HomeMy WebLinkAboutL 12201 P 450OONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the
BETWEEN //~6~'}~ ~'~, 5"//U~v''l'~'',
,¢,'ue~.~ ~.y. I1~ol
day of
party of the first part, and
party of the second part,
WITNESSETH, that the party of the first part, in consideration of 70 O,
dollars
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,
g, Oo
0 ~loob
ALL that certain plot, piece or parcel of land, with the buildings and improvem,e, nts thereon erected situate,
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" when ever 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:
Standard N.Y.B.T.U. Form 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts - Uniform Acknowledgment
Form 32D0
Number of pages 'x~ ~)
TORRENS
Serial #
Certificate #
Prior Ctf. #
Deed / Mortgage Instrument
Page / Filing
Handling
TP-584
Deed / Mortgage Tax Stamp
FEES
Notation
EA-52 17 (County)
EA-5217 (State)
R.P.T.S.A.
Comm. of Ed. 500
Affidavit
Certified Copy
Reg. Copy
Other
Sub Total
Sub Total
5 I Real Property Tax Serv?ce Agency Verif. ication
Dist. ] Section I B lock I i,',. ~ Lot
Stamp 02026934 xooo 05600 0600 oxooo2
Date ~ --
Initials
dSatisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
RECORDED
2002 Rug 06 11:21:51
Edward P.Romaine
CLERK OF
SUFFOLK COUNTY
L D00012201
P 450
DT# 02-00666
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__
lteld for Apportionm~at
Transfer Tax (~ ~
Mansiou Tax
The properly 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.
6 Community Preservation Fund
Consideration Amount $
CPF Tax Due
$
Improved
~/acant Land
TD
TD
TD
8 I Title Company Information
C o. Name ./D~Ce~. ~1~..~ (~)~ 0/~' ./~.~--f~_~'T-.~
ITitle ~ ~gL-g - ~
made by:
Suffolk Cotlnty Recording & Endorsement Page
This page forms part of the attached /~t,.j .~ .-~
~e premises herein is sitmted in
ffgff~ ~o~A ~ue. ~e~ ~Xl{2o' S~OLKCO~,NEWYO~
In me To Np of Aold
TO
In the VILLAGE
?O "bO"/. IO'7O ~o~,'-tok~,.nq¢o4/~'{, (1~ orHAMLETof
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Nuraber of Pages: 3
TRANSFER TAX NUMBER: 62-00666
District:
1000
Deed Amount:
Section: Block:
056.00 06.00
EXAMINED AND CF~ARGED AS
$17,000.00
Recorded:
At:
LIBER:
PAGE:
Lot:
FOLLOWS
08/06/2002
11:21:51 AM
D00012201
450
010.001
Received the Following Fees For Above Instrument
Exempt
Page/Filing $9.00 NO Handling
COE $5.00 NO N-YS SURCHG
EA-CTY $5.00 NO EA-STATE
TP-584 $5.00 NO Cert.Copies
RPT $~0.00 NO SCTM
Transfer tax $68.00 NO Conun. Pres
Fees Paid
TRANSFER TAX NI/MBER: 02-00666
THIS PAGE IS
A PART OF THE INSTRUMENT
$5.00
$15.00
$25.00
$0.00
$0.00
$0.00
$167.00
Exempt
NO
NO
NO
NO
NO
NO
Edward P.Romaine
County Clerk, Suffolk County
FOR g~UNTY USE ONlY
'-P£E-A~ETYPE~-R~PRI~-S~SFIRI~LY WHEN WRITING ON FORM
INSTRUCTIONS: http://wwW.orps.state.ny.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YOR~
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
1. Property
Location STREET NUMBER
CFTY OR TOWN
2. Suye,
Name [A~T'NA~E / COMPANY
STREET NAME
VILLAGE Zip CODE
K /ty .RBT,AME
Indicate where future Tax Biffs are to be sent
if other than buyer address (at bottom of form)
~ST NAME / COMPANY
Tax
Billing
Address
STREET NUMBER AND STREET NAME CI3~ OR TOWN
4. Indicate the number of Assessment
Roll parcels transferred on the deed I I # of Parcels OR Par~ of a Parcel
ProperS/I ] x l I oal . I
Size FRONT FEET DEPTH IACRESI -
6. Seller I~/~
I
FIRST NAME
STATE Zip CODE
(Only g Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists []
4B, Subdivision Approval was Required for Transfer []
4C. Parcel Approved for Subdivision with Map Provided []
LAST NAME / COMPANY FIRST NAME
7. Check the box below which most accurately describes the use of the property at the time of sale:
A~ One Family Residential
B I~ 2 or 3 Family Residential
C I~ Residential Vacant Land
D ~ Non-Residential Vacant Land
· ! SALE INFORMATION !
11. Sale Contract Date
12. Date of Sale / Transfer
Commercial Industrial
Apartment Public Service
Entertainment / Amusement Forest
I Mo.t~/ 2 7 / Ok' I
Day Year
Month Day Year
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Properly Located within an Agricultural District
10~. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
15. Check one or more of these conditions as applicable to ~ansfer:
A
B
C
D
E
F
G
H
l
J
13. Full Sale Price I , , · , , I , 7, o, O, o , 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.
14. Indicate the value of personal I i i i i r i i 0 I 0 I
property included in the sale ~ ~ ·
ASSESSMENT. iNFORMATION - Data Should reflect the latest Final Assessment Ro~l and Tax Bill
16. Year of Assessment Rog from
which information taken
18. Prope~/Class
20. Tax Map Identifier(s) / Roll Identifier{s) (If more than four, attach sheet with additional identifier(s))
Sale Between Relatives or Former Relatives
Sale Scbveen Related Companies or Partners in Business
One of the Buyers is also 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 Propero/Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price ISpecify Below)
None
I I I
I I I I
Ct:a HRCATION
I
certify that all of the items of information entered on this form are true and corre~t (to the b~st of my knowledge and belief) and I understand that the making
of any willful false sto~ement of nmterlal fact herein wiB subject me to the provisions of the penal law relative to the making and f'fling of false instruments.
BUYER BUYER'S ATrORNEY
STREET NUMBER STREET NAME (AFTER SALE)
"' i / // 't
CITY OR TOWN Zip CODE
SELLER
/
AREA CODE TELEPHONE NUMBER
COPY