HomeMy WebLinkAboutL 12145 P 713
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~ T G9l-Standard NYB.T.U, Fonn 8002: Bargain & sale deed,
~'" wilhcovenanlagajnstgraDlor'sacts-lnd.orCorp.:singJesheel.JI-98
DISTRIBUTED BY Blumbergl9<celslor,lnc"
NYC 10013
CONSULT YOUR LAWYER BEfORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made on
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BETWEEN
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party of the first part, and
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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 herehy grant and release unto the party of the second. part, the heirs
or successors and assigns o( the party of the second part forever.
ALL that certain plot, piece or parcel of land. with the huildings and improvements thereon erected, situate,
Iyin~andbeingin. tYIJtTTIIVCi<. 'TOaJfoJ PF 5tWT/lOL-7) c!'oJtJT'f ",,c5<JFF~(1<
Al\Ip S'Ot-IE; Or: (V;;.W YD~t!:: kNovJ,,! I/-!Jj;> DG~I,,"fJA(6:t> AI Lcr
,frIO'f ON R ~?'~TI~/rV Mitp EtJTITI.--C.{) IVlflF' OF e.t9PTrtt(\l klPP
65 TIT 165 Itf'lD f/L.t2.j) IN Tift:- t!/FF/cE t?;:: 1I~E C'-EA~_I( OF THe
Covf\lry OF SIIf':"'PI!H..-I<-'. of.! JIJ{\JiJl}~'I Ii Idf'f'J -t9~ MA-P #167')..
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Hf:'71--'1H L-t9w5 O(\J) ~E~(/I--l4ritJNs t?i= TH" IOvztJ OF ?t>lJTf/DI.-f),
'/HE STATe of fI..h-V yarQ..l<' /lNr> I1N'j Go 'liE "i.W(-6Nr IIChENC y
H f.J if IN r.. "t-P ;t ; ~ J) i err '0 rJ,
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TOGETHER with aU right, title and interest, if snr. of the party of the firs.t part in and to any streets and
roads abutting the above des{;rihed premises to the center lines thereof ~ TOGETHER with the appurtenances
alld all the eslate 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 part~ of the ~eeond part. the heirs or successors and assigns of the party of
the second part forever.
AN D 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 suc~ 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
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" $hall be construed as if it read "parties" whenever the sense of this indenture so requires. ..
IN WITNESS WHEREOF, the party of the firot part ha, dulv executed this deed the day and year first ahove
written.
IN PRESENCE ot':
~~
xl
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Number of pages
TORRENS
Serial #
PECOF.:DED
2001 Oct 05 Cl;2?~03 PM
Edw2rd P,Rom2i~e
CLERK OF
SUFFOLf< comnl./
L D00012145
Certificate #
Prior Ctf. #
P 713
DT# 01-09382
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
FEES
Recording / Filing Stamps
4
Page / Filing Fee
~----=-
S
Mortgage Amt.
Handling
TP-584
-=-
1. Basic Tax
2. Additional Tax
Notation
R.P. T.S.A.
5 -
d r -==-
~~
50~
Sub Total
,). y" -
Sub Total
EA-52 17 (County)
Affidavit
~ertified~
Reg. Copy
L/3}}l
Spec.! Assit.
Or
Spec. / Add.
EA-52 1 7 (State)
Comm. of Ed.
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment
.-4)--
Transfer Tax
Sub Total
t/1-
73
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.
Other
GRAND TOTAL
I
Real Property Tax Service Agency Verification
Dist. Section .. Block
Lot
6 Community Preservation Fund
Consideration Amount $
o bw
CPF Tax Due
$
Improved
Vacant Land
Satisfactions/Discharges/Releases List Property Owners Mailing Address TD
RECORD & RETURN TO:
TD
~ TD
~ ['l\(\N0fL '---oNSlA-,s"NC
:::''0 ~p,Q.U U\-\-'1 Do. ,
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"--ON\l'I\~~ . '/ . Title Company Information
/ Co. Name
Title #
9
Suffolk Count Recordin & Endorsement Pa e
This page fonns part of the attached '--V ~
made by:
, - (SPEOFY TYPE OF INSTRUMENT)
\ \-\= ""p,.. So c..c N <,,'\ f),.,S'\...:'lc- Th' h . .. d .
e premJses erem tS sttuate m
\ \4- ~'\'SI" ~~.\f\IVS.~\lJ\ SUFFOLKCOUNTY,NEWYORK.
