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Home My WebLink AboutL 12582 P 73SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE T~pe of Instrument: DEED N~m~er of Pages: 4 Receipt N,~m~er : 09-0023038 TRANSFER TAX NUMBER: 08-16822 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 045.00 03.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 03/05/2009 10:03:31 AM D00012582 073 Lot: 002.000 Received the Following Fees For Page/Filing $20.00 COE $5.00 EA-CTY $5.00 TP-584 $5.00 Cert. Copies $0.00 Transfer tax $0.00 TRANSFER TAX NUMBER: 08-16822 THIS Above Instrument Exempt NO Handling NO NYS SRCHG NO EA-STATE NO Notation NO RPT NO Comm. Pres Fees Paid PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL $20.00 $15.oo $165.o0 $0.00 $30.00 $0.00 $265.00 Exempt NO NO NO NO NO NO Judith A. Pascale County Clerk, Suffolk County ' i _, Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. Deed / Mortgage Instrument Page / Filing Fee Handling (-'~ ~. O0 TP-584 Notation EA-52 17 (County) Comm. of Ed. 5. 00 Affidavit Certified Copy NYS.Surcharge 15. 00 Other Deed / Mortgage Tax Stamp FEES Sub Total. Sub Total Grand Total ~1 zooo .04500 0300 002000- Real Prope! Tax Service Agency Verificatio~ .... ~_~__ __ 6 SatisfacUons/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: RECORDED 2009 Mar 05 113:03:3i Judith A. Pa~caie CLERK OF SUFFOLK COUNTY L D00012582 P 073 DT# 08-16822 Recording / Filing Stamps 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/clerk 8 I Mortgage Amt, 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. 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 instrume_nb 2 Community Preservation Fund Consideration Amount $ --O- Due S -O- Vacant Land TD TD TD 11901 cTo. Lame TitleCompapylnformation Tite# Suffolk County Recording & Endorsement Page This page forms part of the attached Bargain and Sale Deed by: (SPECIFY TYPE OF INSTRUMENT) DAVID FO[IRKOI.~ as surviving ~oint tenant;]'he premises herein is situated in SUFFOLK COUNTY, NEW YORK. made TO 73265 l~Ilq RO~D, LLC In the TOWN of In the VILLAGE Southold or HAMLET of 6reenpor t BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) NY 005 - Bnrgain and Snle Deed with Covenant against Gramor's Acls lndlv~du~l or Corpornfion (SinsIe Sheet) 0qYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SDOUKD BE USED BY LAWYERS ONLY THIS1NDENTURE, madethis o"O~:5'- dayof ,,~)~-~7'.a~,~'~'~O-- , in the year 2008, BETWEEN DAVID FOHRKOLB, as surviving joint tenant, residing at 11875 Sound Avenue, Mattituck, New York, 11952, party of the first part, and 73265 MAIN ROAD, LLC a New York ............. llmited,habd~[ty.comp.~any with office.at 11875 Sound Avenue, Mattituck, New York, 11952 party of the second part, WITNESSETH, that the party of the first part, in consideration of Ten 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 west of the Village of Greenport, in the Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described as follows: SEE ATTACHED SCHEDULE A SAID PREMISES being known as 73265 Main Road, Greenport, New York 11944. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated the31 st day of January, 2000, which was recorded in the Office of the Clerk of the County of Suffolk on March 21, 2000, in Liber 12029, Page 152. TOGETHER with all right, title and interest, if any, of the party of the fast par of, in and to any streets and road~ 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 fa-st 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 fa'st for the purpose of paying the cost of the improvement and will apply the same £urst 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 fa'st above written. IN PRESENCE OF: David Fohrkolb USEACKIVOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLY: State of New York, County of Suffolk } ss.: State of New York, County 0f Suffolk } ss.: On thc ~ day of ~)~U~?tF_.~m__.,~ in thc year 2008 before mc, the undersigned, personally appeared David Fohrkolb personally ~own to mc or proved to mc on ~c b~is of satisfactn~ evidence to bc thc individual whasc n~c is subscribed to ~c within inst~mcnt ~d ac~owlcdgcd to mc ~at he cxcctncd ~e s~c in his capaniW, ~d ~at by his si~aturc on ~c inst~mant, thc individu~, or thc person upon bch~f of which ~e individual acted, executed thc ins~mcnt. NO. 01RU87063~ QUALIRED IN SUF~LK COU~ ~/~ ~ISSION ~IRES DEC~ A C~O~EDGME~ FO~ FOR USE ~THIN NE~ YO~ ST~ TE ONL Y: [New York Subscribing ~lme$s ~c~led~enl Ce~cate] State of New York, County of On thc __ day of in the year 2008 before me, thc undersigned, personally appeared the subscribing witness to the foi'egning instrument, with whom I am personally acquainted, who being by me 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, thereq/); that he/she/they know(s) to be thc 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. On the day of in the year 2008 before mc, the undersigned, personally appeared personally known to mc or proved to me on the basis of satisfactory evidence to be thc individual(s) whose name(s) is (are) subscribed to thc