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Home My WebLink AboutL 12164 P 764 f;t:rJ 1~llJi N.Y.S. Real Estate Transfer Tax $1,500.00 Cf~ ~/ 4, 1 &tf- . . [300/-3'1'17 orm 8002 (9/99) - 20M - Bargain and Sale Deed, with Covenants against Grantor's Acts-Individual or Corporation. (single sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULO BE USEO BY LAWYERS ONLY. THIS INDENTURE, made the 14th day of December BETWEEN RALPH CARL BERGEN, JR. and HELEN MARIE 1185 Mill Road, Mattituck, New York 11952 2001 and BERGEN, residing at party of the first part, and JONATH~ GILSON and REGINA EBEL his wife, residing at 310 East 46th Street, SUlte 23H, New York, New York 10017, party of the second part, WITNESSETH, that the party of the first part, in consideration of ten dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, Jying and being-ilt-lfie-at Mattituck, in the Town of Southold, County of Suffolk and state of New York, bounded and described as follows: (Cox Neck Rqad) ufJ BEGINNING at a pipe found located on the westerly side of Mill Roadl at the southeast corner of the premises about to be described and the northeast corner of premises now or formerly of Pamela S. Nostrom and Stephan J. Nostrom; running thence along land now or formerly of Pamela S. Nostrom and Stephan J. Nostrom North 81015' 00" West 325.74 feet to a monument and land now or formerly of Briggmann; thence along said last mentioned land and along land now or formerly of Carney North 820 24' 00" West 329.00 feet to a concrete monument and land now or formerly of Parckys; thence along said last mentioned land and along land now or formerly of Theodore and Lisowy North 180 18' 20" East 271.61 feet to land now or formerly of Villano; thence along said last mention~ l~d~~~tq)720 24' 00" East 647. 50/~eel;;, te ihe westerly side of Mill Roadf; €fien~'ie ar8Rg the westerly side o\f"}q'ifrc!'<oa'H'j!3louth 190 20' 20" West 164.40 feet to a concrete monument at the point or place of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated september 19, 1988 and recorded in the Suffolk County Clerk's Office on September 26, 1988 in Liber 10697 Page 478. TOGETHER with all right, title and interest, if any, of the party of the first part, in and to any streets and roads abutting the above-described premises to the center lines thereof; TOGETHER witb 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 ofthe second part forever. AND the party of the first part covenants that the party of the first 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 the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consider- ation 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 the 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 sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: ~l~l~r~ ~ d~~~o"~ ~~ Page 2 of 3 ~2 J NOmber of pages TORRENS Serial # RECORCoE[:, 2002 Jan 23 01:05:39 PM Edt..1.3 rd P. Roma i ne CLERK OF SUFFOLK COUNT\' L C'00012164 Certificate # P 764 Prior Ctf. # DTft 01-23514 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps 4 FEES Page / Filing Fee Handling TP-584 ~ ~ Mortgage Amt. I. Basic Tax 2. Additional Tax Notation !tP.T.SA ~ 6(~ 30T Sub Total a~ Sub Total EA-52 17 (County) EA-52l7 (State) Reg. Copy Sub Total {-f U GRAND TOTAL ~ 8 <.f 'ff Spec.! Assit. Or Spec. / Add. TOT. MTG. TAX Dual Town Dual County Held for Apportionment Transfer Tax J~ Mansion Tax The property overed by this mortgage is or will be im oved by a one or two family dwelling 0 y. S or NO appropriate tax clause on page # this instrument. Comm. of Ed. 50~ Affidavit Certified Copy Other Real Property Tax Service Agency Verification Dist. Section Block Lot unity Preservation Fund Consider tion Amount $ 375,000.00 1000 106.00 09.00 008.004 CPF Ta Due $ 4,500.00 Improved X Initials ~ 7 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land v TO 10 TO TO DEBORAH DOTY ESQ 670 WEST CREEK AVENUE POBOX 1181 CUTCHOGUE NY 11935-0876 9 8 Title Company Information Co. NameCommonwea1th Land Title Insurance Co. Title # RH80013997 Suffolk Count Recordin & Endorsement Pa e This page fOlms part of the attached Deed made by: (SPEOFY TYPE OF INSTRUMENT) RALPH CARL BERGEN, JR. and HELEN MARIE BERGEN The premises herein is situated in SUFFOLK COUNlY, NEW YORK. TO In the Township of In the VILLAGE or HAMLET of Southo1d JONATHAN GILSON and REGINA EBEL Mattituck BOXES 5 TIIRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (OVER) Pa~e 1 of 3 . 