Loading...
HomeMy WebLinkAboutL 13004 P 199 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 03/13/2019 Number of Pages: 5 At: 11 : 58 :36 AM Receipt Number : 19-0050845 TRANSFER TAX NUMBER: 18-26022 LIBER: D00013004 PAGE : 199 District: Section: Block: Lot: 1000 117 . 00 07 . 00 016. 000 EXAMINED AND CHARGED AS FOLLOWS, Deed Amount: $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25 . 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 $5 .20 NO RPT $200 . 00 NO Transfer tax $0 .00 NO Comm.Pres $0 . 00 NO Fees Paid $405 .20 TRANSFER TAX NUMBER: 18-26022 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ` } F1 0 Number of pages ✓ RECORDED 2019 Mar 13 11:5:36 AM JUDITH A. PASCALE This document will be public CLERK OF SUFFOLK COUNTY record.Please remove all L 600013004 Social Security Numbers F 199 prior to recording. DT# 18-26022 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee �7 Mortgage Amt. 1.Basic Tax Handling 20, 00 2. Additional Tax TP-584 Sub Total SpecJAssit. Notation or EA-52 17(County) �_ Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. ��6 Dual Town Dual County Held for Appointment Comm.of Ed. 5. 00 (pal Transfer Tax Affidavit Mansion Tax The property covered by this mortgage is Certified Copy � Z2 or will be improved by a one or two NYS Surcharge 15. 00 S� family dwelling on y. Sub Total /- YES or NO Other L Grand Total If NO, see appropriate tax clause on page# of this instrument. C7 V, 4 Dist. 5.000 5 Community Preservation Fund 19007792 z000 11700 0700 oze000 Real Prope P T S Consideration Amount$ Verfcay 13-MAR-1 CPFTax Due 5 Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land[J J� TD / - Patricia C.Moore,Esq. T 51020 Main Road TD Southold,NY 11971 TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Peconic Bay Title Insurance Agency 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) Hilda Pelivanian The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Kevin Pelivanian and Hilda E.Pelivanian,as In the VILLAGE trustees of the Pelivanian Family Trust.dated July 12, or HAMLET of New Suffolk 2007 and amended Januar 14 2019 BOXES 6 THRU 8 MUST BE TYPEyD OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over • � -tel".. NY WS-Bargain and Sale Deed with Covenant against Grantors Acts Individual or Corporation(Single Sheet)(NYBTU 8(x12) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY t.AWYERS ONLY THIS INDENTURE,made the Z5t1^ day of in the year 2019 BETWEEN Hilda Pelivanian 1204 Chestnut Avenue Manhattan Beach,CA 90266 party of the first part,and Kevin Pelivanian and Hilda E.Pelivanian,as trustees of the Pelivanian Family Trust,dated July 12,2007 and amended January 14,2019 1204 Chestnut Avenue Manhattan Beach,CA 90266 party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration paid by the party of the second pan,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, ALI,that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF. BEING AND INTENDED TO BE the same premises conveyed by Deed dated November 14, 2008 and recorded November 24,2008 in the Suffolk County Clerk's Office in Liber 12572 page 769. TOGETHER with all right,title and interest,if any,of the party of the first part of,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 grunted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the patty of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been incumhered in any way whatever,except as aforesaid. 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 requires. IN WITNESS WHEREOF,the party of the first pari has duly executed this deed the day and year first above written. IN PRESENCE OF. \ Hilda Pelivanian SCHEDULE A ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the County of Suffolk, Town of Southold, State of New York, BEGINNING at the point of intersection of the easterly side of Third Street with the northerly boundary line of the premises of Raymond N. King and wife, and running thence northerly along the easterly side of Third Street a distance of fifty (50) feet to land formerly of Jesse Norton, now of Burkhardt; thence running easterly along land of Burkhardt a distance of ninety (90) feet, more or less; thence running southerly along the several lands formerly of Annie Uaile and Adam Dykseski a distance of fifty(50) feet to the land of Raymond N. King and wife; and thence westerly a distance of ninety(90) feet more or less, to the easterly side of Third Street, at the point or place of beginning. Said premises being known as 1170 Third Street,New Suffolk, New York 11956. USEAcKNowLEDGMENPFORMBELOW wrrunvNEWYORKSTATEONLY: USEACRNOWt.DGM&%TFORMBELOWwffmNNEWYORKSTATEONLY .