HomeMy WebLinkAboutL 12535 P 604CONSI~LT YOUR LAWYER BEFORE SIGNING TillS INSTRUMENT - TIllS INS'rRtIMK~r SIIOUU) IlK U$~ BY L,q. WY1EKS ONLY
THIS INDENTURE, made this /~/i day of Decemher, in the year 2007
BETWEKN
ANDREW C. FOHRY, OLB, residing nt 5780 New Suffolk Avenue, Mattituck, New York 11952,
patty of the tint part, and
ANDREW T. FOHRKOLB, residing at 74~ Love Lane, Mauituck, New Yo.~11952, as Trustee of the ANDREW C.
FOHRKOLB QUALIFIED PERSONAL RESIDENCE TRUST, dated the ]~day of Decemher, 2007.
party of the second part,
WITNESSETH, that the party of the first pm, in consideration oFTen Dollars and other valuable consideration paid
by the party ortho second part, do~ hereby grant and release unto the second pn~t, the heirs or successors and assigns
of the party ortho second part forever.
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and
being in:
SEE ATTACHED SCHEDULE A (~)
SAID premises being known as 5780 New Suffolk Avenue, Mattitu~k, New York 11952
BEING AND INTENDED TO BE THE same ~-~mises conveyed 1o the parties of the first pa~. by deed dated
09/13/2005, recorded in Liber 12413, at page 218, in the Office of the Clerk ortho County of Suffolk on 10/06/2005.
TOGETHER with all risht, title and interest, if any, of ibc party of tho t'*~t par of, in and to any streets and roads
abutting the above-describad premises to the canter lines the~of; TOG ETH I~R with the apputtenancas and ali the estate
and fights of the party of thc first part in and to said premises; TO HAVE AND HOLD the premises hel'ein grantnd unto
the party of the second part, the heirs or successors and assigns of the party of the second par~ forever.
AND the party of thc first port covenants that the party of thc first part has not done or suffared anything whereby the
said preminns have heon incumbered in any way whatever, canept as aforesaid.
AND the party oftha first part, in compliance with Section 13 of'the Lien Law, covenants that the party of the first part
will receive thc consideration for this conveyance and will hold the right to r~eive such consideration ns n trust fund
to he applind first for the purpose of paying the cost of the improvement and will apply the same first to the payment of
the cost ofthe improvement befo~ using any pa~ of the total ofthe same for any other purpose.
The word "puny" shall he constmnd ns if it read "pm'ties'* whenever the sense of this indenture so requires.
IN WITNESS WHEREOF, the part of the first part has duly executed this deed the day and year first above written.
IN pRI.~ g/qCl~. OF:
ANDREW C. FOI'IRKOLB
scmmuLE
S;C'J~ f lO00-t 15.00-10.00-007.000
Lot ~1 House
MmtlJt~k, To~ o~ ~ub~old, C~.t]f M 8.ffdk and 8late of New Yod[, being
mom pmliculady bmmded and ~ es fogow~
BEGINNING at Ii point on the ~outhedy side of Nmv Suffolk Avenue distant
3012~ f.t wemdy trna tim conw frothed by the btmecOo, of the weslmty
side of Deep Flole Or~ with the sm~. wiy ak~ o~ New Suffo~ Avenue;
THENCE Om
4) 8out~'14 degm# 20 mlm~ 33 N~m~ Eas% M.35 f~t to it~ Idgh water
ma~k M Oee~ FIo~) Croak;
THENCE .dong ,aid high water ma~k, North O degrees # minutes ~1 .conds
West, 161.38 feet to land now or fommrly ~f Mlneque;
THENCE ~tong add land, Ninth 0'/' degre# 06 ~mdas 0O ~econds East, 106.17
feet to tim. southerly eide of New Suffolk Avemm;
SC IL[e:J~LI[,]~
SC~l( ~ 1000-115 . 00-05 . 00-011 · 000
BEGINNING M a IXdnt on Iha nadhedy ~ of:New Suffolk Ayah,Ua cli~m
142.14 feet mslmty ~rom tim ,xbm~ milky end of the am of i~ urve
c~nnecth~g the ~.ida M Ile~d~w L,me ~ the noHh~ly dde'~/New
Smlolk ~venue;
T~E Nolth 10 deSlmm149 mi, mm 00 seconds Wed. 282.10
THENCE IdoDg land now or folmMy of Dm.qdldl, Soulh 82 deGIre~ 53
mlnutss ~0 sKondl EIIt, 3Z00 ~
THENCE I#11 dong Idd Ired ~bov~ mmUoned the following {2) 4:ourses ancl'
dbtana~
II 8outh18clegr#e4SmbtutM20NcondsGast, 157.17 feet;
Z) 8outh 15 degrem :35 mhutee 00 Ncmtds East, 11T.00 f. t l~ the northerly
side .d New 8uffo~kAvm-a;
THENCE Idong the nolthedy ~de cd' New Suffdk Avenue, NoJth 62 degm#; 53
rnlrudes 50 secondl Wmt, 65.03 ftm( to the point or plec~ of BEGINNINCI.
