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Home My WebLink AboutL 12611 P 565SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED N~mher of Pages: 3 Receipt N~her : 09-0150529 TRANSFER TAX NUMBER: 09-12847 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 067.00 04.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 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 $5.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 09-12847 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 12/31/2009 12:38:25 PM D00012611 565 Lot: 012. 000 Exempt $20.00 NO $15.00 NO $125.00 NO $0.00 NO $30.00 NO $0.00 NO $225.00 I'.:~umber of pages .,This '~cument will be public record: Please remove all s6C!al Security Numbers pr(or*to recording. Deed / Mortgage Instrument Deed / Mortgage Tax Stamp ,I FEES RECORDED 2009 Oec 31 12:38:25 PM JUDITH ~. PRSCRLE CLERK OF SUFFOLK COUNTY L D00012611 P 565 DT# 09-12847 Recording / Filing Stamps Page / Filing Fee Handling 20. 00 TP-584 Notatioa LA-52 17 (County) Sub Total EA-5217 (State) R .P.T.S ComnL of Ed. Affidavit NYS Surcharge Other 5. 00 15. 00 Sub Total GrandTotal U~- 4 Dis(000 Real Property Tax Service Agency Verification 6 8 Sect on I Block O 'O0 I, ot 0,030748 ~ooo o~voo o~oo o~=ooo RECORD & RETURN TO: P.o, ~&~ Mail to: Judith A. Pascale, Suffolk County Clerk 5 Mortgage Amt. ' 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add. TOT. MTG. TAX Dual To~vn __ Dual Connty,__ 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 If NO, see appropriate tax clause on Community Preservation Fund Consideration Amount $ ~'~"" CPF Tax Due $ qmproved Vacant Land TD /3 TD TD 7 I Title Company Information 310 Center Drive, Riverhead, NY 11901 I Co. Nam~'~"~,~ff./?~ .a/~'~-,a',~(d ;:~fi~r_~ ) www. suffolkcountyny, gov/clerk I Title # r2,~'-~.275,_ O2,/' Suffolk County Recording & Endorsement Page This page forms part of the attached d'~P d made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY. NEW YORK. TO In the TOWN or ,~-/'hO( 6~ ~t'~/Pn E. '~, 'T'~ O4'Jrt/.O.~ In the VILLAGE BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. Il.Or04 .lO/08kk (over) Bargain and Sale Deed with Covenants Against Grantor's Acts - Individual or Corporation CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 14t~ day of December, 2009 BETWEEN HELEN E. BOOTH, residing at 405 Fasbender Avenue, Peconic, NY 11958 party of the first part, HELEN E. BOOTH, as Trustee of the Helen E. Booth Trust dated December 14th, 2009, residing at 405 Fasbender Avenue, Peconie, NY 11958 party of the second part, WITNESSETH, that the party of the first part, in consideration ofTEN ($10.00) dollars, lawful money of the United States 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 at Peconic, Town of Southold, County of Suffolk and State of New York, being known and designated as Lot # 94 on a certain map entitled, "Map No. 2 of Peconic Shores, Peconic, L.I., N.Y., property of B.B. Bailey and C.H. Bailey, surveyed by Daniel R. Young, P.E. and L.S. May 21st, 1929" which Map is duly filed in Suffolk County Clerk's office. TOGETHER with all right, title and interest of the part of the first part in and to the highways adjoining said premises. It is understood that not more than one house is to be erected on said lot and shall not cost less than $1500, and that the same is to be used for dwelling purposes only and not to he occupied by more than one family. Said house is to be set back at least fifteen feet from the street line, and a garage may be erected thereon on the rear of said premises not less than sixty feet from the street line and to be used for the string of not more than two automobiles used for pleasure only. The property hereby conveyed shall not be used in any manner which might create a public nuisance. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated February 18th, 2000, and recorded in the Office of the Clerk of the County of Suffolk on March 21, 2000, in liber 12028 page 916. 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 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 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 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. HELENE. BOOTH STATE OF NEW YORK: COUNTY OF SUFFOLK) ss: On the I 1/~" day of December, 2009, before me, the undersigned, personally appeared Helen E. Booth, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose names is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. JENNIFER B. GOULD N~ Public, State of New York No. 02GOSO24640-Suffolk County Commission Expires March 14, 20.LO. FOR COUNTY USE ONLY I ~ C2. Date Deed RecordedI /3~ /~,, I PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222 REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES RP- 5217 PROPERTY INFORMATION ,. Pro~-, ,2.0 [ I I J 3. Tax Indicate where h~ture Tax Bills ere to be sent Billing if other than buyer address ia1 bottom of form)I [ i ProborW [ I X I I On I .... f . I I 4c. P,~l Approved to, Subdivision with Map Provided [] g. s,,h. I ""~04~ I ~el~'n E. I I I 7. Check the box below which most eccur~tdy de~cribo~ the use of the proper~ ~t the time of sale: A [] One Family ReGidential R I~1 2 or 3 Family Residential C I~1 Residential Vacant Land D U Non-ReGideotial Vacaot Land I SALE INFORMATION I 11. Sale Contract Date F ~J Commercial Industrial C}~J Apartment Public Suwica H I I Enter(ainment l Amusement Forest [ 12. Dm of SIlI I Transfer Chad; the boxes bebw as they apply: g. Ownership Type is Condominium [] IOA. Property Loomed within an Agricultural District [] A B C D F F Deed Type not Warranty or Bargain and Sale (Specify Below) Sale of Fractional or Less than Fee Interest (Spec[fy Below) 13. Full Sale Price I ~ ! · (Full Sale Price is the total amount paid for the properly :ncluding personal properly. I This payment may be in the form of cash, other properly or goods, or the assumption of j moflgages or ot her obligations.) Pleaseroundfofhenearesfwholedo#aremount. 14. Indicate the value of per~o~l I , 0 I propers/Induded In the sale ~ ~ · S , ASSESSMENT INFORMAtiON ' Data should reflect the latest Final Assessment Roll and Tax Biff 18. Year of Aes~lmint RoIIfTmn I~ I~ I 17. TOtllAssillldVstuiIof iIIplrl:ilsln~.anshlrlI which iofomntio~ taken ' tg.~p..vc,-. ~.I.D~-I I ..~D~t,ot..m. I $o~'H'~I~J Sign~c~nt Change in Property Between Taxable Status and Sale Dates Sale of Business is included in Safe Price Other Unusual Factors Affect;ag SUlo Price (Specify Below) None 20. Tix M~p Idl~tifilr{s) I Roll Identifier{s) (B more than four, ntt~-'h sheet with addkional IdentiSer{s)) I tO0~)- Ob7.00-O~-.DO-OIZ.OOD I L I I I i I I CERTIFICATION I BUYER BUYER'S ATTORNEY RELLER I IZ-I~F' o9 NEW YORK STATE COPY