HomeMy WebLinkAboutL 12580 P 995SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
Number of Pages: 5
Receipt N~mBer : 09-0017779
TRANSFER TAX NUMBER: 08-16009
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
115.00 10.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Received the Following Fees For Above Instrument
Exempt
Page/Filing
COE
EA-CTY
TP-584
Cert. Copies
Transfer tax
$25 00
$5 00
$5 00
$5 oo
$0 00
$0 00
TRANSFER TAX NUMBER: 08-16009
THIS PAGE
NO Handling
NO NYS SRCHG
NO EA-STATE
NO Notation
NO RPT
NO Comm. Pres
Fees Paid
IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Judith A. Pascale
County Clerk, Suffolk County
02/20/2009
11:51:10 AM
D00012580
995
Lot:
007.000
Exempt
$20.00 NO
$15.00 NO
$75.00 NO
$0.00 NO
$50.00 NO
$0.00 NO
$200.00
Number,. of pages
This document will be public
record. Please remove all
Social Security Numbers
prior to recording.
Deed / Mortgage Instrument
31
Page / Filing Fee
·. Handling ~00
TP-584
Deed / Mortgage Tax Stamp
FEES
Notation
EA-52 17 (County)
Sub Total
EA-5217 (State)
B.P.T.S.A. .,TO,
Comm. of Ed. 5. 00
Affidavit
Certified Copy
NYS.Surcharge 15. O0
Other
· 1000 ,'
4 D~st. 1OOO
Real Property
Tax Service
Agency
Verification
Sub Total
Grand Total
08027724 ~ooo l~5oo ~ooo oovooo
~ooo z~soo osoo oz~ooo
Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
Davidow Davidow Siegel & Stern, LLP
One Suffolk Square - Suite 330
1601 Veterans Memorial Highway
Islandia, New York 11749
Mail to: Judith A. Pascale, Suffolk County Clerk
310 Center Drive, Riverhead, NY
www.suffolkcountyny.gov/cler k
11901
RECOROED
2009 Feb 20 11:51:10
Judith R. Pascale
CLERK OF
SUFFOLK COUNTV
L D00012580
P 995
DT# 08-16009
Recording / Filing Stamps
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec./Assit.
or
Spec./Add.
TOT. MTG. TAX
Dual Town __ Dual County __
Held for Appointment
Transfer Tax '
Mansion Tax
The property covered by this mortgage is
or will 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 $ -O-
CPF Tax Due $ -0-
improved.
VacantLand
TD
TD
TD
Title Company Information
Suffolk County Recording & Endorsement Page
This page forms part of the attached
by:
Andrew T. Fohrkolb
Bargain and Sale Deed
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK·
· made
TO In theTOWN of Southold
Andrew T. Fohrkolb and David H. In theVILLAGE
Fohrkolb
or HAMLET of Hat tttuck
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING·
(over)
THIS INDENTURE, made this ~ day of&~a~, in the year 2008
BETWEEN
ANDREW T. FOHRKOLB, residing at 745 Love Lane, Mattituck, New York'11952
¥,
party of the first part, and
ANDREW T. FOHRKOLB, residing at 745 Love Lane, Mattituck, New York 11952 and DAVID M. FOHRKOLB,
residing at 11875 Sound Avenue, Mattituck, New York 11952
party of the second part,
WITNESSETH, that the party of the first part, in consideration ofTen Dollars and other valuable consideration paid
by the party of the second part, does hereby grant and release unto 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:
SEE ATTACHED SCHEDULE A
SAID premises being known as 5780 New Suffolk Avenue, Mattj~ck, New York 11952
BEING AND INTENDED TO BE THE same premises conveyed to the party of the first part by deed by deed dated
·
2008 and intended to ~be recorded s multaneot~sly herewith
TOGETHER with all right, title and interest, if any, of the party of the first par of, in 'and to any streets and roads
abutting the above-described premises to the center lines thereo f; TOG ETHER with the appurtenances and all the estate
and rights of the party of the first part in and to said premises; TO HAVE AND HOLD the premises herein granted unto
the party of the second part, the heirs or successors and assign~ 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
will receive the consideration for this conveyance'and will h~ld the right to receive such consideration as a trust fund
t6 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 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 part of the first part has duly executed this deed the day and year first above written.
