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HomeMy WebLinkAboutL 12044 P 607 Tax Map Designation Dist. 1000 acc. 055.00 Lot(s) 011.004 NY 018 - Quitclaim Deed - Individual or Corporation (Single Sheet) (NYBTU 8004) CONSULT YOUR LAWYER B FORE SIGNING THIS INSTRUMENT- THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 11 t h BETWEEN EDWARD D. DART, residing Peconic, NY 11958 day of Ma y , in the year 2 0 0 0 at Indian Neck Lane (P.O. Box 1), party of the first part, and ANNE ^. HUBBARD, residing at 9 Legget Road, Bronxville, NY 10708 party of the second part, WITNESSETH, that the party of the first part, in consideration ofTen Dollars and other valuable consideration 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, beinginthe Town of Southold, County of Suffolk and State of New York, known as Lot 4 on a certain map entitled, "Map of Edward D. Dart" filed in the Office of the Clerk of the County of Suffolk on 5/11/87 as Map No. 8309. SUBJECT TO all instruments of record. BEING AND INTENDED TO BE part of the same premises conveyed to Grantor by deed dated 9/8/82 and recorded 9/10/82 in Liber 9238 cp 557. TOGETHER with all fight, title and interest, if any, of the party of the first part of, 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 fights 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, covenants that the party of the first part will receive the consideration for this conveyance and will hold the fight 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 thi~ day a~ar~t above written. 12044 607 Number of pages TORRENS Serial It Certificate # Prior Cfi. # Deed / Mortgage Instrument nl Page / Filing Fee ~ __ I landling ,.~,- TP-584 RECEIVED REAL ESTATE HAY2 4 200O TRANSFER TAX SUFFOLK OOUI~'Y Deed / Mortgage Tax Stamp FEES Notation EA-52 17(County) 5' __ SubTotal ~ C- E)k-5217 (State) q-~ ~ ,.p.T.S.^. / Comm. of Ed. 500 Affidavit Certified Copy Reg. Copy SubTotal d-~3~'~' Otber GRAND TOTAL ~'~ Dist.Real'Pr°perty Tax Service Agency Verification Section B lock ~ Lot t'ac°'nm'M~ 1000 055.00 01.00 011.004 Inilial~v-Qb jSatisfactions/Discharges/Releases List Property Owners Mailing Addr( RECORD & RETURN TO: Thomas J. Hubbard, Esq. 30 Rockefeller Plaza New York, NY 10112-0117 O0 HAY 2q Pi112: b,O EDWAI~D P. ROHAINE CLERK OF SUFFOLK COUNTY Recordiug/Filing Stamps Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. Or Spec./Add. TOT. MTG. TAX Dual Town Dual County__ Ileld for Apportiomnent __ Transfer Tax Mausion 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 tiffs instrumeot. 6 Community Fund Preservation Consideration Amount $/ff'~ CPF Tax Due $ ~ O - , C9 Ilacant [,and MAY 2 4 2000 COMM 3NJ [ f I'D PRESERVATION FUNO I Jo!Name Title fi 00-3704-26956 Suffolk County Recording 8,: Endorsement Page page forms part of thc attached D e e d (SPECIFY TYPE OF INSTRUMENI' ) Title Company Information Fidelity National Title Insur. Co. made by: EDWARD D. DART TO ANNE A. HUBBARD 'lhe premises herein is situated iu SUFFOLK COUNTY, NEW YORK. In the Township of SOUTHOLD In the V1LLAGE or I1AMLET of SOUTHOLD BOXES 5 TI IRU 9 MUST BE ]~PED OR I RINIED IN BLACK INK ONLY PRIOR TO RECORDING OR I:ILING. (OVER} --~['~-A"~'~'OR ~"~E'~'~'~ML~-WRITING ON--F~M INSTRUCTIONS: http://w~.orps.state.ny.us or PHONE (518) 473-7222 i~ ( REAL PROPER~ TRANSFER REPORT C1. SWIS Code I I ,~ ~ ~/ ~ STA~ OF NEW YORK ~. Date Dad Record~ [ ~ ~7 /~ I STATE