HomeMy WebLinkAboutL 12228 P 373
:
District:
1000
Sec~i.on
103
~
4
Lot
32
'-<- I )-)-.)...?
f 313
103,-i-3L
SY UIK - Qu.ilcl:r.im I>I:~ -Individua: .wCorpnrolliu.. tSinalk' Shl:ctl (S'\"UTU lulll4)
(."OSSUl.T '"OUR I"'" ",".:R at:li'oJUo: HJ(;~IS(; l'IIL'IINSTKU<".NT .1'1IL" INbTRUMI:::-'T SHUtJJ.D 0.: USt:n BY 1..0\ Wyt:Jl5i ONa.\'
TillS INDENTURE, mwk: lhc
IIETWKI::N
/3'
. in the year 2002
day of December
ALBERTA M. JACOBS, residing at (no #) Depot Lane, Cutchogue, New York 11935
pari)' or 'h. n,," p..,. and
ALBERTA M. JACOBS, residing at (no ') Depot Lane, Cutchogue, New York 11935
es to an 83% in teres t and LISA H. JACOBS, residing at 60 Emery ad.,
Cutchogue. NY 11935 as to a 17% interest as tenants in common
pony or IIle ,"",ond pari.
WITNESSI-:TH. thai the JXlrty of the fintl pan. in \''Onsid..-.rutiun ofTen Doll:u-s and other valuahle ron$i~r...ion paid hy the
pany of lhe !'lC\."\)rW pun. dues hc-rehy rcmi~. Nlew;c and \{uitcJaim untn the pany of (he M:cond pun. the: ht:in; (It !iUL"C'essars
and ::Lccsigns or the purty uf the :ReCORd p3I1. (ore,,'er.
ALL that ccn.ain plol. pil,."C'e or pun:cl of land. with lhe huildings and improvc:menLII; thereon ereclc:d. "ilUOIlC. lying and being
~~ft~ at East Cutcho&ue, Town of Southold, Suffolk County, New York, known and
designated as Lot No. 5 on IlHap of Sunny Shores at East Cutchogue, Town of Southo~d
Suffolk County, N.y.1I prepared by Octo W. Van".Tuy1 & Son from surveys completed
6/9/60 filed in Suffolk County Clerk's Offi~e on 8/30/60 as Map No. 3231.
TOGETIIEK with all risht.title and intcn:sl. irany. of the puny (If the fiBI part of. in and touny slr'ccls Dn.... ruads ahuUing
lhe ahovc-described pn::mises 10 the center lines thereof: TOOF.TH~R with Lhc appunclUlJIcCI and alllhe cm:ue and rigllls of
thc puny oflbl! fin;:t pan in and tn said pn:ntiscs: TO HA VE AND TO HOI.D the premiJie.s hen:in granted unlu the part)' of the
~,,(lDd p:ut.. the hcin. ur 5UCC'C5S0rs and us...ign~ of Ihe puny of lhC' second p:lI"l forever.
,\ND the pany oflhe linn pan. in compliam:'C wjLh Scl."liOIl 13 uflhc Lien IJliw. co"cnanl5 thai the party of the f'in:;.1 pun will
1'n"Ci\."C 1m: c."l1nsidcnuion for Ihis L.'nn\"cyance and will huld 1hc riShllU R:\."Cive sud. ''On~ideralinn as II trust lund to be upplied
first forllle pul"pOIC of paying lhe C(Hl;1 of Ih: impro\o-cmenl and will apply the SOlIDe lirst 10 Ihe payment or the C051 of the
improvement hc:fure using any pun or the I.ot:ll orahe st.1I11C for uny olher purpc15e. The word "pany" .slwll bccon$trucd as if it
n:ad "panics" whenever Ihc ~'nsr of thi~ indenIUrL.~ ~C.1 requires.
IN WITN..:SS WHER":OF, "'" pony of the n"'ll"ln h.. duly """Uled 'hi. dc,'d tho
1:"11 PKHSHN(~H Of:
'~l!V!.4i'KN()w'.HlJG."E.'\T I"lJll." IJIUJIW "TTlII^" N,.;w YtMU{ .\TATl!O",'U":
SlullfofNewYark,Counlyol' Suffolk 155.:
On lhc/ J.;lIY of December in "'e yc:ur 2002
bof"", '"". lhe u......ia...... ,",,,,,,,,ally :tpp<"an:.J
Alberta M. Jac.obs .
pL"nOOIlally known 10 me or pro\."Cd 10 me on 1M basis of SUlifiiriIClOI'y
e\'~ to Ite the indi"idua1(s) wha~ IWIW{Ji) ia (Wl:) :IIU~hed In the
within inlW'Umcnl DDd DCkl'lO\\.'~ lei me Ihal hcJMc:lthcy cltC'culCd
tilt' ~ in hislherJtheir C,a,p:lClt)1.icsJ. and that hy hiWhcrlthcir
~ignatun:(") un lhe: in51RlrrK"DI. the imlividuaIC"l. ur the pcDOn upon
b..-Iw.lfor""flich I~ indi\'iduulllii) UClA.'ll CXCL"Ulcd lhc irunnllTlL"fIL.
