HomeMy WebLinkAboutL 12241 P 810 - ' ..C:ONSULT YOUR LAWYER BEFORE BIGNING THIsE INSTRUMENT--THIS INA~I~LIMENT IIHOULD BE USED BY LAII¥~E'~8 ONLY.
.'.
· 'I'!t18'1t~~ m~l,d~ 18~:h d~j, of:~,~lt~r'l'~~,and One,
BETWEEN ..... ': ' ' ~'' '"" :' -' -"
AIUfE-MARIR W.O~mLEBR
.. residing .... 'Hr 37
Ma~.~.achuset t: s (~2090
~~any or d~ fi~s~ pan. a=i ' ' '
Birch Tree... Drive, Wes t~od,
J~S P. C~T and ~-~E WO~ C~BT, T~s~ee~
of ~ C~ET
FeBma~
02~90
~L that certain plot, piece or parcel of land, with the bu~ldings
and improvements 2hereon erected, situate', lying and being in ~he
To~ of Southhold, County of Suffolk, State of New York, kno~
designated as Lot ~o. 29 on a certain mp entitled, '"S~-division
~p o~ Cedar Beach Park situate at Ba~iew, To~ o~ Sout~old, New
York, mde by 'Ot=o W. Van.
the Office of 2he Clerk."of the Co~y of Suffolk as ~ap No. 90,
Dece~er 20, 1927, together with ~ easemn~ Eot ingress and
egress 2o and fro~' the p~emises herein to Cedar Poin=. Drive over a
strip of land ~0' wide, starting ah a poin= where the 'northerly
bounda~ line oE Lot No.
Cedar Point Drive, the southerly bounda~ of said 50 foot strip
being parallel to and at all points ~0 feet southerly ~rom the
northerly bo~da~ oE said Lot No. B1 and pro~ected from and
between these lands to Orchard Lane, being and in=ended to be
premises conveyed March 29, 1977 to ~e-Marie Woelker and ~el~
Jeanne Woelker, -recorded
Liber 5219 oE deeded' P~e_~76 on April 1~, 197v.
abutt~g u~e abov~de~ribcd p~i~ to
p~m~s.
~ HAVE A~ TO HOLD
~ assig~ of ~e pa~y or' ~e ~co~ pa~ tb~er.
A~ the p~ of ~e t]~t pa~ corena ~ ~e ~ of ~e tl~ ~ h~ not ~ or suffe~ ~y~ing wh~
t~ said p~m~s have b~n enc~be~ in ~y way wha~, e~t ~ a~aid.
IN W~ ~OF. ~e ~y of ~e fi~t ~ h~ duly e~ ~h ~ ~e day ~ ye= ~ a~ve
in presence of:
· /kla .~-KARXE.'' ... WOELKu
ACKNOW~-~nGEMENT
. COMMO~TH OF ~CHUS~-I'rs ) .a...; .
COUNTY OF ~'- v~... ) ..
I~ '-~
On ~ day of ~~e y*~ ~.gq~:. b~for~ ~, ~ ~e~is~d, pe~y ap~~~~
~di~ w~ ~ ~ ~~ m ~e wi~ ~t, ~ ~owl~ m ~ ~ ~ ~
i~v~ ~d, e~d ~e ~nt ~ ~ ~ ~ ~e ~ a~cc before ~c
the '
(i~en the ci~ o~ othe~ t or ?co~t~ o~ o~er p~ce ad~iedg~nt
I : · ':
DEED - · -
TO
858 Washington Stm.e.t, Suite 202 - ;..
..i.~. ': D~n, .MA 0S0~- -'- "'.
Number ~1' pa~s
TORRENS
Serial N
Ceflificate #
Prior Cfi. #
Dec-d / Moi~g=~,~ Instrument
4
Page / Filing Fee
Handling
TP-$S,I
Deed / Mortgage Tax Stamp
FEES
Notation
EA-$2 17 (County)
EA-5217 estate)
R=P.T.S.A.
Comm. of Ed.
Affidavit
Certified Copy
Reg. Copy
O~her
;
Sub Total
Sub Total
GRAND TOTAL
Real Prof,~y Tax Service Agency Verification
,,ist. __ I s,ctio.? I ..... B lock I 'Lot
03010289 ~ooo oeooo o4oo o16ooo "
RECORDED
2003 Mar 24 10:32:17
%,= Edward P. Ron~aine
· ~E~K 0F'
DUFFLE ~UNTY
L ~01224~
P 810
DT~ ~-321~
Recording / Filing Stamps
Mortgage Amt.
I. Basic Tax
2. Additional Tax
Sub Total
Spec./Amit.
Or
Spec./Add.
