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Home My WebLink AboutL 12609 P 980SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE N~mBer of Pages: 3 Receipt N-m~er : 09-0145633 TRANSFER TAX NUMBER: 09-11565 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 106.00 08.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 12/17/2oo9 09:23:18 AM D00012609 980 Lot: 022. 000 Received the Following Fees For Above Instrument Exempt Page/Filing COE EA-CTY TP-584 Cert. Copies Transfer tax TRANSFER TAX NUMBER: $15 $5 $5 $5 $5 00 $0 00 00 NO Handling 00 NO NYS SRCHG 00 NO EA-STATE 00 NO Notation NO RPT NO Comm. Pres Fees Paid 09-11565 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Exempt $20.00 NO $15.00 NO $125.00 NO $0.00 NO $30.00 NO ~$0.00 NO $225.00 JUDITH A. PASCALE County Clerk, Suffolk County Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. Deed / Mortgage instrument Deed / Mortgage Tax Stamp RECOROED 2009 Dec 17 09:23:18 AM JUQITH A, PASCALE CLERK OF SUFFOLK COUHT¥ L D00012609 P 980 bT# 09-11565 Recording / Filing Stamps 31 Page / Filing Fee Handling ~. 00 TP-584 Notation EA-52 17 (County) EA-5217 (State} R.P.T.S.A. ~ '~ Comm. of Ed. 5. O0 Affidavit NYS Surcharge 1S. O0 Other FEES Sub Total Grand Total 6 J 09029679 zooo z0600 oeoo 022000 Real Property Tax Service Agency Verification Satisfactic - REC6~D'~ RETURN TO: ATTORNEY AT LAW 197 NEW YORK AVENUE HUNTINGTON, NY 11743 Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY www.suffolkcountyny.gov/clerk 11901 5 Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec·/Add. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointm~.~x Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or tW~l~ family dwelling only. YES or NO If NO, see appropriate tax clause on page # of this instrump..nt. Community Preservation Fund Consideration Amount $ $ CPF Tax Due Improved Vacant Land TD TD 717I Title Company Information me ~ '7-'/ ~. Suffolk County Recording & Endorsement Page This page forms part of the attached QUITCLAIM WlTHTAXDOCUMENTS {,/fi~(/~__ by: William J. Parker: .Ir. (SPECIFY I~'PE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of 9,nuthold ~mndra Mneliu~ and Vernnn F Mnelin~ In the VILLAGE or HAMLETof Man'imck BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over} Form 8004 (3/00) - Quitclaim Deed-Individual or Corporation. (single sheet) CONSULTYOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -THIS INSTRUMENT SHOULD SE USED BY LAWYERS ONLY. THIS INDENTURE, madethe ff,.~'~'" dayof ~,~--~, BETWEEN 2009 William J. Parker, Jr., as surviving tenant by the entirety of Shirley A. Parker, his wife, who died a resident of 17 Edgewood Place, Huntington Station, Suffolk County, NY on April 15, 1998 residing at 465 Dogwood Lane, Mattituck, NY 11952 par~' of thc first part, and William J. Parker, Jr. for life, residing at 465 Dogwood Lane, Mattituck 11952, and Sandra Moelius and Vernon ~'.~ Moelius, remaindermen, as tenants by the entirety residing at 465 Dogwood Lane, Mattituck, NY 11952. party of the second part, WITNESSETH, that the patty of the first part, in coosideration often dollars paid by the party of the second part, does hereby remise, release and quitclaim unto the party of the second party, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece br parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the BEING AND iNTENDED TO BE the same promises described in the deed to the party of the first part herein by deed dated Mamh 21, 1973, recorded Mamh 22, 1973 under Liber D00007365 at Page 490 Premises; 465 Dogwood Lane, Mattituck, 11952, County of Southold, New York SCTM # 106-8-22 TOGETitER 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 par~ of the first part in and to said premises; TO ItAVE AND TO ItOLD the premises herein granted unto the pare/of the second part, the heirs or successors and assigns of the party of the second part fureven AND thc party of thc first part, in compliance with Section 13 of the Lien Law, covenants that the patty 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 thc 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. IN PRESENCE OF: WILLIAM J. PARKER, JR.. Acknowledgement taken in New York State State of New York, County of SUFFOLK , ss; On the ,~-~' day of ~ , in the year 2009, before me, the undemigned, personally appeared ~' William J. Parker, Jr. personally known to me or proved t~"-~-me on the basis of. satisfactory evidence to be the individual(s) whose name(s i)~ (are) subscribed to the within instrument and acknowledged to me that herO,they executed the same in hi~f~e~heir capacity(ies), and that by hL!