HomeMy WebLinkAboutL 12428 P 165
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NY IUS - Eucuror',Il<ed -lndiyjduoJ ... CoIporIIi... (SiJI". ShocI) (NYBllIIlOO.lI
COSSllL T YOUR LA WYEK IEFORESIGNING nlls INSTRmtEIo'T. nllS ISSTRmlllNT SIlOULD IE USED I" LA W"o'EIIS 0"")'\'
~
THIS INDENTURE, made lhe do. \ day of December . in lhe year ZOOS
BETWEEN
EILEEN BERGEN TALBOT, rellding Rt 680 Fairway Drive, Cutchogue, New York
as executor (execulrix ) of
DALE BERGEN' 1A.~.A N:J;t-IT;:q .'
Bungalow Lane, Mlitif . f~~S"Yiii~""
party of the filSl pan. ~lIua ni .,."I1:JuO .
UNITY BAPTIST CHtI~~lIqlC1 f1o..:~L";~.'o;)
Faetory Avenue. Mattituek. New York,
>;; . :\ .A)..::)iG,,-:.Pi
lhoY ....u\f. , . . .. : i ,~. ....1 \wlol1
L' .",,"1 'J:It
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_ CC: .C,C: ,:...!nl_.~I.."''''oIll..(....:.I1 MJ.....:i;n,r.l.:0
lhe lusl willlUld 1C:..lamenl of,
, late of
, deceased.
part)' of lIIe second pari,
WITNESS"'''TH. lhallhe party of die !ir.;1 pan. by virtue of lhe power lUId aulllorilY given in and by said lasl will and
lestament, and in considc:ration of
TEN and 00/100 (510.00) dolhus,
paid by lhe parly of the second pari. does hereby gr-~nl
and release unto the party of the seaJnd pan. die hei" or sua:es!;Ol'S and assigns oflhc: part)' ofdle second part forever,
ALL that cenain plot. piece or parcel of land. with the buildings and improvemenl5 lbeJrOll erected. situate, lying and
being in lhe
SEE ATTACHED SCHEDULE A - DESCRIPTION
TOGETHER wilh all righi, title lUId inleresl, if any. of the party of lhe fi"t part in and 10 any su-ee15 and roads
abutting die above clescribed premises to the cenler lines thereof: TOGETHER wilh lhe appurtenances. and also all
die estate whicb die said decedent had at lhe time of decedenl'S death in said premises, IIIId also lhe estalc therein.
which lhc party oflhe lilSt part ha.. or ha.~ power 10 conveyor dispose of, whether individually, or by \inue of said
will or otherwise: ~ HAVE AND TO HOLD lh.e premises herein granted unlo the party of die second part, die
heilS or succes.o;ors and assigns of the pany of the second part forever.
AND lhe pany of die filSt part covenanl5 that lhe party of the fin;! part has nOl done or suffered anything whereby the
said premises have been incumbered in any way whatever. excepl as aforesaid.
AND lhe parly of lIIe Ii"t part, in compliance Wilh Section 13 of lhe Lien Law, covenants that die pany of the filSl
part will receive the considc:ration for lhis conveyance lUId will hold lhe right 10 receive such considenllion as Q trust
fund to be applied first for die purpose of paying the COSl of Ihe improvemenl and will apply the same first to lhe
payment of the cost of the impmvement before using any part of lhe 10141 of !he same for any odler purpose,
The woR! "party" shall be constrUed a.~ if il read "parties" whenever lhe sense of lhis indc:nlure so requires.
IN WITNESS WHEREOF,lhepanyoflhe lirst part h:isduly cxecuted lhis deed lhedayand year Ii"'t above wrillen.
IN PIlESl-~-.;CK OF:
ESTATE OF DALE BERGEN
.,/6/.. i;r;:,fJ--u-l...oC
Eileen Qrg Talbot
,
...l'. . .
