HomeMy WebLinkAboutL 13143 P 648 r
1111111 IIII IIIA VIII II11111111 VIII VIII VIII 1111 IIII
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 02/18/2022
Number of Pages : 4 At: 12 : 07 :51 PM
Receipt Number : 22-0027931
TRANSFER TAX NUMBER: 21-24462 LIBER: D00013143
PAGE : 648
District: Section: Block: Lot:
1000 070 .00 05 .00 014 .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
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: 21-24462
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
[1][2
RECORDED
2022 Feb 18 12:07:51 PM
JUDITH A. PASCALE
Number of pages CLERK OF
gHFFOLK COUNTY
L D00013143
This document will be public P 648
record. Please remove all ITT# 21-24462
Social Security Numbers
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage'17ax Stamp Recording/Filing Stamps
3
3 -6 FEES
Page/Filing Fee'
Mortgage Amt.
1. Basic Tax
Handling 20. 00 —
2. Additional Tax _
TP-584 Sub Total
Notation Spcc.lAssit.
or
EA-52 17(County) bAD Sub Total — Spec./Add-
EA-521 7
Add.EA-5217(State) k15 Cry TOT.MTG.TAX
Dual Town Dual County
Held Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
` Mansion Tax
Affidavit ��
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total ��S ' t� YES or NO
Other
Grand Tota] If NO,see appropriate tax clause on
page# of this insnvmcnt.
1� w lzk
4 Dist. 22006717 1000 07000 0500 014000 5 Community Preservation Fund
Real Property RF' T S IIIIIIIIIIIIII Illllll�lll�lln�l III�IIIII Consideration Amount $
Tax Service POL A l u
Agency 16-FEB- CPF Tax Due $ `631
Verification
hiiprovcd
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: _ Vacant Land
'"O�'��11�� TD I
n) �l TD
�oJi/�oe- rj /���/ TD
Mail to: Judith A. Pascale, Suffolk County Clerk. 7 Title Coffivany Information
310 Center Drive, Riverhead, NY 11901 C .Name
www.suffolkcountyny.gov/clerk Title# /j 4 3,q /'710 F
8 Suffolk County Recordiji2 & Endorsement Page
This page forms part of the attached FE made by:
[/ (SPECIFY TYPE OF INSTRUMENT)
/ C/ The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
� TO In the TOWN of vt'J/yDLJ
J SG VIn the VILLAGE
l o.o/'Je5 or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
Q-0001.mMkk
(OVCf)
BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS(INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8007
CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
PURCHASER BEFORE SIGNING.
THIS INDENTURE,made the p9 3 day of b-c6r7Nber 2021
between EMMIE RUSCH residing at 980 JOCKEY CREEK DRIVE,SOUTHOLD,NY 11971
,I,s 76 NEe I-Ii ,,,sTgro
party of the first part,and KATHERINE S.RUSCH,residing at,33 WINDSOR WALK,ELLINGTON,CT
06029 and JUDITH RUSCH DOMINGUEZ,residing at,2855 SUTTON OAKS LANE,VIENNA,VA 22181
party of the second part,
WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable
consideration,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,with the buildings and improvements thereon erected,
situate,lying and being in the
SEE SCHEDULE A ATTACHED(DESCRIPTION OF PREMISES)
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed in
Liber 12257 page 239
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 HAVEAND 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.
INPRESENCE OF.•
Ka.U---¢ 4. 4--.A
y
EMMIE RUSCH
NYSBA Residential Real Estate Forms on HotDocs'(9/00) Copyright Capsoft'Development
Westcor Land Title Insurance Company
Title Number: W-ADA-1768-S
Page 1
SCHEDULE A DESCRIPTION
ALL that certain plot piece or parcel of land, with the buildings and improvements thereon ✓
situate, lying and being at Southold, in the Town of Southold, County of Suffolk and State of
New York, bounded and described as follows:
BEGINNING at a point on the southerly line of Jockey Creek Drive, which point is the
northwesterly corner of the premises herein described and the northeasterly corner of land
heretofore conveyed to Minnie B. Glover(Liber 5246 cp 409);
RUNNING THENCE along said southerly line of Jockey Creek Drive South 77 degrees 46
minutes 50 seconds East, a distance of 150.0 feet;
RUNNING THENCE South 12 degrees 13 minutes 10 seconds West, a distance of 150.0
feet;
RUNNING THENCE North 77 degrees 46 minutes 50 seconds West a distance of 50.0 feet;
RUNNING THENCE South 12 degrees 13 minutes 10 seconds West, a distance of 100
feet, more or less, to ordinary high water mark of Jockey Creek;
RUNNING THENCE Northwesterly along said high water mark of Jockey Creek, a distance
of 100 feet, more or less, to said land of Minnie B. Glover;
RUNNING THENCE along said land of Minnie B. Glover, North 12 degrees 13 minutes 10
seconds East, a distance of 200 feet, more or less, to the point or place of BEGINNING.
FOR CONVEYANCING ONLY: Together with all right,title and interest of,in and to any streets and roads abutting the
above described premises,to the center line thereof.
State of New York)
)ss:
County of Suffolk)
On this day of 2021,before me,the undersigned,personally appeared
EMMIE RUSCH,personally known to me or proved to me on the basis of satisfactory evidence to the be
individuals whose names are subscribed to the within instrument and acknowledged to me that they
executed the same in their capacities,and that by their signatures on the instrument,the individuals,or
the person upon behalf of which the individuals acted,executed the instrument.
