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Home My WebLink AboutL 12614 P 678Number of pages Sub Total Deed / Mortgage Tax Stamp This document will,be public record. Please remove all Social Security Numbers prior to recording. Deed / Mortgage Instrument 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. 00 Affidavit Certified Copy NYS.Surcharge 15. 00 Other 4 Dist. 10 FEES Real Property Tax Service Agency Verification Sub Total Grand Total 10001969 iooo 14200 OlO0 003003 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Davidow Davidow Siegel & Stern, LLP One Suffolk Square - Suite 330 1601 Veterans Memorial Highway Islandia,'Now York 11749 I I RECORDED 2010 Jan 28 09:52:00 JUDITH A. PASC~LE CLERK OF SUFFOLK COUNTY L D00012614 P 6?8 DT# 09-15293 Recording / Filing Stamps Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total 5pec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County Held for Appointment Transfer Tax ~' O-Z) ~ ~ Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES or NO a/ge,,,,see appropriate tax clause on #~ of this Instrument. to.! /- 15-/o ~r~unity Preservation Fund Consideration Amount $ CPF Tax Due A /, Improved Vacant Land TD TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY www.suffolkcountyny.gov/clerk 11901 C7o. !ame Tire# Title Company information Suffolk County Recording & Endorsement Page This page forms part of the attached by: Geoffrey R. Hallenbeck, III, as Trustee Bargain and Sale Deed of the Frances J. Coutts Family Trust TO Donald J. Williams made (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. In the TOWN of In the VILLAGE or HAMLET of Southold Mattituck BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. [over) CQNSUL r YOUR LAWYER BEFORII SIGNLNG THIS IN~'I~ROMRNT. ~ ~STRU~T sHou~ BE ~SED BY LA~E~ O~LY* BETWEEN ' ' ' ' GEOF~Y R. ~LE~ECK, III, Mi~eola Road, Mattituck,-New.~ork'11952, J. residing at 2700 Camp as Trustee of. the FRANCES COUTTS FAMILY TRUST dated the 27~h day of' July., 20'06, p~yofthe~stp~,~d . DONA~n J. WILLIAMS, Cutchogue,~New York 11'935 " No #".Main Street, P.O. Box 322, District '.1000 Section 142.00 Bloc~ 01.00 Lot 003.003 WITNESSETH, that the party of ~e fa:st pm% in c'onsid~r;,tioa ot/T. en Dollars and other vainable consideration paid by the party of the second part, does hereby grant and release unto'the party of the second part, the heirs or anceeas ora and assigns of the party of the se'send part forever, ALL that certain plot, piece or pamei of ~aad, with the buildings and hnprovaniants thereon erected, situate, lying and being hi the that tract or parcel o~ land with'~uildings a~d improvements thereon, situate at' Mattituck, Town of Southo~d, County of Suffolk and State of New York bounded as follows: On the Wgst,by FactOry Avenue; on the South by land of.Stanley G. Davis; on the East by land now or formerly of Joe'l S. Williams and on the North partly by land pow or ~ormerly of Charles S. Howell and partly by land now or formerly of Joel S. Williams. SAID pr~mises being known as 15J0 Factory, Aven~e, 'Mattituck, New York 11952. BEING AND INTENDED TO BE THE same premises conveyed to the party of the first part b~ deed dated July 27, 2006, recorded in Liber 12478 page .939 on November 16, 2006, in the Office oL the Clerk of the'County of Suffolk. TO GETHER With all right, title and ~nterest; if any, of the p~r~y of the first part of, in and to any streets and wads abutting the abovo-d~arlbed premises to the center llne~ thereof TOGETHEK ydth the appurtenances and all the estate and rights of the party of the first part in mid th:said p~era/ses'; TO HAVE AND TO HOLD the pren:ds~ hercln granted unto the party of the second part, tile heirs or Su.cceasors aad.