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HomeMy WebLinkAboutL 12069 P 5 /~/JDb9 , h}il.r; Vi v..- Bargain and Sale Deed, with Covenant against Grantor's Acts-Individual or Corporation (single sheet) THIS INDENTURE, made tile ?jdaY of ~,two thousand BETWEEN () () BETTY OLSEN 354 Gibbs Pond Road Nesconset, NY 11767 / ! i 1./ . ~/ / party of the first part, and THOMAS OLSEN, as Trustee of the BETTY A. OLSEN a/k/a ELIZABETH A. OLSEN IRREVOCABLE TRUST 2804 South Main Street Newfane, NY 14108 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 party, does hereby grant and release unto the party of the second part, the heirs or Sllccessors 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 Town of Southold, at Mattituck, County of Suffolk and State of New York, known and designated as Lot Number 33 on a certain map entitled, "Map of Captain Kidd Estates", filed January 19, 1949 in the Office of the Clerk of the County of Suffolk as Map #1672. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by Deed dated August 1, 1972 and recorded in the Suffolk County Clerk's Office on August 14, 1972 in Liber 7218 at page 212. 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 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 the party of the second 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 party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration 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 word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WIT~ESSiWHEREOF, the part~.:~f-;;"first part has duly executed this deed the day and year first above WrItten. "', i. l(l~tc I-I:' In Presence of: &~ rH"~~~ BETTY. LSEN . 12069PGO05 5492 [12 RECEfVED $__--0-. REAL ESTATE SEP 0 7 2000 "l;FlANSFER TAX $UFFOLK roUNTY 5492 FH;C0R1DEO TORRENS OOSEP-l PM~:re Number 0f pages Serial # I ~ I ' ~ ",j.;, I., ;/,litS CI.::I;I\ lil: SUiTOU( CClUUTY Certificate # Prior Ctf. # Deed I Mortgage Instrument Deed I Mortgage Tax Stamp Recording I Filing Stamps 4 FEES Page I Filing Fee Handling ') C; Mortgage AmI. I. Basic Tax TP-584 2. Additional Tax R.P.T.S.A. ) oS- If;, aD , - Sub Total I (1-( Sub Total Notation EA-52 17 (County) Sub Total SpecJAssit. Or Spec. I Add. EA-5217 (State) GRAND TOTAL TOT. MTG. TAX Dual Town Dual County Held for Apportionment Transfer Tax G-- 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. Comm. of Ed. 50~ Affidavit Certified Copy Reg. Copy Other Real Property Tax Service Agency Verification Dist. Section Block Lot 6 Community Preservation Fund Consideration Amount $ jooD 106 .00 01,00 7 31 .OOcJ CPF Tax Due $ Improved RECEIVED (';; Vacant Land Satisfactions/Discharges/Releases List Property Owners Mailing Ad ess RECORD & RETURN TO: SEP 0 7 2000 In . NANCY BURNER, P.C. 46 ROUTE 25A, SUITE 4 SETAUKET, NY 11733 COMMUNITY RESERVATION FUND TO TO TO v/ 8 Title Company Information Co. Name Title # 9 Suffolk Count Recordin & Endorsement Pa e Tlus page fonns part of the attached DEED (SPEOFY TYPE OF TNSTRIJM~NT) made by: ---~-J<-""'-- - , ~iI!l!rTYPE OR PRESSFIRML Y WHENINRITING ON FORM ----------., INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222 1. Prope.rtv I Location 1600 .04'.