HomeMy WebLinkAboutL 12631 P 93SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
Number of Pages: 4
Receipt N,~mher : 10-0081924
TRANSFER TAX NUMBER: 09-28248
District:
1001
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
006.00 06.00
EXAMINED AND CHARGED AS FOLLOWS
$506,500.00
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 $2,026.00 NO Comm.Pres
Fees Paid
TRANSFER TAX NUMBER: 09-28248
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
07114/2010
04:18:43 PM
D00012631
093
Lot:
011.000
Exempt
$20.00 NO
$15.00 NO
$125.00 NO
$0.00 NO
$30.00 NO
$7,130.00 NO
$9,381.00
Number of pages f
This document will be public
record. Please remove all
Social Security Numbers
prior to recording.
Deed / Mortgage Instrument Deed / Mortgage Tax Stamp
FEES
RECORDEO
2010 Jul 14 04:18:43 PM
JUDITH R. PRSCRLE
CLERK OF
SUFFOLK COUNTY
L Q00012631
P 093
DT# 09-28248
Recording / Filing Stamps
31
Page / Filing Fee
Handling
TP-584
Notation
EA-52 17 (County)
EA-5217 (State)
R.P.T.S.A.
Comm. of Ed.
Affidavit
Certified Copy
NYS Surcharge
Other
~(~00
Sub Total
5. O0
15. 00
Sub Total
Grand Total
I
4 JDist. I00
Real Propem/
Tax Service
Agency
Verification
6
' 10015341 lo'el 00600 0600 o11ooo
;atisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
Mail to: Judith A. Pascale, Suffolk County Clerk
310 Center Drive, Riverhead, NY
www.suffolkcou ntyny.gov/clerk
11901
5
Mortgage Amt.
1. Basic Tax
2. Additional Tax
;ubTotal
Spec./Assit.
or
Spec./Add.
TOT. MTG. TAX
Dual Town __ Dual County __
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
page # of this instrument.
Community Preservation Fund
Consideration Amount $ 506,500.
CPF Tax Due S
7,130.
Improved xx
Vacant Land __
TD /D
TD
TD
7 J Title Company Information
me Fidelity National Title
lO-7404-78056-SUFF
Suffolk County Recording & Endorsement Page
This page forms part of the attached Executor's Deed
by: '~"O~;/~/''j' '1='0/e-.~.llg'l'D '~- - (SPECIFYTYPEOFINSTRUMENT)
_T/~fll,~& G.v ,qR.-o/~ C/~, .q,~ e~-~X~s~' Or--
Estate of Harry W. guardiola , The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
made
TO IntheTOWN of Southold
Debra A. Roth In the VILLAGE
or HAMLETof Oreenport
BOXES 6 THRU $ MUST BE TYPED OR PRINTED iN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
Standard NYBTU Form 8005 - Executor's Deed - Uniform Acknowledgement
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT- THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the 6~2~ day of July, 2010 BETWEEN
JOSEPH FORCINITO, residing at 174 Mayfair Avenue, Floral Park, NY, 11001; and
JAMES GUARDIOLA, residing at 9 East Pocahontas Street, Massapequa, NY, 11758
As co-Executors of the Last Will and Testament of HARRY W. GUARDIOLA, late of Suffolk County,
deceased, Suffolk County Surrogate's Court File No. 765P2009
party of the first part, and
DEBRA A. ROTH, residing at 67 Park Avenue, Apt. 3C, New York, NY, 10016
party of the second part,
WITNESSETH, that the party of the first part, by virtue of the power and authority given in and by said last
will and testament and in consideration of FIVE HUNDRED SlX THOUSAND FIVE HUNDRED
($506,500.00)----dollars, 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, situate, lying and being at
SEE SCHEDULE 'A' ANNEXED HERETO
BEING AND INTENDED TO BE the same premises as described in deed made by John Munro Heitzman,
as Executor of the Estate of Milton A. Heitzman and Rosalind Heitzman, his wife, both deceased, recorded
9/1/98 in Liber 11914 page 603.
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 also all the estate which the said decedent had at the time of the decedent's death in said
premises, and also the estate therein, which the party of the first part has or has power to convey or dispose
of, whether individual, or otherwise;
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.
I~N WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first
above written.
IN PRESENCE OF: //~ ~-~/~
~A-M E S GUARDIOLA
STATE OF NEW YORK:COUNTY OF SUFFOLK) ss:
On the ~:~ day of July, 2010, before me, the undersigned, personally appeared JOSEPH FORCINITO,
personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose
name is subscribed to the within instrument and acknowledged to me that he executed the same in his
capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the
individual acted, executed the instrument.