TOT. ~'FG. TAX
Dual Town Dual County
! leld f~)r Apportionment
Transfer Tax ~
Mansion Tax
'llte 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 #
J-~ of this instrument.
i,C°rnn, unit¥ Presorvmion Fund--
Consideration ^mounl $_. ~
P~pc~y O~rs Mhilin8 Addres.~
CPF '1'ax Due $__ ~
Improved , ~/"
Vacant Land
To !:0
TD
'1'13 :
Suffolk, County Recording & Endorsement Page
This PaRC forms part of the attached ~
(SPECIFY'iTPE OF INglI[UiVlENT)
'll~e prentises herein is situated in
SUFFOLK COUNTY, N~W y.~ORK.
In the Township of~
In the VILLAGE
or HAMLE'. F of
TO
BOXES 5 THRU 9 MUST BE TYPED OR PRINrFED IN BLACK INK ONLY PRIOR 1~O RECORDING OR I"ILING.
s
made by:
II [[
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBER: 02-32197
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
090.00 04.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
03/24/2003
10:32:17 AM
D00012241
810
Lot:
016. 000
Received the Following Fees For Above Xnstrument
Exempt
Page/Filing $ 9.00 NO Handling
COE $5.00 NO NYS SURCHG
EA-CT¥ $5.00 NO EA-STATE
TP-584 $5.00 NO Cert. Copies
RPT $30.00 NO SCTM
Transfer tax $0.00 NO Co~.pres
Fees Paid
TRANSFER TAX NUMBER: 02-32197
THIS PAGE IS A PART OF THE INSTRUMENT
Exempt
$5.00 No
$15.00 No
$25.00 NO
$0.00 NO
$0.00 NO
$0.00 NO
$~9.oo
Edward P.Romaine
County Clerk, Suffolk County
PROPERTY INFORMATION
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www,orps.state.ny, us or PHONE (518) 473-7222
t. Property [ 865 I Orchard Lane
[ 8outhhold I Southold
CITY OR TOWN VILLAGE
2. Buyer I Chubet Family Revocable Trust I
Name L~ST NAME I COMPANY FIRST NAME
I
LAST NAME ! COMPANY FIRST NAME
3. Tax Indicate where future Tax Rills ars to be sent
Billing if other than buyer address (at bottom of form)'1 We elker
Address LA~ NA~E / COMPANY
137 Beech Tree Drive I Westwood
STREET NUMBER AND STREET NAME ~TY OR TOWN
4. Indicate the number of Assessment, , ~
Roll pamela transferred on the deed I , , I # of Parcels ORU Pan of a Parcel
5. Deed
Pro~-~ I IX1 Io. 1 0 6 81
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP-5217 Rev 3ffJI
Anne Marie
I ,~1 02090
(Only if Part of a Parcel) Che~( as they app./:.
4A. Harming Board with Subdivision Authority Exists []
41t. Subdivision Approval was Required for Transfer []
4~. Parcel Approved for Subdivision with Map Provided []
6. Seller I Chubet f/k/a Woelker I Anne-Marie
Name LAST NAME / COMPANY RRSI NAME
I I I
~ NAME f COMPANY FIRST NAME
7. Check the box below which most aceurately describes the use of the property at the time of sale;
One Family Residential
2 or 3 Family Residential
Residential Vacant Land
Non-Residential Vacant Land
Commercial Industrial
Apadment Public Service
Entertainment I Amusement Forest
Che~k the boxes below as they apply:
8. Ownership Type is Condominium []
9. New Construction on Vacant Land []
10A. Property Located withln an Agricultural District []
10B. Buyer received a disclosure notice indicatJng []
that the property iB in an Agr[culturai District
I SALE INFORMATION I
1I. Sale Contract Date
12. Date of Sale / Transfer
I 09 / 13 / oo I
Month Day Year
I 09 t [3 / oo I
Month Day Year
13. Full Sal, Price I .... ~ , , ½ , 1, 0., 0 , 0 r
(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 other obligations.) Please round to the nearest whole dol/ar amount.
14.1ndicate the value of personal [~ Oe~ 0 0
property included in the sale ~ I ~ 1 ~ ~
15. Check one or more of these conditions as applicable to transfer:
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 ProperW Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
I ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from I 0~ 1
which information taken [ 17. Total Assessed Value [of all parcels In transfer) I , ,
la. ~ooen~ c~ass I 2, 6, 0 ]_[~J 19. School District Name [ . Southold School
34 ,0
i ' ' ~ ' '
20. Tax Map Identifier(s) / Roll identifier(s) (If more than four, attach sheet with additional identifier(s})
,01
J
I Tax Map No. 473889 ] L J
I I L J
I CERTIFICATION I
I certify that all of the items of informaOon eater~ On th~ form are tr~e and correct (to the best of my knowledge and belief) and I understand that the making
of any wffifu] false statement of material fact herein will subject me to the provisions of the penal law relative to the makinoo and filing of false instruments.
BUYER
[ ~SU~ER SINATORB .... OATE
37 [ Birch Tree Dr~,v~
Westwood I ~!'A
~TY OR TOWN
SELLER
02090
ZIP CODE
BUYER'S AI-FORNEY
Sayward I Suzanne
L.~ST NA~ FIRST NAME
781 [ 461-1020
CODE TELEPHONE NUMBER
I NEW YORK STATE
COPY