HomeMy WebLinkAboutL 12223 P 495TIIlSINDENTURK, mndcon )~(,~ ,,~0~ d~ ~W;~o~f'~; ,,,~,~,~.,.
~av£cl Siege]. reB:Lcl:Lr,.g 0.1::1.38.2 St. shy Brook Road, St:~zybrook, NY 3.1.790
pefly of'th~ fi~t part. sad
C-ail Lonquist:, residing at. 65 Core¥ C~e~k ~ane, Sout:h01~l, NY 3.1971
WITNZSSETH, that the party of the tim pail, in conaide~linn ofTen ~ ~ o~ ula~ ~ pM ~
~of~yof~ ~,
ALL iht ~in p~, p~ ~ ~l of ~, ~ ~ ~iMin~ ~ impels I~ ~ iia~, ~ing ~
~in~
~ o~ S~tMld, ~y si GuEfolk A.~ $~ate o~ New York, ~o~ ~
desolated as lot ~lS on a cer~aLn Mp entitled Uhp of Co~ey ~eek Estates
at Ba~evs a~ E~led ~n t~ oEE~ce sE the clerk si ~he Co~y sE Suffolk on
o~ ~co~.
Being ~d ~ntend~ ~o ~ t~ Ga~ premises c~vey~ ~o ~he pa~y o~ ~he
TOGI~'TI IF.R with all right, title and intcrcs~ if ~ny, of'thc Jarl,/of thc tint po~ ~n ~ to lay ~ ud ~ tinmin~ lb:
8bo~ dcsr, fibcd inb-u,~aea to the center lines ~es~ol~. TOGI_-,THER with tho appu~,m-,mes and all the estate and E~hts of
the pofly Of thc first pm~ in and to mild in~nix~s; TO HAVE AND TO HOLD the ~, ,.~ .~ses hazin Brmm:d unto the p~ty of
lbo HeccxKI pm% Ibc helm or ~,z__ _,z-_~_~or& md assiBns of the pm~y of thc ...xvdd part fceev~.
AND ~ party ofthe tim p~t coven~nls that the party ofth~ flint p~t has ~ ~ ~ mffe~ ~i~ ~,~ ~ mM
~1~ C~ f~ tb~ ~ ~ ~ ~ of~ i~ ~1~ ~ly ~ ~ tim m~ ~ ~ ~
of ~ i~t ~ us~ ~ ~ of ~ ~ oft~ ~ f~ ~ ~ ~.
~ ~ '~ ~ll ~ ~ u if it ~ '~' ~r t~ ~ of~b ~ m ~ui~
~vid 8i~ol ·
State of County or
On before me. thc
persmmlly appeared
pet~o~lly know'n to n~ or provcd to me on Ibc basi~ of saris=
~ to the wi~in iM~t ~ ~kno~ ~ ~
that h~eAh~ ~x~ t~ ~ in hiAer/thcir ca~ci-
~ ~ ~ ~ ~ir si~s) m t~ i~
the individ~l(s), or the ~n upon ~half of which tho
i~ividunl(s) a~, ~ecm~ ~ i~t~mont, nad ~t
J
Cm.nl~ of
On
pemmn]ly .piqued
the subscribing wimem(es) 1o the roev~oins inmmmcm, wilb
whom I am pcmmmlly ~,quainted, who, being b~ me duly
~lwm'n. did dclx~c i ny tlmt hc/~ fl~s) in
dmz he/sheJd~y luau(s)
to be dm imtividunl(s) i~ ~ n~ ~ e~'"',!'-4 the fore-
8oin8 inslnul~nt; thnt said subsevibinll wJmcsl(cs) vms (wcrc)
preseu~ and saw sam
execute ~iE same; i thru said wime~(cs) m the nme time
mbec~bod his/he~'theJr anme(s) ~s a wimess(es) tJ~mm.
undcu~ned in
Tillc Na.
