HomeMy WebLinkAboutL 13009 P 157 11111111 illl VIII Iliii VIII VIII 1111111111111111111 I l l l
111111 VIII 11111 Ilii Illi
SUFFOLK COUNTY CLERIC
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED WITH LIFE ESTATE Recorded: 04/19/2019
Number of Pages : 4 At: 03:13 :03 PM
Receipt Number : 19-0078231
TRANSFER TAX NUMBER: 18-29900 LIBER: D00013009
PAGE : 157
District: Section: Block: Lot:
1000 066 . 00 02 . 00 041 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 . 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 $395 .00
TRANSFER TAX NUMBER: 18-29900
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
as
RECORDED
Number of pages 2019 Apr 19 (13-.13;03 PI1
dLIDITH R. PASCALE
CLERK. OF
This document will be public SUFFOLK COUNTY
record, Please remove all L Doo013069
Social Security Numbers P 157
DT# 18-29901 i
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee ---42-LL Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation S pec./Assit.
or
EA-52 17(County) SubTotal Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held forAppointment
Comm.of Ed. 5. 00 Transfer TaxQL
Affidavit + + Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15, 00 2 family dwelling only.
Sub Total J YES orNO
Other
Grand Total 1 l If NO, see appropriate tax clause on
page# of this instrument.
4 Dist. .00Q 5Community Preservation Fund
19011586 1000 06600 0200 041000
Real Prop@II IIff ff ff Consideration Amount$
Ver f ca y 17 OTYA R 1 Illlll lu�l fl��l lull l�l�ll��VIII IIII IIII CPF ax Due $
i Improved
Satisfactions/Discharges/Releases List Property Owners Mailing Address
6 RECORD&RETURNTO: Vacant Land
Kathleen Travers and Mary Travers TD
735 Rogers Road
TD
Southold , NY, 11971
TD
Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name MIT National Land Services LLC
www.suffolkcountyny.gov/clerk
Title# MIT186527S
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed I made
by; SPECIFY TYPE OF INSTRUMENT)
Kathleen Travers The premises herein is situated in
Mary E Travers SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Kathleen Travers In the VILLAGE
Mary Travers or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIORTO RECORDING OR FILING.
over
i
Fdrm R002 Bargain and Sale Deed,with Covenant against Grantor's Acts—Individual or Corporation(Single Sheet)
' CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, made the day of March, in the year 2019
BETWEEN
KATHLEEN TRAVERS, and MARY E. TRAVERS, as to her Life Estate, 735 Rogers
Road, Southold, NY 11971
party of the first part, and
KATHLEEN TRAVERS and MARY TRAVERS, as joint tenants with right of
survivorship, 735 Rogers Road, Southold, NY 11971
party of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten dollars and other good
and valuable consideration 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 ATTACHED SCHEDULE A
BEING and intended to be the same premises as described in a Deed recorded 12/01/2016 in
Liber 12890 Page 389.
SAID premises are commonly known by the street address of 735 Rogers Road, Southold, NY
11971
District: 1000 Section: 066.00 Block: 02.00 Lot: 041.000
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 whereby the said premises have been encumbered in any way whatever, except as
aforesaid.
Fidelity Title Insurance Company
SCHEDULE A a
DESCRIPTION OF PREMISES
Title No. MIT186527S
ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold,
County of Suffolk, State of New York, shown and designated on a certain map entitled, "Map of
Beixedon Estates, Town of Southold, Suffolk County, N.Y., Property of Grace R. Nickles,
formerly Grace Rodgers DeBeixedon" made by Otto W. Van Tuyl, Licensed Surveyor, and filed in
the Suffolk County Clerk's Office on 03/16/1946 as Map No. 1472 as and by Lot Numbered 8, in
Block Numbered 7 on said map;.
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 part has duly executed this deed the
day and year first above written.
r
4THLEEN TRAVERS ARY E. TRAVERS
by KATHLEEN TRAVERS, as gent
STATE OF NEW YORK )
COUNTY OF S Lj L )
On the day of March in the year 2019, before me, the undersigned, personally
appeared KATHLEEN TRAVERS, personally known to me or proved to me on the basis-of
satisfactory evidence to be the individual whose name is/are subscribed to the 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 signature on the instrument, the individual(s), or the person on behalf of
which the individual(s) acted, executed the instrument.
