HomeMy WebLinkAboutL 13081 P 430 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/8/2020
Number of Pages: 4 At: 10 :52:34 PM
Receipt Number: 20-0201872 *ELECTRONICALLY RECORDED*
Transfer Tax Number: 20-13168
LIBER: D00013081
PAGE: 430
District: Section: Block: Lot:
1000 078 .00 01 .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: 20-13168 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 12/8/2020 10:52:34 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013081
Social Security Numbers P 430
prior to recording. 20-13168
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
2rDO48346 1000-078.00-01.00-003.000 0.0 0
Real Property Consideration Amount $
Tax Service P r s
Agency €t vG[ n CPF Tax Due $ 0.00
g }' 77f23f2[72[7
Verification
Improved X
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Freedom Abstract - NY - JP TD 10
105 Ma ss Road
Melville NY 11747 TD
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Comwny 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
CONSULT YOUR LAWYER BEFORE SIGNING T11 IS INSfRUMENI-THIS INSTRUM ENT SHOULD 3L USED BY LAWYERS ONLY.
THIS INDENTURE,made th day of Af,,l Two Thousand Twenty
BETWEEN
SCOTT BOLLMAN, residing at 240 Grange Road;Southold,NY 11971,
AND party of the first part,
SCOTT BOLLMAN and KASSATA BOLLMAN, his wife, residing at 240 Grange Road,
Southold,NY1I971,
party of the second part,
WITNESSETH,that the party of the first pant,in consideration of the sum of Ten ($10.00)Dollars and
other good and valuable consideration paid by the party of the second part,does hereby remise,release and
quitclaim unto the party of the second part,the heirs,or successors and assigns of the party of the second part
forever,
SEE"SCHEDULE A" LEGAL DESCRIPTION ANNEXED
HERETO,AND MADE PART HEREOF
Being and intended to be the same premises acquired by deed dated 4/11/13 and recorded 5/13/13 in Liber
12731 .Page 482 in the Office of the Suffolk County Clerk.
Said premises being known as 240 Grange Road,Southold,NY11971.
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
remises;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,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 costs 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.
W PRESENCE OF:
SCO T AN
District: 1000
Section;78
Block: 1
Lot: 3
SCHEDULE A - LEGAL DESCRIPTION Title Number: JP-2015253NY
ALL that certain plot, piece or parcel of land situate, lying and being in the Town of Southold, at Southold, County of Suffolk
and State of New York known as Lot No. 3 on Map of South Harbor Homes, said Map being filed in the Office of the Clerk
of the County of Suffolk on the 14th day of July, 1964 as Map No. 4096.
TOGETHER with a right of way over streets, roads, or boulevards shown upon the map above referred to in common with,
and subject to, the rights of all others lawfully entitled to use the same.
For Informational Purposes Only the Property Address is: 240 Grange Road, Southold, NY 11971
Reference#:
DISTRICT: SECTION: BLOCK: 1 LOT: 3
This Schedule A has been made accessible via our website for review only purposes. The final Schedule will be included
with your Title Commitment. Any changes made to the Schedule which have not been sanctioned by our company will not
be included in the title policy and therefore will not be insured.
Freedom Abstract
STATE OF NE Y RKP STATE OF NEW YORK
COUNTYIF: vlltl ss: COUNTY OOF:6rw,-fr7JL ss:
On this�day o 2020,bel"ore me,the undersigned,a On thi2 d of ,2020,before me,the undersigned,pQ�a'�notary
notary public in and far said state,personally appeared Suit public in and for sand state,personally appeared 40a 1u>v,�—
pjp(�wtd w personally known tome,or proved tome on the basis personally known to me,or proved to me on the basis of satisfactory
of satisfactory evidence to be the individual(s)whose name(s) evidence to be the individual(s)whose name(s)isiare subscribed to the
is/are subscribed to the within instrument and acknowledged to within instrument and acknowledged to me that he/she/they executed
me that he/she/they executed the same in his/her/their the same in his/her/their capacity(ies) and that by his/her/their
capacity(ies) and that by his/her/their signature(s) on the signature(s)on the instrument,the individual(s),or the person upon
instrument,the individual(s),or the person upon behalfof which behalf of which the individual(s)acre executed the instrument.
the individual(s) cted,executed a instrument.
