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Home My WebLink AboutL 12635 P 134SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED N~mher of Pages: 4 Receipt N,,mher : 10-0098422 TRANS~'w.R TAX NUMBER: 10-01626 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 090.00 01.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 08/23/2010 10:44:41 AM D00012635 134 Lot: 022.000 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: 10-01626 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL $20 $15 $125 $0 $30 $0 $225 Exempt 00 NO 00 NO 00 NO 00 NO 00 NO 00 NO 00 JUDITH A. PASCALE County Clerk, Suffolk County Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. Deed I Mortgage Instrument Page / Filing Fee Handling 20. 00 TP-584 Deed / Mortgage Tax Stamp FEES Notation EA-52 17 (County) Sub Total EA-5217 (State) Comm. of Ed. 5. 00 Affidavit Certified Copy ~urcharge 15. 00 NY5 Other I 4 I Dist lOC( Real Property Tax Service Agency Verification Sub Total Grand Total I 10018258 loon 09000 DiDO 022000 Satisfaction~/Di~harges/Reteas'~i Lis(Prbperiy Owde~s Mailing RECORD & RETURN TO: Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY 11901 RECORDED 2010 ~ug 23 10:44:41 JUDITH R. PflSCflLE CLERK OF SUFFOLK COUNTV L D00012635 P DT~ t0-01626 Recording / Filing Stamps Mortgage AmL 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 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 a of this instrument/ :,-,--/,s/ Community Preservation Fund / Consideration Amount $ _ CPF Tax Due 5 ~// / improved Vacant Land TD /bbr) TD TD 71 Title Company Information Co. Name l..~3sJ[or ~.~1~ www.suffolkcountyny.govlcierk i~,~" c~'t' UT a-~e s 3 Suffolk Coun Recording & Endorsement Page This ~ge fo~s ~ of ~ a~ch~ ~ f e ~ made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of ~,-1C (C.C a ~'¢r ('"I In the VILLRGE or ~L~ of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) B-3307 -ILxeculofs Deed - lndMdual or Corporalion (single sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made on the ~ { day of May, two thousand and ten BETWEEN ROSEANNE P. HOLLIS, residing at 398 Spring Drive, East Meadow, New York 11554, as Executor of the last will and testament of JOHN M. HOLL1S, who died a resident of Nassau County on January 26th, 2008, as to a one fourth (1/4) interest in said property party of the first part, and PATRICIA TERRY, residing at 68 Winifred Drive, Merrick, New York 115.~.62qHf-tA:l .O TVI=~O~IV ahoy W~VI to olnI~ ,OtJSUCt YR~TOH Oe0';,0 t r-0c .oH party of the second part, v~rmoO m;~e~PI ni boitiMuO WITNESSETH, that the party of the first part, to whom letters testamentary were issued by the Surrogate's Court, NASSAII County, New York on lanuary 27: 2009: and by virtue of the power and authority given in and by said last will and testament, and/or by Article 11 of the Estates, Powers and Trusts Law, and with no consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the distributees or successors and assign, s of the party of the second part forever, SEE SCHEDULE "A'! ATTACHED HERETO AND MADE A PART HEREOF. Said premises also known as 500 West Lake Drive, Southold, New York 11791 ~,ooO. Suffolk County Tax Map District 900 Section 90 Block I Lot 22 TOGETHER with all right, title and interest, if any, of the party of the fLrst 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 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 individually, or by virtue of said will or otherwise, TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the distributee5 or successors and assigns of the party of the second part forever. AND the parly of the first pan covenants that the party of the first pan 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 pan, in compliance with Section 13 of the Lien Law, covenants that the party of the first pan 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 pan 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 pan has duly executed this deed the day and year first above written. IN PRESENCE OF:/ ROSEANNE P. HOLLIS, as Executor of*he Estate of JOHN M. HOLL!S ACKNOWLEDGMENT IN NEW YORK STATE . State of New York, County of Nassau } SS: Onthc q"->\ dayof MAY in thc year 2010 before me, the undersigned, a Notary Public in and for said state, personally appeared ROSEANNE P. HOLLIS personally known to me or proved to me on the basis of