HomeMy WebLinkAboutL 12192 P 95
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Bargain and Sale Deed, with Coven<lnt against Grantor's Acts-Individual or Corporation (single Shed)
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THIS INDENTURE, made the 2,,-fay of t1rfv~<-t ~ , two thousand two
BETWEEN
THOMAS OLSEN, as Trustee of the BETTY A. OLSEN
a/k/a ELIZABETH A. OLSEN IRREVOCABLE TRUST
2804 South Main Street
Newfane, NY 14108
party of the first part, and
RA YMOND NEAL OLSEN, residing at 4 Eastwood Drive, Greenville, PA
16125 and THOMAS OLSEN, residing at 2804 South Main Street, Newfane, NY
14108, each as to an undivided 50% interest, as tenants in common
party of the second part,
WITNESSETH, that the party of the tirst part, in consideration of Ten Dollars and other valuable consideration
paid by the party of the second party, does hereby grant and release nnto the party of the second part, the heirs or
successors and assigns of the party of dIe second part forever,
ALL that certain plot, piece or parcel of land, with dIe bnildings and improvements thereon erected, situate, lying
and being in the Town of Southold, at Mattituck, County of Suffolk and State of New York, known and designated
as Lot Number 33 on a certain map entided, "Map of Captain Kidd Estates", filed January 19, 1949 in the Omce of
the Clerk of the County of Suffolk as Map #1672.
BEING AND INTENDED TO BE dIe same premises conveyed to the party of the first part by Deed dated July 29,
2000 and recorded in the Suffolk County Clerk's Omce on September 7,2000 in Liber 12069 at page 005.
TOGETHER with all right, tide and interest, if any, of the party of the tirst part in and to any streets and roads
abutting the above described premises to the center lines dIereof; TOGETHER with the appurtenances and all the
estate and rights 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 dIe second part
forever.
AND the party of the first part covenants that the party of the tirst part has not done or suffered anything whereby
the said premises have been encumbered in any way whatever, except as aforesaid.
AND the party of the first part in compliance with Section 13 of dIe Lien Law, covenants that the party of dIe tirst
part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust
fund to be applied tirst for the purpose of paying dIe 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 "pany" 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 this deed dIe day and year tirst above
written.
In Presence of:
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THOMAS OLSEN, TRUSTEE
~2
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Number of pages
3
F:i.~C:Ci~:[:{T
,1 :=: 1~!7: 50; 5: Pt'l
TORRENS
Serial #
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Prior Ctf. #
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Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
4
FEES
Page / Filing Fee
/
Mortgage AmI.
Handling
'J
5
I. Basic Tax
TP-584
2. Additional Tax
Notation
EA-52 17 (County)
~
/It-.)
~.;yo
Sub Total
d~
Sub Talal
Comlll. of Ed.
50~
Spec.! Assil.
Or
Spec. /Add.
TOT. MTG. TAX
Dual Town Dual COllllty
Held for Apportionment
Transfer Tax
EA-5217 (State)
RP.T.SA
Afttdavit
Cer1ified Copy
Other
Sub Total
u~
74
\
Mansion 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 this instrument.
Reg. Copy
GRAND TOTAL
Real Property Tax Service Agency Verification
Disl. Section Block
Lot
6 Conul1unity Preservation Fund
Consideration Alllount $~___
Stamp
02010599 1000 10600 0100 031000
/P~~
(R DGR A
Initials \.i!1-MAY-O
SalisfactionS/LJlSc.;;a~eleases Llsll'ropeny uwners IVlallmg Address
RECORD & RETURN TO:
CPF Tax Due
$
Dale
Improved
Vacant Land
NANCY BURNER, ESQ.
46 Route 25A, Suite 4
Setauket, NY 11733
TO
TO
TO
8 Title Company Information
Co. Name
Title #
9
Suffolk Count Recordin & Endorsement Pa e
.1l1is page f0I1115 pari of the attached
Bar"ain and Sale Deed
(SPEOFY TYPE OF INSTRUMENT)
made by:
Thnm~<: nk"n. Trl1<:t"" nf Th" Rptty A OI<:f'nTIle premises herein is situated in
a/k/a Elizabeth A. Olsen Irrevocable Trust SUFFOLKCOUNIY,NEWYORK
TO
In the TO'M1Ship of Southhold
In Ihe VILLAGE
or HNvILET of
Raymond Neal Olsen and Thomas Olsen
BOXES 5111RLJ 91\lLJST BE TYPED OR PRINrED IN BLACK INK ONLY PRIOR TO RECOIWJNG OR FILING
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBER: 01-44154
Recorded:
At:
LIBER:
PAGE:
District:
1000
Section: Block:
106.00 01.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Deed Amount:
Received the Following Fees For
Above Instrument
Exempt
NO Handling
NO EA-CTY
NO TP-584
NO RPT
NO Transfer tax
NO
Fees Paid
Page/Filing
COE
EA-STATE
Cert.Copies
SCTM
Comm.Pres
$9.00
$5.00
$25.00
$0.00
$0.00
$0.00
TRANSFER TAX NUMBER: 01-44154
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
06/18/2002
07:50:53 AM
D00012192
095
Lot:
031.000
$5.00
$5.00
$5.00
$30.00
$0.00
$84.00
Exempt
NO
NO
NO
NO
NO
.....
