HomeMy WebLinkAboutL 12298 P 348NY O~ B - (3~tda~m O~d - ~ m' Oxpom~ (Single Sh.et) (N.¥.~.T.U.
THIS INDENTURE, m~de this ~ ~/-~ day of ~'"/~'~/'~ , in the year o,~(XP~f'
BE'T~NEEN ;~E'/7' /~..~A'Z~'~)~.~
,~)9.(,,.~ ,,.JY' //?'7/
party of the second pad,
WITNE$SETH, th~ the party of the first ~ in consMmUon of bm d~tsr~ and other veluable conMderatlon
paid by the party of the second pad, does hereby re. tile, relenae and qu~lalm unto the party of th~ $~:ond
the helms or succnaaogs and ecslgns of the path/of the secx~l par~ forever,
ALL that certain pJok place er parcel of land, with the bulldln~ and Improvements thereon erected, ~l~uats.
TOGETHER with ell dght, 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 1o tho center line thereof; TOG.ETHER with the appurtonan=es
and all the e~ts~ and dghts ,o.Lthe3~/of the first part In and to nakJ'pmml~e~; TO .HAVE AND'.TO HOLD
the pre~tl~es'.h. ,e~,' n g.r~'~hto Ihs party of the second pad, the holm or successors end assign= of the
AND the pdr~y'of the first part, In compliance with Section 13 o~ the Men Law, covenants that the party of the
flint part will receive the conslderallon fo~ this conveyanoe and wlil hold the right to _rec__~_ · such conslderaUon
as a trust [und to be applied first Tot the purpose of paying t]~ 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 o1' the name f~r
any oth~ purpose.
The word 'party' shall be co~mtrued as If to read 'parties' whenever the sense of this indent,re so requi~.
IN WITNESS WHEREOF, the party of the first part has. duly executed this deed the day end year first above
IN PRESENCE OF
:T_O_.B~.Ir~/HEN TH~.ACKNC~L.E_DGMENT I.S.~IADE IN NEON YORK STATE
State of New York. Courtb/of
befor~me, the .upderstgnod. ~ B~eB~
~lee), and ~at
I.~tmm.nL Ilmlndlvldual(.)or Ilml~mOn ulmn bahallorwhlch IndnJmenL ~ I~vldueK.) ~ ~ ~ u~n ~hatf ~
~SED ON~E ACKN~L~p~~ ~W YORK ~
S~ (~ DIs~c~ ~ ~um~a, T~, ~ F~n ~nW) ~
On t~ In ~ ~r ~ me, ~e u~eml~,
~lly ap~a~
~ly ~n to me ~ p~ to ~ ~ ~ b~ls ~ satlsf~ ~ ~ ~ ~e i~iv~(s) ~e ~s) Is
(am) subs=ib~ ~ ~e wi~ln Ins~m~ a~ ~ to me ~t h~s~ e~ ~ ~ In hl~r
~(~) a~ ~at ~ hl~r~lr sl~a~s) on ~e Ins~, ~ I~at(s) ~ ~ u~ ~ ~ ~lch
· e I~id~(s) a~. ex~ ~e ins~menL and ~t su~ I~id~l made su~ app~m~ ~ the
unde~ig~ In the
In
QUITCLAIM DEED
No.
TO
SECTION 0'76.
BLOCK 0'2.
LOTOJ ~.
COUNTY OR TO~
8~ ADD~ /~ ~/~
~ ~,~ //~/
SAFE HARBOR TITLE AGENCY
1529 Main Street
Port Jefferson, NY 11777
RETUI~I BY MAIL TO:
Number of pages
TORRENS
Serial #.
