HomeMy WebLinkAboutL 12241 P 202
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Fctrm S002 <<::1/00) - Bar.ain and Sale ~d. with C~\'C'n.n.1 ..,alRll arilnlar~5 ^"IS . In~ividual "" C'.c'rroratinn. ISiftJlC' "hn."1l
CONSULT YOUR I..AWYEfl BEFORE 8lGNINGl1ll18 .-nwMEHr -11118 IN8TRUMENT SHOULD 81! URD BY LAWYEFl8 ONLY.
~~ ' .
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THIS INDENTURE. modo .he I' - day..f March 2003 and
BETWEEN
KATHLEEN M. WELLS, realcing a117 Waahlnglon SI...el, HlclaMlle, NY 11801
party (,r lhe nrSl parL and
KATliLEEN M. WELLS AND THERESA A. WELLS. es Joint Tenants wl1h RighI 01 SunIIvorshIp, residing el 17
Wllllhlnglon Str_, H_IIe, NY 11801
:... .....11 0:1 '" " "'::1\1
~1oY "'~.'i 1(, tolei:".' ~... . '''P:OI1
l>Jlt~f ,....u~O .:.;~
Ofrll~OO :.r&3'o;;;; rll I...:.!.';- :,0
_ -.rc.zu..'t::"."'..fJ:S'.,- ::IIn",;~._..r.... .....
pony of the """"",-, pan.
WIT~ESSETH.. Ihi1Ilhco run)' "r the firM purl. in cnnsir.h:ralion ,,,r Ie-n duUurs ,00 ,I(~r YiduaMc ~"'lmidcr.diun puid h)'w [U't)'
or ltw 5e\:t\0LI pan. doc.. hcrehy Brallt and rcleD5C unlO lhe ptny ur h: k:\."\)oo part. the:- heirs or ~"C\."lklnl aIkJ UMi.ru or the pan)' of
the second port fOl"e\o"Cr.
AI..... IhiiU certain plol. piece or paR."t:. "C land. with lhc t'UiILling,!; anLl impntVcments. thcrco"ln CrectL"lI. liiiUIUIC. Iyina;. und Nin, in the
al Mel1ltuck, Town 01 South.lld. SUflolk Counly, New York. known end deacrlbed es Lot Numll8r 113 01 BlockS on a
_n mep en1IIIed. "Coptsln Kldd Eetstee", snd filed In !he 0IlIce 0I1he Clerk oIlhe COunly 01 Suffolk on Jenuary 19,
1948 88 Map Number 1872.
Seid premisee known ss 3975 Breakweler Roed. Metlhuck, NY 11952
TOOJ:,,.HER with all right. lillC' 11I\\I interest. if an)', nf the puty nf the fil'$l 1Wt. in Wld tll :111)' SII'eftS unci mads allunin, the abo,,'c:--
dcsaibed premiSC'5 10 Ibc L"\."IIler lines thereof: TOOE'THI:iR with lhe appunmaJlC'eS und a1llhc CSlatC' ond ri,h15 of 1M pony oflhl: first
pan in anti 10 said premises: TO HAVE AND,.O HOLD Lhc prcmi~ herein gr:uucd unlO lhc party oC the second p3Jt. 1M Mini .,..
!QIc..~Il.~m;. .anLllIs!OigM l"lf the rarty uf the scc\IClLl pan fUl'c\'Cr.
AND lbe party oflhe fim part CO\"CD:1II1S thallhe puny oCtile first part ha.o; nul dNte III' l'OUrrcn.-d anyahins: whereby lhc said premises
ha\"t!' been enL'umbcred in any way whar.c\lC'r. CXl.'cpl ...... ul"urc5:lid.