within instrument and acknowledged to mc that he/she/they executed the same in his/her/their capacity(les), and that by his/her/their signature(s) on thc instrument, thc individual(s), or thc person upon behalf of which the individual(s) acted, executed the instrument. Notary Public ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONL Y: [Out of State or Foreign General Acknoudedgment Certlfl~tc] ........................... }SS.: (Complete Venue with State, County, Province or Municipality) On the __ day of in the year 2008 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 mc that the he/she/they executed the same in his/her/their capacity(its), 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 thc undersigned in the (Insert the city or other political subdivision and the state or county or other place the acknowledgment was taken). USEACFgVOWLEDGMEIVI'FORMBELOWWITHINNEWYORKSTATEOIVLY: BARGAIN & SALE DEED WITH COVENANTS AGAINST GRANTOR'S ACTS TITLE NO. DAVID FOHRKOLB, as surviving joint tenant, TO 73265 MAIN ROAD, LLC DISTRICT 1000 SECTION 045.00 BLOCK 03.00 LOT 002.000 COUNTY OR TOWN SOUTHOLD RECORDED AT REQUEST OF AND RETURN BY MAIL TO: LAWRENCE A. SIEGEL, ESQ. DAVIDOW, DAVIDOW, SIEGEL & STERN 1601 Veterans Memorial Highway, Suite 330 Islandia, New York 11749 RESERVE THIS SPACE FOR USE OF RECORDING OFFICE SCHEDULE A - DESCR.TPI~ON ALL that certain plot, piece or parce~ of land, situate, lying and being west of the Village of Greenport, in the Town of Southold, County Of Suffolk and State or Ne~w York, bounded and described as~follows: BEGXNNING at a point on the northerly side of Hain Road (N.Y.S. Route 25) distant 76.74 I~eet westeHy when measured along the northerly side of said Hain Road from a point where the Southwesterly.corner of land'now or ~ornlerly of the Village of Greenport and the southeasterly'comer..of~ la~d now or fon~erly of Stacta Mary Rutkowskl intersects the northerly side of said Main Road; RUNNXNG THENCE along the northerly side of said Hain Road South 77 degrees 56 minutes 00 seconds West, ~.47.43 feet to land now or formerly of Walter Twardowski; THENCE along said land North 26 degrees 29 minutes 30 seconds West, 733.14 feet to land now or formerly of the Village of Greenport; THENCE along said land North 77 degrees 56 minutes 00 seconds East, 48t.52 feet to land now or ~ormerly of Stacla Mary Rutkowski; THENCE along said land South 0 degrees 0! minutes 30 seconds East,..726 feet to the northerly side of Hain · Road at the point or place of BEGINNXNG. Premises 73265 Main Road, Greenport, NY PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM. INSTRUCTIONS: http:#www.orps.atate.ny.ua or PHONE (518) 474-6450 IFOR COUNTY USE ONLY ..... Cl. SW,SCode i L.~_,--~.~ ,.~c~J I I ~ R~LPROPER~T~NSFERREPORT ~ ~ ~ I ~A_~ STA~ OF NEW YO~ ~.e,e~t~ 73265 I Natn Road (a~a 73265 Route 25) ] greenport J ~ I 11944 2. Buyer t 73265 Hals Road, LLC I I ~.Tax Indlcnte wbem fotura Tax Bilic are to be sent Billing If other then buyer address {at bottom of form) I I I [ (Only If Part el a Parcel) (7~eck I~ they ~ , I I # of Parcels OR Part of a Purcel 4~ Planning Boe;d vdth Subdivision Authority Exim [] 48. SubdivisZon Approval was RequimcI for Transfer [] 4C. Parcel Approved for SubdlviBion with Map Provided [] S.D#d e.~.w I Ixl JORI .... 5.1 .2 I s. sdter I Fohrkolb I David I 7. Chock tho box below which most accurately dosathea tho use of tho IXOpefty et tho time off s~le: iOne Family Residential 2 or 3 Family Residential Residential Vacant Land Non-Residential Vacant Land SALE INFORMATION I i Aorlcultural I [] Community Service Cornme~gial J ~ Industrial Apartmeot K~ Public Service Eotarlainmeot/Amusemeot LL_.j Forest I / n/a / I 12. Dee o~SMo I Tranahw 13. FugSofoPflce I ; ~ , 01· 0 , 0 I (Full Sale Price is the total amount paid for the property including personal property. This payment may be iff the form of cash, other properW or goods, or the assumption of 14. btdieatethevMulofpm~onM I , , ,0 , 0 , 0 I I~OlMrty included i~ tho retie ~ ~1 · ASSESSMENT INFORMATION - Oats should reflect the latest Final Assessment Roll and Tax Sill I I O,~ I 17. TotalAssmssedVnluo(ofallpamelalntrsmferl ] 18. Y#r of Assessment RoB from which Jafmmation taken Ch~k tim boxe,J below .~ they apply: ia Ownemhip Type is Condominium [] 9. New Construction on Vacant Land [] 10A. Pmpany Located within an Agricultural BLatHer ~ Estate plann/ns/tzaneEer to an u.P~opmvct,, I 4, 8r 3._].1 J 19. SdloofDiatdctNamo I Oreenport I [ 1000 045.00 03.00 002.000 J I I L I I I I CERTIFICATION I I o~'l]f.v that ail (d' the ilerm of Ird'~a'flmtlon t'ntered on thLq rmln are true and correet rte lite bed (~' my kmm'led~, and hdJefl and I understand that Ihs stoking e~ n.v walr, d raise stefomem ot' nmterFa] Fact herein ~tll ~ahJect me to the pnw~Aloru or the ennui law rdafive Io the nmkJn~ mid filln,q or false inbb'umenLq. BUYER David Fohrkolb, Nanaglng Nember 11875 I Sound Avenue Nattituck I NY I 11952 SELLER David Fohrkolb BUYER'S ATTORNEY Siegel I ~ence A. 631 I 234-3030 I NEW YORK STATE COPY