HomeMy WebLinkAboutL 12419 P 654
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No N.Y.S.
Transfer Tax
Requi.red
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Form KOO~ 19199) - 20M - B;upin and Sole Deed. wilh eo........ opiRJI ar........AI:lI-lndividuoi or Corpanoian. llIi.... ~I
CONaULT YOUR LAWYa....... ..,..... "..I~-T....... ..-,..-11......- ay ~OIILY.
THIS INDENTURE. made the 10th day of November 200S and
BETWEEN DONNA M. WALTERS, residing at 10105 Oregon Road, CUtchogue,
New York 11935, as surviving tenant by the entirety of John J. Walters,
who died a resident of Suffolk County.. New York on July 8, 1992
partyohhefirslpart.and DONNA M. WALTERS, residing at 10105 Oregon Road.
CUtchogue. New York 11935 and RACHEL D. BEREZNY, residing at 10105 Oregon
. Road, CUtchogue, New York 11935, as tenants-in-common
party of !he second pan.
WITNFAliSETH. thallhe party of !he first pari. in considcralion of Ien doll8l'll and oIher valuable consideration paid by
the party of the second part. dc1C5 hereby grant and release unlO !he party of the second part. the heirs or s_.....
a.~signs of !he party of the lICC"nd part f_.
ALL thai certain plot. piece or pan:el of land. wilh the buildings and improvemenlA !hereon erecced. SilUlIIC. lying and
heinrm~ at CUtchogue, in the Town of Southold, County of Suffolk and StatE
of New York, being more particuIarly bounded and described as follows:
~
BEGINNING at a point on the northwesterly line of Oregon Road distar
North 490 44' 40" East 168.11 feet from a monument situate at the
intersection of the northwesterly line. of Oregon Road and the northeaster
line of Duck Pond Road; thence from said point of beginning running along
other land now or formerly of Antone Haurus North 390 00' 00" West 261.85
feet to a point and lands now or formerly of Fellinger-Ihar; thence along
said last mentioned lands North 490 44' 40" East 151.13 feet to other lan
now or formerly of Antone Haurus; thence'along said last mentioned lands
South 390 43' 40. East 261.80 feet to the northwesterly side of Oregon
Road; thence along the said northwesterly side of Oregon Road South 490
44' 40. West 154.46 feet to the point or place of BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed by deed dated
November 14, 1975 and recorded in the Suffolk County Clerk'S Office on
November 19, 1975 in Liber 7945 Page 64.
TOGETHER with all righl. lille and interest. if any. of lhe pany of the lirst part. in and tu any street. and mad.
ahuning the above-described prembes In lhe cenler lines thereof; TOGETHER with the appunenances and .lIlhe
estate and right. "flhe rany ohhe li...t pan in and 10 said premi,""s; TO HAVEANDTO HOLD the premi.... herein
granled unlo the PUrly or the second pan. the hei... or suc.:c..,ors and as.ign. or Ih. pany of lhe second ran ro~ver.
AND the party uf Ihe lirst pan covenanls Ihal the pany or the 1i...1 pari has nUl d"ne or suffered anything whereby
Ihe said premiloC. have heen encumbered in any way whale~er. except as arorell8id.
AND Ihe parlY of the lirst rarl. in cnmpliance with Section D of the Lien Law. e"venants thai the rarly of the
lirsl pari will receive Ihe c"nsideration for Ihis cnnveyance and will h"ld Ihe right to reeeive such consider-
ation .s a trust fund lu be applied fir.1 for the purpnse of paying the cusl of Ihe improvement and will apply
the same lir.t tu Ihe paymenl or lhe eost of the improvemenl before using any pari of lhe total of lhe same fur
any nlher rUrp,'Se.
The wnrd "pany" .hall be cnn.lrued as if il reud "parlies" whenever Ih. sense nf thi. indcnlure SI' re~uire..
IN WITNESS WHEREO.... the pany of the first ran has duly excc:uted this deed Ihe day and year firs. ahov.
wrillen.
