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Home My WebLink AboutL 12145 P 337Sh'Mard N.Y.B.T.U. Form 8002 -- Bargain and Sale Deed, with Covenant against Grantor's Ac[s -- Individual or Corporation (single sheet) CONSULT YOUR LAWYER BEFORE SIGNING THiS INSTRUMENT - THIS INSTRUMENT SHOULD BF, USI~,D BY LAWYERS ONLY. THIS INDENTURE, made this Z.~day of September, two thousand and one BETWEEN RUDOLPH FLORENCE DeHAAN, as surviving spouse of and tenant in common with J. DeHAAN, and DONNA DeHAAN (f/k/a Mac. DONALD), residing at 615 River Road, Kingston, TN 37763, both being all of the distributees of RUDOLPH J. DeHAAN (deceased), party of the first part, and FLORENCE DeHAAN and DONNA DeHAAN, as joint tenants with right of survivorship, residing at 615 River Road, Kingston, TN 37763 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 that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Cedar Beach, Town of Southold, County of Suffolk and State of New York, known and designated as "The Tennis Court and Playground" on subdivision Map of Cedar Beach Park", and filed in the office of the Clerk of the County of Suffolk on December 20, 1927, as map number 90. AND ALSO: ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Cedar Beach, Town of Southold, County of Suffolk and State of New York, known and designated as "Community Beach" on a certain map entitled, "Subdivision Map of Cedar Beach Park", and filed in the office of the Clerk of the County of Suffolk on December 20, 1927, as map number 90. BEING AND INTENDED TO BE the same premises described in the deed of the parties of the first part herein by deed from RUDOLPH J. DeHAAN and FLORENCE DeHAAN, dated 8/13/58, recorded in the Suffolk County Clerk's Office on 6/5/59, in Liber 4637, Page 76. TOGETHER with all'right, title and interest, if any, of the party of the fa'st part in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances, and also 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 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 WHEREOF, the party of the first part has duly executed this deed the day and year first abov$ written. IN PRESENCE OF: __e_~.,LORENCE I~eHAAN, by DONNA DeHAAN as ~ ~ her attorney-in-fact DONNA DeHAAN To BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE STATE (OR DISTRICT OF COLUMBIA, TERRITORY, OR FOREIGN COUNTRY) OF TENNESSEE SS: On the 5[~A"Aday of September in the year 2001, before me, the undersigned, a Notary Public in and for said State, personally appeared DONNA DeHAAN 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 instmmeut and acknowledged to me that he/she/they executed same in his/her/their capacity(ies), 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 instrumem, and that such individual made such appearance before the undersigned in the ~'~ 13c~ ~ 0 xvx, in TENNESSEE. (insert the City ~ other political subdivision) Bargain and Sale Deed WITH COVENANT AGAINST GRANTOR'S ACTS TITLE NO. DIST. SECTION BLOCK LOT COUNTY OR TOWN (sign~'ture and office of the person, t.al~,g.'hcknowl~ilg~h/.mj'z ~ ~ '.. ~/,. ........ 1000 089.~ 01.00 001.000 Suffol~S~u~old FLORENCE DeHAAN, as surviving spouse of and tenant in common with RUDOLPH J. DeHAAN, and DONNA DeHAAN (f/k/a MacDONALD), both being all of the distributees of RUDOLPH J. DeHAAN (deceased) TO FLORENCE DeHAAN and DONNA DeHAAN, as joint tenants with right of survivorship RECORDED AT REQUEST OF RETURN BY MAIL TO: Deborah Doty, Esq. P.O. Box 1181 Cutchogue, NY 11935 C, C-.I w. (-j .-13 iT', ,Lq --t ,~. -:7. ".ZI Number of pages, 3 TORRENS Serial # Certificate # Prior Cfi. # Deed / Mortgage Instrument 4 5- Deed / Mortgage Tax Stamp FEES RECORDED 2001 Oct. 04 10:!6:46 Edward P. Ro,.'~'min~- CLERK OF SUFFOLK COUNTV L ro00012145 P .537 DT~ 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 Sub Total 500 Sub Total GRAND TOTAL Real Property Tax Service Agency Verification : Dist. Section .B lock 1000 ~89 .un 01 ,~'~ Lot ool ,~o0 Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. Or Spec./Add. TOT. MTG. TAX Dual Town Dual Count, Held for Apportionment Transfer Tax b 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. COmmunity Preservation Fund Consideration Amou, nt $ CPF Tax Due $ Initials Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Deborah Doty, Esq. 670 West Creek Avenue P.O. Box 1181 .Cutchogue, NY 11 935 Improved Vacant Land TD t 0 TD TD 9 Suffolk This page forms