HomeMy WebLinkAboutL 12002 P 867 /-1V .! {J� i I ,ni Rltll•IYNVI .16,1_IlnVum a,,.l,ala ld•cd �nlil ,rnnnearnml(.uni.u.d,�, Inlni.lmlrvlhl..,vin.n ,.npiv.laali
1 COLI/ULT YOUR LAWYER MORE OWNING THIS INOTRUNONT—THIS INOTOUC.RNI LHOULD OO USED OY LAWYERS ONLY.
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Vp/ 'I'IiIS INU1;YIlIH!?, 11 Lv 1 0 ?ov b r nineteen hundrei,if ninety—nine
ISI:r%vIIEN
ARLINE ANDERSEN.rcIl e at 15 Noma Lane.Kings Park,New
Vork 11754
I�
I I
pan:..I IT,,lust pan.:uul
ARLINE,L.ANDERSEN.rending at LS Norma Lanc,Kings Park.
IINew York 11754 and KARLA MARIE NIATTER,N,raiding at 14 Columbine Lane.Kings Park,
New York 11754,as Trustees of the.ARLINE L.ANDERSEN'REVOCABLE TRUST dated
November!5,1999
pen i of 11.c.•eland par(,
liVITNESSL 111,Itai Ile paw .1 a lirsl p 1 it ..cider IL TI I I", SII 1 Ih r vui I1 T Idervli I1;IId by
the parry of the second pert da s Il ,eby pawanid release env the paw"pl the I. .. pun II cir. r suet.. r.nod
a. itns n(Iht P' ylf lhe:u ud pat fl,e,,r.
ALL lilt ceratin pia,piece or parcel of Ithnd,will the lollllnpe Inld Inipinvunlenl_v Iherernl ,vo,d,s,,Ia e.1, q:Ind
luitl;in Ile
m fazt Cumhoguc,in the Tmvn of Southold,County o(Su1foIN and.Slute nfKcw York,
' knpu•o and deslgnmcd as Lol No.9 on a acrtuin mop crvlllcd"Map of Liltlr Ncck Pmpcnhcv'fdcd Tn the O`lcv of the Clerk
of rhe CelIO,of Suffolk on NI,,vmbcr 70.1971 cs Map No_6048.
L.M1lq•
Um.p...... SAID pr<misc>being knu"n w 665 Moosc"Trull,East CutulIcece,N'cav York 119}5.
Iam BEING AND INTENDED TO BE TuEsane prcmlresconveyed "the puny ofOu f),,T,n by decd damd April 25.t 98n,
1000 rccerdcd m Liber 8814 PM,,,gc 479 ,,M, 1.19SO 111 the Office of the Cl rk of the C,.ny of Suffolk.
5w
101.00
lilt LOT
DIST1310T SECTION BLOCK
ImDI
047.00)['M
ro(;lirnER "0":lu I g lu.title up I iw""I. if Y.nl ale I "', or aha fhsl '."I.h,Ilnd III Illay slleel,an,1 lu.ld.
IT...u-np IIIc Ili uvc-dosorihed pn,nu...IIS the ccnlcr Ilne.Ilvnn d,lHIM,IIIFR"uh Ilm:gapun en"I""and:Ill the
ectad Inhd riglne o(ihe p,mt nl the hillpallinand In sold pmnn.c.. Ill IIAA'1'.ANI)TO 1101.1)11 the pram...•I......
gl soled elm the ptvly,If nhe scanlJ pull,the hen.or"I'll'... .Ind n.•tun.of Ile putI) .d Ile+ea.nd poll hue.n
AND I rapantf he Ili,(pan rnvalt...I,ohat tl¢p:my'It The Ilntpall k.,,nl,1 doneor.lfluc.lanTl....salrcleln the
.aid premises I'."c heen eucmnbered in:nhy u r sv ball net.CIC.PI a.
AND the parry of he lust pan,in corn pli:nace will Sen inn 11 nl The Lien Loa.cuvuaanls Ilan tlm pans of Dm
lust pnrl will receive the cun.siderallpn (or IIII,a cause rhma :Ind v-ill hold the light to rreeice .lull c•,n...1,,
Iniup II,a bust nlnd lu he'applied Tiro fur IIIc hnrpn.I.u1 pllyiup the C"'I "I fife lull... .null Illd"ill uppl)
the sunk llrst In IIIc puymenl o!the cost of the iuganwemnal before ling u 'purl It the lain of Ill,.:n11c Ln'
any curer purplsc.
