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Home My WebLink AboutL 12584 P 124SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE ~m~er of Pages: 4 Receipt Number : 09-0033319 TRANSFER TAX NUMBER: 08-18341 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 125.00 01.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 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: 08-18341 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County 03/27/2009 03:25:49 PM D00012584 124 Lot: 018.000 Exempt $20.00 NO $15.00 NO $75.00 NO $0.00 NO $30.00 NO $0.00 NO $175.00 Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2009 Mar 27 03:25:49 PM Judith g. Pascale CLERK OF SUFFOLK COUNTY L D00012584 P 124 DT# 08-18341 Deed/Mortgagelnstrument Deed/MortgageTax Stamp I Recording /Filing Stamps 3 J FEES Page / Filing Fee Handling 20. O0 TP-584 Notation EA-52 17 (County) EA-S2 7 (S,ate) R.P.T.$.A. £omm. of Ed. 5. 00 Affidavit Certified Copy ~YS Surcharge 15. 00 Other 4 Dist.I Real Propel Tax Service Agency Verificatiol 8 Sub Total Sub Total Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. OF 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 Grand Total 09005505 1000 12500 0100 018000 If NO, see appropriate tax clause on page # __ of this instrument. Community Preservation Fund Consideration Amount $ CPF Tax Due S ............. Improved Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Mail to: Judith A. Pascale, Suffolk County Clerk 171 Title Comnany Informa, tion 310 Center Drive, Riverhead, Ny 119011 Co. Name (~ _~.),~~, /_.. J._~_ www.suffolkcountyny.gov/clerk I Title, /~ N/"J-',32 Endorsement Page Suffolk County Recording & This page forms part of the attached (SPECIFY TYPE OF INSTRUMENT) · by: [ The premises herein is situated in SUFFOLK COUNTY, NEW YORK. ~L../_O..i/.o /3 TO ~)~ O / /ij In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. made (over) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. TBIS INDEIVrURE, made the ~,~ v 'day of February in the year 2009 BETWEEN Harold Bolling and Mary Ann Bolling, his wife, both residing at 6205 Main Road, Mattituck, NY 11952 pan'y of the first part, and Harold Bolling, residing at 6205 Main Road, Mattituclc, NY 11952 par~y of the second part, WITNESSETH, thai the party of the f~t part, in consideration of Ten Dollars and other valuable consideration paid by the party of the second pml, does hereby remise, release and quitclaim unto the party of the palX, 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 the SEE A2q'ACHED SCHEDULE A LEGAL DESCRIPTION THIS DEED IS FURTHER I]~'I'~NDED TO CREATE A LIFE ESTATE INTEREST IN MARY ANN BOLLING. BEING INTENDED TO BE THE SAME PREMISES AS CONVEYED TO THE PARTIES OF THE FIRST PART BY DEED DATED 12/03/1981, RECORDED 12/14/[981 IN LIBER 9116 PAGE 1 IN THE OFFICE OF THE SUFFOLK COUNTY CLERK. TOGETHlgR with all right, title and interest, if any, of the party of the first part of, in and to any sttects and roads abutting the above-desen'bed premises to the center lines thereo~ TOGETHER with the appurtenances and ail the estate and fights of the party of the fu~t part in and to said premises; TO HAVE AND TO 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, 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 con- sideration as a U'ust fund to be applied first for the purpose of paying the eust 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 parly of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: a[old Bolllfig Mary ACI~IOVffLEDGEMENT TAKEN I~ NEW YORK STATE Stye of New,gilL County of Suffolk. ss: / On thc ~/C~ day of Februa~ in the year 2009, bcforc mr., the , personally ~own Iome or proved lc. me off the basis of t~ satisfactory evidence to be ',ho individual(s) whose uamo(s) is (ar~) '~ subs~bed to thc withia insuumuat and acknowlndg~ to m~ that be/sbe/th~ execut~ the same in his/h~/their capacily(ic, s), and that by his/her/thalr signature(s) on thc insUument~ the individual(s), or the persun upon behalf of which the individual(s) acted, executtcl the instrumcnl. Diane Santtago O ~. Notary Public. State of New York ~--,~ NO. 01 SA6177908 ~ v -~,[~t,~/~) Qualified in Queens County ~-~_~,.