HomeMy WebLinkAboutL 12160 P 913'.001 FR[
04:46 PM FROM:GUIDEBOOK TO LONG ISLAND FAX:631?659004
PAGE I
Natalie Mahoney, residing at 255 Summer Lane, Southold, NY 11971
Christine Larsen, residing at 55-75th St., Brooklyn, NY 11209
ten
~ ~y ~ ~ ~ ~ ~nd M~ ~ h~by ~nt and m~sl.un~ ~J ~ of ~ i~n~ ~
To~ of Southold, County of Suffolk in New York State, kno~ and designated
as District Section Block Lot
1000 078000 ~0900 01100.0
Subject to Covenants, Restrzctzons, Easements, Reservations & Agreements of
Record.
Being and intended to be the same premises as conveyed to the party of the
First on July, 2000. ~C~ ~ ~ O~ ~00 ~;~
Idnf~rv Publig e*n~ Of NswYc
NO. 01SI5011091
Qualified in Kings Ooun~
Commission Expires &/~D
~001 FR[ 04:46 PM FROM:GUIDEBOOK TO LONG ISLAND FAX:6317659004
PAGE
Notary Public ~f";;, YC
NO. 01 Sl5011
Qualified inK~
Oommi~sJonE ..
~lr~l~ i~.lJUtl(i) ~fl the In~ment,
No.
Natalie Mahoney
TO
Christine Larsen
~ 1000
SECTION 978000 ~1~
m.~c~ 0906
LOT 011000
COUNTY ORTOWN Suffolk, Town of Southold
~:~-~J 255 Summer Lane
Christine Larsen
55-75th Street
~rooklyn, NY 11209
DISTRIBUTED Ely BlumbergF~xc¢lsloL Ir~c,,
NYC
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT- THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made on
BETgVEEN I
party of the first part, and
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 relea~ 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, I~iece or parcel of land. with the buildings and improvements thereon erected, situate.
lying and being in the '
TOGETHER with all right, title and interest, if an)..I the part) of the first part in and to any streets and
roads abutting the above described premises to the ceuter lines thereof; TOGETHER with the appurtenances
arid 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 gra,ted unt,~ the part) of the second part. the heirs or success~)rs and assigns of the pall) of
the se~ond part forever.
AND the party of the first part covenants that the party of tile first part has not done or suffered an)thing wfiereb)
the said premi.~rs 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 tile first
part will receive the consideration for this conveyance and will hold the right to receive such considera0.on 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 uther purpose.
The word "party" ~hall be construed as if it read "parties" whenever the sense of this indenture so requires.
IN WITNESS WHEREOF, the part)' of Ihe fir.~t part has duly executed this deed the day and year first above
written.
IN PRESENCE I}F:
ACKNOWLEDGMENT IN NEW YORK STATE (RPL 309-a)
State of New York, County of ss.:
On
personally appeared
before me, the undersigned.
per~nally known to me or proved to me on the basis of satisfac-
tory evidence to be the individual(s) whose name(s) is (are)
subscribed to the within instxument and acknowledged to me that
he/she/they executed the stone in his/her/their capacity(ies),
and that by his/her/their signature(s) on the instrument, the indi-
vidual(s), or the person upon behalf of which the individual(s)
acted, executed the instrument.
Isignalure and oJfice of individual taking acknowledgment)
ACKNOWLEDGMENT OUTSIDE NEW YORK STATE IRPL
State of County of ss.:
On
personally appeared
before me, the undersigned.
personally known to me or proved to me oh the basis of saris-
factory evidence to be the individual(s) whose name(s) is (are)
subscribed to the within instrument and acknowledged to me
that he/she/they executed the same in his/her/their capacity(ies).
and that by his/her/theft signature(s) on the instrument, the indi-
vidual(s), or the person upon behalf of which the individual(s)
acted, executed the instrument, and that such individual made
such appearance before the undersigned in
TITLE No. ~
ACKNOWLEDGMENT BY SUBSCRIBING WITNESS(ES)
State of I
County of ss.:
OR
personally appeared
before me, the undersigned.
the subscribing witness(es) to the foregoing instrument, with
whom I am personally acquainted, who. being by me duly
sworn, did depose and say that he/she/they reside(s) in Cqthe
place of residence is itt a city, include the street and street number.
if any. thereof);
that he/she/they know(s)
to be the individual(s) described in and who executed the fore-
going instrnment; that said subscribing witness(es) was (were)
present and saw said
execute the same; and that said witness(es) at the same time
subscribed his/her/their name(s) as a witness(es) thereto.
( [] if taken outside New York State insert city or political subdiviMon and state
or ~xJuntry or other place uclou~wledgtnent taken A~ld that said subscribing
witness(es) made such appearance before the undersigned in
)
tMgnature arid office of individual taking acktu~wledgmentl
SECTION
BLOCK
LOT
COUNTY OR TOWN
TO
RETURN BY MAIL TO:
Zip No.
