HomeMy WebLinkAboutL 12067 P 393
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Rev, Xft)9
(1II1itOllll"d,,)
DISTRICT:
1000
SECTION:
115.00
BLOCK:
16.00
LOT:
010.000
rTV"
4\
~rv
SIJlld.rd:-.i. Y B.T.U. Form 8001.
-BHgaj" md S.le Deed, with Covcnarll .B.inS( GI3ntor's Acts- InJi.-.duJJ or Corporation (single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS OlJLY
llilS INDENroRE, made the 2-1 day)?t./ 1tvG1hi ,in the year two thousand
BElWEEN GOSI'iIN vIALBROEL, JR.", ELIZABETH METZ and HELEN NORJEN,
residing respectively at 1492 Salvadore Street, Deland, Florida
32720, c/o B. Braun, 1244 The Hideout, Lake Ariel, PA 18436, and
26 Hawthorne Street, Farmingdale, New York 11735
1/ ~:;- b - / (:)
party of the first part, and
Jamaica, New York
NANCY J. NORJEN, residing at 82-14 172nd St.,
11432
party of the second part,
WITNESSETH that the party of the first part, in consideration of Ten Dollars and other valuable considerati~n
paid by the part~ 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 certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
lying and being in the SEE SCHEDULE "A" ATTACHED HERETO
, . -'/ If-o ~, cUlf saMe fryem;st'J O(6t)!(l.J 0j -fliP ~ rCtvt-k
&Inq (,t11a lulUll1dJoL ~ . l' . 3(1/
) . 'A~>d lfA31q;. rlCd.'itJ ";'(/8'1 (/1 L../ne",-, di3J far vlf.
hU~h1 by tlit1l 01 I .
VrQnllseJ lAb Known aj /D3S )Dnl1v. 'tnvt/~cd~~cI> n
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 wirth 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 the party of the seconp 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 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 p"rty of
the first part will receive the consideration for this conveyance and will hold the right to receive such consid-
eration 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 \\"ord "pany" 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
written. .
IN PRESENCE OF:
h '7-7 ~/'-., !~fiYUo ,...L
GOSWIN WALBROEL, ~..!tV
t~/,,~ J)7-e I}_
EL ABETH METZ
/~4~ ?l~C(~~;~
HELEN NORJEN {1
UNIFORi\J FORM CERTIFICATE OF ACKi'WWLEDGMEl\T
(Outside of New York State)
State, District of Columbia, Territory, Possession, or Foreign Country
STATE OF FWRIDA ) ss.:
On the b[~ay of JUtl-<' in the year 2000 before me, the undersigned,
personally appeared Goswinwalbro;'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~e!she!they executed the same il(hiSYher!their! capacity (ies),
that by his/her/their signature(s) on the instrument, the individual(s),'or
the person upon behalf of which the individual(s) acted, executed the
instrument, and thats~ch iD,div~ual made such appearance before the
undersigned in the ILel() It/I I-I. (Insert the city or other political
,
subdivision and tbe st:lte or country or other place the acknowledgment
was taken).
~( bt( If r (/. ,~{k tJ
(Signature ~d office of individual
taking acknowledgmcnr.)
~.~':i.':'~i} KIMBERLY A. SMITH
f.' I ',;; MY COMMISSION N CC 696029
:-;i;,Jt,..:;:-" EXPIRES: November 12, 2001 I
"'~,k~;':~~~"- Bonded Thru ~tary Public Un(IBlWlite~j
12067PC393
EAGLE ABSTRACT CORP.
Title No. FTI-S-15914
SCHEDULE A
Amended 08-04-2000
ALL that certain plot, piece or parcel of land, with the buildings and improvements
thereon erected, situate, lying and being at Mattituck, in the Township of Southold,
County of Suffolk, State of New York, known and designated as Lot No. 64 on a
certain lIlap entitled, "Map of Deep Hole Creek Estates", said map having been filed in
the Office of the Clerk of the County of Suffolk on January 28, 1965 as Map No.
