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Home My WebLink AboutL 12596 P 35SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED N,~m~er of Pages: 4 Receipt Number : 09-0090194 TRANSFER TAX NUMBER: 09-00640 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 141.00 03.00 EXAMINED AND CHARGED AS FOLLOWS $o.oo 08/10/2009 11:25:42 AM D00012596 O35 Lot: 029.003 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: 09-00640 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL $20.00 $15.00 $250.00 $0.00 $30.00 $0.00 $350.00 Exempt NO NO NO NO NO NO Judith A. Pascale County Clerk, Suffolk County Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDEO 2009 Aog 10 11:25:42 Judith A. Pascate CLERK OF SUFFOLK COUNTV L 000012596 P 035 OT# 09-00640 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp I Recording / Filing Stamps 3 J FEES Page / Filing Fee Handling 00 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 Ohher Sub Total ~5'~). SubTotal randTota,__ __ 4 Dist, Real Property Tax Service Agency Verification 6 8 1OOO Jsect~on141.00 JBIock 03.00 Lot029.00~ 09016744 looo z4loo oaoo oego03 Satisfactio 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.s uffolkcou ntyny,gov/clerk 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 Appointment Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YE5 or NO If NO, see appropriate tax clause on Community Preservation Fund Consideration Amount $ -0- CPF Tax Due $ -0- Improved. VacantLand TD TD TD 7.. !,me Title Company Information Ttle# Suffolk County Recording & Endorsement Page This page forms part of the attached by: ANDRE~, T. FORBB~OLB. ' Bargain and Sale Deed (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of Sout:hbld 500 ~fES'r~l~J~k ROAD, LLC . In theVILLAGE or HAMLET of ~at tituck BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. made lover) NY 005 - Bargain and Sale Deed with Cownant against Grantor's Acts Individual or ~o~oration (Single Sheet) (NYBTU 8002) CONSULT YOUR I~WYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made this c~/ day of ~ 0~f~,t~'''O~- , in the year 2008, BETWEEN ANDREW T. FOHRKOLB, as surviving joint tenant, residing at 745 Love Lane, Mattituck, New York, 11952, party of the first part, and 500 WESTPHALIA ROAD, LLC, a New York liniited'liability company wit~ office at 745 Love Lane, Mattituck, New York, 11952 party ofthe 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 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 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 500 Westphalia Road, Mattituck, New York 11952. BEING AND INTENDED TO BE the same premises conveyed to the party of the flint part by deed dated the 29th day of December, 2000, which was recorded in the Office of the Clerk of the County of Suffoll~ on January 3,2001, in Liber D00012094, Page 242 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 doni: 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 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 fa'st part has duly executed this deed the day and year test above written. IN PRESENCE OF: Andrew T. Fohrkolb USE ACKNOWLEDGMENT FORM BELOP/WITHINNEW YORKSTA TE OIVL Y: State of New York, County of Suffolk ) ss.: Onthe c~/~-'dayof /'~/oc~-,~ in tbe year 2008 before me, the undersized, personally appe~ed Andrew T. Fohrkolb pemonaily ~om to me or proved to me on the b~is of satisfactou evidence to be ~e individual whose nme is subscribed to the within ins~ment ~d ac~owledged to me that he executed ~e sine in his capaciW, ~d that by his signa~re on ~e instmmant, the individual, or the person upon behalf of which the individual acted, executed the ~OkLI~ED COMMISSION ~ DECEMS~ 31, State of New York, County of On the __ day of in the year 2008 before me, the undersigned, personally appeared the subscribing witness to the foregoing 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, 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 the same; and that said witness at the same time subscribed his/her/their name(s) as a wimess thereto. State of New York, County of Suffolk } ss.: On the __ day of in the year 2008 before me, the undersigned, personally appeared personaIly known to me or proved to me on the basis of satlsfactory 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 A CKNOWLEDGMEI~rl' FORM FOR USE WITHIN NEW YORK STATE ONL ¥: (Complete Venue with State, County, Province or Municipality) On the __ day of in the year 2008 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 upon 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.). USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONL¥: BARGAIN & SALE DEED WITH COVENANTS AGAINST GRANTOR'S ACTS TITLE NO. ANDREW T. FOHRKOLB, as surviving joint tenant, TO 500 WESTPHALIA ROAD, LLC DISTRICT 1000 SECTION BLOCK LOT COUNTY OR TOWN SOUTHOLD RECORDED A T 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" SC']~t4 # 1000-141.00-03.00-029.003 ALL that certain plot, piece or parcel of land situate, lying and being in the town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at the point of intersection of the northerly line of land of the Long Island Railroad Company and the west line of land of Arnold Uri'st; THENCE North 49 degrees 14 