HomeMy WebLinkAboutL 12084 P 883$t3ndard N. Y. B. T. U. Form 8004 * 3-64-10M-Qukclaim Deed-lndividu=l or Corporation (single sheet)
.CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD BE USED BY LAWYERS
THIS {NDEN~ umde the ~ day of ~ ,x~k~m~ two thousan-
BET~-~-N CHARLES J. BLEIFELD, residing at 197 Christian Avenue,
AND SHELBY S. BLEIFELD, residing
party of the first pa~t, and SHELBY S. BLEIFELD,
at
Stony Brook, New Yorkll7
9 Regal Court
St. James, New'York 11780
residing at 9 Regal Court
St. James, New York 11780
party of the second part,
WITNF. SSETH, that the p~ty of the first part, in consideration of ten dollars paid by the party of the second
part, does hereby remise, releme and quitclaim u~o the party of the second part, the h~rs or su~essors Md
assi~s of ~e party of the second pa~ forever,
AIJ. ~ certain ~ot, piece or panel of land, with the buildi~s and improvemen~ ~ereon ~ected, sit,re,
~ing and being in ~e Town of Southold, County of Suffolk and State of
New York, known and designated as the southerly 100 feet of Orchard
Lane as shown on a certain map entitled "Subdivision Map of Cedar
Beach Park situate at Bayview, Town of Southold, New York, made by
Otto W. Van Tuyl, Professional Engineer and Surveyor, Greenport,
New York" and filed in the Office of the Clerk of the County of
Suffolk as Map No. 90.
Parcel herein is designated as New Parcel No. 90-4-20.3 on the Suffo]
County Tax Map.
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.
~;'.~., IIcAND th~p~ the first part, in compliance with Section 13 of the Lien Law, hereby covenants that th
'l~'c'u'[ttiae~tirat;:llgrt will receive the consideration for this conve ance and will hold th .. e party
PIOI.¥1~ Ll[""~Yttllon d-~' .... ~ .......... Y. . . _ e right to receive such consid-
.- ~[1 ~ ~'..~.~-n,,~,M~a to oe appl~ea nrst tor me purpose ot paying the cost of the improvement and will a 1
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 part has duly executed this deed the day and year first ~
written.
c. LEs .' B E ELO, .....
. BLEIFELD
PROPERTY' MAP NO~
I000
MAP BOOK__PAGE '
4
89
INDEX INITIAL
PAGE
LO'i,
April 11
5.1
7 ~..~ _ 7.¢.,, ~
SKETCH:
20.4
20.5
l~/a. PROPERTT TAX S~RV~C]] AGENCY
RETIRED PARCEL NO. 90- 4- 20.2
NEE PARCEL NO. 90- 4- 20.3 CHARLES & SHELBY BLEIFELD L-11015 Pg. 35?
NE~ PARCEL NO. 90- 4- 20.4 L-12008 Pg.?65
NEW PARCEL NO. 90- 4-20.5 L-12006 Pg.?66
OWNER; SHELBY BLEIFELD
JAS
RESEARCHER/PLOT,'T. ER .
;~ ~ ,.-:'. ,.~
CHECKED I~Y ,, ~, ..~ .._
6/2/00
DATE
06-14-2000 10:52P~1
RPTSA Form I01
4~114
P.O1
MAP OF
%~, ~°' P R 0 P E R T Y
'%. A T BA YVIEW
TO WN O? SOUTHOLD
SUFFOLK COUNTY, N. K
· '~ ~oo0- on- o4- ~2o
Dec. O, 1994
~. o. ~o~
~IN
EOUT~LO. N.Y. llgr~ TotMAroa = 3~561sq. ft. To Tie Line
631 765 1~6 P.
i2084 088g
Number of pages
TORRENS
Serial #
Certificate #
Prior Cfi. #
Deed
aI
Mortgage Instrument
#OV 16~8
Page / Filing Fee
Handling
TP-584
Deed / Mortgage Tax Stamp
FEES
Notation
EA-52 17 (County)
EA-5217 (State)
R.P.T.S.A.
Comm. of Ed.
