HomeMy WebLinkAboutL 12157 P 542DISTRICT
1000
SECTION
070.00
BLOCK
10.00
LOT
057.000
Foml 8002 (9/99) - 20M Bargain and Sale Deed, with Covenants against Grantor's Acts Individual or Corporation. (single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, made the 7th day of December 2001
BETWEEN
ROBERT H. CHILTON and BLANCHE L. CHILTON, his wife,
residing at 800 Beachwood Lane, Southold, New York 11971
party of the first part, and
ROBERT H. CHILTON and BLANCHE L. CHILTON, as Equal Tenants in Cor0mon,
residing at 800 Beachwood Lane, Southold, New York 11971
party of the second part,
WITNESSETH, tlmt 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 that certain plot, piece or parcel of land situate, lying and being at
Southold, in the Town of Southold, County of Suffolk and State of New York,
known and designated as Lot No. 18 on a certain map entitled, "Map of
Southwood, situate at Southold, Town of Southold, New York, surveyed October
1, 1953 by Otto W. Van Tuyl" which map was filed in the Office of the Clerk
of the County of Suffolk on November 24, 1953 as Map No. 2141.
BEING and intended to be the same premises conveyed to the party of the
first part by deed dated November 6, 1967, recorded in Liber 6253, page 511
on November 10, 1967 at the Suffolk County Clerk's Office.
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 pan in and to said premises; TO HAVE AND TO HOLD the premises herein
granted unto the par~ 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 tlmt 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 paxt will receive the consideration for this conveyance and will hold the right to receive such consider-
ation 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.
1N WITNESS WHEREOF, the par~ of the first part has duly executed this deed the day and year first above
written.
ROB ' '
Acknowledgement taken in New York State
State of New York, County of Suffolk
On the 7th day of December , in the year 2001
before me, the undersigned, personally appeared
ROBERT H. CHILTON and
BLANCHE L. CHILTON
personally known to me or proved to me on the basis of
satisfactory evidence to be the individuals whose names are
subscribed to the within instrument and acknowledged to me
that they executed the same in their capacities and that
by their signatures on the instrument, the individuals or the
person upon behalf of which the individuals acted,
executed the instrument.
Notary Public
ANTHONY B. TOHILL
NOTARY PUBLIC, State of New York
No. 02TO9350510
Qualified in Suffolk County n A
Commission Expires Sept. 30, .~t I!
Bargain and Sale Deed
Title No.:
CHILTON
TO
CHILTON
Acknowledgement taken in New York State
State of New York, County of
, SS:
On the day of ,in the year
the undersigned, personally appeared
, before me,
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 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.
Acknowledgement taken outside New York State
* State of County of
* (or insert Distr ct of Co umb a, Territory, Possession or
Foreign Country)
On the day of , in the year
the undersigned, personally appeared
, before me,
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 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 instrument, and that such
individual made such appearance before the undersigned in the
(add the city or political subdivision and the state or country or
other place the acknowledgement was taken),
SECTION
BLOCK
LOT
COUNTY OR TOWN
RETURN BY MAIL TO:
Distributed by
Chicago Title Insurance Company
ANTHONY B. TOHILL, P.C.
12 First St., P.O. Box 1330
Riverhead, NY 11901
Zip No.
m
Number of pages
TORRENS
Serial #
Certificate #
Prior Ctfi #
Deed / Mortgage Instrument
41
Page / Filing Fee
Handling
TP-584
Notation
EA-52 17 (County)
EA-5217 (State)
R.P.T.S.A. //5~ --
Comm. of Ed. 500
Affidavit
Certified Copy
Reg. Copy
Other
Deed/MortgageTaxStamp
FEES
__SubTotal
Sub Total
--GRANDTOTAL
RECORpED
2001 Dec I0
Edwaro P.Romaine
CLERK OH
SUFFOLi< COUHFV
L ~000i2157
P 542
Di~ 0t-i7960
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 or NO
If NO, see appropriate tax clause on page #
__ of this instrument.
Real Property Tax Service Agency Verification
Dist. Section B lock
Lot
Community Preservation Fund
Consideration Amount $ - 0 -
1000 070.00 10.00 CPF Tax Due $ - 0 -
Improved X
Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
ANTHONY B. TOHILL, P.C.