~u.....~,,) ~~A//
~Publ1C ' IO_KLOPfER
"'*" Public. 51... of NIIW '*IIIl.
No. ......n
....,_....- CounII' .-
........-....--....,;I(JIJ':}
,It:J;AVnPl.J.:JKi.',,,.:NT F(IIt." FtJR 1I.'iF. IVrrlllN NEK. YORK ."TA.TE Ol\'U',:
INrllt' r.JIt Sub'rJblllJl WlIMU A<<lId't'..,MB....'" Crnijlt'G"1
SlaleofNLowYarl<.C...nlyof I...:
On Lhe d:ly of in lhe veal"
fxfure 111C'.lhe uru.lt.~iW..-d. pcn;onnll)' appcan:u .
the- subscribing witness 10 the fOR:gc~ng in...uumcnt. wilh. whom I ~
~rsonall)' ilt'quuinted. WIN). br:ing by me: dul)' swum, did d~ and
...y Iha'lu:Ish,,^hey ",liide(s) in
(if 1M ,-IfJU oflr.\jJ~1C'r is in U dlY. iRe/llde ,h~ Sf"I:' cuuJ s""~r' nunlht.-"
if un,'. ,"e""lj); Ihat heIsI1eIlhey knOWls)
to he lhc- indi\'idual dcKrib..-d in WId who eh"l."UlccJ lhe ron:going
in5lnl1DC'nl: th:lI Mid alb!lcrihil'l8 wiu1C'5S \\I'Wi pn:liC:nt unci saw awid
CAO..'Ule the 2CafI1C; and lhat suid y..i~ at the JiW1'lCS lime subscribed
hisltu::rflhcir nan1e(s)...";Ii WilllL-s.-.lhcn:-hl.
QUIT("AI~I n..:t:1)
Tm.E No.
JACOBS
TO
JACOBS
FIJ)I':I.IT"o' NATIONAl. Tn'I.1': INSURANCE
. COMPANY OF NEW YORK
... ~Mr"I'II!Jt
bW-"'- Fidelity .l,.~/'
M~""'"",,,.sr../""rllhAIIo~_
USEA(."~\Y}""'.Jo3JG.UE"\TFtJlUllIJ.:JnR' ...mll.vNIfW YIMIC Sl'A,7EO.\"I.Y:
S_orNewYork.Counlyof
On the: day..r in"'" year
b:(ure me. the undcn;.igncd. peniUllally appcuR:d
pc.:nunully Imo~"n 10 'DC: Of proved Iu I'D&: on lhC' ha,q'i or satisfacux;
evidellL"'e 10 be lhe indivKlualCs) whose .....rldti) hi (are) awbscribcd 10 lhe
within instrument and acknowledged 10 I~ lhal 11c:hb:II.tM:,r cx~uled
lhe s:une in hi,;/herlthcir CUf'UCil)1it:a;.}, unci lhat by hislherllht:ir
signuwrcls) on Lhc insarumcnt. the individuaICs). or the penon upon
behalf or "ilich Lhc indi\'idual(5) OIL~ t>.a."Utcd lhc= iMlnllnenL
I....:
Aa..NOWLI:Vt:'.JIBN'I' F~I I-"OIl U.v:OImulJH HAW YUIlK S"rAn::o.\7.)';
'lhItuf.'i~,w FaR/p t""lf'MnllArbl,trdNlpwtu c."ijinI,.j
.................,.........,............,.... .... .1"':
(CtWrpkw VMW widl SItu.. C"MRr".. PnJ,.",.., IN "'lIIlk1pr:11i~J
Oulhe davof in the \'e:ar
before me. thO undersigned, ,""""",lIy "I"pc",,:d .
pen.onally known 10 me or pruvc.-d to me on the ha!iis ('lr ~lisfac~
evi....-na: lu he the: individual(s) w~ na",oIs) is (are) ........rihL'd to the
wilhin inslnlnlClll and acknowledged 10 me IhDL hcIshc:1lhcy C'xC("ulCCl
Ihe ~'" in hi_hOOr CllpIIcily(ies).1hat by hi.n....../lhcir si&nauure(sl
on Ihe i...1JUrnenL Ihe individual(sl, ...Ihe person upm behlllf of which
ahe individual(s) ac,:tcd, cJleancd the' inslrumenl. an&J that such individual
1n:We such :.1J1pcur.mc:e bc:'fore the undcnii{91c."d in Ihc
(In3~"rrht! city 0' OIIk."I."Jlilif"01 subt!i"W,w' alld rile SlUM or COif,.,')' fl,.
