HomeMy WebLinkAboutL 13135 P 576 1111111 IIII 1111111111 IIIII IIIII IIIII IIIII IIIII IIII IIII
11111111111111111 IIII 1111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED WITH LIFE ESTATE Recorded: 12/27/2021
Number of Pages : 3 At: 03: 54 : 49 PM
Receipt Number : 21-0218629
TRANSFER TAX NUMBER: 21-17727 LIBER: D00013135
PAGE : 576
District: Section: Block: Lot:
1000 101 . 00 01 . 00 015 . 002
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 . 00
Received the Following Fees For Above Instrument
Exempt , .Exempt
Page/Filing $15 . 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 $5 . 00 NO RPT $200 .00' NO
Transfer tax $0 . 00 NO Comm.Pres $0 .00 NO
Fees Paid $395 . 00
TRANSFER TAX NUMBER: 21-17727
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE riTr
County Clerk, Suffolk County
z .r
' r
RECORDED
2021 Dec 27 03:54:49 PM
Number of pages JUDITH A. PASCALE
CLERK OF
SUFFOLK COUNTY
This document will be public L 000013135
P 576
record. Please remove all DT# 21-17727
Social Security Numbers
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Mortgage Amt.
Page/Filing Fee
1.Basic Tax
Handling 20, 00 2. Additional Tax
TP-584 S Sub Tota l
Spec./Assit.
Notation or
EA-52 17(County) SubTotal Spec./Add.
TOT.MTG.TAX
EA-5217(State)
Dual Town Dual County
R.P.T.S.A. ICE Held forAppointment
Comm.of Ed. 5. 00 Transfer Tax
Mansion Tax
p Affidavit
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
15. 00 1 family dwelling only.
NYS Surcharge Sub Total ✓�G
YES or NO
Other �(��
Grand Total If NO, see appropriate tax clause on
page a of this instrument.
10
4 Dist.1000 21066248 1000 10100 0100 015002 5 Community Preservation Fund
Real Property p T S Consideration Amount$0,00
Tax
Service Agency
22-DEC-2 I�I�III�IVII�II�I����I��W11 CPF Tax Duel $0
Verification
-- ---- — - --- ---- -- Improved X
Satisfactions/Discharges Releases List Propperty Owners Mailing Address
6 R1CORD&RETU RNTO: Vacant Land
J.KEVIN MCLAUGHLIN, ESQ.
P.O. BOX 1210 TD/0-06
SOUTHOLD, NY 11971
7D
TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name FN T Gr
www.suffolkcountyny.gov/clerk Title III U S - 55
8 Suffolk County Recording & Endorsement Page
This page forms part of the attachedDEED with Retained Life Estate made
by: (SPECIFY TYPE OF INSTRUMENT)
MARY ANN BOKEN The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
M. TO In the TOWN of SOUTHOLD
TRISHAA/BOKEN M9M&MICHAEL C.BOKEN In the VILLAGE
or HAMLET of CUTCHOGUE
BOXE56 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIORTO RECORDING OR FILING.
over
• CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the day of w1 Y 12021
BETWEEN MARY ANN BOKEN, as surviving tenant by the entirety of Michael S. Boken, residing at 16485
County Road 48,Cutchogue,NY 11935
party of the first part, and TRISHA M. BOKEN, residing at 121 Bailey Court, Middle Island, NY 11753 and
MICHAEL C. BOKEN, residing at 345 Matthews Lane, Cutchogue, NY 11935, as joint tenants with rights of
survivorship
party of the second part,
WITNESSETH,that the party of the first part,in consideration of TEN and no1100ths($10.00)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 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 at Cutchogue,Town of Southold,County of Suffolk,State of New York,bounded and
described as follows:
BEGINNING at a point on the northerly side of Middle Road(C.R.48)at the southeast corner of the premises
herein described,said point being 244.40 feet westerly from the intersection of the northerly side of Middle
Road and the westerly side of Alvah's Lane,from said point of beginning;continuing along the northerly line of
Middle Road,South 61 degrees 19 minutes 20 seconds West 120.26 feet to other land now or formerly of
Scott;
THENCE along said land North 31 degrees 06 minutes 00 seconds West 186.79 feet to land formerly of
Hallock Tuthill,now of McBride;
RUNNING THENCE along said land North 61 degrees 19 minutes 20 seconds East 120.26 feet to land now or
formerly of Bates;
RUNNING THENCE along said land South 31 degrees 06 minutes 00 seconds East 186.79 feet to the point or
place of BEGINNING
BEING AND INTENDED TO BE the same premises conveyed to the parties of the first part by deed made by
GREGORY B.SCOTT AND DARLENE F.SCOTT,his wife,dated October 8, 1987 and recorded in the Suffolk
County Clerk's Office on October 22, 1987 in Liber 10450 Page 531.
