HomeMy WebLinkAboutL 11844 P 430 FORM 26/33-BSD(8/95) PAGE t OF 2
11 / Bargain and Sale Deed with Covenant a,,ainst Grantor's Acts Individual or Corporation(Single Sheet)
OW CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
� X30
THIS INDENTURE,made the 25th day of July nineteen hundred and ninety seven
BETWEEN
ALBERTA M. JACOBS, residing at 550 Depot Lane, Cutchogue, NY 11935
party of the first part, and
C. C.
JAY/BURKHARDT and KATHRYN/BURKHARDT, his wife, residing at
300 Wilson Road, Cutchogue, NY 11935
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, Tying and
beingldlVe/ at East Cutchogue, Town of Southold, County of Suffolk and State of
New York, known and designated as Lot No. 21 on "Map of Sunny Shores at East
Cutchogue, Town of Southold, County of Suffolk and State of New York, known and
designated at Lot No. 21 on "Map of Sunny Shores at East Cutchogue, Town of
Southold, Suffolk County, New York" , prepared by Otto W. Van Tuyl and Son from
furveys completed June 9, 1960 filed in the Suffolk County Clerk' s Office on
August 30, 1960 as Map No. 3231 .
The grantor herein is the same person as the grantee in Deed dated 11/19/75
Tax Map recorded 11/26/75 in Liber 7949 cp 362.
Designation
Dist.1000
See. 103.00LOT
piSTRi;:T SEi,71Ut9 BLOCoS
Bu. 04.00 / / O _I—] I
Lot(s)
044.000
TOGETHER with all right, title and interest, if any, of the party of the first part of, 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.
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 incumbered 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 pari
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 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.
IN WITNESS WH OF,the party of the first part has duly executed this deed the day and year first above HTitten.
IN PRESENCE OF
�XLBERTA M. JACOBS
RECORDED AN 4 1991 CLEFKOFFSUP�Ol01CMAINE
COUNTY
11844 H 430 FT o
G
G .A
RECEIVED
$.___z2 G
Number of pages {3 A I ru i°�t�' y o .10
7 11
TORRENs 00 0a
AUG 4 �,Q�
Serial# + w
Tii4i� ;f F i'i.t -� rn w
Certificate#
Prior Ctf.#
Decd/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
4 1 FEES
Page/Filing Fee Mortgage Amt.
Handling 1. Basic Tax
TP-584 �.-. 2. Additional Tax
Notation Sub'Total _
EA-5217(County) Sub Total (� 1 ._ Spec./Assit.
or
EA-5217(State) Spec./Add.
R.P.T.S.A. �� tJ2� tj TOT.MTG.TAX
Dual Town Dual County
Comm,of Ed. 5 . W Held for Apportionment
p
Affidavita sa� Transfer Tax
��a^q1,,N0IMOE�
Certified Copy `% � Mansion Tax
The property covered by this mortgage is or
will be improved by a one or two family
Reg.Copy /
Sub Total ._ dwelling only.
Other YES or NO
GRAND TOTAL . If NO, see appropriate tax clause on page #
of this instrument.
Real Property Tax Service Agency Verification l/ 6 Title Company Information
MUFXDist. Section Block Lot
FIDELITY NATIONAL TITLE
1000 103.00 04.00 044.000 Company Name
i� C1 FNT9711623
Title Number
Initials
8 FEE PAID BY:
GARY FLANNER OLSEN, ESQ. Cash Check Charge
P. 0. BOX 706 Payer same as R&R
CUTCHOGUE, NY 11935 (or different)
NAME:��2��C��a i &
ADDRESS: \\Ap\ c\ UUA
RECORD& RETURN TO \y�- �.SZS e� Edo N
7 (ADDRESS)
9 Suffolk County Recording& Endorsement Page
This page forms part of the attached DEED made by:
(SPECIFY TYPE OF INSTRUMENT)
ALBERTA M. JACOBS The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
C TO C. In the Township of SOUTHOLD
JAY/BURKHARDT and KATHRYN/BURKHARDT
CUTCHOGUE
In the VILLAGE
or HAMLET of
BOXES 5 THT"" ' „o.wrr0r rnr nr Ar•rr rurrnntt Y ptffOf�TOIN�CORDING OR FILING.
RECORDED 4 Is9� �K Of'SUFF=COUNTY 17-0104.Am1k.
RP-425 (9/97) New York State Board of Real Property Services
IQK
IS
APPLICATION FOR SCHOOL TAX RELIEF(STAR) EXEMPTION
I , (See instructions on back)
1.Name and telephone number of own r(s) 2. Mailing address of owner(s)
\1Rti j-,
Day Number bQ
Evening Number (�1\,j) (4 � 5
3.Location of property
Street address Village (if any)
Ci wn School district
Property identification(see tax bill or assess 1 "lmen't roll)
Tax map number or section/block/lot �-t� O O9 J3- (i_ q
4.Income information: ONLY for senior citizens who seek additional (enhanced)exemption. If all of the owners are
at least 65 years of age(or,for property owned by husband and wife,if one of the owners is at least 65 years of age)and
the total income does not exceed $60,000, enter the total income . Attach a copy of the latest
federal or New York State income tax return if filed and proof of age.
5.Certification(All resident owners must sign)
I(we)certify that all of the above information is correct and that the property listed above is my(our)primary residence.
I (we) understand it is my (our) obligation to notify the assessor i I(we)relocate to another primary residence.
LDate Sign�are
BGG `/
NOTE:This application must be filed with your local assessor.Do not file this form with the State Board of Real Property
Services.
1
SPACE BELOW FOR USE OF ASSESSOR t
Application received Approved Yes— No —�
Proof of age Senior additional Yes No
Proof of income
Assessor's signature Date
d