SCHEDULE A
Deseriotion
All that certain plot, piece or parcel of land, with the buildings and improvements thereon
erected, situate, lying and being at Mattituck, Town of Southold, County of Suffolk and State of
New York, bounded and described as follows:
BEGINNING at a monument on the westerly line of FlIClory Avenue, 287.S6 feet southerly along
said westerly line from a rail monument at the intersection of the said westerly line with the
southerly line of land of the Long Island Railroad, said point of beginning being the northeasterly
comer of land now or formerly of Francis; from said point ofbcginning running thence along
said land of Francis South 72 degrees 06 minutes 40 seconds West 191.11 feet to a monument
and land now or formerly of Bergen; thence along said land now or formerly of Bergen North 19
degrees 36 minutes SO seconds West 25.18 feet to land of Unity Baptist Church; thence along
said land of Unity Baptist Chureh North 63 degr=s 38 minutes SO seconds East 193.99 feet to
said westerly line of Factory Avenue; thence along said westerly line South 17 degrees 53
minutes 20 seconds East 54.02 feet to the point or place of beginning.
Qo:\.~.. "~-Pll'r~~
NoIarV' Public. Stele 01 New YaIlI
No. 6711 0115
QualIfied In SuflDlk Oaunly
CanmII8ion Elcpi188 Sepl8IIIbIr 30. 2lI.Q1o
ACXJ\TJWlF.nr.MF.NT FfMM FtM USE WITHJN Ntrw YClIIK STAI'l! ONU~
INrit ydlt: 5Mbsrrlbi,., Willlf'J'S Ad:I'II'IWINI"""" Cml!lN"'}
S1ateofNewV.......Countyof )...:
OnIlM: clay of inllM:y....
befOR: IIIC. 11M: undcnipal, pmonally "I'I"'3fl"I
11M: IUbscribinS willlCSllO Ihc fOR:J:OiIlll insuu"""'~ with ..'horn J ...;
JlCI'5OIIIIly ""'IuainIcd, who, beillll by me: duly ....om. dill depose and
say lh:n helshrllhcy ..sidelS) in
(jflM p/IIa ofraidtJn,.. is in u ""'. incluJ.Ih.."", und IIlKlllUlllNr.
if any. dotm1Jl; dull hefsheIthey kno...(s)
10 be !he indivkluol desaibcd in and who ..cc:u1Od the fCll'lllOiIlll
i/l5llUlllenl: IhII said 5Ubscribing wil\ll:SS WIS JII"S<IlI and saw said
.,""IIIC 11M: SlIIlIC; andllw said ..ilnes. .. Ihc ...... lime su....ribed alUm 1M city ur aIMr paliliad SJlhdMsiDtl UItd IM'_ or <UIMIlry or
hislhelflhcjr namel.) .. . wiln...IhereIO. orhrr p/IIa w aduto..~ ..... IUUIJ~
USBAaNOWLEDGMENTn}llMBF.JDWwmwN'iWYo.tKSTATRO.'VI.Y,
Slate of New Vorl<, CCMDII)'of Suffolk )...,
On ~~day of December in Ihc year 2005
bef"", me. 11M: unclasignod. pel!OllOlly appoaml
EILEEN BERGEN TALBOT .
ptISllIIlIlly k.-n 10 me ... provod 10 me on 11M: basis of liIIIisfll<Ull)'
cvidenc:e 10 be Ibc individual(s) wbooc IIIIIIIC(s) is (....lsub5cribcd 10 the
...ithin insuumcnt and ~ 10 me IhII helsh6'lhey cxtC\IIaI
Ihc .ome in hWhcrltheir capaoi1y(ies~ and lhat by hisIherf1hcir
sigaalure(S) on Ihc inslrumcn~ Ihe indhidual(sl. or Ihe pmon upun
bch:IIf of which 11M: indhiduall') acled. ....Uloxl lhc iD.'IlrUlIleI1I.