RESERVING, HOWEVER, a legal life estate in the above-described premises with the buildings and
improvements thereon erected in and to the party of the first part,MARY ANN BOKEN, solely for the use and
occupancy of said party of the first part.
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: (��
MARY ANN BO
A5 5t1AViVInJ6 *,nk+by 00--iAe� of
M ichAel 5. dOXW
Re5e,2v;,JG L;Fe Fs Mk,
r TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of Suffolk SS: State of New York,County of ss:
On the �q day of V in the year 2021 On the day of in the year
before me,the undersigned, ersonally appeared MARY ANN Before me,the undersigned,personally appeared
BOKEN
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 name(s)is satisfactory evidence to be the individual(s)whose name(s) is
(are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in hislher/their me that helshelthey executed the same in his/herltheir
capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/herltheir signature(s) on the
instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which
the individual(s)acted,exe uted the instrument. the individual(s)acted,executed the instrument.
(signat and offs a of individual taking acknowledgment) (signature and office of individual taking acknowledgment)
NOTARY P IC
a�ll..�� -1 CHERYL ANN HENDRIKS
,.JI Mry �e�dRtKs NourY90.GIME6122i00 York oj�66raa8oO
Quaiifloo in Suffolk County
MY Commtalon Expire Feb 22,2025 a,��aJ 2t0as
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of SS:
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/shelthey executed the same in his/herltheir 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,and that such individual made such appearance before the undersigned in 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 DISTRICT 1000
SECTION 101.00
WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 01.00
LOT 015.002
Title No. COUNTY OR TOWN
STREET ADDRESS
MARY ANN BOKEN
TO Recorded at Request of
TRISHA M.BOKEN&MICHAEL C.BOKEN COMMONWEALTH LAND TITLE INSURANCE COMPANY
RETURN BY MAIL TO-
STANDARD FORM OF NEW YORK BOARD Of TITLE UNDERWRITERS
J.KEVIN MCLAUGHLIN,ESQ.
Distributed by P.O.BOX 1210
Commonwealth SOUTHOLD,NY 11971
A 1ANDAMFACA WMf ANY
COMMONWEALTH LAND TITLE INSURANCE COMPANY
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iNSTRUCTIONS(RP-5217-PDF.INS):www.orps.state.ny.us
FCR COUgTY USE ONLM � New York State Department of
C1.awls coca 4-.1l 3 ,u J Taxation and Finance
C2.Date Deed Recorded I a/a7 /a[ J Office of Real Properly Tax Services
Cs.Book I I,�J f ,35J C4.P 9e L 7 S RP-5217-PDF
Real Property Transfer Report(8110)
PROPERTY INFORMATION
I-Property 16405
Location C.R. 4 8
•xatEE1 fetes —
So;l::hold Cu Lchoyue 11935
'Gil}OR TOWN
2.Buyer Brkon Tt:saa M. 717 COOF
Noma
'cast NAIeJC�rnpAa} —'----n4cT NAVc
Boken Michael C.
