HomeMy WebLinkAboutL 12137 P 963Form 800. (9/99) - 20M -- Bargain and Sale Deed, with Covenants against Grantor's Acts--Individual or Corporation. (single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -- THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, madethe /~~D- dayof ~J"{~-~ ,~Z)OI and
BETWEEN
party of the first pan, and
~B~ ~ar~ of ~h~ seoo~ ~ ~oes ~ereb~ gram ~d release ~Io l~e R~y of ~Be ~eoo~d ~arL ~he Beirs or succes~or~ and
~ssi~ns of the p~y of ~he seoond p~ forever~
~ l~al oe~in ~1ol, ~J~ Or p~m~l o~ la~& with lhe
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 phrty 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.
"';~,NJJ'~e p?t-t:y.of, the first part covenants that the party of the first part has not do ~e or st ffe 'ed anything whereby
~itl~e;,sad~p~'e~se,$ have been encumbered m any way whatever, except as aforesad.
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 consider-
ation 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.
I~ PeeS~
Number of pages ~
TORRENS
Serial #
Certificate #
Prior Cfi. #
Deed / Mortgage Instrument Deed / Mortgage Tax Stamp
4 I FEES
Page / Filing Fee
Handling
TP-584
Notation
EA-52 17 (County) __ Sub Total
EA-5217 (State)
Comm. ofFAl. 500 ~'
Affidavit
Certified Copy ~
Reg. Copy
Sub Total
Other
-- GRANDTOTAL ~--~
Real Property Tax Service Agency Verification
Dist. Section B lock Lot
/o-OD oS o 5". o-o
RECORBED
2001 P~u
Ed~.!.ard
CLERk: OF
SUFFOLK COUNT?
L D000~2137
P 963
DT,~ 0~-03570
Recording / Filing Stamps
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec./Assit.
Or
Spec./Add.
TOT. MTG. TAX
Dual Town__ Dual County__
Held for Apportionm/~
Transfer Tax ~
Mansion Tax
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES orNO
If NO, see appropriate tax clause on page #
__ of this instrument.
Community Preservation Fund
Consideration Amount $ -'~
CPF Tax Due $ ~
Improved
Initials
Satisfactions/Discharges/Releases List Property Owners Mailing
RECORD & RETURN TO:
Suffolk
TD
TD
TD
Title Company Information
Co. Name
Title #
Recordin & Endorsement Pa:
This page forms part of the attached
(SPECIFY TYPE OF INSTRUMENT )
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
Township of ~
In
the
In the VILLAGE
or HAMLET of
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
made by:
(OVER)
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBER: 01-03570
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
056.00 05.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
08/24/2001
12:57:57 ~H
D00012137
963
Lot:
015.000
Received the Following Fees For Above Instrument
Exempt
Page/Filing $9.00 NO Handling
COE $5.00 NO EA-CTY
EA-STATE $25.00 NO TP-584
Cert. Copies $0.00 NO RPT
SCTM $0.00 NO Transfer tax
Comm. Pres $0.00 NO
Fees Paid
TRANSFER TAX NUMBER: 01-03570
THIS PAGE IS
A PART OF THE INSTRUMENT
Exempt
$5.00 NO
$5.00 NO
$5.00 NO
$15.00 NO
$0.00 NO
$69.00
Edward P.Romaine
County Clerk, Suffolk County
1. Ptoparty
Locat on
PLEASE TYPF_~3R PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
/J
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
RP - 5217
2. Buyer
Name
3. Tax Indicate where future Tax Bills are to be seat
Billing if other than buyer address (at bottom of form) I I
~PCODE
4. Indicate the nurnbe~ of Assessment
F ---] (Only g Part of a Parcel} Cheek as they apply:
I# of Parcels OR Pan of e Parcel 4A. Planning Beard with Subdivision Authority Exists []
5. D.ed ~ 4~/ 48. Subdivision Approval was Required for Transfer []
~o~.~ I I x I I oR I .... · , I ~ Parcel Approved for SubdMsion with Map Provided[]
Size FRONT FEET DEPTH ACRES
6. SellerI /*,//4 L,. / c J--/ I ~r~/~ ~ --~ I
Name LAST NAME ! COMpANy F [F*~ST NAME
I I - I
One Family Residential
2 or 3 Family Residential
Residential Vacant Land
Non-Basldeatial Vacant Land
Agricultural ! [] Community SenAce
Commercial J Ii~ Industrial
Apartment KII~ Public Service
Entertainment/Amusement LI I Forest
Check the boxes below as they apply:.
8, Ownership Type is Condominium L.]
9. New Construction on Vacant Land []
10A. ProbeAy Located within an Agr;cultural District [~
10B. guyer received a disclosure notice indicating ~'~
that the property is in an Agricultural Dist~ct
15. Cheek one m' mom ~ the~e aondit~ al applicable to tmnsf~.
A Sale BatW~en Rela~v' es or Former Reledvea
12. Date of Sale I Transfer
13. Full Sale I~'lce I
Month Day Year
0t c
F
; , , ~ , .o ol
(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 assun~ion of
mortgages or other obligations.) Please round to the nearest whole dollaramouot.
14, Indicate the value of parional
property Induded in the sale ·
16. Year of .e,~se~ent RoB f~om I ~, t '1 ~7. Total A~e~ed Value (of all pame~ In ~) I
Sale Bat~veen Related Companies or Partners in Business
OneoftheBuyersiselsoaSeller ~ !)
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Lass than Fee Interest (Specify Befow)
Significant Change in Property Between Taxable Status and Sale Oates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
20. Tax M~p Id.ltiflI~I} / Roll IdIIltifiI~I) (If mo~e thin four, Itte~h ~heet with addifiOmll Id~tth~-Ial)
BUYER BUYER'S AI'rORNEY
/
:, SELCER' ' - -
F~ST NAME