satisfactory evidence to be the person(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 person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. NOTARY PUBUC, State o1 New YodI No. 30-1167690 Qualified in ~ County _ ~CKNOWLEDGMENT OUTSIDE NEW YORK S TA TE State of New York, County of } SS: On the appeared before me, the undersigned, personally personally known to me or proved to me on the basis of satisfactory evidence to be thc individual(s) whose nme(s) is (are) subscribed in 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 (Insert city or poi~tiaa~ subdlvt$/on and state or county or other p/ace acknowledgment taken) Notary Public Executor's Deed ROSEANNE P. HOLLIS, as Executor of the ESTATE OF JOHN M. HOLLIS TO TERRY ACKNOWLEDGMENT 8 Y SUBSCRIBING WITNESS(ES) State of County of } SS.: On before me, the undersigned, personally appeared the subscribing witness(es) to the foregoing instrument, with whom I am perso.nally acquainted, who, being by me duly swom, did depose and say that he/she/they reside(s) in (/f the p/ace of residence Is In a c/ty, /nelude fire Street end sb'eet number,/faro', thereof); that he/she/they know(s) to be the individual(s) described in and who executed the foregoing instrument; and that said subscribing witness(es) was (were) present and saw said execute the same; and that said witness(es) at the same time subscribed his/her/their name(s) as a witness(es) thereto. (ff taken outs/de New York Insert ctly or poi~fica/suta~lvts/ou and state or country or other p/ace eckm:n~edgment taken. And that said subscribing witness(es) made such appearance before the undersigned in .)_ Notary Public SECTION 90 BLOCK 1 LOT 22 COUNTY OR TOWN RETURN BY MAIL TO: FARRELL, FARRELL & BUPdC. E ' ATTORNEYS AT LAW 212 STATION PLAZA NORTH M;'mOL^, NEw YORK 11501 [; ! A "7~ 1 -6611 PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http:# www. orps.state.ny.us or PHONE (518) 473-7222 t.~P~tvI 500 I West Lake DRive I ~r%11~' ~'t~ml 1 I~ [ I 11791 2. ~, I TERRY I PATRICIA I I Billing if other than bm/er address (at bottom ct form) 4. indicate the number of Assetomont ~ I~ Roll panels tranctened aa the deed I , I I ! of Parcels OR Part of a Parcel P~p.~y I Jxl Io.I .... . . I (Only if Part of a Portal) Ched~ as they aRdy: 4A. Planning Boa~ with Subdivision Authorily Exists [] S. SelW I HOLLIS I ROSEANNE r;RSTNAM£ I 7. ChKk the box below whial~ most accurately desalhes the use of the proge~/at the time of sale: A [] One Family Residential ~. [] Ag6cuin,r.l Z [] B ~ 2 or 3 Family Residential F ~ Commercial J C[~ ResidentialVacant Land G],~ Apartment K I)l I Non-ResidentialVacaetLand H[~ Entettalnment/Amusemeet g SALE INFORMATION ~ I1. SainContraotOote I=-;/ '~[ / 12. Date of Sale I Transfer I o'/ 3l //oI Community Service Industrial Public Sen. ice Forest 13. Full Sell Price I I , ...... 0 , O · 0 ! ! ~ · (Furl Sale Price is the tolel amount paid for the property including personal property. 14. Indicate the value of getlOnal I ./~ , 0 , 0 I I ASSESSMENT INFORMATION - Dale should reflect the latest Final Assessment Roll and Tax Bill 16. V#r d Al~ant Roll from I [ ~) I 17. Total ~l(J Value (of MI pareallr, In tmnlfo~) I Chec~ the hexes below as they aPpht:- R. Ownership Type is Condominium L_J 9. New Construction on Vacant Land [] lOA. Property Lcca~d within an Agricultural Dsstric! [] lOB. Saym received a di~losum notice indicating r--'l that the ~'eparty is in an Agriculture! District 15. Chaeh ere o~ mete of tbmm =andifJmm as applicable to ~'anale~: A Sale Between Relarives or Former Relatives Sale Between Related Companies or Partners in Business One al tho Buyer; is also a Seller D Buyer or Sellm is Govemment Agenc~ or Lending Inetittdion Deed Type not Warranty or Bargain and Sale ISpecify Below) J; Sale of Fractional or t.ess than Fee Interest (Sgeelfy Below: Signifir. aet Change in Progeny Between Taxab:e Status and Sale Dates Sale of Business is Included in Sale price O~he; Unusual FaCors Affecting Sale Pri~e tSpaci;y Below} None Family t:ansfe: - no cons£de:ation SE B ! I J I I I J I CERTIFICATION I [ ,.'eFta). Ihet all el thc Iten~ I~ blJ'ormallm~ eninred (m thJ; fi]rm are Iruc and o~'t (Io Ik, Ite~t Ed' m) kmmledl~' and ~..]le~ and ] undemland Ihal the nm&dn[~ BUYER 500 I West Lake Drive Soothold NY I 1791 I I SELLER BUYER'S ATTORNEY Farrell I Vincent NEW YORK STATE COPY