HomeMy WebLinkAboutL 12622 P 181SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
T~pe of Instrument: DEED
~mher of Pages: 4
Receipt ~,mher : 10-0045394
TRANS~R TAX NUMBER: 09-21133
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
087.00 03.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Received the Following Fees For Above Instrument
Exempt
Page/Filing
COE
EA-CTY
TP-584
Cert. Copies
Transfer tax
TRANSFER TAX NUMBER:
$2O
$5
$5
$5
$0 00
$0 00
00 NO Handling
00 NO NYS SRCHG
00 NO EA-STATE
00 NO Notation
NO RPT
NO Comm. Pres
Fees Paid
09-21133
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
04/16/2010
01:00:42 PM
D00012622
181
Lot:
034.000
Exempt
$20 00 NO
$15 00 NO
$125 00 NO
$0 00 NO
$30 00 NO
$0 00 NO
$225 00
Number of pages
This document will be public
record. Please remove all.
Social Security Numbers
prior to recording.
Deed / Mortgage Instrument
Deed / MoUgage Tax Stamp
RECORDED
2010 Rpr 16 01:00:42 PM
JUDITH ~. Pfl$CflLE
CLERK OF
SUFFOLK COUNTY
L D00012622
P 181
DT~ 09-21133
,I
FEES
Page / Filing Fee
lhmdling .
O0
TP-584
N(dation.
EA-52 17 (Cotmly)
Sub 'lblal
EA-5217 ISlale)
R.IVI'.S.A.
Comm. o£ Ed.
Aflidavil
Certified Copy
NYS Surcharge
Olher
Real Properly
Tax Service
Agency
Veri ficaliol~
5. 00
15. 00
Sub Tt~tal
Grand Tolal
10006578 iooo oevoo 0300 034000
6
~l si ~c ons/D scharges/Releases L st I c )e ty OTM e s Ma I g Address
RECORI) & RETUI{N TO:
Mortgage Amt.
I. Basic qhx
2. Addilional qhx
Sub ~l~tal
Spec./Assit.
Spec./Add.
TOT. MT('I. TAX
1)md Town __ I)ual Cmmly
Held for Appointment
Transfer 'Fax _.~
Mansion Tax
The propelty covered by this mmtgage is
or will be improved by a one or Iwo
fitmily dwelling only.
YES or NO
If NO, see appropriale lax clause on
,,age. of ,his
!
5 Community Preservation Fund
Consideration Amount
CPF Tax Due
$
,~q*roved
Vacanl Land
TD /~
TD
TD
8
Mail to: Judith A. Pascale, Suffolk County Clerk 7 1 Title Company Information
· 310 Center Drive, Riverhead, NY 11901 Co. Name
www. suffolkcountyny, gov/clerk · ide #
Suffolk County Recording & Endorsement Page
This page forms part of the attached ]'~ ¢_~(~d made hy:
(SFECIFY TYI*E OF' INSTRUNIIZNT)
The l)remises herein is silualed in
SUFFOLK COUNTY, NEW YORK.
In Ihe TOWN of
In II e VILI~A(,I..
or IIAMLET of
. II('}X ES_ 6 TIIRU 8 MUST BE TYPED OR I'RINTED IN BI.ACK INK ONLY I'RIOR TO RECORI)ING OR IvII.IN£,.'
:
Warranty Deed
CONSIDERATI(~N
THIS INDENTURE, madethe dayof /.-~...~,)..t~,~ ~_,/~ two thousand and ten
.MICHAEL TISBO AND ANTOINE'I-rE TISBO, Trustees, or their successors in trust, under the TISBO LIVING
TRUST, dated October 28, 2008, and any amendments thereto, residing at 62 Stratford Place, Syosset NY
party ot the tirst part, and,
ANTOINETTE TISBO, residing at 62 Stratford Place, Syosset NY 11791,
O
o
(::3
0
party of the second part,
WITNESSETH, that the party of the first part, in consideration of ten dollars and other valuable
consideration paid by the party of the second part, does hereby grant and release unto the party o~[ the
second part, the heirs or successors and assigns of the party of the second part forever,
ALL that certain ptot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
lying and being
SEE SCHEDULE"A"ATTACHED HERETO
Pursuant to Article Thirteen, Section l(a) of the Tisbo Living Trust, dated October 28, 2008, either Trustee may
make decisions and bind the Tisbo Living Trust in the exercise of all powers and discretions granted to the
Trustees without the consent of any other Trustee. Accordingly, this deed is being executed solely by Antoinette
Tisbo, Co-Trustee, pursuant to this authority.