P.O. BOX 1330
RIVERHEAD, NEW YORK 11901
This page forms part of the attached
Land
TD
TD
TD
ICSo.]Name Title Company Information
Title #
Suffolk County Recording & Endorsement Page
Deed
made by:
(SPECIFY TYPE OF INSTRUMENT )
ROBERT H. CHILTON and BLANCHE L. CHILTON
TO
ROBERT H. CHILTON and BLANCHE L. CHILTON
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the Township of
in the VILLAGE
or HAMLET of
SOUTHOLD
SOUTHOLD
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
T~pe of Instrument: DEEDS/DDD
N,~mher of Pages: 3
TRANSFER TAX NUMBER: 01-17960
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
070.00 10.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
12/10/2001
03:05:50 PM
D00012157
542
Lot:
057. 000
Received the Following Fees For
Page/Filing $9.00
COE $5.00
EA-STATE $25.00
Cert. Copies $0.00
SCTM $0.00
Comm. Pres $0.00
TRANSFER TAX NUMBER: 01-17960
THIS PAGE IS
Above Instrument
Exempt
NO Handling
NO EA-CTY
NO TP-584
NO RPT
NO Transfer tax
NO
Fees Paid
A PART OF THE INSTRUMENT
Exempt
$5.00 NO
$5.00 NO
$5.00 NO
$15.00 NO
$0.00 NO
$69.00
Edward P.Romaine
County Clerk, Suffolk County
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY U~ ONLY : ~
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP -5217
Prope~ 800 Beachwood Lane
Location I I
STREET NUMBER S~pRE ET NAME
[ Southold I Southold I 11971 I
Clnf OR TOWN VILLAGE Zip CODE
I CHILTON I Robert H. I
LAST NAME / COMPANY FIRST NAME
I CHILTON I Blanche L. I
LAST NAME / CUM P/~,Ny FIRST NAME
Indicate where future Tax Bills are to be sent
other than buyer address (at boi~om of form) I I I
2. Buyer
Name
3. Tax
Billing
Address
LAST NAME / COMPANY FIRST NAME
I BTREETNU..ER*.DSTR~ETN^ME I CI~OR*OWN I STXTE I
4. Indicate the number of Assessment
Roll parcels transferred on the deed
5. Deed
PropertyI I x l
Size FRONT FEET
DEPTH
# of Parcels OR I I Part of a Parcel
IORI ,6 0I
(Only if 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 []
6. Seller I CHILTON I Robert H.
I CHILTON I Blanche L.
7. Check the box below which most accurately describes the use of the property at the time of sale:
B I~ 2 or 3 Family Residential
C ~.~ Residential Vacant Land
D~ I Non-Residenlial Vacant Land
I SALE INFORMATION I
11. Sale Contract Date I
Month
Agricultural ][~] Community Service
Commerciar !~ Industrial
Apartment Public Service
Entertainment / Amusement Forest
/N/A /
Day Year
12. Date of Sale / Transfer
I 12 / 7 / 0~. i
Month Day Year
Check the boxes below as they apply:
8. Ownership Type is Condominium []
9. New Construction on Vacant Land []
10A. Properly L~ted within an Agricultural Distdct []
10B. Buyer re~ived 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
(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 otber obligations.) Please round to the nearest whole dollar amount.
14.1ndicate the value of personal [ I I I T Or- I i 0 I 0 I
property included in the sale ~ ~ ·
ASSESSMENT INFORMATION ~ Data should reflect the latest Eir~l AsSeSsment Roll and TaX Bill
16. Year of Asseesment Roll from 0 0
which information taken i i 117.Total Assessed Value (of all parcels in transfer) i
18. Property Class I 2, 1 ,o 19. Sch~lDistdctName I
Sale Between Relatives or Former Relatives
Sale Be~veen 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)
None
Southold School j
20. Tax Map Identifier(s) / Roll Identifier(s) (If more than four, attach sheet with additional identifier(s))
L 1000-070.00-10.00-057.00 I I
i i i
[
l certify that all of the i~ms of infonnatlon entered on this form are true and correct (m 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 BUYER'S A'FrORNEY
~ " /December 7, 2001
, ~' ; ,~
Rdl~L~t~.~u.rcH[L~rO[~ ~A~ ~STNAME i "'RS'.*ME
800 I Beachwood Lane
STREET NUMBER STREET NAME (AFTER SALE}
Southold NY 11971
CITY OR TOWN STATE ZIp CODE
SELLER
~,~ , ,, ,~ /December 7, 2001
RO~LVt~¥,%~:u.kHiLTON OAT,
631 I 727-8383
AREA CODE TELEPHONE NUMBER