fld",. plaC'l! rll~ fl'''knuK' f!fh:m'7It ~'YI.' l4lk...nJ,
DISTRICT
Sa.....ION
BLOCK
LO'r
C()u~n. OK TOWN
Rf."("JRIJf:.JJAT RF.QlIF..fT OF
....ick...i.y NUI"IIUlI Tille InsuJ1lDCe Company of' N&."'W Yurk
R/o.TUNNBYMAII.TO
OlSEN & OLSEN L1.P
1241& lIMN ROAD
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RECORDED
2003 J... 00 02:01:59 PI'l
Edward P. Ro,u;""
CLERK IF
SUFFll.K COlIlTY
L 000012228
P 373
DTI 02-21691
S"riall/
CcnifiC'l1tc "
Prior Clf. "
Deed I Mongage Inslrumenl
3
Deed I Mongage Tax SUlml'.
FEES
Recording I Filing Slamps
Page I Filing I'"""
H,onuling
TP-S84
Orand TOlal
q9
Mongage Ami.
I. Basic Tax
2. Additional Tax
Sub ToIllI
SpecJAssil.
or
Spec./Add.
TOT. MTO. TAX
Dual Town _ Dual Counly _
Held for Appoinlmem
Transfer Tax tp
Mansion Tax
The propeny covered by litis mongage is
or will be improved by a one or IWO
family dwclJinll only.
YES or NO
If NO. _ appropriate lax elou,", on
page 1/ of litis inslrUmem.
5. .J!!!...
~OIalion
EA.52 17 (CulIlIly)
EA.5217 (SI'"C I
R.I~T.S.A.
Sub TOl.1
Cumlll. of cu.
5. ..QQ...
.:>0
A friJa\'i I
Cerlified Copy
Rcg. Copy
Olflel'
\S.~
Sub Totol
4 Dislricl
Rc,,1
Propeny
Tax S~rvi('c:
Agency
Veri ficDlion
Seclion ~.
~
5 CommUDity Pnlllel'Vatioa Fuad
2000 20300 0400 032000
Consideration Amount S
CPF Tax Due S
Improvcd
6 Satisf:octiulIslOischorges/Relcases List Property Owners Mailing Address
RECORD & RE1.'UKN TO:
lJ'L~~ \. ~\~~ '0-~
~2..'-\C\~ ,-"--~,,,,,- ~tc-'\
% ~ t'fr'>L D
~~T'X'~ ( ~
Suffolk Count
Vacam Land
TO
TO
~
TO
\\~~~
7
Title Com an Information
FIDELITY NATIONAL TITLE
Co. Name
Title 1/
~\-.e~\-C'_ ~.
~~..('("'~":"\
Recordin & Endorsement Pa
~
(SPECIFY TYPE OF INSTRUMENT)
e
8
This P"llc forms pan of .he allaehed
mode by:
~~~~~.~~~~
( nver)
111111111111 1111111111111111111111111 11111 1111111111111
1I11111 111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OPPICE
RECORDING PAGE
Type of Instrumentl DUDS/DDD
Number of Pagesl 3
TRANS PER TAX NUMBER: 02-21691
Recorded 1
Atl
LIBER:
PAGE:
01/03/2003
02101159 PM
D00012228
373
District I
1000
Section I Blockl
103.00 04.00
RYl\MINED AND CHARGED AS FOLLOWS
$0.00
Loti
032.000
Deed AIIIount;
Page/Filing
COB
D.-CTY
TP-584
RPT
Transfer tax
Received the Pollowing Fees For Above Instrument
E"""'lpt
NO Handling
NO NYS SURCHG
NO D.-STATB
NO Cert.Copies
NO SCTM
NO COIIIIIl. Pres
Fees Paid
$9.00
$5.00
$5.00
$5.00
$30.00
$0.00
$5.00
$15.00
$25.00
$0.00
$0.00
$O.lio
$99.00
1x8lllpt
NO
NO
NO
NO
NO
NO
TRANSFER TAX NUMBBR; 02-21691
THIS PAGB IS A PART OF THE INSTR1JJIBNT
Edward P.Romaine
County Clerk, Suffolk County
I
I
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
C1. SWIS Cod. 1, 7~ 7, g, 2? r I
,
C2. Doi. Dead Raco,ded I / _3 / (;?'? I
Monlh Dev Year
ca. Book I ,;: ~ ';<,.,2, ?If'C4. Page I , S, 7,31
PROPERTY INFORMATION
REAL PROPERTY TRANSFER REPORT
... .
