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HomeMy WebLinkAboutCase, Katherine R PATRICIA A. FINNEGAN - TOWN ATTORNEY patricia.finnegan@town.southold.ny.us KIERAN M. CORCORAN ASSISTANT TOWN ATTORNEY kieran.corcoran@town.southold.ny.us LORI HULSE MONTEFUSCO ASSISTANT TOWN ATTORNEY lori.montefusco@town.southold.ny.us JOSHUA Y. HORTON Supervisor Town Hall Annex, 54375 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1939 Facsimile (631) 765-6639 OFFICE OF THE TOWN ATTORNEY TOWN OF SOUTHOLD To: From: Date: Subject: MEMORANDUM Ms. Joanne Liguori Lynne Krauza Secretary to the Town Attorney October 19, 2005 Quitclaim Deed w/Katherine R, Case Swamp Road, Cutchogue, NY Please be advised that Kieran has reviewed and approved the Quitclaim Deed and conveyance documents in connection with the referenced matter. A copy of resolution no. 627 authorizing Josh to sign this document is also attached. In this regard, kindly have Josh sign these documents where indicated and return them to me. Please note that Josh's signature on the deed will have to be notarized. In addition, these documents must be signed using black ink. After they have been signed by Josh, I will forward them to Ms. Case's attorney, Mary Lou Folts, Esq., for countersignature and ultimately to be recorded with the Suffolk County Clerk. Thank you for your attention. If you have any questions, please call me. /Ik Enclosures cc: Ms. Elizabeth Neville, Town Clerk (w/encls.) ~ Number of pages TORRENS Serial # Certificate # Prior Cfi. # Deed / Mortgage Instrument Page / Filing Fee Handling 5. O0 TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed. 5. 00 Affidavit Certified Copy NYS Surcharge 15. 00 Other Deed / Mortgage Tax Stamp FEES Sub Total Sub Total Grand Total 4lfips .O Isecaon116.oOlmockO2.O0 1 o O19.ooo Recording / Filing Stamps Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add.. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointment Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES or NO If NO, see appropriate tax clause on page # of this instrument. 5 Community Preservation Fund Real Property Tax Service Agency Verification Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Consideration Amount $ CPF Tax Due $ -0- Improved Vacant Land X TD LARK & FOLTS, ESQS. P.O. BOX 973 CUTCHOGUE, NY 11935 TD 7 ] Title Company information Co. Name Tire # Suffolk County Recording & Endorsement Page This page forms part of the attached TOWN OF SOUTHOLD deed (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. made by: TO In the Township of Southold KATHERINE R. CASE In the VILLAGE or HAMLET of Cutchogue BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) Form 8004 (9~99) -- Quitclaim Deed--Individual or Corporation. (single sheet) · ' C:ONRULT YOUR LAWYER BIFORB RIGNING THIS INS~TRUMINT-- TNli INSTRUMINT SHOULD BE UIBO BY LAWYIER~ ONLY. NO N.Y.S. TRANSFER TAX STAMPS REQUIRED THIS INDENTURE, madethe dayof xaak BETWEEN TOWN OF SOUTHOLD, a municipal corporation having its office and principal place of business at 53095 Main Road, Southold,'New York 11971, partyofthefirstpart, and KATHERINE R. CASE, residing at 174 New York Avenue, Massapequa, New York 11758 DIST. 1000 SECT. 116.00 BLOCK 02.00 LOT 019.000 party of the second part, WITNESSETH, that the party of the first part, in consideration of ten dollars 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, ALL that certain plot, piece or pamel of land, with the buildings and improvements thereon erected, situate, lying and beingk~at Cutchogue, in the Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described on SCItEDIJ~E A which is attached hereto. 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, in compliance with Section 13 of the Lien Law, hereby 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: TOWN OF SOUTHOLD by: Joshua Y. Horton, Supervteor Acknowledgement taken In New York State State of New York, County of Suffolk Acknowledgement taken In New York State , ss: State of New York, County of On the day of , in the year ; before me, the undersigned, personally appeared Joshua Y. Hort:on personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(~,~s · (-me) subscribed to the within instrument and acknowledged to me that he/~s-~e~'~e~ executed the same in his/ITel'/lll~ir capacity(iamb and that by his/he~Rheh, signature(~) on the instrument, the individual(e) or the person upon behalf of which the individual(s~.a, cted, executed the instrument. On the day of , in the year the undersigned, personally appeared , before me, 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/their capacity(les), 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. Notary Public Acknowledgement by Subscribing Witness taken In New York State State of New York, County of On the day of , in the year the