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Home My WebLink AboutL 12638 P 428SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 3 Receipt Number .- 10-0111854 TRANSFER TAX NUMBER: 10-04208 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 108.00 04.00 EXAMINED AND CHARGED AS FOLLOWS $o.oo 09/24/2010 09:14:22 AM D00012638 428 Lot: 011.003 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: 10-04208 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Exempt $20.00 NO $15.00 NO $250.00 NO $0.00 NO $30.00 NO $0.00 NO $345.00 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 / Mortgage Instrument RECORDED 2010 Sep 24 09:14:22 RH JUDITH fi. PflSCflLE CLERK OF SUFFOLK COUNTY L D000126~8 P 428 DT# 10-04208 Deed/MortgageTax Stamp I Recording /Filing Stamps FEES Page / Filing Fee Handling 5. O0 TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. 50 / Comm. of Ed. 5. 00 Affidavit Certified Copy NY.S Surcharge 15, 00 Other Sub Total Sub Total Grand Total 4 l Dist, 10020232 ~ooo zoeoo 0400 o~oo3 03 I Real Propen //~PZ ~A'"~ , Tax Service Agency Verificatio~ Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: William H. Price, Jr., Esq. PO Box 149 Greenport, NY 11944 J Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total 5pec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointment~7.__ 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. 5 Community Preservation Fund Consideration Amount $ O CPF Tax Due $ 0 Improved xx Vacant Land TD TD [~ TD Mail to: Judith A. Pascale, Suffolk County Clerk I 7 I Title Company lnformation 310 Center Drive, Riverhead, NY 11901ICc'Name www.suffolkcountyny.gov/clerk J Title # NONE Suffolk County Recording & Endorsement Page This page forms part of the attached by: Estate of Robert A. Goeller Exccutor's Deed (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTf, NEW YORK. made TO In theTOWN of Southold Jane B. Goeller. Trustee of the Goeller Family In the VILLAGE By-Pass Trust or HAMLET of Mattituck BOXES ~ THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (6ver} Standard NYBTU Form 8005- Executor's Deed- Uniform Acknowtcdgement CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the ~.._...~'T....I,~ day of~l~)O./~ ~-~'~ ,2010 BETWEEN JANE B. GOELLER a/k/a Jane P. Goeller, residing at 349 Ridgecrest Drive, Santa Barbara, CA, 93018, As Ancillary Executor of the Last Will and Testament of ROBERT A. GOELLER late of Santa Barbara County, California, deceased, Suffolk County Surrogate's Court File No.2010-1113 party of the first part, and JANE B. GOELLER, as Trustee of the Goeller Family By-Pass Trust u/a dated April 5, 2010, residing at 349 Ridgecrest Drive, Santa Barbara, CA, 93018 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 TEN ($10.00) ........................................................ 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 of Robert A. Goeller, Jr.'s interest in and to ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Mattituek, in the Town of Southold, County of Suffolk and State of New York as shown as Lot #2 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 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. IN WITNESS WHEREOF, the party of the first part has duty executed this deed the day and year first above written. IN__PRESENCE OF: STATE OF NEW YORK:COUNTY OF SUFFOLK) ss: On the _~'~' day of C~cX,,O'~'h'~ , 2010, before me, the undersigned, personally appeared JANE B. GOELLER, perso~t, lly 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. (~~~y Public ~_-5. NOTARY PUBLIC:, STATE OF NEW YORK NO. 4g,~'e~L ~IFFOLK COUNTY TERM EXlalRE80G'TOBER 3, 20 t ~ PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http:l/www.orps.state.ny.us or PHONE (518) 474~o450 FO. COU.T USE ON,YI Cl. SWlS Cod. I t .! '~ ~'~ I REAL PROPERTY TRANSFER REPORT PROPERTY INFORMATION I te~mvI /~15 I l[11jah'a t-are I Soul:hold I t4attituck I 11952 I Jane B. Goeller~LTruetee of the CoellarlFami]v I 3. Tu Indicate wham fvture Tax Bilic Bm tO Isa sent Billing i! cthar than bu!mr a~drese (at beltom of from) I , IIi # of Parcels OR~1 [ Pa~ of a Parcel leal I .8 .5 I IO~ht ff Part OF a Parnell Ched~ ~ they st~. 4A. Plannlng Bea~ with Subclivislon Actharily Exis~ [] 48. Subdivision AIxoroval wag Refluimd for Transfer [] aC. Pae~l A,oproved ~' SubdMalon whh Map Provided [] & Indicate the nulTIb~ O~ Alcasument 5. Deed 6. seller ] Estate of robert A.c.,~_11.r I I 7. Check the box ~ which most eosuretOly deec~Bse,J the use of the properly et the time of mole: B I~l 2 or 3 Family Residential · Commercial Industrial C 1~ Residential Vacant Land Apartment Publlc Seneca D L_J Non-Resldential Vacant Land Enmrlainmant ! AmusementForest 8. Ownamhip Type ia Condominium [] 9. New Construction on Vacant Land[] 10K Property Located within an Agricultural Oislrict [] 11~. Buyer received e disclosure notice indicating [] SALE INFORMATION 11. hid CO~IFSUt Date I / .A / Menl~ D~ Year lZDatoofsalelTrena'e, I ~ /~ / 20ZOI ~lh ~ Y~ 13. ~118de ~lca I ......... (Full Sale Pri~ is the t~al amount paid ~r the ~m~y in~udlng ~al papacy. ~ie ~yment may ~ In the farm OF ~h, ~her pro~y or g~e. or thg aeeum~ion ~oftoagea or ether obligationl. I ~ ~u~ ~ the n~ whole ~l~r amount. pm~ In~d~ In the ~le ~ ~ I 15. ~ oM or .mrs of b'lSos conditions os ,BIq~cable to ~r..-',..: Sale Between Related Companies or Panr..~ in Busincas One of the Buyers is also a Seller Buyer or Seller is Government AgenW or !-eflding Institution · Deed Ty~e net Warranty or Bargain and Sale (Specify Below) Sale of Fractional or I.e~s than Fee Interest (Specify Below) Significant Change in Property Between Taxable Status and Sale Dates I I I~ale of Business is Included in ~ale Price Other Uflusual F~oll~ Affeefitlg Sale Price {Specify SelOwl None I ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 18. Veer of Asoseemant Roll from I 1, 0 I 17. Total ~ Value Id stl pgrmle In vaos~er) I ,8 . 4 , 0 . 0 I wh~h b~onnmion tOhn ~ ~ ~ 18. PrepedyCleee I ~.~ . 0 [-L~J lO.~he~lDl~td~tlbme I "'~'('11~V/~,IP~*:11~ I Tax Map Idef~Re,(e) I Roll Identifia'lsJ (if aloes than her, atlach dicer ~ lddtJonel IdenflRerls)) 1000-108.00-04.00-01/.003 I II I I I I I CERTIFICATION ] certify Ihol ~g OF (he ilell~q OF int'ormalJml cBL,'fed on thb form are Into earl mrtect (tO the he~ of my klsew)ed~e aim ~ cad I uadendaad Ihat the nlakbl~ et' ely v~lBhl raise Stotamflll of nmtel~ll filct heldn ~ subject me to Ihe prm, Lqimtq ,1~ the IX'md blw IThllJve Io (he II1~11K Iutd rdJltg ~ h[~e InsmlmenLc.. BUYER 349 I Rldsecrest DElve Santa Barbai~a I CA I 93108 SELLER BUYER'S A'I'rORNEY P£ice, Jr., Esq. William H. I 631 I 6,77-1016 I NEW YORK STATE COPY