HomeMy WebLinkAboutL 12306 P 295/000 -
CONSULT YOUR L~M~f ER BRFO~E IK~NING 11~1 IHSTRU/~NT -~%q$ INSTRUMENT SHOULD BE U~ED BY LNNYER~ ONLY.
THIS INDENTURE, madame 1"9t:h a'yuf 3~UARY · 2004 ~,d
RET~¥[':EN
dimes w. Ko~ ired ~ Ko~, hl~ wife, re~ II 20 Robert~ L.~rm. Yo~ke4s. Nev~ York 10701
Je~ie H. Koplmn, Tnmtee. The de~Je H. Kophen Living Trust. u/d4 01JG7/2000, md~g ii 26 Robert~ Lane.
Yankmi. N~wYork 10701
AND the pm~y of Ih= Fu~ pan ~.v~mll~ Ih~ d~ ~ ~f i1~ fir~ pa~ has not dor~ ~,~
AGknm.vf. edgament taken I~ NewYo~ 8tare
SMt~ of New York. Courtly of we~.,he.t~' ·
· atisM~toq evidence to be the IndlvlduM(a) wh(~e n~me(,) I~
(are) .uba~toed to the within inSblJment end acanowiedged to
Cal~City(tal). mnd/,'~lat by h~s/her/lh~lr signature(l) On tha
Irm~unl~pt, the ir~hjE:kml(I)/Or the per~m Upon Ix~lmlf of which
~ E,,~;,,~- .*,iv 31....~.~U_. !
AGknmv~dgement by Buber~blnB WRnaal ts)mn In New
Y~k ah.te
State of Hew Yo~. Coumy of
the $ubm;~bing wtthes~ to khe fo~o4ng Ins~mmem. wilh v/rom I
em I~ly __-,,~_,ab~tad. wlto being by rna duly ~mm, did
' delx;le ~nd lay, ~ he/~te/they relldNI) In
;h~t h~ah~/they know(s)
to I~ th~ Individual descttf~ed in arid v~o -_,~__-.~tad the
James W. Kophen and Je~e H. Kophen. hi~ w?fe
TO
de~ H. Kophen, Tmslee, The Jessie H. I~hen
Living Trust u/d/[ 01/07/2000 '
Chicago Tide Insurance Company
AGknowladgement tlkan In NewYofk 8tote
State c~ New York. Courtly of
MUstact=ry evkSenc~ to be me .Indlv.h~JM(a) whose name{s) Is
(ere) sul~c~lbnd to the.vathin Inftnmteht and aok~ t~
me that he/lite/they exeGuted the ~lhte In hl~/heflthelr
r~pa~ty(le~), end that by hl~herflheir' ~ignatura(s) on the
inclement, the indh~d~(s) or lite pemon upon behMf of which
~,nov~l. edoement laY. in ~utMde New YoW 8tato
'(~' inNn ~ of CoJumM*, Yenit ~/, PoueMton or
Fota~gn Count'y)
Onthe dm/of . in the year
Ih$ under~igned, pemonally al~eered
that he/she/they executed tho ~nn'm in
end Ihat by hle/lw'/ll~r signature(a) off the inn~Jment, the
Ind~vidu~(s) or ~ perm3n upon behllf of which the k~lvldual(~l)
Icted. exe(:u~d the in~uum~
nuo~ apl~nmm~ bwiom the und~mign~d in th~
mhe~ i~ace t/~ ndmow.ledoement wM lake~),
DISTR~CT
SECTION 77
BLOCK 1
LOT 3
COUNTY OR TOWN of Southo~d, Suffolk County
RETURN BY MAIL TO:
Wiltam L r_,~t~r4H
Farber. Pappatardo & Ced)onarl
Zip ~
1O6O1
ALL that certain plot~ piece or parcel of la~d, with the b~ildings and improvem'ents thereon
erected, situate, lying and being in the Town of Southold, County of Suffolk and State of New ,/
York, known and designated as and by Plots Nos. 286, 287, 288, and 289 on a certain map entitled
'MAP OF GOOSE BAY ESTATES' in the Town of Southold, Suffolk County, New York, said
Map being made by Lewis N; Waters, L.S., of Oyster Bay, L.I., New York, dated September 12,
1934 and filed in the Office of the Clerk of the County of Suffolk on the 13~h day of Nov. emher,
1934,.as and by the Map No. llT& (Abstract No. 1197).
SUBJECT to all mortgages of record.
