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Home My WebLink AboutL 12554 P 642SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED ~,~er of Pages: 3 Receipt ~,m~er : 08-0057142 TRANSFER TAX NUMBER: 07-29385 Distriot: 1000 Deed Amount: ~e~orded: LIBER: PAGE: Seotion: Blook: 115.00 15.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $9.00 NO Handling CeE $5.00 NO NYS SRCHG EA-CTY $5.00 NO EA-STATE TP-584 $5.00 NO Notation Cert. Copies $5.00 NO RPT Transfer tax $0.00 NO Co~.Pres Fees Paid TRANSFER TAX NUMBER: 07-29385 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pasoale County Clerk, Suffolk County 06/16/2008 10:46:59 AM D00012554 642 Lot: 017.000 Exempt $5 00 NO $15 00 NO $75 00 NO $0 00 NO $30 00 NO $0 00 NO $154 oo Number of pages This document will be public record. Please remove ali Social Security Numbers prior to recording. Deed / Mortgage Instrument Deed I Mortgage Tax Stamp 3 Page / Filing Fee Handling TP-Sg4 (__ SuhTotal Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Comm. of E.d. NYS Surcharge Other Real Pmpe Tax Servic Agency Verification 1.5. 00 Sub Total / 30 Grand Total 1000 11500 1500 01~000 '7 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: I~ ~'7 G_. Li~L.~ ~ $.4.- ~,u.z~ ~ .~ ~ tl°t°/ RECORDED 2008 Jun 16 10:46:59 AH Sudi~h A. Pascale CLEI~OF SUFFOLK COUNTV L 000012554 P 642 DT# 07-29~85 Recording / Filing Stamps Mortgage Amt. I. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec. 1Add. TOT. MTG. TAX Dual Town __ Dual County Held for Appoimmen~ Transfer Tax ~ / Mansion Tax Thc property covered by this mortgage is or will he improved by a one or two family dwelling only. YES or NO If NO, see appropriate tax clause on page # of this instrument.. ~'-~,1-o le S Community Preservation Fu~d Consideration Amount $ ~ (~x Due $ ' ' ~ Improved/(&'~ Vacant Land TD I0 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk I 71 Title Company Information 310 Center Drive, Riverhead, NY 11901mc(,Name ,--, · I . ' www. suffolkcountyny, gov/clerk ITitle # 8 ° Suffolk Count Recordln & Endorsement Pa e This page fomls pan of the attached TO made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in ~ , ~ ~ m SUFFOLK COUNTY. NEW YORK. In the TOWN of ~..L d ~ In the VILLAGE or HAMLET of BOXES 6 THRU # MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) TillS INDENTURE. made the~day of May, in the year 2008 BETWEEN ROBERT T. KI,OS and SI[IEILA M. KLOS. his wife, residing at 1010 Donna Drive. Mattituck. New York 11952 party of the first pan. and SIIEILA M. KLOS, residing at 1010 Donna Drive. Mattituck, New York 11952 party, of the second pan, WITNESSETH. that the party of'the first pan, in consideration of ...................................................... Ten Dollars .....................................dollars paid by the pany or'the second pan, does hereby grant and release unto the paR' of the second pan. the heirs or successors and assigns of the paRt)' of the second pan forever. ALL that certain plot, piece or parcel of land, with thc buildings and improvements thereon erected, situate, lying and being in the Town of Southold, Suflblk County, New York, at Mat~ituck, known and designated as Lol No. 30 on a certain map entitled "Map of Deep Ilole Creek Estates" and filed in the Office of the Clerk of Suffolk County on January, 28, 1965, as Map 4256 BEING AND INTENDED TO BE the same prentises conveyed to the Party of thc First Pan by Deed by deed dated May I. 1980, recorded in the Suffolk County Clerk's Office on May 15. 1980 in I, iber 8822 Page 521. NO CONSIDERATION - NO TAX DUE TOGETHER with all right, title and inlcrest, if any. of the puny of thc first pan in and m any streets and roads abutting thc above described premises to thc center lines Ihereof: TOGETHER with the appurtenances and all the estate and rights of the paR' of the first pan in and to said premises: TO HAVE AND TO HOLD thc premises hen:in granted unto thc party of the second pan. the heirs or successors and assigns of the puny o£1h¢ second part forever. AND the party of the first pan covenants that the party, of the first pun has nol 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 I.aw, covenants that thc party of thc first pan will receive Ihe consideration tbr this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for thc purpose of paying the cost of the improvement and will apply thc same first to thc payment of the cost o1' the improvement before using any part of the total of the same for any other purpose. The word "paR"' shall be construed as if it read "parties" whenever the sense ofthis indenture so requires. IN WITNESS WHEREOF, the party, ofthe first pan has duly executed this deed the day and year first above wrinen. IN PRESENCE OF: Sheila M. Klos ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York· Courtly of Suffolk. ss: On thc~~t~ day May in the year 2008, before me, thu undersigned. personally appeared Robert T. KIos · pcr.'