HomeMy WebLinkAboutL 12151 P 229
BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8007
L 'J / 5/ CAUTION: TillS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
{ 0' PURCHASER BEFORE SIGNING.
P ~ ...7-9 THIS INDENTURE, made the October / t, 2001
between MARY A. PETTERSEN, residing at 1120 Jackson's Landing, Mattituck, NY 11952
party of the first part, and
I ! ~
'.-c~"'.'-
KAREN PETTERSEN as to a 1 % iuterest, residing at 401 Bay Road, North Ferrisbury, Vermont 05473
and THOR B. PETTERSEN, as to a 99% interest, residing at 1120 Jackson's Landing, Mattituck, NY
11952 as tenants in common without right of survivorship.
party of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten Dollars and other lawful
consideration, lawful money of the United States, 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 ofthe party ofthe second part
forever,
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected,
situate, lying and being in the Town of Southold, County of Suffolk and State of New Yark,
known and designated as Lot 9 on a certain map entitled, "Map of Jackson's Landing", and filed in the Office of
the Clerk of the County of Suffolk on Mar. 28,1969 as Map No. 5280.
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 with the appurtenances and all the estate and rights of the party ofthe first P'lrt in and to
said premises,
TO HA VE 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, covenants that the party of the first part has not done or suffered anythinE
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
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" shall be construed as ifit 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.
(1~ ~~ISVV
MAR A. iT E SEN
STATE OF NEW YORK
)
) sS.:
)
COUNTY OF SUFFOLK
NYSSA Residential Real Estate Forms on HotDocs@ (9/00)
Copyright Capsoftlil Development
.1.
On the /c. day of October ,2001, before me, the undersigned, personally appeared MARY A.
PETTERSEN, personally known to me or proved to me on the basis of satisfactory evidence to be the
individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he
executed the same in his capacity(ies), and t by his signature(s) on the instrument, the individual(s), or the
person upon behalf fwhich the individ (s) a ted, executed the instrument.
)
f
MARTHA ANN COLWELL
Notary Public, State of New York
No. 0lC06055025
Qualified in Suffolk County
Commission Expires February W, Zoo3
DEED
Title No.
PETTERSEN
To
PETTERSEN
Section 113
Block 6
Lot 2
County or Town SUFFOLK
Return By Mail To:
GARY FLANNER OLSEN, ESQ.
P. O. BOX 706
CUTCHOGUE, NY 11935
Reserve This Space For Use Of Recording Office
t-.)
.=,
c'
rn ~
.1...1""i 0..
~ r~ ~i5
"'*' IICI,<:;U
Cleric.. rn
o ""1J C, r ITI C, (";,
I-'- C' ^ AI ""1J (...j 0
I 1'..) ,=, A. :::0
......1'-.:,...... ('") ;:0..... (:::'
(.,~ '.D 1''':' C' C' 0 C, rn
(A 1-'-'=".5 U Q
';:C' (Jl Z (J,' (.~~
--..I t-'-.....j I-"...c'
-c ~ ("11
~.L'
~:
NYSSA Residential Real Estate Forms on HotDocl" (9/00)
Copyright Capsoft<ll Development
-,-
[L 2
Number of pages
o
TORRENS
Serial #
Certificate #
Prior Ctf. #
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
4
FEES
Page I Filing Fee
-fr-
,r{/-
Handling
TP-584
Notation
EA-5217 (State)
5~-
Z( -
;g;v
,-
~y
EA-52 17 (County)
Sub Total
R.P.T.S.A.
Comm. of Ed.
50~
Affidavit
Certified Copy
Reg. Copy
Sub Total
Other
GRAND TOTAL
Real Property Tax Service Agency Verification
Dist. Section Block
Lot
113.0<:::> 06.CO
02.DOO
1000
Initia~S
7 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
GARY HANNER OLSEN
Main Rd, PO Box 706
Cutchogue. NY 11935
8
RECORDED
2001 Hol..! 03 10:39:~;'j Ar'1
Edl..o.lard P. ~:om.:iine
CU.::J:k Of
SUfFOLk COUHT1/
L DOOOi21:;1
P 229
DT# (!1-13~;8~;
Recording / Filing Stamps
Mortgage AmI.
I. Basic Tax
2. Additional Tax
Sub Total
Spec.! Assit.
Or
Spec. I Add.
TOT. MTG. TAX
Dual Town Dual Coun y
Held for Apportionment
Transfer Tax
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.
6 Corrununity Preservation Fund
Consideration Amount $ ~
CPF Tax Due
$
Improved
Vacant Land /
TD
TD
TD
\D
Title Company Information
Co. Name
Title #
9
Suffolk Count Recordin & Endorsement Pa e
This page forms part of the attached
Deed
made by:
(SPEOFY TYPE OF INSTRUMENT)
MAVV A PRTTFR~F.N
TIle premises herein is si ttiated in
SUFFOLK COUNTY, NEW YORK.