undersigned, personally appeared , beforeme, the subscribing witness to the foregoing instrument, with whom f am personally acquainted, who being by me duly sworn, did depose and say, that he/she/they reside(s) in that he/she/they know(s) to be the individual described in and who executed the foregoing,instrument; that said subscribing witness was present and saw said execute the same; and that said witness at the same time subscribed his/her/their name(s) as a witness thereto. Acknowledgement taken outside NewYork State * State of , County of * (or insert District of Columbia, Territory, Possession or Foreign Country) , SS: On the day of , in the year the undersigned, personally appeared , before me, 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/their capacity(les), 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 (add the city or political subdivision and the state or country or other place the acknowledgement was taken). Title No.: TOWN OF SOUTHOLD TO KATHERINE R. CASE SECTION 116.00 BLOCK 02.00 LOTp/o 0i9.000 COUNTY OR TOWN Suffolk County, Town of Southold RETURN BY MAILTO: Distributed by C]ficago Title insurance Company Zip No. O ALL that certain plot, piece or parcel of land situate, .lying and being at Cutchogue, in the Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described as follows: BEGINNING at a point on the northerly line of Case Road, 225.00 feet easterly along said northerly line from its ~ intersection with the easterly line of Bay Road; running thence along land now or formerly of Lynch, North 13 degrees 01 minutes 40 seconds West 230.40 to land now'or formerly of the North Fork Country Club; running thence along said last mentioned land North 89 degrees 42 minutes 10 seconds East 25.63 feet to land now or formerly of Case; running thence along said last mentioned land South 13 degrees 01 minutes 40 seconds West 236.0~ feet to the northerly line of Case Road (which point is 200.00 feet westerly along said northerly line from its intersection with the westerly line of Meadow Lane); running thence along said northerly line of Case Road North 76 degrees 58 minutes 20 seconds West 25 feet to the point or place of beginning. BEING AND INTENDED TO BE the easterly half of a former Town Highway known as Swamp Road abandoned by the party of the first part in 1969. P-584 (11/04) Combined Real Estate Transfer Tax Return, Credit Line Mortgage Certificate, and Certification of Exemption from the Payment of Estimated Personal Income Tax Recording office time stamp See Form TP-584-I, Instructions for Form TP-584, before completing this form. Please print or type. Grantor/Transferor [] Individual [] Corporation [] Partnemhip [] Estate/Trust [] Other Grantee/Transferee [] Individual [] Corporation [] Partnership [] Estate/Trust [] Other Schedule A -- Information relating to conveyance Name (if individual; lest, first, middle i~itial) TOWN OF $OUTHOLD Mailing address P.O. BOX 1179 City State SOUTHOLD NY Name (if Individual: last, first, middle initial) CASE, KATHERINE R. Mailing address 124 NEW YORK AVENUE City State MASSAPEQUA NY Location and description of property conveyed Tax map designation Address Section Block Lot p/o305 Case Road 116 2 p/o 19 zIP code 11971 ZIP code 11758 Social security number Social security number Federal employer ident, number Social security number Social security number Federal employer ident, number City/village Town County Cutchogue Southold Suffolk Type of property conveyed (check applicable box) I [] One- to three-family house 5 [] Commercial/Industrial 2 [] Residential cooperative 6 [] Apartment building 3 [] Residential condominium 7 [] Office building 4 [] Vacant land 8 [] Other Date of conveyance Percentage of real property conveyed which is residential real property 0.00 % (see instructions) Condition of conveyance (check all that apply) a. [] Conveyance of fee interest b. [] Acquisition of a controlling interest {state percentage acquired %) c. [] Transfer of a controlling interest (state percentage transferred ~%) d. [] Conveyance to cooperative housing corporation f. [] Conveyance which consists of a mere change of identify or form of ownership or organization (attach Form TP-584.1, Schedule F) g. [] Conveyance for which credit for tax previously paid will be claimed (attach Form TP-584.1, Schedule G) h. [] Conveyance of cooperative apartment(s) i. [] Syndication e. [] Conveyance pursuant to or in lieu of j. [] Conveyance of air rights or foreclosure or enfomement of secudty development rights interest (attach Form 7P-584.1, Schedule E) k. [] Contract assignment For recording officer's use AmoUntscheduleSChedulereCeivedB.,B., PartPart ]!! $$ Date received I. [] Option assignment or surrender m. [] Leasehold assignment or surrender n. [] Leasehold grant o, [] Conveyance of an easement p, [] Conveyance for which exemption from transfer tax claimed (complete Schedule B, Part I/1) q. [] Conveyance of property partly within and partly outside the state r. [] Other (describe) (~u3].t:c]_a~_~_ Transaction number Page 2 of 4 TP-584 (11/04) Schedule B -- Real estate transfer tax return (Tax Law, Article 31 ) Part ! - Computation of tax due I Enter amount of consideration for the conveyance (If you are claiming a total exemption from tax, check the exemption claimed box, enter consideration and proceed to part II]) ............................ [] Exemption claimed 1. 2 Continuing lien deduction (see instruc~ions if property is taken subject to mortgage or lien) ...................................... 2. 3 Taxable consideration (subtract line 2 from line I) ................................................................................................ 3. 4 Tax: $2 for each $500, or fractional part thereof, of consideration on line 3 ...................................................... 4. 5 Amount of credit claimed (see instructions and attach Form TP-584.1, Schedule G) ................................................ 5. 6 Totaltax due* (subtract tine 5 from line 4) ............................................................................................................. 6. Part ]] - Computation of additional tax due on the conveyance of residential real property for $1 million or mom 1Enter amount of consideration for conveyance (from Part[, tine l) ..................................................................... Iii 2 Taxable consideration (multiply line I by the percentage of the premises which is residential realpropefly, as shown in Schedule A) ..... 3 Total additional transfer tax due* (multiply line 2. by 1% (.01)) .............................................................................. Part ]~ - Explanation of exemption claimed on Part [, line 1 (check any boxes thatapply) The conveyance of mai property is exempt from the mat estate transfer tax for the following reason: a. Conveyance is to the United Nations, the United States of America, the state of New York, or any of their instrumentalities, agencies, or political subdivisions (or any public corporation, including a public corporation created pumuant to agreement or compact with another state or Canada) ............................................................................................................................................. a b. Conveyance is to secure a debt or other obligation ........................................................................................................................... b c. Conveyance is without additional consideration to confirm, correct, modify, or supplement a prior conveyance ............................. c e. Conveyance is given in connection with a tax sale ............................................................................................................................ e nla d. Conveyance of real property is without consideration and not in connection with a sale, including conveyances conveying malty as bona fide gifts ...................................................................................................................................................................... d [] f. Conveyance is a mere change of identity or form of ownership or organization where them is no change in beneficiat ownership. (This exemption cannot be claimed for a conveyance to a cooperative housing corporation of real property comprising the cooperative dwelling or dwellings.) Attach Form TP-584.1, Schedule F ................................................................... f g. Conveyance consists of deed of partition .......................................................................................................................................... g h. Conveyance is given pursuant to the federal Bankruptcy Act ............................................................................................................ h i. Conveyance consists of the execution of a contract to sell real property, without the use or occupancy of such property, or the granting of an option to purchase real property, without the use or occupancy of such property ............................................... i [] j. Conveyance of an option or contract to pumhase mai property with the use or occupancy of such property where the consideration is less than $200,000 and such property was used solely by the grantor as the gmntor's personal residence and consists of a one-, two-, or three-family house, an individual residential condominium unit, or the sale of stock in a cooperative housing corporation in connection with the grant or transfer of a proprietary leasehold covering an individual residential