AND the party uf the:: fim pari. in compliance wilh Section 13 of Ihe Lien Low. L''''cnants tJuu Ihc pany rU'51. pan will n:cei\'C lhe
considerar.ion forlhis L"Unveyance und will hold tbe riJ,h1 u' l'CI.'Civc mm l'nn.~idcnali,"ID a.~ a In.I!1It fund 10 ttC' applied nl"Sl for the:: purput.e
('If J'tO)'ine the cnSI or the:' irnpro\'emenl and will ..pply the ~e first 11I1laC' (1iI)meDt nf the C05I of the imrnWCtnenl before Woing any
pan of Iht total ('If the same for :my Glher PUlpC>>oC',
n.c ",,,w-pany- 5hal1 be com;.uucd as if it read ""panies" .,.'bc11cver the St!'11Se of Ihis im1cnturt' 51"1 requires,
IN \VITNESS WHEREOF, the ran)' 1"11' the fiM JIW't 1u1.~ duly executed thllO tJa..... the tla). wl\l )'CiU'" riTA alIt1"" "'TilleD,
IN PRP.S~"IICE OF:
~<<~~
K THLEEN M. WELLS
Ac_ecI~"_ In NewYortc Billie
Stale of New Yo<Ic. County of Na.....u
.,'7
On 1I1e " -day 01 March . In Ihe _r 2003 , before me,
the undersigned, pereonally IIppeared
KATHLEEN M. WELLS
personally known 10 rna or proved to me on Ihe basie of
_-.y evidence 10 ba the Indlvldual(e) whose name(e) 18
(are) subscribed 10 the within In8lrumant and acknowledged to
me that he/shelthey executed the same in hlslherltheir
capacity(ie.), and that by hlalherlthelr signature(s) on the
in8lrument, the lndlvidual(s) or the poo..on upon behall 01 which
Ihe ind'lVldual(e):~. ~ the In8l~1_
~~.~
MICHAEL B. LIONE
NotarY Public. Stme Of New'lbltl
No, 02U-4712890
QuslHied In N........ COuntY 0 (;
Commi88l0n Exp._ Auguel31, l!O_
Aclmo_gement by Su"'crlblng WItne881aken In N_
Yorlc Stale
Slate 01 New York, County 01
. &&:
On the day 01 . In the year
the underslgnsd. pel80nally _ared
the subscribing wHneee 10 the Ioregolng instrumenl. with whom I
am pel8Dnally acquainted, who being by me duly sworn, did
de_ and say, thai heI_ay reslde(a) in
. before me.
thai helshe/lhay know(s)
10 be tha Individual described In and who e..cuhtd the
foregoing In8lrument; thai said subscribing witness WlUl
pre.n. and saw said
execute the earne: and that said wltne8s at the same time
eubecrtbed hlelherl\l1elr name(8) e8 8 wllnees thereto.
T1IIe No.: MKM-SAC-
tf3CJ?
WELLS
TO
WELLS
Ir~--
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OOLv-lvL (9l9)
l09ll 'A'N Vl03NlVII
a~V'^31n08 V'103NIVII 9€l
"ONI S30lM3S lOVlIJ.S8V 'W")I"W
~edgem...I"ken In N_Yortc_
. 88: SlaIe 01 New Yo<Ic. County 01
""\
, sa:
.. . before me.
I
personally known to me or proved to me on thel balls of
satloIectory evidence 10 be lhe Indlvtdual(s) whoee rlema(.) 18
(are) subscribed to the within instRJment and acknoWledged to
me that helshelthey executed the same In hllslh.rlthelr
capaclty(le8), and that by hlslherltheir. slgnature(;) on the
In8lrumenl, tha Indlvldual(8) or 1I1e person upon _ 01 which
the Individual(8) acted, executed the Instrument. I
On th8 day 01 . in th. yesr
the underslgned, pel80nally appnred
AcIc_~........ o_de New York S_
.State of . County of. 88:
.(or Insert Diatrict: of Columbia, Territory. PosI'Bsslon or
Foreign Counlry) I
On lhe day 01 . in the yesr . before me. .
th8 undarslgned. personally appeared I
personally known to me or proved to me on ttt; ba8Is of
_aclory evidence 10 be the Inclvldu8l(8) wh088 name(e) 18
(are) subscribed to the within instrument and acknowIe\tged to me
thai helshelthey axecuted the sama in hielherllheir ~lea),
and 11181 by h1e1herllheir 8Ignature(.) on the In8IIJ.ment, the
Indlvldual(e) or lhe pel80n upon behBW of which the l"clvldua~8)
acted. executed the Instrument. and that such individual made
such appearance before the undersigned In the I
(add the city or political subdivision and the sate or country or
other place the scknowledgement WlUl laken).
DISTRICT lOOP
SECTION 108,(10
SLOCI03. pO
LO-., 8, t'tlfJ
COUNTY OR TOWN SUFFOLKISOUTHOLD
RETURN BY MAIL TO:
MS. KATHLEEN M. WELLS
17 WASHINGTON STREET
HICKSVILLE, NY
Zip No.
11801
I
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C!::2
3
.
Number ~fP__' -3
TORRENS
.
