HomeMy WebLinkAboutL 12006 P 550 1 1 ,20o P,.6-5v
NY005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the I'" day of November in the year 1999
BETWEEN ROY STAKEY and MARJORIE STAKEY, as Trustees of the
Roy Stakey Defined Benefit Keogh Plan, residing at (No #)
Tuthill' s Lane, Aquebogue, New York 11931
party of the first part, and BRUCE D. BERGEN and LEIGH ANN BERGEN, his
wife, both residing at 46 Altantic Avenue, West Sayville, New
York 11796
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 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
andbeingixsl2ex at Mattituck, in the Town of Southold, County of Suffolk
and State of New York, known and designated as Lot No. 6 on a certain
map entitled, "Map of Mattituck Creek Estates" , filed in the Office
of the Clerk of the County of Suffolk on March 25, 1992 as Map No.
9203.
Tax Map
Designation BEING AND INTENDED TO BE the same premises conveyed to the Parties
Dist. of' the First Part by a Deed recorded in Liber 11505 cp 424.
1000 The Parties of the Second Part have simultaneously herewith executed
and delivered a Purchase Money Mortgage in the amount of $45,000 . 00
Sec. intended to be recorded simultaneously herewith.
107. 00
Blk.
01. 00
Lot(s)
002. 006
TOGETHER with all right, title and interest, if any, of the party of the first part of, 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 parry of the first part covenants that the party of the first part has not done or suffered anything whereby
the said premises have been incumbered 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 WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF:
ROY STAKEY DEFINED BENEFIT KEOGH PLAN
By: L. S .
ROY ST CEY, TRUSTEE
By /G?/t/tJ)i� �0 �o�•rtr it L. S .
MA JOR E STAKEY, TRUS
lIU7b
12006PG550 2 RECEIVED ,
a 166
3 REAL ESTATE RECORDED
Number of pages DEC 101999
TORRENS 99 DEC 10 PM 3* 29
Serial # TRANSFER TAX ej)WARD R f Do""A'NE
SUFFOLK CLERK AND
Certificate# COUNTY SRE ISTRAR COUNTY
Prior ctf. # 20056
Deed/ Mortgage Instrument Deed/ Mortgage Tax Stamp Recording/Filing Stamps
4 1 FEES
Page/Filing Fee J Mortgage Amt.
Handling s O 1. Basic Tax
TP-584 S c 2. Additional Tax
Notation Sub Total
EA-52 17(County) J' Q. Sub Total z L�. 2 Spec./Assit.
Or
EA-5217(State) Z.S a Spec./Add.
R.P.T.S.A. S q��1 A� , TOT. MTG.TAX
4y _ Dual Town Dual County
Comm.of Ed. 5 00 Held for Apportionment
Affidavit �+ "4� Transfer Tax
Mansion Tax
Certified Copy The property covered by this mortgage is or
Co will be improved by a one or two family
Re
g py Sub Total fps dwelling only.
YES or NO
Other / C, If NO, see appropriate tax clause on page #
GRAND TOTAL (i 7 of this instrument.
5 Real Property Tax Service Agency Verification 6 Community Preservation Fund
g Dist. Section B lock Lot Consideration Amount $ 6-c- 0 _> o
" ` ^t► 1000 107 . 00 01. 00 002. 006 CPF Tax Due $
94amp
)q 'roved
�3t RE IVED
Initials $ V cant Land
i Satisfactions/Discharges/Releases List Property Owners Mailing Addre s D I
RECORD& RETURN TO: DEC 1 0 1999
CAIATI, GARGUILO & GREEN, ESQS. D
74 Carleton Avenue C:itV1k1L1NITY D
East Islip, New York 11730 PRESERVATION
Attention: Robert A. Green, Esq. FUND
ETitle Company Information
e (.rrn-�,`C-o"
16 l S 0 `( � 2,
Suffolk County Recording & Endorsement Page
This page fomes part of the attached DEED made by:
ROY STAKEY and MARJORIE STAKEY, AS (SPECIFY TYPE OF INSTRUMENT)
TRUSTEES OF THE ROY STAKEY DEFINED
The premises herein is situated in
BENEFIT KEOGH PLAN SUFFOLK COUNTY,NEW YORK.
