HomeMy WebLinkAboutL 13073 P 422 fllllll IIII Miff Ilflf Illlf VIII VIII VIII VIII IIII IIII
f 111111 VIII VIII IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 10/02/2020
Number of Pages : 6 At: 11: 11: 19 AM
Receipt Number : 20-0155189
TRANSFER TAX NUMBER: 20-06437 LIBER: D00013073
PAGE : 422
District: Section: Block: Lot:
1000 055 . 00 04 . 00 018 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $260, 000 . 00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $30 . 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 $1, 040 . 00 NO Comm.Pres $2, 200 . 00 NO
Fees Paid $3, 645. 00
TRANSFER TAX NUMBER: 20-06437
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of pages RECORDED
2020 Oct 02 11:11:19 AM
.JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record.Please remove all L D00013073
Social Security Numbers P 422
prior to recording. DT# 20-06437
Deed/Mortgage Instrument D /Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Mortgage Amt.
Page/Filing Fee
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. Dual Town Dual County _
Held for Appointment
Comm.of Ed. 5. 00 Tr`6erTa0 �a7y
Affidavit • + Mansion Tax,-,
Certified Copy �TDO The property coL d by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other / l '
Grand Total If NO, see appropriate tax clause on
page# of this instrument.
I 5 I q-1,4-td
4 1 Dist.�OU 20036578 1000 05500 0400 018000 D 5 Community Preservation Fund
r1111��I , , I/ �
Real Property SEP q II�1I�IW Consideration`Am�ount$ tPU UO
Tax Service I�
Agency CPF Tax Due"Zi $
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant land
r
Twomey, Latham,Shea, Kelley,Dubin& TD 1 000
Quartararo,LLP
Katerina Grinko,Esq. TD
33 West Second Street,P.O. Box 9398
TD
Riverhead, NY 11901-9398
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name SPANO ABSTRACT SERVICE CORP.
www.suffolkcountyny.gov/clerk Title,# AC %q3
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached TT- made
by: (SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
�out��p ; 1 paw O FFOLK COUNTY,NEW YORK.
N� C���• '` cam` ' ��
In the TOWN of V+V
In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
. AC1 �gq� -S
NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
th
THIS INDENTURE,made the 1 day of-May UQuS� in the year 2020
�ETWEEN J f ^
Glenn Campbell,residing at 490 Main Street,Apt.B-11,Farmingdale,NY 11735,Eileen io
Torres,residing at 205-16 26th Avenue,Bayside,NY 11361,James Campbell,residing at 166
Jefferson Street,Franklin Square,ANY 11010,William Campbell,residing at 37 Burton Lane
South,Massapegra,NY 11758,Mary Ellen Rogers,residing at 28 Greene Avenue,Amityville,
NY 11701,and Robert Campbell residing at 5 La Salle Lane,Ladera Ranch,CA 92694,as to
all of their right,title and interest,
patty of the first part,and
Donna Campbell,residing at 2155 Yennecott Drive,Southold,NY 11971,
parry of the second part,
WITNESSETH,that the parry of the fust part,in consideration of Ten Dollars and other valuable consideration paid by the
patty of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of
1 OM the party of the second part forever,
��/•�oO ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the
Town of Southold County of Suffolk and State of New York,more particularly hounded and
Al�C30 described in Schedule "A" attached hereto and made a part hereof.
The Grantors herein are all of the heirs at law and distributees of William P.Campbell,who
died intestate,a resident of Suffolk County,who was the person who acquired title to the
premises described herein by the Deed recorded on March 22,1999 in Liber 11952 Page 641 in
the office of the Clerk of the County of Suffolk.
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 granted unto the party of the
second part,the hens or successors and assigns of the party of the second part forever.
AND the party of the fust part covenants that the party of the first part has not done or suffered anything whereby the said
premises have been incumbered 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
fust 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 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 writ n.
IN PRESENCE OF:
Glenn ampbell
l ok�alwo��—
MI ar Ell Rog rs Elk&Torres
o err Campbell
illi m ampbell
SEB ATTACHm
[�-.—aAPJALCir WICATE `
ALL that certain plot, piece or parcel of land, with the buildings and improvements
thereon erected, situate, lying and being in the Town of Southold, County of
Suffolk and State of New York, known and designated as Lot 34 on a certain map
entitled, "Map of Yennecott Park, situate at Southold, Town of Southold, Suffolk
County, New York", surveyed by Van Tuyl and Son, Greenport, New York, May
1, 1968, and filed in the Office of the Clerk of the County of Suffolk on the 9" day
of October, 1968, as Map No. 5187.