NO'f R
LYNNE MN YOBS LYNNE N f N ORS
Notary Public-St New York Notary Publie-State o New York
No,OtC049 882 No-OIC049.50882
Oualified in Suffolk County Qualified in Suffolk County .,ACommission Expires May 8,2023 Commission Expires May 8,20_
STATE OF NEW YORK, STATE OF NEW YORK,
COUNTY OF: ss: COUNTY OF
ss:
On this day of , 2020,before me,the undersigned,a notary On the day of 2020 before me personally came
public in and for said state,personally appeared, to me known,who,being by me duly sworn,did depose and say that
personally known to me or proved to me an the basis of he/she resides at that he/she is the of the Corporation described in
satisfactory evidencetobetheindividual(s)whosename(s)is/are andwhichexecuted the foregoing instruntent;that lie/she knows the sea]
subscribed to the within instrumentandacknowledged Lomethat of said corporation;that the seal affixed to said instrument is such
he/she/thev executed the same in his/her/their capacity(ies)and corporate seal;that it was so affixed by order of the board of directors
that by his/herltheir signature(s) on the instrument, the of said corporation,and that he/she signed his/her name thereto by like
individual(s), or the person upon behalf of which the order.
individual(s)acted,executed the instrument.
NOTARY
NOTARY
BARGAIN AND SALE DEED
District: 1000
Section: 78
Block: 1
TITLE NO.: ,1p-2015253NY Lot: 3
From: County or Town- Suffolk County
BOLLMAN
To:
BOLLMAN&BOLLMAN
RETURN BY MAIL TO:
Scott&Kassata Bollman
240 Grange Road
Southold, NY 11791
'n Illi SPAUi i'I.Hi RIiCY)I(I)IN4 Pllµl'IISIi.S(INI.Y
FDR COUNTY USE ONLY ;'w3;7}:cr�rrv.cr�s.staT.e.r3y.laS
Ct_ SWIS Cade 14 F 7 F 3 F 8 F 8 F 9 1 �- New York State Department of
C2_ nate need Recorded 112 / S / 2020Taxation and Finance
Month Day year __--_-- R Office or Real Ptaper y Tax Se ry ex,.s
ti
RP- 5217-PDF
C3_ Book LL,3€0 €S€ 1 1 C4_ Page 1 € €4 € 31 01 Rcal Property TrertsFe3•Rep esrt(9110)
PROPERTY INFORMATIONI
t.Property 24'1 Sidi?+:[;I'; _'-'3.'•,[�?
Location .. ....,..... .........�........... ..,.,...................................:........--- ..............._._.
.....:...:......:............,.m..,.............
-LT REE r_AME
.... .................... -,,,...........................
-�•-••;...'rF=lvn; v3:,yAyp, 'LSI+(, DU
2.BuyerF3[i7:,_.,hSJiL i e 5c.:'.:' T
Name --------------------- _._.............--------------------------:.::::...__ r.,....,....,......................
[.'<k7 3Jr�hl:z•�J-'1'r'F✓ R R£x N.ANI—
,.�.�'rR�.Fti'+ r.M1.15e
S.Tax i�•d oa'e vthrr;r,€uflFre-T.ex i3s;€s a•c to be sena
billing If Cliwr than buyer er acr F@S5 Zl t',CUO^.of forF^. ........ _........................ ......._.,.............. .. _........ .._�....-._.........- ...-.............................................,......
[ LA'r!AAF.: s] 'ANY S'r N FF E
{iL€Cl!'eSS
-.�
!: ....•.�i'I"r t:F!"'0WK
4.Indicate thte number of Assessment ❑-afl of:a paroe tong If Part of a Parra€J Chock as they apply=
.si of Pae: -ls
ria€€ arCE35 tr�nSFe€red ori the deed ......,
Parcels -••••••........•...•. dp..�'i=1"3RInL3�w:}9f[�W3f315�CY.Y1Vis iUlt Rla[i-.cr1i��i;if•i
8.
Deed X OR :? L 2 4M.S:.bd vision ApprovaI w'as Rex ul ed for 7 ransfer
Pri7pgrty .....•F'[Y�1� pmt' •L;`<t 'nCRtia
3izv 4C.Parcol APocovea for 5::od:Vision vats,K1 a;7 Pnn/id('d
LSC: Roti - .'