IN "I~"I;..--,:,,'I;' eta-:
~m.~
Donna M. Walters
AdalClWled.-nt leken In NewYorll8l8l8
SIal. Dr New York. Counly 01 Suffolk
. n:
On \h810th day 01 November, In lhe year2005 ,balor. m.,
Ih. undarslgned, parsonally.appearedDOI\"NA M. WALTERS
p.rlonally known to me Dr proved 10 m. on the balil 01
latllfactory evidence 10 be th. IndMdual(s) whos. name(s) Is
(lII'8) subscnbed 10 lhe within Instrumenl and acknOWledged to
m. Ihal -tnt/sh./Ihey ex.cut.d Ih. sam. in -IHtIIh.rlllleir
capacity(;es), and lhat by .ftieIh."c\lMllr....ignatur.!ll on tha
instrument. the indivldulll(lII or \he person upon behd 01 which
Ihe Individuallel acted, executed the l1strument.
~J}~~
NOiAilM~
NDlIIr........ 01 NllrM
No 0lllM83511lO...... ClXIIIl.
Q.....l . .EIphIO:L31.2ClJfi
AckllClWladgemant by Subecrlblng Wltn..s l8k8n In Haw
York Sl8l8
Acknawlsdgemant l8k8n In New YarttSlate
Slate Dr New York, County 01 I
,
,
I
On th. day 01 , in Ihe year
the undersigned, parsonally eppeared
.ss:
, balor. m.,
personelly known to me or proved to me on Ihe basis 01
sallsfaclory evidence to be tlla indlvldual(s) whOle name(s) Is
(are) subscribed to the within Instrument and acknowledged to
m. that h./shelthey executed the same in hlslherlthelr
capaclty(l"l, and thaI by hla/herllhalr slgnatuns(s) on the
lnstrUm8nt, \he indlvldual(l) or \he person upon bahaK of which
the indlvldual(s) acted, executed the lnslrull18!'f.
Acknowl.dQ8m8l1t leken oul8Jda Haw YorII S1lde
Stete of New York, County 01
, ss: . Stste 01 , County 01 , II:
. (or Insert District 01 Columbia. Territory. Poasaaslon or
Foralgn Country)
, belore me.
On the day 01 , In the year
the undersigned, personally appeared
the subscribing witness to the Ioregoing instrument, with whOm
I am personally acquainted. who being by me duly sworn, did
depose and say, thet helshallhay reslde(s) In
that helshallhay know(s)
to be lIle irdviclual claacribad in and who lllf8CIlI8d the
fonsgoing Instrumanl; IhaI said subscribing wiInaas wee
praaant and saw said
exacute the same; end lhat laid witness al the same time
lubscribed hlslharllhair name(l) as a wltnesl.thereto.
Title No.:
DONNA M. WALTERS
TO
DONNA M. WALTERS and
RACHEL D. BEREZNY
Distributed by
Chicago ntle Insurance Company
On the day 01 . in the year
the undersigned. personally appaar8cl
, balora me,
personally known 10 me or provad to me on the basis 01
sstistactory evidence to be tha Indlvidual(l) whose nama(s) Is
(are) subsc:ribad to the within instrument and aclcnowledged to
me that he/shelthey executed Ihe same In hlslherlthelr
capacity(ies), that by hislherlthelr slgnature(s) on the
Instrument, the Indlvidual(s) or \he person upon behall 01 which
the Indivldual(s) acted, ellllCUl8d \he Instrument, and that such
individual made such appearance bIIIo18 the undersigned in the
(add the city or potitical subcfNlslon and lIle state or country or
oIher place the acknowledgemenl was l8ken).
SECTION
BLOCK
lOT
COUNTY OR TOWN
RETURN BY MAlL TO:
LARK & FOLTS ESQS
PO BOX 973
CUTCHOGUE NY 11935
Zip No.
PaRe 3 of 3
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Number of paj!l$
TORRF.NS
3
Senal #
.
CenifieaIC #
Prior Ctf. #
Do:ed t Mortgage Instrument
Dc:l!d t Mongage TIIX SlamP
FEES
3
Page t Filing Fee
Handling
TP-584
5. J!!L
5_
Notation
FA-52 17 (County. 5
FA-5217 (SIaIC) ~ 7 (" __
R.P.T.S.A. ~
Sub Total
:i-4
Comm. of Ed.
5. 00
Al1idavit
Certi fied Copy
NYS Sun:harge
Other
IS. J!!L. Sub Total
Grollld Totul
4 Disl. 1000 Section083.00
Block 02.00
Lot 019.004
Real Propen
Tax Service
Agency
Verification
05045097 1000
(~--s~
~4-NOV;';
........-.......