CALIFORNIA CERTIFICATE OF ACKNOWLEDGMENT
LA notary public or other officer completing this certificate verifies only the identity ofe individualwhosignedthe document to which this certificate is attached,and note truthfulness,accuracy,or validity of that document.
State of California )
County of Orange
On OS / ! 2020 before me, Ranjit Kuriako se, Notary Public ,
(here insert name and title of the officer)
personally appeared `O I3 E i � L
who proved to me on the basis of satisfactory evidence to be the person(A whose name is/are subscribed to
the within instrument and acknowledged to me that he/shekhrey executed the same in his/he-Mleir— .
authorized capacity(*), and that by his/hs444eir signature(*) on the instrument the person,;or the entity
upon behalf of which the persoacted,executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the
State of California that the foregoing paragraph is true and correct.
RANJIT KURIAKOSE
v COMM.#2251986 3
WITNESS my hand and official seal. NOTggYPI18L1C.ewFoitNlp 0
ORANGE COUNTY
Comm,Exp.AUG.2,2022 i
r.
Signature
---------- (Seal)
Optional Information
Although the information in this section is not required by law,it could prevent fraudulent removal and reattachment of this acknowledgment loan
unauthorized document and may prove useful to persons relying on the attached document.
Description of Attached Document
The preceding Certificate of Acknowledgment is attached to a documentMethod of Signer Identification !
f- _. f
titled/for the purpose of - _ -- I Proved to me on the basis of satisfactory evidence:
Imo:fOt m[s)Of Ioenu6cation f}nedihle rvilness(es)
Notarial event is detailed in notaryjournal on:
containing- _ ry pages,and dated" ---- - - --- —__ j Page# —` Entry#
The signer(s) capacity or authority is/are as: i
Notary contact:
:71ndivlduails) i --._ - -,-
(] Attorney-in-Fact Other
(1 Cotporate Officers) I[--] Additronat Signcr(s) Signet(s)Thurnbprintfs}
�.] Guardian/conservator
Partner-Limited/General
.) Trustee(s) j
[] other. _ I
representing: _
NaineW or Person(O or Elti%y(ie$)Signer n Reple5erltinq 1
r+Copyriggt 2007.2015 Notary flotar y,Inc V0 Sax 41400.{les 6loines,If,50311-0507 All Rights Reserved- hem Number 10177 i. Please Confect your Awhutized Reseller to purUkase copies ul]his form
USEACKNOWLEDQMENTFORMBELOWwrmiNNEWYORKSTATEONLY. USEACKNOWIEDGMENTFORMBELOWWITffiNNEWYORKSTAmONLY
•
State of New York,County of �j A%Cuk }ss.: State of New York,County of ��l I l }ss.:
On t�e, Qday of May in the year 2020 On theol�)day of May in the year 2020
before-me,the undersigned,personally appeared before me,the undersigned,personally appeared
Glenn Campbell Eileen Torres
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 he/she/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/hedtheir capacity(ies), and that by histhedtheir
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 thhe�instrument. behalf of which the individual(ss))acted,executed the instrument.
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A MM No pub' LEN!A.
Y PUBLIC;Stets of New Pott NOTA Y PUBLIC;Stets of NW Yarlt
No,OIMAS021750 No.01MA6021760
gpCNI&W In Naagssa�u CCOWU 20a OualifledFIYn�iN�&SWUu�CtOUI y
ACKNOWIP.DGMENT FORMFO0'USE' BC M—PoRK ST;E ON) ACK vowL DGMENT FORMFOR�7i�EVYYORX STATE ONt
]New York Subscribing Witness Acknowledgment Certificate] [Out of State or Foreign General Acknowledgment Certificate]
State of New York,County of 00,S�IA )ss.: State of Califprnia,,�oupty,of,••, ••.•,,,,•••,)ss,:
(Complete Venue with State,Country,Province orMunicipalily)
be thea'-qday of May in the year 2020 O❑the da of May in the year
before me,-the undersigned,personally appeared Y y Y
James Campbell before me,the undersigned,personally appeared
the subscribing witness to the foregoing instrument,with whom I am Robert Campbell
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/she/they reside(s)in evidence to be the individual(s)whose name(&)is(are)subscribed to the
within instrument and acknowledged to me that he/shelthey executed
(if the place of residence is in a city,include the street and streetnumber, the same in his/herhheir capacity(ies),that by his/her/their signature(s)
if any,thereof);that he/she/they 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 appearac—before the undersigned in the
instrument;that said subscribing witness was present and saw said City of ,State of California
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).
