HomeMy WebLinkAboutL 12622 P 182SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
N~mBer of Pages: 4
Receipt Number : 10-0045394
TRANSFER TAX NUMBER: 09-21134
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
087.00 03.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
04/16/2010
01:00:42 PM
D00012622
182
Lot:
034. 000
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:
09-21134
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
$20.00
$15.00
$125.00
$0.00
$30.00
$0.00
$225.00
Exempt
NO
NO
NO
NO
NO
NO
JUDITH A. PASCALE
County Clerk, Suffolk County
Nlllllbtgr i)f pages
This document will be public
record. Please remove all
Social Security Numbers
prior to recording.
l)eed / IVlollgage Instrument
Deed / IVlorlgage lhx Stamp
RECORDED
2010 ~pr 16 01:00:42 PH
JUDITH ~. P~SC~LE
CLERK OF
SUFFOLK COUHTV
L D00012622
P 182
DT# 09-21134
Recording / Filing Slamps ..%/~
31
FI~ES
Page / Filing Fee
Handling
TP-584
Nolalioll
EA-52 17 (Counly)
EA-5217 (Slale)
R.P.T.S.A.
Conun. o~ Ed.
Affidavit
Certified Copy
NYS Sm-charge
Other
Real Properly
qhx Service
Agency
Verification
6
8
Sub Tolal
5. 00
IS
15. 00
Sub Toml
5 1¢
100065?9 ~.ooo oovoo o~oo 034000
Satisfaclions/Discharges/Releases Lis[ Properly Ownerg Mailing Address
RECORD & RETURN TO:
Mortgage Amt.
I. Basic Tax
2. Addilional %x
Sub 'Il)Iai
Spec./Assil.
Spec./Add.
TOT. MTG. TAX
I)ual 'l~)wn ~ I)ual Cmmty
Held for Appuinlment
Transfer Tax .~
Mansion %x
The properly covered by Ihis mortgage is
or will be improved by a one or
flintily dwelling only.
YES or NO
~'NO, see appropriate lax chmse on
Community Prese~atton Fund
Consideration Amount
CPF Tax Due
,,proved (~/
TI)
TI)
Mail lo: Judith A. Pascale, Suffolk County Clerk
310 Center Drive, Riverhead, NY 11901
www.suffolkcountyny, gov/clerk
Title Company hfformation
Suffolk County RecOrding & Endorsement Page
This page fo, ms part o£ the attached ~ '~Cd made by:
(SPECIFY TYPE OF INSTRLIMENT)
,,.J
The premises herein is silualed in
SUFI:OLK COUNTY, NEW YORK.
d
hi Ihe VII..I.AGE
o,'IIAMLET,,f xCO~O [d
BOXES 6 TI-IRU 8 MIJST BE TYPED OR PRINTIJ. I) IN Ill.,ACK INK ONLY PRIOR TO I,tECOIII)ING OR FII.,ING.
(c, ver)
Warranty Deed
~o
;ONSIDERATION
THIS INDENTURE, made the
~ETW~FN
4TH day of MARCH
, two thousand and ten
ANTOINETTE TISBO, residing at 62 Stratford Place, Syosset NY 11791 ,,
party ot the tirst part, and,
ANTOINETTE TISBO, Trustee or her successors in Trust, under the ANTOINETTE TISBO Living Trust,
dated March 4, 2010, and any amendments thereto, residing at 62 Stratford Place, Syosset NY 11791,
C
party of the second part,
WITNESSETH, that the party of the first p. art, 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 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
SEE SCHEDULE "A" ATTACHED HERETO
z
BEING AND INTENDED TO BE the same premises as conveyed to the prior 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 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, 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:
Standard N.Y.B.T.U. Form 8003 - Warranty Deed With Full Covenants - Uniform Acknowledgment Form 2222
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATF
State of New York, County of NASSAU se~ State of New York, County of ss:
On the 4TH day of MARCH in the year 2010 On the day of in the year
before me, the undemigned, personally appeared before me, the undersigned, personally appeared
ANTOINETTE TISBO
personally known to me or proved to me on the basis of personally known to me or proved to me o6 the basis of
satisfactory evidence to be the individual(s) whose name(s) is satisfactory 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
c~n~citvli~l ~nd th~t hv hi~lh~rlfh~ir ~'n ~tHr~l~l ,~n th~ capacity(les), and that by his/her/their signature(s) on the
................... instrument, the ~nd~wdual(s), or the pemon upon behalf of which
ins[mmeru, me ~nmwoua~[s), or me person upon Dena. o[ ..............
wh ch the nd v dua (s) acted, executed the instrument, t~N?~.l~, e~uted~he ~trument. .~
~ P~lic, Stye ~ N~ Y~ ~ ~ ~ ~. ~ ~- ~ ~ ~ c ~ /
_ ~.OIMO6157570 / --
~ , ~lifl~ in S~lk ~u~ ~
~ Comm~ ~i~ Jan, 22, ~O11 ·
(signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment)
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State (or District of Columbia, Territory, or Foreign Country) 55:
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(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
(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
W[TH FULL COVENANTS
Title No.
