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Home My WebLink AboutL 12582 P 76SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE T~pe of Instrument: DEED N~mher of Pages: 4 Receipt N,~mher : 09-0023060 TRANSFER TAX NUMBER: 08-16825 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 141.00 04.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 03/05/2009 10:11:24 ,~1 D00012582 076 Lot: 041.000 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: 08-16825 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Exempt $20.00 NO $15.00 NO $75.00 NO $0.00 NO $30.00 NO $0.00 NO $175.00 Judith A. Pascale County Clerk, Suffolk County Number of pages This document will .be. public record. Please remove all Social Security Numbers prior to recordiGg. RECORDED 2009 Mar 05"10:11:24 Judith fi. Pa~cale CLERK OF SUFFOLK COUNT? L D00012582 P 076 DT~ 08-16825 -. Deed/Mortgagelnstrument , Deed/MortgageTax Stamp I Recording /Filing Stamps· 3 I FEES Page / Filing Fee ¢'~-----~ Handling (~(~. O0 TP-584 , ~ Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. , :~, Comm. of Ed. 5. 00 Affidavit Certified Copy NYS Surcharge 15. 00 Other SubTotal Sub Total Grand Total 4 Dist. ! 09004226 1000 14100 0400 041000 Real Propert)' Tax Service Agency Verification 5atisfa(:tions/Discharges/Releases List Property Owners Mailing Address 6 RECORD & RETURN TO: Davidow Davidow Siegel & Stem, LLP One Suffolk Square - Suite 330 ..... 1601 Veterans Memorial Highway lslandia, New York 11749 Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY www.s uffolkcountyny.gov/clerk 11901 Ttle# Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add. TOT. MTG. ~AX 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 5 Community Preservation Fund Consideration Amount $ -0- ax Due $ -0- Vacant Land TD TD Title Company Information Suffolk County Recording & Endorsement Page This page forms part of the attached by: FOI~,KOLB REALTY i]OLDINGS, II · LLC Bargain and Sale Deed (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. made TO In the TOWN of $ODTItOLD 11665 PAIN ROAD, LL6 In the VILLAGE or HAMLET of PATTITUCK BOXES 6 THRU 8 MUST BE TYPEb OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) NY 005 - Bargain and Sale D~d wilh Covenant against Grantor's Acts Individual or Corporation (Single Sheet) (NYnTU 8002) CONSULT YOUR I[~WYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made this c~J day of November, BETWEEN in the year 2008, FOHRKOLB REALTY HOLDINGS H, LLC, a Limited Liability Company organized under the laws of the State of New York, doing business at 5780 New Suffolk Avenue, Mattituck, New York 11956 party of the first part, and 11665 MAIN ROAD, LLC, a Limited Liability Company organized and existing under the laws of the State of New York 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 in: SEE ATTACHEDSCHEDULE A SAID PREMISES being known as 11665 Main Road, Mattituck, New York 11935 BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated the 14th day of December, 2007, which was recorded in the Office of the Clerk of the County of Suffolk on December 31, 2007, in Liber D00012535, Page 636. 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 fa'st 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 f'mst 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 tn:st 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 ftrst 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 (Manager) USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLY: State of New York, County of Suffolk } ss.: On the ~f day of November in'thc year 2008 before mc, the undarsigned, 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 E~LY~ A.~][j~ublic ~ PUBLIC, STATE OF NEW YORK NO. 01RU8706338 OUALIFIED IN SUFFOLK COUN~ o~C.;,/O COMMISSION EXPIRES DECEMBER 3t, ACKNOPfLEDGMENT FORM FOR USE WITHINNEW YORK STATE ONLY: [New York Sub~crtbing Witness Acknowledgment Certificate] State of New York, County of On the __ day of in the year before me, the undersigned, personally appeared the subscribing witness to the foregoing instmmant, 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, thereojg; 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 higher/their name(s) as a witness thereto. USEACKNOWLEDGMENTFOP~4BELOWWITHINNEWYORKSTATEONLY: State of New York, County of Suffolk } ss.: On the day of_ in the year 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 he/she/they executed the same in his/her/their capacity(les), 