CRARLENEA.MALTESE 140TAPJALCERTMCAT13
NOTARY PUBLIC:State of New York
No.00AA6021760
Qualified in Nassau County
Commission Expitfd March 22.20 7�
BARGAIN&SALE DEED
WITH COVENANTS AGAINST GRANTOR'S ACTS
T1rLENo. DISTRICT 1000
SECTION 055.00
Glenn,James,William,and Robert BLOCK 04.00
Campbell,Eileen Torres&Mary Ellen Rog L(yr 018.000 [
COUNTY OR TOWN SOUTHOLD
TO
Donna Campbell RECORDEDATREQUESfOF
Fidefity National Title Insurance Company
RETURNBYMAILTO
FIDELITY NATIONAL TITLE Katerina Grinko,Esq.
INSURANCE COMPANY Twomey,Latham,Shea,Kelley,et al.
0 lacoitpamTEO 1928 P.Q.Box 9398
Riverhead,NY 11901-9398
a.Fidelity 4&..'"
U b-N.Yank St t—d rime Armriow.
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USBACKNOWLEDGMENTFORMBELO�WfWITHIN NEW YORKSTATEONLY. USEACKNOW/SMF,NTFORMBELOW
`WITHINNBWYORKSTAMONLY:
State of New York,County of __Iv wSS6Ak }ss.: State of New York,County of
On thQ y of May in the year 2020 On the�51t`y of May in the year 2020
before m,the undersigned,personally appeared before me;the undersigned,personally appeared
William Campbell I Mary Ellen Rogers
personally}mown 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 he/she/they executed within instrument and acknowledged to me that hetshelthey executed
the same in his/her/their capacity(ies), and that by Itis/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 thheinstrument. behalf of which the indivi�duaal((ss),acted enxecute-d ttheinstrument.
`nst•rum,entt.,�, 9
Notary I E �NE A tAgIof N K . NESE
NOTARY FUBtiIC;Stara of New York Notary Pu RkE IC.
IC;State of,New York
No.01MA6021760 NOTARY PUBL
.,,,,Q,�'urra,,,l�lNIoiepd�in Nassau Coutthi y� uaN 1MA0
6021750uIft
ACKNOWLEDGMENTFORMFORUSP''�Y`fl'A71PrvE STATE Y. ACKNOWLEDGMENTFORMFORZA
/New York Subscribing Witness Acknowledgment Certificate/ lout ofSuue or Foreign General Acknowledgment Certificate/
State of New York,County of }ss: ......._.........................................)ss.:
(Complete Venue with State,Country,Province or Municipality)
On the day of in the year
before me,the undersigned personally appeared On the day of in the year
before me,the undersigned,personally appeared
the subscribing witness to the foregoing instrument,with whom I am
personally acquainted,who,being by me duly swom,did depose and personally known to the or proved to me on the basis of satisfactory
say that helshe/they reside(s)in evidence to be the individual(s)whose name(s)is(are)subscribed to the
within instrument and acknowledged to me that he/sheAhey executed
(if the place of residence is in a city,include the street and street number, the same in his/herAheir capacity(ies),that by his/her/their signature(s)
if any,thereof);that he/sheAhey 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).
BARGAIN&SALE DEED
Wrm COVRNANTN AGArNSt GRANTOR'S ACLS
TrrLE No.
DISTRICT'1000
SECTION 055.00
Glenn,James,William,and Robert BLocx 04.00
Campbell,Eileen Torres&Mary Ellen Rog LOT 018.000
COuNTY OR TOWN SOUTHOLD
TO
Donna Campbell RECORDEDATREQUFSTOF
Fidelity National Tide Insurance Company
RETURN BY MAIL TO
FIDELITY NATIONAL TITLE Katerina Grinko,Esq.
INSURANCE COMPANY Twomey,Latham,Shea,Kelley,et al.
