HomeMy WebLinkAboutL 13129 P 901 'S
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/17/2021 -
Number of Pages : 4 At: 03 :09:41 PM
Receipt Number : 21-0197222
TRANSFER TAX NUMBER: 21-12976 LIBER: D00013129
PAGE : 901
District: Section: Block: Lot:
1000 127 . 00 07 . 00 017 .001
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $325, 000 . 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 $395.00
TRANSFER TAX NUMBER: 21-12976
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILI,
JUDITH A. PASCALE r.F3
County Clerk, Suffolk County
RECORDED
Number of pages 2021 Nov 17, 03:09:41 PM
TUDITH R. PASCALE
CLERK OF
FOLK C
This document will be public ErJLFD000131129Y
record. Please remove all P %j
Social Security Numbers DT# 21-12976
prior to recording.
Deed/Mortgage Instrument �DeedMortgage Tax Stamp Recording/Filing Stamps
3
FEES
Page/Filing Fee Mortgage Amt,
Handling 20. 00 1. Basic Tax
—
TP-584 2. Additional Tax
—
-- Sub Total
Notation SpecJAssit.
EA-52 17(County) or
Sub Total Spec./Add. _
EA-5217(State) TOT.MTG.TAX _
R.P.T.S.A. Dual Town .Dual County—
Comm,of Ed. Held for Appoi� ent _
5. 00
t Transfer Tax / -69, _
Affidavit — % + Mansion Tax —
Certified Copy — The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 Sub Total family dwelling only.
_
OD
Other YES or NO
— Grand Total �o If NO,see appropriate tax clause on
P e# of this instrument.
4JDi;sff] 21061406 1000 12700 0700 017001 rDf
II 5 Community Preservation Fund
RTax Seal
erviice R6 OV-2 III°III�I�IQll�l�l�ll�ll0lllDll� Consideration Amount$ as p
Agency CPIs Tax Due
Verification � �------------- --- - - --- � $
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address Improved
RECORD & RETURN TO: Vacant Land
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TD ra
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Mail to: Judith A, Pascale, Suffolk County Clerk 7Title Co an Informaonti
310 Center Drive, Riverhead, NY 11901
www.suffolkcvuntyny,gov/clerk a TfII)ICTAT• TITLE TNS. AGENCY LLC
Title#
8 Suffolk Count Re' cordingy & Endorsement PaLre
This page forms part of the attached
(SPECIFY TYPE OF INSTRUMENT) made by:
The premises herein is situated in
SUFFOLK COUNTY,NEW YOM
—3--6t,5
_ TO In the TOWN of O LZ-rHD E'd
yrts W&Aco-6�Ae In the VILLAGE
or HAMLET of
BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING,
i nia.,imontt
—Bargain and We Deed,with Covenant against Gmator's Acts—Individual or Corporation(Single Sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
t
THIS INDENTURE,made thelb day of OCTOBER ,in the year 2021
BETWEEN
THOMAS SLOT NIELSEN
385 NORTH OAKWOOD ROAD
LAUREL,NEW YORK 11948
party of the first part,and
IRIS WELCOME
385 NORTH OAKWOOD ROAD
LAUREL,NEW YORK 11948
party of the second part,
WITNESSETH,that the party of the first part,in consideration of$10.00
TEN dollars
paid by the party of the second part,does hereby grant and release unto the parry 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,situate,lying and being in the Town of Southold,
County of Suffolk and State of New York,know and designated as Lot No.28 on a certain
map entitled,"Map of Laurel Park"and filed in the Office of the Clerk of the County of
Suffolk on October 5, 1925,as Map No.212.
SEC: 127 BLK:7 LOT: 17.1
PREMISES KNOWN AS:385 NORTH OAKWOOD ROAD,LAUREL,NEW YORK 11948
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.
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.