4256, being more ,1articularly bounded and described as follows:
BEGINNING at a point on the southerly side of New Suffolk Avenue distant 975.00
feet southerly from the corner formed by the intersection of the southerly side of New
Suffolk A venue with the easterly side of Donna Drive;
RUNNING THENCE South 87 degrees 19 minutes 20 seconds East, 182.00 feet;
THENCE South 2 degrees 40 minutes 40 seconds West, 110.00 feet;
THENCE North 87 degrees 19 minutes 20 seconds West, 182.00 feet to the easterly
side of Donna Drive;
THENCE North 2 degrees 40 minutes 40 seconds East along the easterly side of Donna
Drive, 110.00 feet to the point or place of BEGINNING.
FOR
CONVEY ANCING
ONLY
The policy to be issued under this report will insure the title to such buildings and
improvements erected on the premises which by law constitute real property.
TOGETHER with all the right, title and interest of the party of the first part, of, in and to
the land lying in the street in front of and adjoining said premises.
. ..
II 2
12067PG393
/"
j
Number of pages
TORRENS
Serial II
Certificate II
Prior CiLII
Deed I Mortgage Instrument
4
Page / Filing Fec
/f-
J
~
j
lIandling
TI'-58'1
Notatioll
EA-52 17 (County)
5
0<' -
-~-
I) /
Sub Total
EA-5217 (State)
R.I'.T.S.A
COllllll. or Ed
50~
AlIidavil
Certilicd Copy
Reg. Copy
Other
Sub Total
4'-/...'
t v,...,
RECE'V~D
$ r,XIf -
RE.\L ESTATE
AUG 3 1 2000
TAANSfERTAX
SUFFOU<
COUNTY
4522
Deed I Mortgage Tax Stamp
FEES
,~
-
GRAND TOTAL
:IT
.-
"'.
Real Property Tax Service Agency Verification
Disl. Section Block
lCOD
11500
..
Initials
-;r-s:;IisfactionslDischarges/Releases List Property Owners Mailing Addr
~ --. RECORD & RETURN TO:
~~VL> t-~/1p
1 1. '~ N ~Yil~W~
\\.-~INfI/~
~.
Suffolk Count
'lllis page [arms parI o[ the allached
, l/~ J/w. 4r
-~ I~~'
:-.
Pfl 'i ~ l/l{ ~
RECOADID
J
00 AUG 3 I MIll: 09
'A ('0 C) C) "t.' ~ I!~E
EO\\ 01\: r. 1\',:1 Ihl'
c\ Cr,(I, OF
SUFFOLK COUNTY
Recording I Filing Stamps
Mortgage AmI.
L Basic Tax
2. Additional Tax
Sub Total
SpecJAssil.
Or
Spec. I Add.
TOT. MTG. TAX
Dual Town Dual County_
lIeld for Apportionment '
Transfer Tax 58 0 -
Mansion Tax
The property covered by this mortgage is'''r
will be improved by a one or two family
dwelling only. Y
. YES /\ orNO
If NO, see appropriate lax clause on pa!;c II
of this instrument.
6 Community Preservation FUll.!...
Consideration Amount $ / '/7; Q['(2C
-8-'-
CPF Tax Due
$
Improved
st~-
~UG ~ '\ 1000
O')MMUN\1"I()t&
ff'!.sEf''J ~ "0
fUtlD
acant Land
-D
'1
T
If)
.
---
L---'
ttle Company Information
Co. Name ea s
-l5
& Endorsement Pa e
8
Title #
(SPECIFY TYPE OF INSlRUMENr)
made tJY:
TIle premises herein is situated in
SUFFOLK COUN'IY, NEW YORK.
In tile Township of ~
In the VILLAGE rJiJJJ1
or HAMLET o[ --1M. Ii
UUXES 5 TIllZU 9 MUST BE 'IYPED OR PRINrED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
l5=il4
REAL PnOft!f\ I.'; TftANSFER'REPORT
STATE OF NEW YORK
STATE IlOAIIII OF .RML ............ , SERVICI!S
RP - 5211
JlP4211 .... 'JW1
2. .....
Nam.
LASt NAME I COMPANY
FIRST NAME
3. Tax Indicate ~ futufe Tax Bills are to be sent
... if other than buyer address (at bottom of form) I
_...