The v III"pvl)'"sllnll he cmhsmred us If it read'}nn Gcs"ahnle,c,the sense of this lde,unuc sn requires
IN WITNESS WIIEREOE,IIm puny 111 the I"'1 purl Iha,duly meculed Ilik deed the day and ycnr lirw abaec
wrinc n,
IN Pill SI Nl1:1.1
ARLINE ANDERSEN
r
17561
120102PC867 I_ � R gEIVE 'f 9l�D�D
Noanber.1 page,
TORi1 E N5 NOV 231999 NC7 2 3 FN 1: 21
Seed x =
Cnlifcalex SUFF"-K !;YiY
CnUli Ty
Raw CIf.x
�Ueed I Mnngage baslninenl Dcnl/Mntlgage Tax Slnlnp Recording lPiiing Sbmps
FIRES
Page/piling pee 67nrlgige Amt.
Ilandling — S I.Retic Tnx
TP-584 j
— 2.AJJilicnal Tax
Nola,lnn Sub Tolal
EA-5211(Cot ly) ,Sub'fnlnl _ ��1 _ Sam,/Assil. -
EA 5211 Slmi,) Of
--- _ --. Sirc./Add
.
—
R.P'I'.Sn. -_(_— ----- (40Z�
'o¢mpvTOT.Ml(). TAHI)ul'lown Ihlel Cnunly_Cwnw.ofIiJ. S1)4 �Ra ield.onl lnr AppotlimnncnlM1ITiJnvil ( Taamfn TazCerflOesl Copy Marmon Tax
the propedy coveted by Ihh mortgage If m
Reg.Copy will be Improved by a one or Iwo finally
4we111ng only.
Ulla YES or NO
—
If lnlN IfNO,feeapprop.i.minx clxase on page
- ~Z—T'-'--- of lblf Tax)nuncnl.
I Red Nnianly Tex Service Age,"VwirrcNioo 6 (amununily lareserve i011 FO11(l
!)is1 SMim I1 bk LM Cmraldern l ion Ana oonl S -0- —_
q loco 103.00 1 04.00 047.000 Cf'P Tax Dim S -0-
RE EfVED nproml
inllh $--- -- ncenl(,and
SRIISfPe hnll5/D'Sc I11119CS/RclervIes LI51 Plnperly Os,m..3 Mailing Add,
u9$ D ---
RECnne�RRTunNTo: NOV 23 1999 --
DAVIIIUM, DM1V7UON, SIF.CF.1. R Sl'F.RN, LLP (_',;.< .,.; -'�)' T)
—
One Suffnik Square D
Suite 330
791andla, Nov York 11722
g 'I'illc CDngrnuy In(ormnllon
I th, ----
�Suffcllc County Recording & Endorsement Page
this loge Gmin lfnrl of life nllachcfl
....Deed__.__-__-_—___.—___..___—_mete by'.
(SI'HCI FY'I'YPF OF INS 111UMEN1')
ARLINE ANDERSE,4
----- 11re IRwnises hwcin is sihmled in
SUFPOI,K COUNIY,NUW YORK.
'I O In llle'I'munehip(dr- Southol_d__
ARLINE L. ANDERSON and KARLA MARIE __ In Ila VII,I,AOE
MATTERN, as Tstees of the ARLINE L
ANDSRSEN REYQ�pgLESRUST dated Nay. 15,1999 or IIAM1,61_nf_ East Cucchague
e
IlOH1:5 5'I I IIIU 7 bIV51UC'IYI'UI.)OR PIUNI ID IN BLACK INK ONI.Y 19UOIt 10111; ITDINO OR FILING
lnvrnl
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
„, INSTRUCTIONS: http://vivirmorps.state.ny.us or PHONE (518) 473-7222
FOWUNTY tl
t
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
ar� RP - 5217
T"?Si
ssv s .
c RP-5217 Rev 319'1
PROPERTY TNF ftYtON
1.Property 1 665 I Moose Trail 1
Location STREET NUMBER STREET NAME
Southold 1East Cut chogue 111935 1
CITY OR TOWN VILLAGE
ZIP CODE
2.Buyer ) Andersen I Arline L.
