HomeMy WebLinkAboutL 12225 P 689
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N.Y.S.
TRANSFER
TAX STAMPS
$1,260.00
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FI....11I tclJfl~ ('iI9IJ) - ~tJ~1 - Harsllin .:&00 Sui.:: DeC\.!. \\"ilh CuvrnWII,. arairu.1 Grmnur"5 AC'h-lndividllal ur ClJrpunUian. (..ina;:ico AIH.'C'I'
OO"ULT YOUR LAWYWII ....... ....... TMla ............IIT - 'I'll" ...........urr SHOULD _ U"D .. LAW'I'_. GIlLY.
THIS INDENTURE. made Ihe
BETW";EN
61:h
itnd-
November
2002
&J.a)'of
PHYLLIS A. ROSS', residing at 2400 Grathwohl Road, New Suffolk,
New YClrk 11956;
pany of the Iirsl flar1. and
."RANK T. KLOS and LOIS A. KLOS. as Husband and Wife, both residing
at 1025 Stillwater AvenlLle, Cutchogue, New York 11935.
pany of the sC\."1lnd part.
\\'ITNF...sSETH. .har .he p:Jny uf the lint pan, in C(lnsider.uion (lr len duUars and uther \'aluahlc con!\oiderdtion paid hy
the pany l,"If .he scc-ond pan, d~s hereby sranl and rclca...c unto the p.:lny of Ihe !<;Ccllnd pun. the he-irs OT succeSSOTS und
ls....i~ns of lhc pany nf th(' sCI..'und ran fnJ"e\'eT.
ALL Ihal certain plnl. piece OT palrcel ~"lf I.:md. wilh thc buildings and impmvemCnL'io lht'l"C'on cn'ClC'd. siluale. lying. and
hcilll,!.:izxrIl:. at New Suffolkl, Town of Southold. County of Suffolk and State of New York.
bounded and descr1.bed 8fl follows:
BEGINNING at a concrete monument set on the easterly l~ne of Grathwohl Road at a
po:Lnt distant 84.22 feet: Southerly from the Southwesterly corner of land now or
fonaer,ly of Del G1orno;
I RUNNING thence along land now or formerly of Ross South 74111 29' 40" East. 150.00
i feet t.o a c.onc.ret.e monument;
I!. THEl\CE along land now or formerly of Grodski II the following two courHes and
. distances:
(1) South 210 17' 0011 We~st 75.00 feet. and
II (2) North 74': 29' 40" We~st 150.00 feet to the easterly line of Crathwohl Road;
THENCE along sa1.d Eastey'ly line of Grathwohl Road North 21 III 17' 0011 East 75.00
II feet tl) the point or pls,ce of BEGINNING.
BEIKG AND INTENDED TO BE, the same premises conveyed to the party of the first
I pare b~, deed dated September 27~ 1988 and recorded in t:he Suffolk County Clerk's
Off~ce on November 14. 1988 in Liber 10735. page 168.
II
I.
TOGETHER wilh all TiC:hl. lill(' and illle~St. i( any. or Ih.... paTly of Ihe fiTst part. in and hI any suc....(s anti ru,ltls
atluning Ihe ..lhCl\:e-tlcs~Tibc.l.! pfl..'mi"ics hl the Cl.'lIIeT lilies Ih....n:uf: TOGETHER Wilh Ihe ill'(luTlcllallc.:....:O .lI1tl allth....
,,'slaIC: anl.! Tighls (II" Ihc paray "rlhe fie'sr potn in and In sail.! pT....misc...: TO HAVE ANI) TO HOLD Ihe- prel1li~s hcn:in
~T;Jnlctl unw [hI.: r;lrly of Ihe s,,:,,'olltl pJTI. th,,' heirs Or ~u...'('"'~s,,,lrs imd a:"S1~lIs nf Ihe p.lrty t1fthc sc..:oml pan fUTt!\.cr.
AND Ihe pany III" the firsl paTI cO.....~Jl;lOls IhuI 1he pUTly flf the IiT:<oI p,an h..!'> nut dune lJr SlIlll:rcl.! anYThing wh,,'rct'ly
th.... si.lid rm.:mi:-.I.:s have heeD cn....umb....(\..J in tiny way whalc\'cT. I...:(........fll :1:-. ~Ifo..c:"o..id.