cooperative apartment ....................................................................................................................................................................... J k. Conveyance is not a conveyance withir~ the meaning of Tax Law, Article 31, section 1401(e) (attach documents k supporting such claim) .......................................................................................................................................................................... I. Other (attach explanation) .................................................................................................................................................................... *Please make check(s) payable to the county clerk where the recording is to take place. If the recording is to take place in New York City, make check(s) payable to the NYC Department of Finance. If a recording is not required, send this return and your check(s) made payable to the NYS Department of Taxation and Finance, directly to the NYS Tax Department, RETT Return Processing, PO Box 5045, Albany NY 12205-5045. Page 3 of 4 TP-584 (11/04) Schedule C --Credit Line Mortgage Certificate (Tax Law, Article 11) Complete the following only If the Interest being transferred Is s fee simple Interest. I (we) certify that: (check the appropriate box) 1. [] The real property being sold or transferred is not subject to an outstanding credit line mortgage. 2. [] The real property being sold or transferred is subject to an outstanding credit line mortgage. However, an exemption from the tax is claimed for the following reason: [] The transfer of real property is a transfer of a fee simple interest to a person or persons who held a fee simple interest in the real property (whether as s joint tenant, a tenant in common or otherwise) immediately before the transfer. [] The transfer of real property is (A) to a person or persons related by blood, mardage or adoption to the odginal obligor or to one or more of the odginal obligors or (B) to a person or entity where 50% or more of the beneficial interest in such real property after the transfer is held by the transferor or such related person or persons (as in the case of a transfer to a trustee for the benefit of s minor or the transfer to a trust for the benefit of the transferor). [] The transfer of real property is a transfer to a trustee in bankruptcy, a receiver, assignee, or other officer of a court. [] The maximum principal amount secured by the credit line mortgage is $3,000,000 or more, and the real property being sold or transferred is not principally improved nor will it be improved by a one- to six-family owner-occupied residence or dwelling. Please note: for purposes of determining whether the maximum principal amount secured is $3,000,000 or more as described above, the amounts secured by two or more credit line mortgages may be aggregated under certain circumstances. See TSB-M-96(6)-R for more information regarding these aggregation requirements. [] Other (attach detailed explanation). 3. [] The real property being transferred is presently subject to an outstanding credit line mortgage. However, no tax is due for the following meson: [] A certificate of discharge of the credit line mortgage is being offered at the time of recording the deed. [] A check has been drawn payable for transmission to the credit tine mortgagee or his agent for the balance due, and a satisfaction of such mortgage will be recorded as soon as it is available. 4. [] The real property being transferred is subject to an outstanding credit tine mortgage recorded in (insert Iiber and page or reel or other identification of the mortgage). The maximum principal amount of debt or obligation secured by the mortgage is . No exemption from tax is claimed and the tax of is being paid herewith. (Make check payable to county clerk where deed will be recorded or, if the recording is to take place in New York City, make check payable to the NYC Department of Finance.) Signature (both the The undersigned certify that the above attachment, is to the best of TOWN OF SOUTHOLD by: Grantor signature JOSHUA Y. HORTON echedulesA, B, and C, includinganyreturn, certific~ion, schedule, or Supervisor KATHERINE R. CASE Grantor signature Title Grantee signature TJt~e Reminder: Did you complete all of the required information in Schedules A, B, and C? Are you required to complete Schedule D? If you checked e, f. or g in Schedule A, did you complete Form TP-584.17 Have you attached your check(s) made payable to the county clerk where recording will take place or, if the recording is in New York City, to the NYC Department of Finance? If no recording is required, send your check(s), made payable to the Department of Taxation and Finance, directly to the NYS Tax Department, RETI' Return