Name LAST NAME I COMPANY FI TN
Mattern Kar"�aAffarie, a Trustees of the
I ARLINE L. ANDERSEN REVOCABLE TRUST DATED November /� , 1999
LAST NAME/COMPANY .} FIRST NAME
3.Tax Indicate where inure Ta&lls are to be sent ,�fJ
Billing if other than buyer alldress hat bottom of form)1'^
Address LAST NAME I COMPANY FIRST NAME
I I I
STREET NUMBER AND STREET NAME CIN OR TOWN STATE ZIP CODE
4.Indicate the number of Assessment1 ❑ (Only 8 Part of a Parcell Check as they apply:
Roll parcels transferred on the deed I I #of Parcels OR Part of a Parcel 4A Planning Board with Subdivision Authority Exists ❑
` 5.Deed 46.Subdivision Approval was Required for Transfer ❑
Property I I x ORI •9 2 4C.Parcel Approved for Subdivision with Map Provided ❑
Size FRONT FEET DEPTH ACRES
B.Seller I Andersen I Arline I
Name LAST NAME I COMPANY FIRST NAME
I I
LAST NAME/COMPANY FIRST NAME
7.Check the box below which most accurately describes the use of the property at the time of sale: Check the boxes below as they appty:
8.Ownership Type is Condominium ❑
A One Family Residential E Agricultural I Community Service 9.New Construction on Vacant Land ❑
B 2 or 3 Family Residential F Commercial J Industrial 10A.Property Located within an Agricultural District ❑
C Residential Vacant Land G Apartment K Public Service 10B.Buyer received a disclosure notice indicating ❑
D Non-Residential Vacant Land H Entertainment/Amusement L Forest that the property is in an Agricultural District
.SALE INFORMATION- 15.Check one or more of these conditions as applicable to transfer:
11.Sale Contract Date I /N/A / A Sale Between Relatives or Former Relatives
Month QA
Y.
B Sale Between Related Companies or Partners in Business
C One of the Buyers is also a Seller
12.Date of Sale/Transfer L 11 / 16 / 99 I D Buyer or Seller is Government Agency or Lending Institution
Month Day Year 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 Taxable Status and Sale Dates
13.Full Sale Price N/A 0 0 I
• H Sale of Business is Included in Sale Price
(Full Sale Price is the total amount paid for the property including personal property. of I Other Unusual Factors Affecting Sale Price(Specify Below).
This payment may be in the form of cash,other property or goods,or the assumption J None
mortgages or other obligations.) Please round to the nearest whole dollar amount.
14.Indicate the value of personal N Aconveyance to trust
property included in the sale I 0 0 1
ASSESSMENT INFORMATION-Data shoild78flect this latest Final Assessment Rolland Tax Bikl
16.year ofi Assessment Roll from L 9 9 117 Total Assessed Value(of all parcels in transfer) I 1 4 0
which irdormation taken > > '
Res VaQ Tia d Mattituck-Cut School
16.Property Gass L�J—LJ 19.School District Name I
20.Tax Map Identifier(s)/Roll Identifier(s)Ill more than four,attach sheet with additional identifier(s))
1 1000 103.00 04.00 047.000 1 1
I I I
I certify that all of the items of information entered on this form are true and correct(m the best of my knowledge and belief)and I understand that the making
of any willful false statement of material fad herein will subject me to the provisions of the penal in relative to the making add fitiog of false rash nnents.
BUYER BUYER'S ATTORNEY
11/ P5 /99 Cote1 << / i' < 1 Jeanne
BUYER SIGNATURE DATE LAST NAME FIRST NAME
Arline L. Andersen, Trustee
15 1 Norma Lane 5161 234-3030
STREET NUMBER STREET NAME(AFTER SALE) AREA CODE TELEPHONE NUMBER
Kings Park 1 NY 1 11754
CITY OR TOWN STATE ZIP CODE
SELLER CT Y/1TOWN ASSESSOR
COPY
f.L
<�typryp5I
111115199
AiffW G"X9dersen DATE
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