STATE OF NEW YORK:COUNTY OF SUFFOLK) ss:
Notary Public
PATRICIA L. FALLON
Notary Public, State 131 New York
No. 01FA4950146
Qualified In Suffotk County
Commission Expires April 24, ~,)/
On the t~_~.~ day of July, 2010, before me, the undersigned, personally appeared JAMES GUARDIOLA,
personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose
name is subscribed to the within instrument and acknowledged to me that he executed the same in his
capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the
individual acted, executed the instrument.
Notary Public
PATRICIA L. FALLON
Notary Public, State Of New York
No. 01FA4950146
Qua f ed in Suffolk County
Commission Expires April 24, o~-~/'/
SCHEDULE "A"
ALL THAT CERTAIN plot, piece or parcel of land, situate, lying and being in the Village of
Greenport, Town of Southold, County of Suffolk and State of New York, bounded and described as follows:
BEGINNING at a concrete monument set on the westerly line of Fourth Street distant in a northerly
direction 200 feet from the intersection formed by the northerly line of Flint Street with the westerly line of
Fourth Street, from said point of BEGINNING;
RUNNING THENCE along the westerly line of Fourth Street, South 7 degrees 17 minutes 30
seconds West, 100.00 feet to a pipe;
THENCE North 82 degrees 48 minutes 40 seconds West, 166.00 feet to a concrete monument;
THENCE North 7 degrees 17 minutes 40 seconds East, 100.00 feet to a point;
RUNNING THENCE South 82 degrees 48 minutes 40 seconds East, 165.99 feet to the westerly side
of Fourth Street at the point or place of BEGINNING.
PLEASE TYPE OR PRESS FIRMLY ~M-tEN WRITING ON FORM.
INSTRUCTIONS: http:llwww.orp$.$tate.ny.us or PHONE (518) 474-6450
IFOR COUNTY USE ONLY .
Cl. awls Code I L.[.,"~ , ~) ,c~, (~, I I ~ REAL PROPERTY TRANSFER REPORT
!.~I 411 [ Fourth Street
I Southold [ C. reen?orl: [ 11944
z~ I Roth I Debra A.
I I
4. Incll~te the numbm' of AlNltment I~l IOnly ff Prat of a Plmml} Ch~k ~s they No~.
Roll parcels b~nsfar~ed off the deed I , ~ I # of Parcels OR Part of a Parcel 4A. Planning Board with SubdivEsion Authority Exists []
9. Deed 4B. Subdivision Approval was Required ~' Transfer []
P,o,.,v I J x I I OR I ..... 5 .0 I 4C. Pemel Approved for Subdivision with Map Provided []
b FRONT FEEl D~PTH ACRES
I
7. Chad; the box below which most accurately __,~__rlbe~ the u~e of the pflJpMty ot the time of elbe:
B L~ 2 or 3 Family Residential F [,...] Commercial
C [~ Residential Vacant Land (1L~ Apartment
DL_] Non-RasldemialVacaat Land [-[~] Entmtalnment/Amusemen!
ISALE INFORMATIONI
11. SMsCootr~ctO~te I 05 / 21 / 20101
12. Date of Sale I TrsndM
07 2010
Community Sewice
Industrial
Public Service
Forest
A
B
C
D
E
F
Sale Batw~en Relatives or Former Relatives
SMa Between Relmnd Companies or Partners in Business
One of the Buyem is also a Sarler
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Relow)
Sale of Fractional or La~s than Foe Interest (Speci;y Below)
5 o. 6 5 0 0o OI
13. Full Sale PHce I , , ~ ~ ·
(Full Sale Price is the total amount paid for the property including personal property. I
14. Indicate the value of pe~mtM I , , , NO~A , , , 0 , 0 I
pmpMty included In the sale ~ ! ·
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Biff
18. Y~mr of A~mmlt Roll from [ I ~0
which Mfonnatlon taken I 17. Total Assessed Value [of all parcels in tzan~erJ I
Significant Change in Property Between Taxable Status and Sale Datm
Sale of Business is Included in Sale Price
Other Unusual Fac'tom Affecting Sale Price ~pedfy Below)
None
5 1 0 0
½ ½ . . ½ . . I
19. P,.op,,tyc~, 12 ~ 0. I-I I 19.~oalDiatHet Name I
GreenoorC
1001-006.00-06.00-011.000 I [
I I J
CERTIFICA'nON I
t'e[lir)' Ih;ll uti or the II(.m.q ~' IrZ(mtion entered on thh ftmn are Irue and o~%~ct (b) lite b~l d' my kno~lt~]~., and he[J~l and [ uudendnfld Ihet the It]ldd~R
wEIRd fobs statemefll ,d' umte~al tact he..in will .'mbJ¢ct me fo Ihs pmvbion.~ d' tk' p.'nal law ~t]w fo the nmkin8 ami rdinK id' ral.~ Imlmments.
BUYER
, 71 /,o
BUYER'S ATrORNEY
NEW YORK STATE
COPY