Processing, PO Box 5045, Albany NY 12205-5045. Page 4 of 4 TP-584 (11/04) Schedule D - Certification of exemption from the payment of estimated personal Income tax (Tax Law, Article 22, section 663) Complete the following only If a fee simple interest or a cooperative unit Is being tranaterred by an Individual or estate or trust. Part ! - New York State residents If you are a New York State resident transf~rer(s)/seller(s) listed in Schedule A of Form TP-584 (or an attachment to Form TP-584), you must sign the certification below. If one or more transferors/sallers of the real properly or cooperative unit is a resident of New York State, each resident transferor/seller must sign in the space provided. If more space is needed, please photocopy this Schedule D and submit as many schedules as necessary to accommodate all resident transferors/sellers. Certification of resident transferor(s)/seller(s) This is to certify that at the time of the sale or transfer of the real property or cooperative unit, the transfemr(s)/saller(s) as signed below was a resident of NewYork State, and therefore is not required to pay estimated personal income tax under Tax Law, section 663(a) upon the sale or transfer of this real property or ccaperative unit. Signature Print full name Date Signature Print tull name Date '~ignature Print tull name Date Signature Print full name Date Note: A resident of New York State may still be required to pay estimated tax under Tax Law, section 685(c), but not as a condition of recording a deed. Part ]] - Nonresidents of New York State If you are a nonresident of New York State listed as a transferor/selier in Schedule A of Form TP-584 (or an attachment to Form TP-584) but are not required to pay estimated personal income tax because one of the exemptions below applies under Tax Law, section 663(c), check the box of the appropriate exemption below. If any one of the exemptions below applies to the transferor(s)/seller(s), that trensferor(s)/seller(s) is not required to pay estimated personal income tax to New York State under Tax Law, section 663. Each nonresident transferor/seller who qualifies under one of the exemptions below must sign in the space provided. If more space is needed, please photocopy this Schedule D and submit as many schedules as necessary to accommodate all nonresident transferors/sellers. If none of these exemption statements apply, you must complete Form IT-2663, Nonresident Rea/Property Estimated Income Tax Payment Form, or Form IT-2664, Nonresident Cooperative Unit Estimated Income Tax Payment Form. For more information, see Payment of estimated persona/income tax, on page 1 of Form TP-584-[. Exemption for nonresident transferor(s)/seller(s) This is to certify that at the time of the sale or transfer of the real property or cooperative unit, the transferor(s)/selfer(s) (grantor) of this real property or cooperative unit was a nonresident of New York State, but is not required to pay estimated personal income tax under Tax Law, section 663 due to one of the following exemptions: [] The real properly or cooperative unit being sold or transferred qualifies in total as the transferor's/seller's principal residence (within the meaning of Internal Revenue Code, section 121) from to (see instructions). Date Date [] The transferor/seller is a nmrtgagor conveying the mortgaged property to a mortgagee in foreclosure, or in lieu of foreclosure with no additional consideration. [] The transferor or transferee is an agency or authority of the United States of America, an agency or authority of the state of New York, the Federal National Mortgage Association, the Federal Home Loan Mortgage Corporation, the Government National Mortgage Association, or a private mortgage insurance company. Signature Print lull name Date Signature Print full name Date Signature Print full name Date Peconic Bay Region Community Preservation Fund Schedule A lnlbrnmtion F1 IndMdual [] Corl'K.'ation J~',el;ttillg lo Colr,,cy.uicc Town o[ $outbold, M;liling address PO BOX 117 9 53095 Main Road Southold NY Name (indi¥idual: I;N, I'irsL middle CASE, KATHERINE R. Mailing mlth'css 124 New York Av~mle Massapequa NY Disl .";cotton Bl(v.:k Lid Address 11971 Social Sccudty Number ,c,~:bl Security Number Fcdcrtd Cmld.ycr idenl, iRilllbc, r S.cial Sccurily Nullll~r I I Fo'doral Cnlldoyo' idcnl, iltlllll~.f Vilbge Town 1000 116.00 02.00 p/o p/o 305 Case Road 019.000 Cutchogue Southold Type of pr.l~:rly conveyed (check Ul~plicd~h' Cuntlition ol'Collvcymlcc (cller'k till Ihtil tipper) a. ~ C,nvcyano: uf fi:c inlcrcnl ch;,igc ,r idenlily or I~l'lll o1' ownership prcvi.usly pakl will be claimed n. - Leasehold gl'alii o. - CoilvcytlliCCtd';tllett~,ClllU[lt p. - ('olB'cyall¢c I~,' whidl C~Clllplioll is claimed (c~,nplctc Schedule B. Part II) - COltVCyallCC o1' prosily partly wilhJn ami I; X- Oil)er (describe) Qu~tcZa~m Schedule 1] - Ctmu'nunit¥ Prescrvalion FuM Part I - Ct)mputt~lion or ~LX Due I. Inlet al1~Otllll of conskleralion for the conveyance (from line I TI)SR4 Schedule B) ................................. 