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Home My WebLink AboutL 12580 P 996SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED N,~mher of Pages: 5 Receipt Number : 09-0017779 TRANS~R TAX NUMBER: 08-16010 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 115.00 10.00 EXAMINED AND CHARGED AS FOLLOWS $o.oo 02/20/2009 11:51:10 AM D00012580 996 Lot: 007.000 Received the Following Fees For Above Instrument Exempt Page/Filing COE EA-CTY TP-584 Cert. Copies Transfer tax $25 O0 $5 oo $5 oo $5 oo $o oo $o oo TRANSFER TAX NUMBER: 08-16010 NO Handling NO NYS SRCHG NO EA-STATE NO Notation NO RPT NO Comm. Pres Fees Paid THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL $20.00 $15.00 $75.O0 $o.oo $5O.O0 $o.oo $200.00 Exempt NO NO NO NO NO NO Judith A. Pascale County Clerk, Suffolk County Num bet of pages ,,~"'""- This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2009 Feb 20 11:5I:10 gM Judit.h A. Pascale CLERK OF SUFFOLK COUHTY L D000t2580 P 996 DT# 08-16010 Deed/Mortgagelnstrument Deed/MortgageTax Stamp I Recording/Filing Stamps 31 FEES Page / FiNing Fee .and,ng TP-584 Notation EA-5217 (County) EA-5217 (State) 7 ..P.T.S.A. Comm. of Ed. 5. 00 Affidavit Certified Copy NYS Surcharge 15. 00 Other Sub Total SubTotal Grand Total Dist.1000 4 ]000 RealProperty Tax Se~ice Agency Verification 08027723 looo llsoo iooo oovooo iooo n500 0500 011000 8 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.suffolkcou ntyny.g ov/cler k 11901 Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointme~ 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 .~51 If NO, see appropriate tax clause on page #__. of this instrument. Community Preservation Fund Consideration Amount $ -0- CPF Tax Due $ -0- Improved. VacantLand TD TD TD Title Company Information Suffolk County Recording & Endorsement Page This page ~rms part ofthe attached by: Andrew T. Fohrkolb~ Trustee of the Andrew C. Fohrkolb Revocable trust 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 in theVILLAGE or HAMLET of Mattitack 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-.h:me, in the year 2008 BETWEEN ANDREW T. FOHRKOLB, residing at 745 Love Lane, Mattituck, New York 11952, as Trustee'of the ANDREW C. FOHRKOLB REVOCABLE TRUST dated the 14th day of December, 2007.'s' s: pgrty of the first part, and ANDREW T. FOHRKOLB, residing at 745 Love Lane, 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 pal'P] 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, Mattituck, New York 11952 BEING AND INTENDED TO BE THE same premises conveyed to the party of the first part by deed by deed dated ~'J/-/--/, 2008 and intended to be recorded simultaneously 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 thereof; TOGETHER 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 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 be~n incumbered in any way whatever, except as' aforesaid. AND the party of the first part, in compliance with Section 13 of the Li6n Law, covenants that the party of the first part will 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 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 USE ACKNOWLEDGMENT FORM BELOWWITHINNEW YORK STA TE ONL Y: State of New York, County of Suffolk } ~s.: On the ~'~:~ day of ~ in thc year 2008 before mc, thc undersigned, pcrsona!ly appc~cd AND~W T. FOHRKOLB personally ~own to me or proved to mc on thc b~is of satis~cCo~ evidence to bc thc individual whose name is subscribed to ~c within inst~mcnt and ac~owlcdgcd to mc that hc executed thc same in his capaci~, and that by his si~ture on the instrument, thc individual, or the 'person upon behalf of which thc individual acted, executed the inst~ A. RUPO~ ~ PUBUC, ~A~ OF ~W ~ ( ~ ~ ~, ~ NO. 01RU870~ ~,~,..