individual
Corporation
City
State
Zip Code
Federal Employer ID #
Partnership
Other
Location and description of property conveyed
Tax Map Designation
Address
City/Village
Town
County
Section
Block
Lot
Unit
Type of property conveyed (Check applicable box)
1 -3 Family House
Commercial/Industrial
Percentage of real
property conveyed
Residential Cooperative (see
Apartment Building
Date of Conveyance
which is residential
Reminders on reverse side)
real property:
Residential Condominium
Office Building
Month
Day
Year
%
Vacant Land
Other
(See instructions)
Condition of conveyance (Check all that that apply)
A - Conveyance of fee interest
G - Conveyance for which credit for tax
M - Leasehold assignment or surrender
previously paid will be claimed (attach
TP-584-1, Schedule G)
B - Acquisition of a controlling interest
H - Conveyance of cooperative
N - Leasehold grant
(state percentage acquired __________ %)
apartment(s) (see Reminders on
reverse side)
C -Transfer of a controlling interest (state
I - Syndication
O - Conveyance of an easement
percentage acquired __________ %)
D - Conveyance to cooperative housing
J - Conveyance of air rights or
P - Conveyance for which exemption form
corporation
development rights
transfer tax is claimed (complete Schedule
B, Part III)
E - Conveyance pursuant to or in lieu of
K - Contract assignment
Q - Conveyance of property partly within
foreclosure or enforcement of security
and partly without the state
interest (attach TP-584-1, Schedule E)
F - Conveyance which consists of a mere
L - Option assignment or surrender
R - Other (describe)
change of identity or form of ownership or
organization (attach TP-584-1, Schedule F)
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 Due
1
Enter amount of consideration for the conveyance (if you are claiming a total exemption from
Exemption
1
tax, check the exemption claimed box, enter consideration and proceed to Part II)
Claimed
Tax: $5 for each $500, or fractional part thereof, of consideration on line 1
2
2
3
Amount of credit claimed (see instructions and attach TP-584-1, Schedule G)
3
4
Total Tax due (subtract line 3 from line 2)
4
Please make checks payable to: Nassau County Clerk
For Recording Officer’ s Use
Amount Received
Date Received
Transaction Number
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