2. Allowance (see I~elow) ......................................................................................................... 3. Taxable consideration (sUbil'aCl linc 2 from linc I ) ........................................................................ 4.2% Communily I'reservafion FL.id (o1' linc 3) make certified check payable lo SUFFOI,K COUNTY CLICRK 5. Property m~l sul~iccl hi CPF q~x (Sec Schedule C): ........................................ ~ .............................. -0- 3 -0- 4 -0- I)atc received East J {allll)|Oll Siullcr is}and $250,(100.00 {nlpmvcd $_.50,00(L00 hnprovcd $250.000.00 Im[)rovctl $ IO(U)O0.O(} Vacanl ImM (Uniral'q'ovcd) $ I I)IU)O0.00 Vacar~t Land (Uniml)rovud) $100. Vacant L;md (I. Inimpr,.)ved) Sdllcdulc C - (confilmcd) tL COIIVCytlIlCC is lo the LJnhcd Nations. Iht Llnilcd ~ltllcs ol'Aiiicrica, IJlC sltllg o1' New York or Jllly oJ' their inslrunlcntaJilics. J), ('OlJVg~iillCR J~ lo sCCUl'~ il dcbl or oJJIRl' ohii~alion ............................................................................................. cooj)grillJv¢ dwellin~ or dwellings.) ............................................................................................................... ~, COlJVg~JJliCg ¢OIISJsls ol' OeCd ol' jllJrlJlJoll ......................................................................................................... h, ColJVg~llllCg is gJwll pUl~Ualll lo Ibc I'udCl'al baukruplcy iici .............................................. ' ...................................... ~i'RiiIJlI~ of IIII oplJoll Io 11Lll'Chtlsc i'¢ill pl'opcrly wJlholll Ih¢ usc o1' oCC0ll[lllL'y oJ' such properly .......... ~ ............................... j, CoIlVg~allc~ O~ I'elll pl'ollgl'l] which is sul!jccl lo I'¢Xll'JcJiOllS which prohibil Ihc tlsg oJ' file elllil'g pl'opgrl~ I~H' lilly purposes cxccpl a~riculltll'C, i'cc~tltioll or COllSCrvRlJou, I1LII'SU;lUl lO Section 1449-~c (2) (.j) or (k) of Article 3I-D of thc Tax Law, (Scc ICtltUlcd ]own ,ll~l~mV,d, bcIow) ............................................................................................................... k. ( OIIVC]llllCC OI I'CllJ JllO 1C ~ I'or Ojl~ll ~JHi~c, Jlltl'kS. o1' hisloric pl'CnCl'valJon purpo~cs lu ~i11] noJ-l'or-prol'il lax cxglllj)l Afl Jolt ] I -D o1' Ibc 'l~lx htw. (~cc j in ScllcdLiJV (') Towll AIIol'llc~ or othcr dcsi~ualcd ol'ficial Penalties and Interest Penalties Any grantor or grautce I'~filing to file a return or m pay auy lax within Ibc time required shall he subject to ~L penally of I0% of the mnouut of tax clue plus an imercsl penally of 2% of Stlcll amount of each UlOllJh oJ' delay or I'raclion thm~of after lilt cxpiralion or ~llc I'Jrsl duc. Ilowcvcr, thc itllm'csl pmuflly shah nol cxcccd 25% in thc aggregate. Interest Daily compouudcd iulcrcst will bc churgc',l on the tunounl o1' the lax duc not paid wid'du thc time required. Signature (both the grantor(s) and grantee(s) must sign). Thc undersigned cerl. ify that thc above relurn, iucluding rely ccrtificatiou, schedule or altachmeut, is to file best oJ' hi.s/her knowledge, true and complete, TO!~IN OF SOUTHOLD RY' JOSHUA Y. HORTON, Superv±sor KATHER%NE R CASE INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222 F~OR CqUNTY USE ONLY ' REAL PROPERTY TRANSFER REPORT C1. SWIS Code I i ~ ~ ~ ~ I ~.'~L STATE OF NEW YORK C2. Date Deed Recorded I ~ Month / Day / Year I ~.~ STATE BOARDRpOF REAL. 5217PROPERTY SERVICES C3. Book I ~ ~ ' I C4. Page I ~ ~ ~ ~ ~ m,.~l? 1~ ~;' PROPERTY INFORMATION ~ 1. Property p/o 305 Location STREET NUMBER Cutchogue Clef OR TOWN 2. Buyer Case N&me LAST NAME / COMPANY Case Road STREET NAME LAST NAME I COMPANY 3, Tax Indicate where future Tax Sills are to be sent STREET NUMBER AND S1P~ EFT NAME 4. Indicate the number of Assessment Roll parcels transferred on the deed I 11935 Katherine R. [=IRST NAME LAST NAME / COMPANY I #of Parcels OR ~ Par~ofaParcel 5. Deed .,o.,.w I 25' Ixl 230' IoBI . I S. Seller I Towm of Southold Name LAST NAME / COMPANY I LAST NAME / COMPANY FIRST NAME 7. Check the box below which most accurately describes the uae of the property st the time of sale: B 2 or 3 Family Residential F I~ Commercial C ResMential Vacant Land GI_...J Apartment D Non-Residential Vacant Land H~ Entertainment/Amusement SALE INFORMATION I 11. Sale Contract Date n/a I / / Month Day Year 12. Date of Sale / Transfer I / / I Month Day Year Community Service industrial Public Service Forest 0 0,01 (FuR Sale Price is the total amount paid for the property including personal properW. This payment may be in the form of cash, other property or goods, or the assumption of mortgages or other obligations.) Please round to the nearest whole dollar amount. 