..\:Xl) rhc 1'.lrly Ill' thc !in.t pan. In l..'tHnpli;'lIu:e wilh Sc".tion I J IIf Ihe I.iell Law. ....O\....Il;lIH~ lhm the r.tr.y nf Ihl..'
first paT' \'\'ill r~L'ei\'e the I...on"'id....lralion ft~T Ihis ~I..IIIVe-vunt.'e- ;'1I1t1 will hulu .hl..' rich. Tn Tccci....I... SUL.h L'OIl.;,itlC:T-
:.lIioll us At 'Tusl fund III he al'pli~d fiTsl fm.th.... PUTJ'll...~ tlf I'Olyin~ the ensl ur Ihc'impTOn:ml..'nl OllIlI will apply
[he S;lmc fiTsl III Ihl..' payment of the C(lsl urlhc impTtlVcm...nl hl..'fllTe using uny POl" of (he h"ltal uf .he !<o;lm.... fOT
,;tny nlher purpus.....
The Wtlrtl "parly.' Shilll be L.u/lsITU,,'lj :I~ if it .......iltl..r:lrliC:-,.. wh....nc\"cT th.... s....ns... tlf Ihis indemun.' SII re4uires.
IIN \VITNF:SS \\'IIF:R..:OI.... Ih,,' p.ln)" of the fiTsl pan has duly c:u-I..'uted Ihis deed Ihl..' d~I)' ant' ).'l..'.!r lir.... UhllVl..'
wrillcn.
I... "IH;SIi:"'O.:r: UI<
~~. ~
OJ ~ ' 'A/
hy11J.s A. Ros
I
AcknowlectSllement uken In NIIW York Sbrte
State of N8YI/ York. COUlnty of Suffolk
On the 6ch day of November. in the year 200Z, before me,
the undersigned. personally appeared
PHYLLIS A. ROSS
personally ',nown to me or proved to me on the basis of
satisfactory lwidence to be the IndiVidual" whl:Jse n8me(~ is
:Inol) subscribed to the within instrument and 8c::knowtedged to
me that .../sheltka executed the same in xtIblIherlA:llteiR
capacity(WJi). and that by :i:iflher/lbetr signa'ture..) on the
instrument. the indiYidual(X) or the person upon l~eh81f of which
the indivldualCs) acted. executed the Instruma .
'---
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IINI't LlXI FllL1S
~-'_II_-
lIDO! _.___
Q...... I .__......1O.2Go~
Acknowledgement by Subscribing Wtlnee. tak.ln In New
York State
State of New York, COUI'lty of
On the day of , in the year
the undersigned. personally appeared
. before me.
the subscribing witness to the foregoing InstrumEl~t. with whom
I am persona,lIy acquainted. who being by me duly sworn. did
depose and Sl!y. that helshelthey reslde(s) in
that he/shellh~ know(s}
to be the Individual described In and who executed the
foregoing instrument: that said subscribing witness was
present and Sl:lW said
exocute the same; and that said witness at the same time
subscribed hislherltheir name(s) as a witness thereto.
Title No.:
PHYLLIS A. ROSS
TO
FRANK T. KLOS and LOiS A. KLOS.
as Husband and Wife
Distributed by
Chi<"a~'11 Title Insurance Company
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Acknowledgement unn In New York State
. ss:
State of New York. County of
.55:
On the day of . in the year
the undersigned, personally appeared
. before me,
personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s) whose name(s) is
(Bre) subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/herllheir
capaclty{ies), and that by hlslherllheir signature(s) on the
Instrument. the Indlvldual(s) or the person upon behan of which
the individual(s) Bcted. executed the instrument.
Acknowledgement taken outside New York Stille
. S8:
. State of . County 01 . as:
.. (or insert District of Columbia" Territory. Possession or
ForeIgn Country)
On the day 01 . In the year
the undersigned. personally appeared
. belare me,
personally known to me or proved to me on ~he basis of
satisfactory evidence to be the indlvidual(s) whose name(s) is
(are) subscribed to the within instrument and acknowledged to
me that he/she/lhey executed Ihe same.n his/her/their
capacity(ies). Ihat by his/her/their signature(s) on the
Inslrument. the indiYidual(s) or the person upOn behalf of which
the Indlvk:tual(s) acted. executed the instrument. and that such
individual made such appearance before the unders;gned in the
(add the city or political subdivision and the slIite or counlry or
other place the acknowfedgement was taken).
] 17.00
SECTION
BLOCK 02.00
LOT 012.000
COUNTY OR TOWN SOUTHOLD .