8.Seller ""'""r_r__......................... ...__ ._. ........................... ._..- ..._... ._.,......_.._"_____..---------------------- -------------
Name
................................ �............................�.�..—-----------------------
F:HfSF NAN1L
"7,Select the desc3i0ffin w€17th most,8cGWaf2ly describes ffW Chuck the boxes below as they apply:
use Of the property at tl'M(lt31e Off Ale; S.Owne!MVV.T.vpe m Condominium
r5. One Family R,�-std,l n isal 9,'New Conalr-cl:or,on a vz(-Ant Land
..................... -......W.. ................... 4IIA.F-1roperty Lacat--t Y ithm an Agncu:lu ra 0 s:dct
S O1B.EiuyFr re -aiVod a disc)asure Nollr_w ririic x4irpg t"sat the€MPe rly is in an
SALE €NFCRMATIONJ i6.Check rang or mom of the so rand Ala ns es applicable to transfer:
A. 2vlwwen R.I.;.i—or FC rrn&r,ReIa ti Vee
r3. nets ee'.rF Re.aied Comaan.o5 or f aftalpcR ir;�LF9ir�03S.
3 t.Sale Contra c!Date C.One uF the 3-)cre is u so-Sa€Ir'r
-D,IIuyor rlr 5e11er iia Z'if3Y'F°3""r1eC3'.4.Ea"eF3C_L'L`[Ltl!:C^g Inb'.I EFiI[O`!
"12.Date of Sa€cl'i•ransSer ..........._W F.Teed Ty pY riot VY.'erranty pr Bargain 2nd Sale(Specify B�10W)
u__. .......................
nn :i21P.Cf Fraolloral u?LP35s1han i7 5e 2n±Yre-w f::pecify I3 Jor]
113.Full Sale pr-wo gnil:C:3 �''h�krgY ti'F pFope;ly aetw---en Taxab> 3atus and sac I_%F3:eti
H.Salo❑f BL;.si nz'ss Is Ind u,:ed ir.Sale Price
:'ti Sa e Prices t^e tater
ami p:aia for the property!nel--d-:91.2 per=o-a!)rF:sper3y I. C:the>r t,i:^.Waual Factors Afferti r;S S3€p 1`6co iSpe oFy R-elow)
T€li o�,Yrnent 3ray he n ihc:.r,€-n of:.ash,other pr�;3e3'Ey of gods,
or the as�urnpfis�n 7: No;®
rnmtgagas or curer ob gat ons.k:1s.3se round t:.:lira.rrearost Wholy c3a7;a:•a,-notfrrf. •-•-
Comment{s}an Canditintt:
'14_Indicate the�a]tie of personal
property irscludd Fn lho sale L`
e, •i o
ASSE' F INI-C7F MAT ION-'.)ate s€tou€d mflec€the latent Final Asaesampr:t Rail and Tax£illd
36,Year of A5wessment Rall From which inforrnation taken(YY) 15 "t7.Total Aes os Sed Va€uo
"18.Property Class 210 _. .. "€8.5ahnol Pistrirt Nsrne SGU—L40
•2ff.Tax Map lid—ti fier[syRolt]dans tier(9){If more than four,attach shoot with additionai Wonti fe r[x)]
1.000 - '73 - I - ::i
........................
CERTil iCATICN
I Certify t€saea33 of the items of information entered on this farm arm truer and porrvct(to the best of my knowlodgo and boliCef)and E understand that the making of any wlI€ful
fa€ss s tement of material fact hermin subject"to to the.proyfs or€s_n7,;I7p.pgtasiLl 3rir relilt3VE to the making and filing of false in$lrumenfs,
SELLER SIGNATURr: .PUXE-00NTACT INFORMATIQtf
.. a='Infvr g€knn fr?-'FSS�i:yr:f Va=^ !`Cuyef i4 E.L,L,ei[',e::e?y.ESf,C�.TFl�Y.= rfio'%':31'!._n:3ti slo�k cum'J erF)•.[s••Lalu a[
eniiiy!€ref:e Kaci nn rFS'sv9un;aeon a3 nr?:cF�uary,[hen a naFnn and rrankaiC: Fn7'mm33on r.[xn:ndiv:dvaiF:acpan±:i6e
L�� g L7 pnr[y v� o car+.mr+.xw::r'illH B[iar-n mga,r.n3[hr.t'—d-—m b8 Crssx'rNsf.7Y Pe ar Pont r.P—ay.)
....................................... .......................A 17
...�—fes......... ...............
e.--
txC:S & KASSATA
E3i1YtrF2 S[t"sti�i"'.l�.R .......
---
IMF
-4[4f '... �7�] •.a�EA cevS. 'TED .:',v�F:iEc
•;:ffe1=F"r:JFsT3'_h` -ETR E-1vT:RE
IFC:qrt'i•'01,D I...............................� .. ......BUYER'S ATTORNE);••••••••............• ..... — _________________ _ __Art E _ :":1'