David Siegel residing aL 1382 Scony
B~k R~d, 8conyb~ok, ~ 11790
TO
GaJ. 1 r.,onqu:Lmt:, remid:Lng at: 65 Corey
CFeek Lane, Sour:hold, NY 11971
SL~-'TION 078.00
BI.O~K 04,. 00
LOT 030. 000
COUNTY OR TOWN Suffolk-Town of Qouf'hold
Number or pnlges
TORRENS
Serial #
Certificate #
Prior Ctf. fl
Deed I Mo~Kng.e Instrument
'1
Pag.e/Filin8 Fee
Handling
Deed / Mo~.g.a$c Tax Stamp
FEES
EA-52 17 t. Counly)
EA-$217 (Stole)
R.P.'I:S.A.
Comm. of Ed.
Sub Total
$ O0
O(her
'1
Slamp
Date
Initials
1 Saris facti°ns/U~scharsca/Kelenr'es List Pr~I~['IY Owners M[*iling Address
' RECORD & RETURN TO:
~'~1/-
Sub To,al
O.^NO TOTAL /O'~
Real Property Tax Service Agency Verification
oi~,_ ] sc,ion.. I._ _nlo~ I._ .l~,._
/! 02047592 xooo o~8oo 0400 030000
2002 0ac 04 12t:~5:59 Pt1
Edward P. Romaine
CLERK 0F
~UFFOLK
P 495
DT# O2-17913
Recording I Filing. Stamps
Mo~l~t~e AmL
I. Basic Tnx
2. Additional Tax
Sub Total
Spec.lA~it.
Or
Spec./Add.
TOT. MTG, TAX
Dual Town,__ Dual Coonty_
1 laid for Apportionment __
'lYannfer 'rnx
[~nsioo Tnx
The propsrly covered by tilts mortgng.c is or
will be improyed by a one or two family
dwellinlg only.
Y ES or NO
If NO., sec approprinle tax clause on page #
, of Ibis JnslrUllk."nt.
Community Preservation Fund
Consideration Antounl $. ~
CI)F Tax Due S 0 ~'
:mprow.-d ~
Vacant I,and
lb
TD
9
'l'his page Ibrms pen of the attached
TO
Title Company Information
Co. Name
Title #
& Endorsement
made by:
(SPECIFY TYPE OF INbq'RUMENI' )
'1'1-~ i~mises I~-rein is situau.~l in
SU~ ~, NEW Y~
In ~ 'ro~ip pr ~O O ~ DD
In ~ VIL~GE
BOXES 5 '1] IRU 9 IVlUST BE 'IYPED OR I PIN'FED IN BI.ACK INK ONI.~ PRIOR TO RECORDING OR I:ILING.
(OVER)
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: D~/DDD
N--~r of Pages: 3
TRANSFF. R TAX IT O tiBER: 02-17913
District:
1000
Deed A~ount:
Recorded: 12/04/2002
At: 12:33:59 PM
LIBER: D00012223
PAGE: 495
Section: Block: Lot:
078.00 04.00 030.000
$1o.oo
Received the Following Fees For
~age/Filing $9.00
COE $5.00
EA-CTY $5.00
TP-SS4 $S.90
PmT $30.00
Transfer tax $0.00
TRANStaR TAX NUMBER: 02-17913
TBIS .PA~E IS
Above Instrument
NO Handling
NO NYS SUP£HG
NO EA-STATE
NO Cert. Copies
NO SCTM
NO C~. Pres
Fees Paid
A PART OF T~E INSTP&~ENT
Exempt
$5.00 NO
$15.00 NO
$25.00 NO
$4.00 NO
$o.oo NO
$0.00 NO
$103.00
Edward P.Romeine
County Clerk, Suffolk County
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www,orps,state.ny.us or PHONE (518) 473-7222
FOR COUNtrY USE ONLY
C2. Date Deed Recorded ~ I
(23. Book ~;4. Pa;~ ~[
PROPERTY INFORMATION [
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
SALE INFORMATION]'
Month Day Year
12. Date of Sale I Transfer
13. Full Sale Price ~r
0
e
14. Indicate the value of personal
~TION - reflect the latest Final Assessment Roll and Tax ~
Data
should
L J L
rCERTIFICATION ]
J
BUYER
BUYER'S ATFORNEY
£
NEW YORK STATE
COPY