BOARD OF REAL PROPER~ SERVICES RP 5217 PROPER~ INFORMATION 1. Prope~YLocatlon ~ STREET NUMaER STREET NAME CI~ OR TOWN VILLAGE ZIP CODE Hubbar~ Anne A. Name ~sT NAME ~ COMPANY FIRST NAME I ~ I LAST NAME J COMPANY FIRST NAME 3. Tax Indicate where future Tax Bills are to be sent Billing if other than buyer address (at boEom of form} I LAST NAME / COMPANY FIRST NAME Address I STREET NUMBE" ANDSTRE~ NAME I CI~ ORTOWN I STATE I Z,PCDDE 4. Indicate the number of Assessment t J~ (Only if Pa~ of a Parcel) Check as they apply: Roll parcels transferred on the deed J , ~ J # of Parcels OR~ ~ Part of a Parcel 4A. Planning Board with Subdivision Authority Exists [] 4B. Subdivision Approval was Required for Transfer [] 5.PropertyDeed j J X [ ] OR J , , , · ~ , ~ J 4C. Pamel Approved for Subdivision with Map Provided [] Size FRONT PEET DEPTH ACRES 6. Seller J Dart I Edward D. LAST NAME / COMPANY FIRST NAME 7. Check the box below which most accurately describes the use of the property at the time of sale: B J~ 2 or 3 Family Residential C [_~ Residential Vacant Land D~_J Non Residential Vacant Land I SALE INFORMATION I 11, Sale Contrast Date J Agricultural ! [~j Community Service Commercial J ~ Industrial Apartment K~ Public Service Entertainment / Amusement L[~J Forest 4 /1] /oo Month Day Year 12. Date of Sale / Transfer I 5 /11 /oo I Month Day Year Check the boxes below as they apply: 8. Ownership Type is Condominium [] 9. New Construction on Vacant Land [] 10A, Property Located within an Agricultural District [] 10B. Buyer received a disclosure notice indicating [] that the property is in an Agricultural District 15. Check one or more of these conditions as appl!cabte to transfer: A Sale Between Relatives or Former Relatives D~ Sale Between Related Companies or Partners in Business One of the Buyers is also a Seller Buyer or Seller is Government Agency or Lending Institution Deed Type not Warranty or Bargain and Sale (Specify Below} Sale of Fractional or Less than Fee Interes~ (Specify Below) 13. Full Sale Price j , , , I 5 0 0 0 0 (Full Sale Price is the total amount paid for the properly including personal property. [ This payment may be in the form of cash, other property or goods, or the assumption of J mortgages or other obligations,} Please round to the nearest whole dollar amount, 14. Indicate the value of personal j ~ ~ ~ ~ I ~ ~ 0 ~ 0 J property included in the sale ~ ~ · ASSESSMENT INFORMATION - Data should reflect the latest Finat Assessment Roll and Tax Bill lB. V.r of ~s,me.t aolt from I ~ ~/~;/I 17. Total As.,sed Velu, Iof a, par.~s in tr,,der~ 1 which information taken , ~ I-L._~ 19. School District Name I Significant Change in Property Between Taxable Status and Sale Dates Sale of Business is included in Sale Price Other Unusual Factom Affecting Sale Price (Specify Below} None 20. Tax Map Identifier(s) / Roll Identifier(s} (If more than four, attach sheet with additional identifier(s)) I 1000-055.00-01.00-011.004 I I CERTtFICATION certify that all of the items of information entered on this form are true and correct (to the best of my knowledge and belief) and I understand that the making of any willful false statement of material fact herein will subject me to the provisions of the penal law relative to the malting and filing of false instruments. BUYER BUYER'S ATTORNEY ~llfb bar d Thomas J. LAST NAME FIRST NAME 212 218-7575 ICITY/TOWNASSESSOR1