I~V E A CIOVOWLEDG'MENT FORM IJEL OV~? TII IN N~ W FORg ~'~N ~' ~L ¥:
State of New York, Coont7 of Suffolk ! as.:
'gae~ ~ y ~ AND~W C. FOH~OLB
p~nally ~n ~ mo or pmv~ ~ mc on ~c ~s o~tisF~t~
~i~n~ m ~ ~e individ~l whine n~ is ~thed to ~ wi~in
i~t ~ ~owi~ to me t~ ~ ~ ~ ~ ~ his
~i~, ~ ~ byhis si~u~ ~ t~ ~mmt, ~e individu~, or ~e
~un up~ beef oF which ~o i~ivi~ ~, ~eoul~ ~
ins~meac
State cf New York, County ct'
On the__ day of in thc year 2007
before m~, the undusigned, persaoally appealed
the subncdbin8 wilner~ to the t'o~egoinS insu'umeaL with whom I am
pe~'sonally acquainted, who be'ms by me duly swum, did depose and .nay
that he/she/they reside(s) in
f~'thc place nj'residence is fn n city. include thc ttrcet and street number,
il'any, thereoJ); that he/she/they Imowts)
to bo tho individual de~tibnd in md who executed the forcgoid8
instrument; thex Mid subscrlbin8 wimeas was presem and nv,' said
execute the same; and that said witnexs st the same time subserihed
hi~ctaheir name(s) sa a witness thereto.
State oF New York, County of Suffolk } ss.:
On Ihu day of December in thc yeac 2007 bcfom me, tho
u ndcraigncd, [n~'sanally eppeaml pusounlly hoown to me o¢ proved to
mc un thc basis of satisfactory evidence to be thc individual(s) whose
name(s) is (am) subscribed to the
within insmancnt and nclmowlcdsgd to me that he/sbu/they cxccu~cd thc
sane in his/hff~halr capacity(ica), and Ihot by his/her/their sisnalure(s)
on thc insaument, the Individual(sL o~ the p,:f3on upon behalf of. which
thc indJviduot(s) acted, executed thc imarumcnt.
Nora7 Public
(Complete Venue with ~tate, County, Province or Municipality)
On thc__ day of in the y~ar 2007
before me, the undersigned, per,~oually appeared
personally known to me or proved to mc on thc basis of' satisfactory
evidence to be the individual(a) whose nmee(s) is (are) suhccrthed to thc
within instrument and achnewtedged to me that the he/she/they exccuted
the same in his;ncr/their capncity~fas), th.* by his/hc~ltheir aignaturo(s) on
thc inalrumem, thc individual(s), or tho peraun upon behalf of which the
individual(s) acted, execuled tho In~trumenl, and that such individual
mnde such ~ppmmmca before the under&igned in the
(Insert the city or other political subdivision and thc orate or county or
other place the acknowledgment was tobe~L
U~EACI~OP/LEDGMET~TA~IOllI~LOWWITHINNSWFORI~$TATKOH&Y:
BARGAIN & SALE DEED
WITH COVI~ AOAIN~'r OgANTOR'R AC'gE
TITLE NO.
DISTRICr I000
SECrlION 115.00
BLOCK I0.00
LO'IS 007.000 and 011.000
COUNTY OR TOWN SOU'FIIOI.D
ANDREW C. FOHRKOLB
REC~O~DED AT RE~. UE&T OF /aVD RErUPaV BY W~L TO:
ANDREW T. FOHRKOLB, as Trustee oflhc
ANDREW C. FOHRKOLB QUALIFIED PERSONAL
RESIDENCE TRUST.
dated the i~day of December, 200'/
DAVIDOW, DAVIDOW, SIEGEL & STERN
1601 Veterans Memorial Highway
One Suffolk Square, Suite 330
lslandia, New York I 1749 (LAS)
RESERVE 'rills SPACE FOR U~E OF RECORDING OFFICE
Number of pages
This document will be public
record. Please remove all
Social Security Numbers
prior to recording.
Deed / Mortgage Instrument
ilo
Deed / Mortgage Tax Stamp
3
FEES
Page / Filing Fee
Handling
TP-584
S. 00
EA-52 17 (County) ~_~) Sub Total '
Comm. of Ed. 5. 00
Affidavit
Certified Copy
NY$ Surcharge 1,. 00
RECORDED
2007 Dec 31 01:20:59 PH
Sudtth R, Pascale
CLERK ~
~K C~HTV
P 604
DT~ 07-150~
ReconJing / Rllng Stamps
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec/Aesir.
or
Spec./Add.
TOT. MTG. TAX
Dual Town Dual County . .
Held for Appolntme~.,~
Transfer Tax
Mansion Tax
The property covered by thb mortgage Is
or will be Improved by a one or two
family dwelling only.