LAST NAME I COMPANY
FIRST NAME
STJlEET NUMBER AND STREET NAME
CITY OR TOWN
ST~TE
'ZtPCODE
4. htcIIcMe.tbe nu~of A8HMment
Roll porceIe ......".,.... on .... _
DE"'"
lOR I
'ACRES'
. 4~
(Only . Pert 01 . ......., Check ..they -'"
4A. Planning Board with SubdiviSion Authority Exists
.... Subdivision Approval was Required for Transfer
4C. Parcel ApproV9d for Subdivision with Map Provided
D
D
D
I # of Parcels
ORD
Part of a Parcel
5. Deed
Property
SIz.
f'RONT fEET
Ixl
6. Seller
Name
'. ;'" " ".(j
i/;J . nXX
, "NAME I COMI"ANV
~.
FlftST NAME
A~(.O ne Family.... Residential
B 2 or 3 Fa",i1y Residential
C Residential Vacant Land .
D Not;Residtntial Vacant Land
---
11; Sale Contract O..-te
E~' Agr;cu~ural
F' Commercial
G, ('Apartment
H' Entertainment I Amusement
D
D
EJ
D
1
j
I, ," '" I '
LAST NAMrANY FIRST NAME
7. Check the box below' most accurately ~th. ute of the property at the time of....:
~ Co mmunity Service
J Industrial
Public Service
L lorest .
Check.... boxee beIow..they """'"
a.Ownership Type is Condominl:urn
9. New Construction on Vacailt Land
1OA. Property Located ~hin an Agi'icuttural District
,. Buyer received a disclosure notice indicating
that the property is in en Agricuttural District
"-,"
12. o.te of Sal. Inanlfer
5 / ~ / DO
Month v..,.
~ /U / ljJ
M_ Day Vea,
15. Check one or more of U- oondlllola:..!........J II_to 'b"INMfW:
A Sale Between Relatives or Former Relatives
B Sale Between Related CampaniM or Partners in Business
C Ona';Qf the Buyers ktalso 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 Taxabl. Status and Sale Dates
H Sale of Business is Included in Sale Price
I Other Unusual Factors Affecting Sale Price (SpecifY Below)
J None
1
1
1
,'I
.I
I
13. Full Sale Price
, , ,t.f, 1: 0 0, 0. 0 , 0 I
, , .
(Full Sale Prk:8 is the total amount paid for the property including personal
TtliI pavrnent mayi be in the form of cash, other property or goods, or the a umption of
mortgages or other obligations.) Please round to the nearest whole doll r mount.
16. V.., 01" 1 _.t Roll from I
which ;-...... taken
,-,
,,I
"
I' i
'lJ '
, I-LJ
17. Totat As:NHed Value (of aU parcels In
I' ,I
,,\ j j
19.5chooIDistrIctNeme il!, fA \ I
,
18, Property c....
2II.T.. Moplclonlllll!lell __1..11__10..,....... __ __.'1
\ F (' r\
I ',t_) iJ u -:
" C
'I')
, \', -
\ \ '. -
I I)
, i
~ I l
. . 110 ' . - ~ " " .! ;. L ," ,
. (1 ',. '( , , '" f' ~ 'J: '" \ ....' ), ( ~ ~ ,
I or _or:............_...tbls~aretrueand_(todle_or'mY~~,_1 ...... '.wJlliu"ald"
of...,. _ fOe ~ of.- Ill<t herein will subject me to die .....- of the....... .... _ to die -.. _.... of fOeli.A>""-'b.
BUYER BUYER'S ATTG....,.
.;'
DATE
"
QJ
UlST
,
,
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'V' /, /'
,! wi 0,1':1 d
BUYER SIGNATURE. ()
n~tA
.....
,/
FlflSTNAME
STREET NUMBER
>) iU'" i},'1:\,\.)
STRElT NAME (AfTER SAlE)
.:;.
(0 !)
AREA CODE
/' i, 2 Ii
e) 'I {J Lv
TELEPMONE NUMBER
'( ('\:.'.. ~
\ v\ . ',1'\U lJl--.
CITY Oft TOWN
'~
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STATE \
ZlfCOOE
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#,
DATE