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Home My WebLink AboutL 12599 P 744SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 3 Receipt Number : 09-0104584 TRANSFER TAX NUMBER: 09-03547 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 107.00 11.00 EXAMINED AND CHARGED AS FOLLOWS $380,000.00 Received the Following Fees For Above Instrument Exempt Page/Filing $15.00 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 $1,520.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 09-03547 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 09/11/2009 03:02:43 PM D00012599 744 Lot: 002.000 Exempt $20.00 NO $15.00 NO $125.00 NO $0.00 NO $30.00 NO $4,600.00 NO $6,340.00 Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. Deed / Mortgage Instrument Deed / Mortgage Tax Stamp ~/"() I FEES Page / Filing Fee Handling ~--~i 00 TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. ~)~" Comm. of Ed. S. 00 Affidavit Certified Copy NYS Surcharge 15. 00 Other SubTotal Sub Total Grand Total 4 u~st. JSectiont°'7'c~' J Bio~c[.O~ RECORDED 2009 Sep 11 03:~2:43 PM JUDITH A, P~SCRLE CLERK OF SUFFOLK COUNTY L 000012599 P ?44 OT# 09-03547 Recording / Filing Stamps 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 Ira nsfer Tax/./--' ,/,_~t~). Mansio,~,a~'r _ __ / The property covered by this mortgage is or will be improved by a one or two t famiJy dwelling only. YES or NO If NO, see appropriate tax clause on a ~ ' ' ' p ge#____ofthls~nstrumen1~. / ~, rn~u~n ,t '// ~q/~--:/09 Com xi y Prese~'ation Fund RealProperty Tax Service Agency Verification 8 09020883 looo 10700 1100 002000 6 Satisfaction .......... RECORD & RETURN TO: ~.o.~--~ Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY 11901 www.s uffolkco u ntyny.gov/cler k \ / Consideration,Ar{/ount $ CPF Tax Due K $ Improved Vacanttand ID TD TD ' I Title Company Information lCD. Name '~-~'~,~,~ ~',~)~_. I Tit'e # ~-~T-O~_ ~'~ Suffolk County Recording & Endorsement Page This page forms part of the attached by: (SPECIFY TYPE OF INSTRUMENT) The premises herein, is situated in SUFFOLK COUNTY, NEW YORK. In the TOWN of In the VILLAGE or HAMLET of made BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) FORM[ 8007 CAUTION: THIS AGREEMENT SHOL~LD BE PREPARED BY AN ATTORNEY AND REVIE?VED ,13Y~ ATTORNEYS FOR SELLEP, AND PURCHASER BEFORE SIGNING. THIS INDENTURE, made thed~gr~day of(~lO~ 2009, between Raymond E. Van Etten and Theresa L. Van Etten, his wife, both residing at 1705 Village Lane, Mattituck, New York 11952 Tanya J. Palmore, residing at' i ft~L ~- 14944 ]19 4'""~, party of the second part, WITNESSETH, that the~ party oi~ th~ first part, in consideration of TEN DOLLARS ($10.00), lawful money of the United States, paid by the party of the second part, does hereby grant and release unto th.e party of the second part, the heirs or successor~ and assigns of. the party of the second part forever, ' , . "~ ' . ' 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, known and designated as Lot No. 13 on a certain map entitled, "Map of Village Manor" and filed in the Suffolk County Clerk's Office on October 24, 1962, as map No. 3669, bounded and described as follows: BEGINNING at a point on the north, erly. side of Village Lane distant 1681.73 feet northerly, easterly and northerly from the comer foimed by th6 intersection o'f the northerly side of Village Lane and the northerly side of .maip R. oa, d (NYS 25);' THENCE North 33 degrees 56 minutes'40 seconds We'st, 178..07 fee~; THENCE North 59 degrees 27 minutes 00 seconds East, 147.89 feet; ' ~ THENCE South 19 degrees 17 minutes 20 seconds East, 201.15 feet to the northerly side of Village Lane; THENCE South 70 degrees 42 minutes 40 seconds West along the northerly side of Village Lane, 100.00 feet to the point or place of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated 5/26/83 and recorded on 5/31/83 in Libor 9368, page 01. TOGETHER with all right, title and interest, if any, of the party of the first part 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 HA VE 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, covenants that the party of the first part has not done or suffered anything whereby thc said premises have been encumbered 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 thc purpose of paying the cost of thc 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 party of the first part has duly executed this deed the day and year first above written. Ra~ond E. Van Etten...._.~- ~heresa ][. Van E~ten SS: County of ~O~.~t.. On the'L0~day of ~UL~ in the year 2009, before me, the undersigned, personally appeared Raymond Van Etten and Theresa L. Van Etten, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me the they executed the same in their capacities, that by their signatures on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument, and that such individual made such appearance before the undersigned in the city of ~t~4'l~ and the state °f 'J~/L0~y~ PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM. INSTRUCTIONS: http:l/www.orps.$tate.ny.u$ or PHONE (518) 474-6450 FOR COUNTY USE ONLY ~ c~. sw,s Cod. ~ur'¥ ~ '~ '~ '~ ' J '"M' .EAL.eO.EeTY T~.SFE. O-- '-' I t~_~,~J~ STATEOFREWYORK C2. Date Deed Recorded I c.~ i/ ~, ~, ~'~'1 I ' -- STATE BOARD OF REAL PROPERTY SERVICES , J, A,5-,~ ,~, -/,ul _~' "~ ~ Y' RP - 5217 C3. Book , . C4.Page ~ ~~ RP4217 Rev I I I 3. Tax Indicate where future Tax Bills are lo be ~em I I ~o...v I Ixl JoEl ..... FIRST NAI4: I I , I I [Only If P~ d I RercM) Chegk m they ipp~. 4A. Planning Board wkh Subdivision Authbdty Exists [] 48. Subd'~vislofl ~. oval was Required for Tmnsfm' [] 4C. parcel Approved for Subdivision with Map Provided [] A ~ly Residential B L~ 2 or 3 Family Residemiel C I--J Residential Vacant Land DI I Non Residential Vacant Land I SALE ~.FO.MATIO. I 11. SIlI Cont~'aet Dill Agricultural Commercial Apament Entertainment I Amusement I [] Community Service J I--J Industrial ~L~ Public Sun~e I.U Forest 12. Date of Sule I Tramf~ (Full Sale P~ce is the total amount paid for the propany ir~ludmg personel property. I This payment may be in the form of cash, other properly or goods, or the assumption of j ions mortgages or nther obligntions.) Please round to the nearest whole dollar arnount. 14. Mdlcete ~e value of pmsoMI I, , ,~, 0 , 0 I I ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill I 'ich information tlken ' ~.! (~. 17. ,esM AsM-~ed Value ,of pti ,rgMs in ~T~lStM') I 8. Ownership Type is Condominium [] I. New Cor~trucfion on Vacant Land [] Sale Price (Specify Below) L J I I I CERTIFICATION I ] certJf)' thai ill of Ihe hems of ioformatlntt entef~J on Ihk form me true iod [~)rr~4 (lo die ~ of m)' lulo~k~]Re msd RelJerl mrd I umk~tmrd tJntl I~K. [tlakJlt~ ~M' Iny ~illfu] fa[ne Matemettt of material fact heMn v~l .~zh~l me ~ the pru~$dnt~ id' the pemd law .mlad,,e to the makir44 and r~.B of ~ ~ euYJ BUYER'S ATrORNE.~Y . --- ,v~ ~ - ~, G,- I