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Home My WebLink AboutL 12576 P 998SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 4 Receipt Number : 09-0001223 TRANSFER TAX NUMBER: 08-12882 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 022.00 03.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $20.00 NO Handling COE $5.00 NO NYS SRCHG EA-CTY $5.00 NO EA-STATE TP-584 $5.00 NO Notation Cert. Copies $0.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 08-12882 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County 0~/06/2009 03:1~:16 ~ D00012576 998 Lot: 005.003 Exempt $20.00 NO $15.00 NO $75.00 NO $0.00 NO $30.00 NO $0.00 NO $175.00 Number of pages TORRENS Serial # Certificate # Prior Ct[ # Deed / Mortgage Instrument 41 Page / Filing Fee 2 lO -- Handling ~t~ ~ TP-584 ~ -- Deed / Mortgage Tax Stamp FEES Notation EA-5217 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed. Affidavit Certified Copy Reg. Copy O~her -~ Sub Total 5 OD -- SubTotal )r~..~ _ -- NDTOTA'. i ]5 - 5 Real Property Tax Service Agency Verification Dist. Section · B lock Lot Stamp 090003"19 1000 02200 0300 005003 93 Date ~ Initials ~tmnat~scnargestv, eleases'cmt rroperty Owners Mfiilin~Addres! ~ RECORD & RETURN TO: JENNIFER B. GOULD Attorney at Law 53740 Main Rd. · P.O. Box 988 Southold, New York 11971 RECORDE0 2009 Jan 06 03:14:16 PH Judith fl. Pa$cale CLERK OF SUFFOLK COUHTY L D0001257~ P 998 DT# 08-12882 Recording / Filing Stamps Mortgage Amt. I. Basic Tax 2. Additional Tax Sub Total Spec./Assit. Or Spec./Add. TOT. MTG. TAX Dual Town__ Dual County__ Held for Apportionment __ Transfer Tax - 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 Amount $ - C-)- Consideration CPF Tax Due Improved Vacant Land TD TD TD 8 I Title Company Information Co. Name ITM Suffolk Co ty Recording & Endorsemem Page ~s ~e fo~ ~ of~e a~h~ (SPEOFY ~E OF ~S~ ) ~e presses heroin is si~t~ in ~et~'?auh t ~obu ~m~ d+el t- 2~ -zoox S~OLKCO~,~WYO~ In the Township of In the VILLAGE or HAMLET of TO ~ac,'e ~e ts"-t~ult, lt- made by: BOXES 5 THRU 9 MUST BE TYPED OR PRINTEp IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. {OVER) Bargain and Sale Deed with Covenants Against Grantor's Acts - Individual or Corporation CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the ~-t-~, day of December, 2008 BETWEEN MARIE IRIS PAULIK, as Trustee of the Marie Iris Paulik Revocable Trust dated January 28, 2003, residing at 1255 Kayleigh's Court, East Marion, NY 11939 party of the first part, MARIE IRIS PAULIK, residing at 1255 Kayleigh's Court, East Marion, NY 11939 party of the second part, WITNESSETH, that the party of the first part, in consideration ofTEN ($10.00) dollars, lawful money of the United States paid by the party of the second part, does hereby grant and release 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, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the SEE SCHEDULE "A" ANNEXED HERETO BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated August 9t~, 2004 recorded in the Office of the Clerk of the County of Suffolk on August 25th, 2004 in Liber 12339 at page 333. TOGETHER with all right, title and interest, if any, of the party of the first part in and to any 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 >remises. i'O HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been incumbered 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 the first part/viii receive the consideration for this conveyance and will hold the right to receive such consideration 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 pan of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCEO~ //.t MAl~IE IRIS PAULIK, Trustee STATE OF NEW YORK: COUNTY OF SUFFOLK) ss: On the .R~~ day of December, 2008, before me, the undersigned, personally appeared Marie Iris Paulik, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose names is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. JENNIFER B. GOULD Notaq Public, State of New Yort No. 02GOSO24640-Suffolk County Commission Exoims March 14, 20 J..