Affidavit
Certified Copy
Reg. Copy
Other
Sub Total c~,3 ~
5 O0
Sub Total
GRAND TOTAL
RECORDED
21100 I~0¥ 1 6 AM 9:~,5
ED, YARD R ROMAiHE
CLERK OF
SUFFOLK COUNTY
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
5'?FOLK Dist. Section B lock Lot
GOi, J;,iIY
Community Preservation Fund
Consideration Amount $ ~-~
CPF Tax Due "- $
init
7 Satisfactions/Discharges/Releases List Property Owners Mailing Addres~
RECORD & RETURN TO:
NOV 1 6 2000
,.iLtilTY
Ph,:.,.3~f~VATiON
FUND
cant Land
lC>
Suffolk
Title Company Information
Co. N a n~Ol~l]~l,
Title #
Recordin & Endorsement Pa: e
This page forms part of the attached
TO
made by:
(SPECIFY TYPE OF INSTRUMENT )
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the Township of
In the VILLAGE
or HAMLET of
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(o\n:RI
: " ..... ~-~--'~~-~P-~oR~S-~I~ILY WHEN WRITING ON FORM
~ ' INSTRUCTIONS: hep://www.orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
m. sw~s Code I
I I
/
C2. Date Deed Recorded
MOnth Day Year
,~'
Location
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP-5217 Rev 3/97
STREET NUMBER
I ll780 I
CITY OR TOWN
2. Buyer I
Name ,,, LAST NAMe/COM?ANY
r~
VILLAGE ZIP CODE
I Shelby I
FIRST N~ME
FIRST NAME
3. Tax
Billing
Address
LAST NAME / COMPANY
Indicate where future Tax Bills are to be sent
if other than buyer address (at bottom of form)
I 9 Regal Court
Bleifeld I Shelby I
~T NAME / COMPANY FIRST NAME
I St. James I I 117801
STREET NUMBER AND STREET NAME
4. Indicate the number of Assessment
Roll parcels transferred on the deed I
CITY OR TOWN
~. I # of Parcels OR ~ Part of a Parcel
STATE ZIP CODE
(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 []
{ORI .... · , I
ACRES
5. Deed ~ :]. ~7 ..
Property I ' I x I '"""
Size FRONT FEET DEPTH
6. Seller I Bleifeld I Charles J. j
LAST NAME / COMPANY FIRST NAME
Bleifeld Shelby S.
I I
LAST NAME / COMPANY FIRST NAME
, ~7. Check the box below which most accurately describes the use of the property at the time of sale:
Name
i~ One Family Residential ~ ~Agricultural i~COmmunitY Service
2 or 3 Family Residential F Commercial Industrial
Residential Vacant Land G Apartment Public Service
Non-Residential Vacant Land H Entertainment/Amusement Forest
11. Sale Co~ra~t Date ¢~'
12. Date of Sale / Transfer
13. Full Sale Price
Month Day Year
Month Day Year
(Full Sale Price is the total amour'paid for the property including personal property.
~ This payment may be in th~for~o~o~ of cash, other property or goods, or the assumption of
mortgages or other obligatioqT{;) Please round to the nearest whole dollar amount,
14. Indicate the value of personal j ~ I I I ~ ~ I 0 I 0 I
property included in the sale ~ ~ ·
16. Year of Assessment Roll from
which information taken
18. Property Class J ~ ~ "-~
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction'on~acant Land
10A. Property Located within ~ Agricultural District
10B. Buyer received a disclosur~ notice indicating
that the property is in an Agricultural District
15: Check one or more of these conditions as applicable to transfer:
D
E
F
G
H
I
-j
J 17. Total Assessed Value [of all parcels in transfer) J
I 19. School District Name I - ' -~' ~ .' '
~ale Bbtwee~ 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)
None ~
20. Tax Map Identifier(s) I Roll Identifier(s) (if more than four, attach sheet with additional identifier(s))
I certify that all of the ?ms of information entered on this form are true and co,rr~ (to the best of my knowiedge and belief) and I understand that the making
of any willful false statement of material fact h~rein will subject me to the provisiOns of the peltal law relative to the malting and filing of false instrmnents.
BUYER BUYER;S ATrORNEY
BUYER SIGNATURE SHELBY
9 I Regal Court
STREET NUMBER S~EET NAME (A~ER SALE}
St. James/
CITY OR,TOWN
// /
CHAR~S
DATE
11780
STATE ZI~,~ODE/
i;'// I HY I
J. BLEIFELD / t
DATE
MORAN &
LAST NAME
516
I
BRODRICK, ESQS.
I
FIRST NAME
741-3060
AREA CODE TELEPHONE NUMBER
BLEIFELD