IN PRESENCE OF:
ANDREW T. FOHRKOLB
USEACFoVOW'LEDGMENTFORMBELOWWITHINNEP~YORKSTATEONLY:
State of New York, County of Suffolk } ss.:
On the day of ~ in tho year 2008 before me, the
undersigned, personally appeared ANDREW T. FOHRKOLB
personally known to me or proved to me on the basis of satisfactory
evidence to be the individual whose name is subscribed to the within
instrument and acknowledged to me thut he executed the same in his
capacity, and that by his signature on the instrument, the individual, or tho
State of New York, County of Suffolk } ss.:
On the __ day of December in the year 2007 before me, the
undersigned, personally appeared ~ersonally known to me or proved to
me on the basis of satisfactory evidence to be the individuai(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(ias), and that by his/her/their signature(s)
on the instrument, the individual(s), or the person upon behalf of which
the individual(s) acted, executed the instrument.
personlz,~[li~t~l~flwhich the individual acted, executed th~
N0.01~870~ ~ ~ ~ ~
~ED IN SUFm~ ~1o ~'
~I~ION ~1~ ~ ~1, No~ ~blic
/1CKNOfFLEDGMENT FORM FOR USE IYITHINNE~F YORK STATE ONL Y:
State of New York, County of
On the __ day of in thc year 2007
before mc, thc undersigned, personally appeared
the subscribing witness 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
(ff the place of residence is in a city, include the strqet and street number,
if any, thereof); that he/she/they know(s)
to be the individual described in and who executed the foregoing
instrument; that said subscribing witness was present and saw said
execute thc same; and that said witness at the same time subscribed
his/her/their name(s) as a witness thereto.
Notary Public
ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONL Y:
(Complete Venue with State, County. Province or Municipality)
· On the __ day of in thc year 2007
before mc, thc undersigned, personally appeared
pcrsonaily known to mc or proved to mc on thc basis of satisfactory
evidence to be thc individual(s) whose name(s) is (arc) subscribed to thc
within instrument and acknowledged to mc that thc he/she/they executed
thc same in his/her/their capacity(ies), that by his/her/thair signature(s) o~
thc instrument, thc individual(s), or the person upon behaif of which the
individual(s) acted, executed the instrument, and that such individual
made such appearance before the undersigncd in the
(Insert the city or other political subdivision and the state or county or
other place the acknowledgment was taken}.
USE ACKNOWLEDGMENT FORM BELOP~WITHIN NEW YORK STATE ONL Y:
BARGAIN & SALE DEED
WITH COVENANTS AGAINST GRANTOR'S ACTS
TITLE NO.
DISTRICT 1000
SECTION 115.00
BLOCK I 0.00
LOTS 007.000 and 011.000
COUNTY OR TOWN SOUTHOLD
RECORd)ED AT REQUEST OF AND RETURN BY MAIL TO:
TO
DAVIDOW, DAVIDOW, SIEGEL & STERN
1601 Veterans Memori'al Highway
One Suffolk Square, Suite 330
Islandia, New York 11749 (LAS)
RESERVE THIS SPACE FOR USE OF RECORDING OFFICE
SCHEDULg "A"
SCI~ '#1000-115.'00-I0.00-007.000
Lot ~1 House
A~ that co,lain plot, piece or Parcel of. land, situate, lying and being at
Mattituck, Town of Southold, County of sUffolk and State of New York, being
more particularly bounded and described as follows:
BEGINNING at a point on the s°Uthed¥ side of New Suffolk Avenue distant
30t/9 feet westerly from the comer formed by the IntmsecUon of the westerly
side of Deep Hole Drive with the sout.hedy side of New Suffolk Avenue;
THENCE :the tollowing (4) courses and distances:
1) South'43 degrees 32 minutes 36 ~oconde West, 20.07 feet;
2)' SOuth 20 degree~ 23 minutes 43 seconds East, 43,58 feet;
3) 8outh 20 degrees 32 minutes 31 seconds West, 48.43 feet;
4) South.14 degrees 20 minutes 33 seconds East, 61.35 feet to the high water
mark of Deep Hole. Creek;
THENCE along said high water m=uk, No~ 63 degrees 48 minutes 33 seconds
West, 161:38 feet to I~and now or formerly of Minoque;
THENCE ~long satd land, No~ 07 degrees 06 ~inutes 00 seconds East, 106.17'
feet to th.e southerly side of New Suffolk Avenue;
THENC .E along the 6outhedy side of New Suffolk Avenue, South 82 degrees 54
minutes 00 seconds East, 132.98 feet to the point or place of BEGINNING.
