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Home My WebLink AboutL 12600 P 117SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED N~mher of Pages: 4 Receipt N,,mher : 09-0106018 TRANS~'~'-R TAX NUMBER: 09-03827 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 063.00 07.00 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: 09-03827 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County o9/15/~oo9 04:34:55 PM D00012600 117 Lot: 024.000 Exempt $20.00 NO $15.00 NO $125.00 NO $0.00 NO $30.00 NO $0.00 NO $225.00 Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2009 Sep 15 04:34:55 PM Jodith A. Pascale CLERK OF SUFFOLK COUNTY L D00012600 P 117 DT# 09-03827 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp I Recording / Filing Stamps 3 I FEES Page / Filing Fee Handling 5. 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 Other Sub Total Sub Total Grand Total Dist. ' ' ' 4 09021159 xo6o os3oo 0700 024000 Real Property (I~R~S~( ~Ax) Tax Service ., Agency ~ Verification 6 8 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vo1 Mail to: Judith A. Pascale, Suffolk County Clerk Mortgage Amt. I. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town Dual County __ Held for Appointmen~ 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 claase on page # of th:s ]nsJ&m.men!. t. ! Comranntty Consideration Amount $ ~ ,~CPF)Tax Due *,. / Vacant Land TO //0 TD TD 71 Title Company Informat, ion 310 Center Drive, Riverhead, NY 11901 Co. Name ~,z~ ([&r~er'T,'b[t~.c~ l_/-~, www. suffolkcountyny, gov/clerk I Title # CA-x)/5~,~ This page forms part of the attached Suffolk County Recording & Endorsement Page ~ made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of ~'~-ci'~O BOXES 6 THRU 8 MUST BE TYPED OR PRINTED ~ BLACK INK ONLY PRIOR TO RECORDING OR F~G. (over) THIS INDENTURE, made th d~'-ay of August, in the year 2009 BETWEEN Jenny E. Carlsen, residing at 475 Midfarm Road, Southold, New York pa~ty of the first part, and Tom Hogle, Trustee of the Jenny E. Carlsen Living Trust, residing at 475 Midfarm Road, Southold, New York party of the second part, WITNESSETH, that the party of the first part, in consideration of 10 dollars paid by the party of the second part, does hereby grant and release unto the party of 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 See Attached Schedule A TOGETHER with all fight, 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 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 covenants that the party of the first part has not done or suffered anything whereby the 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 fight to receive such consideration as a trust fi~nd to be applied first 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 party of the first part has duly executed this deed the day and year first above written. Jer(dE. Carlg'en ' SCHEDULE A 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, being more particularly bounded and described as follows: BEGINNING at the southeasterly corner hereof at a point on the northerly side of Midfarm Road where northerly side of Midfarm Road is intersected by the westerly line of land now or formerly of Barnes, and from said point of beginning; RUNNING THENCE along with northerly side of Midfarm Road the following two courses and distances: 1. South 68 degrees 44 minutes 30 seconds West 118.20 feet; 2. Westerly along the arc of a curve bearing to the right and having a radius of 200 feet, a distance of 91.35 feet to land now or formerly of Ahless and Rubin; THENCE North 17 degrees 12 minutes 10 seconds East along the said last mentioned land 178.57 feet to land now or formerly of Bartlett; THENCE South 73 degrees 36 minutes 50 seconds East along said last mentioned land 190 feet to land now or fgrmerly of Barnes; THENCE South 12 degrees 01 minute 00 seconds West along said last mentioned land 135.96 feet to the northerly side of Midfarm Road to the point or place of BEGINNING. TOGETHER with a non-exclusive easement of ingress and egress over Midfarm Road in an easterly direction out to Calves Neck Road. - ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York, County of ~J!