~ Commission Expires November 19, 2011 ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN IN ~ YORK STAT[ State of New York, County of Suffolk, ss: On thc day of Fcbrom~ in thc year 2009, before me, the undcmig~ed, a Notary Public in and for said Slate, personally appeared , thc subscribing wimcss to the foregoing instrument, with whom I am personally acquainted, who, being by mc duly sworn, did depose and say that he/she/they reside(s) in that he/~he/they know(s) to be the individual described in and who executed the foregoing insU,um~nt; that said subscn'oing wiln~sa was pmsen! and saw said executc thc same; and that said wimcss at thc same timc subscribed his/herhheir name(s) as a wimess thereto Quitclaim Deed ACKNO]ArLEDGEMENT TA KF.N IN NEW YORK STATE State of New York, County of Suffolk, ss: On thc day of February in thc year 2009, before mc, thc undersigned, personally appeared , personally known to me or proved la me on the basis of satisfactory cvidance lo be thc individual(s) whose anme(s) is (~rc) subscribed to the within instrument and acknowledged to me that h e/she.,~hey executed the sasua in his/her/their capacRy(i~s), m~d that by his/her/their signature(s) on thc instrument, thc individual(s), or the person upon behalf of which the individual(s) act. ed, executed thc instrumenL ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE · State of New York, County of Suffolk, ss: · (Or insert District of Columbia, Territory, Possession or Foreign Couray) On the day of February in the year the unde~igned personally appeared 2009, before me Pcrannally known to mc or proved to mc on the basis of satisfactory evidcncc to be the individual(s) who~c name(s) is (art) subscribed to the within inatrumant and acknowl~clged to rne that he/she/they executed the same in his/her/lheir cepacity(ie~), that by hi,her/their signature(s) on thc instrument, the individual(s) or the pe~un upon behalf of which the individual(s) acted, executed thc inslrumant, and that such individual make such appearance before the undersigned in the (add thc city or political subdivision and the state or country or other place thc acknowlcdgcmant was taken). Title No. Harold Bolling and Mary Ann Bolling TO Harold Boiling DISTRIBUTED BY YOUR TITLE EXPERTS The Judicial 'rifle Insurance Agency LLC 800-281-TITLE (8485} FAX: 800-FAX-9396 SECTION: 125.00 Dis~ict 1000 BLOCFc 01.00 LOT: 018.0~0 COUNTY OR TOWN: Suffolk RETURN BY MAIL TO: Harold Bolling 6205 Main Road Maltituck, NY 11952 Schedule A Description Page 1 ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold, at Mattituck, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the northerly side of the Main Road at the southeast corner .of the premises herein described adjoining land, now or formerly; of Lois Young; RUNNING THENCE along said land the following two (2) courses and distances: (1) North 34 degrees 15 minutes West, 139 feet to an iron pipe; thence (2) North 39 degrees 56 minutes West, 18.31 feet to a concrete monument and land of the Long Island Railroad Co.; RUNNING THENCE along said land North 47 degrees 6 minutes 40' seconds East, 70.27 feet to land, now or formerly of Eula C. Wells; RUNNING THENCE along said land South 34 degrees 15 minutes East, 180 feet, more or less, io the northerly side of the Main Road; RUNNING THENCE along the northerly side of the Main Road, South 71 degrees 19 minutes West, 70 feet to the point or place of BEGINNING. '" '"" "~ PLEASE ~Y~E OR PREss 'FI~IMLY W~:N WRITING ON FOI~M " ...... ~.~'"' ' ~-"~ INSTRUCTIONS: hep://www.orps.state.ny, us or PHONE (518) 473-7222 .. ~ . .f · 1. L/ "~ /,,~ ~7' ~ ~ I REAL PROPERTY TRANSFER REPOR~T ...... ., ;. :. ' . . ~ ' - · ~.---;! PROPERTY INFORMATION ' ~ . · '" ~., .t~ ~'~ ~. " Billing if othe~ than Isuyel: ~dmss (at bottom'of~form) I CfT~ OR 'r~wN , ] I lief Parcels OR Part~feParcel IOnl~ If Pm of 8 I~mcdi Cb.ok ns thsv ~,S~.' 4~. Planning B~ar~ {~ith Subdivision Au~hority Exists [] 1.4, Indi~te the numb~ of ~amltmlt : '-' .. ' Rog parce~ trmnMewId on thm dMId ~.~.~ I I x I I on I .. .... ... I ~c. ~rcel .~ for Subdivision with Map Pro~i~od ~ "· '",-, "-"~'~: - ' ',T'~-' A I .... ... * FI.~- · . .t . . . ">... ~i~nfiql V~m~,nd ' ~mont · K~ ~bl[c ~wi~ 1~. B~ ~ ~di;Iosum ~ice [ndimi~ I"' " D Non-~si~n~al Va~m Land 'Enm~lnment / Amu~m~t L~ Forest ~' . ~ thru ~ m~ is in an ~,~al Di~r~ ~ .,.~" ... . . . . I: ' ' - ' · · ISALG INFORMA~IO~.I "' 16 ~ ~o m mm d ~ ~ ~ ~ m ~ '..s~:~co~ I / · / I . · 1ZDmdBmle/Tm~r 'l ~ /~/~ I 13. Full'~de Pdee (Full Sale Price-is the t~al amount paid for the pm~ including ~nal pm~. ASSESSMENT NFORMAT ON - ~a~ sh~ld mfle~ tho I~(o~t Fna A~ess~ent Roll and Tax Bill ~leh ~ ~n Buyer or Se[let is Government Ag~-y or Lending Institution Deed Type not Warranty or Ser~aln and Sale (Specify Below) I w .f~l~' that ~11 of tho ItL'ms .el i~'.ownulioo enle~d on this r,~,n m t~e nd ~ (,o .me be, o~ ~ kno~kdee nd beUm nd I underrdand that the makfn~ of any ~illful false stntemeni'~nf nutefinl fact heMn ~1 subject me to. dm prm4sSons M' the penni law rdnfl~ to th~ ~ s~nd'fl, lin~ al* false Inslmmentq.. BUYER BUYER'S ATTORNEY LAST NAME NAME NEW YORK STATE ;