Certificate #
Prior Cfi. #
Deed / Mortgsge Insmamem
Page / I"iling Fee
Handling,
'1'P-584
Nolslion
EA-$2 I? (County)
EA-5217 (State}
IL P.T.S.A. -:~) __
~ of .Ed. :~ OO
AITvJavit
Certified Copy
Rea. Copy
Other
Deed I Mortgage Tax Stamp
FEF. S
__ Sub Total
Sub TOMI
2004 Ssr, ~ 12.-2~:~9 PN
Eduard P. Ro~aine
CLEk~ 0F
SUFFOLK C0ONTV
L D000122°~
P~
DTe 03-267?3
Recording / Filinl~ Stm~ps
Mortgn~e A:nt.
I. auic T-tx
2. Additional Tax
Sub TotM
SpeeJA.~sit.
· 0r
Spec. ladd.
TOT. MT~. TAX
Dual Town Dual County
Held for Apportionment../
Tmns fer Tax .
Mansion Tax
The property covered by this mortgnge is or
will be intproved by a one or two family
dwelling only,
YES or NO
If' NO, see appropriate lax clause on page #
$
Stemp
I.~e
Initials '
Real Property 'Fax Sc~ice ASoncy Verification
04004383 ~ooo 07800 0700 033000
Sallsfactions/Dischnrges/Relonses List Property Owners
RECORD & RETURN TO:
// Y'~ /
Preservation
ConsideratJOll A]nounl $
CPF Tax Due $'-
'I'D
TD
'1
Suffolk County Recording & Endorsemem Page
'll~is Fage forms part ofthe attached ~b~-'~'-,~
(SPECIFY TYPE OF INSTRt JMI':NT )
~-'~7-.~. ~,-o ~/~t:~ ~: C~?,~-~..~o,~=/ lhe prernises herein is situated in
SUFI'~LK CCRJNTY, NEW YORK..
TO In Ihe 'lbwnship of ~.~n.~?-h/O ~A
~.. / ,~,~,,q ..,~. ~.,~ ~ 5~.,../ In Ihe VILLAfdE
or HAlvlLET of
Title Company Information
Co. Name
Title #
made by:
BOXES 5 'Il IRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
II I
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PA~E
Type O£ Znstrument~ DEEDS/DDD
l~'m~er o£ Peges~ 3
TP~NSFER TAX NUMBER: 03-26??3
BRETTA CA~LSO~
LIHDA 8 CA~LSC~
· DAstrtct~
1000
Deed Amount=
Recorded,
LIBER:
PAGE:
Sectionz Blockz
078.00 07.00
~Xh~.uX~D CHARGED AB FOLLOWS
$o.oo
Received the Following Fees For Above Instrument
Page/Filing $9.00 NO Handling
COR $5.00 ~0
EA-CTY $5.00 NO EA-STATR
TP-584 $5.00 NO Cert.Copiee
RFT $30.00 NO
Transfer tax S0.00 NO Co~n. Pres
Fees Paid
TRANSFER TAX NUMBERz
03-26773
THIS PA~E IS A PART OF 'z~ INSTRUMENT
THIS XS NOT A BILL
Edward P.aomaine
County Clerk, Suf£olk County
Lot:
033.000
$5.00
$15.oo
$5o.oo
$o.oo
$o.oo
$0.00
$124,00
01/30/2004
~2,28,59 ~
D00012298
348
~'LbAbb I Yawl: UH l~f~b~5 HHMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 4-73-7222
FOR COUNTY USE ONLY
c,.sw,soo,.
1. Prope~
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
Billing if other than buyer address (at bottom of form)
Rollpamelstransferredonthedeed I O, ~*, ,/ J #ofParcels OR PartofaParceJ
Pro.e.~ I I X I I OR I
Parcel Approved for Subd;v;$ion wrth Map Provided []
B 2 or 3 Family Realdential Commercial ] Induslrial
11. Sale Contract Date I / / I
13. Full Sale Pri~e I , . ; , , J , , 0., 0 , 0 I
(Full Sale Price is the total amount paid for the proper~y including personal property.
This payment may be in the form of cash, other property or goods, or :he assumption of
which information taken
18. Property Class J~-'
I I I I
Ia:"Tl~lcA~'l°N I
BUYER'S ATTORNEY
. NEW YORK STATE
COPY