" I
,j
~... n_. ~
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
1U>_~217 R<> JPn
1. r:~::~ I
Nt -\\
STREET NUMBlR
Depot Lane
STFl.~ETNAME
~nllthold
CITY OR TOWN
Cutchogue
VILLAGE
11935
ZIPCOOE
2. Buver
Name
T.<1rnhg
LAST NAME I COMPANY
Alberta M.
~IRST NAME
(83% interest)
Jacobs
~"'ST NAME i COMPANY
(17% interest)
Lisa H.
FIR$TNAI\IIE
3. Tax
Billing
AddreS$
Indicate where future Tax Bills are to be senl
if other than buyer address (al bottom of form)
I..ASTNAM~ICOMPANY
FIRST NAME
STREn NUf\.1UERANLlSTAEETNAME
ST~n;
:'IPeDDc
CITV OR TOWN
4. Indicate tile number of A5$essment
Roll parcels transferred on tile deed
# of Parcels OR 0 Part of a Parcel
{Only if Part of II Parcell Cheek as they applV:
4A. Planning Board with SubdiviSion Authority Exists 0
48. Subdivision Approval was Required fo' Transfer 0
4C. Parcel Approved for Subdivision with Map Provided D
5. Deed
Property
Size
I X I
lOR I
.
Fl;ONT F~~T
O!;PTH
ACRE-Ii
6. Seller
Name
Tac-obs
LAST NAME I COMPANY
Alberta M.
FIRSTIIIAME
LAST W-ilME I COMPANV
FlflST NAM~
7. Check the box below which most accurately describes the use of the property at the time of sale:
CIleck the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
lOA. Proparty Located within an Agricultural District
1GB. Buyer received 21 disr.losure notice indicating
thilt the property is in an Agricultural District
D
D
D
o
A~ One Family Residential
B 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Vacant Land
E~ Agricultural
F Commercial
G A!lartment
H Entertainment! Amusement
I ~ Community Service
J Industrial
K PubliC SeNice
L Forest
SALE INFORMATION
15. Chedl one or more of ttUtM conditions as applieabJe to transfer:
11. Sale Contract Date
I /
Monll1 D" Year
I 12 I \8 / 02
Mont~ 0" Year
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of tt1€ BlJyers is also a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Belowl
Sale of Fractional or Less than Fee Interest (Spedfy Below)
Significanl Change in Property Between Taxable Status and Sale Oates
Sale of Business is Included in Sale Price
Olhar Unusual Factors Affecting Sale Price (Specify Below)
None
A
B
C
D
E
F
G
H
I
.I
12. Date of Sale! Transfer
13. Fun Sale Price None , 0 0 I
" , .
(Full Sale Price i$ the total amount paid for the property including personal property.
This payment may be in the form 01 cash, other property or goods. or the assumpt'lon of
mortgages or other obligations.) Please round to the nearest whole dollar amount.
14. Indicate the value of personal
property included in the sale
, 0 , 0 I
, , .
ASSESSMENT INFORMATION" Data should reflect the latest Final Assessment Roll and Tax Bill
16. Veiilr of Assessment Roll from I () [) I I
which information taken . ~ . 17. Total A"sessed Valuec 10' all parcels in transf.rf
,
,~ 40CI
,
18. Property Cia"
I 2.. / ,D,-u 19. School Oistric;t Name !
8DD'L.\\t.~\~
20 Tax Map Identifier(s) I Roll Identlfler{sl (If more than four. attacn sheet with additional identiflerls))
1000-103-4-32
CERTIFICATION
I certify that all of the itemll; of infonmlltion entered on thiy form are true and C1)rrect (to the l;J.",t 01' DIY knuwleda:;e and bclieO and I understand 11111.1 the rnakinR
of all~' y,.iJtful false .~tatemt'nt of material fH~t hereiu will subject me to die Drovflllon~ of the nenal law relative to the maki"" mid filinl( of falw im..tnunenU.
YER
BUYER'S ATTORNEY
Olsen
Gary
LAST NAME
FI,"STNAME
tilt .Ii
STREEi NUMI;lER
\:e.~~ \.:j::::....~
S11\!'!; NAMEIAF'T'Efl$ALE.,
lElH'HONENUM!lEH
631
734-7666
Afl!'ACODE
\\~~~~~ '\e.
N\(
STATE
\\I:\:':,S
ZIPCOUE
ELLER
NEW YORK STATE
COPY