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Home My WebLink AboutL 12580 P 997SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE T~pe of Instrument: DEED N11r~er of Pages: 5 Receipt N11~er : 09-0017779 TRANSFER TAX NUMBER: 08-16011 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 $25.00 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: 08-16011 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County 02/20/2009 11:51:10 ~ D00012580 997 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 TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed. Affidavit Certified Copy NYS-Surchar§e Other Deed / Mortgage Tax Stamp FEES 5. 00 15. 00 Sub Total Sub Total Grand Total I lOf- ' 4 uist. 10~ 08027722 Real Property' ~ Tax Service Agency Verification 6 1000 11500 1000 007000 1000 11500 0500 011000 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORDED 2009 Feb 20 11:51:10 Judith ~, Pascale CLERK OF SUFFOLK COUI.ITV L D00012580 P 997 £)T# 08-16011 Recording / Filing Stamps Mortgage Amt. 1. Basic Tax 2. Additi6nal 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 / r page # of this instrument Community Preservation Fund Consideration Amount $ -0- CPF Tax Due $ -0- Improved 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 n tyny.gov/clerk 8 VacantLand TD TD TD 11901 ;o.!ame Title Company Information Tit e # Suffolk County Recording & Endorsement Page This page ~rms part of the attached by: Andrew T. Fohrkolb, Trustee of the Andrew C. Fohrkolb Qualified Personal TO Andrew C. Fohrkolb Revocable Trust did 12/14/2007 Bargain and Sale Deed (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. In theTOWN of Southold In the VILLAGE or HAMLET:of Mattituck BOXES 6 THRU B MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. .made (over) CONSULT YOUR LAWYER BEFORE SIGNING Tills INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made this BETWEEN day ofia-~, in the year 2008 ANDREW T. FOHRKOLB, residing at 745 Love Lane, Mattituck, New York~11952 as Trustee of the A~NDREW. C. FOHRKOLB QUALIFIED PERSONAL RESIDENCE TRUST dated the 14th day of December, 2007 party of the fu'st part, and ANDREW T. FOHRKOLB, residing at 745 Love Lane, Mattituck, New York 11952, as Trustee of the ANDREW C: FOHILKOLB REVOCABLE TRUST dated the 14th day of December, 2007. 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 lieirs 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 !o the party of the first part by deed from Andrew C. Fohrkolb dated December 14, 2007 which was recorded in the office of the Clerk of the County of Suffolk on December 31, 2007, in Liber D00012535 page 604. 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[he 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 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 bfthe 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 USEACKIVOIVLEDGME3/TFORMBELOWP/ITHINNEI~YORKSTATEONLY: State of New York, County of Suffolk } ss.: On the /./ZV'~ day of ~ in the 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 that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the State of New York, County of Suffolk } ss.: On the __ day of December in the year 2007 before me, the undersigned, personally appeared personally known tn 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 he/she/they executed the same in his/her/their capacity(las), 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. instru~'lffd.YN A. RUPOLO IIOTARY PUBUO. STATE OF NEW YORK r~ ,. /,~ ~,,~ ~ Notary Public NO. emus?or, aaa ~t~_~,~ L~< OUAUFIEO IN SUFFOLK COUNTY ~LO~B ~ . ~OMMI$SlON I~PlRrr..8 DE0~IBER 31. . Notary r3~n nc ACKNOWLEDGMENT FOI~I FOR USE WITHI~V NEW YORK STATE ONL Y: State of New York, County of On the __ day of in the year 2007 before me, the undersigned, personally appeared the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who being byme duly sworn, did depose and say that he/she/they reside(s) in (if the place of residence is in a city, include the street and street number, if any, thereoJ); 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 the same; and that said witness at the same time subscribed his/her/their name(s) as a witness thereto. (Complete Venue with State, County, Province or Municipality) On the __ day of in the year 2007 before me, the 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 the he/she/they executed the same in his/her/their capacity(les), that by his/her/their signature(s) on the instrument, the individual(s), or the person i~pon behalf of which the individual(s) acted, executed the instrument, and that such individual made such appearance before the undersigned in the (Insert the city or other political subdivision and the state or county or other place the acknowledgment was taken). USEACIOYOWLEDGMEPffFORMBELOWI4rlTHINIVEWYORKSTATEONLY: BARGAIN & SALE DEED WITH COVENANrl'S AGAINST GRANTOR'S ACTS T1TLE NO. DISTRICT 1000 SECTION 115.00 BLOCK 10.00 LOTS 007:000 and 011.000 COUNTY OR TOWN SOUTHOLD RECORDED AT REQUEST OF AND RETURN BY MAIL TO: 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 SCltEDULIg "A" SCi'ti '{ 1000-115 . 