HomeMy WebLinkAboutL 12279 P 306
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BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
s1' ANDARD NVBTU FORM 8007
CAlTnUN: TIllS AOREEMDrr SHOULD BE PREPARED 8'. AN ATI"ORNt-:v ANI) REVIEWIID BY AlTORNEYS FOR SEI.I.F.H. ANI'
PURCHA.'ER BEFORE SIC"aNlflOO. .
THIS INDENTURE, made Ihe Augusl
belwcrn
y
2003
ALBERTA M. JACOBS, owner of aa BJ'Yo iale.....1, residing III 550 Depol Lane, Culehogue. NY
11935
party of the first part. and
ALBERTA M. JACOBS as Co a 61.50% iu,e....., "",idinglllSSO Depol Lane, Cutc:b"llDe,
NY 1 1 9311, LISA H. JACOBS., as to 1110.50% laterest, resldln& .,60 Emery Rd., Cutc:bagae,
NV 11935. as lenRalB iu eommon.
pany of Ihe second pan.
WITNESSETH,lhl1l th!' party oflhe fir.. pan. in eonsiderl1lion of Ten Dollars and olher lawful
consideration, lawful mone)' of the Un iced States. paid by thc pany of the second part, does hereby IranI and
release unlo the pany of Ihe sec:ond pan. Ihe heirs or successors and assigns of Ihe pany of lhe second pan
forever.
ALL Ihat cer1ain plOL piece or parcel of land, wilh Ihe buildings and improvemenls Ihereon erected.
siluate. lying and being 81 Soulhold. Town of SOUl hold, Counly of Suffolk and State ofNcw York, known and
designated as l.ot No.5 on "Mop of Sunny Shores 01 F.a.. Cu\Chollue. Town of Suulhold. Suftblk County, NY-
prepared by 0110 W. Van Tuyl & Son from surve)'s contpleted 619/60 fik... in Ihe SulTolk County Clcrk's Officc
on 8130160 as Map No. 3231.
Alberta M. Jacobs is currenlly Ihe owner nfan 83% inl4:rcSl in the subject premises and Lisa H. Jacobs is
currently the owncr of a 17% inrcrest as \CnanlS in common by deed dUI...! December 10, 2002 and recorded in
Liher 12228 Page 373. II iSlhe intention of Albena M. Joc:obs 10 convey by Ihis deed an addilional20,50%
intercsllO Lisa Ii. Jacobs so Ihal Alherta M. Jacobs would have a 62.50% inleresl and Lisa H. Jacobs would have
a ]7.50% interest as tcnants in common.
TOGETHER with all righl.lille and interest. ifany. of the pany of the firsl pan in and \0 any slreets and
roads abulling Ihe above desc:ribed premises 10 the eenler lines thereof,
TOGETHER wilh Ihe appunenances and alllhe esrate and righlS oflhe party oflhe first pan in and 10
said premises.
TO HA VE ,~ND TO HOLD Ihc premises herein granted unto the pany of the llCCOnd pan. the heirs or
successors and assigns of the party ofthc second pan forever.
AND the party of Ihe first pan. covenanls that the party of the first pan has nol done or suffered anything
whereby the said pR:'mises have been encumbered in any way whatever. except as aforesaid.
AND Ihe pany or Ihe firsl pan. in compliance wilh Seclion 13 Oflhe Lien Law, covenants thallhe party
orthe first part will receive the considcr3lion tor Ihis ool1ycyancc and will hold the right to receive such
consideration as a truSI tund to be applied firsl for Ihe purpose ofpayillg Ihe eosl orlbe improvemenl alld will
apply the same firsllo Ihe paymenl oflhe eosl oflhe improvemenl before using any pan oflhe 10101 Oflhe same
for any othcr PUI"pUSe.
The word llparty" shall be construed as ifit read "panics" whenever the sense of this indenture so
requires.
REOF. thc pany Oflhe fin.. pan has duly executed Ihis deed the day and year first
-,.
c_capson'Dcvdopmcn.
..
",
ST ATE OF NEW YORK )
) 55.:
COUNTY OF SUFFOLK )
On Ihe 3' day of a 9 -r- , 2003, beli>r"e me, the undersigned, personallyappean:d
ALBERTA M. JACOBS, pcrsoofully known 10 me or proved 10 me on the basis of satisfactory evidence 10 be
Ihe individual whose name is subscribed to the within instrumenl and acknowledglOdlo me Ihat he excculed Ihe
same in his capacity, and that by his signature on Ihe inslrumenL the individual. or the person upon behalf of
which the individual acted. ~cuted the instrument.
