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Home My WebLink AboutL 12572 P 714SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 3 Receipt ~,mher : 08-0112043 TRANSFER TAX NUMBER: 08-09598 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 140.00 01.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $15.00 NO Handling COE $5.00 NO NYS SRCHG EA-CTY $5.00 NO EA-STATE TP-584 $5.00 NO Notation Cert. Copies $0.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 08-09598 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County 11/24/2008 09:20:16 AM D00012572 714 Lot: 012.000 Exempt $20.00 NO $15.00 NO $165.00 NO. $0.00 NO $30.00 NO $0.00 NO $260.00 Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2008 Nov 24 09:20:16 AM Judi;h A. Pascale CLERK OF SUFFOLK COUNTY L D00012572 P 7t4 DT# 08-09598 Deed/Mortgagelnstrument Deed/MortgageTax Stamp I Recording/Filing Stamps FEES 31 Page / Filing Fee i $ Handling c~, (~. O0 TP-584 ~,x Notation r~_ EA-52 17 (County) ~'~ Sub Total EA-5217 (State) R.P.T.S.A. __ Comm. of Ed. S. 00 Affidavit Certified Copy NYS Surcharge 15. 00 SubTotal (~ j< Other Grand Total Real Prope Tax Servic( Agency Verificatio, 08025964 lOOO 14000 OlOO 012000 000 6 8 ;aris factions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Davidow Davidow Siegel & Stern, LLP One Suffolk Square - Suite 330 1601 Veterans Memorial Highway Islandia, New York 1'1749 Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY www.suffolkcountyny.gov/cler k 11901 ITite# 5 Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add. TOT. MTG. TAX. Dual Town __ Dual County __ Held for Appointme~ 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'~(~sJ>u~ nb 7 Community Preservation Fund Consideration Amount $. -0- f~lx Due ImprovedCDmm · VacantLand TD i 0 TD TD Title Company Information Suffolk County Recording & Endorsement Page This page forms part of the attached DEE]) by: (SPECIFY TYPE OF INSTRUMENT) /mdrew C. Fohrkolb and The premises herein is situated in Andree~ 't. Fohrkolb, as Joint: Ienant:s ~i~ SUFFOLKCOUNTY, NEWYORK. C-.~--- with ~.igh~c oEC, urvivoL,=,i,ip TO 5175 County Road, LLC made In the TOWN of $outhold In the VILLAGE or HAMLET of Mattituck BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. [over) NY 0B$ - Bargain and Sale Deed with Covenant agalnsl Grantor's AcIs Individual or Corporation tSingle Sheet) (NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING 'Fills INSTRUMENT - TDIS INSTRUMENT SIIOULD BE USED BY LAWYERS ONI,Y THISINI)ENTURE, madethc /~ ~ dayof December ,intheyear 2007 BETWEEN ANDREW C. FOHRKOLB, residing at 5780 New Suffolk Avenue, Mattituck, New York 11952 AND ANDREW T. FOHRKOLB, residing 745 Love Lane, Mattituck, New York 11952, as Joint Tenants ~ with Right of Survivorship party of the first pan, and 5175 COUNTY ROAD, LLC, doing business at 5780 New Suffolk Avenue, Mattituck, New York 11952. party of the second part, WITNESSETH, that thc party of the first part, in consideration ofTen Dollars and other valuable consideration paid by the party of the second part, docs 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 hnd being at Mattituck, Town of Southold, County of Suffolk and State of New York and being bounded and described as follows: BEGII~NINO at a point on the northwest line of Middle Road, C.R. #27, distant 114.53 feet southwesterly from the corner formed by the intersection of the northwesterly line of Middle Road, C.R. #27 with the southwesterly side of Maiden Lane; RU~FNING T~ENCE along the northwesterly line of Middle Road, C.R. #27, South 44 degrees 40 minutes 00 seconds West, 60.00 feet; T~ENCE North 47 degrees 35 minutes 20 seconds West, 62.64 feet; T~ENCE North 44 degrees 44 minutes 50 seconds East, 60.00 feet; T~E~CE South 47 degrees 35 minutes 20 seconds East, 62.56 feet to the point or place of BEGINNING. SAID premises being known as 5175 Route 48, Mattituck, New York 11952. BEING AiID INTENDED TO BE THE same premises conveyed to the parties of the first part by deed dated October 22, 2002, recorded in Liber 12218 page 438 in the Office of the Clerk of the County of Suffolk on November 4, 2002. TOGETHER with all right, title and interest, if any, of the party of the first part of, in and to any streets and roads abutling the above-described premises to the center lines thereof; TOGETItER 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 lhe 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 incumbered in any way whatever, except as aforesaid. AND thc party of the first part, in compliance with Seclion 13 of the Lien Law. covenants that the pmly of the first part will receive Ihe consideration for Ihis conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of payiug the cost of the improvement and will apply the same first to the payment of the coal of the i~nprovement 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 paia has duly executed this deed the day and year first above written. USE ACKNOWLEDGMENT FORM BELOW WITIIIN NEW YORK STATE ONLY: State of New York, County of Suffolk }ss.: On the/~/day of December in the year 2007 before me, the undersigned, personally appealed ~drew C. Fohrkolb persoually known to me or proved to me on the basis of satisfactoo/ evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that be/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 thdividual(s)acted the~nst~ent.