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HomeMy WebLinkAboutL 13092 P 721 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 2/26/2021 Number of Pages: 4 At: 7 :06 : 49 PM Receipt Number: 21-0038268 *ELECTRONICALLY RECORDED* Transfer Tax Number: 20-22737 LIBER: D00013092 PAGE: 721 District: Section: Block: Lot: 1000 117 .00 09.00 017 .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: 20-22737 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 2/26/2021 7:06:49 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013092 Social Security Numbers P 721 prior to recording. 20-22737 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 27 W9148 1000-117.00-09.00-017.000 0.0 0 Real Property Consideration Amount � Tax Service P r s Agency €t DTr n CPF Tax Due $ g Y zr�s�z�z� 0.00 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Stewart Title Insurance Company - NY Metro TD 10 300 East 42nd Street, 10th Floor New York NY 10017 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 DEEDLIFEEST 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 st c ImIS, Standard N.Y.B.T.U-Form 8002-Bargain and Sale Deed with Covenants against Grantor's Acts-Uniform Acknowledgment Form 3290 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED EY LAWYERS ONLY THIS INDENTURE,made the c j day of :-e L BETWEEN KAREN C.RELLSTAB alkla KAREN GANDOLFI, residing at 515 3r i Street, New Suffolk, NY 11956 party of the first part,and JAMES E.GIBBS,residing at 2 Emerson Lane,Shelter Island,NY 11964 party of the second part, WITNESSETH,that the party of the first part,in consideration of ten dollars and other good consideration deAars 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, ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate, lying and being in the Town of4$4QhqdskiQd,County of Suffolk and State of New York bounded and described in the attached schedule A. Said premises is being and intended to be the same premises conveyed to the party of the first part by deed in Liber 7875 page 551. Suffolk County Tax Map No.1000-117.00-09.00-017.000 515 3"1 Street,New Suffolk,NY 11956 The PARTY OF THE FIRST PART, EXPRESSLY RESERVES AND GRANTS a life estate unto herself, Karen C.Rellstab. TOGETHER with all right,title and interest 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 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 first 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 part of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF KAREN C.RELLSTAB Gl atty) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County ofState of New York,County of ss: On the ay ofypin the year On the day of n the year before me,the undersigned personally appear d before me,the undersigned personally appeared KAREN C.RELLSTAB 0,160, Vow �OYIt)l)tYI personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of Satisfactory evidence to be the individual(s)whose Satisfactory evidence to be the individual(s)whose name(s) is(are)subscribed to the within instrument and name(s) is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),and that by his/her/their signature(s) 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 on the instrument,the individual(s)or the person upon behalf of which the individual(,)acte xecuted a instrument. which the individual(s)acted,executed the instrument. ( ignat re and office of individual taking the acknowledgment) (signature and office of individual taking the acknowledgment) Ja C IM1d, L 1 ?mit)"i"v� TO BE USED ONLY WHEN THE ACKNOWLEDGN NTS IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of On the day of in the year 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/thei capacity(ies), and that by his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf of whicl the individual(s) acted,executed the instrument,and that such individual made such appearance before the undersigned it the. in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) BARGAIN AND SALE DEED SECTION 117.00 WITH COVENANTS AGAINST GRANTOR'S ACTS BLOCK 09.00 LOT 017.000 COUNTY OR TOWN Title No. STREET ADDRESS CLARK TO GOCHOT/COLARUSSO RETURN BY MAIL TO: PATRICIA QUIGLEY,ESQ. SAFE HARBOR TITLE AGENCY PO BOX 601 1529 Main Street SHELTER ISLAND,NY 11964 Port Jefferson,NY 11777 (Reserve this space for recording office) SCHEDULE A-DESCRIPTION ALL that certain plot, piece or parcel of land, 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 Third Street distant 90.75 feet southerly, when measured along the westerly side of Third Street from the corner formed by the intersection of the southerly side of Main Street with the westerly side of Third Street; said point of beginning also being where the division line between land now or formerly of Eksterowitz and land here described intersects the westerly side of Third Street; RUNNING THENCE South 5 degrees 08 minutes 00 seconds West along the westerly side of Third Street, 70.59 feet to land now or formerly of Dawson; THENCE North 85 degrees 26 minutes 00 seconds West along said last mentioned land, 101.41 feet; THENCE