RETURN BY MAIL TO:
I
L
Zip No_
[i:2
J
Number of p8ges
TORRENS
-3
RECORDED
2002 Dee 17 11:03.09 AM
Edward P.Romaine
CLERK OF
SUFFOLK COUNTY
L 000012225
P689
011 02-19561
Serial#_
Certificate #_
Prior Of. #
Deed I Mortgage Instrument
Deed I Mortgage Tax Stamp
FEES
Recording I Filing Stamps
~
Page I Filing :Fee
Mortgage Ami.
Handling
TP.~B4
I. Basic Tax
.2. Additional Tax
Notation
Sub Total
EA-~2 17 (Counly)
Sub Total
Comm. of Ed.
~~-
Sprc.lAssit
Or
Spec./Add.
TOT. MTO. TAX
Dual Town
1~.ld
Dual Coun!y_
ionmL'111 _
I dJ..4> 0
EA-S217 (Stale)
R.P.T.SA
3:J
GRAND TOTAL
Cf1
~.
6
an Ion a
The property co
will be impro
dwelling only.
YES nrNO_
If NO. SCe ap r(1priate tax clause on page #
_Oflhis instrument.
Affidavit
Certified Copy
ReB. Copy
Other
Sub Total
s
Real Property Tax Service Agency Verificat;(m
r"':-' C'.....;._ R.I.........
.....t_
Stanlp
1000 11700 0200 012000
-1.300.00
Date
Improved
x
Initials
7 Satisfactions/DischargesIReleases List Property Owners Mailing Addres
RECORU &. RETUI~N TO:
Vacant Land
Pau:L Camin1ti. Esq.
Cam:Lnit.1 & Gibbons. LLP
533j~5 Maf.n Road - P.O. Box 992
Soul:hold. NY 11971
TD
TI)
TD
10
::::J
B Title Company Informatiun
Co. Name All1ance Abstract of New York
Title /I A13480F 02S .
Suffolk County Recording & Endorsement Page
.Ihi, !,age fonno part of the attached
DEED
(SPECIFY TYPE OF INSlRUMENT)
__ made by:
I'HYLLIS A. ROSS
1he premi'iCS herein is situated in
SUFFOI.K COUNIY. NEW YORK.
TO
In the To\l\o'l1Ship of SOUTHOLD
In the VILLAGE
OT HAMLET of NEW SUFFOLK
FRANK T. KLOS and LOIS A. KLOS. as
Husbund and Wife
/lUXES 5 "lHRU 9 MUST BE TYPED OR !'RINTED IN BLACK INK ONI. Y PRIOR TO RECORDING OR FlUNG.
(OVER)
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DOl)
Number of Pages: 3
TRANSFER TAX NUMBER: 02-:L9561
Recorded:
At:
LIBER:
PAGE:
12/17/2002
11:03:09 AM
D00012225
689
District:
1000
Section:
117.00
EXAMINED AND
$315,000.00
Block:
02.00
CHARGED AS
Lot:
012.000
FOLLOWS
Deed Amount:
Received the
Following Fees I'or Above Instrument
Bxempt
NO Handling
NO NYS SURCHG
NO BA-STATE
NO Cert.Copies
NO SCTM
NO Ccmm.Pres
Fees Paid
$9.00
$5.00
$5.00
$5.00
$30.00
$1,260.00
$5.00
$15.00
$25.00
$0.00
$0.00
$3,300.00
$4,659.00
Exempt
NO
NO
NO
NO
NO
NO
Page/Filing
COE
EA-CTY
TP-584
RPT
Transfer tax
TRANSFER TAX NtJMJ3ER: 02-19561.
THIS PAGE IS A PART OF THB INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
.
FOR COUNTY USE ONLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.stale.ny.us or PHONE (5181 473-7222
Cl. SWIS GClde
~ 7.JJ? ~ZJ
~
,.
cz. Date Deed Recorded / .2. / / 7 I .c:'-.~
MOn1~. DIY Year
C3.Book L/,,) ,...2..,...) , STC4.P.9.~,b ,fl,1' 1
PROPERTY INFORMATION
1. Property L2300
Loeiltlon !;TREE~ NUM8ER
I
--
Grathwohl Road
STREET NAME
(Town of Southold)
L
CITYO~TCWt>.