00-10.00-007 . 000 Lot '~1 House AL.I. tl~t certain plot, piece or parcel o.f lind, situate, lying end being at Mattituck, Town of Southold, County of SUffolk end State of New York, being more particularly bounded and described as follows: BEGINNING at a point on the Southerly side of New Suffolk Avenue distant 301.29 feet westerly from the come~ fo~med by the IntarsacUon of the westerly side of Deep Hole Drive with the sout.hedy side of New Suffolk Avenue; THENCE =the following (4) coumee and distanceS: 1) South43 degrees 32 minutes 36 seconds west, 20.07 feat; 2)' South 20 degrees 23 minutes 43 seconds East, 43.58 feet; 3) South 20 degrees 32 minutes 31 seconds West, 46.43 feet; 4) South'14 degrees 29 minutes 33 seconds East' 61.35 fee~ to the high water m;uk of Deep Hole Creek; THENCE along said high water mi~k, North 63 degrees 48 minutes 33 SeConds West, 161:38 feet to I,and now or fommerly of Mlnoque; THENCE ~long said land, North 07 degrees 06 ininutes 00 seconds East~ 106.17' fee~ to the. southerly side of New Suffolk Avenue; THENCE. along the southerly side of New Suffolk Avenue, South 82 degrees 54 minutes 00 seconds East, 132.98 feet to the point ur Place of BEGINNING. SC~DULE 'A' $CT~i #1000-115.00-05.00-011.000 Lot ~2 Garage ALL that certeinpiot, piece Or pamel ~f land, situate, lying and being at MalUtuck, T°wn of Suuthold, County of Suffolk and state of New York, bounded and described as follows: BEGINNING at a P°int on the northerly aid~ of:New Suffolk Avenue distant 142.t4 feet eastady from the exbeme asstedy end of the arc of a cuwel connecting the as~tarty side of Meadow Lane with the northerly sids'~ New Suffolk ~veflue; THENCE North 10 degrees 49 minutes O0 seconds West, 262.10 feet; THENCE along land now or formerly of Dereepinls, South 82 degrees 53 minutes 50 seconds East, 32.60 feet; THENCE still along said land above mentioned the following (2) coursee an.d' dlatanc~: 1) South 16 degrees 45 mlnutes 20 8econds .East, 157.17 feet;. 2) South 15 degrees 35 minutes IX) seconds East,.117.00 feet to the northerly aide .of New Suffolk Avanue; THENCE along the northerly side of New Suffolk Avenue, North 82 degrees 53 minutes 50 eeconda Wast,'65.03 fast to the point or place of BEGINNING. ....................' ". ' · :~"'PrE~SE'TYPE"OR PRESS'FIRMLY'WREN WRITING ON FORM' "" INSTRUCTIONS: hep://www.orps.state.ny, us or PHONE (518) 473-7222 I Fa. COUNT USE ON'Y Cl. aWlS Coda I i..~.,-~ ~) ,~ ,~ ,C1 I I REAL PROPER~ TRANSFER REPORT ~. ~ D'd Re.~ed I O~ / ~ ~ I ~A~ BOARD OF R~L ~O~m SERVICES _ RP - 5217 17. . . 5780 Ne~ Suffolk Avenue ~illing if othe~ than buyer addr~s (at beltom of form} I I , 1 I a of Parcels OR Pa~ of a Parcel 4A. Planning Board with Subdivision Authority Exim 4. (ndi~te the num~M of Assessment Roll parcels ~anofefl~d on the deed S.D#d ~o..~ t Ixl IoRI.... " , I · sag. I FOHREOLB I AHDREV T. as Trustee I 7. Check the box below which most Kc4Jrmtely deaerlbas the uae of tho propan'y at the time of aele: B I---I 2 or 3 Family Residential Commercial C ~ Rat~dential Vacant Land Apaflmont D L~ Non-Residential Vacant Land Entertainment / Amusement SALE INFORMATION I 11. bleContractDato l aa.~Mo / Df/ / Ye,ir I 12. Date of Sale I Transfer I~ / ~/2oo8I [ [] Commun;ty Sewice J J,~ Industrial ~.[~ Public Service LJ I Fnrm Check the boxes bdow I~ they al~/: 8. Ownership Type is Condominium [] S. New Construction on Vacant Land [] . ,O,o,or 13. Full Sale Price (Full Sale Price is the to*al amount paid for the pmpen'y including personal pmperW. J Tills payment may bo in the form of cash, other pro~er;y or goods, or the assumption of j moilgages o~ et her obllgations.) Please round to the nearect whole dollar amDunt. 14.1ndicatothevehmofpam~al j ,~, 0 , I) J proparty included in the Mb ~ ~ ' · ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill lS'YearofA~eeaenmfltRoRIrmnlO? ~1 17. TotalAnmmaedVelua(ofBIIpamelainl~ander(I which JofaflllatJon taken ~. i , 18. Pro~ertyCIm J 2 , 1, OJ-I I 19.$choolDist~ict Name I Significant Change in Pmpen'y Belwsen Taxable Status and Sale Dates Sale of Busineas is Included in Sale Price Other Unusual Fact~m Aff~ing Sale Pri~e ISpacify Below) None distribution from tzust BUYER BUYER'S AI'rORNEY Nactltuck I H Y I 11952 SELLER Andrew Class I Nartin S. 631 I 234-3030 I NEW YORK STATE COPY