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. Notary Public ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONL Y: [Out of State or Foreign General Acknowledgment Certificate] (Complete Venue with State, County, Province or Municipality) On the __ day of in the year 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 instmmant and acknowledged to me that the he/she/they executed the same in his/her/thelr capacity(les), 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 instmmant, 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). BARGAIN & SALE DEED WITH COVENANTS AGAINST GRANTOR'S ACTS TITLE NO. FOHRKOLB REALTY HOLDINGS II, LLC TO 11665 MAIN ROAD, LLC DISTRICT 1000 SECTION 141.00 BLOCK 04.00 LOT 041.000 COUNTY OR TOWN SUFFOLK RECORDED AT REQUEST OF AND RETURN BY MAIL TO: DAVIDOW, DAVIDOW, SIEGEL & STERN 1601 Veterans Memorial Highway One Suffolk Square, Suite 330 Islandia, New York 11749 (EAR) RESERVE THIS SPACE FOR USE OF RECORDING OFFICE SCHEDULE A-1 (Description) ALL that certain plot, piece or parcel of land, situate, lying and being at Mattituck, Town of Southold, County of Suffolk State of New York, bounded and described as follows: BEGINNING at a concrete monument set on the northerly side of Main Road distant 61.97 feet easterly from the comer formed by the intersection of said northerly side of Main Road with the easterly side of Pacific Street; RUNNING THENCE North 35 degrees 57 minutes 30 seconds West, along land now or formerly of DeReeder, 202.57 feet to a concrete monument and land now or formerly of DeVito; THENCE North 51 degrees 40 minutes 20 seconds East, along said last mentioned land, 61.90 feet to an iron pipe and land now or formerly of Feller; THENCE South 35 degrees 36 minutes 20 seconds East along said last mentioned land, 192.56 feet to a concrete monument on the northerly side of Main Road; THENCE South 42 degrees 20 minutes 10 seconds West along the northerly side of Main Road, 61.95 feet to the point or place of BEGINNING. Premises: 11665 Route 25, Mattituck, NY PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM. INSTRUCTIONS: http:l/www.orpe.state.ny.ue or PHONE (518) 474-6450 FOR COUNTY USE ONLY t.p.,~',v 11665 [ Matin Eomi I ~ Southold I H9 ~' ~' 4 ~',lt~r ] 11932 2. h~r J 11665 ~[e ~, ~ I I I 3. Tax Indirate where future Tax Sills am to be mat Bimns if other than buyer addre~ (at bottom of form) Ixl · z I /~0fParcels OR [~) Part ofaParcel IoRI ..... 2 . s I (Onfy S Part cd a F. rcel) Check Is they q~ply: lA. Planning Beard with Subdivision Authority Exam [] 4~. Subdivision ~roval was Rnguired f~x Transfer [] 4C. Par;el Appmvbd for Subdivision with Map Provided [] · OHRKOLB P~Y HOLDTI~ XXp L~C I I s^.; ..FO.M^T.O. I Agricultural I [] Community Sawiee Commercisl J ~ Industrial Apartment K~ Public Sewice Entertainment I AmuMment [. [~ Forest n~a ! I 12. Data cd Sale I TrsndM I // / ,~o// o81 13. ~11 hto PflM [ ...... 0, 0 , 0 [ (Full Sale Price is the total amount paid for the property including personal property. 1Ns payment may be in the form of rash, ctfler property or goods, or ;he assumption cd mortgages or other obligations.) Please round to tpe nearest whole dollar amount. ltlm~tlmvah.ecdp~m~l [ , 0, 0 , 0 [ prolmr~ Induded In the sBIc ~ ' ' ~ · Chedz the bose~ bdew a~ thw apply: 8, Ownership Type is Condominium [] 9. New Construction on Vacant Lend [] A B C D E F Sale Between Relatives or Fom~er Relatives Sale Belwsen Related Compa~ies'or Partnem in Business One cd the Buyers is also a Seller Buyer or Seller is Government Agency or Lending Institution Deed Type not Warranty or Bargain and Sale (Specify Betowl Sale cd FractionM or Les~ tben Fee Interest (Spac~fy Below) Here change of ovnerehtp [ ASSESSMENT INFORMATION · Data should reflect the latest Final Assessment Roll and Tax Bill It Year cd Aseeslmoflt Roll from I 0 8 I 17. Tm[ Assayed Value (cd lit parcels tn transfer) I which Informa~on ud;an [ 18. Property Cta'.,~ ~:~, /. O-I I 19. c;,L,;.~: District Name ~ ' ' [ lO00 141.00 04.00 041.000 I t I J CERTIFICATION I I ceftin- that .11 Or the Item.q of' IorerT~tJm entem] ea thk rom are true and ~ Its the herd d m.v kmm, lnd~e and bdief~ and I understond thai the ma]ring Or sey ~;dl~ul thlse statement Or materb[ ~ heroin w~dl subject me to the DrO~dOlLq Or the B~A~I Jaw ~ve tO the nlO]dll~ led ~ Or f~ htqtttmtell~ BUYER David N. Fohrkolb (manaser) 11875 I Sound Avenue Hattttuck I lit I 11952 I 1t/~/lO8 BUYER'S ATTORNEY Siegel I Lav;ence A. 631 I 234-3030 I NEW YORK STATE COPY