HomeMy WebLinkAboutL 12540 P 667SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
~ of Instrument: DEHDS/DDD
N,,~er of Pages: 4
Reoeipt N,,--~er : 08-0013961
TRANSFER TAX NUMBER: 07-18867
Distriot:
1000
Deed Amount:
Reoorded:
At:
LIBER:
PAGE:
Section: Block:
052.00 05.00
EX~MINED ANDCHARGHDASFOLLOWS
$o.oo
Received the Following Fees For Above Instrument
Exempt
Page/Filing
COE
EA-CTY
TP-584
Cert. Copies
Transfer tax
TRANSFER TAX NUMBER:
$12
$5
$5
$5
$10 00
$0 O0
00 NO Handling
00 NO NYS SRCRG
00 NO EA-STATE
00 NO Notation
NO RPT
NO Co~a. Pres
Fees Paid
07-18867
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A HILL
JudithA. Pascale
County Clerk, Suffolk County
02/14/2008
12:10:47 PM
D00012540
667
Lot:
014.000
Exempt
$5.00 NO
$15.00 NO
$75.00 NO
$0.00 NO
$30.00 NO
$0.00 NO
$162.00
Number of pages
This document will be public
record. Please remove all
Social Security Numbers
prior to recording.
Deed / Mortgage Instrument
3
Page / Filing Fee
Handling 5. 00
TP-584 ,~ __
Notation
EA-52 17 (County) ,.~ __
EA-5217 (State)
R.P.T.S.A.
Comm. of :Ed. 5. 00
Affidavit
Deed / Mortgage 'Pax Stamp
FEES
Feb 14 12:!0:47 PM
Sud~h fl. Pa$cale
CL£R~ OF
~IJFFOLK COUNTV
L ~00012540
P 667
bT# 07-18867
SubTotal ~7'
NYS Surcharge 15. O0 Sub Total
Recording / Filing Stamps
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec./Assit.
Spec./Add.
TOT. MTG. TAX
Dual Town __ Dual County __
Held for Appointntent
Transfer Tax O
Mansion Tax
The property covered by this mortgage is
or will be improved by a one or two
family dwelling only.
YES or NO
Other
](t~ If NO, me appropriate tax clause on
Grand Total ' '"" . !
:,. ,. K.,.. page// of this inst_~m//nt~//~.
4 IDist. t0r'_/'~Y~",08003828 xoo6 os2o.'6 6soo'oi4ooo
Real Property (~ Consideration Amount $
Tax Service
Agency X~.~,.-.-~ CPF Tax Due $
· Verification
improved
Satisfaction.'dDischarge:dReleases List Property Owners Mailing Address
RECORD & RETURN TO:
6
Mail to: Judith A. Pascale, Suffolk County Clerk
310 Center Drive, Riverhead, NY 11901
www. suffolkcountyny, gov/clerk
Vacant Land
TD
TD
TD
7 [ Title Company Information
Co. Name
I Title//
s Suffolk Count Recordin & Endorsement Pa e
"~ .~C:::~l~ made by:
(SPECIFY TYPE OF INSTRUMENT)
The pmmims herein is situated in
SUFFOLK COUNTY. NEW YORK.
Thi~ page fi~rms pan of the attached
Soo%o la
TO In the TOWN of
Gus Va ',l l<u In Ihe VILLAGE
II
BOXES ~ THRU # MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
oo
689
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, made the tl'~~ day of ~f~'~Q~ , nineteen hundr~ and ~0 ~
BE~EEN t ~t h~
party of the first part, and
O,g. ~nqnJ~.1 In Com,,,% o~'. party of the second part,
WITNESSETH, that the party of the first part, in consideration o! ten dollars and other valuable consideration
paid by the part)' of the second part, does hereby grant and release unto the party of the second part, the heirs
or successors and a.ssi~ns of the party of the second part forever,
ALL that curtain plot, piece, or parcel of land, with the buildings and improvements thereon erected.,, situates
lying and being in the · .-
o -.Pice
TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads
ai)utting the above described premises to the center lines thereol; TOG,.I~HER with the appurtenances and all the
estate and rights of the party of the first part in and to said premises; 1~O 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 the second part
fOreVer.
AND the party of the first part, in compliance with Section 13 o! the Lien Law, covenants that the party of the
first part will receive the consideration for this conveyance and will hold the fight to receive such consideration as
a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first
to tbe payment of the cost of the improvement before using any part of the total of the same for any other purpose.
The word "party" shall be construed as if it read "parties" whenever the smso of this indenture so requires.
IN WITNKSS WHEREi~F, the party of the first part hn duly executed this deed the day and )'ear first above
written.