~ OUAURED IN SU~ ~U~ ~-~ ...... AC~O~EDGM~ FO~ FOR USE ~THIN NEW YORK STATE ONL Y: State of New York, County of } SS.: On the __ day of in the year 2007 before me, thc undersigned, personally appeared thc subscribing witness to the fore'going instrument, with whom ! am personally acquainted, who being by mc duly sworn, did depose and say that he/she/they reside(s) in (if the place of residence is in a ~ity, include the street 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 thc same time subscribed his/her/their name(s) as a witness thereto. State of New York, County of Suffolk ) ss.: On the __ day of December in thc year 2007 before mc, thc undersigned, personally appeared personally known to mc or proved to me on thc basis of satisfactory evidence to bc the individual(s) whose name(s) is (arc) subscribed to thc within instrnment and acknowledged to me that he/she/they executed thc same in his/her/their capacity(ins), and that by his/her/their signature(s) on thc instrument, the individual(s), or the person upon behalf of which thc individual(s) acted, executed the instrument. Notary Public ACKNOWLEDGMENT FOR3f FOR USE WITHIN NEW YORK STATE ONL Y: [Out of State or Foreign General dcknowltdgment Certificate] (Complete Venue with State, County, Province or Municipality) On thc __ day of in thc year 2007 before mc, thc undersigned, personally appeared personally known to me or proved' to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that th~ he/she/they executed the same in his/her/their capacity(ins), 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 thc instrument, and that such individual made such appearance before the undersigned in the (ln~ert the city or other political subdivision and the state or county or other place the acknowledgment was taken). USEACKNOWLEDGMEf~T FORM BE~OP/WITHINNEgF YORKSTA TE ONL Y: BARGAIN & SALE DEED WtTH COVENANTS AGAINST GRANTOR'S ACTS TITLE NO. DISTRICT 1000 SECTION I 15.00 BLOCK 10.00 LOTS 007.000 and 011.000 COUNTY OR TOWN SOUTHOLD RECORDED A T REQUEST OF AND RETURN B Y MAIL TO: DAVIDOW, DAVIDOW, SIEGEL & STERN 1601 Veterans Memorial Highway One Suffolk Square, Suite 330 Islandia, New York 11749 (LAS) RESERVE THIS SPACE FOR USE OF RECORDING OFFICE S(3HEDOLE "A" : S ~-~D[ { 1000-11.~ . 00-10 . 00-007 . 000 House AL.t. that certain ptot, piece or parcel of. land, sitUate, lying and being at Mattituck, Town of Southotd, County of S~dfolk and State of New York, being more partTcoJady bounded and described as fo)lows: BEGINNING at a point on the $°Uthedy side of New Suffolk Avenue distant 301.29 feet westerly from the comer foflned by the IntmsscUon of the wsstmly aide of Deep Hole Drive with the sout.hedy aide of New Suffolk Avenue; THENCE ~the following (4) courses and distanceS: 1) South'43 degrees 32 minutes 36 aeconds West, 20.07 feet; 2)' South 20 degrees 23 minutes 43 seconds East, 43.58 feet; 3) South 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 Hote. Cresk; THENCE along said hi9h water m~l~, North 63 degrees 48 minutes 33 seconds Wast, 161238 feet to I,and new or formerl~ of Minoque; THENCE dlong said land, North 07 degrees 06 ~nlnutes 00 seconds East, 106.17 feet to the. SOutherty aide of New Suffolk Avenue; THENCE. along the southerly aide of New Suffolk