~ UARTIN S. GL~SS Notary"Public Notary Public, State of New York No. 02GL5058142 Qualified in SuffoLk County Commission Ex~ires April 1, 20/0 ACKNOWLEDGMENT FORM FOR USE WITIIIN NEW YORK STATE ONL Y: [New York Subscribing tVitness Aclolowtedgmcm Certificate] State of New York, County of } ss.: On the day of in the year before me, the undersigned, personally appeared the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly sworn, did depose and say that he/she/they reside(s) in (if the place of residence is itt a city, include the street and street number, if any, thereoJ); that be/she/they know(s) to be the individual described in and who executed the fm*egoing instrument; that said subscribing witness was present and saw said execute the same; and that said witness at the same time subscribed his/her/their name(s) as a witness thereto. USE ACKNOWLE~MENT FORM BELOW W1TIIIN NEW YORK STATE ONLY: State of New York, County of Suffolk } ss.: On the/,~/day of December in the year 2007 before me, the undersigned, personally appeared Andrew T. Fohrkolb ,' personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same io his/her/cheir 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~ l~)/u~ MARII~ S. GL~ Nota~ Public Notary Public, State of New York No. 02GL5058142 Oualifiad in Suffolk County Commission [.Cites April 1, 20 Io ACKNOttZEDGMENT FORM FOR USE OOTSIDE NEW YORK StArE ONLr: [Out of State or Foreign General Acknowledgment Cerlificate] (Comp e e Venue w h Sta e Co n rv Prov nee or Municipally) 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 evideuce to be the individual(s) whose 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 instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the insWument, and that such individual made such appearance before the undersigned in thc (Insert the city or other political subdivision and the state or country or other place the acknowledg~nent was taken). TITLE NO. BARGAIN & SALE DEED WITH COVEaNANq'S AGAINST GRANTOR'S A~FS Andrew C. Fohrkolb and Andrew T. Fohrkolb, as Joint Tenants in Comon with Rights of Survivorship TO 5175 County Road, LLC FIDEIATY NATIONAL TITLE INSURANCE OCOMPANY OF NEW YORK DISTRICT 1000 S~:CnON 140.00 BLOCK 01.00 LOT 012.000 COUNTY OR TOWN Suffolk RECORDED AT REQUEST OF Fidelity National Title Insurance Company of New York RETURN BY bIAIL TO Davidow Davidow Siegel & Stern, LLP One Suffolk Square - Suite 330 1601 Veterans Memorial Highway lslandia, New York 11749 PLEASE TYPE OR F~RESS FIRM(Y-WHEN WRITING ON FORM INSTRUCTIONS: http://vvw~v.orps.state.ny.us or PHONE (518) 473-7222 IFOR COUNTY USE ONLY ~ ,,~ ~ ~.' I c, sw.s Code .7, .EA...O.... "" '"' - 5217 5175 County Road, LLC Address 4. Indioote the number of A~e-.amaot Roll parcels trandefrod mi tho deed I I , ! I SofParcels OR ~ Part ofaParcel Ioofv s Reft of a Parcel) Chad. they appfy: 6. Deed 41 SundMsion Approval was Required for Transfer [] ,.w.rtv I I x [ I OR I .... 0. 6 I,~, Parcel A~provod fm Subdivi~on with Map Providm:l [] 6. bier ] Foh£kolb I A~dzev C. I. I Fob£ROlb ] ,q~d~ev T. I C ~ Residential Vacant Land G ~ Apaoment Public 5endce 10B. Buyer received · discJo~uro flstlce indicating [] SALE INFORMATION I 16. Check one or mm1 of the~e gonditJoe~ as appiigabb to tnam~e: 12. Dm of Sale / Tramf~r I "IN I I I 12 //~/ 07I A B I) F 13. Fag ~ala Pries I i i .... 0, 0 , (Full Sale Price is the total amount paid for the properly including personal properly. [ This payment may be in the form of cash, olhor property or goods, or the assumption of j 14. Indicate the value of paf~onal I ' , O , 0 , 0 P~PafW Included in the sste ~ ~ · ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment RolJ and Tax Rill 16. YeB~ of Assesameot Roll from ] 0 ,7 I 17. Total A~e-.sed Value (of aU pmw~is In I~enderl which info--ti, take~ Hattttuck 18. ~ Cless ] 19. Sdtool DIstHot Neroe L Bale Batween Relatives or Former Relatives Sale Between Related Companies or Partners in Business One of ate Buyers is else a Seller Buyer or Seller is Governroent Agency or Lending Institution Deed Type not Warranty or Bargain end Sale (Spaci~ Below) Sale of Fractional or Less than Fee Interest (Specify Below) Significant Change in ProparD/Be[ween Taxable Status end Sale Sale of Business is Included in Bale Price Other Unusual Factors Affecting Sale Prim (Specify Below) None Lather and son convey~n~ J. nto an LI,C ,2,7,0,01 ½ , , ½ , ~ J 20. Tax Mnp Idsotifle~(s) I RaH Ido~tlRe~$l Ill ~ than fair, mttch sbe~t with additional Id0flSRe~(ei) I 1000-140.00-01.00-012.000 I I J I ] L J I CERTIFICATION I BUYER "~"~.~e~ T. Fohrkolb, Henbe~ ¢ ' 5780 I Ney Suffolk Avenue Hattituck NY 11952 I An~'ev T. ~ohrkoIb BUYER'S ATrORNEY Siegel I Lawrence A. (631) I 234-3030 I NEW YORK STATE COPY