HomeMy WebLinkAboutL 13071 P 693 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 9/18/2020
Number of Pages: 4 At: 10 :17: 08 PM
Receipt Number: 20-0145384 *ELECTRONICALLY RECORDED*
Transfer Tax Number: 20-04940
LIBER: D00013071
PAGE: 693
District: Section: Block: Lot:
1000 117 .00 07 .00 003 .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
Notation $0 . 00 NO Cert.Copies $0 . 00 NO
RPT $200 . 00 NO Mansion Tax $0 . 00 NO
EA-CTY $5. 00 NO EA-STATE $125. 00 NO
TP-584 $5. 00 NO Comm.Pres $0 . 00 NO
Transfer Tax $0 . 00 NO
Transfer Tax Number: 20-04940 Fees Paid $395. 00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Judith A. Pascale
County Clerk, Suffolk County
RECORDED
Number of pages 4 9/18/2020 10:17:08 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013071
Social Security Numbers P 693
prior to recording. 20-04940
Deed 1 Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording 1 Filing Stamps
31 FEES
Page 1 Filing Fee 20.00 Mortgage Amt.
1. Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 5.00 Sub Total
Notation
0.00 Spec./Assit.
or
EA-52 17(County) 5.00 Sub Total 50.00 Spec./Add.
EA-5217(State) 125.00 TOT.MTG.TAX
200.00 CIO., Dual Town Dual County
—
Held Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax 0.00
' _� Mansion Tax 0.00
Affidavit 4�"
The property covered by this mortgage is
Certified Copy 0.00 or will be improved by a one or two
NYS Surcharge 15. 00 345.00 family dwelling only.
Sub Total YES or NO
Other 395.00
Grand Total If NO,see appropriate tax clause on
page# of this instrument.
4 1 Dist. Section Block Lot 5 Community Preservation Fund
2rDO348ss 1000-117.00-07.00-003.000 0.0 0
Real Property Consideration Amount $
Tax Service r s
Agency �s��ri�2� CPF Tax Due $
0.00
Verification
Improved X
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Advantage Title TD 10
201 Old Country Rd Ste 200
Melville NY 11747-2731 TD
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Title#
g Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of SOUTHOLD
In the VILLAGE
or HAMLET of
BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12-0104..10MId,
over
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed with Covenants against Grantor's Acts-Uniform Acknowledgment
Norm 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 2°° day of September,2020
BETWEEN
SANDRA DeROSE,as surviving tenant by right of survivorship,residing at 1415 Fourth Street,New Suffolk,NY 11956
Party of the first part,and
SANDRA R.DeROSE,Trustee of The Sandra R.DeRose Revocable Living Trust Dated September 2,2020,with an
address at 1415 Fourth Street,New Suffolk,NY 11956
Parry of the second part,
WITNESSETH,that the parry of the fust part,in consideration of zero($0.00)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 parry of the second
part forever,
ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and
being in
SEE SCHEDULE"A"ATTACHED HERETO AND MADE A PART HEREOF
SAID PREMISES also known as 1415 Fourth Street,New Suffolk,New York.
BEING AND INTENDED to be the same premises conveyed to the party of the first part by deed dated October 17,2002
and recorded in the Office of the Suffolk County Clerk on November 4,2002 in Liber D00012218 at Page 433.
This Deed was prepared at Grantor's request without examination or opinion of title.
TOGETHER with all right,title and interest of the parry 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 fust part in and to said premises. TO HAVE AND TO HOLD the premises herein granted unto the parry 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 convents 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.
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
for the purpose of paying the cost of the improvement and will apply the same fust to the payment of the cost of the
improvement before using nay 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 fust above written.
IN PRESENCE OF
SANDRA DeROSE
nrmw
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of Suffolk;ss:
On the 2nd day of September in the year 2020,before me,the undersigned personally appeared SANDRA DeROSE,
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 he/she/they executed 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 behalf of which
the individual(s)acted,executed the instrument.
Uv Christopher J. Smith
Notary Public, State of New York
(signature and oe of individual taking the acknowledgment)
ffs
Registration No. 01SM6308870
Qualified in Suffolk County
Commission Expires August 04, 2022
State of New York,County of ;ss:
On the _ day of in the year 20_, before me, the undersigned personally appeared
,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 he/she/they executed 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
behalf of which the individual(s)acted,executed the instrument.
(signature and office of individual taking the acknowledgment)
DISTRICT 1000
BARGAIN AND SALE DEED SECTION 117.00
BLOCK 07.00
LOT 003.000
Title No. COUNTY OR TOWN Suffolk
STREET ADDRESS 1415 Fourth Street
New Suffolk,New York
SANDRA DeROSE,as surviving tenant by right of survivorship
TO
SANDRA R.DeROSE,Trustee of The Sandra R.DeRose
Revocable Living Trust Dated September 2,2020
RETURN BY MAIL TO:
ADVANTAGE TITLE AGENCY SCHANKER&HOCHBERG,P.C.
201 Old Count Road,Suite 200 27 WEST NECK ROAD
''Y P.O.BOX 1905
Melville,New York 11747 HUNTINGTON,NEW YORK 11743
(Reserve this space for recording office)
SCHEDULE A DESCRIPTION
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon
erected, situate, lying and being at New Suffolk in the Town of Southold, County of Suffolk and
State of New York, bounded and described as follows:
BEGINNING at a point on the westerly side of Fourth Street distant 100.73 feet southerly from
the corner formed by the intersection of the westerly side of Fourth Street with the southerly side
of Orchard Street;
RUNNING THENCE along the westerly side of Fourth Street South 7 degrees 01 minutes
30 seconds West 50.37 feet;
THENCE North 83 degrees 47 minutes 20 seconds West 101.28 feet;
THENCE North 6 degrees 57 minutes 20 seconds East 50.37 feet;
THENCE South 83 degrees 47 minutes 20 seconds East 101.34 to the westerly side of
Fourth Street at the point of place of BEGINNING.
