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Home My WebLink AboutL 12150 P 791NO CONSIDERATION QUITCLAIM DEED THIS INDENTURE, made the d~¥ 3 0 2flO,!two thousand and one WILLIAM R. BLAC~AM ~d EILEEN BLAC~A~ residing at 5 Fieldstone ~e, Avon, CT 06~1, BLAC~AM FAMILY L~ING TRUST, dated ~AY B ~ ~NN~ , ~d ~y ~endments ~ereto, residing at 5 Fieldstone ~e, Avon, CT 06001, party of the second part, WITNESSETH, that the party of the first part, in consideration of ten 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 successors and assigns of the party of the second part forever, all right title and interest in ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being [at Peconlc, in the Town of So~thold, Suffolk County, New York, known and designated as Lots Numbered 63 and 64, on a certain map entitled~ "Map ~. 2 of Peconic Shorea, Pecontc, L.I., N.Y. property of B. B. Baile~ and C. H. Bailey", D.B. Young, Sur- veyor, Riverheads N.Y." and filed in the Suffolk County Olerk~s Office on~ Septe~,be~ 15, 1930~ as Map ~o. ~i~'LEE~N BJ~ACK, HAM; the Grantor is the same person as EILEEN G. BLACKHAM, the grantee. ' BEI/S~G 4N'D' INTENDED TO BE the same premises as conveyed to the parties of the first part by deed dated ·; OCT~BI/~R~ 196Land recorded October 9, 1961 in Liber 5061 Page 33 CUB]E~'T"~ ~:any'/tate of facts an accurate survey may show. SUB~q~{C~. t6//ny covenants, easements and restrictions of record, if any. 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, 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 W/IEREOF, the party of the first part has duly executed this deed the day and year first above written. / WILLIAM R. BLACKHAM EILEEN BLACKHAM Number of pages TORRENS Serial # Certificate # Prior Ct£ # Deed / Mortgage lastrument nl Page / Filing Fee q Handling WP-Sgq Deed / Mortgage Tax Stamp FEES Notation EA-52 17 (.County) EA-5217 (State) R_P.T.S.A. Conun. of Ed. Affidavit Certified Copy Reg. Copy Other lnit~s Real Property Tax Service Agency Verification Dist. Section B lock Lot RECORD & RET~ TO: Satisfactions/Discharges/Releases List Property Owners lVlailing Address RECORDED z_UUI SOU O~ ~" '~'" ':" Rtq Edu.-~ rd ....... ' ~ - CLERK 0F 5LFFOU( P 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 Apportionment __ 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 instrumeat. I 6 Consideration Amount $ Conmnunity Preservation Fund CPF Tax Due $ Improved Vacant Land TD TD TD ~/ ~ ~)Od)Z~/' I :o!Name Title Compa,,y Information 91 Suffolk County Recording & Endorsement Page ]lfis ~ge fom~ ~ of d~e attach~ ~ ~ made by: ~ ~,~ ~e premises herein is si~ted in S~FOLK COUP, NE~ YO~ BOXES 5 ~U 9 MUS~ BE ~PED OR P~D ~ BLACK ~( O~Y P~OR TO ~CO~G OR FILI~O. SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEEDS/DDD Number of Pages: 3 TRANSFER TAX NUMBER: 01-13076 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 067.00 06.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 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: 01-13076 THIS PAGE IS A PART OF THE INSTRUMENT Edward P.Romaine County Clerk, Suffolk County 11/01/2001 10:48:27 AM D00012150 791 Lot: 002. 000 Exempt $5.00 NO $5.00 NO $5.00 NO $15.00 NO $0.00 NO $69.00 PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222 FOR COUN~ ~ ~LY ~ · REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES RP- 5217 2. Buyer Name 3. Tax Address STREET NUMBER AND STREET NAME 4. Indicate the number of Assessment Roll parcels transferred on the deed I I///~.~J /:k '/' - if other than buyer address (at bottom of form) 6. Seller J Name LAST NAME / COMPANY CITY OR TOWN 5. Deed PropertyL I xl JORI , , 7,'C'~k the box b~hich mo,t .~retely.~db~ the use of the prope,y et the time of ~le: Commorcial J ~ Industrial Apa~ment K~ Public Se~ice EnteRalnment/Amusement ~ Forest AL~J One Family Residential B ~ 2..,~r 3 Family Residential C ~L"Residential Vacant Land ID[ ~ Non-Residential Vacant Land I SALE INFORMATION I 11. S~Je Contract Date Month Day Year 12. Date of Sale / Transfer I 05' / O! I Month Day Year (Only if Part of a Parcel) Cheek 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 r'~ Full Bale Price 0 (Full Sale P~rice is the total amount paid for the property including personal prope~y. This payment may be in the form of cash, other properly or goods, or the assumption of mortgages or other obligations.) Please round to the nearest whole dollar amount. 14.1ndicate the value of personel I , ~ , 0 I property included in the sale ~ ~ · Cheek the boxes below as they apply: 8. Ownership Type is Condominium ED B. New Construction on Vacant Land [] 1gA. Property Located within an Agricultural District [~ 10B. 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 transfer: Sale Between Relatives or Former Relatives Sale Between 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 Property Between Taxable Status and Sale Dates Sale of Business is Included in Sale Price Other Unusual Factors Affecting Sale Price (Specify Below) 20. Tax Map Identifier(s) / Roll Identifier(s) (if more than four, attach sheet with additional identifier(s}) STRE~:~I~u M BE R STREET NAME (AFTER SALE) cn~ OR TOWN ZIp CODE SELLER SIGNATURE SELLER FIRBI NAME