SCHEDULE 'A' .'
sctt~ #1000-115.00-05. O0-Ol'l. 000
Lot ~Z Garage
ALL that certain plot, pieCe Or parcel ~f land, eitual~e, lying and being at
Mattituck, Town of Suuthold, CounP/of Suffolk end State of New York,
bounded and described as follows:
BEGINNING at a point.on the northerly side otNew Suffolk Avenue distant
142.14 feet eastedy from the extreme asstedy end of the arc of a curve.
connecting the eeaterly aide of Meadow Lane with the northerly side'~f New
Suffolk ,~vmue;
THENCE Ninth 10 degrees 49 minutee 00 seconds West, 262.10 feet;
THENCE along land now or formmP/of Deroaplnle, South 82 degrees 53
minutes 50 seconds East, :32.00 feet;
THENCE still along said land above mentioned the following (2) courses aqd'
dlatance~.
1) South 16 degrees 45 mlnutee 20 aeconds E. ast, 157.17 feet;.
2) South 15 degrees 35 minutes O0 sam)nde East,.117.00 feet to the northerly
aide .of New SuffolkAvanua;
THENCE along the northly side of New Suffolk Avenue, North 62 degrees 53
minutes 50 eeconde Weat,'65.63 feet to the point or place of BEGINNING.
.................... PEE,~SE'TYPE"OR PRESS'FIRMLY'WHEN WRITING ON FORM'"
INSTRUCTIONS: http://wwvv.orps.state.ny.us or PHONE (518) 473-7222
IFOR COUNTY USE ONLY
C1 aWlS Code ~ ~'r-7 , ?~, ~, ~ ,~ I I REAL PROPERTY TRANSFER REPORT
- ' -- STA'I~ OF NEW YORK
C2. Date Deed Re~ord~d IO~ /o~O ~C:>~ I STATE BOARD OF REAL PROPER~ SERVICES
~Monlh Da, YSa, . - 5217
1. Pn~flYLom~I 5780 I New SuffoZk Aveaue I
I mu=ow.. I AND~ T. I
3, Tax Indicate where future Tax Bills are to be ~ent
Billing if other than buyer eddm. (~t bottom of fontt) I
Addrme
4. Indlmte the numbe~ of A~#~meflt
Roll ~ tmniformd on tho deed
I #ofParccls OR ~ Pan ofaParcel
I
7. Check the box bdow whteh most accurately dmrihe~ the use of the Ixopafly at tho time of nfo:
A [] One Family Rasipafltial
B ~__] 2 or 3 Family Residential
C I--I Residential Vacant Land
DU Non-Resident]ct Vacant Land
I SALE ,.FOBM^T~O. I
Agricultural
Commercial
Apartment
Entertainment / Amuaemant
[ [] Community Service
K~ Pubhc Service
I.I I Forest
I ~/ ~ /2°°81
Day Year
Cheek the boxes bdow as they ndldy:
8. Ownership Type is Condominium []
6. New Construction on Vacant Land []
, ,O,o,ot
13. Full Sale ~ I ~ j ·
(Furl Sale Price is tho total amount paid for the pmpar~ including personal pmparty. [
14. fodicatethevaluaofpafsonal I ,~, ~ , 0 J
pe~pecty included Iff the Mil ~ i ·
ASSESSMENT INFORMATION ' Date should reflect tho latest Final Assessment Roll and Tax Biff I
16. Year of A~ment Rnd from [O~. ~a¢)l 17. Total A--~.~d Value (of oil parole in transflr) I
which fofomwtioe taken
16.1~tyCleas I 2,1 ,0 I-I I 19. saheotB~mlntNamo I
Significant Change in Property Bntmn Taxable Status and Sale Cotes
Safe of Business ia Includnd in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Salt)w)
None
........ ~ '7 o. ot
I /oeo .- /lS',o - /ooo-oo'7*oo I I I
I /'se~ -/~5-oo O.b'"oo - al/doe I I I
I C~R~F~C~O. I
BUYER
Amlre~ T. Foh~kolb
Love ~aae
KattLtuck B.Y. 11952
I I
SELLER
BUYER'S A1TORNEY
Glass Hart~n S.
63]. 23~.-3030
I
I NEW YORK STATE
COPY
,
An~I~T .~. ~Fohrko ].b