pan of the attached Title Company Information Co. Name Title # Recordin & Endorsement Pa e (SPECIFY TYPE OF INSTRUMENT ) made by: FLORt~X~2E DeHAAN, as surviving spouse & tenant- The premises herein is situated in in-comnon w/ RUDOLPH J. DeHAAN, a DONNA De~OLK COUNTY, NEW YORIC TO FLOR~qCE DeHAAN & DONNA DeHAAN, as joint tenants with right of survivorship 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 Number of Pages: 3 TRANSFER TAX NUMBER: 01-09066 District: 1000 Deed Amount: Recorded: 10/04/2001 At: 10:16:46 AM : LIBER: D00012145 PAGE: 33 7 Section: Block: Lot: 089.00 01.00 001.000 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $9.00 NO COE $5.00 NO EA-STATE $25.00 NO Cert. Copies $0.00 NO SCTM $0.00 NO Comm. Pres $0.00 NO TRANSFER TAX NUMBER: 01-09066 Exempt Handling $5.00 NO EA-CTY $5.00 NO TP-584 $5.00 NO RPT $15.00 NO Transfer tax $0.00 NO Fees Paid THIS PAGE IS A PART OF THE INSTRUMENT Edward P.Romaine County Clerk, Suffolk County $69.00 FOR COUN~ USE ONLY - Ct SWm ~ PLEASE TYPE DR PRI~5$ PIRMLY WHEN ~/VI~ITIN[5 aN PoRrvl INSTRUCTIONS: http://wWW.orps.state.ny, us or PHONE (518) 473-7222 REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES RP - 5217 RP-5217 Rev 3/97 1. Property Location 2. Buyer Name 141~ I ~v~n P~w~ ~-.~c~ STREET NUMBER STreET NAM~ - ~~ I ~ld I 11971-~ CI~ OR TOWN VlL~GE ZIP CODE ~ I F10~ ~ST NAME f COMPANY FIRST NAME 3' X ~ling Address LAST NAME t COMPANY Indicate where future Tax Bills are to be sent if other than buyer address (at bottom of form) FIRST NAME LAST NAME, COMPANY FIRST NAME I I , I CITY OR TOWN STATE ZIP CODE (Only if Part of a Parcel) Cheek as they apply: I ~; STREET NUMBER AND STREET NAME 4. Indicate the number of Assessment ' ~ Roll parcels transferred on the deed I fI # of Parcels OR Part of a Parcel 5. Dealt Property '1" I xl I ORI , , , 4.3 , I Size FRONT FEET DEPTH ACRES 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 De['~9-- -arl I Florence Name _AST NAME / COMPANY FIRST NAME LAST NAME' COMPANY FIRST N~ 7. Check the box below which most accurately describes the use of the property at the time~qf Sale: Check the boxes below as they apply: 8. Ownership Type is Condominium [] i~ One Family ResidentiaI i~ Agricultural ;i~ Community Service 9. New Construction on Vacant Land [] 2 or 3 Family Residential Commercial industrial ..;~ Property Located within an Agricultural District Residential Vacant Land Apartment - Pubhc Service ~-:~ ,-: 10B Buyer race veda d sclosure notice indicating Non-Residential Vacant Land Entertainment / Amusement Forest ?~'~ that the property is in an Agricultural District 15. Check one or more of these conditions aa applicable to transfer: 11. Sale Contract Date I Month / ~ / I A $;~le B~etween Relatives or Former Relatives Day Year ~ ~!e,.Bet~veen Related Companies or, Partners in Business /' _ ~ , ~ {~". '~e of~the Buyers. is also a Seller 12. Date of Sale / Transfer I "/ / /' ' f / ~' / I 8u~/e'i'*~or Sell~ WGovernment Agency or Lending Institution Month Day Year ~ ~ ~ ~ ~ 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 13. Full Sale Price I , , , , , , ..-,,~-~,C~', , 0 , 0 I H[~ Sale of Business is Included in Sale Price (Full Sale Price is the total amount paid for the property including personal property. !~ Other Unusual Factors Affecting Sale Price (Specify Below) This payment may be in the form of cash, other property or goods, or the assumption of J None mortgages or other obligations.) Please round to the nearest whole dollar amount. 14. Indicate the value of personal ~ t'"y,~l~h~ p f-c~ jcl1 nf- t-~r~nt-.~ w~ Ph r~ c~hf' property included in sale of survivorship 16. Year of Assessment Roll from which information taken 18. Property Class I q, I ~"1 I 17. Total Assessed Value [of all parcels in transfer) I I 19. School District Name < 20. Tax Map Identifier(s) / Roll Identifier(s) (If more than four, attach sheet with additional identifier(s)) I ~000'89-1-1~ - , , -:~.~ I cerl~j that ~ of ae i~ of ~oma~o. e;E~ o~ ~ fo~ m ~e ~ m~ (~ ~e ~ of my ~o~l~e ad ~ ad [ ~em~d ~t ~e m~8 of ~y ~ f~ s~ment of ~ ~ he~ ~ ~bj~ me m ~e p~o~ of ~e ~ ~w ~lafive ~ ~e ~ ~ ~ of f~ ~en~. · BUYER . .~~ BUYER SIGNATURE DATE 615 I River ~ STREET NUMBER STREET NAME (AFTER SALE) ~ston I ~ I 37763 : CITY OR TOWN STATE ZIP CODE _.~ . ~,. SELLER ~ - f~E~L E~R ~'1~ ~ATU RE ..... DATE BUYER'S ATFORNEY LAST NAME FIRST NAME 631 I 734-6648 AREA CODE TELEPHONE NUMBER ASSESSOR