VILLAGE
2. Buyer L KLO S
Name lAST NAMll C;OMI'ANY
FRANK T.
fiRST NAME
L KLOS
lAST NAME iCOMI'ANY
~IRSTNAM._
3. Tax
Billing
Address
Indicate where future Tax Bi Is are to be sent
if othH than buyer address (at bottom of form)
~
;Asr"AME/COMPANY
L
STRHI NUMBoR AND STIlEn NAME
CITY OR TOWN
4. Indicate the number of A84essment
Roll parcels ttllnsfelTsd 00 the deed
L
_--------lJ # of Parcels OR D Part of a Parcel
5. Deed
Property
SIze
150
L 75 ~xl
FlWN1HET
~OR:
.
DePTH
A~'
6. Seller
Name
ROSS
PllYLLI SA.
FlflSTNAME
lAST NAMElCOMFANY
L'>'ST'IAMEfCOMFANY
FIRST NAME
7. Check the box below which most accurately describes the wI;e of the property at the time of $Ule;
A~ One Fanily Residet1tiBI
B 2 or 3 F'~.'TTily Residential
C Res;der'r~;al Vacant Land
D Non-Re!,idential Vacant Land
E~Agricultural
F Commercial
G Apartment
H Entertainment I Arnusement
I ~ community. Sarvice
J Industrial
K Public Service
L Forest
I SALE INFORMATION I
11. Sale Contract Date
07 /
Month
22 / 02
Day
Year
12. Date of Sale I Tran,fer
11 / 06
Month Day
/ 02
Vas,
13. Full Sale Pric!' 13.. 1 I 5 .I_.~~J.~
, , .
iFull Sale Price is the total amount paid for the property incl'Jding personal property
This payment may be in the form of cash. other property or goods, or the assumption of
mortgages or other obliga~ions.) Please round to the nearest whole dol/ar amount.
14. IndlClrte the vlllue of personal, 'I 0 I 0 0 I
property included in the sale, , .
ASSESSMENT INFORMATION - Data should reflect the late:lt Final Assessment Roll and Tax Bill
16. Year of Asses=.ment Roll from
whlen informBltlon taken
I 0
2 I 17. Total Assessed Value lof all parcels in transfef"l L.
18. Property Clas~
2 1 0
~~-LJ 19 School Districl Name I
New Suffolk
20. Tax Map Identifier(s) I Roll Identifierls) Of more than four, att.~ch sheet with additional hHntifier(s)}
1000-117.00-02.00-012.000
L-
CERTIFICATION
--.I
L~
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
Rp.5217R...3I'n
New Suffolk
LOIS A.
FI~ST NA.t,oE
STAn
lOnly jf Part of a Parcell Check as they apply:
4A. Planning Board with Subdivision Autt-ority Exists
48 Subdivision Approval WIIS Required for fransfer
4C. Paccel Approved for Subdivis'on with Map Provided
Check the boxes below as they apply:
8 Ownership Typa is Condominium
9, New Construction on Vacant Land
10A. Property Located with'n an Agricultural District
10B. Buyer received II disclosure notice indicating
thatlhe property is in an Agricultural District
,
~~...:' 5
..,
11956
ZlPCOOE
ZIPCOOE
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15. Cheek one or more of these cDlIditions as applicable to transfer:
A Sale Between Reiatives or Former Re:atives
B Sale Be:ween Rel,lied Companies or 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 Sala (Specify Below)
F Sale of Fractional or Lass than Fee Interest (Soecify Below)
G Significant Change in Property Between TaKable Status and Sale Dates
H Sale of Business is Included in Sale Price
1 Other Urlusual Factors Affecting Sale Price (Specify Selow)
J None
BUYER
I certity that aU of the items 01' 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 \\illful fat'lt:' stawment of ma1~rial faet herein wiD subject mc to the provisions of the nenallaw relative to the making and filing of fal.'le inortromcnts.
~-~
F-tMtWlt~~u1<los
d10;)3UL_
/~
Caminiti
, 1 info/f)')
OA-E
i.ASTNAM~
Cu~",' h(
:;T~E T NAME 'AFTER SAlol
f'd
631
STREET NU"JIeER
AREA CODE
Np'A,'S-,-fi:.\ \:::
C!T'1'OETOWN -~
l---ij
STATE
ZIP' COnE
SELLER
(3 V /.J ./.?'.-1d/
SE RS'GNATURE Y~Y..L~(l?if'-KOSS
11/06/02
OATE
BUYER'S ATTORNEY
Paul
f-1RSTNAME
765-5900
TEL~PKO'lE NVMBE"l
NEW YORK s1AT~1
COpy
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