08300 0200 019004
-
6 SatisfactionslDilCCluugeslRcleases List Pn'peny Owners Mailing Addn:ss
RECORD &: RETURN TO:
LARK & FOLTS ESOS
PO BOX 973
CUTCHOGUE NY 11935
7
Co. Name
Title #
P.ECORDED
2005 Ibv 1402:11:46 PM
Edward P.Roa3ine
ClERK OF
SUFFOLK CWHTY'
L 000012419
P 654
DTI 0'5-14839
Rccording t Filing SllIIIlpS
Mongage Amt.
I. Ba.~ic TIIX .
2. Additional Tax
Sub Total
SpccJA....~t.
or
Spcc./Add.
TOT. MTG. TAX
Dual Town _ Dual C(lunty _
Held for Appointmen2:::.=--
Tmnsfer Tax -.:..,.J' _
Mansion Tu
The pnlperty covered by this mongage .
or will be improved by a one or tw
family dwelling only.
YES or NO
If NO. see appropriate tllX dau.~ on
page # of this instrument. ./
I-tO -(J )
S CommUDlty PreaervatioD 1'11111
ideration Amount $ -0-
PFax Due
$ -0-
Improved )(
Vacant Land -:r-
TO J (J
TO
TO
Title Com
N/A
NA
an Information
8
Suffolk Count Recordin & Endorsement Pa e
This page forms part of the :illllL:hed
Deed
(SPECIFY TYPE OF INSTRUMENT)
made b)
The pn:mises herein is situated in
SUFFOLK COUNTY, NEW YORK.
DONNA M. WALTERS
TO In the Township or Southo1d
DONNA M. WALTERS and In the VILLAGE
RACHEL D. BEREZNY or HAMLET of Cutchoque
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
111111I111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLBRK
RECORDS OFFICB
RECORDING PAGB
Type of Instrumentl DEEDS/DDD
Number of Pagesl 3
Receipt HUmber ; 05-0118624
,-
TRANSFBR TAX BOMBBR: 05-14839
Recorded I
At;
11/14/2005
02111;46 PM
LIBBR:
PAGB:
D00012419
654
Deed Amount;
section I
083.00
BXAJaNBD AND
$0.00
Block I
02.00
CH,A,R~ AS
LotI
019.004
District;
1000
POLLOWS
Received the Pollowing Pees Por Above I~strument
lZY""'Pt Bxel
Page/Piling $9.00 NO Handling $5.00 NO
COB $5.00 NO NYS SRCHG $15.00 NO
ICA- CTY $5.00 NO BA-STATB $75.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Transfer tax $0.00 NO CODa.Pres $0.00 NO
Pees Paid $149.00
TRANSPBR TAX NUMBBR; 05-14839
THIS PAGB IS A PART 01' TBB INSTRUMENT
THIS IS NOT A BILL
Bdward P.Ramaine
County Clerk, Suffolk County
PLEASE TYPE OR PRESS--FIRMLY WHEN WRITING ON i=ORM - - - - - - - - - - - - -----
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
C1.SWIS~ I ,!-,7.3,g',g,f'
C2.DeMDeod_ I 1/, /)',051
G'1h gw v..
CUg"" I /,~, Yo/, 11C4.P_
PROPERlY INFORMATION
REAL PROPERTY TRANSFER REPORT
STAlE OF _ YOM
ITATE IOARD OF REAL rnurat.1 'I SERVICES
RP - 5217
INZI7..... Nft
'....._1
Looodon
10105
...... .-
Oregon Road
'''.'1 hANL
Southold
crnOllTlM"'\I
Cutchoaue
WIM''''
119351
.. w..
2.1_
Homo
~
nnnna M_
..T.....,.
Berez~
LAlT NMtIIC
Rachel D.
.........,
3. Ta IndicaIe where f1I:ure Till ...... ID '-....
IiIlinl ..,IIIr....n__Iot_offonnll Walt-ers
__ ",",,;;.;'I'_NY
P.O. Box 347 Cutchogue
SJNIT.......II AND ITRftT IUM' cnv 011 TOWN
DO~ M.