~-~
.....,.....~ Ad
ARY PUBLIC );
I.OIIIIAINE ICIDl'fER
Norary Public:" ....r1I~""*
No 4lI28373
Ouol_""'-ea..r /
""..-__... ,p()IJ:>
DEED
Title No.
Section 103
Block 4
Lot 32
County or Town SUFFOLK
JACOBS
To
,JACOIIS
Retul'D By Mail To:
OLSEN &: OLSEN. LLP
P. O. BOX 706
CUTCHOGUE., NV 11935
Rescrve This Space For Use or Reeording Office
NYS8A Residential Real EsImc nums un HntI.b:s" (9100)
.2~
C__C....Il.OcwI_
.
-
.
.
[1]2
Number of p:lges
TORRENS
.3
RECORDEJ)
2003 Oct 22 os. 59. 59 AI'I
Edward P.RouI....
ClERK OF
SUFfllU( COUNTY
l ??oo1227')
P306
DTtI DJ-l1l104
Serial #
C~rlific'IIC #
Prior Ctf. # .
Deed' Mongage Instrumenl
3
o.,ed , Mongage Tax Stump
FEES
Recording' Filing SllImps
Page I Filing Fee
HandlinJ;!
q~
Reg. Copy
16-
Sub lbtal
/(}7)-
/,;1 C/- 8?
Mongage Amt.
I. Bas;e Tax
2. Additional Tax
Sub TOlAI
SpccJAssil.
or
Spcc./Add.
TOT. MTG. TAX
Dual Town _ Dual County _
Held for Appointmenl
Tr.utsf~r Tax (f)
Mansion Tax. r
The property eov~ by this mongall~ is
or will be improved by a one or IWO
family dwelling only.
YES __ or NO
If NO. see appropriale lAX elau,,", on
page # of lhis i memo
, .....0
TP-584
~. 0(\
5
NC)U&liull
EA-52 17 (Coumy)
EA-52 I 7 (Slat~)
6=-
5Q=-
~-
Sub lbl,,1
~ r..f-
COIllIll. or Ed.
5. 00
R.P.T.S.A.
Affidavit
c"nilic<.l Copy
Other
Gr~nd Tutal
4 District
S Community PnI..n-ation Fund
Real
Property
Tax Service
Agcn"y
Vcrilkaliun
"
CPF Tax Due
03033815 1000 10300 0400 032000
t:,F0 "S-'
R DTY"'A\
'~E~
Vacant Land
6 Salisfac.ion"'D;,.:harge"'R~leasc< Lis. Propeny Own~r. Mailing Add",..
RECORD & RKruRro; TO:
O\~~ -\- O\ne."-. \.:.\.~
~~~\-~~ W \\~~~
7
TD
TD
\0
TD
Title Com an Information
Co. Name
Title #AC
8
Suffolk Count
Recordin & Endorsement Pa
\\~A
(SPECIFY TYPE OF INSTRUM!;NT)
e
Thi:;; pi.lgc furms pi-In of the auuchcd
mud.: by:
~\~~~r--. ~.
'-
~~('~
The premisc:s herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the Township of ~\.')'\... %\~
In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTIOD IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
TO ~
~~~,,'t\l ~.~ ~~~o
'n\'c:r'
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SOPPOLIt COUNTY CLERK
RBCORDS OrFICE
RECORDING PAGE
Type of In8tZ'UIII8Dtl DBBDS/DDD
Number of Pages: 3
TRANSPBR TAX NUMBER: 03-11804
LIBBR:
PAGB:
10/22/2003
08:59:59 AM
D00012279
306
Recorded I
At:
ALBBRTA M JACOBS
ALBBRTA M JACOBS
District:
1000
Section I Block:
103.00 04.00
BXAMINED AHD CHARGBD AS i'OLLOWS
$0.00
Loti
032.000
Deed Amount:
Received the i'ollowing i'ees i'or Above InstZ'UIII8Dt
RYAf'lpt Bxempt
page/i'iling $9.00 NO HlU1ciling $5.00 NO
COB $5.00 NO NYS SRCHG $15.00 NO
IA-CTY $5.00 NO !IA-STATB $50.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Trllll.sfer tax $0.00 NO Comm.Pres $0.00 NO
Pees Paid $124.00
TRAHSl"BR TAX NUMBIRI 03-11804
THIS PAGE IS A PART 01' THB INSTRUMBNT
THIS IS HOT A BILL
Edward P. ROIIIAill.8
County Clerk, Suffolk County
.