Serial t#
. RECOIWED
= Mar IS 03: 12:43 I'll
edw.ard P.Rom.aine
CLERK OF .
SUFFCIlK COOHTY
L 000012241
P 202
DTlI 02-31720
Cenificale ##
Prior err. t#
Deed I ~ InSIJUment
Deed I Mort_TIx Stamp
FEES
Recording I Filing St8mpo
4
P8lle I Filing Fee
Hondlinll
TP-584
Mort_e AmI.
I. Basic Tax
2. Additional Tax
Notation
Sub TOl81
EI\-52 17 (Counly)
EA-52 17 (Stote)
_ Sub Total
Comm. of Ed.
5~
SpecJlIssiL
Or
Spec. IAdd.
TOT. MTO. TAX
Dual Town Dual County_
lIeld for Apponionment ~
Transfer Tax ~
Mansion Tax
ollie propcny covered by this monpae is or
will be improved by . one or two family
dwelling only.
YES orNO_
If NO, see appropriate lax clause on pa&C"
_of this instrumenl.
R.I'.T.S.A.
'b
AlIldavil
Cenified Cop
Reg. Copy
Other
Sub 1'0181
- GRANDTOTAL_lD.3.
l
Real Propctty Tax Service Agency VerifiC81ion
DiM. Se.clion Block .1.01
6 Communi Preservation Fund
Consideration AlI1.ount S
Stamp
D8Ie
1000 10600 0300 008000
CPF Tax Due
s~
Imp<oved )(
Vacant Land
\0
/(q, tit lee AI IIA/I$
/11fh81iA/!~4/S~
II/C,1-st/,1k; ;(#': 1/80/
Suffolk Coun
m
TO
TO
This page fonns put of the aUached
B
9
made by;
Jtqr-j)~ /J! /Id?//r;
(SPECIFY TYPE OF 1NS11UJMENf)
The premises hetein is situated in
SUFFOLK COUNIY. NEW YORK.
In the Township of 5ou.-I- A () IrL
In the VIlLAGE /YI ~ ~ _ L
orllAMLET of / / kfl/V IZ-'/1/CI[
---4;cdi; IeI?Al J! fief:
e/fe5Cl- J{~
BOXES S llIRU 9 MUS!" BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FlUNG.
(OVER)
. .
1111111111111111111111111111111111111111111111111111111
1111II1111111111111111111
SUFFOLK COUNTY CLERK
RBCOlmS OI'Ji'ICE
UCOlmING PAGE
District:
1000
S.ction: Block:
106.00 03.00
BDHINBD AND CBARGID AS FOLLOWS
$0.00
Recorded.:
At:
LIBER:
PAGE:
Lot:
OOS.OOO
03/19/2003
03:12:43 PM
D00012241 .
202
Type of Instrument: DBBDS/ODD
Number of Paqes: 3
'.rRANSFER TAX NUMBER: 02-31720
Deed. Amount:
Received. the 1'o110wing lI'e.. I'or Above In.trument
Exempt
NO Hanc:\.ling
NO NYS SURCHG
NO lA-STATE
NO Cert. Copi..
NO SCTM
HO COIIIIII. Pre.
Il'ee. Paid.
$9.00
$5.00
$5.00
$5.00
$30.00
$0.00
$5.00
$15.00
$25.00
$4.00
$0.00
$0.00
$103.00
Exempt
NO
NO
NO
NO
NO
NO
Page/Filing
COB
1A-C'rY
TP-5S4
RP'1'
Transfer tax
TRANSI'BR TAX NOMBBR: 02-31720
TBIS PAGE IS A PART 011' TBB INSDOHBN'r
Bc:\.warc:\. P.Ralllaine
County Clerk, Suffolk County
,
.
PLEASE TYPE OR PRESS F.IRMLY. WHEN WRITING ON FORM
INSTRUCTIONS: htlp:ff www,orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY"USE ONLY
Cl. SWIS Code
REAL PROPERTY TRANSFER REPORT
'7< 7,3, go: '15,91
*
RP-5211Rn3l97
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C2. Date Deed Recorded
) f /9' f
MOnth Day
<I, / 1 C4, Pa.. 1
&? 1'1
Year
RP - 5217
03_ Book I /, ^ .~,
PROPERTY INFORMATION
,,;}., 0,':; 1
1. Property
Location
3975
Breakwater Road
~ sTRm~,? "-p'
~r),-u4&' i0'
111952
..~
/ICC IA
[CC'~
STREET NUMBEII
M-g.LL.;.L........~.