IN PRESENCE OF:
STATE OS NEW YORK, COUNTY OF sa:
~oo ~'
Onthe /~/ dayof ~~._~ 'l'R ,beforeme
~onally ~me '
~ofl-~ ~. U
to me known to be the individual described in and who
executed the foregoing instrument, and acknowledged that
executed the same. '
A/filM. BROWN
NO. O4BR6181434
STATE OF NEW YOlk, COUNTY OF
SSS
On the day of 19 , before me
personally came
to me known, who, being by me duly sworn, did depose and
say that he resides 'at No.
;
that he is the
of
· the corporntion described
in and which executed the foregoing instrument; that he
knows the ~cal of said corporation; that the seal affixed
to said instrument is such corporate seal; that it was so
affixed by order of the board of directors of said corpora-
tion, and that he stained h name thereto by llke order·
STATE OF NEW YORK, COUNTY 0S ss.'
On the I~/ day of Fe'~~/~'*~ ~/ ~,~ , before me
personally came
~ ~ T ~t- I ? ?~-- ~ · U ~ ~ ', * ~ ~
to me known to be the individual described in and who
executed the foregoing instrument, and ~tcknowledg~ that
executed the same.
MiN M. BROWN
Ex~r~s tqn M. ~017
STATE OF NEW YORK, COUNTY OF ss:
On the day of 19 , before me
personally' came
the suhscrihing witness to the foregoing instrument, with
wh In I am per~onallv. . acquainted, who, bein*o b~'~ mo~ duly
sworo, did depose and say that he resides ut No.
Ihat he kn.ws
lo be the individual
described in and who executed the foregoing instrument;
that he, said subscribing witn¢-ss, was present and saw
execute lite same; an,I that he, said wiln~s,
at thc same lime suhscribed h oalfle as withes thereto·
~ar~ain anb ~,alt ~etb
TITLE NO.
&os ,l, kts
A °A,f,f
Sl.OCX 0
COUNTY OR TOWN
RETURN BY MAlL TO:
i
Uniform Form Certificate of Acknowledgment
State of New York
County of
On the / ~ day of ,'~'~',~ ~P '/
undersigned, personally appeared
in the year ~ 0 ~ ~ , before me, the
personally known to me or proved to me on the basis of satisfactory evidence to be the
individual (s) whose hame (s) is/am subscribed to the within instrument and
acknowledged to me that he/she / they executed the same in his/her/their capacity (les),
and that by his/her/their signature (s) on the instrument, the individual (s), or the person upon
behalf of which the individual (s) acted, executed the instrument.
Nota~/Public
Notmy Public, Sta~ d New Tq2rk
No. 04BR6181434
Qualified i~ Suffelk Cemll~
· r~'lmissJ~fl E~res Mn. 24, 2012
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: httpV/www.orps.state.ny.us or PHONE (518) 473-7222
I FOR COUNTY USE ONLY -- J
- '"' RP - 5217·
12 I veno
BIIl~ng if nthe~ than Ix~er addmm let bottom of fo~nl I
Roll pareeb tmnMMmd afl the dmKJ I . I
n
Io.I ....
Part of a Parcel
B. Ownership Type is Condominium
R I~J 2 or 3 Family Residenlicl F I-~ ~ommercicl
C I---I Residential V~Mnt Land G I-.-J Apartment
DI I Non. R. esidenticl Vic~nt Land HI I Entertainment I Amusement
SALE INFORMATION I
11. Sale Contract Date I aZ / 1~/ /2oo.°1
Community Service
Industrial
Public Service
Forest
A
B
i OZ /1~/ /2oo~I D
F
(Full sera Price is t~e total amount paid for the pmpa~'y including pemonal pmpany. I
~SESSMENT INFORMATION - Date shoulU refl~ the late~ Final As~mont ~oll and Tax Bill
one m, mom M them c~ndWefls ns appi~bl~ to ~:
Sale Between Relmive~ or Former Rel~tlves
Sale Between Related Companies or Permers in Busirmss
I I L I
I CERTIFICATION I
] ce~Jl'y (hut .,ti M'the IlL, mS d'inli)rnmlJen entef~ on (hL~ rom ~,~ tn..ad ~ aa ~h~ b~ otto: k.o,,~ ~ bdi~ aid ] ~ ,h-t ~he mak~
d' any wi]gui lube datemt, m d nmlerinl ht't ht. Mn will b~bjKt me lo the imwb~Jm d' t~ pe~J law relative to the making Bud flHng d false hL~nunmls.
BUYER
BUYER'S ATTORNEY
I NEW YORK STATE~'I'''
COPY J