Avenue, South 82 degrees 54 minutes O0 aecQnds East, 132.98 feet to the point or place of BEGINNING. SCHEDULE ""A" .' SC~TI #1000-115.00-05.00-0~ 1.000 Lot ~2 Garage ALL that certain plot, piece Or parcel of land, situate, lying and being at Mattituck, Town of Soathoid, County of Suffolk and state of New York, bounded and described as follows: BEGINNING at a point on the nmthedy side of:New Suffolk Avenue distant 142.t4 feet easterly from the ext~me sa~edy end of the arc of a curve. connecting the as~tedy aide of Meadow Lane with the northerly eide*~f New Suffolk Kvenue; THENCE Nodh 10 degrsas 49 minutes 00 seconds West, 262.10 feet; THENCE along land now or formerly of Oereapinls, South 62 degrees 53 minutes 50 seco~nde East, 3Z0O feat; THENCE still along said land above mentioned the following (2) coumes aqd dletance~. 1) South 16 degrees 45 mlnutes 20 ~,conde .Eaat, 157.17 feet; 2) 8outh 15 degresa 35 minutes 0O seconds East,.Il?,00 feet to the northerly aide .of New Suffolk Avenue; THENCE along the northerly aide of New Suffolk Avenue, North 82 degrees 53 minutes 50 aeconda Wsat~*60.03 feet to the i~oint or place of BEGINNING. ...... ~ ............... 'PEI~OR 'PRESS'FIRMLY' WREN WRITING ON FORM -" ": ........ '-~ '"-="=:"' INSTRUCTIONS: hep://www.orps.state.ny.us or PHONE (518) 473-7222 IFOR COUNTY USE ONLY I C1. SWIS Code 1 L~,-~ ~ ,~, C~,~ I I REAL PROPERTY TRANSFER REPORT _ R 5217 3. Tax Indicate where futura Tax Bills am to be sam Bitting if other than buyer eddre~ (et bottom of form) I 4. Indicate tho number of A~eelment I~ Roll parce~ tmMImtnd on the died ] , ] ] # of Parcels OR Part of a Parcel g. Died p,w..v I ]xl Ionl .... . , I S. Sailer [ 'IG't1R~I~IIT .R, I (Oflly if Pa~t of e I~mM) Csadl as they apply: 7. Chock tho box below which most accurately dmotibes tho use of tho properly st the tJmo of sale: B L~ 2 or 3 Family Residential F ~ Commemial CI__I Besidendsi Vacant Land G~I Apenmont D ~ Non Residential V~m ~nd 1] U End.lament I Amu~meat I SALE INFORMATION I '---- Community Sawics PublicBenaco Forest Check the boxel bdow a~ they apply: 8. Ownership Type is Condominium [] IOA. Property Locatod within an Agricultural District ~ 13. Full Solo Prlco I . , ~ . . ~ . . (/._· 0 . 0 I (Full Sale Price is the total amount paid for the properly including personal properly. mortgages or other obligations.) P/ease round M the nearest whole dollar amount. 14. Indicate the value of persoaal ) , , Lf~, ~ ~ 0 I pmpm~ Indudnd In the solo ~ ~ · ASSESSMENT INFORMATION - Date should reflect the latest Final Assessment Roll and Tax Rill 16. Year of A~M,J4ment aMI from 07,081 17. Total A~leImed Value (of ell pamds In banofM) 18. Prop~rtyCl,us 12. ~. 01-I Ile. sahootOlstrlct Name I Hattltuck 20. Tax Map kJentifler{s) I Roll identifier{s) (S mom than four, attKb sheet with additional oflntiRsr{MI A Sale Between Relatives or Former Relatives S Sale Between Related Companies or Partners in Business (: One of the Buyers is also a Seller D Buyer or Seller ia Government Agency or Lending Institution E Dead Type nst Warranty or Bargain end Sale (Specify Below) ~' Sale of Fractional or Lass than Foe Interest (Specity Below) fL'; Significant Change in Propert~ Between Taxable Status and Sale Dates Sale of Business is Included in Sale Price Other Unusual Factors Affecting Sale Price (Specify Salow) NORa distribution of tcuifit BUYER 2oo8 Andrew T. Yohrkolb Love hue I 11952 BUYER'S ATTORNEY Cluifi I Knzttn S. 631 I 23&-3030 I NEW YORK STATE COPY ,A~a*,[-ew T. Fohriulb