Number of pages
TORRENS
Serial #
Certificate #
Prior Ctf. #
Deed / Mortgage Instrument
41
Page / Filing Fee
Handling
TP-584
Notation
EA-52 17 (County)
EA-5217 (State)
R.P.T.S.A.
Comm. of Ed.
Affidavit
Reg. Copy
Other
jSatisfactions/Dischar
91
500
Deed / Mortgage Tax Stamp
FEES
Sub Total ,-~'0 ~
-- Sub Total ~ "~
Real Property Tax Service. Agency Verification "
Section
B lock
Lot
0 I1,000
es/Releases List Property owners Mailing Address
RECORD & RETURN TO:
I 6
RECORDED
2001 Dec 31 01:14:24
Eduard P.Romaine
CLERK OF
SUFFOLK COUNTY
L D00012160
P 915
DT# 01-2055t
Recording / Filing Stamps
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec./Assit.
0r
Spec./Add.
TOT. MTG. TAX
Dual Town__ Dual County__
Held for Apportionment __
Transfer Tax '-~
Mansion Tax
The property covered by this mortgage is or
witi 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 Amount $
CPF Tax Due
$
Ilmproved
Vl;ant Land
TD
TD
I o.IName Title Company Information
Title #
Suffolk County Recording & Endorsement Page
This page forms part ofthe attached /] ~ ~' b
(SPECIFY TYPE OF INSTRUMENT )
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the Township of ?<)C~ I)ac~DO[(]~
In the VILLAGE
or HAMLET of
TO
made by:
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
Type of Instrument: DEEDS/DDD
~m~er of Pages: 5
TRANSFER TAX NUMBER: 01-20551
District: Section: Block:
1000 078.00 09.00
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
EXAMINED AND CHARGED AS FOLLOWS
$0.00
12/31/2OOl
01:14:24 PM
D00012~60
913
Lot:
011.000
Received the Following Fees For
Page/Filing $15.00
COE $5.00
EA-STATE $25.00
Cert. Copies $5.00
SCTM $0.00
Comm. Pres $0.00
TRANSFER TAX NUMBER: 01-20551
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
Exempt
$5.00 NO
$5.00 NO
$5.00 NO
$15.00 NO
$0.00 NO
$80.00
Edward P.Romaine
County Clerk, Suffolk County
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP -5217
: I t u rH /. b
2. Buyer I L d*'$F'd
Zip CODE
FIRST NAME
I ~ST"~ME/COMP^~
3. Tax
Billing
Address
Indicate where future Tax Bills am to be sent
if other than buyer address (at bottom of form)
LAST NAME / COMPANY
I
STREET NUMBER AND STREET NAME
4, Indicate the number of Assessment
Roll parcels transferred on the deed
5. Deed
~ Property I IX [
Size FRONT FEET DEWFH
Name LAST N
CITY OR TOWN
IosI .... o I
I , I
STATE ZIp CODE
(Only if Part of a Parcel) Chad( as they apply:
4A. Planning Board with Subdivision Authority Exists []
4B. Subdivision Approval was Required for Transfer []
4C. Parcel Approved for Subdivisiob with Map Provided []
FrRST 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~] One Family Residential
BI,~ 2 or 3 Family Residenfial
C~,~ Residential Vacant Land
D[~ Non-Residential Vacant Land
SALE INFORMATION I
11. Sale Coot~act Date
12. Date of Sale I Transfer
l~ [] Agricultural ~ Community Service
F ~ Commercial Industrial
G~ Apartment Pubfic Service
HI I Entertainment/Amusement Forest
I / / I
Month Day Year
Month Day Year
~.F.,S,~,P,ice I , , _, , , ; , , ~0, 0 I
,Full Sale Pr~e is the total amount paid for the property including personal property.
This payment may be in the form of cash, other proper~ or 9ooos. or the assumption of
mortgages or other obligations.) Please round to the nearest whole dollar amount
Check the boxes belo~v as they apply:
8. Ownership Type is Condominium []
9. New Construction on Vacant Land []
10A. Property Located within an Agdcultural District []
10B. Buyer received a discrosure notice indicating []
that the property is in an Agricultural District
15. Check one or more of these condition~gas applicable to f=a~fen
A
B
C
D
E
F
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
Buver or Seller is Government Agency or Lending institution
Deed Type not Warranty or Bargain and Sale (Specify Belew)
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
Other Unusual Factors Affecting Sale Price (Specify Belowl
None
14. Indi~ato the value of personal
which information taEen ' ' j ~ ~
20. Tax Map Identifier(s) / Roll Identifier(s) (if more than four, attach sheet with additional identifier(s))
I c~m"~F~T~ON I
BUYER
BUYER SIGNATURE
STREET NUMBER
I
SELLER
BUYER'S ATFORNEY
LAST NAME
FIRST NAME
AREA CODE
I~LEPHONE NUMBER