14. Indicate file value of personal I , 0., 0 ~ 0 I property included in the sale ~ ~ · ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Biff I 16. Year of Assessment Roll from I 0 4 I which information taken , 17. Total A~essed Value (of ail parcels in transfer) I FIRSTNAME STATE ZIp CODE (Only if Pa,-t of a Pamet) Che¢k as they apply: 4A. Planning Board with Subdivision Authority Exists [] 48. Subdivision Approval was Required for Transfer [] 4C. Parcel Approved for Subdivision with Map Provided [] Check the boxa~ below as they apply: 8. Ownership Type ~s Condominium L.--] 9. New Construction on Vacant Land [] 10A. PropefW Located within an Agricultural District I~1 10~. Buyer received a disclosure notice indicating that the propere/is in an Agricultural District Quit Claim deed 18. Property Class I 3, 1 , 1 I-I I 19. School District Name I Mat tituck-Cut chogue UFSD ,1 ,2 ,0 .0 20. Tax Map Identifier(s) / Roll identifier(s) (if more than four, attach sheet with additional identifier(a)} I 1000-116.00-02.00 p/o 019.000 I I CERTIFICATION I ceriffy that ~11 of the items of infornmtton entered on this form are ~ue and corr~t (to ~e ~ of ~ ~ ~ ~ ~d 1 ~d ~t ~e ~g of any willful false statement of materlnl fact her~in wiB subject m~ to lhe provisions of ~e oennl law relative to the m~ and filing of false instruments. BUYER BUYER'S AI'I'ORNEY BUyER S~°NArURE KATHERINE R, CASE [ FOLTS I MARY LOU 174 I New York Avenue (631) STREET NUMBER ~RE~ NAME (A~ER SALE) AREA CO~ e Massapequa [ NY I 11758 C~ OR TOWN STA~ ZIP CODE SELLER TOWN OF SOUTHOLD 734-6807 TELEPHONE NUMBER NEW YORK STATE COPY . ELIZABETH NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road PO Box 1179 Southold, NY 11971 Fax (631) 765-6145 · Telephone: (631) 765-1800 southoldtown.northfork.net RESOLUTION # 2005-627 Resolution ID: 1202 Meeting: 10/11/05 04:30 PM Department: Town Attorney Category: Contracts, Lease & Agreements THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2005-627 OF 2005 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON OCTOBER 11, 2005: WHEREAS, in 1969 ~he Town of Southold formally abandoned a roadway known as Swamp Road in Cutchogue that had never been developed; and WHEREAS, in 1973 the Town of Southold quit claimed the westerly portion of Swamp Road to the adjacent property owner, but neglected to do so with regard to the easterly portion; and WHEREAS, the owners of the easterly portion of Swamp Road have been assessed and are paying real property taxes to the Town of Southold on that portion; now, therefore, IT IS HEREBY RESOLVED, that Supervisor Joshua Y. Horton of the Town of Southold is hereby authorized and directed to sign a Ouitclaim Deed with resnect to the easterly oortion of Swam~ Road, to the current adjaeent property owners to the east. Elizabeth A. Neville Southold Town Clerk SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEEDS/DDD Number of Pages= 4 Receipt Number : 05-0118615 TRANSFER TAX NUMBER: 05-14831 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 116.00 02.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $12.00 NO Handling COE $5.00 NO NYS SRCHG EA-CTY $5.00 NO EA-STATE TP-584 $5.00 NO Cert. Copies RPT $30.00 NO SCTM Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 05-14831 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Edward P.Romaine County Clerk, Suffolk County 11/14/2005 02:05:42 PM D00012419 646 Lot: 019.000 Exempt $5 00 NO $15 00 NO 8165 00 NO $5 00 NO $0 00 NO $0 00 NO $247 00 Number of pages TORRENS Serial # Certificate # Prior Ctf. # Deed / Mortgage Instrument 31 Page / Filing Fee Handling TP-584 5. 00 Deed / Mortgage Tax Stamp FEES Notation EA-52 17 (County) <)/-__ Sub Total EA-5217 (State) ~,~ R.P.T.S.A. Comm. of Ed. 5. 00 Affidavit NYS Surcharge 15. 00 Sub Total Other 4 I l~fs~.0 Section Grand Total 116.00 ]Block 02.00 ILr ° °.9'°°° S Real Property Tax Service Agency Verification 9 1000 11600 0200 01900¢~ [ Satisfactions/Discharges/Releases List Property Owners Mailing Address 6 I RECORD & RETURN TO: Recording / Filing Stamps Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add.. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointment Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES or NO If NO, see appropriate tax clause on page # of thi~. ~stmment. -- // Community Preservation Fund Consideration Amount $ - 0 - CPF Tax Due $ - o - Improved Vacant Land X TD LARK & FOLTS, ESQS, P.O, BOX 973 CUTCHOGUE, NY 11935 TD TD 7 I Title Company Information Co. Name Title # 81 Suffolk County Recording & Endorsement Page This page forms part of the attached TOWN OF SOIJTItOLD deed (SPECIFY TYPE OF INSTRUMENT) The promises herein is situated in SUFFOLK COUNTY, NEW YORK. made by: TO In the Township of Southold KATHERINE R. CASE In the VILLAGE Cutchogue or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) ' ~ ~Form 8004 (9/99) -- Quitclaim Deed--Individual or Corporation. (single sheet) CONSULT YOUR LAWYER BEFORE SIONINB THIS INSTRUMENT -- THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. NO N.Y.S. TRANSFER TAX S T,~iP S REQUIRED THIS INDENTURE, made the day of m,rk BETWEEN TOWN OF SOUTHOLD, a municipal corporation having its office and principal place of business at 53095 Main Road, Southold, New York 11971, partyofthefirstpart, and KATHERINE R. CASE, residing at 174 New York Avenue, Massapequa, New York 11758 DIST. 1000 SECT. 116.00 BLOCK 02.00 ~LOT °019.000 party of the second part, WITNESSETH, that the party of the first part, in consideration of ten dollars 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, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being m4he at Cutchogue, in the Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described on SCREDULE A which is attached hereto. TOGETHER with all right, title and interest, if any, of the party of the first part, in ned to any streets and roads abutting the above-described piemises to the center lines thereof; TOGETHER with the appurtenances and all the estate and righys of the par~y of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein ,grarrted unto:the party of the s~cond 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, hereby covenants that the party of the first part will recei,)e 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: TOWN OF! SOUTHOLD Supervisor Acknowledgement taken in New York State State of NewYork, County of Su££olk Acknowledgement taken in New York State , ss: State of New York, County of , SS: On the ,:,¢-,/' day of (Dc'C,, , in the year,~'~¢.-?~3, efore me, On the day of , in the year the undersigned, personally appeared Joshua ¥. Horton the undersigned, personally appeared , before me, ,( TATE OF NEW YORK SS: UNTY OF SUFFOLK I, EDWARD P. ROMAINE, CLERK OF THE COUNTY OF SUFFOLK AND CLERK OF THE SUPREME COURT OF THE STATE OF NEW YORK IN AND FOR SAID COUNTY (SAID COURT BEING A COURT OF RECORD) DO HEREBY CERTIFY THAT I HAVE COMPARED THE ANNEXED COPY OF DEED ,,/f)~,/.~ ATPAGE ./'?z.//¢¢ RECORDED ,//-/ AND THAT IT IS A JUST AND TRUE COPY OF SUCH ORIGINAL DEED AND OF THE WHOLE ,THEREOF. TESTIMONY WHEREOF, I HAVE HEREUNTO SET MY HAND AND AFFIXED THE SEAL OF SAID ~%UNTY AND COURT THIS/x/C/t"BAY OF ~/) ~~'~2,''t-'~ ~111~ ~'~,~ CLERK On the day of , in the year the undersigned, personally appeared , before me, the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who being by me duly sworn, did depose and say, that he/she/they reside(s) in that he/she/they know(s) to be the individual described in and who executed the foregoing,instrument; that said subscribing witness was present and saw said execute the same; and that said witness at the same time subscribed his/hedtheir name(s) as a witness thereto. [u~ .1~[[ UlS[rlc~ OT Uolumbia, Territory, Possession or Foreign Country) On the day of , in the year the undersigned, personally appeared , before me, 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/their capacity(les), 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 (add the city or political subdivision and the state or country or other place the acknowledgement was taken). Title No.: TOWN OF SOUTHOLD TO KATHERINE R. CASE Distributed by Chicago Title Insurance Company SECTION 116.00 BLOCK 02.00 LOTp/o Ot~.O00 COUNTY OR TOWN Suffolk CouEty, Town of Southold RETURN BY MAILTO: Zip No. SC~D~LE A - DESCRIPTION ALL that certain plot, piece or parcel of land situate, lying and being at Cutchogue, in the Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described as follows: BEGINNING at a point on the northerly line of Case Road, 225.00 feet easterly along said northerly line from its intersection with the easterly line of Bay Road; running thence along land now or formerly of Lynch, North 13 degrees 01 minutes 40 seconds West 230.40 to land now'or formerly of the North Fork Country Club; running thence along said last mentioned land North 89 degrees 42 minutes 10 seconds East 25.63 feet to land now or formerly of Case; running thence along said last mentioned land South 13 degrees 01 minutes 40 seconds West 236.0~ feet to the northerly line of Case Road (which point is 200.00 feet westerly along said northerly line f~om its intersection with the westerly line of Meadow Lane); running thence along said northerly line of Case Road North 76 degrees 58 minutes 20 seconds West 25 feet to the point or place of beginning. BEING AND INTENDED TO BE the easterly half of a former Town Highway known as Swamp Road abandoned by the party of the first part in 1969.