- State of New York,County of }ss.: State of New York,County of }ss On the day of in the year On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared personally known to me or proved to me on the basis of satisfactory 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 evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that helshe/they executed within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their the same in his/her/their capacity(ies), and that by his/her/their signature(s)on the instrument,the individual(s),or the person upon signature(s)on the instrument, the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument. ACKNOWLEDGMENTFORMFORUSEWrrHiNNEwYORK STATE ONLY- ACKNOWLEDGMENTFORMFORUSEOUISIDENEWYORK STATE ONLY • (New York Subscribing Witness Acknowledgment Certificate! lout of Stale or Foreign General Acknowledgment Certificate] State of New York,County of }ss.: Stale of Califgrnia:,Coppty,Qf................... (Cnmplele Verna with State,Country.Fmvince or Municipality) On the day of in the year before me,the undersigned,personally appeared On the day of in the year 2019 before me,the undersigned,personally appeared the subscribing witness to the foregoing instrument,with whom 1 am Hilda Pelivanian personally acquainted,who.being by me duly sworn,did depose and personally known to me or proved to me on the basis of satisfactory say that he/shelthey reside(s)in evidence to be the individual(s)whose name(s)is(am)subscribed to the within instrument and acknowledged to me that helshe/they executed (if the place of residence is in u city,include the street and street rutmber• the same in his/her/their capacity(ies),that by his/her/their signature(s) if atny,thereof;that he(shehhey know(s) on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument,and that such individual to be the individual described in and who executed the foregoing made such appearance before the undersigned in the instrument;that said subscribing witness was present and saw said execute the same;and that said witness at the same time subscribed (Insert the city or other political subdivision and the state or country or his/her/their name(s)as a witness thereto. other place the acknowledgment was taken). Sa�c:�tc� ar�warc]i�R�..tu Notary Public U BARGAIN&SALE DEED wrra e-avrl+,vers AcxtRsr cwurrok-s ActsTITLE NO. DISTRICT 1000 SEcrION 117.00 Hilda Pelivanian BLOCK 07.00 LOT 016.000 COUNTYORTOWN Suffolk TO Kevin Pelivanian and Hilda E.Pelivanian, RECORDED ATREQUESTOF as trustees of the Pelivanian Family Trust, Fidelity National Tide Insurance Company dated July 12, 2007 and amended January 14, 2019 RtTURNBYMAILTO FIDELITY NATIONAL TITLE INSURANCE COMPANY Patricia C.Moore,Esq. 0 lvcoe mrcn1928 51020 Main Road Southold,NY 11971 Ci�f�tfiarrirre//fir Fidelity M—brrN-r 4Sl—t-JTWeA--WJa, W V FF 0 O Z C1 R O U W 2 W O W N n Cr P W U Q CL InW S r Lit Ld w to Lu x CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of Los 4 r Q_ Q c ) On Z- ZS 7-01 q before me, ,-�ctS t l� k �wpa � ' � 'C , Date , ! Here Insert Name and Title of the Officer personally appeared +"►��d a Pe- i V a_y�,_ _ Name(s)of Signer(s) who roved to me on the basis of satisfactoryevidence to be the nX whose nameeis/ e sub pitied to the within instrument and acknowled d to me that h she ISey executed the an hi her heir authorized capacity' s),and that by hi er heir signature he instrument the person, o ntity upon behalf of w ch the persor5w act , xecuted the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. HASIBK.PUPAL WITNESS my hand and official seal. NotaryPu*-Ca0omia Los Angeies County Commission 0 2221349 My Comm.ExD res Nov 10.2021 Signature Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document �� Q Title or Type of Document: ate- Document