IN PRESENCE OF: t
�ohAm 5. ,►Qls�t 6v I�W44A_.1
l THOMAS SLOT NIELSEN
'1 �� �eN`'�5• W�CJVv
CEOR NA
Ian,_'n.?112a
9THaM CCJ��?,
THE JUDICIAL TITLE INSURANCE AGENCY LLC
Title Number: 143383FI-S
SCHEDULEA
ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of
Southold,County of Suffolk and State of New York, know and designated as Lot No.28
on a certain map entitled,"Map of Laurel Park"and filed in the Office of the Clerk of the
County of Suffolk on October 5,1925,as Map No.212.
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The policy to be issued under this report will Insure the title to such buildings and
FOR improvements erected on the premises which by law constitute real property.
CONVEYANCING
ONLY TOGETHER with all the right,title and interest of the party in the first part,or,in and
to the land lying in the street In front of and adjoining said premises.
Page 1 of 1
ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK
State of New Yerk,Eou„ty of ss- STATE
On the dap or ier!hO. -ORF 2A,b6f<31`0 FA@.the klRdef5igAed, +State of GEORGIA .County of ss:
PeNOMPY appeaFe '(Or insert District of Columbia, Territory, Possession or Foreign
County)
�Ntej &ia ..•eases e in b hQF4tio:_,-.,paC t,r eS and
and aeknowledged to On the 12,day of OCTOBER in the year 2021
before me the undersigned personally appeared
er{hepar Karen/Williams
the 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
A executed the same in hiAer/their capacity(ies), that by his/her/their
TAKEN IN NEW YORK eTSTr signature(s)on the instrument,the individual(s)or the person upon
behalf of which the individual(s)acted,executed die instrument.and
state Qf Netw! 9gfk'Eeunty of 55: that such individual make such appearance before the undersigned in
on the day of irrtheyear the xf �T d.UAnAA
..... �1 `3 �G GGOf�I
1944e FRO :F:.�''. V -RuhliG and r id sl I u
persenallr•appeared (add the city or political subdivision and the state or country or other
the place the acknowledgement was taken).
.b%Fibin Aitiiess to the fe g with ,.tip aFn ,��,,,
� , „nn...
` S.SC.4y
personally fle - ���u7A1{y.0,tifi
m; EX 111ttfG f0 a
GEORGIA E,
F:c+tKp{eoo-aGaeswknue•isro-u�itr•matx&vl+e�skeelnna,irceH,Hmser-;tmwrcpewft. SInn.2R.zuzs tip
"vIII kc
NAM COJ�.
o '
axeauie!he same;
hiekerFtheir narAe(s}asa u itfless thecete
Bargain and Sale Deed with
covenant against Grantors Acts
SECTION 127
BLOCK 7
LOT 17.1
COUNTY OR TOWN SUFFOLK
Title No.
NIELSEN
TO
WELCOME
RETURN BY MAIL TO:
�$S IIVof�1P>` oalLt�d� �-o
Lcucrt: l , N �
1 l R 4g
• INSTRUCTIONSCRP-5217-PDF-INS):www.orps.stedemy.us '
FOR COUNTY USE ONLY Now York State 09partmont of
CtSWISCode I�,� 3,�f,�,�I I Taxation and Finance
C1 Date Dead Recorded I /� 1 / 1 I Office of Real Property Tax Services
D., Y- RP-5217-PDF
G3.Book I 9 C4.Papa I Ci n, RMI Property Transfer Report 18110)
PROPERTY INFORMATION
1.P-Petty 385 NORTH OAKWOOD ROAD
Location
•aTaEE'rrlllleER •6TrL•Er YNFE
LAUREN. LAUREL 11948
C1:Y on T01wr VILLAGE •ZP CODE
2.Buyer WELCOME IRIS
Nems
-lAti xRNCICOy..rN I IRar hAYL �
I
VST YANEICOYPSw 1 IPS'.NANL
3.Tom Indicate where future Tax Bits am to be sem
Billing d other than buyer addrea gat bottom at form) IAET NAIF"UPMIT •es W WE
Adder
STRCEr WIIIIER-DRAL( CT-OR TOM STATE zrC
4.Indk:ate the number MAssesament i Pont d a Parcel (Only N Pert of a Parcell Check as they apply: ❑
Roll reab trarnferfed an the deed a d Parcels OR ❑
� 4A.Planning Burd with Subdivision Aulhorily Elders
Ill.Dud \ OR C•36 4B.Subdivision
Property 'FRONT FFFT .NPIN .ACN1e Approval err Required far Tnndar ❑
She
4C.Parcel Approved for Subdivision wah Map Provided ❑ I
NIELSON 'e'HOMAS SLOT
a.seller • N.IFJCgPN1I r•PO'NAM
Name
IASI MIQ:IC 11PINY I Nal MNL
'7.Select the description which moat accurately describes the Check the bosh below as they apply:
we Mder property at the time of sale: L Ownership Type is Condominium ❑
A.One.Family Residential 9.Now Construction an a Vocard Land ❑
10A.Property Located within an Agricultural District
100.Buyer Received a disclosure notice ire haling diet the property is m an E]Agricultural District
SALE INFORMATION IL Check one armors Mthmconditions gas applicable toInnsPor.
