HomeMy WebLinkAboutL 12330 P 8CONSULT YOUR LA~wYrdl ,EFONE SIGNING THIS INSTRUMJ~NT - TIllS INSTRUMENT SHOULD lie USED BY LAWYERS ONLY
party of dm fir~ peri, ond
~~, ~.t ~e ~rty of the firm prL i~dermtion of T~ Dollmrs nd o~er val~k e~i~n
pid by tb pfl~ ol the ~c~d pa~ d~ ~reb~K~nd relc~ unlo t~ ~fly of ~ ~ond ~. ~ hewn
Iyin~ and bein~ in the '
T~['?I'IIt K w th all ril~hl, tile and inlere~t, ii' ms~. ,,I fhu' I:artv c,f the fir~4 part itt attd tu an( streebs and
roads &butlinl~ the above: de~:ribed premiKs to th," tenter lines (h*:renf: TOGE. TH£R with the a'ppufle,~Jance$
ami all the er4ate and right~ nf the imrtv of the first part in and re..said premi:,4~: TO }lAVE AND TO HOLD
wri'ez.
Stab of ' "~ County of' ss.:
011
personally appeared
before me. the undersisned.
permmlly known to fac or proved lo me o~ ~he basLq of ntis*
factory evide~e to he ~he individual(s) whine name(s) is (a~)
subscribed Io the within inslmmefll nnd acknowledged to me
tirol hc/~y executed the same in his/herfd~eir capacity(les),
and dmt by hbdher/d~ir signsmre(~) on tyne imlrumenL the indi-
vidual(s), ~* Ihe perlofl upon belmlf o(* which ~he individual(s)
acted, executed Ihe imlrumem. ~ dm tach individual n~de
sach appearance bcfo~ ~he undersigned in
~arpin anb ~bal~ ~--,b
Trr~ No.
County of s#.:
On ' before mc. thc undersigned.
personally appeart-d
the subscribing witness(cs) to ~e fofe$oing insmJment, with
whom I a~n personally acquainted, who. being by me duly
sworn, did depose and say that he/she'they reside(s) in
[hat he/she/diey know(s)
to be the individuaJ(s) described in and who executed the fmc-
going instmmem: Ihat said subscribing witness(es) wu.~ (were)
preach! and saw said
execute Lhe same; and that said wime~.s(es) 'at the same lin
subscribed his/hefflheir name(s) as a witness(es) thereto.
~r r~ut,y r~ m/t~p/we ,f~wowfea~q~af Mbt And Ibm staid mbscr~bing
wlme~,r,(es) madc such apl~amnc~ before Ihe underMgned in
RETIJ'RN BY MAIL TO:
1000
;ectlon:
05400
flock:
0600
007000
AlL that Cadain plot. pleoe or parcel of land, with the ~llcllflgs and impi'ovefnenls tne~eo~ emc~eo, s~tua[er,
I~i~andbeinglnthe Torn of Southold, County of Suffolk and Stare of ~leu York,
bounded and descrY, bed as
BEGINNZI~G at e po~.nt on the northeasterly side et iltckory Road,
distant 233.45 ]~eet southeasterly from the corner froraed by the intersection
of said m~rchcascerly stde of IIt[kory Road and the $outhea.~terly stde of
$oundvlew Avenue; running :hence KetCh 42 degrees 15 minutes 60 seconds
Ease 138.~1:? fee£; thence South 64 degrees [2 m~nuCes O0 seconds East 150.28
£eer; thence South ~2 degrees 15 minutes 40 seconds l~esc 129.55 ~eet co the
norl:heaster[y side of tire,tory Road; thence e.tonR th*. n-rtheascerly at. de o1'
Hickory Roz, d Eor~h 67 degrees 44 minutes 20 seconds Wu~;t 150 feet to the
lpoinl: si' i)li~ce of
Number or pages
TORRENS
Deed / Mortgage Tax Stamp
FEES
Serial ti
Certificate ti
Prior Cfi. #
Deed / Mortgage Instrumem
Page I Filing Fcc ./~
Handling
TP-584 ~
Nolalion
EA-52 17 (County) ~'~__ Sub Total
EA-5217 (State) -~C)
R.P.T.S.A. ~
Comm. of F.d. 5. O0
Affidavit ~ .
