HomeMy WebLinkAboutL 13004 P 582 IEIII IIII IIEIE IIIII I I I I I I I I II 11111 IIIII IIIII IIII 1 1
1111111 IIIII IIIII Illl IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 03/15/2019
Number of Pages : 4 At: 01 :19:26 PM
Receipt Number : 19-0052820
TRANSFER TAX NUMBER: 18-26315 LIBER: D00013004
PAGE : 582
District: Section: Block: Lot:
1000 107 . 00 05 . 00 006 .004
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $965,000 .00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $20. 00 NO Handling $20 . 00 NO
COE $5 . 00 NO NYS SRCHG $15 .00 NO
EA-CTY $5 . 00 NO EA-STATE $125 .00 NO
TP-584 $5 . 00 NO Notation $0 .00 NO
Cert.Copies $0 . 00 NO RPT $200.00 NO
Transfer tax $0 . 00 NO Comm.Pres $0 .00 NO
Fees Paid $395 .00
TRANSFER TAX NUMBER: 18-26315
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
4
RECORDED
2019 Mar 15 01:19:26 P11
JUDITH A. PASCALE
CLERK OF
Number of pages SUFFOLK COUNTY
L D00013004
P 582
This document will be public PT# 12-26315
record.Please remove all
Social Security Numbers
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
` Mortgage Amt.
Page/Filing Fee I
1.Basic Tax
Handling 20. 00 2. Additional Tax
TP-S84 A5 Sub Tota I
Spec./Assit.
Notation
�
-� or
EA-52 17(County) r Sub Total .J V— Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held forAppointment
Comm,of Ed. 5. 00 TransferTax 3(Dal Mansion Tax
Affidavit
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 1 _ family dwelling only.
Sub Total `� YES orNO
Other _
Grand Total if NO, see appropriate tax clause on
age# ofthis instrumnt.
in — at I
4 Dist.10C5 Community Preservation Fund
19007910 3.000 10700 0500 006004
Real Property p T g Iloll�I� Consideration Amount$
Tax Service R
AgencJGA A illllCPF Tax Due $
y 14�AAR-1 iiWWll
Verification
p Improved
6
Satisfaction s/Discharg sjCORD&RETURNpe Property
Vacant Land
SUSAN C.LEVINE, ESQ.
1650 BROADWAY, SUITE 402 TD 10
NEW YORK, NY 10019
TD
TO
Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information
s
310._Center Drive,. Riverhead,- NY--11901- ��f Q
Cd-.Name
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by. (SPECIFY TYPE OF INSTRUMENT)
JONATHAN BLOOM,ROBERT A.BLOOM,JOAN E.BLOOM The premises herein is situated in
and MATTHEW BLOOM SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of SOUTHOLD
ADAM T.METZGER and BONNIE E.CAMPBELL In the VILLAGE
or HAMLET of MATTITUCK
BOXES 6THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
i
( over
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the / day of ������ 2019
BETWEEN JONATHAN BLOOM, residing at 473 West End Avenue, Apt. 13C, New York, NY 10024;
ROBERT A . BLOOM and JOAN E. BLOOM, both residing at 405 West 23d Street, Apt 26, New York NY
10011;and MATTHEW BLOOM,residing at 200 West 86th Street,Apt. 17K,New York,NY 10024
party of the first part, and ADAM T. METZGER and BONNIE E. CAMPBELL as Tenants by the Entirety, both
residing at 345 Sackett Street,Brooklyn,NY 11231
party of the second part,
WITNESSETH,that the party of the first part,in consideration of TEN and no/100ths($10.00)dollars paid by
the party of the second part, does hereby grant and release unto the party of the second part, the heirs or
successors and assigns of the party of the second part forever,
SEE SCHEDULE"A"ANNEXED HERETO AND MADE A PART HEREOF
BEING AND INTENDED TO BE the same premises conveyed to the Jonathan Bloom, Robert A. Bloom and
Joan E. Bloom by deed made by James George and Linda Schaffer dated November 25, 2003 and recorded
in the Suffolk County Clerk's Office on February 4, 2004 in Liber 12299 Page 428 and to Matthew Bloom by
deed made by Jonathan Bloom dated December 28, 2003 and recorded in the Suffolk County Clerk's Office
on February 4,2004 in Liber 12299 Page 430.
TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads
abutting the above described premises to the center lines thereof;TOGETHER with the appurtenances and all
the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the
premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of
the second part forever.
AND the party of the first part covenants that the party of the first part has not done or suffered anything
R1 G
f whereby the said premises have been encumbered in any way whatever,except as aforesaid.
nD® AND the party of the first part, in compliance with Section 13 of the Lien Law,covenants that the party of the
first part will receive the consideration for this conveyance and will hold the right to receive such consideration
as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same
first to the payment of the cost of the improvement before using any part of the total of the same for any other
purpose. The word"party' shall be construed as if it read "parties"whenever the sense of this indenture so
jc requires.