~ Title No: RH04300954 SCHEDULE A - DESCRI'PTTON ALL that certain plot, piece or parcel of [and with the buildings and improvements thereon erected situate, lying and being in the Town of Southold, County of Suffolk and State of New York being known and designated as Lot No. 8 on a certain subdivision map entitled, "Nap of Highpoint Woods" dated 07/~.6/93 and filed in the Suffolk County Clerk's Office on .luly 25, 1997 as File No. ~.0035 and ABS No. 13282. Certificate of Title ................. PI'EA~SE'TYPE'OR PRESS:FIRMLY'WHEN"WRITING' ON FORM ' INSTRUCTIONS: hep://www.orps.state.ny.us or PHONE (518) 473-7222 IFOR COUNTY USE ONLY I · : Cl. SWIS Code I L~ ,"7 ,3 ,c~, ~ ,9 I INAdr' REAL PROPERTY TRANSFER REPORT '~t_~d[.,l'~aL ' STA~E ~ NEW~ · ' : ' ~."OMo Oe~ R~o~ed I ~' ~ / O ~ / ~ I ~ ~J~ BOARD OF REAL ~R~.~S ~~Mon~h Day Ye.r RP - 5217 2. Buyer I'T~l,'tc. I IrY~llt~ ~r,' · I ; I I I Ilq&~ll ZIP CeO~ Name Roll paKals transferred on the deed J , , j' I il of Parcels OR Part of a Parcel 4A. Planning Board with Subdivision Authority Exists [] p,~.y I ] x I I o. I .... I . ~. LJ 4c. Parcel Approved for Subdivision with Map Provided [] I I I 7. ChKa the box below whic~ most accumtalv describes the u~ of the properW at the time of safe: A ~] One Family Residential I~ [~ Agricultural ] [~ Community Servica .~.[~ 2 ur 3 Pemi,y Rasidontla, FJ,~ Commercial :.-J J.~ Industri,I C I~ Rasidandal Vacant Land O ~ Apartment K~__I Public Sew,ce L~L~Non-ResldentlstVacantLand HL~j Ento;tammont/Amusement Lll Forest Clteek the boxe~ below a~ they aRdy: 8. Ownership Type ia Condominium [] g. New Construction on Vacant Land [] 10A. Propa[ty Located within an Agricultural District [] 10t Buyer received e disclcaum notice indicating [] thct the pt~)eny is in an Agricultural D~strict SALE INFORMATION 14: !~'"'.;t :'.L.t.':,~ ', .,".' ,'~ . ~,.,'. : .. , .. s,. co..,. O.. I L) /R / I ^ Sale Between Relatives or Former Relatives 12. Dm of Bale I Trensfo~ D 13. Full Bale Price I , , . , , . , ~., 0 , 0 I (Full Sale Price is tho total amount paid for the propa[ty including personal property. ] This payment may bo in tho form of cash. other propany or goods, or the assumption of J mar tgages or o[her oblige[ions.) Please round fo the neareshshole doflar amount. 14. Indicate the value of included fo the sale ~ ; · 0 , ASSESSMENT INFORMATION - Data should reflect the latest Fi[tel Assessment Roll and Tax Bill from I which fofon~atfen taken ~8. P,opa.yo.. I~.1 .~J-I I 19. sehoolDistfictName I BAle Between Related Companies or Partners in Businc--~ One of the Buyers ~s also a Seller Buyer or Seller ia Government Apan~-y or Lending Institution Deed Type not Warranty or Bargain and Sale (Sparely Below) Sale of Fractional or La. than Fee Interest ISpeci~, Below) Significant Change in Property Between Taxable Status and Sale Dates Sale of Busines~ is Included in Sale Price Other Unuaubl Factors Affecting Sale Price (Specify Below) . None 20. Tax Mai) Identiftse~s} I Roll Idmltifier(s) (ff more than four. attach sheet with additional Identmat(s)) I Io°°-°&t. oo'o~'oo-oo~r-oo% I [ I I L I I CERTIFICATION I ] ceftin' that all id' the item.< of Infommfiun entefl..d on thL~ E)rm are true and t'ortN~l Ifa Ihe bom of my km,wledgt, and helkTi and [ unden,ssnd that the ltta~ill~ cd' an)' ,~]ll~l f'al~e Mntemtml of matel~d fact herein will rdthjett [tie to the imn~.~i(ms (d' the oennl luw rdlnliTe Io the maJdng and filing of false hk~lrulness~ BUYER DAIL SELLER BUYER'S ATrORNEY LAST NAMF I NEW YORK STATE COPY