BEING AND INTENDED TO BE the same premises as conveyed to the party of the first part by deed dated
October 28, 2008 and recorded in the county clerk's office in Liber D00012573 Page .187, on November 26,
2008.
SUBJECT to any state of facts an accurate survey may show.
SUBJECT to any covenants, easements and restrictions of record, if any.,
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 ~ines 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 ,~,ND 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, 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.
AND the party of the first part covenants as follows: that said party of the first part is seized of the said
premises in fee simple, and has good right to convey the same; that the party of the second part shall
quietly enjoy the said premises; that the said premises are free from encumbrances, except as aforesaid;
that the party, of the first part will execute or procure any further necessary assurance of the title to said
premises; and that said party of the first part will forever warrant the title to said premises.
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:
. /ANTOINETTE TISBO, ~-RUSTEE
Standard N.Y.B.T.U. Form 8003 - Warranty Deed With Full Covenants - Uniform Acknowledgment ~'orrn 2922
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATF
State of New, York, County of NASSAU ss= state of New York, County of ss:
On the day of /~y-~4c~ ~ ~ in the year 2010 On the day of in the year
before me, the undersigned, persop~lly appeared before me, the undersigned, personally appeared
ANTOINETTE TISBO, TRUSTEE
personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of
satisfacto~ evidence to be the individual(s) whose name(s) is satisfacto~ evidence to be the individual(s) whose name(s) is
(are) subscribed to the within instrument and acknowledged to (are) subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their 'signature(s) on the
instrument, the individual(s), or the person upon behalf of which
inst~ment, the individual(s), or the person upon behalf of the individual(s)acted, executed the instrument. .
which the individual(s) acted, executed the instrument.
A~HO~ M. M~C~
~a~ ~llc, State ~ N~ Yo~
No. 01MO6157570
Q~ifi~ in Suffolk Cou~ ; ~
' ~ ~ -~ ~ Co~i.~n ~r. Jon. 22, 20~ I
~g~ture and o~ce of indivi~king acknowledgment) (signature and o~ce of individual taking acknowledgmen0
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State (or District of Columbia, Territory, or Foreign Country) 5S:
On the day of in the year before me, the 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 capacity(ies),
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
(insert the City or other political subdivision)
taken)
(and insert the State or Country or other place the acknowledgment was
(signature and office of individual taking
acknowledgment)
WARRANTY DEED
WITH FULL COVENANTS
Title No.
TISBO LIVING TRUST
TO
ANTOINETTE TISBO
STANDARD FORH OF NEW YORK BOARD OF TITLE UNDERWR~-I'ERS
Distributed by
¢ommonwea'l th
SECTION 087.00
BLOCK 03.00
LOT 034.000
COUNTY OR TOWN SUFFOLK
STREET ADDRESS 3065 r4INNEHAHA BLVD.,
SOUTHOLD, NY
Recorded at Request of COMMONWEALTH LAND
TITLE INSURANCE COMPANY
RETURN BY MAIL TO:
MRS. ANTOINETTE TISBO
62 STRATFORD PLACE ·
SYOSSET, NEW YORK 11791
SCHEDULE "A"
ALL that certaia plot, piece or parcel of land, with the buildi.gs and improvements ti~ereon ereCted, situate,
lying and beinl~ia:lhl~x at Laughing Water near Southold, Town of 5outhold, Cou'nty of
,uffolk and State o! New Yorl<, bounded a~d described as follows: '
BEGINNING at a point on the southwesterly side of Minnehaha Boulevard ~-listant 16l.~.feet
;outi/easterly as measured along the southwesterly side of Minnehaha Boulevard 'from the '
jcorner formed by tile intersection of the said southwesterly side of Minuehaha P, ou evard
Jwi?~ tile southeasterly side of Owaissa Avenue (a private road 20 feet wde) arid which
point of beginning is where the division line 15etween premises hei'ein described and l&nd
of Nelson intersects the said southwesterly side oi' Minnehaha Boulevard;
RUNNING THENCE along tl~e s,outhwesterly side of Minnei]b.l~a Boulevard the following 2
courses and ,distances:
I..South .5/~ de§rees 15 minutes East 73.70 feet;
2. 5outh 3a. degrees 13 minutes East 29.90 feet to land of Birci~;
THENCE along said land o! Bi~:clb South ~li degrees t/I n6nutes /40 seconds West 15.5..57.,
feet to land of Knapp;
TIIENCE along said land of Knapp~ North 07 degrees 12 minutes I~.0 seconds \Vest 7.5.30
leer to the laird of Nelson;
TIIENCE along said land of. Nelson, North ~/4 degrees t~/4 minutes /40 sec&ods East 1.50.02
feet to the sodthwesterJ~ side of Minnehaha Boulevard at the point or place of BEGINNING.