TO In the Township of SOUTHOLD
BRUCE D. BERGEN and LEIGH ANN BERGEN, In the VILLAGE
or HAMLET of MATTITUCK
his wife
BOXES 5 TI IRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
T PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
REAL PROPERTY TRANSFER REPORT
C1. SWIS Code L
STATE OF NEW YORK
/ />! �/`/' STATE BOARD OF REAL PROPERTY SERVICES
C2. Date Deed Recorded I / /
Month Day Year RP - 5217
J,'/ t r
C3. Book � �_. �� �t "" I C4. Page RP-5217 Bev 3)97
PROPERTY INFORMATION I
1.Property It l J -Yy I Grand AyenL:e
Location STREET NUMBER STREET NAME
Southold I Mattituck 111952 I
CITY OR TOWN VILLAGE ZIP CODE
2.Buyer I Bergen I Druce D.
Name LAST NAME/COMPANY FIRST NAME
Bergen
Le ah Ann
LAST NAME/COMPANY FIRST NAME
3.Tax Indicate where future Tax Bills are to be Sent
Billing if other than buyer address(at bottom Of form)
Address LAST NAME/COMPANY FIRST NAME
STREET NUMBER AND STREET NAME CITY OR TOWN STATE ZIP CODE
4.Indicate the number of Assessment (Only if Part of a Parcell Check as they apply:
Roll parcels transferred on the deed L #Of Parcels OR ❑ Pan of a Parcel 4A Planning Board with Subdivision Authority Exists ❑
5. Deed 7 9 4B.Subdivision Approval was Required for Transfer ❑
Property X OR 4C.Parcel Approved for Subdivision with Map Provided ❑
Size FRONT FEET DEPTH ACRES
ROY STP.K&'Y am: 11iMR70R1F. SU',FSY, AS TRUSTEES CIF 'RI ROY ST7r1EY
6.Seller DEFTr7,F`,Q 311NEFTT M6114 PEYVQ I
Name LAST NAME I COMPANY FIRST NAME
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: Check the boxes below as they apply:
8.Ownership Type is Condominium ❑
A One Family Residential E Agricultural I Community Service 9.New Construction on Vacant Land ❑
R 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 10 / 08 / 99 I A Sale Between Relatives or Former Relatives
Month Day Year R Sale Between Related Companies or Partners in Business
C One of the Buyers is also a Seller
12.Date of Sale/Transfer 11 / / 99 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)
b r0 U O 00 O G Significant Change in Property Between Taxable Status and Sale Dates
13.Full Sale Price H Sale of Business is Included in Sale Price
7 7
(Full Sale Price is the total amount paid for the property including personal property. 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 of J None
mortgages or other obligations.) Please round to the nearest whole dollar amount.
14.Indicate the value of personal I 0 0 I
property included in the sale > > a
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from 9 ti
–J 17'Total Assessed Value(of all parcels in transfer)
which information taken
7 ! 7
18.Property Class 13 1' 11_u 19.School District Name I I'Iattltuck/CutchoQue,//L-aUrel I
20.Tax Map Identifier(s)/Ron Identifier(s)(If more than four,attach sheet with additional identifier(s)) /t/ / — 2
1000-107. 00-01. 00-002. 006
I I I I
CERTIFICATION
I certify that all of the items of 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 willful false statement of material fact herein will subject me to the provisions of the penal law relative to the making and filing of false instruments.
BUYER BUYER'S ATTORNEY
Green Robert A.
BUYER SIGNATURE DATE LAST NAME FIRST NAME
Leign Ann Bergen
46 I Atlantic Avenue. 516 I 277-4508
STREET NUMBER STREET NAME(AFTER SALE( AREA CODE TELEPHONE NUMBER
West Sayville NY 111796
CITY OR TOWN STATE ZIP CODE
SELLER CITY/TOWN ASSESSOR
143Y SUlCEY ll-AXYINID 13LR= &AXki PLAN
By: COPY
-- -fir/; -//90
DATE
By: