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Home My WebLink AboutL 12635 P 852SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE T~pe of Instrument: DEED Nl~m~er of Pages: 3 Receipt N-m~er : 10-0101531 TRAN$~'.'-R TAX NUMBER: 10-02184 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 077.00 01.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $15.00 NO Handling COE $5.00 NO NYS SRCHG EA-CTY $5.00 NO EA-STATE TP-584 $5.00 NO Notation Cert. Copies $5.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 10-02184 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 08/30/2010 09:57:26 ~ D00012635 852 Lot: 003.000 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 / Mortgage Tax Stamp 31 FEES RECORDED 2010 Aug 30 09:57:26 AM JUDITH A. P~SCALE CLERK OF SUFFOLK COUNTY L D00012635 P 852 DT# 10-02184 Recording / Filing Stamps Page / Filing Fee Handling TP-584 Notation EA-52 17 (County) EA-S217 (State) R.P.T.S.A. Comm. of Ed. ~_,..~ off ir t i fid2~i td~ NYS Surcharge Other 15-- 20. O0 SubTotal Grand Total ~(~ ~-- -- 4 I Dist. Real Property Tax Service Agency Verification 6 lo00Jsection 77 JBIock I JLot 3 Satisfacti¢ 10018970 zooo ov7oo ozoo 003000 PATRICIA C. MOORE ESQ 51020 MAIN ROAD SOUTHOLDNY 11971 Mail to: Judith A. Pascale, Suffolk County Clerk Co7.~/ame 310 Center Drive, Riverhead, NY 11901 www.suffolkcountyny.gov/clerk Tit e # Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total 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 thisj.nstrument. 8-mo Community Preservation Fund Consideration Amount $ C PF/~r ax Due $ ~ Improved Vacant Land ID ID Title Company Information 8 J Suffolk County Recording & Endorsement Page BARGAIN & SALE DEED (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. This page forms part of the attached by: Jessie H. Kophen Living Trust made TO In theTOWN of Southold James W. Kophen Living Trust In the VILLAGE or HAMLETof Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) NY 005 - Bmgaln and Sale Deed with Covenant against Gramor's Acls Individual ur Corporalion ISingle Sheet) (NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - Tills INSTRUMENT SHOULD lie USED BY LAWYERS ONI,Y THIS INDENTURE, made the~"4.~ day of al~.LrY"'~ (.l 6G4.4 ~ . in the year 7010 BETWEEN JAMES W. KOPHEN, as Trustee of the Jessie H. Kophen Living Trust, u/a dated 1/7/2000 e/o 760 Oak Avenue, Southold, New York 11971 GLENNA J. RYAN, as Trustee of the James W. KopIi~n Trust, u/l/w/t dated 11/16/06 c/o 760 Oak Avenue, Southold, New York 11971 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 Ihe party of the second part. tbe heirs or successors and assigns of the party of Ihe second part forever. ALL that certain plot, piece or ptucel of land, with the buildings and improvements thereon emoted, situate, lying and being ill the Town of Southold, County of Suffolk and State of New York, known and designated as and by plots Nos. 286, 287, 288 and 289 on a certain map entitled "Map of Goosebay Estates" in the Town of Southold, Suffolk County, New York, said map being made by Lewis N. Waters, LS of Oyster Bay, Li, New York, dated September 12, 1934 and filed in the Office of the Clerk of the County of Suffolk on the 13th day of November, 1934, as and by the Map No. 1176 (Abstract NO. 1197) BEING AND INTENDED TO BE the same premises as conveyed by deed dated January 19, 2004 recorded in Liber 12306 page 295 on March 10, 2004 in the Office of the Clerk of the County of Suffolk TOGETHER with all right, title and interest, it' any, of the party of the first part of. 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 prentises 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 thc 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. coveuants 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 Ihe improvement and will apply the same first to the payment of thc cost of the improvemem 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. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written, IN PRI'24ENCE (IF: USE A CIfiVOWLEDGMENr FORM BELOW BTTHIN NEW YORK STA TE ONLY: State of New York, County of Suffolk } ss.: On t~r~ day of July in the year 2010 bcfoVe me. thc undersigned, personally appeared ,lames W. Kophen pcrsoaally known to me or proved tn me on tile basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument aud acknowledged to me that he/she/they executed the same in his/her/their capacily(ies), and that by his/her/their signature(s) on tile instrument, the individual(s), or the person upon behalf of which thc individual(s) acted, excc~ed the instrument. ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONL)? S~te of New York, County of } ~.: Oa the day of in the year befin'e me. the undersigned, personally appeared Ihe subscribing witness to the foregoing instrument, with whom I am personally acquainted, who. being by me duly swam. did depose and say thai he/she/they reside(s) in ( fth, place of residence i~ in a city i~tclude lite street wM street number, (fan)'. thereq/): that he/she/they know(s) to be the individnal described in and who executed the foregoing instrument; that said subscribing witness was present and saw said execute the same: and that said witness at the same time subscribed his/her/their namels) as a witness thereto. USE A CKNOWId?DGMENT FORM BELOW WITHIN NEW YORI~'STA TE ONLY: State of New York, County of } ss.: . 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/sheJthey executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s}, or thc person upon behalf of which the individaall s) acted, executed the instrument. ACKNOWLEDGMENT FORM FOR USE OUTSIDE NEW YORK STATE ONLY: [Out of State or Foreig, General Acknowh'dgment Certificate] (Complete Venue with State Uottntr).'. Province or Municipality) On the day of itl the year beibre me, the undersigned, personally appeared personally known to me or proved m me on the basis of satisthctory evidence to be the individual(s) whose name(s) is {are) subscribed to the within instrument and acknowledged to me that he/shehhey executed the same in hi.qher/their capacity(ies), 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 stlch appearance belbre the undersigned in the (Insert he city or otlu, r political subdivision and the stale or country or other place the aclolowledgmenl was taken). TITLE NO. BARGAIN & SALE DEED James W. Kophen, Trustee of the Jessie H. Kophen Living Trust TO Glenna J. Ryan, as Trustee of the James W. Kophen Trust FIDEIATY NATIONAL TITLE OINSURANCE COMPANY ? ~d//,~.;,/.//,, Fidelity ~.///...,,.~/ SECTION BLOCK LOT COUNTY OR TOWN RECORDED A T REQUEST OF Fidelity National Title Insurance Company RETURN BY MAIL TO UJ PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: hep://www, orps.state.ny.us or PHONE (518) 473-7222 REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK C2.. Date Deed Recorded I (~) ("~/Momh ~('~/Da',' !~[('~ ] __ STATE BOARD OF A/ PROPERTY SERVICES [, (,,,35 . .ABC- RP 5217 PROPER'r¥ INFORMATION I Loelt on EE S?REET NAME ZIP CO0~ I I i Addrsse P,op,r~ I Ixl I 7, Check the box below which most ecseratdy d~rlpes the uae of the property at the time of sale: B ~ 2 or 3 Family Residemial F [__} Commercial C ~ Residootial Vacant Lend (~ ~ Apanmem DI I Non-Residential Vacant Land III I Eotenammeot ! Amusemoot ISA'E ,.FORM^T~O. I ~ 11. SIlo Contract Date ~~ t~ I Mmlh / Day / year I 12. Date of Sale I Transit Community Sewice Industrial Public Sewice Forest Check tile bexN below es they apldy: 8. Ownership Type is Condominium [] 9. New Construction on Vssam Land [] I~A, Property Located within an Ag~uhural OLstrict [] lOB, Buyer received · discJo~ure notice indicating [] thee the property is in an Agdceltural Diet riel A B C D E F (Full Sale Price ia the total amount paid for the proderty including personal property. [ This payment may be in the form of cash, other properly or gueds, or the assumption of j mortgages or other ohligeeions.) Please round to the nearest whole dollar amount. 14.1ndeMethevllueofpemOlml I , ,[P~, 0 , 0 ] ASSESSMENT INFORMA'nON - Data should reflect fho latset Final Assessment Roll and Tax Bill lB. Year of ~ant Roll I~m L'J'J'J'J'J'J'J'J'~ .[ ~ I 17. Total Aa~essed Value (of ell pe~eela In tramhrl I One of tho Buyers is also a Seller Buyer or Seller is Government Agency or Lending Institution Deed Type nat Wananty or Bargain and Sale (Specify Below) Sale of Fractional or Less than Fee Internee (Specify Balmy) Significam Change in Prope~.. Bet~len Taxable Status end Sale Dates Sale of Business is Included in Sale Price Other Unusual Faatom Affecting Sale Price {Specify Below) ,5.5.c~ 20. Tax Map Isanti~m(s) I Roll Idemifier(a) [If mom than four, atter~ sheet with additional Idemifier(s)) I I CERTIFICATION BUYER BUYER'S ATrORNEY SELLER I NEW YORK STATE COPY