ANTOINETTE TISBO
TO
ANTOINETTE TISBO LIVING TRUST
STANDARD FORM OF NEW YORK BOARD OF T[Tt.E UNDERWRITERS
Distributed by
'Commonweal th
. SECTION 087.00
BLOCK 03.00
LOT 034.000
COUNTY OR TOWN SUFFOLK
STREET ADDRESS 3065 MINNEHAHA BLVD.,
SOUTHOLD, NY
Recorded at Request of COMMONWEALTH LAND
TITLE INSURANCE COMPANY
RETURN BY MAIL TO:
MRS. ANTOINE~I-E TISBO
62 STRATFORD PLACE
SYOSSET, NEW YORK 11791
IEDuL'E A
SC1 " "
ALL that certain plot, piece or parcel of land with the buildings and improvements ti~¢r¢on ere6ted, s tuate,
lyi,gandbeial~ittlh~<x at Laughing Water near Southold, Town of Southold, Cou'nty of
.ufto[I< and State of New York, bounded and described as follows:
BEGINNING at a point on the southwesterly side of Minnebaha Boulevard ~listant 161.6.feet
southeasterli/ as measured along the southweslerly side of Minnehaha Bohlevard tram the
corner formed by the intersection al the said southwesterly side of fvlinnehalJa Boulevard '
,with the southeasterly side of Owaissa ^venue (a private road 20 feet wide) and which
point o1[ beginning is where the division line between premises hei'ein described and I;~nd
of Nelson it~tersects the said soutbwesterly side of tvlinnehaha Boulevard;
RUNNING THENCE along the sgutbwesterly side of Minrmlmha Boulevard the following 2
courses and distances:
I. ,South 5t~ degrees 15 minutes East 73.70 leet;
2. South 3tt, degrees 13 Inilmtes East 29.90 leer to land al gir~h;
THENCE along said land of Birch, 5outh 50 degrees ltl iniilutes #0 seconds West 155.57 .'
feet to land of Knapp;
TIIENCE along said land ef Knapp, North tt7 degrees 12 miracles ttO seconds X. Ves~ 7.5.30
feet to.the land of Nelson;
TIIENCE along said land of Nelson, North tit~ degrees ttt¢ minutes ttO seconds East 130.02
feet to the sootbwesterly side of Minnehaba Boulevard at the point or place of BEGINF~ING.
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:l/www.orps.state.ny.us or PHONE (518} 474-6450
IFOR COUNTY USE ONLY [ I '"~ ~'~ ~ ~ I ,
Cl. SVVlS Code ~ I ~ REAL PROPERTY TRANSFER REPORT
,[ 9( nR 3 ,I RP- 5217
I ..~.~ ~t~l I I I
3, Tax Indicate where future Tax Bilb are to be ssnt
Billing if other than buyer address (at bottom of fermi I
I
4. Indicate the number of Asmement
Roll parcels transfened on the deed I
8- Dwi
8- s..M. I I
I o. I~
COD[
{Or, fy if Pai~ d a PargM} Check Is they
7. Check the box below which most accurately describes the u~e of the ixopen'y at the time of sale.'
One Family Residential
2 or 3 Family Residential
Residential Vacant Land
DI I Non-Residential Vacant Land
I SALE INFORMATION I
11. Bale Contrast Date
12. Date of ~ale I TransfM
Agricultural [ [] Community sawice
Commercial J ~-I Industrial
Apartment KI,~ Public Sewice
Entertainment/Amusement [.I I Forest
,
Cheek the bexas below e~ they
8. Ownership Type is Condominium
9. Now ConatnJction on Vacant Land
10A. Ptopa~y Located within an ~gricultural District
10B. Buyer ,,,,.,,;,ed · dlsd(wurs notice indicabng
that the properly is in an Agricultural District
15. Cheek mle O~ mm of Iflm eood~on$ aS a~Qlicabfo to
A
R
C
D
F.
F
[]
[]
[]
(Full Sale Price is tho total amount paid for the property including pemonal property.
This payment may be in tha form of cash. other properly or goods, or the assumption of None
mortgages or other obligations.) PMase round to the nearest whole della( amount.
14. Mdicate the value of pMaond i ...... ~ 0 , 0 I
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill I
16. Ysarof Aa~e~ement Rotifrom i~,/,'~1 1/.TotelA.'~assadValua(of allpamMaintYenafM) I , ,
Sale Between Rolatives or Former flelteivas
Safe Between Ridated Companies or Partners in Busines~
One of the Buyem is also e Sailer
Buyer or Seller is Government Agency or Lending ths~tution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Safe of Fractional or Less than Fee Interest (Specify Below)
Significant Change in Property Satw~en Taxable Statue and Sale Dates
Sale of BuNness is Included in Sale Price
Factors AHectlng Sale Price (Specify Below)
I I I
I CERfflFICATION I
I certB'y Ibet all (d' the items id'inrom~adon enten'd ,m thJ.f form are true and mr~-~t lie the he~! of ntt' knowledg~ and hetiefl and I unde~tand Ihat Ihs mak~
of an)' ~Jl~J faf.~e atatetaent id' material [a~l heroin Bill ~bi~ ~ te th, p~,,~fiem or e, ~ bw reb.,,e te e~ r~ad.~ a.d m~ or reL, e inst~mlenL~.
BUYER
SELLER
BUYER'S A'I'I'ORNEY
FIRST NAME
NEW YORK STATE
COPY