~mally known 1o mc or prowM tn me on the basis of satisfactory evidence to he thc individual{s} whose name(si is (am) subscribed m thn wilhin in.~rumenl and acknowledged to me that he/she/Ih~' execuled thc same in hls/hcrltheir capacity(ins), and that b)' hi..qhcr/thcir signature(s) on the instrument, thc individualls), or !he person upon b~alf of whi:..e~h.e ~ndividualls) aclcd, executed the Quelified in Suffolk Gouf~v Term F. xplru~ Januefy ACKNOWLEDGEMENT BY SUBSCRIBIN(.~ WITNESS TAKEN IN NEW YORK STATE State of New York, Count)' of , ss: On the day of in the year . belbre mn. the undersigned, a Notao' Public in and for said StaLe. personally appeared . the subscribing witness to the forcgning instrument, with whom I am personally acquainted, who. being by me duly sworn, did depose and sa,,' that he/she,/they reside(s) in that he/she/they know(s) lo bc the individual described in and who executed Iht foregoing instrument: Ihnt said subscribing witness was present and saw said execute thc same: .and that said witness at the .,;amc time subscribed his/her/their name(s) ns a wimess 1hereto Bargain and Sale Deed With Covenants Title No. Klos. Robert T. and Klos, Sheila M. TO Klos, Sheila M, DISTRIBUTED BY YOUR TITLE EXPERTS The Judicial Title Inaurance Agency LLC ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE Slate of New York. County of Su~dk. ss: On the~..! day of May in the )'ear 200#. before me. the undersigned, personally appeared Shciln M. Klos · personally known to mc or proved to me on Ihc basis of satisfacluw evidence to be the individual(s) whose name(s) is (an:) subscribed to thc within instmmcnl and acknowledged Io mc that hc/she/Ih~' executed thc same in his/her/their capacity(ins), and thai by his/her/their signatu~(s) on the instrument. Ibc individual(sL or thc person upon behalf of which the individual(s) acted· executed thc inst ment. Uti v ~ -",~'- ,~ ~ ~F.N J~RO~.r. NBLUM ~T$.RY PLleUC STATE OF NEW YORK SiIFEOLK Ct'~UN1Y-N0: 48fl96S~ , ~, gf~,~llS.~10f~ EXPIRES. OCTOBER 31.~1.~___O ACKNOWLEDGE~Tf~T TAKEN OUTSIDE NEW YORK· *State of ,Coun~'of . ss: *(Or insert District of Columbia. Territo~'. Posscssion or Forei County) On thc dat' of in thc year undersigned personally appeared · before mc the Personally known to me or proved to me on the basis of satisfacto~' evidence to be the individual(s) whose name(s) is (arc) sub<ribed to thc wilhin instrument and acknowledged to me that he/shelth~T executed the same in his/hcrlthcir capacily{ics), that by his/her/their signature(s) on the instrument. Ihe individual(s) or the person upon behalf of which thc individual(s) acted, executed the instrument, and Ihut tach individuM make such appearance betbre the undOsigncd in the (add thc city or political subdivision and the slate or counto' or other place the ackmtwledgem__cnt was lukcn). SI'.'CTION: 115.00 BLOCK 15{10 LOT: 017.000 COUN'~' OR TOV, .~1: Southold RETURN BY MAIL TO: Helen J. Rwcnblum, Anomey el Law 1287 E~st Mum Street Riverhcad. New Yolk 11901 PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: hep://www.orps.state.ny, us or PHONE (518) 473-7222 IFOR COUNTY USE ONLY J I -"~/'~ <:~'<:2"¢J I REAL PROPERTY TRANSFER REPORT cm. sw,s Cod, ~ I ~ Y , . . STAI~ OF NEW aRK ;~ II1' - O411 A Iv'lOne Family Residential B L~ 2 or 3 F&'nily Residential C ~ Residential Vacant I. arid D U Non-Ros,dontial Vacant Land I SALE iNFORMATiON I 11. Sak Contrm Dm 12. Date of Sale / Tran~ef Agricultural I [] Community Service Commercial J I~ Industrial Apartment K~ Public Service Entertainment / Amusement I.[~ Forest I / / I 13. Full Rolo Pzlco I ,: ,: /~, _,__ 0 , 0 I 14. IndlMte the value of per. o..l I . 0 . 0 I ~ b)clud~d in the sat. ~ ' ' ~ ' ' ASSESSMENT INFORMATION - Data should raflect the latest Final Ansaasment Roll and Tax Sill 16. Year d AiJe-.~mmtt Roll from i (~ [ ~ ) 17. Total AMMMM Value (of al~ pamela in tmnM~') [ ,o,-, & Ownership Type ia Condominium L_] 9. New Construction on Vacant Land [] J None ~O. Tax Map Identifl~s) I Roll Id~mlflm~s) (If 1~. G,-G than taw. attach sheet v/th ad'"tionnl Idml~fl.~(.)) I I I I I CE~F,CA~O. I I cert]~ thnt afl orlbe itmm oF inFfJflmtfion entered e~ fltLq &)nn mT hue grid L'm'red lb) the bed id'my km)wJedRe and belief) nnd I undelstand that the nukh~ ~ any walrul fabe datemem of nmtetlal fact berdn ,AtD subJefl me b) the Drm4dom d' the uezud Mw mb~th/e b) the mnkir~ and rdi.l~ d' rdqe imtmmmts. BUYER SELLER BUYER'S ATTORNEY I NEW YORK STATE COPY