HomeMy WebLinkAboutL 12193 P 615T 691 -- Standard N.Y.B.T.U. Form 8002: Bargain & sale deed,
with covenant against grantor's acls--lnd or Corp.: single sheet, 11-98
DISTRIBUTED BY BlumbergE/xcel$1or, Inc.,
NYC 10013
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT- THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made on t~'~'~ , ~ ~o
)
BET~(EEN
party of the first part, and
,ay Iiq
Sou toc
party of the second part,
9VITNF_~SETH, that the party of the first part, in e0~hsideration of Ten Dollars and other valuable consideration
paid by the party of the second part, does hereby ~a~t and release unto the party of the second part, the heirs
or successors and assigns of the party of the seco0d Pdrtfotever,
ALL that certain plot, ~Jiece or parcel of land; wi~:~hd buildings a.d improvements thereon erec.ted, situate,
lying and being in the ' I~ ic: "' i~ OI~ ~.
TOGETHER with all right, title and interest, if any, ot the party of the first part iii and to any streets and
roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenanc~
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" whenever the sense of this indenture so requires.
IN WITNF..SS WHEREOF, the part)' of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF:
Number of pages
TORRENS
Serial it
Certificate it
Prior Ctf. #
Deed / Mortgage Instrument
4I
Deed / Mortgage Tax Stamp
FEES
RECORDED
2002 Jun 25 11:01:40, AH
Edward: F?R0ma 1/D~,:,'
:: CLERK:~0F, ~i! ':~-~
Recording / Filing Stamps
Page / Filing Fee
Handling
TP-584
Notation
EA-52 17 (County)
EA-5217 (State)
R.P.T.S.A.
Comm. of Ed.
Affidavit
Certified Copy
Reg. Copy
Other
500
Sub Total
Sub Total
GRAND TOTAL
Mortgage Aant.
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 or NO
lfNO, see appropriate tax clause on page it
~ of this instrument.
5'l Real Property Tax Service Agency
Verification
Dist. I
Sectio~i I . lock I
Stamp 02011461 1000 08800 0100 005000
Date ~
71 Satisfacti°ns/DischargeS2Re~eas~'L-is~ Prt~Perty Owners Mailing Addres.,
~ RECORD & RETURN TO:
COmmunity PreservatiOn Fund
Consideration Amount $ ~
CPF Tax Due $ ,~
Improved
Vacant Land
TD / 0
TD
TD
Title Company Information
Co. Name
Title #
Suffolk County Recording & Endorsement Page
(SPECIFY TYPE OF INSTRUMENT )
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
This page forms part of the attached
___
TO In the Tomhp of ~O~o la
~f~(~ ~.~61~[q ~O~ In the ~LLAGE
L ' ~ or~ETof ~°~ol&
made by:
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
Number of Pages: 3
TRANSFER TAX NUMBER:'' 01-45334
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
088.00 01.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
06/25/2002
11:01:40 AM
D00012193
615
Lot:
005.000
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
TRANSFER TAX NUMBER: 01-45334
Fees Paid
THIS PAGE IS A PART OF THE INSTRUMENT
Exempt
$5.00 NO
$5.00 NO
$5.00 NO
$30.00 NO
$0.00 NO
$84.00
Edward P.Romaine
County Clerk, Suffolk County
FOR C~)UNTY USE ONLY
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
STREET NAME
REAL PROPERTY TRANSFER REPORT
' STATE oF NEW YORK
STATE BOARD OF ~EALYROPERTY SERVICES
RP -.5217
1. Property
Location
2. Buyer
Name
VILLAGE
F~RST NAME
STREET NUMBER
~ TOWN
RP-5217 Rev3/97
ZIP CODE
I
LAST NAME / COMPANY
3. Tax Indicate where future Tax Rills are to be sent
Sillin§ if other than buyer address (at bottom of form) I
Address
I ,"Po
STREET NUMBER AND STREET NAME
4, Indicate the number of Assessment
Roll parcels transferred on the deed t , , I
5, Deed
-~, Property
Size
6. Seller
Name
[ E.ONTEEET I xl - I ORI
DEPTH I I IACRES~
LAST NAME COMPANY
FIRST NAME
T~NA~E / COMPANY' , FIBST NAME
'T~ITY O~R TOWN I STATE ZIP cone
(Only if Part of a Parcel) Check as they apply:
# of Parcels OR Part of a Parcel 4A. Plannine~ Board with Subdivision Authority Exists r~l
4B. Subdivision Approval was Required for Transfer []
· , I 4C. Parcel Approved for Subdivision with Map Provided []
I /-~':~ ~/x,~...~ r: I
FIRST NAME
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 ~amily Residential
B [~ 2 or 3 Family Residential
C ~.~ Residential Vacant Land
DL_.J Non-Residential Vacant Land
I SALE INFORMATION I
11. Sale Contract Date
12. Date of Sale / Transfer
F Commercial Industrial
G Apartment Public Service
H Entertainment / Amusement Forest
Month Day ; Year
~.~ ~ oo~
Month Day Year
Check the boxes below as they apply:
8. Ownership Type is Condominium []
9. New Construction on Vacant Land []
10A. 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:
A
B
C
D
E
F
G
H
I
J
13. Full Sale Price I ~ I ~ ~ ~ ~ ~ ~ ~ 0 I ·
(Full Sale Price .i~ 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 ~o the nearest whole dollar amount.
14. Indicate the value of personalI , , , , , , , 0 , 0 I
property included in the sale ~ ~ ·
ASSESSMENT NFORMATIO~I - Data should reflect the latest Final Assessment Ro!l and Tax Bill
16. Year of Assessment Roll fromI , I17. Total Assessed Value {of all parcels in transfer)
which information taken
,8. Property Class [ , , [-I [ ,,. School District Name [ ~'~O~
20. Tax Map Identifier(s) / Roll Identifier(s) (If more than four. attach sheet with additional identifier(s))
Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
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)
None
I
I
I I I I
CERTIFICATION I
I certify that ali of theitems of information entered on this form are true and correct (to the best of my knowledge and belief) and I understand that the making
of any willful false statement of material fact herein will subject me to the provisions of the penal law relative to the making and filing of false instruments.
BUYER
~-'q. J .. ,,:-., 4( ~"' ' """ " "~' -, '" .2.
' ' >; - , / . :-
STREET NUMBER STREET NA~IA~E~ SAL~)
CITY OR TOWN ST ZIP CODE
,.d / , _ .~ ?
BUYER'S ATTORNEY
LAST NAME
FIRST NAME
AREA CODE TELEPHONE NUMBER
...~[ CITY/TO~ ASS~S~
-' COPY