KxF.cvTOR'S DEED
Isuf\'IDU.\LOI C'oltPQRA11ON'
TfTlLNo
EILEEN BERGEN TALBOT, a. Executrls
of tbe ESTATE OF DALE BERGEN
TO
UNITY BAPTIST CHURCH
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USIlAaNOWlEIX'.MENrFORMlIELOWwmuNNEWYOIlKSTAJEONLY,
SfaIe ofN.- VorIl, County of
)so.:
On the day of in 11M: year
befon: me. lhc uncIcrsipxI. personally IIIlIlCIII"'I
perrona11)' known 10 ""'_ or_ pnn'td \0 me: on lhc basis of satisfacro.Y
evidence ID be lhc individuol(s) whose Il1IIIO(1) is (on:) sub5cn"bcd 10 11M:
within iDstrumeJx and 1duIow\cdsod 10 me: lbal hclsh6'lhey cxtC\IIaI
!he ...... in bislhcdlbcir capoc:il)'(","~ IIIId Ilw by hisIherf1hcir
sij;natureCs) on !he insuumeru. lhc individual{'l. ... !he person upon
bebalf of whid11he individualls) 0CII:d. ..e<:utcd lhe instrumenL
~ap l8Ia~.&~~':'( .,.
11005 J ..
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n'l.;,'-.:'...,h......;J_
ACXATJWUDG...,eNT FOIL.., FOIl USHOInSIDIlNp' yClllK.~ATI!O.~LY,
lOw oj!1fIIr or FtN'ftJ1t GMnaI Adil.~.W,..,. C""'I'owl
... ....................... .......... ...... .. ..... .)...:
tC~ \'MW .ilbs.-. CfJlllUry. Prm"htanrMunlt:ipGlity'
00 Ihe clay of in the year
bero... me. Ihc undeniisncd. pen;ona1ly appeared
pmooa1Iy known 10 mr or proved 10 me 011 the basis uf liDIisf""~
evidena: ID be the individual(s) whose IIlIIIIO(s) is (....) 1Ubsc:n'bcd 10 lhc
within insIrumcnl and ICIalowledso:d 10 me IhII hcIshoIIhoy exeaIled
lhc...... in hislheJftbeir capoc:il)'(ICl$~ lhat by hislhed their siSDO\UR:(s)
on 11M: ill5llU~!he individualIst... 11M: person upon bcbaIfofwhich
the individuai(I)Ild<d,..cc:wd the ill5l/U11lC~ and lhllsuch indi~idual
made such IIJlIIC3l'3IICl bef"", Ihe lIIIdenignod iD the
DIS11llCF
SECTIOll
BLOCK
LOT
COUlooTY OR TOWN
REaJRDEDATREQUES/"OF
t1de11t1 Na1IonaI TItII! InslIJ'aJo<e CompIIIIY
1fEI1JIlNBYMA/LTO
I"
~2
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3
Number of pages
Prior elf. 1#
311
RECOR!lEf:I
2005 Dee 29 04.43: 01 PM
Edward P.Romaine
CLERK OF
SUFF(LK cOUIITY
L ??oo12428
P 165
DTtI 05-21324
Serial #
Certificate ii
Deed I Mongage Instrument
Deed I Mortgage Tax Stamp
FEES
Recording I Filing Slamps
4
Page I filing Fee
IL
<)
')
Mortpie AmI.
Halldling
TP-584
I. Basic Tax
2. Additional Tax
Notalion
R.P.T.S.A.
5
-LlPt:;
0() .t!L
5 <lO.-
Sub Tolal
EA-52 17\Coullly)
EA.5~17 (Slale)
Sub TOlal
GRAND TOTAL
-z.lJl-
~
Spec.lAssil. .
Or
Spec./Add.
TOT. MTG. TAX
Dual Town Dual COUIII)'
Held for Apportionllienl
Transfer TaK 0 "
Mansion TLX _
TIle propcrty co"ered by !his mortgage is 0
will be improved b)' a one or two fami
dwelling only.
YES or NO
(fNO. see appropriale tax clause on page
Oflh'9 ins ume 1.