"M'
IN . YI 11935 I
aTAlI NCCD'
.. Imnc... tM I'IIIIIIM of "--~-..,.nt
Roll...... ._001 an ...._
i 1 0
' of Parmi. OIl P"t of . Paral
5._
P_rty I
Slao
'IIOtITI'IIT
Ixl
1>>"''''
IORI
'N;fI(fI
.9.41
1OnIr......of.__..thoy~
4A. PIonnlno IIoIrd w;m s_ AulI10riy ExiI1I 0
48. _ Al>Pn>voJ_IIoquOod far T....... 0
c.__""__MopPnwIdod 0
..-
N.....
Walters
LAaT NM'1!/co..AII'I'
Donna M.
"II'''I~
LM'NAMI,~
.........,
^~ Onto F.mlly Ruldo_
B 2 or 3 Fomiy Raldontlol
C R.._ Vocont Lond
I) No.-tIol VICMI Lond
I SALE INFORMATION I
".__D...
1i~Agric:uII"r..
F Camlllo.a.l
(j Aptrtmlnt
H Entlrtllnment I AmulMl'leftt
I ~ Communi., ....1..
J IndUllr101
K PubllcSlI'Ya
L Fore..
Ch.. 1M __ _ _ thoy 0JlPIv:
.. Ownonhlp 1P ;0 CondomIn....
.. New ConItruction on V...... LMId
_""'_~_n,,"""""'I~
_ Buyor __ 0 dIocIoouno _Indcoting
thIt the prqxtrty 1111"1 an Agrlcultur" Diltrict
o
o
o
o
7. Check the box below which n..e ........, ....... ,lie .... of_ property .. 1M time of ..Ie:
N/A
-
,
Do.
,
v_
11. a.ck _.. mGI8 111.-- ....sa. u III"U'-' to tr...r.:
9.18 BIIIWIIOn Flctllllvel or Formw Rell'1ivw
Sale IIaMIuon RoIMed ComPlntel or Partners In 8ualnou
On. of the Bu.,.. II .. . Seller
Buyar Dr Se..er II GoYtmment Agenr:y or Lencling InlU1ut:lon
_ Typo _ W......., or ~ ond _1Sllodfy Bolowl
SlI, of FrectioNlI or lMIltwt F-. InI... (Specify BIlow)
Siyniflca"ll Chang. In Properly ........ TaubIo SlIIu. and SlI. On
8Mollluli_1o I_In 8M Prico
0Ih.. Unu...., F..... AIlocting Solo Prico ISpocIIy _I
J Nano
Gift; Creation of tenants-in-common
12. 0.. of ...., Tr.....
11 I 10
- ...,
, 05
v..
13. n.n .... Prl..
N/A
. . . 0 ,01
, , .
IFull SIIII Price II the ,alai IIftGUIW, llIid for the property Including per..... prDpOlly.
ThII P-vmMllNy be In lhe form 01 CMh. ather properly or ~ or 1M aaumpdon 01
mong.. or DthIr obI.....iona.1 PlHRlDUnd to rhlllfMt8. wfJrW ws.r MftOUIL
'4._......-01__ I Ii!/A,. 0 , 111
propIrty Included .... the .... ,.
ASSESSMENT INFORMATION. D... ohauld nllect Ih. Iotul Finol _urn.n' Roll .od To. Bill
'1.::"01=:=_10, 5I".T...._V_C.hllpo....."'"._1
,
;
5 5 5 0
;
'I. ....-. CIo_
12 .1,0 I-U ,1. SchooIDlolrlclNomo I
Mattituck - Cutchogue UFSD
21. TaMop 1do_/IIoI_..co111 __10..._ ___ __loll
)OCltO - 83 - 2 - 19.4
I
, CERTIFICATION
I....., "'1 .. ol... _ olW..- _..... .. _ _ .... ......... __ ....... ... ol "'1............. ... .......... 1 __ .... "'" .....in.
01 UOJ ,,1IIIId _ _ 01_...... fIId ""*' ..... ..bjrct me 10 IIw ............ 011110 ...... ..... ....u.. ... IIw ....... ood ..... 01..... _Ill.
!Y!U BUYElrS ATTORNEY
'-R..~ -() ~ 11/10/05
IUYlltIKllMTWl DATE
Lark
lAI'_
Richard F.
,.., IW4
10105
..-,,-
Oreqon Road
I11IEIT ,.,.. UlfIPWft
631
AMA__
734-6807
m__
Cutchoaue
""'...-
NY
...n
11935
...-
;'
B!.!&!!
~l..1f {J .~
....LPlaIlINA...... .
NEW YORK STATE
COPY
11/10/05
"
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