DIS IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
Com'
a-o�P
LIAJ �THAII_BLOROBERT A.BLOM
H BLOOM J AN E.BLO
Y
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
ss: State of New York,County of /Uc C-) �or�: ss:
State of New York,County of Suffolk h
in the year 2019 On the
e year
be the jS day d �$R'es all appeared ed JONATHAN before to,the undersigned, pe sonalllly appearedhROBERT1A.
before me,the undersigned, p Y PP BLOOM and JOAN E.BLOOM
BLOOM.
personally known to me or proved to me on the basis of personally known to me or proved to me on the basis o
satisfactory evidence to be the individual(s)whose name(s) is satisfactory evidence to be the individuat(s)whose name(s) is
(are)subscribed to the within instrument and acknowledged to (are) subscribed to the within instrument and acknowledged to
me that helshelthey executed the same in his/her/their me that helshelthey executed the same in his/her/their
capacity(ies), and that by hislherltheir signature(s) on the capacity(ies), and that by his/her/their a thein upgnature(s) on on on behalf of which
he
instrument,the individual(s),or the person upon behalf f which instrument,the individual(s), p P
the individual( acted,ex ted the instrumen. the in ividual(s)acted,executed the instrument.
Ignatu nd o ce of individual taking acknowledgment) (signature and office of indlvidual taking acknowledgment)
Julie Rotunno
LAWRENCE P MONGELLI Notary Public.State of New York
46
Notary Public,State of New York No o Ro62a t Counts
No.01M04883251 Qualified in Kings 3
Qualified in Queens County 2
Commission Expires Mal 23..
Commission Eliores Jan.26,2023
State of New York,County of ive') Ya Y h' ss:
On the 30-l'day of Ja t^ra r the year 2019
before me,the undersigned,personally appeared MATTHEW BLOOM personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me
that helshelthey executed the same in his/herltheir capacity(ies), and that by his/her/their signature(s) on the instrument, the
individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument.
4i=g&i7aim and(fno(ffice of individual taking acknowledgment)
Julie Rotunno
Notary Public.State of New York
No.O t R06241746
Qualified in Kings County
Commission Expires May 23.20
DISTRICT 1000
BARGAIN AND SALE DEED SECTION 107.00
WITH COVENANT AGAINST GRANTOR'S
ACTS BLOCK 05.00
Title No. D/ `-' D J LOT 006.004
COUNTY OR TOWN
STREET ADDRESS
JONATHAN BLOOM,ROBERT A.BLOOM,JOAN E.
BLOOM&MATTHEW BLOOM Recorded at Request of
TO COMMONWEALTH LAND TITLE INSURANCE COMPANY
ADAM,T.METZGER&BONNIE E.CAMPBELL
RETURO Y
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS SUSAN C.LEVINE, ESQ.
Distributed by 1650 Broadway,Suite 402
Commonweafth New York,NY 10019
A I.AwDA.mmcn co.%—Y
COMMONWEALTH LAND TITLE INSURANCE COMPANY
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of
Chicago Title Insurance Company
Title Number: CT18-01036-S
SCHEDULE A DESCRIPTION
All that certain plot, piece, or parcel of land, situate, lying, and being at Mattituck in the Town of Southold,
County of Suffolk and State of New York,being bounded and described as follows:
Beginning at a point on the northerly side of Wickham avenue (Middle Road, Old Middle Road) at 1017.78 feet
easterly from the corner formed by the intersection of the easterly side of Mill Lane with the northerly side of
Wickham Avenue;
Running thence North 18 degrees 19 minutes 20 seconds west along land now or formerly Burt 270.71 feet to
land now or formerly B&H Farms LLC and Town of Southold;
Thence North 71 degrees 40 minutes 40 seconds east along last mentioned lands 300.56 feet to land now or
formerly B&H Farms LLC;
Thence South 22 degrees 21 minutes 30 seconds East along last mentioned lands 43.77 feet;
Thence North 71 degrees 40 minutes 40 seconds East still along last mentioned lands 38.02 feet to land now or
formerly Sidor;
Thence South 22 degrees 21 minutes 30 seconds East along land now or formerly Sidor 22.19 feet;
Thence South 21 degrees 54 minutes 50 seconds East along last mentioned lands 234.59 feet to the northerly side
of Wickham Avenue;
Thence South 76 degrees 20 minutes 40 seconds west along the northerly side of Wickham Avenue 3 59.10 feet
to the point or place of beginning.
For Information Only: District 1000 Section 107.00 Block 05.00 Lot 006.004
01/14/2019 4:51:03 PM J-Carter
07NYCA 5107 SCHEDULE A DESCRIPTION Certificate for Title Insurance
r INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY New York State Department of
C1.SYrISCode I -7, 7,3 ,� ,�,� I Taxation and Finance
C2.Data Deed Recorded /`'�
r / Office of Real Property Tax Services
C)"Y I � / /
MWr YM
RP-5217-PDF
C3.Book 1401Q C4.Papa
I Real Properly Transfer Report(8110)
PROPERTY INFORMATION
1.Property 7335 N:ckha-n Avenue
Location •17REE-HAW
•STREET W WEx
Southold MaLtituck 11957.