CIlYOIlTOWN
VILLAGE
2. Buy...
Name
Wells
Kathleen M.
lAST NAME ICOMPANV
FIIISTNAME
Wells
Theresa A.
I.ASTNAME/COI/IPMV
FIRST "!"'ME
3. Tax Indicate whlre Mure Tax Bills are 10 be sent
Billing if other than buyer IIddress (lit bottom offormi I
Add_
LASTNAMEfCOMPANY
F1I1STNAME
11801 I
17 Washington Street
Hicksville
INY
STATE
Z1PCODE
STRl'ETNUM8EIIANOSTlIEETNA..,E
ClTYOfITOWN
/ I #afParcels
(Only tf Part of . Parcel) Check a5 they appJy:
4A. Planning Board with Subdivision Authority Exists
0.0
4. Indicate the number of AS!l8ument
Roll parcels transferred on the deed
D
D
D
Partola Parcel
5. Deed
Property
Size
-75 48, SubdMsion Approval was Required for Transfer
".. I 4C. Parcel Approved for Subdivision with Map Provided
&,tJleeAl &:
10.1
6. Seller
Nam.
Ix I
~RONT FE'lT . I'
, ' II
" /'P-
LAS1JJ;,COMPA~ :5
"',.,.
'A.CR~S
!.AST"lAt,l!/COMP.....V
FIASTNAME
7, Check the box t*ow which most acc:urately describes the use of the property at the time of sale:
Check the box. below as dMy apply:
8. Ownership Type is Condominium
9. New Construction on Vacant land
10A. Property located within an Agricultural District
108. Buyer rewived a di9Closure notice indicDting
that the propeltyis in an Agricultural District
D
D
D
D
A~ One Family Residential
B 2or3F&milyResidential
C Residential Vacant Land
D Non-R8$idential Vacant land
E~"""""""
F Commercial
G Apal1ment
H Entertainment I AmU6ement
I ~ Community Service
J Industrial
K PublicSeNice
L Forest
SALE INFORMATION
15. Check one or more of thne conditions .. IPpliclbIe to transfer:
AX
B
C
D
E
F
G
H
I
J
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sille of Fractional or Less than Fee Interest ISpecify Below)
Significant Change in Property Between Taxable Status and Sale Dales
Sale of Business is Included in Sate Price
Other Unusual Fact:ors Affecting Sale Price lSpecify Below)
None
11. S.I. Contract Dat.
0"
y-
"""'"
12. Date of Sale I T...n"er
03 f 1/ f 03
Month Day Year
, "CJ, 0,0 I
, , .
(Full Sale Price i5 thetolal amount paid for the property inctudinll personal property.
ThIs payment OUIY be in the form of cash, other property or goods, or the assumption of
mortllag8& or other obligations.! Please round to the nearest whole d?'1mount.
14.lndIcat8t~eV8lue~penion.1 I , , , , , ,u, 0,0 I
property mclud" In the sale .
13. FullSal1ll PrIes
ASSESSMENT INFORMATION - Data should 'efJect the latest Final Assessment Ron and Tax Bill
16. Year of AueA.,.,., Roll from ~ 17. Total Asaeued Value (of all parcels In transferll
which Information taken
1 2 ,1 ,0 I-LJ 19, S,hDOl 0''''''' N,m. 1 /J1 0 16/ t t.( c.I:.
,
3 0
o
;
18. Property aan
20. Tax Map ldentifierisll Rollldentifiorlsl Iff more thin four, attach Ibm with additional identlfler(sn
{}::; t- /(.?<JO . {7&
I' Section: 106
Lot :tX1l ,(I&CJ
Block: €.i3 . {(';J t~
1
I CERTlFICA liON
I cerdf'y that all of the items or informadon enlered on this fonn are true and correct (to the best of my knowledge and beIlef) and I understand that tbe makiDg
of any willful false statement of material fact herein will subject me to the Dl'OviBicms of the pena( law relative to the making and ftIIng 01 raise- InsIn1ments.
BUYER BUYER'S ATTORNEY
Liane, Esq.
Michael B.
LAST NAME
FIRST NAME
17
Washington Street
742-4700
516
AREA,COOE
TUEPHONENUMIIl':l1
STR~HNUMaER
S'TREETNAMEl"FT'ERSAlEl
Hicksville
11801
NY
CITYORrowH
STATE
".~
NEW YORK STATE
COPY
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~ II SlGlUolURE DA ;'
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