BEING THE SAME PREMISES conveyed to the party of the first part herein by Deed between
Clara Williams (formerly known as Clara M. Pancoas~ or Clara M. Will,,ms), and James ~/. '
Kophm and Jessie H. Kophen, his wife, dated Jan,,-,'y 5,1957, recorded with the Clerk of Suffolk.
County on January 7, 1957 in Liher 4.239 at Page 228.
SUFFOLK COUNTY Cz.ERK
RECORDS OFFICE
RECORDING PAGE
T~pe o~ lnetru~nts DSEDS/DDD
~,-~er o~ Pagess 4
Receipt l~m~er = 04-0027016
TRANSFER TAX NUMBER: 03-32903
~ESSIS H KOP-KN LIVZNG TRUST
District: Sections
1000 077.00
Deed ~ount:
Recordedl
LIBER=
PAGE:
Blocks
01.00
~N~D ~ CHA~ED ~ FOLLOWS
$0.00
Received the Following Fees For Above Instrument
Page/Piling $12.00 NO Haudlin~
COS $5.00 NO NY8 SRCHG
SA-CTY $5.00 NO F~-~TATS
TP-584 $5.00 NO Cerh. Cop~es
~T $30.00 NO ~
Tr~s~er t~ $0.00 ~ C~p~es
Fees Pa~d
TRANSFER TAX NUMBER:
03-32903
THZS PAGE ZS A PART OF ~ INSTRUMENT
Edward P.Ro~aine
County Clerk, Su££olk Count7
03/10/2004
01133;20 PR
D00012306
295
Lot:
003.000
~xen~t
$5.00 NO
$15.00 NO
$50.00 NO
$0.00 NO
$0.00 NO
$0.00 NO
$127,00
Number or ~)a~es
TORRENS
Serial #.
CerUficmc #.
Prior Of. #
. RECORDED
2~:N34 Nar 10 01::$~:20 P~I
Edeard P. Reamine
CI_E~ 0F
SUFFOLK C;0UNTV
L
P
I)T#
Deed / Mo/Igage Inslroment
PaBe / Filing Fee Io~
Ilendling
Nmation
F.A-52' 17 (County)
EA-$217 (State)
ILP. T.$.A.
Conun. orEd.
Aflqdavil
Certified ~opy
copy
O~l~r
Deed / Mortgage Tax Stamp
SubTotal
Sub Total
GRAND TOTAL
Slump
Date
Initials
Real Proper~y Tax ,Service Agency Veeificaiioa
__D~.._ Section B lock ' Lot
04005020 zooo 07?00 o~oo 003000
KWo ^) ,
Sa tis rnct ion.',/D isch a qies/Relon~ es L4st'rrul~,~x,.:. .............. RECORD & RETURN TO.
FAJ~ PAPPAt. AR[~ &CAP, BONARI
~00 rrASl' POeT ROA'~
'Wi'flTE PtAJNS, NEW YORK '10601
Recording / Filing Stmnp. s
Amt.
I. Basic Tax
2. Addifi6nal Tax
Sub To~l
Spec./AssiL
Or
Spec./Add.
TOT. MTG. TAX
Dual Town Dual Couuty
I ield for Apportionment
Transfer Tax / ~
K4ansion Tax
The property covered by this mortgage is or
will be improved by u one or Iwo rurally
dwelling only. [ .
YES__or NO
IrNO, see appropriate tax clause on page #
__ of this internment.
Communi Preservution Fund
Consideration Amount
CPF Tax Due
Improved
TD
'rD
TD
Title Company Information
Co. Name
Title #
Suffolk County Record?lg & Endorsement Paige
(SPECIFY 'r~'. PE OF INSTRU~ )
* (OVER)
FOR COUI~TY USE ONLY
VLI:AEk I YPE OH PRESS FIRMLY WHEN WRITING ON FORM t'?'~,~}~t~*-z- -
INSTRUCTIONS: httD://www.orp$.state.ny.us or PHONE (518) 473-7222~-/~,_ 7&J'-/~.~
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
4, .~dicate the number of A~sessment
ope.v L ]xl IORI
--('7. ~heCk the boxb'/°w' whiehmostL~STNA~I:/~¢., Ny ..... rely deu~ibe, the use of the property at the time
, /I #of Parcels OR ~ Par~ofaParcel
13. I:.fl Sale Price 4 ' ~ , , ~ ~, , ~) , 0 I
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill I
I
NEW YORK STATE
COPY
BUYER BUYER'S ATTORNEY