minutes 40 seconds West 135.25 feet to a monument; TH~NCE North 67 degrees 00 minutes 40 seconds West 65A4 feet along lauds of Urlst to a point which lies South 67 degrees 00 minutes 40 seconds East 71.98 feet South of the northwest corner of land formerly of Louis D ohm as measured along the west boundary llne of land formerly of Louis Dohm; THENCE the following three (3) courses and distances along land of Raymond F. Nme. 1. South 38 degrees 24 minutes 30 seconds West 212.86 feet; 2. North 70 degrees 49 minutes 00 seconds West 59.23 feet; 3. South 37 degrees 47 minutes 15 seconds West 100 feet to the easterly side of Westphalia Avenue; THENCE southerly along the east side of Westphalia Avenue the following two (2) courses and distances: 1. South 70 degrees 49 minutes 00 seconds east 57.52 feet to a monument; 2. South 70 degrees 44'minutes 00 seconds East 77 feet to a monument and th.e north side ora Right of Way or Private Road 25 feet wide, more or less; THENCE easterly along the north side of said Private Road North 45 degrees 05 minutes 00 seconds East 193.97 feet to a point; THENCE southerly along the easterly terminus boundary of said Private Road South 44 degrees 55 minutes 00 seconds East 25 feet to a point in the south line of said Private Road; THENCE westerly on a line parallel to the north side of land of the Long Island Railroad Company, being South 45 degrees 05 minutes 00 seconds West 50 fedt to a monument; THENCE South 44 degrees 55 minutes 00 seconds East 65 feet to the north side of said lands of the Long Island Railroad Company; THENCE North 45 degrees 05 minutes 00 seconds East 168.56 feet to the point or place of BEGINNING. TOGETHER with a 20 foot Right of Way along the north side of land of Long Island Railroad to Love Lane, as set forth in deeds of record. TOGETHER with all right, title and interest in and to the Rigl~t of Way or parcel of land running easterly from Westphalia Avenue along the southwesterly portion of the premises and into the interior thereof, being a strip measuring 27.77 feet on Westphalia Avenue 193.97 feet on the North, 25 feet on the East and 18L88 feet on the South. PLEASE TYPE OR PRESS FII~MLY V~.IEN WRITING ON FORM. INSTRUCTIONS: http:l/wv~v.orps.state.ny.us or PHONE (518) 474-6450 I FOR COUNTY USE ONLY . ~, ~ Cl. swls Code ~ I ~ REAL PROPERTY TRANSFER REPORT C2. Date Deed ~co~ ~ I ~ STA~ B~RD OF R~ PROPE~ SER~CES ,, c - cl RP-5217 C3. Book , ~.Page ~ RP4217 R~ ~7 1. ~ 500 I Vestpbalta Eom] I Southold I Kuttttuck I 11951[ Buyer [ 500 Vestphal/a Road, U.C [ ~ I 3. Tax Indicate where futura Tax Bills are to be sent Blglng if other than buyer addr~s (at bottom of fem,) I 4. ImJi~te the number of As~e~ment Roll pereeb trenMMTed on the deed Property Size Name } , , I [ #of Parcels OR [~ PaR ofaParcel L F.O..~. I x I ,,.. I OR I 'A~,' t . [ . I Fohr~lb I ~rev T. I 7. Check the box below which moat accurately deBribms the use of the property at the time of eale: (Only If Prat M a ~'~. --') Ched~ m they eplV~. 4A. Planning Board wltfl Subdivision Authori[y Exists [] 4B. Subdivision Approval was Required for Transfer [] 4~ Parcel Approved for Subdivision vazh Map Provided [] 2 or 3 Family Residential F ~ Commercial Indust~al Sasidential Vacant Land ~.;J~ Apartment Public Sawice Non-Residential Vacant Land H ~ Entertainment I Amusement Forest SALE INFORMATION I ./_ 11. SelaComractDate I ~ / ~_/~ ~,. I 12. Date of Sale I Transfer A Sale Satw~en Relatives or Former Relatives B C D E F o 13. Full~ale~ [ I [ [ I [ [ [ [ [ 0 [ 0 [ ! ! · IFull Sale Price is the total amount paid for the properly including personal probeny. I ~is payment may be in the form of cash. other pmperW or goods, or the assumption of J 14. Ir, cgcato the value of persoeal I .... 0 . 0 , 0 I Iwo~erty inrJuded in tho nb ~ ~ ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 18. Year of As~e~snmflt Roll from which infermatie, take. ~ 17. Total AW Value (of all pa~eela in tmnsfM) [ [ Sale Salween Related Companies or Pannem in Business One of the Buyers is also e Sailer Buyer or Seller is G~vemment Agency or Lending Institution Deed Type net Warranty or Bargain and Sale (Specify Below) Sale of Fractional or Less than Fee Interest (Speeify Salow) Significant Change in Property RelY, eon Taxable Status and Sale Date;, Sale of Business Is Included in Sale Price Other Unusual Factors Affecting Sale Price {Specify Below) None Estate nlannin_~-transfer to an 1.1~ 18. Propmly CMn I ~ , [~0 ~-I [ 19. School DIm~'t Name [ Hattttuck School 20. Tax Map IdentJfierW) I Roll Idenitsaf(a) (If mom than four, attoah sheet with additional Iden~flM(.)) 1000 1/,1.00 03.00 029.001 I L I I I L I I CERT,F,CA~O. I I certJ~ that MI of the item.q of information enter~l on Ihis rflFm are true and coFre~ (to the beM of my kntmledke and befit, r) and I undemtand that the makin~ of mi)' ,Atllfu] rnJ.~e atotement of material fact heroin wi]l subject me to the prevbietq of the penal hw rdati~e to the maki~ and filing OF rn~ in,~'uments. BUYER ~~ I //- ~/- ~ ~' An~°~.~Fohrkolb, ,~iana:lln§ ~eaber 7.w~'~ XX XXXXXXXXXXX.~:X jZr~T:X~ X.X~:~C XX 745 [ Love Lane Mattltuck { ~ { 11952 SELLER BUYER'S A1TORNEY Sienel I Lawrence A. 631 I 234-3030 I NEW YORK STATE COPY I Andrew T. Fonrkoib