HomeMy WebLinkAboutL 12567 P 449SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
N,,mher of Pages: 4
Receipt N,~mher : 08-0096327
TRANSFER TAX NUMBER: 08-05610
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
141.00 03.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Received the Following Fees For Above
Exempt
Instrument
Page/Filing $12.00 NO Handling
COE $5.00 NO NYS SRCHG
EA-CTY $5.00 NO EA-STATE
TP-584 $5.00 NO Notation
Cert. Copies $5.00 NO RPT
Transfer tax $0.00 NO Com~.Pres
Fees Paid
TRANSFER TAX NUMBER: 08-05610
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Judith A. Pascale
County Clerk, Suffolk County
10/06/2008
12:00:10 PM
D00012567
449
Lot:
028.001
Exempt
$5.00 NO
$15.00 NO
$75.0O NO
$0.00 NO
$30.00 NO
$0.00 NO
$157.00
Number of pages
This document will be public
record. Please remove all
Social Security Numbers
prior to recording.
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
31
Page / Filing Fee /~"-
Handling t S, 00
TP-584
FEES
Notation
EA-52 17 (County)
EA-5217 (State)
R.P.T.S.A.
Comm. of Ed. 5. 00
Affidavit
Certified Copy ]'~~/ ,~
NYS Surcharge 15. O0
Other
SubTotal
Grand Total
4 I~),O
Real Property
Tax Service
Agency
Verification
6
8
1000 14100 0300 028001
Satisfa~io,slUlscnarges/R~leases List Prope~y Own~"rs Mailing Address
RECORD & R~URN TO:
Davidow Davidow Siegel & Stern, LLP
One Suffolk Square - Suite 330
1601 Veterans Memorial Highway
Islandia, New York 11749
RECORDED
2008 Oct 06 12:00:10 PM
Judith A. Pascale
CLERK OF
SUFFOLK COUNTY
L D00012567
P 449
bT# 08-05610
Recording / Filing Stamps
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
SpecJAssit.
or
Spec./Add.
TOT. MTG. TAX
Dual Town __ Dual County __
H~ld for Appointment
Transfer Tax
Mansion Tax
The property 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./~_~/~
Community Preservation Fund
Consideration Amount $ -0-
CPF Tax Due $ -0-
Improved
Vacant Land
TD /O
TD
ID
Mail to: Judith A. Pascale, Suffolk County Clerk C7o. !ame
310 Center Drive, Riverhead, NY. 11901
www,suffolkcountyny.gov/clerk Tit e #
Suffolk COunty Recording & Endorsement Page
Title Company Information
This page forms pa~ ofthe attached
by:
Andre~ T. ~nh~knlh
Andrew C. ~ohrkolb Revocabl~ Tz't~t
dated Uecember 1~, 2001
TO
Bargain and Sal& Deed
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the TOWN of Soul:hold
In the VILLAGE
or HAMLET of. Mattttuck
made
BOXES 6 THRU 8 MUST BE TYPED Off PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
NY 005 - Bargain agd Sale D/:.cd wilh Covenant against Grantor's ,~c~s Individual or Corpbradon Single Sheet) (NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS'INSTRUMENT - THIS INSTRUMENT StIOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, madethe 2. al44'h dayof Sli~lq~14tR~.--qef:~n'~b~.iutheyear 2008
BETWEEN '
ANDP~WT. FOHRKOLB, residing at 745 Love Lane, Mattituck,
New York, 11952, as TruStee of the ANDREW C. FOHRKOLB REVOCABLE
TRUST dated the 14th day of December, 2007
party of the first part, and
ANDREW T. FOHRKOLB residing at 745 Love Lane, Mattituck,
New York 11952
party of the second part,
W1TNESSETH, that the party of the first part, m consideration ofTen 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 successom and assigns of
the party of the gecond part forever,
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the
SEE SCHEDULE ~A"' ATTACHED HERETO
AND MADE A PART HEREOF
SAID premises being known a's 745 Love Lane, Mattituck, New York 11952.
- BEING AND IBIKNDED to bh the same premises conveyed to the par_ty of the first
part by deed dated December 14, 2007, and recorded in office of Suffolk County
Clerk on March 13, 2008, in Liber D00012543, Page 875.
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 pm't.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 9f 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.