1111111111111111I1111I111111111111111111111111111111111 111111I111111111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEEDS/ODD Number of Pages: 3 TRANSFER TAX NUMBER: 01-23514 Recorded: At: LIBER: PAGE: 01/23/2002 01:05:39 PM D00012164 764 District: 1000 Section: Block: 106.00 09.00 EXAMINED AND CHARGED AS FOLLOWS $375,000.00 Lot: 008.004 Deed Amount: Received the Following Page/Filing COE EA-STATE Cert.Copies SCTM Comm.Pres $9.00 $5.00 $25.00 $0.00 $0.00 $4,500.00 Fees For Above Instrument Exempt NO Handling NO EA-CTY NO TP-584 NO RPT NO Transfer tax NO Fees Paid $5.00 $5.00 $5.00 $30.00 $1,500.00 Exempt NO NO NO NO NO TRANSFER TAX NUMBER: 01-23514 THIS PAGE IS A PART OF THE INSTRUMENT $6,084.00 Edward P.Romaine County Clerk, Suffolk County " --._- ---,----_.--_.--~----~--~--------.-..~-~-------~_._~~~- 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 Cl. SWIS Code '/___-; I (;I 1-< I' I .'1 ~.' r::; 1(' I> I REAL PROPERTY TRANSFER REPORT C2. Date Deed Recorded / /-) ~ 3 Month Day ,l( 1 C4. Page I Ie Jd I Year J ' L/ I 101 I STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES C3.Book 1/ ,) , / ,? PROPERTY INFORMATION RP - 5217 RP.S217 Rev 3197 1. Property I Location 1185 STREET NUMBER Hill Road STREET NAME Southold CITY OR TOWN Hattituck VILLAGE 11952 ZIP CODE 2. Buyer Name Gilson LAST NAME I COMPANY Jonathan FIRST NAME Ebel LAST NAME / COMPANY Reqina FIRST NAME 3. Tax Indicate where future Tax Bills are to be sent Billing if other than buyer address (at bottom of form) I Address LAST NAME I COMPANY FIRST NAME STREET NUMBER AND STREET NAME CITY OR TOWN STATE ZIP CODE 4. Indicate the number of Assessment Roll parcels transferred on the deed 5. Deed Property Size FRONT FEET Ixl DEPTH lOR I , .3.2,1 ACRES (Only if Part of a Parcetl Check as they apply: 4A. Planning Board with Subdivision Authority Exists 4B. Subdivision Approval was Required for Transfer 4C. Parcel Approved for Subdivision with Map Provided o o o 1 # of Parcels OR D Part of a Parcel 6. Seller Name Ber en LASTN ME/COMPANY Ral h Carl Jr. FIRST AME Ber[ijen LAST N ME I COMPANY Helen Harie FIRST NAME 7. Check the box below which most accurately describes the use of the property at the time of sale: A~ One Family Residential B ~or 3 Family Residential C Residential Vacant Land D Non-Residentiat'Vacant Land E ~ Agricultural I ~ Community Service F Commercial J Industrial G Apartment K Public Service H Entertainment / Amusement L Forest Check the boxes below as they apply: 8. Ownership Type is Condominium 9. New Construction on Vacant Land o o o o 10A. Property Located within an Agricultural District 10B. Buyer received a disclosure notice indicating that the property is in an Agricultural District SALE INFORMATION 15. Check one or more of these conditions as applicable to transfer: 11. Sale Contract Date 9 I 5 Month Day I 01 Year A B C D E F G H I ] Sale Between Relatives or Former Relatives Sale Between Related Companies or Partners in Business One of the Buyers is also a Seifer 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 (Specify Below) Significant Change in Property Between Taxable Status and Sale Dates Sale of Business is Included in Sale Price Other Unusual Factors Affecting Sale Price (Specify Below) None 12. Date of Sale / Transfer 12 I 14 Month Day I 01 Vear 13. Full Sala P,;c. , 3 ,7 ,5 , 0 ,0 , 0 , 0 , 0 I , , . (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. 14. Indicate the value of personal , N / A , , 0 , 0 I property included in the sale, , . ASSESSMENT INFORMATION - Oata should reflect the latest Final Assessment Roll and Tax Bill 16. Year of Assessment Roll from I 0, 1 I 17. Total Assessed Value (of all parcels in transfer) I which information taken JOfo -' f-t7 , , ,7 , o ; 18. Property Class 12 I 1, 0 I-U 19. School District Name I r\i'lttituck - Cutchoque UFSD 20. Tax Map Identifier(s) I Rollldentifier{s) (If more than four, attach sheet with additional identifier(s)) 106 - 9 - 8.4 J\i~i I {j{'i {) I I CERTIFICATION I certify that all of the items of infonnation entered on this fonn are true and correct (to the best of my knowledge and belief) and I understand that the making of any willful false statement of material fact herein will subject me to the provisions of the -oenallaw relative to the making and filing of false instnunents. .' BUYER / :. -; -II II/{( t'i }lM(; -I'lkVt I, >t\) / I , I /11 , \-", ' l'(.el 'f.; BUYER'S ATTORNEY ->, 1\ I i , li ~ ..I 01 Dotv LAST NAME Deborah FIRST NAME , R SIGNATURE DATE 631 734-6648 STREET NUMBER STREET NAME (AFTER SALE) AREACOOE TELEPHONE NUMBER /' CITY OR TOWN STATE ZIPCOOE SELLER CITY rrOWN ASSESSOR COPY SELLERSIGNATUREHt!len Marie Bergen 12/14/01 DATE "