FDR COUNTY USE ONLY
Cl- SwiS Cade 14 1 7 1 3 1 8 1 8 1 9 1 TANS):www.orps.state.ny.us
C2- nate need Recorded I 9 / 1 S / 20201 N Yark Stag ve F[nanCartm nt of
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Office of Real Property Tax Services.
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PROPERTY INFORMATION I Real Property Transfer Report(8f10y
1.Property 3.415 Fourth Street
Location
•STREET wuxn9Ek m'•STaF.ET s•+ArhE••
New S1iffo.lk
•crnvrx Ynvaw vt�a„os zaP cove
2.Buyer De Sose, Trustee Stirtdr.'a R.
Blame
:.nST.n ErF.up— ve4a?—.c,.
The Sandra R. i7eKose Revocable Living Tru8t
LAsr uAMe,MEWPAKY 91RST lanae
3,Tax Indicate where Suture Tax Bills are to be sent
Billing if other than address buyer at bottom of four
Address y ( } FAST WAMEIC.CNAaniay �Hi�T NAME
sr EET wul.EEta AND NAME city OR Towx sT.Ta xlp true
4,Indicate the number of Assessment 1 Pas!of a Parcel jOnly if Part of a Parcel)I Check as they appiy;
Rolf parcels transferred on the deed o€Parcael& OR 4A.Pianning Board with Subdivision Authority Exists El
6.Deed 0.12
OR 46.Subdivision Approval was Required for Transfer
Property et:ATH 'ACaF.a
size 4C.Parcel Approved for Subdivision with Map Provided
1JeRo� Sandra
5.Selter •L aT NA-EI(:IR P �.m p3kST 3JAME .........................•••••••••••••••••••••••••••••••
Name
LAST RAMEf GMPMY nRST NAME
"7."act the description which most 9dCslr%tely tlesCYtt7es the Check the loxes below as they apply--
use
pply-use of the property at the time of sale: a,Ownership Type is Condominium ❑
A. One Family Residential S.New Construction on a Vacant Land ED
IOA.Property Located within an Agricultural District
10B.Buyer received a disclosure notice indicating that the property is in an El
District
SALE INFORMATIQN1 15.Check one or more of€h ass conditions as applicable to transfer
A,So to Between Relatives or Former Relatives
if.Sale contract Date B.Sale between Related Companies or Partners in Business,
C.One of the Suyars is also a Beier
09/02/2020 €-Buyer or Seller is Government Agency or Lending In%titution
`72-Date of Sale/Transfer E,Beed Type not Warranty or Bargain and Sats(SpecFfy Below)
r,Saler of Fractional ar Less than Fee interest(Specify Below)
"1 a.Full Sa€a Price 0 .00 G.Significant Change in Prpperty Satwoen Taxable Status and Sale Dates
H,$alsof Business is included in Bale Price
{Full Sale Price is the total anx>unt paid for the property inorud'rr personal property. l_ Other Unusual Factors Alfecling Sale Price(Specify Below)
Tires payment may be in the form of dash.other property or goods,or the assumption of J.None
mortgages or other obligations.)Please round fa the nearest whole doFlaramount.
'Comment(s)on Condition-
14.Indicate the Value of personal
property Included In the sate •aQ No consideration; Transfer to trust
ASSESSMENT INIFORMATIDN-Bata should M-AeCt the latest Final Assessment Roll and Tax Bill
Is,Yaar orf Assessment Roll from which information taken@'') 20 "17.Total Assessed Value 2,400
•18.Property class 210 __. •t 9.School District blame New Suffolk
1203 Tax Map k€entifier(s)€Roli Identifierje)(if more than four,attach sheet YWth addltionai Identifier(s))
CERT FICATION
I certify that all of the Item&of informa£ton entered an We form are true and correct(to tie hest of my kncAoled ge and belief)and l undo rsta nd drat the making pf any will€ut
false statement of material fact herein subject me to thoprgxjylrtirq ,.pt,thp oersal taw YelaltVe to the making and:filing of false Instruments.
.ah.IT"FEMAMNATTIU$E SLPY A-QOffA—Cl.INf0RNAM
{r=iser lrdormattvae For the buyer.Note:It buyer is LLC,S666ty,NSSOCIMtjat+,corporatlnn,blit stock company,®Stag®or
❑r5aly that is not sp rndMdua€agent or fiduciary,then a name and Contact m-oration or an inolvidu if—pvnst la
nxny vim can answer quest ,s ragarcting the transfer mast he enteral.TypC or print�loarly.)
S[:-ER Ei3nAT[faE 3]A'I'E
Sandra DeRose DeRose Sandra R.
Et7YER SICxNAT1.I_RE
•BAST NAME G3RSr NAME
(63 1) 739-2.223
{Nr�, �t�+p�-�-�" ! f J G•v •nkE.A caT] 'iELEntsClr :riuvl3kR 1k.:99y a9bj
airrF,ii E1G1�'r[1RF aa
Sandra R.DeRose,Trustee 1,415 Fourth StreEt.
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1 S NE:w Suffolk NY :1.1.956
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