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HomeMy WebLinkAboutL 12192 P 438 10 N.Y.S. 'RANSFER 'AX STAMPS :EQUIRED L i a I C,d P .i-{ :Yl F(orlll ~002 (9/99) - 20M - Bargain and Sale Deed, with Covenants against Grantor's Acts-Individual or Corporation. (single sheet) CONSULT YOUR LAWYER BEFORE SIGNINO THIS INSTRUMENT - THIS INSTRUMENT SHOULD 8E USED BY LAWYERS ONLY, THIS INDENTURE, made the 28th day of May BETWEEN PHILEMON T. DICKERSON and BARBARA residing at 3220 Delmar Drive, Laurel, New , 2002 and DICKERSON, his wife, York 11948, j . . ! ( partyofthetirstpart,and BARBARA DICKERSON, residing at 3220 Delmar Drive, Laurel, New York 11948 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 celtain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and heingltO{Jl{ Laurel, in the Town of Southold, County of Suffolk, and State of New York, known and designated as Lot 36 on a certain map entitled "Map of Laurel Country Estates", and filed in the Suffolk County Clerk's Office on June 22, 1979 as Map Number 5486. I BEING AND INTENDED TO BE the same premises as conveyed by Deed 'dated October 7, 1981 and recorded in the Suffolk County Clerk's Office on October 20, 1981 in Liber 9087 page 149. 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; TOGETI.JER with 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 rhe party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the pany of the first part covenants that the party of the first part has not done or suffered anything whereby the said premise,,; have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section] 3 of the Lien Law, covenants that the party of the firs! part will receive the consideration for this conveyance and will hold the right to receive such consider- arion as a trust fund to be applied first for rhe 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 "pJrty" 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 writtell. IN PRESI:NCE OF: ~~<_~r/()2~~ P i1emon T. ickerson ~ ~4~ Barbara Dickerson Page 2 of 3 l;- 2 Number of pages 3 RECORDED 2002 ..Tun it: 04:05:35 Pt'i Edl.>Jard P. Pomaine CLEF.:K OF SUFFOU< COUt.JT'/ L [:{rOOi2i92 P 4:'.:3 DT# U1-44425 TORRENS Serial # Certificate # Prior Of. # Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps 4 FEES Page / Filing Fee 5- 1- Mortgage AmI. Handling TP-584 I. Basic Tax 2. Additional Tax Notation I<-P.T.SA r- cJJ;- ~/- - - Sub Total c:2tf Sub Total EA-52 17 (County) Comm. of Ed. 50~ Spec.! Assit. Or Spec. / Add. EA-5217 (State) Affidavit TOT. MTG. TAX Dual Town Dual County Held for Apportionment //J Transfer Tax ~ me" 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. Certified Copy Sub Total &0, Ref Reg. Copy Other GRAND TOTAL Real Property Tax Service Agency Verification Oist. Section Block Lot 6 Community Preservation Fund Consideration Arnount $ -0- Stamp 02016194 1000 12500 0400 014000 )0 cpr- Tax Due $ -0- Date Improved x LARK & FOLTS, ESQS. P. O. BOX 973 CUTCHOGUE, NY 11935-0973 / Vacant Land TO 10 TO TO Initials 7 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: 8 Title Company Information Co. Name Title # 9 Suffolk Count Recordin & Endorsement Pa e This page fonns part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) PHILEMON T. DICKERSON and BARBARA DICKERSON, his wife The premises herein is situated in SUFFOLK COUNTY, NEW YORK TO In the TO'M1Ship of In the VILLAGE or HAMLET of Southold BARBARA DICKERSON Laurel BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. Paae 1 of 3 lOVER) . , , 1111111111111111111111111111111111111111111111111111111 1111111111111111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEEDS/DDD Number of Pages: 3 TRANSFER TAX NUMBER: 01-44425 Recorded: At: LIBER: PAGE: 06/18/2002 04:05:35 PM D00012192 438 District: 1000 Section: Block: 125.00 04.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Lot: 014.000 Deed Amount: Received the Following Fees For Page/Filing COE EA-STATE Cert.Copies SCTM Corom.Pres $9.00 $5.00 $25.00 $0.00 $0.00 $0.00 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 $0.00 Exempt NO NO NO NO NO $84.00 TRANSFER TAX NUMBER: 01-44425 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 DF REAL PROPERTY SERV'CES RP - 5217 RP-5217 Rev 3197 1. P,operty I Location 3220 Delmar Drive STREET NUMBER STREET NAME Southold OITY OR TOWN Laurel VilLAGE I 11948 ZIP CODE 2. Buyer Name , Dickerson l.jI\,ST NAME f COMPANY Barbara FIRST NAME lJI>.ST NAME I COMPANY FIRST NAME 3. Tax Indicate where future Tax Bills are to be sent Billing if otheir than buyer address (at bottom of form) Address LAST NAME I COMPANY FIRST NAME STREET NUMBER AND STREET NAME CITY OR TOWN srArE ZIP CODE 4. Indicate the n~mb.r of Assessment Roll parcels transferred on the deed ,1 # of Parcels OR 0 Part of a Parcel DEPTH lOR I 'ACRES' .5 1 (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 o o o 5. Deed Property Size FRONT FEET I X I 6. Seller Name Dickerson lAST NAME i COMPANY Philemon T. FIRST NAME Dickerson LAST NAME I COMPANY 1/ -~.. ,.' Barbara FIRST NAME 7. Check the box below which most accurately describes the use of the property at the time of sale: A~ One Family Residl'lntial E ~ Agricultural B 2 or 3 F~mily Residential F Commercial C _ Resident~al Vacant Land G Apartment D _-+~""__ Co" H ,_"_,,.___ 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 10B. Buyer received a disclosure notice indicating that the property is in an Agricultural District o o o o 15. Check one or more of these conditions as applicable to transfer: 11. Sale Contract !Oate N / A I-----+-----~-----I Month Day Year 12. Date of Sale (Transfer I 05 Month / 28 D', / 02 Year A B C D E F G H I J I 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) 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 ii~L~OY tenancy by entirety 13. Full Sa'a Pri'a~/A I--",---,--.,--.,--r--oor--r do , 0 I i '" ~ (Full Sale Price i$ the total amount paid for the property including personal property. This payment m~y be in the form of cash, other property or goods, or the assumption of mortgages or otller obligations.} Please round to the nearest whole dollar amount. MIA I--...,.----r---r--,-~-'T-__r 0 , . 16. Year of Assessjnent Roll from I 0 1 I 17. Total Assessed Value (of all parcels in transfer) I which informa.ion taken I ; ; ,6 ,0 0 ,0 " 18. Property Class I 2,1 ,0 I-U 1.. S,hool Dlst.;c:. Nama I Mattituck-Cutchogue 20. Tax Map Identjfjer(s) I Roll Identifier(s} (If more than four, attach sheet with additional identifier(s)) 1000-1~5.00-04.00-014.000 12 5~ <-f-Ilf I ( , ~i.e~ of i=onnatiOn entered :n =. f:~ are true and correct (to the best ~:y knowledge and belief) and I ondentand that the maklllg of any willful false statement of material fact herein will subject me to the provisions of the venal law relative to the making and filing of false instruments. BUYER BUYER'S ATTORNEY k~tV~A1~ BUYER SIGNATURE LAST NAME FIRST NAME 3220 Delmar Drive STREET NAME (AFTER SALEl AREA CODE TELEPHONE NUMBER STREET NUMBER STATE 11948 'zIPCOOE Laur"l CITY OR TOWN NY SELLER ) -t.- ~IN;; ... . DATE '~,. SELLER SIGNATURE