1N PRE.SENCE OF: . ~
Andrew T. Fohrkolb, Trustee
U~E A CK~O W~ME, Vr FOP24 BELOW wrmlN NEW Yp~ STA ~ ONL r:
S~te of New York, Coun~ of Suf folk } ~:
~fo~ me, ~e unde~i~ ~onally aphid
~dre~ T. Fohrkolb . '
~on~[~ known ~o mc or pmv~ m me on ~e basis of satisfacto~
evidence to ~ thc individual(s) who~ name(s) is (am) subscfi~d to thc
wi~in instrument and ac~owl~ged to me that h&shdthey ex~ut~
the same in hi~er/~eir capacity(las), and that by hisSer/their
signatu~(s) on the ins~ment, the individual(s), or thc ~on
~half of which the i~(s) acted, ~ted the instrument.
PAIRICI~ ~blic
No~ ~blic, S~te of New Yo~
Ho. 30-474H54
Q~fi~ in.~u I,~1~
AC~OWI~ME~ Fo~ FOR USE WITIIIN NEW YORK STATE ONLY:
[New York S.bxcribing Wimess lctnowled~ment Certifcate]
S~te of New York, Coun~ of } ~.:
On the day of in the year
before me, the undersigned, pemonally appeared
thc sub~ribing witness to the foregoing instrument, with whom I am
personally acquainted, who, being by me duly sworn, did d~ose and
say that he/she/they reside(s) in
(if the place of residence is in a city, inchrde the street and street number,
if any, thereoJ); that he/she/they know(s)
to be the individual described in and who executed the foregoing
instrument; that said subscribing witness was present and saw said
execute the ~tme; and that said witness at the same time subscribed
his/her/their name(s) as a witness thereto.
USE ACKNOWLEDGMENT FOR~I BELOW WITHIN NEW YoRK STA rE ONLY:
State of New York, Count~ of /'7t }ss.:
On the day of in the year
before me, the undersigned, personally appeared
personally known to me or proved to me on the basis of satisfactory
evidence to be the individual(s) who~ name(s) is (are) subscribed to the
within instrument and acknowledged to me that he/she/they executed
the same in his/her/their capacity(les), and that by his/her/their
signature(s) on the instrument, the individual(s), or the person upon
behalf of which the individual(s) acted, executed the instrument..
A CKNOWLEDGME?ff FORM FOR USE OUTSIDE NEW YORK STArE ONLY:
{Out of State or Foreign General Ac~nou,ledgment Certificate}
(Complete Venue with State, Country, Province or Municipality)
On the day of in the year
before me, the undersigned, personally appeared
personally known to me or proved to me on the basis of satisfactory
evidence to be the individual(s) whor~ name(s) is (are) subscribed to the
within instrument and acknowledged to me that he/she/they executed
the same in his/her/their capacity(les), that by his/her/their signature(s)
on the instmment, the individual(s), or the person upon behalf of which
the individual(s) acted, executed the instrument, and that such individual
made such appearance before the undersigned in the
(Insert the city or other political sabdivision and the state or country or
other place the aclatowledgment was taken).
TffLE NO.
BARGAIN & SALE DEED
AlqDRE~ C. FOHRKOLB REVOCABLE TRUST
TO
ANDRE~ T. FOBRKOLE
FIDELITY NATIONAL TITLE INSURANCE
OCOMPANY OF NEW YORK
~(//~.~,;~/~ /~ Fidelity _.~/~,~,~
DISTRICT
SECTION
BLOCK
LOT
COUNTY OR TOWN
RECORDED A T REQUEST OF
Fidelity National Title Insurance Company of New York
RETURN BY MAIL TO
Davidow Davidow Siegel & Stern, LLP
One Suffolk Square - Suite 330
1601 Veterans Memorial Highway
Islandia, New York 11749
. SCHEDUI~E ' "A'f
SCTM~ 1000-141.00-03.00-028. 001
PR~4IS~.S: 74.5 Love Lane~ ~attitUck~ l~
'.Ali that certai~ plot, piece oi' parcel of land, situate, lying and being at Me'ttituck, in the Town of Southold, County of
$~ffolk ~}d' stale of New York;
BEOINNINO at a point On the.southerly side of Middle Road (C.R. 48) at the extreme n~rthcrly end or'tM line
connectihg the Southerly side of Middle Road (C.R. 48) with the easterly side of Westphalia Avenue;
RUNN1No THENCE along the southerly side of Middle Road (C.1L'48) the following Mo (2) courses and distances: I.