Certified Cop>,
Comlll,ofEd,
Affidavil
Reg, Cop>,
Olher
IS"
_' Sub Tolal
.5
Slamp
Real Property Tax Service Agency Verification
Disl. Section Block
12200 0600 003000
LOI
\
" I
,0
CPF TII.X Due
$ '-0-
Dale
6 Community Prescl'valitm FUllc
Consideration Al1loUnl $
CHARLES R. CUDDY
445 Griffing Avenue
PO Box 1547
Riverhead. NY 11901
- .
ImproveJ
V anI Lalld ,/
IlIilials
1 SatisfactionS:I':lI~cnarges/KeleiSFs'[;isiProperty Owners Mailing Address
RECORD & RETURN TO:
If)
9
8 Title Compllny Information
Co. Name
Tille #
Suffolk Count Recordin & Endorsement Pa e
TIus page fonus part of tile attached
DEED
(SPEaFYTYPE OF INSTRUMENT)
EILEEN BERGEN TALBOT, As Executrix
of the Esta'te ot u/ue "erger 1he premiscs herein is situated in
SUFFOLK COUNIY. NEW YORK.
made b)
TO'
UNITY BAPTIST CHURCH
In the Townslup of SOUTHOLD
In the VILLAGE
or HAlvn..ET of
MATTITUCK
U< ''''"I=C;: "TLrOl' n 'Jt, n Ir-T"'.....ro _"""......... ...._ __ _ .
111111I11111 1111I111111111111111 11111 1I1111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DBBeS/DDD
NUmber of Pages. 4
Receipt Number . 05-0134399
TRANSFER TAX NUMBER: 05-21324
Recorded.
At.
12/29/2005
04:43.01 PM
LIBER:
PAGE:
D00012428
165
District.
1000
Section:
122.00
EXAJIJ:NED AND
$0.00
Block.
06.00
CHARGBD AS
Lot:
003.000
POLLOWS
Deed Amount:
Received the Following Fees Por Above Instrument
Exempt Exempt
Page/Filing $12.00 NO Handling $5.00 NO
COli: $5.00 NO NTS SRCHG $15.00 NO
EA-CTY $5.00 NO EA-STATE $165.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Transfer tax $0.00 NO ComIII.Pres $0.00 NO
Fees Paid $242.00
TRANSFER TAX NUMBER: 05-21324
THIS PAGIi: IS A PART OF THE INSTRtlMlI:N'l'
THIS IS NOT A BILL
Edward P.Romaine
County Clerk, Suffolk County
C1. SWIS Cod. I 1- "7.. '3, ~, g, rl
cz. Dete Deocl Rocorded I ji-.I ~ r I ~0
C3. Book I /,...l. , Yo;2, ~ p...1 ,/ 6 ,5
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.stllle.nv.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
STATE OF NEW VORl(
ITA.... BOARD OF Il!AL I'RllPSITY SBI\/ICES
, .
FOR COUNTY USE ONLY
RP - 5217
1lP-5J1'J ""JIn
PRQPERTYINFORMATION
1. "'-'v I 585
Loc.don 5111I:1:1 NUMKR
Factory Avenue
ITNI!T IMMf
CII'l'OR10Wlltf
Mattituck
w.....-aE
11 1952
~.-
Z. Buyer
N.....
Unity Baptist Church
LAliIN",."COIIIPAhY
HUI, NMlE
LASI NAIIM: I tcIP"ANY
'IQTNMA
I. Tu 1ndb18 wh8ra future Tu Bill, .. 10 be lint
8U" II OCher Ih.. buyer IddIeu III boImm of form) I
Add....
LAS'I N....'CX*I"MY
fiRST NAM!
STRUT NUMKJIl AND ITIlEET NAWI!!
QrtClRIOWIiiI
.....
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-
FN)N1 ....,
Ix I
Dl7T"
lOR I
'ACIII!!.
.1 ,2 I
IOnIy.Porlol._'_.............
.... PllMing BoInt wiUt SubdMalan AuIhoriIy exI.. 0
.. SUbdMlion Appronl WIll Reqund for TrII"",r 0
C. Pa_1 Approved fa, SubdMsIon with Map PIOVidId D
... 1nc&c.t8 tIw num., 01 ~
Rail ...... tran....... on the ....
