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.