North 49 degrees 15 minutes'20 sci:naris East, a distance Of 168.80 feet; 2. easterly along the arc ora curve bear!ag to the'
r!ght having a i. adius of 2~824.79'feet, a dlst~nce of 281.17 feet;
RUNNING.THENCE South 35 degrees 46 minutes 11 seconds East, a distance of 61.69 feet;
RUNNING THENCE South 41 degrees 55 minutes 40 seconds East, a distance of 98.05 feet;
RUNNING THENCE NOrth 53 degrees 46 minutes 40 secb~ids East, a distance of 153.70 feet, to the southwesterly side
of Love Lane: -
RUNNING THENCE a!~ng the southwesterly side Of Love Lane, South 35 degrees 17 minutes 40 seconds East, distance
of 65.30 feet;
. RUNNING THENCE South 53 degrees 33 minutes 30 seconds Wesii a distance of 165.63 feet;
RUNNING THENCE South 38 d~grees 24 minutes 30 seconds West, a'dlstance of 212.86 feet;
'~RUNNINO THENCE'North .70'degi'ees 49 minutes 00 seconds West, a distance of 59.23 feet;
RUNNING THENCE South 37 degree~ 47 minutes 15 seconds West, a distance of 100.00 feet to the easterly side of
. Westphalia A~enue; .
RUNNING THENCE along the easterly side of Westphalia Avenue, North 70 degrees 49 minutes 00 second~ West, a
' d!s!ance of 325.87 feet to'the e~treme Southerly side of Middle Road (C.R. 48); ·
RUNNING THENCE along said line North'8 degrees 26 minutes 00 segonds.West, a distance of 50.34 feet to the
southerly side of Middle Road.(C.R. 48) at the point 0~ place of BEGINNING.
PLEASE TYPE OR PRES~FIRMLYWHEN WRITING ON FORM
INSTRUOTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
COUNTY USE ONLY , f ~. ,,-~,.--.~/~, ~
Cl. SWIS Code ~ I REAL PROPERTY TRANSFER REPORT
C2. Date Deed Regarded ~ ~ STATE BOAI~)I~F R~OFA:E~RWoYI~O~KTy SERVICES
__ ~l~O.,h Y~--°:-' J' '-" RP - "2'7
· . a O !
1. Pvopecty 745 I ~e T-~ae
Loe~tlon STKIT NUMBER STeEr NAME
I Souchold I tlattttuck [ 11952 I
z. ~ I t~OHRKOLB I A~DB~ T. I
I I I
Billing :f mhm than ~ addrm~ (at bottom of form) I
S. DNd
1[ aofParcels OR [] PerlofaParcel
Io.I ....
I
[Ordy if Putt M a ProeM) Cheek as tBey apply:
4A. F~arming Board with Subdivision Authority Exists []
4B. Subdivision Approve! was Required for Tramfer []
4C. Parcel Approved for Subdivision with Map Provided []
I
B ~-I 2 or 3 Family Residential
C L~ Residential Vacant Land
DI I Non. Residential VKam Land
SALE INFORMATION I
12. Date M SaJe I Transfer
Agricultural
Commercial
~oanment
Entertainment / Amusement
t~/ / I
, q/- /20o8
I [] Communi~/Service
J ~ Industrial
K~.~ Public Service
I.U Forest
Csack Bie boxes bdow as they apply:
Ownership Type is Ccmdominium U
13. Full Sale Price I , , 0 , 0 I
14. Indkm the value of personal I , , , 0 , 0 I
ASSESSMENT INFORMATION Data should reflect the latest Final Assessmenl Roll and Tax Bill I
I 07,/0~.. Total A~a~md Value (of sfi parcels In ,mnMar) I
which information takm~ . ~ ½ ~ . ~ I
Significant Change in Property Between Taxable Status and Sale Dart
Sale of Business is Included in Sale Price
Sale Price {Specify Below)
distribution ~ t~uet
~ O O, 0I
, ~
~8. p, op~vcm, I?. 1, fil-I I le. sahoMDbd,fot~am*l M, rf4h,,-k I
I 1000-141.00-03.00-O28.001 J I
I J I
I CERTIFICATION I
I tyrlify lsat nil (d' the [tetra M' Iof'onnatbm entemi on lids tuna afc t~Je arid coi'T~.l Ilo the Iwst or my knnwted~e and belie~ and I undenaand that the maklnR
BUYER
AEh~~ Fohrkolb D*~
7/)5 I Love Lane
Hattttuck I NY I 11952
SELLER
Andrew T. Fohrkolb, Trustee
BUYER'S ATTORNEY
Slesel
I Lav~ence A.
631 I 234-3030
NEW YORK STATE
COPY