'd 1Y oR TOW Y VILLAGE •rP CODE
2.Buyer Mel_zger Adam T.
Name rwinner—C
•LAST [rcdAPAm
Campbell Bonnie E.
LAST NALe/COIPM9T -MT VAYE •••
2.Tax Indicate where future Tax Bills are to be sent _
airline If other than buyer eddress(at bottom of form) MET HNEPCOLPAN+ F1W NAME
Address
SIRFFTNeMEAAMD C cnyoglmN STATE ZFOCLA
I
4.Indiuh the number of Assessment 1 9 of ParcelsPart of a Pa., (Only N Port of a Partial)Check as they apply:
Roll pareds transferred on the dead OR 4A.Planning Board with Subd.vislon Authority Exists
5.Dead �( OR 2.24 46.Subdwnton Approval was Required for Tmnsfer
Properly •PR(x:T F1:Lr 'DEFTN 'ACRES
Slee as Parcel Approved for Subdivision with Map Provided
R:oom Jonathan
0.Sailor .ASTNArLROMPAPIV FPFNAME
Name
LAeT NAME11COLPAW FMT VANE
'7.Baled the description which most accurately desra@a the Cheek the boxes below as they apply:
use of the property d the firms of sale: 9.ownership Type is Condominium
A.One Family Residential 9.Now ConsbuGion on a Vacant Land
10A.Property Located within an Agricultural District
10B.Buyer received a disclosure notice Indicating that the property is an an
Agricultural District
SALE INFORMATION 15.Chock one or mon dtheso conditions on applicable to transfer.
A Sete Between Relatives or Former Relatives
11.Bois contract Dam 12/17/18 B.Sale between Related Companies or Partners In Business.
C.Ono at the Buyers is also a Sorer
02/15/19 D.Buyer or Seller Is Government Agency or Lending institution
12.Date of SakTlTnnsfer E.Dead Typo not Warranty or Bargain anti Sale(Specify Below)
F.Sale of Fractional or Lass than Fee Interest(Specify Below)
*1&Full Sale Prim 965,000.00 G.Significant Change in Property Between Taxable Status and Sato Dates
N.Salo of Buslnoss Is Indudod in Sale Prico
I Full Salo Price is the total amount paid for the property including personal properly. 1.other Unusual Facies Affocong Sate Pride(Specify Below)
This payment may be to the form of rash,other property or goods,or the assumption of X J.None
modgiagus or other obligations.)Pleoes round to the nearest whale doffar amount.
Comment(s)an GOntlFt)on:
14.Indicate the value Of personal 0 •oO
property Included In We sale
ASSESSMENT INFORMATION-Data should refloct the latest Final Assessment Roll and Tax BLIT
16.Year of Assessment Roll from which Information taken(YY) :8 e17.Total Assessed Value 8200
•16.Property Glees 210 _ •19.School District Name Mattituck-{'utc:hogt:o
•20.Tax Map fdeldifier(syRoll Idonttler(s)(N time than four•atach shed with uMNlorml Identifer(°)) ,
1000-107.00-05.00-005.004
CERTIFICATION
I Cartlfy dust an of the Nemo d information ordered on this form are tres and corradt(to the bast of my knowledge and belief)and I understand that the making of any wl9ful
false statemmil or morainal.fad herein sub(ed ma to the pr9vlslbm_gE9ILrtoti411sw relative to the making and filing of Tela Instruments.
t r ecu arr_uerrree BUYER CONTACT INFORftWION
IEmernlm mk9n kx des buyer.Node abryer rs LLC,w t,.asmdstlon,Oapalllon.Jeal salrk Dsmpmy esa:s w
4--ore-
-awlorel on YgMdlal epem Rx IMuuuy,ens°name e•rc cp ncd Inlurralen d rr6
irrdwdlmsprnvAle
Tory afro can a owns i,*KR v r°gardnq els rnnNw nerd ne en:ined 1yp°or print deur r)
TEL R a'UAAT. CAM
BUYER SIGNATURE Metzger Adarr.
•IAST NMI[ FIRRT RALE
e
'MEACdLE TELEPHONFhULaLHes waewl
RUYER TUNE NAm
31'5 Sackett, Scree=
•STREETNLKW.R •STREET NAME
Brooklyn. NY
101YORTOWN 'STAT° •7IP cam
BUYER'S ATTORNEY
Levine S::san.
LIST NAME I IN51 -
1
2:2 z�72�1s
rI ANCA CODE TF1 FPFONE AUMOLN IL.9539MI-•
I 1