North 5 degrees 04 minutes 00 seconds East and still along land now or formerly of Dawson and along land now or formerly of Eksterowitz, 70.53 feet; THENCE South 85 degrees 28 minutes 00 seconds East and still along land now or formerly of Eksterowitz, 101.49 feet to the westerly side of Third Street at the point or place of BEGINNING. Dl7N'PY USE ONLY --- New York State Department Of FDR C Cl- s OU Cade 14 i 7 i 3 i S i S i 9 1 Taxation and Finance C2_ nate need Recorded 1 2 / 26/ 20211 Office of Real F?rc)Pi'Cy "ax Ses•�iCAws Month nay year RP- 5217-PDF Real Property Transfer Report($!1 B) C3- Book 111 310 1 91 2j C4- Page 1 1 17 12, 1 1 PROPERTY INFORMATIONI t.Property 57.5 3rd Street Location ----------- """......... -- -5TEa-rNImWR -STF =NAME 1~IEw Suffolk 11956 -------------- 61 V OR rowN vlLucE 71P caPE 1 2.Buyer C i"h17S Name. .".................. r,Ht.T ,AA1E............. ............................ GAACTNAmocomvANY ........................ ...... ... ......................... ...................... ..... I_A P mE,OVMRNNY FIRST NAUF 3.Tax indicate where future Tax sills are to tea stint ,_,_,_,_,_, Sitting !f other than buyer'ad dreWat bottom of fon ) ."."".""."LAST NAME/C:[]MNANVW" ..FIHL'1"HAMk_,_ Addr sTRGer:ruMler x AND NAME crry o TOWN �srnr iIP wn A.Indicate the nrAmbar of Assessment 1Fart of a Parcel (only if Part of a Parcel)Check as they apply: Roll parcels transferred an the deed ----------------- n#Patrols OR 4A.Planning Board with Subdivision A1.lthnrity Exists n 5.Deed X OR Cl.-16 ......................... .. 46"Sut7division Approval was Req uired for"Transfer Property •�arvr,=ger •ra.vTH •Ac�F3 Size 4.C.Farrel Approved for Subdivision witl'1 Map provided Re 11stab Karen C. OlkI�6........" N.Sailer ............. _. ...._.._.... LAST raAMLICOMRANV Fir+5i:•+N+1[ Name _........... ................. ........... ... ....f'IR81 NAME LAffTNAMkWC:V MPAN Y "T.Select the description which most accurately describas the Chock the boxes below as they apply: «se of the property at the time of sale: 8.Ownership I ype is Condominium A-C)ne:Ham jIy R r~s4dentia1 9.New CCnnsimction on a varnrit Land .......... --------- IRA.Prnperty Located within an Agricultunal Dlstrlct Q t OB.Buyer received a disclosure notice indicating that the property is in an Agricultuml District SALE: INFORMATION 1i.Check one or mora of these conditions as app Iicab le to transfer: A.Salo Between Relative.or Former Relatives 39.5a1e Contract Date 12/02/2020 8.Sale between Related Com panics or Pariners in Bus!ricos, ......". C.One of the Buyers 15 al.�n a Heller �1 A,,� D,buyer or Seller is Gnvernment Agency or t.ending Institution `'12.Data of 5a l alTra nsfer Da E.Peed Type not Warranty or L�Wgain and Sale(Specify Selow) F.Sale of Fracti orial or i_ess than Fee Interest.(Specify Below) 113.Full Sala Price 0 .00 G.Significant Change in property Between Tawabla Status and Sale Dates .•-•-•-•-•-• H.Sale of Business is Included in Sale Price f Full Sala Pr1Ce is the total an7ount paid In th,e property inoluding personal property. 1. Other Llnusl.eal Factors Affecting Sala Price(Spobfy below) I-his payment may be in the form of crash.other property or goods.or the assulrlptifin of J None rnortgngo,5 Or other obligations.)Ploase raul1d to the nearest whole&WOr arnount, Gammmnt(s)an condition: 14_Indicate the value W personal property included in the sale ,_,_,_,_,"," A55ESSWNT MFORMATION-C ata should reflect the latest Final Assessment Roll and Tax Hill M Year of Assessment Rall from which information taken(W) 20 "17.Total Assessed Value 333,333 `18.Property Class 1210 •••, _""""""". "19.School District Name Southold 'M Tax Map Idantffier(S)/Roll idrarAtifi®r{s)(If more than Four,attach sheet with add Mon at Went!fier(S)) 100G-17.7.0q-..09.0n-017.0 00 CERTIFICATION I Certify that all of the items of Informaflan entered on this form are true and correct(to the best a my knowledge and belief)and I undarstand that tha making of arty willful false strelament of material fact herein subject me to tho—V 'slons of the renal lew relative to the making and filing of false instrum9nts. JJ 5L R'.S1C3NA•i' i�U)LEf2 CCNHTACT INEDRMATJ-0 �En[.Wo mation for the hrryer.Not-If buy®r la LLC:,sO oty.-tsaCiatLon,corporation,jnirn vmck irnnpany,este W.w I'ti• Entity the z is neat x,,i-J!,idual a®enz nr Kd ori ars.then a name and contact information of un indaid ua lrogponsiNe party who V i,dna w[?r Cl upgtions T ga,Cling Ibe tmnsfC m,,,.t be entered.type or print cleany.) r s L�-R S1GNA JVI-- Y OA"n C-. Yt't 5 C w Gibbs ?a[ e F. •LA.RT NAME;. FIRST 1J.hML ' n33 ) - ]4 -4335 '! - l..-. `•... 1�' ._.._.._.._.".AnG4 CAI7C µ "l`ELEFH�JxdE N�innai=3E[Fxl s�9�'�5991 �� Huv t'A SIC.1aATURE , �1 X11 [ilaTF. �CY•f�S 1.. FY��, s.. ----------- Erete 1:5�n Lane -i3TREETNl1MRCn "SrggFT rvnMF: ' it I Pit ' S1'±clt 151an1 NY T — I 1 -city oa TvwN -s tore •r,F+coot filj'Vr--.Wn ATTCi.JRNEY 1P7.t3 1lcl� C2u: 9 Ls•-'I ........................ NAM7w A I E 1 (631) 749-1115 ilLry1 ij ARi- COOL 1'FL FF^H!'M1F.'Ni]MHFI?[i-:fel Ny943'.-]9A]