. 1 I, of Parcel, OR D Pari of . hn:el
e. hi..,
Nom.
Eileen Beraen Talbot. Executrix of the Estate of Dale Beraen
LAlrHAMe/COMPA,,"" nllSTtM_
LAIr HANEl COMMNV
NWT.....
12. o.te 01 SaIIII Tr....r.,
12
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Do.
105
-,
-...--......-
I. ewn.ship Type Is Condominium
I ~ Community S.rviCI .. Naw ConItructlon un V8CMI. Land
J InduAri. 1U. Properly lOCIIId within In Agricutlul. Dillrlct
K Public Sarvica ,.. BlI1W"'iwd . diKlQlUrII nodctI indadng
I. Ford ttwr the IWDPIrty I. in In AgricuItw.1 DiItrict
,.. a-k _. mGIW at ~...ado... _ ""''''''1'10 tI-..fw:
A SIla IIotwoon Ralativa. ar Farm.. Rmalive.
S 5810 Bacwocn Relmad Campanl... or PlirtnDl1lln eullna..
C Ono 01 the Buyon ia ..., a S.II.
D BlI'fDr or s."r .. Gcn.mm-n AgIIney or Lending Il'1ItItutIon
E Dead Typo not WIIT'my or eargaln and SaiD ISpeclry Solow)
F SaID of Fractional or .....Ihan Fee ImMeM CSpgdfy Balowl
G S1unlQcIl'1I Ch...uc In Proparty' IDtwaen TU.tJID Statu. and SBIa Dal
H SaI. 01 Buli~ r. Included in Sel. Prlc;.
I OCher Unuau.l FKtora Affecting Sale Prlee ISpedfy Below)
J Nono
Executor's Deed
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1. Check lhe bOil: below which In'" _uralllly ........ III, u.. of the proparty lit ..... II.... af ..Ie:
A ~ One F.mily R.idential
B 2 or 3 Family Ra.idonlill
C X ""ident~ VllC:Inll.Md
o Non-Aelldentlll Vac:lnI UncI
, SALE INFORMATION I
n. .. eo.m.ct DI'I
E ~ Agreullllrol
F CommlfClol
o Apartment
H Entertainment' AmUHl'Tlent
12/~'b/05
Montn YDllr
'13. Full .... Prlu
, .. O. II , II ,
, , .
IFull S81a Prico . the loIIIlmOunl pIIld lor die property including panOMl pr0p8rry.
This PIYfIlII't may be In thl form of cah. orher properly or gooda. or the -.umption of
monpgll Dr oth.r abllg.don.., ,.,.,. round tG ,". n..,.., ~ do&, .",gum.
14. IndII:M8 1M._ at........ , 0 II II I
__In........ ' ' ~ '
ASSESSMENT INFORMATION - Detl Ihould ..'IoClth. IIIIlII Finll _men! Roll end TIO Bill
,... Y_r at ._--........ RoY from I
_...__ _ n~ 'n,T__V.....Col.U_ln....-.'
;
,
,1 0 0
,
'IL "'- aou
3 1 11-L.j '1. SeMel DIolrIct Nom. I
Mattituck-Cutchoaue
20. T_ MIIp l.......rC-.1 , ......fIII...lllllf m................ ....... .a-t willi ......... ....ntIII..cllJl
1000-122.00-06.00-003.000
I
I CERTIFICATION I
J cottlry ""',....rllle .......of_ ............Ihio m......_ ...........110.... best of-.y _......... _............ ..........__
of IllY wiIJIj lIIIIr _ of"""" llId ........ .11....... _ to .... __ of the ...... .... n_ 10.... -.....1IIIDa vi' ___I>.
BUYER BUYEJrS ATTORNEY
tist Church
.-
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.falr.......W'1I:llUUI
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Mattituck
!/Y 1 1952
ITAn Dl'CCIDI;
cnvOft'l'QWJw
SELLER
;t~~;:4~th.'/~ ~
Eileen BerClen
I 1 2/~OS
....
Talhnt-
NEW YORK STATE
COPY
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