HomeMy WebLinkAboutL 12132 P 267DISTRIBUT£D BY Blumber~E/celslor, Inc..
NYC 10013
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT- THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
party of the first part, and
THIS INDENTURE, made
party of the second part,
WITNF..SSETH, 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 thc 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, s tuate,
;lying and being in the-T'c/uO~I ~ c-, ...... ~O _~i% .C~ COO~rl~
/_. ,-, _ "~ ~'-~'"tc"'-~A~uJ"/c~F--~K,0i:x~J A~,gb D~t/=~/A~r~b Ac. A4O ~o,J
~ To ~e Al~ o~ ~ 0~ o~ ~ o~ SA,~ ~ ~ PASS
A~b To ~eAsod~hc~ u~ m~ s~.
TOGETHER with all right, title and interest, if any, o! the party of the first part ill and to ally 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 s~ond part. Ihe heirs or successors and assigns of the part) of
the second part forever.
'~N'D the part3,' of the first part covenants that the puny of the first part has not done or suffered anything whereby
the said premi~ have ~en encumbered in any wa) whatever, except as aIoresaid.
AND the party of the first part, in compliance with Se~ion 13 of the Lien Law, covenants ~at the party of the first
part will receive the consideration for this conveyance and will hold the right to r~eive such consideration as a
trust fund to be applied first for the purpose of paying ~e 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" ,hall be construed as if it read "parties'~ver the sense of this indenture so requires.
IN WITHES WHEREOF, the part)' of the first part h~fil~ executed thi~the d~and year fi 'st above
Number of pages
TORRENS
Serial #
Certificate #
Prior Ctf. #
RECORDED
2001 Jut 26 02:27:07 PH
Edward P.Romaine
CLERK OF
SUFFOLK COUNTY
L 000012132
P 267
DT# 00-47566
Deed / Mortgage Instrument
Page / Filing Fee q (~)O
Handling 45 OO
TP-584 ~ O 0
Notation
EA-5217 (County) ~ ~ O
EA-5217 (State) ~'~ (.30
R.P.T.S.A. 15f
Comm. of Ed. 500
Affidavit
co
Reg. Copy
Other
Deed / Mortgage Tax Stamp
FEES
Recording / Filing Stamps
__ Sub Total C~q' 0 0
SubTotal L/q, fi)C)
-- TOTAL '73 ,OO
Real Property Tax Service Agency Verification
Dist. Section B lock
1000 oqq, 0 O O't, O0
Lot
Initials
Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
k3 [
C~
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 qt/¢
Mansion Tax
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES orNO
If NO, see appropriate tax clause on page #
__ of this instrument.
Community Preservation Fund
Consideration Amount $
CPF Tax Due
$
Improved
TD I0
TD
TD
Title Company Information
Suffolk County Recording & Endorsement Page
This page forms part ofthe attached D~teZ_~,~ MoO ~c~ _~_~
~----~fl, ~ tq ,dhd (SPECIFY TYPE OF INSTRUMENT )
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO
In the Township of
In the VILLAGE
or HAMLET of
made by:
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
IOVERI
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBER: 00-47566
District:
1000
Deed Amount:
Section: Block:
077,00 02.00
EXAMINED AND CHARGED AS FOLLOWS
$103,400.00
Recorded:
At:
LIBER:
PAGE:
Lot:
026.000
Received the Following Fees For
Page/Filing $9.00
COE $5.00
EA-STATE $25.00
Cert. Copies $4.00
SCTM $0.00
Comm. Pres $0.00
TRANSFER TAX NUMBER: 00-47566
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
$15.00
$414.00
$487.00
Edward P.Romaine
County Clerk, Suffolk County
0712612001
02:27:07 PM
D00012132
267
Exempt
NO
NO
NO
NO
NO
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
1. Property
Location STREET NUMBER STREET NAME
Name ~sT NAME / COMPANY FIRST NAME
RP - 5217
ZIP CODE
I
LAST NAME / COMPANY FIRST NAME
3, Tax indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form) I
STREBT NUMBER AND STREET NAME
CITY OR TOWN
4. Indicate the number of Assessment
Roll parcels transferred on the deed
5. Deed
PropertyI J x l
Size FRONT FEET
6. Seller I CD~_F-,.~HA~
DEPTH ACRES
(Only if Part of a Parcel) Check as they apply:
Part of a Parcel 4A. Planning Board with Subdivision Authority Exists
4B. Subdivision Approval was Required for Transfer
· /,?1 4C. Parcel Approved for Subdivision with Map Provided F~
I~d(~C~
Name
LAST NAME / COMPANY FIRST NAME
7. Check the box below which most accurately describes the use of the property at the time of sale:
A ~ne Famlly Residenfial E I~l Agricultural i~ Community Servi~e
]~ ~ 2 or 3 Family Residential F I-~ Commercial Industrial
C ~ Residential Vacant Land GI_.~ Apartment Public Service
DL~ Non-Residential Vacant Land HI I Entertainment/Amusement Forest
I SALE iNFORMATiON I
11. Sale Contract Date I
I / /
Month Day Year
12, Dete of Sale l Transfer I Oq /~ /~// lO/
Month Day Year
13. Full Sale Price I , , , ,O , ~ , , ,O, 0 , 0 I
Check the boxes below as they apply:
Ownership Type is Condominium []
9. New Construction on Vacant Land []
10A. Property Located within an Agricultural District []
10B. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
15. Check one or mom of these conditions as applicable to transfer:
A
B
C
D
F
elated Companies or Partners in Business
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
)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 J
mortgages or other oh~igafions.) Please round to the nearest whole dollar amount.
Other Unusual Factors Affecting Sale Price (Specify Below)
None
14.1ndicate the value of personsf I , , , , I I I 0 , o I
property included in the sale ff I ·
ASSESSMENT INFORMATION - Data Should ~efle~t the latest Final Assessment R01~ and Tax Bill
16. Year of Assessment Roll from I O, ! ItT. Total Asse~d Value (of all par=e~s in transfer( I
which ioformation taken
18. Property Class 1~'~ /,O1-~ 19. School .i.rict Name' ~l~r P{O~I
5~) o oI
½ ½ , ~ , ,
20. Tax Map Identifier{s) / Roll Identifier)s) (If more than four, attach sheet with additional identifier(s))
I I I I
I CERTIFICATION I '
1 certify that all of the items of information entered on this form are true and correct (to the best of my knowledge and helief~ and I understand that the making
of any willful false statement of material fact herein will subject me to the provisiolm of the penal law relative to the making and filing of false instruments.
BUYER BUYER'S ATTORNEY
~U,~R SIGNATURE / -~--~ DATE
STREET NUMBER STREET NAME (AFTER SALE)
~,~o.~ /< . ~T*~ z,~oo~
LAST NAME FIRST NAME
COPy
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