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Home My WebLink AboutL 12134 P 652 ~VCB-2 ~ IRev. 8'~9 (unifolm ack Standard N. Y B.T.U. Form 8002 · -Bargain and Sale Deed, with Covenant against GrantoF~ Act~-- Individual ot Corporation (single sheet) CONSULTYOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS iNSTRUMENT SHOULD BE USED BY LAWYERS ONLY. TH~INDENTUI~made the 1st ~y of August ,inth~e~thousand and one BET%%~£N JOHANNES E. VanWORKUM and JOSEPHINE~ga~WOR~UM, husband and wife, both residing at 760 Oakland Avenue, Staten Island, N.Y. 10310 party of the first part, and ANN/TRAVERS and JOHN MED~ORD $1~. , 135-27 Hookcreek Boulevard, F.l, oor 1, Rosedale, N.Y. residing at 11422 party of the second part, ~;glTNF.,S$~'rH~ 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 in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot No. 13 on a certain map entitled "Map of South Harbor Homes", said map having been filed in the Suffolk County Clerk's Office on 7/14/64 as Map No. 4096. BEING AND INTENDED TO BE part of the same premises conveyed to Rene Gendron by deed made by Antone Krupski and Henry Krupski, dated September 27, 1961 and recorded in the Suffolk County Clerk's Office on October 10, 1961 in Liber 5062 at page 91. TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streots and roads abutting the above described premises to the center lines thereof; TOGETHER wkh 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 grauted unto the party of the second part, the heirs or successors and assigns of the party of the second part ~ttfi~'~ AND the party of the first par~m/nt~ that the party of the'first part has not done or suffered anything whereby the said premises have been encumbe'red 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 consid- eration 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 xvord "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IwNritteW~n. NF..SS WHEREOF, the Party of the first part has duly ~exec.~)d this deed the day and year first above ///JOHANNES E. ,VanWORKUM ! ~OSEPHI~b~/VanWORKUM Number of pages TORRENS Serial # Certificate # Prior Ctf. # Deed / Mortgage Instrument nl 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 Deed / Mortgage Tax Stamp FEES -- Sub Total SubTotal RECORDED 2001 Rug 08 01:41:45 PM Edward P,Romaine CLERK OF SUFFOLK COUNTY L b00012154 P 652 DT~ 01-01117 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 ~.~ o Mansion Tax The property r by this mortgage is or will be impro~ ed by a one or two family dwelling only. YES or NO If NO, see clause on page # __of this Real Property Tax Service Agency Verification Dist. Section B lock Lot Consideration CPF Tax Due Fund Improved ~ Initials Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: p.o. Suffolk County Recording & Endorsement Page ~Ihis page forms part of the attached ~aa/~...- (SPECIFY TYPE OF INSTRUMENT ) . ~ The premises herein is situated in d'~,,~?~/~ ~, ~d/~.. ~/d/~,}/{//.,/D~''tI~rI~UFFOLK COUNTY, NEW YORK. TO Cacant Land TD lB TD TD [ 8 [ Title Company Information Co. Name ~.~ I Title # In the Township of In the VILLAGE or HAMLET of BOXES 5 THRU 9 MUST BE 2YPED OR PRINTED 1N BLACK INK ONLY PRIOR TO RECORDING OR FILING. made by: (OVER) SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEEDS/DDD Number of Pages: 3 TRANSFER TAX NUMBER: 01-01117 District: 1000 Deed Amount: Section: Block: 075.00 04.00 EXAMINED AND CHARGED AS $230,000.00 Recorded: At: LIBER: PAGE: Lot: FOLLOWS o8/o8/2OOl 01:41:43 PM D00012134 652 019.000 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 $1,600.00 TRANSFER TAX NUMBER: 01-01117 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 $5.00 $5.00 $5.oo $15.oo $920.00 $2,589.00 Exempt NO NO NO NO NO 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 USE ONLY : REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES RP -5217 RP-~217 Rev ~ 1. Property 855 [ Grange Road ] Locat on STREET NUMBER S~EET NAME I Southold I ] 11971 I 2. Buyer I Travers I Ann ~,. I I Medford I John LAST NAME / COMPANy FIRST NAME 3. Tax Indicate where future Tax Bilts are to be sent Billing if other than buyer address (at bottom of form)I I Address LAST NAME / COMPANY FIRST NAME I STR ET.UMB . AN. STRE TNAME I ORTOWN I I ZIPCO.E 4. Indicate the number of Assessment ~ )Only B Pa~ ~ a Pa~l} Ch~k as they ap~y: Roll panels transferred on the deed ~ ~ 8 of Parcels OR Pan of a Parcel ~. Planning Board with Subdivision AuthoriW Exists 5. Deed ~. Subdivision Approval was Required for Transfer Prope~ ] J x I I OR I ·, I ~. ParcelApproved for Subdivision with Map Provided Siz8 ~RONT FEET DEPTH IACRES* 6. Seller I VanWorkum I Johannes E. Name LAST NAME / COMPANY FiRST NAME I Van~orkura I Josephine B. Sutera I 7. Check the box below which most accurately describes the use of the property at the time of sale: 1~ !~ 2 or 3 Family Residential C ~ Resldential Vacant Land DI I Non Residential Vacant Land I SALE INFORMATION I 11. Sale Contract Date Agricultural ir~ Community Service Commercial i~ Industrial Apartment Public Service Entertainment / Amusement Forest / / Month Day Year I 8 / 1/ ozI Month Day Year 12. Date of Sale / Transfer 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 [] 10g. 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 Sale Between Relatives or Former Relatives Sale Between ReLated Companies or Partners in Business One of the Buyers is also a Seller D 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) 13. Full Sale Price I , , , g , 3 ~ 0 , 0 ~ 0, 0, 0 , 0 I )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 dollar amount. 14. Indicate the value of personal I ~ , I ~ ~ I ~ 0 ~ 0 I property included in the sale ~ 5 · ASSESSMENT INFORMATION - Data ~0uld reflect the latest Final Assessment Roll and Tax Sill 16. Year of Assessment Roll from I 0 ~L I 17, Total Assessed Value (of all parcels in transfer) which information taken 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 lS. Property Class I 2, 1, 0 I'1 I 19. School District Name L Southold I 20, Tax Map Identifier(s) / Roll Identifier(s) (If more than four, at~ach sheet with additional identifier(s)) I 1000 075.00 04.00 019.000 I I I ~E RTtFICATiON I ~ certify that all of the items of information entered on this form are true and correct (to the b~t 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 f'fllng of false instruments. BUYER BUYER'S AI-rORNEY 855 I Grange Road STREET NUMBER Southold STREET NAME (AFTER SALE) I :~ I 11971 STATE ZIP CODE SELLER 8/i/01 DATE Olsen I Gary Flanner LAST NAME FIRST NAME 631 734-7666 AREA CODE TELEPHONE NUMBER