>~'i""'''' Sound Beach DrIve STREET NUMBER STREET NAME Southold CITY OR TOWN Mattltuck VILLAGE REAL PROPERTY TRANSFER REPORT STAn; OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES RP - 5217 RP-5217Rev 3m I ~5''YI ZIP CODE 2. Buyer Name I Thomas Olsen as Trustee of the Betty A.IOlsen a/k/a Elizabeth A. Olsen LAST NAME I COMPANY FIRST NAME Irrevocable Trust I LAST NAME I COMPANY . f. ," 1'.J. 3. Tax '~ndica;e wh'ere future,Tax Bills a~ to be sent' Billing if other than buyer address (at bottom of form) I Address I .. '4j FIRS1'~AME' ~~, ~ I '. Olsen LAST NAME { COMPANY STREET NUMBER AN.D STREET NA E Grove P.O. Box 289 ... Indicate the number of Assessment Roll parcels transferred on the deed , , 0 # of parcel~~:O~" . Part of a Parcel 1 5, Deed Property Size I OR I 'ACRES' .1 , 8 I Ixl FRONT FEET DEPTH 6. Seller Name Olsen Betty FIRST NAME LAST NAME I COMPANY \ r ;i Betty A FIRST NAME (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 D D D LAST NAME I COMPANY FIRST NAME ", 7. Check the box below which most accurately describes the use of the property at the time of sale: l~--"'"" , A~ One Family Residential B 2 or 3 Family Residential C Residential Vacant land D Non-Residential Va.~ant land SALE INFOlIMA1l'lON {~,:, ~,o m munity Service J 'Industrial K ' - ru/lic Service L' Fqrest E ~ Agricultural F Commercial G' Apartment H Entertainment I Amusement 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 108. Buyer received a disclosure notice indicating that the property is in an Agricultural District D D D D 1 Year i \ 15. Check one or more of these conditions as applicable to transfer.< 11. Sale Contract Date , . NONE ~ . Day 1 Mo~~ I if' < 12. Date of Sale I Transfer l 'C 1::/ i 1 DC'JI A B C D E F G H I J Sale Between Relatives or Former Relatives 'Selle ~~~e~ Ff~latEkt combahies or Parlners in Business ' One of the Buyers is:'~lso 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 X Other Unusual Factors Affecting Sale Price (Specify Below) None Month Day Year , , 0 , 0 , 0 I , , . (Full'Sale Price is the total amount paid for the property including personal property. This payment may be in the form of cash, other property or goods, or the assumption of mortgages or other obligations.) Please round to the nearest whole dollar amount. 13. Full Sale Price 14. Indicate t~e value .of personal I I I I 0 I 0 I 0 I property Included In the sale, , . I ASSESSMENTINFClRMATION - OataSliQuId tollOct' tlloJaIeSt FiQ8I Asa8ssmeritftOlt;_J'axBUtl Transfer to trust 16. Year of Assessment Roll from 1 99 which information taken ' 17. Total ~d Value (of all parcels in-transferjl 18. Property Class 12 , 1, Ol-U 19. School District Nama I 11382" Mattltuck 4 0 0 01 ; ; ; /c0 -(-3/ 20. Tax Map Identifierls)I RollldentilierlsllH more than four, attach sheet with additional identifierl~ 0 ! /.("'- '2.- 473889 106 1 31 , I" ~ ' :1 " ~ A 'l't I'd' I' '4;,)::>" : r -. . 1~( , ~ ;.;JIt uo- "" I ~ . I certify that all of the items ofinfonnation"-+tered on this fo~ ..arttrf\and correct (to the best.o(.my knowledge . I understand that the making of any willful false statement of material fact herein will subj~the nrovisions of the 1'Il101 Uw rdative to ~ land' of false instroments. ;,' . BUYER j-\ t-- ~ (__ A C:h (/ pt'a'GY, Y,IER S, ATTO NEY ~m""..<V-~ (')PAv- , <; " ,.." ~ 1,.- Tn C\ .,T f.. r=. ZIT,"/'> ': Iou p::. Ij [I . I Bu I 1 I Nancy BUYER SIG~TURE DATE J LAST NAME,>) I " I ,,' , . FIRST NAME Thomas ulsen,' Trustee 1\ ,,\ ') "-' , , v ! 2804 South Main Street 631 941-3434 STREET NUMBER STREET NAME (AFTER SALE) AREA CODE Newfane NY 14108 CITY OR TOWN. STATE ZIP CODE SELLER ,P/',"\ .,Oi, i:,_ jl :' 0 SELLER SIGNATURE OATE TELEPHONE NUMBER ;\\ , CITYlfOWN ASSESSOR COPY