Other
I
4
J Dist. t0~
Real Property
Tax Semite
Agency
Verification
6
8
Sub Total YES __ or NO
Gran~;:: 1 7'~/-00 O ~, pegell ~ I If NO' see appr°pdam tax clause °n
tODD uS.OD o7..ooo
070376~9' :ooo zzsoo'~oo0 'oo-7ooo ' ,v .
p//~ S-~ zooo tzsoo DeeD ozzooo ! I 5 IcommunlWPreservation Fund
Satisfactions/Discharges/Releases Ust Property Owner~ Mailing Address
RECORD & RETURN TO:.
Day(dow Davidow Siegel & Stem, LLP
One Suffolk Square - Suite 330
1601 Veterans Memorial Highway
lslandia, New York !'1749
Vacant Land
TD
Mail to: Judith A. Pascale, Suffolk County aer~ [:o! Title Company Information
310 Center Drive, Rlverhead, NY 11901 . ale
www.s uffolkcountyny.gov/clerk ~ Title #
Suffolk County Recording & Endorsement Page
This page forms part of the attached
by:
Andrev C. Fohrkolb
DEBD
(SPEQFY TYPE OF INSTRUMEN~
The premises herein is situated In
SUFFOLK COUNTY, NEW YORK.
made
TO In the TOWN of Southold
Audre~ T. Fohrkolb, as Trustee of the
In the VILLAGE
Andrev C. Fohrlmlb QPRT dated the orHAMLETof Hatt:ituck
1 ~'~J'~IX~S ~'I~T ~E~tV OR PRINTED IN BLACI( INK ON LY PRIOR TO RECORDING OR FILING.
(over)
SUFFOLK COUNT~ CLERK
RECOILS OFFICE
RECORDING PAGE
~ of Instrument: D~-~S/DDD
N,,-~r of Pages: 5
Reoeipt N,,-~r : 07-0120221
TRANSFER TAX NUMBER: 07-15026
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
115.00 10.00
EX~MINED AND CHARGED AS FOLLOWS
$o.oo
12/31/2007
01:20:59 PM
D00012535
604
Lot:
007.000
Reoeived the Following Fees For Above Instrument
Exempt
Page/Filing $15.00 NO Handling
COS $5.00 NO NYS SRCHG
EA-CTY $5.00 NO EA-STATZ
TP-584 $5.00 NO Notation
Cart. Copies $0.00 NO
Tzansfer tax $0.00 NO Corm. Pres
Fees Paid
TP~NSFEIt TAX ITOMBER:
07-15026
THZS PAGE IS A PART OF THE ZNSTR~ENT
THIS IS NOT A BILL
$5.00
$15.oo
$75.00
$o.oo
$5o.oo
$0.00
$175.00
Exempt
NO
NO
NO
NO
NO
NO
Judith A. Pasoela
County Clerk, Suffolk County
'PLEASE TYP~ ~-RP~ FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: h~p'~/www.orps.state.ny, us or PHONE (518) 473-7222
1. Pmpeety [ 5780 J New Suffolk Avenue
HaCC/tuck 11952
I I I I
2. nuver I Andrew T. Fohrko]b. as TFusCee of the Nhdrev C. YohrkoXb. OpeT I
Billing If other mM buylr Idd~m L~ Imnom o/forlal I
I
Roi Nail Irlelflffd ~ h ~ I i : I J of PIK~ ~ Pad ~ I Piffle
~y I Jxl I~1 , , . - .
I
IO~y l Piti ,d I Plfld| Chid Il Iboy ap~.
dst. Subdh~diefl ARwovol ww Roqu~d for Tmmfl []
and Gazase ~
O~e Flmllv RliJdlntial F, I~,1 ~rlculturil I [~ CommunltvSer~ge
2or2F,mlIv RmidonUll FL.~ Co~ill J ~ I~dustrlll
Vieiln! Lind GJ,,~ ApG.mom K~,~ Public SL~ViCO
Non-Reddem~VicamLlnd I!11 EmedainmldlAm~lmmml Li I Fore.
I .la / / I
SALE INFORMATION
I 12 / /~ / 07 j
13. Fall Sill ~ I I I I I ] I I O, 0 , 0 1
! ! ·
~ _'e~_ ~y h.~d.d Jn tho lllO ~l Il *
I ASSESSMENT INFORMATION - Data should reflect the btast Final Assassmeflt Roll and Tax Bill I
1LYwMAB~Rdlboml0 i7 J l';.TotalAmes~dVadue(MdlpaKelslntmm~r)~ .
2 10
~,,.p.,p.,~om 13 , 1, 21l[ I ,~.s,,,o~th:,t,::,,,,,. l Hat-t:Ltsek.
ConveT.tn8 into a qPRT
4300
........ 4.0lOl
I IO00-1IS.00-~XO.O0-O07.000 House I I
t000-115.00-05.00-01 t. 000
Garage
I I I I
[CERTIFICATION I
BUYER
Hottt~,,ck I I [ I 11952
BUYER"S ATrORNEY
Slegel
I Lawrence A.
(631) I 234-3030
NEW YORK STATE
COPY