0 fwmp0AArEo 1928 P.O.Box 9398
Riverhead,NY 11901-9398
' d.Fidelity
Mem6erNrw Yoh S,me/adTirle Avariurirm
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INSTRUCTIONS(RP-521 T-PDF-INS),www.orps.stab.ny.us
FOR COUNTY USE ONLY r New York State Deperlmenl 01
C1.suns code L•Y/� 8 Taxation and Finance
C2.Date Gad Reeordsd �C//D�/�d Office of Real Property Tax Services
Lq
Der RP-5277-PDF
C3.Book O G.Pape Roel Propwty Transfer Report(8110)
PROPERTY INFORMATION
I' 2_55 YennecoLL Drive
Location
'STME'%tAIM •STREET MAW
Southold 11971
•Cm CR:ern VILLAGE •za eooE
2.Buyer Campbell Donna
Nome
•LAST Nvie c lwwNT -149-AMIE
LAS"AANErd:Y A1V !-RST%AIE
2.Too Indicate whom future Tax Bays we to be sont
Billing it other Man buyer addmn(at bottom of form) LAST NAML4011erANr FR9T WIE
Address
S'REE1 f—WER WU NICE CTT OR-am STATE ePCGw
4.Indicate the number of Assessment T 1:1Port of a PaGM (Only If Pert of a Parcel)Check as they apply:
Roil parcels tte�rrsA on the Mad 401 Peroala OR 4A.Planning Board wind Subdivision Auttlomy Exists ❑
Loved X OR 0-51 48.SubdMom Approval was Required for Tr$nskr
Prapaty -FR FET •UEFTI 'Acta$ 11
Blze 4C.Pawl Approved for Subdivision with Map Provided ❑
Scc Addendum
6.Ballor 'tAMAWCOw'AVT )RST rMYE
Name
LAST 6AM&COMPANY F Ra'MME
'7.Select the description which most accurately dpsedheS the Cheek the boxes below as(hey sppty:
am of the property at the time sf Salo: 8.Ownership Typo is Condominium
A.One Family Residential a.Now CGMtrucMan on a vacant um �
10A.Properly Located within an Agricultural Dourict
10B.Buyer received a disclosure notice Indicating that the oroporty a in an ❑
AgdwMral District
SALE INFORMATION 1S.Cheek one or man of droop aonegUom as applicable to transfer:
A'Salo Beaman Relatives or Former Relatives
11.Salo Contract Dora 04/01/2020 R Salo botwoon Related Companies or Partners in BUalnasa.
C.One of the Buyers is also a Sellar
r1Q 11/I 30d p D.Buyer or Saler Is Government Agency or Lending Ined ution
•12.Dab of Selel7ramfer IN 1"1 147 E.Dead Tyco not Wor ardy or Berga'n and Sale(Speedy Bekw)
F.Sala d Ftecaoml or Lass then Fee Interest(Specify Bebw)
119.Full Bids Price L 6C,000-(JO G.SigMlwra Change in Property Between Taxable Statue and Salo Dates
H.Salo of&almss is lodlyded In Salo Price
1 Fug Sale Price is the cold amount paid far the property Including personal property. I.Other Unusual Fedora Affecting Salo Pnw(Specify Below)
This payment may be In the form of cash,oMa property or goods,or the araumpllon of J.None
mortgages or other obligations.)Plppeo round to Mo normal whole dolaram xial.
Comment(s)on Condition:
14.Indicate On value of panoral
property Included In the sale 0 •(X)
ASSESSMENT INFORMATION-Data should rallied the latest Final Assessment Roll and Tax Bill
18.Year alAssesnmrd Roil from which hdormetbn taksnfM 19 '17.Total Aaesasad Value 548_187
118.Property Class 210 _ h8.School D' 1, Nam Southold
M.Tax Map IdenUnsr(syRoll kiaMlfler(e)(If mons than bur,attach sled with additional IdsMMshs))
1DC0-C'5.C9-CS.CO-Ci8.000
CERTIFICATION
I Certify that all of the Iteme of Information entered on this farm an true and correct(to the bed of my knowledge and ballon and I understand that the making rd any willful
false statement of material fast hotels subleet not to the nnevWens of the penal law relative to the making and Hing of false Instruments.
-516MATUPE BUYER CONTACT INFORMATION
(Emr ldbrrradon for the Myer rtoa:R byar b LLC.sodety.mode. .orrpoaeor,ties Nora eompee'.Grow o,
Bray am a not an indrdre Spam o flaudery.am a nem and con=iKameron Nan rltlelWmmponwNe I\1
Pert eco ran emir WmmG mgrdrp as MMM.MMbe&VWW.Type W Pmt ewety.) I.• \
Sg.E .niMTNE MTF '
Camobe-1 Donna
BUYER SIGNATURE
LAB'KRA FRET NAME
XesT.n� jl031 -71o5-t9323
WN A 6TIL1 "htl''eN!tiYYdE�'ih�YdGlarl�
arER 6:RIM'Wk WlF •
7.155 Yennecott Drive
'Rla•1 I"I N •STIW M1E
oilSouthold NY 11971
'Gm OR TOM 'STATE 'aPCDM
punR'S ATTORNEY
Crinko Katerina
LAST i-A E FIM NA E
(631) 727-2180
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