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:llwww.orps.state.ny.us or PHONE (518) 474-6450
FOR COUNTY USE ONLY
Cl. swIs Code REAL PROPERTY TRANSFER REPORT
q I~ ~ STATE OF NEW YORK
C2. Date Deed Recorded I / / I STATE BOARD OF REAL PROPERTY SERVICES
u.y Y., RP- 5217
PROPERTY INFORMATION
I
I
71P C(X~
3. Tax Indicate where futura Tax Bills are [o be sea
Billing if other than bu~e~ addrsss (et boeom of fom~) I
I I
4. Indicate the number of Assessment
S.D#d
Properly I
6. Seller
Nimo
rxl
I , I
STATE ZIp
[] (O.ly il Pm of · Pa/Mi) Chad[ as Ihey apl~y:
, ) I # of Parcels OR Pert of a Parcel 4A. Planning Board with SabdiYision Authority Exists []
J OR I I"~ ~ I ~t Subdivision Approvalwas Required for Transit
· ' '*CRES' ' 4C. Parcel Approved fat Subdivision with Map Provided []
I
A One Family Residential
2 or 3 Family Residential
Besidantial Vacant Land
Non-Residenfial Vacant !.and
ISA, E INFORMATION I
11. Silo Col~'a~t Date
12. Date of Sale / Tmnsfm
Commercial J ~ Industrial
Apartment K~ Public Sawlce
EntenainmentlAmusement LL~j Forest
)2
I
,
Cheek the boxes below # they apply:
8. Ownership Typo is Condominium []
S. New Construction on Vacant Land
15. CRed~ one o~ mo~ of the~ =or,~l~om n applicable to ~'a?f~.
Sale Between Related Companies or Partnom in Busings
13. Full Slfo Pri. I __ 0 0 I
IFufl Sale Price ia the intel amount paid for the firopany includin0 pem~nal propen'y. I
~is payment may be ,n the form of cash. other pmpa~ or go~s. or tho assum~ion of
~SESSMENT INFORMATION - Data should refl~ the late~ Final ~sment Roll and Tax Bill
~m
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
20. Tax Map Idem[tiM(si I Roll IdemiRerld (B more Ihan four, etomh sheet with ~ddMonM idmtlJBef(a))
L ~)5'-~7, Or-J- 0-~ ,c/cr--o-)'/',oe-O~j I
I I I J
I CERT,.C~O. I
[ ~ert~). that ag et the item~ et information entered ga th~ fm'ta are true ami cor~ fie the b~l et aTT' knowledge and b~ief) and I umk~demJ that the makln~
et un.,,, wglfuJ fahe stn#.nlmt et nmterial fact herein ,~tg ~ubied me to the prm't, io[t,~ et Iht pt, nM taw retake to me nmkin~ aad flung of fahe Im4trununt~
BUYER
.u.,.s,,=,u,~
SELLER
BUYER'S ATTORNEY
I NEW YORK STATE
COPY