TO . N, IntheTownshipof/ So~-n+00)
l ~p,.Nut-L c....C)",,"S,'IP.-NIlNL In the VILLAGE
::S'C:, =S"'n~Q.L\LJ\~-Tl:n." (ON\I'l\p,q,( ~\ or HAMLET ofJ<
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
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Ir\UCD\
111111111111111111111I111111111111111111111111111111111
1111111111I11111I11111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBER: 01-09382
Recorded:
At:
LIBER:
PAGE:
District:
1000
Section: Block:
106.00 03.00
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
Corom.Pres
$9.00
$5.00
$25.00
$4.00
$0.00
$0.00
TRANSFER TAX NUMBER: 01-09382
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
10/05/2001
01:27:03 PM
D00012145
713
Lot:
011.000
$5.00
$5.00
$5.00
$15.00
$0.00
$73.00
Exempt
NO
NO
NO
NO
NO
.
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 Codo
1. Property I
Location
STREET NUMBER
~L \\,
v 7 (.> c,
I ,.., ), 'f, 0 , 11
5' 10/ I
Day Year
,7.13,
b c-s( ~~<- ~
STAEETNAME
'C.... L'vc !C,..,v \\...\0
!
REAL PROPERTY TRANSFER REPORT
C2. Doto Deed Rocorded , / C I
M_
/ ";0; / I / \
C3.Book J / ,V, . ,'-1 ,..::> IC4.Pagol
PROPERTY INFORMATION
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP-S217 Rev3/'J7
2. Buyer
Name
CITY OR TOWN
C '':;'~C:',"\c>' N'
'Nt.-
VilLAGE
~M Po ~-.)l:: '--
ZIP CODE
LAST NAME I COMPANY
FIRST NAME
LAST NAME I COMPANY
FIRST NAME
C_':::>N,,:,'"\[\N\ ,"':'L
'C N\p..~0'==--'--
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
c.'::::'N\J'I\p..C ,<-
CITY OR TOWN
FIRST NAME
:<:,'2:> C:::'S'\ (:\\~'-\ U\.\---;-i)r.
STREET NUMBER AND STREET NAME
1 ~'11
STATE
II\"L< I
ZIP CODE
4. Indicate the number of Assessment
RoJl parcels transferred on the deed
# of Parcels
OR D
Part of a Parcel
5. Deed
Property
Size
FRONT FEET
Ixl
DEPTH
lOR I
'ACRES'
. },SI
\
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists
48. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
D
D
D
6. Seller
Name
c 0 ~'S\ p.t0"t0~
~" rv- p. ::.
LAST NAME I COMPANY
FIRST NAME
LAST NAME! COMPANY
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 2 or 3 Family Residential
C Residential Vacant land
D Non-Residential Vacant land
E~ Age;,ultural
F Commercial
G Apartment
H ..Entertainment I Amusement
I ~ com.. munity Service
J Industrial
K Public Service
L Fofest
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant land
10A. Property located within an Agricultural District
10B. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
D
D
D
D
SALE INFORMATION
15. Check one or more of these conditions as applicable to transfer:
11. Sale Contract Date
I I
Month Day . Year
\v I "'-- lut
Month Day Year
A
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 als6 a Seller
Buyer or Seller is Government Agency or lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or less than Fee Interest (Specify Below)
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Induded in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
12. Date of Sale I Transfer
13. Full Sale Price
'0--
I I ~ 0 , 0 I
(FuJI Sale Price is the total amount paid for the property including personal property.
This payment may be in the form of cash, other pr,operty or goods, or the assumption of
mortgages or other obligations.) Please round to-the nearest whole r amount.
14. Indicate the valu,e of personal
property inckided in the sale
, ,
ASSESSMENT INFORMATION. Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from
which information taken
17 Total Assessed Value (of all pa,elS in transferll ,
'<-'^ 1'",,, V(
19. School District Name I
3 -II
;
; ;
18. Property Class
I ~ I, LJ-LJ
I~
20. Tax Map Identifier{sll Rollldentifierls) (If more than four, attach sheet with additional identifierls))
1\\)1:>0
\0\0 .~ - ()'~.i);)- u\\.<X:D
I
I CERTIFICATIoN
I certify that aD of the items of information entered on this form 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 penal law relative to the making and filing of faIse instnunents.
f~~~~.
BUYER SIGNATURE
BUYER'S ATTORNEY
-r
--j \0.<;_0\
DATE
LAST NAME
FIRST NAME
'=\'=>.
'----.:::>
C--=-S, ~r-,,-I...\ L"\-\ ,-D:..
STREET NUMBER
STREET NAME (AFTER SALEf
AREA CODE
TELEPHONE NUMBER
C::::, N\ Mr>. C.l'-
CtTYORTOWN
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1'''';1
STATE
\112..(
ZIPCOOE
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CITYffOWN ASSESSOR
COPY
'-
SELlfRSIGNATURE
DATE
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