149:+NIPrnOV7ArrY inner -
3,Tax
Indicate whore hdum Tax Bills arc to be sent Boken Mary Ann
8 it dmxr then buyer addrcss(at bottom o1 form)) IAa�NAllliiCOAr7y�1T' FAn
KAUE
16485 C.R. 48 Cut.choauc NY 11935
5TRFe1 NUPWRAaDkW --- C1ny O4 imi - STArE NCS
4.Indicate the number of Assessment Part M a Parcel (Only If Part of a Parcel)Check as they apply:
Roll parcels transferred on on dead e of Parcels OR
4A Kenning llooro with Subdivision Authority Exists
s.Dead 0.50
Property Fa:vrr.Der --X •OCRTN OR Ae,rEs 48.Subdivision Approval was Required for Transfer
Sba
4C.Parent Approved for Subd vision with Map Pmvskal�
Boken Mary Ann �Q$eAwlJG Ute GJIrric'.0
8.Seller •IMT NAA1C1cONPIrxY
NxmsFvasr NAVE •
As s- yidlN6 kap M+ by ad"
W-a471cY'IxMANr FlRSI NAME
'7.Select the description which most accurately describes the Check the boxes below as they apply:
use of the property at the time of sale: 6.Ownership Typo Is Condominium
A.One Family Residential 9.Now Construction on a Vacant Land
IDA.Property Located unthin an Agricultural District
10&Buyer received a disclosure notes indicating that Ilia property Is in an
AgricvlWral Dratrlct
SALE INFORMATION 1S,Cheek one or more of these conditions we applicable to transfer:
X A Sale Between Relatives or Former Releevea
11.Sola Contract Date N/A B,Sale between Related Companies or Partners in Business,
'A^ C.One of the Buyers 1s also a Sailor
`12.Data M SRIaf7ransfar 01 119 Ier�srd I D.Buyer or Seller is Government Agency or Lending Institution
E.Deed Type not Warranty or Bargain and Sale(Specify,Below)
Full Sale Prlea 0
F.Sale of Fractional or Lass than Fee Interest(Specify Balsa)
•13.
-00 G SignlOcam Change In Prapeaty Between 1 axahlD Stelae and Sale Oates
(Y1rN Sale Prion 1a the total amount u1 felt the lndudln H.Sale of Business-e Included in Sala Price
W properly' g personal proaon I.Omer Unusual Factors A88cL
Thio payment y ng Sale Price(SpeTXy Below)
pay may be m the form of rash,Omar propary er goods,or Ino assumption of J.Nene
mortgages or other aoligabons.)Weesa round to the nearest whole debar amount.
Commontis)on COndidm:
14.Indicate the value of personal Pe:a'ned :-ifs F.5taLe
properly Included In the axis A
ASSESSMENT INFORMATION-Data should re0od the latest Final Assessment Roll and Tax Bill
1s.Year of Asses mons RMI from which Information odum(YY) 19 •17.Total Assessed Value 4200
•18.Property Class 210 _ _ •19.School District Nome Ma tti::uck–Cut cilogue
•20.Tax Mop Identifier(sygoll Identlner(s)(H more than four,oasch sheet wen additional Ide t lor(a))
1000-101.00-01.00-015.002 I
I
CERTIFICATION
I
I Codify that all of the Nemo of informot)on entered on this form aro true and correct to the best of
false statement of material fact heroin subject me to ma ( InY knowledge and belief)and f understandentsthat Iln making el any willful
) .gL4vlelgas o1�0 Pa081.1aa!roletlw to the reeking and filing of fells Inswmanta.
$ELt,E[i_SlSaJyA71[BE =EI1fMNjACTJNE0RYAT19Pl
(Ente/t *1 Rrbma:on for ON luyar WY abuser.LLn a nom,.araaax:cn.carjrw.W.lemn pow oseespo.ibis or
Ly-
Partynnhnitrte e,qja b s re a sduder t leen a rine end i ori. y or w:rn t le rly) swrorcanNate�1y��enexw a+eeeolw ralarE'rlg err:tenant nw he anlad.7yp w prim elody)aa:I ER SYN TATE AIUB� Boken Trisha
Aa 4-EE Haar RADE
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