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: htlp:11 www.orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
C1. SWIS Code
H-:7 ,2,,~Z9
10 0
omh ~v Year
C4.P'9.~O~,
REAL PROPERTY TRANSFER REPORT
'*
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
C3. Book
PROPERTY INFORMATION
JU>..5217R....31!17
,. r~~~l m'/ 170 AfrIr/dtJ IJJJr/J Emory Road
STf\EETNUMBER STPlEI!Ttd.ME
Southol.d
ctTY OR TOWfII
2. Boyer Jacobs
Name LAST NAME I COMPANY
~1i~Ehnyue l1Q'l'i
ZIP CODE
Albp.rt-.;I M (as to a 62.50% interest)
,tPlSTNAMri
Lisa B. (as to a 20.50% interest)
FIRST NAME
Jacobs
LAST NAME / COMPANY
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer addre9S lat bottom of form)
Addre$S
LAST NAME i COMPANY
FIRSTr<lAME
STREE'I" N\JN&!\ ANO s;mEEl N~
STATe
"":00<
CITIf OR TOWN
4. Indieate the number of Assessment
Roll parc:els transferred on the deed
(Onty if Part of a Pan;el) Cheek as tnav apply:
4A. Planning Board with Subdi\lision Authority Exists D
4B. Subdivision Appro\lol WilS Required for T ransfur 0
4C. Parcel ApprO\led for Subdivision with Map Provided D
# of Parcels OR 0 Part of a Parcel
5. Deed I X I
Property
8i%. FRONT FEET DEoPTH
.. Seller Jacobs
Name ~STN^MEICO~PANV
LAST NAME I COMPANV
lOR I
ACFlES
.
Alberta No.
FIFlST~AMf
(as to an 83% interest)
FIFlS"I'NAME
7. Check the box below which most accurately descrlbes the us. of the property at the time of sall!l;
Check the box.. below 8. they apply:
8. Ownership Type is COrIdominium
9. New Construction on Vaesnt land
10A. Property located within an Agricultural District
lOB. Buyer received a disclosure notice indicating
that the property is in an AgricLlltural District
D
o
D
D
A~ One Family Residential
B 2 or 3 Family Residential
C Residential Vacant land
D Non-Residential Vacant Land
E ~ A9';"""'" I ~
F Commercial J
G Apartment K
H Entertainment / Amusement L
Community Service
Industrial
Public Service
Forest
SALE INFORMATION
15. Check one or more of these conditions 115 applic:abJe tv vender:
Sale Between Relativn or Former Reletives
11. Sale Contract Dele
I I
MOl'llh Do, Vear
X- I i? I 03
Month "" Yn,
- 0
Sale Between Related Companilil$ or P"rtner6 in Businel:iS
One of the Buyers is also a Salier
Buyer or Seller is Government Agency or Lending Institution
Oiled Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or less then Fee Interest (Specify BeICnN)
Significant Change in Property Between TO)(able Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
A
B
C
D
E
F
G
H
J
J
12. Data of Sale I Transfer
14. Indicate the value of penonal
property inl:luded in the sale
, , ~ 0 I 0 I
Data should reflect the latest Final Assessment Roll and Tax Bill
ASSESSMENT INFORMATION
16. Year of Assassment Roll from I () . '2, I
whil:h information taken
12. I .Ol-LJ
17. Total Alilie5$8d Value lof all parcels In transferll
,
.3 \.4.0
,
19. School Oi$trict Name I
~1 )fulJ~
18. Pfoperty Class
20 Tax Map ldentifierlsl J Roll Identifier[slllf more than four, attach sheet with addl1lonalldentfflertsll
1000-103-4-32
CERTIFICATION
I certify that aU of the items of information en~red on this fonn are true and correct (to the best of my knowledge and beliet) and ] understand that the making
of any willful false statdnenl of malerial fact herein willl!>ubject me 10 the provisions of the penal law relative to the making and nUng of false: instruments.
~ /
UVER BUVER'S ATTORNEY
I.ASTIIIAME
FIASTNAMI;;
!U-
AIIEA CODE
TElEPHONE NUMBER
//936
"""""
NEW YORK STATE
COPY
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