Date: ZIZS j rq Number of Pages: Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑General ❑ individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: • ❑ Other: Signer Is Representing: Signer Is Representing: ©2016 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 INSTRUCTIONS(RP-6217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY New York$ ft Depa„rriefft of C1.suns code /ry QTaxation and Finance C2.Data Deed Recorded 0 3 � ( Offloe of Real Property Tax Services vQ CS.Book 1 U1 (r ca P ge RP-5217-PDF Real Property Transfer Report(5110) PROPERTY INFORMATION 11-Property 1170 Third StreeL Location 'SrREz-T MIYBEa •STREET NAME Southold New Suffolk 11956 Crrw OR TOM VLIAOE •BP CODE 2.Buyer Felivan_an as trustee Kevir- Nome •usTMAMluoeYPen raw wAME Pelivanian as trustoo Hilda LAV.NAMEICOMFANT 11-61-E 3'Tax Indicate where future Tax Bens are to be Sent BIIMg Fother own buyer atltlresa(mbottom orlam) LASTNAMEr"PAW Poor_L Address STREET M MER ANOMAl1E CITFoRTmIH RATE 2F000E 4.IrMleab the numbs of Aomosment 1 a of Parcels OR ❑Pmt al a Parcel lOny 0 Port of a Paroal)Check es they appy: RoII Ie trenalamd on the deed 4A.Planning Board with Subdivision Authority Exists ❑ G.Dead X OR 0.12 P" FROW FEE. acm 'AMES 4B Sulxkwebn Approval was Required far Transfer Pre ❑ 8ttci • 4C.ParcalApproved Tar Subcivision scat Map Provided ❑ Pelivanian Hilda G.Sailor •LAW NAMMO PANY rpm NAME Name may;NVOWDEWFAW FEST NWE '7.Select the description which most socuratey doscrtbea the Check the boxes below as V"appy: use of the prop"attire time of esft: 6.Ownership Type is Candornirium ❑ A.One Family Residrrhl hal 6.New Construction on a Vacant Land ❑ 10A.Property Located within an Agdedtud District ❑ 108.Buyer recelved a declows notice Indicating that the property Is in sin E]Agricultural District SALE INFORMATION 16.Cheek one or mors ofthees conditions as applicable to tramfer. A.Sale Between Rddves or Forcer Relehvas 11.Said Contract Dake B.Sale between Related Companies or Partners in Business. C One of the Buyers is also a Setter '12.Daft of SaIslTrahufer Ll D.Buyer or Setter Is Govemm ml Agency or Lancing Intal iniac E.Deed Type Gat Waneny or Baryaln and Sala(Specify Below) F.Ste of Fractional or Leas than Fee(Merest(Spealy Below) Y7.Full Sale Prim 0,QQ G.Significant Change in Property Between Taxable Status and Sale Dallas (Fug Ste Pelta!Is the local arrquM pfd for the Including personal H.Sale at Business is Included in Sds Price property ng propST�'• I.Other Unusual Factors ARxting Sale Kira(Specify Below) TNS payment may be in ere lam of cash,other property or goods,or the assumption of J.Nene nRnpapes or aha obligations.)Haase round to tel no~whale dollar amount. 'Comhnem(s)en Condition: 14.Indicate the value of personal Property Included in the nit 0 •OQ transfer to Seller's trust. ASSESSMENT INFORMATION-Data should reflect 5re latest Final Assessment Roll and Tax Bill 16.Year of Assessment Rall tom which Information taken(M 19 •17.Total Assessed Value 2,900 '10.Property Clan 260 _ '19.Schad District Nome New Suffolk '20.Tax Map IdmrtllNgoMRoll kftmlMrla)(if mom than four,attach sheet with additional Idedfierya)) 1000-117.00-07.00-016.000 CERTIFICATION I Cally,that all of the Rams of Information anhred an tilde farm am true and correct(W to best of my keowledge and bakery and I undantand tinct On making of any wilSul ftlse stahismit of roater al fact heroin subject Stella the mmilahes d'fiw,ppitpi li fi Lmladre 10 the making and filing of false Instruments. SELLER ER SIGNATURE BUYER CONTACT INFORMATION rFJRw"she brga.rTda:M b1aYh LI,C,saostr.seabet m •sat dolm.mrp=NM.IWR anpwy. e a I, DDi^r kn� � � � l� �1 �,► asp ER is not an k livid R agent or 10=ry,awl a roma and meed ksawahon or on kdvteuaesporheaN party na n� am +�/1� �V� o��� ✓ 19 wrocah Snarat-1 asa sw eeneter muss be ass TyInwparaeraaMi aELIER S'RIPTV9E GATE Pel'_vanian Hilda BUYER SIGNATURE MAST NATE FRIT NNF (310) 971-5996 �• •atEACOaF. •'EIW�WMREP 14'Palmer euYLV a CNA'LIPE VAR 1204 Chestnut Avenue •SWEET MIIMR •STREV NAME r r Manhattan Beach CA 90266 'CAM1 on TOWN •RUE RF CODE BUYER'S ATTORNEY h Moore Patricia I LAST NINE r IRST W WE (631) 765-4330 AREA COVE Il1LPNC RL-AnI SER IE•—1