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Home My WebLink AboutL 12638 P 430l%! I III SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 3 Receipt Number : 10-0111854 TRANSFER TAX NT/MBER: 10-04210 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 108.00 04.00 '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 $0.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 10-04210 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL J~3DITH A. PASCALE County Clerk, Suffolk County 09/24/2010 09:14:22 AM D00012638 430 Lot: 011.002 Exempt $20.00 NO $15.00 NO $250.00 NO $0.00 NO $30.00 NO $0.00 NO $345.00 .~Number of page~ This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2010 Sep 24 09:14:22 JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY L D000t2638 P 430 DT~ 10-04210 Deed/Mo~gagelnstrument Deed/Mo~gageTax Stamp I Recording /Filing Stamps FEES Page / Filing Fee Handling 5. 00 TP-$84 Notation CA-52 17 (County) CA-S217 (State) R.P.T.S.A. '~O ~ Comm. of Ed. 5. 00 Affidavit Certified Copy NYS Surcharge 1S, O0 Other 4 Oil, 10020235 ReaIPropm ~ Tax Service Agency Verificatio Sub Total SubTotal Grand Total 1000 10800 0400 011002 )02 5 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 this instrument. Community Preservation Fund Consideration Amount $ 0 CPF Tax Due $ 0 Improved Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: William H. Price, Jr., Esq. PO Box 149 Greenport, NY 11944 VacantLand TD TD lb TD Mail to: Judith A. Pascale, Suffolk County Clerk J 7 J Title Company Information 310 Center Drive, Riverhead, NY 11901iCe. Name NONR www.suffolkcou ntyny.gov/clerk J Title # NON~. Suffolk County Recording & Endorsement Page This page forms part of the attached by: Jane B. Goeller (a/Ida Jane P. Ooeller) Quitclaim Deed (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. made TO IntheTOWN of Southold Jane FI. Goeller. Trustee of the Goeller Family in the VILLAGE Survivor's Trust or HAMLETof Mattituck BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) %Quitclaim Deed - Individual or Corporation CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY I THIS INDENTURE, made the ~~:5' day of ~__~ ~'~' , 2010 BETWEEN JANE B. GOELLER a/k/a Jane P. Goeller, residing at 349 Ridgecrest Drive, Santa Barbara, CA, 93108 party of the first part, JANE B. GOELLER, Trustee of the Goeller Family Survivor's Trust u/a dated April 5, 2010, residing at 349 Ridgecrest Drive, Santa Barbara, CA, 93108 party of the second part, WlTNESSETH, that the party of the first part, in consideration ofTEN ($10.00) dollars, lawful money of the United States paid by the party of the second part, does hereby remise, release and quitclaim unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, all of the Grantor's interest in and to a, LL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Mattituck, in the Town of Southold, County of Suffolk and State of New York as shown as Lot # 1 on "Map of William J. Baxter, Jr., Patricia Baxter, Robert A. Goeller, Jr. and Jane P. Goeller" filed in the Office of the Clerk of the County of Suffolk on May 15, 1990 as Map No. 8937. 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 fight 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. .IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. iN PRESENCE OF: JKNE B. GOELLER STATE OF NEW YORK:COUNTY OF SUFFOLK) ss: On the &~:~'~ day of C~::~'~'~. , 2010, before me, the undersigned, personally appeared JANE B. GOELLER a/k/a J~ P. Goeller, 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 she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. f~OTARY ~ ~rATE OF NEW YORK I~=RM EXPIRE~ OCTOBER 3, 20 ~0 PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http:fNMw.ofps.state.ny.us or PHONE (518) 474-6450 cl. sw~s Codo REAL PROPERTY TRANSFER REPORT STATE OF HEW YORK C2. Data Deed Recorded ~TATE BOARD OF REAL PROPERTY SERNIGES (:3. Rook I C4. Paso I I PROPERTY' INFORMATION I t. ~ 19625 Hain Road [ Southold [ ltattttuck [ 11952 .lane B. Goeller, Trustee oF the Goeller IFaaily survivor's Trust Billing If other then buyer addroas (at boTt~ of' form) [ [ 4. Indfeal~ the number of Aesesmnoxt [ iI [~ {Ordy if Part of · Fam.l) Chadz es the,/epp¥ Roll petiole trans~ned on the deed · . -. e of Parcels OR,~J Pen of e Parcel iA, Rannlng Board with Subdivision Authority Exim 5. RO~I 4B, Subdivision Aaprovel was Required for Transfer Pmper~ I I x [ I OR I .2 . 3 . I I ~. Panel Apl~o~d for Subdivision with Mop Pmvidbd LS.t~ I Goeller I Jane B. aka Jane P. FIRST NAME 7. Cb~k the box belw whieh m~st leeuritaly describes ~e aM of t~ ~ ~ ~e time d Mil: B ~2 or 3 Family R~idential F ~ Commercial Industrial (~~ G~ Apa~ment Publi~ ~wi~ D Lend~ Ente~ainment/Amu~ment Forest Cheek the M)xes bdow es thW epp~ 8. Ov~erahip Type is Condominium [] 9. New Conmmctioo on Vacant Land [] I~L Properly Located within an Ag~cultural Distdc~ [] 10B. Buyer ~ e de.nauru notke ir, dmtlng [] that the properly is in en Agricultural Dis!.rict SALE INFORMATION 11.$.feCmm'e~Dm I / .A / I 12. Date of 8ale / TrenMM 13. Full hie ~ I , , L ' ' : ' ' L O , 0 I IFull ~re ~e is the total amount ~id ~r the pro~y inclu~iflo ~r~nal pro~. ~is ~yment ~ ~ ~n the farm of ~sh, other pmpe~ or good~ or the essum~ion of mo~ or ozher obligations.) ~M~mundm~e~mst~lara~nL ASSESSMENT iNFOR~TION - 16'YeaeM~esemoxtRoll/TemI 1(~ I 17. TmdAesaoxsdVelox(ofellpmmbinb-ans~')~ ~ iMormat~n taken lg. lb~perPjClaes 14 , 8,4 1S, Ch~-k o~e M m~ of the~ ~ndltlom es ll~llra~le to ~re ~en Rel~ or Foyer ~fetiv~ One ~ ~e B~rs Is el~ a ~Jer B~r or Seller fe G~rnment ~en~ or ~ndi~ Inatlt~on ' ~ T~ n~ Wa~nW or ~ain and ~le (Sp~i~ BoI~) ~1. of F~ionel or La. than ~ Inte~ ~re of Busi~ is l~lud~ th Sale ~her Uflu~al Fa=um A~lng ~le ~m (S~l~ Bel~) · . I-gJ 1~. S~oxl Olm~L't NIM~ I ½ ½ .I .g.7 .o.ol ! t/attttuck/Cutchogue I L~I. Tox Map IdMRIPaHS) / Roll IdoxlffiM(S) ~f mom than four. ~tt~eh ebest I t000-108.00-04.00-01t.002 J I I I I I I I CERTIFICAllON I (t, rti~ thai id] d' the Sm of Ird'ormithm entered ga Ibis ronn ar~ tru~ '.md cent, ct tm the best of my I~o~kd~ and f~4k~l m~l [ under.nd that the oxddn~ el' axe' ~dll~ False mtemeat ed' maL-q'~] ta~ ~ will mbjm me to lite provbimt,~ of [the penal taw ~4afi.,'e to the makJ"" wd re.. d ~ le~rement~ BUYER BUYER'S ATrORNEY Santa BArbara I CA I 93108 RELLER Price, Jr., Esq. William I 631 477-1016 I I NEW YORK STATE COPY 349 I Rtdsecrest Drive