~signs of the party 6f th.~'sicond part forever.. AND the puffy o~ tile first part covenants that the barry of tile first part has not done or suffered anything whereby the said have been incumbered in any way whaiever, except as aforesaid. AND the party of the fa:st part, in ~0mpliance wiih. Secfion 13 Of the Lien Law, csvananta that the party of the first part will receive the consideration for tl~is conveyance and will liold the right to receive such consideration as a h:ust fund to be applied first for the purpose of paying the cost of the improvemant and will apply the same fa'st to the payment of the cost of the ~mprovement before using any p~-t of the total of the same for'any other purpose. The word "part~," shall'be construed as if it read "parties" whenever the sdnse of this indenture so requires. USE A CIOIOWLEDGMEN~ FORM BI1LOW tVITHIN.NEw Yo RI~ STA ~E O NLYi. StateofNewYurk;Countyof Suffolk . }ss.:' On the~.~ day of .~Mk,-~/;-,~' ' in the year ,~o before me, the undemigned, pe~onaliy appeared Geoffrey R. Hallenbeck, III- personally k~own 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, capaeity(ie~), and th~,t by his/her/their signature(s) on the instrument, One individual(s), or the person.upgn behalf of which the individual(s) acted, ex~uted the instrument, Notary Pub'l±c PATRIClA L. FALLON Notary Public, State Of New Yorl~ No. 01FA4950146 Qualified In Suffolk County ' Commission Expires April 24, A CaTVOWI:.F. OGMEN'r FOP, M FOR USE WITIIIN NEW YORK STATE ONLY: State of New York,'County of ,::. } ssi: On the day of in the year before me, th~ undersigned, personally a~peared . the subscribing witness to the foregoing insm]mant, with whom I am.' personally acquaintedl who, being by me duly s~,om, did dep~sa and say that be/shehhey reside(s) in (if the place of residenCe i~ in a city, incl~ute the street an~ s[reet number, if any, thereo. O; that he/she/they know(s) ' to be the individual dsscribed in and who executed ihe f6regoing · instalment; that said subscribing witness was present and saw said execute the same; and that,said witness at the same time subscribed Ns/her/their name(s) as a witness thereto. .' UsEA CI(NoWLED ~ FoRMBELOW BTITIIN N~ ]YoRK S~'A TE ONLY: State of New York, Couniy ~f } ss.: On the" day of . before m6, the undemi~ned, persgm311y appeared in the ~'ear personally"known t9 me ~r proved to me on the basis of satisfactory "evidence tO be the individuai(s) whose name(s) is (are) su§scribed 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, th6 individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. ' A ctovbWL~G~n~r FoRM FOn USE OuTsmE Nmv Yo~ SrA~ O~v: · ~ [Out.ofStatt or Fotzign Gentral Ac~lowledgment Ce~flcate] ~ (Cum?att Venue }g{th State, Count~, P~v~nct or ~unici~ll~) On ~e day of . in the yc~ ~fom ~c, the undcmi~, pemon~ly app~ed ~enaHy ~o~ to 'me or ~mv~ to me on ~c b~i~ of sadafacm~ e~dence to be ~e individual(s) ~ose n~s) ~ (~) subs6~d to the ~it~n ~s~mant.~d a~owl~g~ to mc ~at h~shdthey ~u~ ~e same in ~er/~ek capacitor), t~t by ~eff ~ek ~atu~(s) .on ~e i~men~ the in&vidual(s), or ~e pemon upon beh~f of w~h · e i n&~dual(s) act~, ~utM the ~s~men~ ~d ~at such indigidual · m.~d~ a~eh apace before ~e undemi~ jn the (ln~ert the city or other political sabdivision and the state or country or other place the acknowledgment was taken)..' BARGAIN & SALE DRill) . Wrm cov~,~At~s xa~uns'r a~.~ttro~.s nors TO FIDELITY NATIONAL TITLE INSURANCE OCOMPANY OF NEW YORK 'a~//,~c~a ~l. Fidelity..