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PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222
FOR COU~TY USE ONLY
Ct. SWIS Code
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REAL PROPERTY TRANSFER REPORT
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C2. Date Deed Recorded 1 '. 1 _) I.L7I
Month Day Y~ar c:-
C3. Book I /, /{, ), i / _.)c4. Page I () {,:;
PROPERTY INFORMATION
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP-5217 Re,-3N7
1. Prope.rty I
location
1680
STREET NUMB~R
"-.'<'\ttitL!ck
CITY OR TOWN
S(~'IJf;ij l-.lJ'>~-'r:il L"rive
STREET NAME
~:;~>u th !"!clc1
-<,'""ttj--l'(-:"
, VI~LAGE' , . ,
ZIP CODE
2. Buyer
Name
t}I'')f::c.
F::i\l;'10(1{; \':~\i'!
LAST NAME... COMPANY
FIRST NAME
r
,
3. Tax
Billing
Address
Clser
LAST NAME'" COMPANY
~,
t [IOl',"':ciS
FIRST NAME
Indicate where future Tax Bills are to be sent
if other than buyer address (at bottom of form)
LAST NAME/COMPANY
FIRST NAME
STREET NUMBER AND SfREET NAME
CITY OR TOWN
srATE
ZIP CODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
11 # of Parcels OR
o Part of a Parcel
(Only jf Part of a Parcel) Check as they apply:
5. Deed
Property
Size
I X I
lOR I
'ACRES
.
o
,~
4A. Planning Board with Subdivision Authority Exists
48. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
o
o
o
FRONT FEET
DEPTH
6. Seller
Name
;.":li5i:n
ThUl-~-I:J~;, Trush>f~
FIRST NAME
LAST NAME,.' COMPANY
LAST NAMF,.' COMPANY
FIRST NAME
A ~- One Family Residential
B 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Val;a[lt--wlld__
E~Agricultural
F Commercial
G _ Apartment
_H,_,-.E.[l~m
[
J
K
Community Service
Industrial
Public Service
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
lOA. Property Located within an Agricultural District
lOB. Buyer received a disclosure notice indicating
o
o
o
7. Check the box below which most accurately describes the use of the property at the time of sale:
il
13. Full Sale Price I I '- I 0 ,Ot
, , .
(Full Sale Price is the total amount paid for the property including personal property.
This payment may be in the form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Please round to the nearest whole dollar amount.
15. Check one or more of these conditions as applicable to transfer:
A Sale Between Relatives or Former Relatives
B Sale Between Related Companies or Partners in Business
C One of the Buyers is also a Seller
D Buyer or Seller is Government Agency or Lending Institution
E Deed Type not Warranty or Bargain and Sale ~Specify Below)
F Sale of Fractional or Less than Fee Interest (Specify Below)
G Significant Change in Property Between Taxable Status and Sale Dates
H Sale of Business is Included in Sale Price
I r Other Unusual Factors Affecting Sale Price (Specify Below)
J None
Tf;n"'i~--:~~tir-:,-, ._,f Trust. ".~:- C(lilSid 'J;.;t~n
SALE IN~ORMATION
11. Sale Contract Date 1 1
Month D,y Year
12. Date of Sale I Transfer 1 f2( 1 "I
Month D,y Year
14. Indicate the value of personal
property included in the sale
o 0
~
01
, ,
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from
which information taken
,.. I 17. Total Assessed Value (of all parcels in transfer) I
;
I
18. Property Class
1, q - U 19. School District Name
!f3(3] ;\,~Z'ttituck
20. Tax Map Identifier(sll Rollldentifier(s) (If more than four, attach sheet with additional identifier(sll
q./3GG9 - lOG - 1; - 31
IOfo-I-3(
I
I CERTIFICATION
] 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] understand that the making
of any willful false statement of material fad herein will subject me to the provisions of the penal law relative to the making and filing of false instruments.
BUYER'S ATTORNEY
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\ I B IGNATURE \
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BUYER
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51 e)L-iJ-
DATE
HUi~ne!'
LAST NAME
:-"j;:.ncv
FIRST NAME
j
j
~ I
STREET NUMBER
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G ~~ 1
AREACDDE
91.n-3!t31~
TELEPHONE NUMBER
STREET NAME (AFTER SALEI
"\
CITY OR TOWN
STAT~'
ZIP CODE
SELLER
CITYfTOWN ASSESSOR
COPY
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