Notary Public
GARY 7HORSEN
NOTARY PUBLIC,STATE OF NEW YORK
mon No.01TH4951538
Qualificd in Nassar County
Commission Espies May 22,2019
INSTRUCTIONS(RP-5217-PDF-INS):www.orps stata.ny.us
FOR COUNTY USE ONLY / New York Slats Department of
C1.SVOS code i Taxation and Finance
Cz.vete Dead Recorded LO Office of Real Property Tax Services
13��-7 ", ''J RP-5217-PDF '
C3.Book I 1 , , I_ -�C4.Pogo / Real Property Transfer Report(8110)
1 PROPERTY INFORMATION
1.Property 735 Rogere Road
Location
-5'N_LI VIVIIL4 •81aFF7 MW
Sou-hold 11971
2.BuyerTr a ve r s ----- XathleenName
.IW Nnul Mv: w 1 RST M1Asa
__ravers Nary
:AS'hAVFX0iIFI 6V F1AwT M1AVL
7.Tax Indicate whom future Tax Bills em to be sent
Billing if other then buyer address(at bottom d form) LAbr vAY�cotwAM1� I laal M1Aw:.
Address
r'al':YI.Y:L'N Ay:MVC 1:111 GY rp1M1 _• - 61" rr'GPOE
4.Indk:atf the number of AsaeesmantPamsf (o"y 8 Part da Pared Check es theytransferredRall parcels transferred on the dead a of Parcels OR ❑Pan of a
4A.Planning Board with subdivision Aothadty Exists
6,Dud X OR ()•'9 48.Subdlvlson Approval tees Required for Transfer ❑
Property •h VCY:ee:t: -:1LPT•i •A:'fIS
sue
4C.POIcalAppreved for Subdivision with Map Provided l l
ravers _ Kathleen
e.Sallfr •I Aa:YAY,akwNr- - - FIGST hA L
Nome r_ravera Mary
LA51 YW'1.C4�1hY- I N:1 M1AYL •
'I.Select the description which meet accuratay describes the Check the boxes below as they appy:
use of the property at the Um of saw 11.Ownership Type Is Condominium
A.One Family Residential 2.Now ConswdiononaVacant Land ❑
--- -- IDA.Property LOCLed whin an Agnculturd Dlstncl J
108.Buyer received a flaclosum notice indicating that the property 1s 1n an
Agmalllural Dlsnct
SALE INFORMATION 16.Check orf or more of mese conditions se applicable to tremhr:
A.Sale Between Reledves or Farmer Rraailves
11,sale Contract Dale 03/25/2019 B.Saw between Related Companies or Partners in Business.
C One of the Buyers Is also a Sever
•12.Dare d S*lerransfor 03/25/2019 •• D Buyer or Sldlar rot Government Agency or Lending Institution
E Dees Type not Warranty or Bargain and Selo(Specify Below)
F.Sale of Fractions!or Lane then Fee Interest(Specify Below)
'17.Full Sale Prim U.Oil G.Slgnikcaot Change In Property ENI waen Taxable Status and Sage Dates
11 Sale of Business is Included in Saw Powe
(FIJI Sale Price Is[no tats amours ped for the property ehdottng personal property. I.Other Unusual Factors Affecting Sala Pnca5
This payment may be m the form of cash•other property or goods r the assumption of ( Psb19 Bit=)
r other obligations I Please round b the nearest whole dollar amount J.None
Coe lm-m(e)on Cantlhion:
14.Indicate the value of personal
property Included in the sale 0 •(K)
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year d Asassemsm Roll from which Infmma0on taken(YY) 18 47.Total Anemone!Value 5,300
•18.Property Claes 21.1 _ _._. '10.School District Manor South h o 1 d
•20.Tex Map Identetor(suRoll lde tM"sl(t roam than four•attach shoat rdth atltlitlanel Ideattiler(e))
=10 066.00 C2.0C 091.0::;:
CERTIFICATION
1 CsrWy that■a of the tame of Information entered on this form am true and comet(m the best of my knowledge and belief)and I understand that the making Jany willful
false slatsmam of mmtedsl het heroin subject me to the provisions of the penal love relative to the making and Mine OF hes*Instruments.
$EI_I_ER SIGNATURE
BUYER CONTACT INFORMATION
(Enter lmsmr am for be buyer.Note-1f buyer I:C widoty esm
a :nn,coresnr.on.lanl cbrx wrostry,atlas r
Mh Ee Nr 1a nal an m -AaI apse r fid-11'y.:'an■merle rel collba In"I mehm of an r1da10.wlhapponabl*
ono Cam a'wwr ruins le NpelQno ow nons4•must be snared Type r print scary)
BeLLea rur.YATJNF -••_ ..__ _ aA1L
Travers K a I.h-e er:
BUYERSIGNATURE
•_AS-YAVe xS1 YAMI
xL9991, 999-9999
•ANCACf11Y_ •I!1!.9 ION'AWN4:l gr-,gaijgl
'/3a Rogers Road
Sout!:a_d vY 11371
alTpisrovfv _. __ .-RTAT' V.cm_
BUYER'$ATTORNEY
I
IAV•WW1 rRST M1AYe - •
-- AiFJ1GCOE •LLLP•rOr1E M1.MlEa1F,9aelae/i --
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