~,;~,,,~/ · DISTRICT SEC'nON · BLOCK LO~ COUNTY OR TOWN RECORDED AT REOUEST OF Fidelity National Title Insurance Company of New York · RETURN BY MAIL TO Policy No.:3809-00348 SCHEDULE A DESCRIPTION RUNNING THENCE ALONG SAID LANDS NORTH 77 DEGREES 06 MINUTES 10 SECONDS EAST 142.37 FEET TO LAIRD NOW OR FORMERLY OF DOHM; RUNNING THENCE ALONG SAID LA/~DS SOUTH 17 DEGREES 18 MINUTES 20 SECONDS EAST 42.88 FEET TO LAND NOW OR FORMERLY OF RACAI~LL; RUNNING THENCE ALONG SAID LANDS SOUTH 74 DEGREES 14 MINUTES 30 SECONDS WEST 142.00 FEET TO THE EASTERLY SIDE OF FACTORY AVENUE;,~. RUNNING THENCE ALONG THE EASTERLY SIDE OF FACTORY AVENUE NORTH 17 DEGREES 17 MINUTES 50 SECONDS WEST 50.00 FEET TO THE POINT OR PLACE OF BEGINNING. FOR INFORMATION ONLY: DISTRICT 1000 SECTION 142.00 BLOCK 01.00 LOT 003.003 PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM. INSTRUCTIONS: http:l/www.orps.otate.ny.uo or PHONE (518) 474-6450 IFOR COUNTY USE ONLY ) [ __ -~..~-,~x,,",. Cl. SWIS Code ~ I ~ REAL PROPERTY TRANSFER REPORT , " " RP - 5217 1. Pmp*~ 1570 ] Factory Avenue J ~t;on ~,,~. ~,~.~ I Southold I Nattituck I11952 I z. a~ I I~illiams I Donald J. I S. Tax Indlcat9 where futura Tax Bills are to be sent BIIIIn~ ii other Iflan buyer address (at bottom of f~m~} I I I 4. Indicate the number d AMassment Roll pIKMI trlnlflnld on the diM] I , I [ # of Parcels OR ['*---] Pan of a Parcel Dead ~ I Ix[ JoRI . .~, .0 I Ls.~ [ Hallenbeck, III~ Trustee IOnly If Pan of a Parodi Chats ss they apply: 4A. Planning Board with Subdivision Au~ority Exiss [] 4B. Subdivision Approval was Required for TrssshJr [] 4C. Parcel Appmvpa for Subdivision with Map Provided [] [ Geoffrey R. I I I A [] One Family hegdential B [.~ 2 or 3 Family Residential C ~ Resldentlel Vacant Land D[_J Non-Residential Vacant Land I SA~f INFORMATION I Agricultural · I [] Community Service Commercial J I I Industrial Apa~ment /(I I Public Service Entertainment I Amusement I.[] Forest 12. Date of Sale I Transfer I I / /.3 //o I t Ownemhlp Type is Condominium [] 9, New Construction on Vacant Land Significant Change in Proper~ Between Taxable St=ms and Sale Date:.; Seie of Business is Included in Bale Price Other Unusual Factors Affecting Bale Price (Spaclfy Below) None 13. Full Sale Price I [ [ , 2[ 0[ 0[ 0[ 0[ 0[ 0 , 0 I ! ! · (Full Sale Price is the total amount paid for the property including personal property. [ This payment may bo in the form of cash, other property or goods, or the assumption of j propm~f tnctuded In the ab ASSESSMENT INFORMATION - Data sholtld reflect the latest Final Assessment Roll and Tax Bill 16. Year of Assmmeflt RMI from [ 20,09 [ 17. T~BI ,~--~--ad Value (of afl parcels In b'assfM) [ 2,8 ,0 ,0 I laPmpmyCius I 2.1 p I-[ [ ltSohedSkmlmNamel Mattttuck/Cutchogue/LaureZ I I 1000 142.00 01.00 003.003 I I I I I I I CERTIFICATION I [ cHlJr.v that nil of the IIt. m.~ d' infoflllafion enaTt, d Mt th~ reda ni~ U-de and mrmtt (to the heat of my knowledRt and ~ and I understm]d that the maltinK df any wglful fabe statelaent ~' material fact heroin .m ~bjKt n~ b, th~ pnwi~iitm id' Ihe eenaJ law n'lati*T to the mn]dn~ nmi ~ r~ fa~e In.~tmmems. BUYER B;J~RSJGNATTdRE Donald ,TV Williams No# Hain Street P.O. Sox 322 Cutchogue [ lq Y I 11935 SELLER ~----'~~y R. Hallenbec~,m III, Trustee BUYER'S ATTORNEY I NEW YORK STATE COPY SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 4 Receipt Number : 10-0011600 TRANSFER TAX NUMBER: 09-15293 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 142.00 01.00 EXAMINED AND CHARGED AS FOLLOWS $200,000.00 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 $800.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 09-15293 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 01/28/2010 09:52:00 AM D00012614 678 Lot: 003.003 Exempt $20.00 NO $15.00 NO $125.00 NO $0.00 NO $30.00 NO $1,000.00 NO $2,025.00