Notary Public
E)
BETSY A.PERKINS
Notary Public,State of New York
No.01PE6130636
Qualified In Suffolk Cou
Commission Expires July 18.�5
NYSBA Residential Real Estate Forms on HotDocs'(9/00) Copyright Capsoft'Development
-2-
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY ,/ Now York State Department of
C1.SVA code I`t,:i3 a.-ry'O ! Taxation and Finance
C2.Date Dead Recorded 1 2-1 (jT0 2Z I Lq Office of Real Property Tax Services
Moen Pegs RP-5217-PDF
C3.Book / C4. e L-- , ,b 4 T(JQ I Real Property Transfer Report(8170)
PROPERTY INFORMATION
1.Property 980 Jockey Creek Drive
Location
•arrEET MAMWR -STREETNAE
Southold Southold 11971
em OR TOM VILLAGE •23PCODE
2.Buyer Rusch Dominguez Judith
Name ,usr NAEPOCLVA,r FIRSTrMAE
Dominguez Katherine S.
LAST MAtFJDOLWAW FlR*TNAE
3.Tax Indicate where Whim Tax Bills are to be sent
Billing if other than buyer address(al bottom of form) LAW NA,ECmPANY FIRST NAME
I Address
aTREEf NuLEER AND mmE Cm at Town *TATE ZPCODE
4.Indicate the number of Assessment Part of a Parcel (Only It Part of a Parcel)Check as they appy:
Roll permits transfer. on the deed 8 of Parcels OR ❑ 4A.Planning Board with Sutdsvlslort Autlsodty Exists
L Deed X OR 0.713 Approval was Required for Transfer
4B.Subdivision A ❑
Property •FRONr rem oEPrN acRca
SW ❑
4C.Parcel Approved for Subdivision with Map Provided
Rusch Enmia
e.Seller •LAUNLLEICONVAlY FIR*rmUE
Name
LAST NLIa.ICr Cr@MIY FlR*T NAE
Cheek the boxes below as they appy:
f 7.ueSelect the description at the th most accurately describes the IL Ownership Type is Condominium
use of ttM property K the time of mk: ❑
A.One Family Residential 8.New Construcbaf on a Vacant Land ❑
10A.Properly Located within an Agricultural District ❑
108.Buyer received a disclosure no*&indicating that the property is in an ❑
Agricultural District
SALE INFORMATION 18.Check one or mom of these conditions;as applicable to transfer:
A.Sale Between Relatives or Former Relatives
111.Sale contract Date B.Sale between Related Companies or PartnerBusiness
is n C.One of the Buyers Is also a Seller
12.Data of sale/Tmn ider ��'�3'l� D.Buyer or Seller is Government Agency or Lending Institution
E.Deed Type not Warranty or Bargain and Sale(Specify Below)
F.Sale of Fractional or Less than Fee Interest(Spa*Below)
113.Full Sale Price C All) G.Significant Change in Properly Between Taxable Status and Sale Dates
H Sale of Business is Included In Sats Price
(Full Sale Price is the total amount paid for eu property Including personal property. I. Other Unusual Fat:tors Affecting Sale Price(Specify Below)
This payment may be in the form of cash,other property or goods,or the assumption of J.NO1e
mortgages or other obligations.)Please round to Me nearest whole dogaramounf
ComrratKlsl on Condition:
I
14.Indicate the value of pemonal
property Included In the sale •(K)
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bili
I IL Year of Assessment Roll from which InWsmation mkenllfY) •17.Total Amassed Value 11110
I
l -18.Property Class 210 •19.School District Name 6)0
I -
•20.Tax Map IdengBer(s)IRoll Identifterl;)41f more ttun four,attach shoot with additional Monasterial)
1000-70.-5-19
CERTIFICATION
I Certify that all of the Items of Information entered on this form am tree and correct(W the best of my knowledge and Denary and I understand that the making of any willful
/alas statement of material fact herein sub)ed The W the pray g10ns of ttra canal Ism mletiva W the making end sling of false Instronsents.
SELLER SIGNATURE BUYER CONTACT INFORMATION
(Ener ryrd Son for the buyer Noir If buyer a LLC.soo*!y.association,mponLat.kind stock company.sante or
wft that a not an nWxsal agent w miciary.sen a name"corded Wermonon or an indwauarespaaba
Perry who can rarer questions regarding as**rm1w must be enweD Type or print clearly)
arLLERSKM un DATE
mow+' tzfa3��l
BUYERSIGNATURE R::sch Dominguez .iud!L'h
n M_I�'�`-M'4 A, 'LAFT NAE FRSs NME
6114 -M, RAoe%, Ii1�Wkef)21L?. fi�z3�zl (57.) 929-2c22
_ •.RFwcoDE TeeNDNEredeem rEL•*RLLLa
BUYER ad'"taEW DATE
28;.•5 Sul.Lon Oaks Litre
-MEET NOAER •STRE MUM ]� r�
t In,
Vienna l)•SA 22181
•dTV OR TOM TATE •LPCODE
R'BUYES ATTORNEY
Moore Patricia C.
UNAMEwEST mE MURnr� {631ARueoDE 765-9330 TELEPIIDNENUMBER(E.-MOM=