~tHeir signature(s)'-'~n the instrument, the individual(s) or tlT~ person upon behalf of which the individual(s) acted, executed the instrument. GINA A. LOCKE No. 01LO6057960 Notaw Public, State of New York Qualified in Suffolk County My Commission Expires 04130/20_~L Acknowledgement by Subscribing Witness taken in New York State State of New York, County of On the day of , in the year the undersigned, personally appeared , before me, 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 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 witness thereto. ~tle No.: William J. Parker, Jr. TO William J. Parker, Jr. for Life, remainder to Sandra Moelius and Vernon ~.. Moelius, as tenants by the entirety Distributed by Chicago Title Insurance Company Acknowledgement taken in New York State State of New York, County of On the day of , in the year the undersigned, personally appeared , before me, 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. Acknowledgement taken outside New York State *State of , County of, *(or insert District of Columbia, Territory, Possession or Foreign Country) ss: On the day of , in the year the undersigned, personally appeared , before me, 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, and that such individual made such appearance before the undersigned in the (add the city or political subdivision and the sate or country or : other place the acknowledgement was taken). DISTRICT SECTION 106 BLOCK 8 LOT 22 COUNTY OR TOWN SUFFOLK/SOUTHOLD RETURN BY MAILTO: EDWARD A. MORITZ ATTORNEY-at-LAW 197 NEW YORK AVE. HUNTINGTON, NY 11743-2795 . Zip No. DEC-14-2009 12:03 P~ La,.Of£1ces. Na,cy.~unson 63~ 27~ 8~62 DESCRIPTION 465 Dogwood Lane, Mattituck 11952 Town of Southold, County of Suffolk, State of New York ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate lying and being at Mattituck, in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot Number 40 on a certain tnap entitled, "Map.of Sunset Knolls Section Two", and filed in the Suffolk County Clerk's Office on April 9t", 1970 as Map Number 5448. 465 Dogwood Lane, Mattituck 11952 Town of Southold, County of Suffolk, State of New York PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http~/www.orps.state.ny.us or PHONE (518) 473-7222 I FOR COUNTY USE ONLY I t--'/ ~..'"~ ..ic%,~ · Date Deed Recorded STATE BOARD OF REAL PROPERTY SERVICEB 1. Pmpm~ ......... . a. Tax Indimte where fldure Tax Bills are to be sent BLLlInR if other than burr addref~ (at bottom of form) CflY O# TOWN I (OMy ff Pad of a Parodi Check a~ they apldy: . ~ I it of Parcels OR Part of a Parcel 4A. Planning Board with Subdivision Authority E.Ists [] Ionl ./'/. ~ I 4a' Subdivisi°n '°4~r°va' was Required f°r T'ansfer [] '~CRES' 4C. Parcel ~pproved loc Subdivision with Map hovided [] I Nu,LL Alii One Family Residential B I~ 2 or 3 Family Residential C IiI Residential Vacant L~nd DI I Non-Residential Vacant Land I SALE INFORMATION I 11. Sale Contract Date F III Commercial Industrial Gl.ii ,~oartment Public Sawice [[lii Entertainment / Amusement Forest 12. Date of Safe I Transfer I II i A.Gi C)C~l 13. Full Sale PriceI ........ ~) , 0 , 0 I (Full SaFe Price ia the total amount paid for the property including personal property This payment may be in the form of cash, other property or goods, or the assumption of mortgage~ or other obligations.) P/ease round to the nearest whole dollar almount. I .... ~J .0~ C_, 0 . h I 14. Indicate Of ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 16. Year of AsaeSall~nt Roll bom j ~). I I 11. Total Aamesmed Value Id all pea in twa.~er) I whido ioformctiO, tohen ' 1n. PropedyCfosa IP-, I ,O I-I I 19. BohoolDistdatNama L[~TTi Check the bom below ae tho./ipp~, B. OwnershEp Type is Condominium [] 9. New Construction on Vacant Land [] ! I I L J I CE.TIF,C~TION I I ceflJ~j' thai all ~d' Ihe iteaw o~ Infornmdolt enterTKI on Ihk t(t~a are true and curtail (to dx. Ix~ et' my knob¶edge and Iwller) and i uodemland that Ihe maJdl~ iff' an)' willfrd faLt~ statement et rmllet~l rad her~4n ~ subJKt me to the prm'biom et the uenal law' ~-IatiT~ [o Ihe niakJn~ ~ filing or tabe il~qtrumenL-.. BUYER'S AITORNEY SELLER NEW YORK STATE COPY