TO
KAREN PETIERSEN AND THOR B. PETIERSEN
In the Township of
In the VILLAGE
or HAMLET of
SOUTHOLD
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
In\fC'D\
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBER: 01-13387
Recorded:
At:
LIBER:
PAGE:
11/03/2001
10:39:59 AM
D00012151
229
District:
1000
Section:
113.00
EXAMINED AND
$0.00
Block:
06.00
CHARGED AS
Lot:
002.000
FOLLOWS
Deed Amount:
Received the Following Fees For Above Instrument
Exempt Example
Page/Filing $9.00 NO Handling $5.00 NO
COE $5.00 NO EA-CTY $5.00 NO
EA-STATE $25.00 NO TP-584 $5.00 NO
Cert.Copies $0.00 NO RPT $15.00 NO
SCTM $0.00 NO Transfer tax $0.00 NO
COlllIll.Pres $0.00 NO
Fees Paid $69.00
TRANSFER TAX NUMBER: 01-13387
THIS PAGE IS A PART OF THE INSTRUMENT
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
-~-
,
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD O~ REAL PROPERTY SERVICES
RP - 5217
PROP
RP.S217 Rev 3H1
1. P,oporty I
Location
STREET NUMBER
Jackson' s Landh...
STREET NAME
~nn~hnld
ITY OR TOWN
JbIf"t'if"I1"''''
VILLAGE
11I9'i2
ZIP CODE
2. Buyer ._1
Name
g1rt!i.1!f!~,^NY
IlA"rAn (..., t'n .. 1% in....-rIl!!A..)
FIRST NAME
iThor B. (aslto a 99% interest)
FIRST NAME
I
r
Pet:t:eraon (,'1.0.
LAST NAME I COMPANY
'. !
3. Tax Indicate where future Tax Bilts are to be sent
Billing if other than buyer address (at bottom of form)
Address
LAST NAME f COMPANY
FIRST NAME
I
STREET NUMBER AND STREET NAME
CITY OR TOWN
STATE
ZlPCOOE
4. Indicate the number of Assessment
..... Roll parcels transferred on the deed
# of Parcels OR 0 Part of a Parcel
5. Deed
Property
Size
FRONT FEET
Ixl
DEPTH
lOR I
'ACRES'
.
IOnfy if Part of a Parcell Check as they appfy:
4A. Planning Board with Subdivision Authority Exists 0
48. Subdivision Approval was Required for Transfer 0
4C. Parcel Approved for Subdivision with Map Provided 0
6. Seller
Name
bW,~~,u<Y
l!1.ntj..
I
I
LAST NAME f 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 X Residential Vacant Land
D Non-Residential Vacant Land
E~ Agricultural
F Commercial
G Apartment
H Entertainment / Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
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
108. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
o
o
o
o
r=
I
!
i
I
I
i
I
SAlflNF06 N ~
I ,~ I
11. Sale Contract Date ><,
Month ~y Year
12. Date of Sale I Transfer 10 I I 01
., Month Day Year
15. Check one or more of these conditions as applicable to trarlster:
. . ,', '~_ , _, j i
'"A .. Sale Between Relatl-as or Former Relatives' ;;:
B Sale Be1;Ween Relat~? ~ompanies~r 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 Other Unusual Factors Affecting Sale Price (Specify Below)
J None
None
13. Full Sale Price J I I 0 I 0 I
, , .
(Full Sale Price is the total amount paid for the property including personal property.
This payment may be in the form 'w 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 I I I I 0 I 0 I
property included in the sale, , .
1 ASSE$SMEN'tlNl'QIlMATlON ;,Dat~r~ouldrefl<,ctthe I~\e$l FlrtlilA$$RS~n(RoU and Ta~ BUI~
16. Year of Assessment Roll from 1,6 , ~ I 17. Total Assessed Value lof all parcels in transfer) I
which information taken
1/3 -~ -- ~ J
( ( 0
; ; ;
18. Property Class
7
I"),
\ l-U 19. School District Name I
\, '\, ' ,
,\- \ \
.:L", j-t" \\ ;\..,.
20. Tax Map Identifierls} I Roll Identifierls) llf more than four, attach sheet with additional identifier!sll
1000-113-6-2
1
1 CERTifICATION . :1
I certify that aU of the items of infonnation entered on this fonn are true and correct (to the best ofmy knowledge and belief) and I understand that the making
of any wiIIfnI false statement of material fact herein will subject me to the provisions of the oenal law relative to the making and filing of false instruments.
BUYER BUYER'S ATTORNEY
->> .'
~ /~
" rfj'/.. ~~
-~'.- 7 II' ~ / ii' '. \' " I
/" ~i .\J'.A"A ._ />'//,,/(J,
&!,YER SIG,NATURE -\ , . I DATE L
}'"/1: ,',-) ,-1.' '/ t"'~-),I J" t 1!1-f"';/)
.^-i',-U.j~l'\ ~ _"__ -, / 1 Ji:..A...)\I;.,-'A ./
f \ \ ( \, \
STR~~~~:~~~~R 't~RE~T\~~M~~~-~lE) ',- ~<'x. \"'''''''
Olsen
LAST NAME
Gary
FIRST NAME
631
')
AREA CODE
734-7666
TELEPHONE NUMBER
\
\
'\ ,
\. ;--
\.
I,
"--
CITY OR TOWN
STATE
ZlPCOOE
SELLER
\
1
l
,
./
, ,
~~"n~,r.~~Lj,~/; I
!
-
'~-.-.
I'
'I f~, /";,/bA/
_. , T
II /.