A.Sere Between Relatives or Fanner Relatives
11.sale Contract orts 06/01/2021 B.Sate between Relied Companies or Partners in Business.
C.One of the Buyers is also a Seller
12.Date M SaleRrensfar 10/26/2021 D.Buyer or Seder Is Government Agency or Lending lnsbkbm
E Deed Type not Wwamy or Bargain and Sole(Speay Below)
F.Sale rel F.scra d or Lass than Fee Interest(Spedfy BelorQ
'13.FNII Bele Price 325,000.00 O.Significant Change in Property Between Taxable Status and Sale Dates
H.Sale d Business is Included in Sale Price
(Full Sale Price is the total amount paid far the property including personal property. I.Other Unusual Factors Affecting Sale Priv(Specify Below)
This payment may be in the form of rash.outer property or goods•or the sarRmpticn of J None
nertgages or other obligations.)Please round to go nares!whole dollar amount
'Commrd(s)on Condition:
14.Indican tie value of personal
Property Inohrded in the sale .00
ASSESSMENT INFORMATION-Data should resect Ole latest Final Assessment Roll and Tax Bill
1a.Ysar of ArmamentItWi tram which Information faken(YY) 7.0 '17.Total Assessed Value 4,200
'1a.Property Clan 210 - 119.School MagictNams MATTITUCK-CUTCHOGUE
'20.Tex Map IdentiMr(syRog Mm.One a)IB mon than four.attach sheet whh addhlanol Mem111e4s))
1000 127 07.00 017.001
CERTIFICATION
I CeAy that all Mtie hams of Irdimm slon aim on this form aro true and correct Ito the beet M my knowledge end bolWQ WWI undemfaRtl that the making Many wllsul
tike of atewas M metrial fast herein subject me to the erevidami M am Qegal l#w rsWlve to Itis making and Mng M false budrum sats.
BUYER CONTACT INFORMATION
e� (Enir IRtomeson nor lM wiar.Note.If buW,s LLC.wcxq.eevKhOIFl.oolpaebon.pintatocII Lvrpony.asue or
InI A !���r g11 Hair to Is not an edwbml agent AT to ich".Own a nets we ranted kdona W off r m klewduaenwpenalNa
Kwzu �X/'�:?.V CLWA-fi AjA lA I 1�� 21 �r ron.rorergllrem.npMrlp NS Nan,ler mlal to wgerW Typeorplmcleoly.)
SP.I Fr RarJTURE N WE
Y WELCOME IRIS
BUYER SIGNATURE
•IASi NIwE FWaf NR1E
io-X►�� (000) 000-0000
•NRr'A<tvx. •ILu+ow.•uNou+lu wsuvWr
dN1.lU1L VAIL
385 NORTH OAKWOOD ROAD
•RTRFF--1ARFA 'STREET NAME
LAUREL NY 11948
•CryOprom STAT •7.FCDM
BUYER'S ATTORNEY
TON.AO JOSEPH L.
LAST RIVAL FIRST NAME
I
1631) 740-9400
MRL•000. iElEPr101E NarwER lEs WSW W7
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