~//~--' 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 enpacity(ies), and flint by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf oLwhich the individual(s) acted, executed the EV^ M. ARBITO NOTARY PUBLtC, Stale of New York No. 01AR5034~ 70 in Suffolk County Qualified Commission Expires Oct. 3, 20 ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN IN NEW YORK STATE State of New York, County of , ss: On the day of in the year , before me, the undersigned, a Notary Public in and for said State, personally appeared , the subscribing witness to the foregoing instrument, with whom 1 am personally acquainted, who, being by me duly sworn, did depose and say that he/she/they reside(s) in 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 thc same; and that said witness at the same time subscribed his/her/their name(s) as a witness thereto ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE Stnte of New York, County of , ss: On the day of in the year , before me, the undersigned, personally appeared , personally known to me or proved to me on thc basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within insmunent and acknowledged to me that he/she/they executed the same in his/her/their capacity(les), and that by his/her/their s~gnature(s) on the insmunent, thc individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE *State of , Coanty of , ss: *(Or insert District of Columbia, Territory, Possession or Foreign County) On the day of in the year , before me undersigned personally appeared the Personally known to mc or proved to me on the basis of satisfactory evidence to be the individual(s) whose unme(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), 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 make such appearance before the undersigned in the (add the city or political subdivision and the state or country or other place the acknowledgement was taken). Bargain and Sale Deed With Covenants TitleNo. C~Ls'~ ~LI-t TO DISTRIBUTED BY YOUR TITLE EXPERTS The dudicial Title Insurance Agency LLC 800-281-TITLE (8485) FAX: 800-FAX-9396 SECTION: BLOCK: LOT: COUNTY OR TOWN: RETURN BY MAlL TO: Dennis ( ' l hert dr. A'I-rDRNEY AT LAW 25 CANDEE AVENUE SAYVILLE, NEW YORK 11702 PLEASE TYPE OR PRESS FIRMLY-W~I'I~I~ V~'TTN~3' ON FORM IKISTRUCTIONS: http:# www.orps.state.ny.us or PHONE (518) 473-7222 · I FOR COUNTY USE ONLY . I ~ ~-...-. J I WI Code ' ~-~'~ ~2. y y V REAL PROPERTY TRANSFER REPORT .Ic~. ss.. I ~, , -~'~ , Ir/ I I ~ STATE OF NEW YORK · [ "~J ~- ..,I (.~th Day Year,( '7 RP - 5217 c~.~k I [ ~'-~,U, IC4. P,,,~ ~[:~=" .,..:,, ... .,. 1. I~opMty 475 [ NTDFAI~ ROAD ~ I ~TREET NUMIR STREET NAME { SOUTHOLD I 2. Bu~r { HOGLE TRUST I { Tax Indicate where future Tax Bills are to be sent I I Roi{ parceb transferred on the deed I . I # of Parcels OR Part of a Parcel ,~.r. t Ixl IORI , , . . . ._ I (Only If Part M a Pined) Cfieck as they spldy: 4~. Planning B~ard mlh Subdivision Authority Exists [] 4B. Subdivision Approval was Required for Transfer [] 4C. Pamel Approved k~r Subdivi~,on with Map Provided [] O. ~Mler I ~.ART.SE~ I JENNY E. I I I A[~ One Family Residential ~[~ Agricultural [ [] Community Sewlce B I~ 2 or 3 Family Residential ]; ~{ Commercial J {__{ Industrial C ~ R~identiel Vacant ~ (1 ~ ~.ment K~ Public Scrim DU Non~sidemialVa~nt~ HU EnM~inmentlAmuso~nt LU Forest -. ~, ~,~ ~ I / / 1l, Fullhb ~lae .~ t t t I t t t ' ~ 0 , 0 I ~ i~u~ to ~e ~e ~ ~ · I ~SESSMENT INFORMATION - Data should refl~ the latest Final ~s~sment Roll and Tax Bill 1~ YMr M ~em ~11 ~ I ~1~ I 17, TMil ~ Vahe Id all ~mb in ~a~rl I 8. Ownsmhip Type is Condominium U Tax MN~ Idafl~fim~s) I Roll Ment]flerW) (ff more thin four. ,ttadl sleet with additional IdentJflM(MI I 1000, 63, 7, 24 I L J I I L I I CERTIFICATION I I CertJl')' thai all of the ilam of IM~'nndlen ente~d on thLq ronn are true and em~-d (to the best of my lUlO~4t'dl~ and IwiJe~ and I undendand that the making of'any wiJ~ul raise ~tatemerd of material fact het~n will axhjed me tn the prmk,~)rLq flf the p~'aa[ law relafi~e fo the makJnl; and filing of faire Jl~lrunKmL~. P.O. BOX 363 SOUTIIOLD { NY I 11971 SELLER BUYER'S ATrORNEY O ~ DOHERTY [ DENNIS 631 I 563-0555 I NEW YORK STATE COPY