Certified Copy ' ~
NYS Surcharge 15. O0
Sub Total
Other
4 ] Dist.
Real Prope:
Tax Servie~
Agency
Verificatior
Grand Tolal /c'~ c:~
04028649 zooo os4oo 0600 oo~ooo
6~ Satisfaclions/Diseharges/Relea.~-~ List Property Owner~ Mailing Address
RF_.CORD & R~I'URN TO:
Co. Name
Title #
RE~0RDE]>
.')004 .rul 09 04s:',8:§2 Pt'{
Edtvard P. Ro~ail'~
SUFFOLK COUHT9
L DO0012330
P 008
I)¥t~ O3-51!23
Recording / Filing Stamps
Mortgage Amt.
I. Basic Tax
" Additional Tax
Sub Tolal
Spec./AssiL
o£
Spec./Add.
TOT. MTG. TAX
Dual Town __ Dual County __
Held Ibr Appointme~.~
Transfer Tax CV
Mansion Tax
The pn)peny covc~cl by this mortgage is
or will he improved by a one or two
family dwelling only.
YES or NO
If NO..eec appropfiate lax clause on
pogc ti of this instn~rrlent.
7
Consideration Araount $
CPF Tax Due S
Improved
Vacant I.and
TI)
TD
Title Information
Suffolk County Recording & Endorsement Page
This page forms part t,f ~he attached ~'~~ made by:
{SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the Township of ',,~'~ ~ '3--~0
In the VILLAGE
or HAMLET of
TO
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrumentl DEEDS/DDD
Number of Pa~es= 4
Receipt Number I 04-0076448
TRANSFER TAX NUMBER: 03-51123
District:
1000
Deed Amount~
Recorded~
At:
LIBER:
PAGE:
Section: Block:
054.00 06.00
EXAMINED AND CHARGED AS FOLLOWS
$o.oo
07/.09/2004
04:38:52 ~
D00012330
008
Lot:
007.000
Received the Following Fees For Above Instrument
Exempt
Page/Filing $12.00 NO Handling
COE $5.00 NO HYS SRCHG
EA-CTY $5.00 NO EA-STATE
TP-584 $S.00 NO Cert. Copies
RPT $30.00 NO SCTM
Transfer tax $0.00 NO Co~.Pres
Fees Paid
TRANSFER TAX h-u~4BER: 03-51123
THIS PAGE IS A PART OF THE INSTR~iENT
THIS IS NOT A BILL
$5.00
$2s.oo
$50.00
$5.oo
$o.oo
$0.00
$132.00
Exempt
NO
NO
NO
NO
NO
NO
Edward P.Romaine
County Clerk, Su££olk County
PLEA6E IYPE OR F~RESS FIRMLY WHEN WRITING ON FORM
iNSTRUCTIONS: http://www.erps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE 9OARD OF REAL PROPERTY SERVICES
RP - 5217
J
I
5, Deed
Prope~y I
Size
Seller
J x L ...... J oR I ..... I *C. Parcel Approved fo, Subdiv;sion with Map Provided
I
Name
2 or 3 Family Residential Commercial Industrial
Residential Vacant Land Apartment Public Service
Check the boxes below as they apply:
8, Ownership Type is Condomlnium []
9, New Construction on Vacant Land []
I SALE INFORMATION
Sale Contract Bate I / / I
~.~.,.o~S.',/Tr.n,~er I ~'7 I O~
13. Full Sale Price I ~ ; ~ 0 , 0 I
IFull Sale PHce is the Iotal amount pa~d for the property [ncludJng personal property.
0
property Included in the ~ale ; ; ' ' ~
Deed Type not Warranty or Bargain and Sale (Specify Below)
Other Unusual Factors Affecting Sale Price [Specify geJow}
None
I ASSESSMENT INFORMATION - Data shou!d reflect the latest Final Assessment Roll and Tax Bill
Roll
I J 17. Total Assessed Value {of all parcels in transfer]
whi=h information taken
20, Tex Map Identifier{s) I Roll Identlfierls) IIf more than four, attach sheet with additional ide~tdierls))
I CERTIFICATION I
BUYER'S ATTORNEY
NEW YORK STATE
COPY
*