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Home My WebLink AboutL 12644 P 51SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 4 Receipt N,~m~er : 10-0136764 TRANSFER TAX NUMBER: 10-08713 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 115.00 15.00 EXAMINED AND CHARGED AS FOLLOWS $o.00 Received the Following Fees For Above Instrument Exempt Page/Filing COE EA-CTY TP-584 Cert. Copies Transfer tax $20 00 Ss 00 $5 oo SS 00 $o oo $0 00 TRANSFER TAX NUMBER: 10-08713 NO Handling NO NYS SRCHG NO EA-STATE NO Notation NO RPT NO Comm. Pres Fees Paid THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 11/23/2010 02:16:26 PM D00012644 051 Lot: 005. 000 $20 00 $15 00 $125 00 $0 0o $30 oo $0 0o $225 O0 Exempt NO NO NO NO NO NO Number of pages This document ~vill be public record. Please remove all Social Security Numbers prior to recordinD. RECORDED 2010 Nov 23 02:16:26 PM JUDITH fl. PflS¢flLE CLERK OF SUFFOLK COUNTY L 000012644 P 051 DT# 10-08713 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp I Recording / Filing Slamps Page 1 Filing Fee Handling TP-Sg4 Notation EA-52 17 (County) EA-52 [ 7 (State) R.P.T.S.A. Comm. of Ed. Affidavit Certified Copy NYS Surcharge Other 5. 00 5. 00 15. 00 Sub Total Sub Total Mortgage Amt.' 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec. lAdd. TOT. MTG. TAX Dual Town __ Dual County Held for Appointment,,,v~___ Transfer Tax /JF__,/' Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES or NO Grand Total If NO, see alSpropriate thx clause on ' page # of this instru ,4 Dig~10025768 xo00 ~Soo ~500 OOSOOO ~9~. 000 5 .Community_ Preservation2Fund.. Real Pro (RTD~ ~Ax~ Consideration Amount'S Tax Serv ~ Agenc CPF T~ Due $ Verifica ' hnproved ~ [ Satisfactions/Discharges~eleases List Property Owners Mailing Address 0 I RECORD & ~TURN TO: ~ Vacant Land I Mail to: duflith A. Pascale, Suffolk Gounty Clerk [ 7 [ Title Company Information [ 310Center Drive, Riverhead, NY 11901 ICc Name ~ I www. suffolkcountyny, gov/clerk I Ti,i~ ~ ~ z ~ / G~ C~ W~X.~ ' ]Suffolk County Recording & Endorsement This page fo]'ms part of the attached made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in NEW tn the TOWN of' ~ ~"~) / or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. Il q:oo 005.000 Bargain and Sale with Covenants against Grantor's Acts CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT- THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made this 12tn day of November, two thousand ten BETWEEN JACOB J. WALTZ AND DANIELLE RZESZUT 575 THERESA DRIVE MATTITUCK, NY 11952 party of the first part, and JACOB J. WALTZ AND DANIELLE WALTZ 575 THERESA DRIVE MATTITUCK, NY 11952 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 the party of the second part, the heirs or successors and assigns of the party of the second part forever. See "Schedule A" attached hereto and made a part hereof. Being and intended to be the same premises as conveyed to JACOB J. WAITZ AND DANIELLE RZESZUT, by deed dated August 1, 2006 and recorded August 10, 2006 in Liber 12463 at cp. 734 in the Office of the Clerk of Suffolk County. TOGETHER with all right, title and interest, if any, of the party of the first part in and to any street 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 covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered 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 improvements before using any part of the total of the same for any other purpose. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above writlen. DANIELLE RZESZUT ~ USE A CKNO I~'LEDGMEN T FORM BEL OIb' IFI THIN NE IV YORK STATE ONLY STATE OF NEW YORK, COUNTY OF SUFFOLKss: Ou the 12TM da)' of November in the year 2010 Before me, the undersigned~ personally appeared JACOB J. WALTZ AND DANIELLE RZESZUT personally known to me or proved to me on the basis of satisfactory evidence to the individual whose name is subscribed lo the within inslrument and acknowledged to me that she execuled the same in her capacity (les), and that by her signature on the instrument~ the individual, or the person upon behalf of which the individuals acted, executed the instrument. STATE OF NEW YORK, COUNTY OF ss: On thc day of in the year 2010 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/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signatures(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. MICHAEL A. FERRUGGIA Notary Public, State of New York No. 02FE5027836 Qualified in Suffolk County Commission Expires Ma,/16, ~ ACKNOtI/LEDGMENT FORM FOR USE IVITHIN NEW YORK STATE ONL Y: (New York Subscribing Witness .,tcknowlcdgmcnt Certificate) STATE OF COUNTY OF ss: On thc day of in the year 2010 before mc, ibc undersigned, personally appeared the subscribing witness to the foregoing instrument, with whmn I am personally acquainted, who, being by me duly sworn, did depose and say that he/she/they reside(s) in that he/she/they knows(s) to be ibc individual described in and who executed the foregoing instrument; that said subscribing witness was present and saw said execute the same; and that said wilness at the same time subscribed his/her/their name(s) as a witness thereto. Notary ACKNOIVLEDGMENT FORM FOR USE OUTSIDE NEW YORK STATE ON£ Y: (Oat of State or Foreign General ,4cknowledgment Cerlificate} STATE OF COUNTY OF ss: On the day of in the year, 2010 before me, the undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individuat(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), 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 the (Insert the city or other political subd£vixion and the state or country or other ptace the acknowledgment was taken}. Notary Notary BARGAIN AND SALE DEED PRIME MERIDIAN ABSTRACT#PM-1416-S JACOB J. WALTZ AND DANIELLE RZESZUT TO: JACOB J. WALTZ AND DANIELLE WAITZ DISTRICT I000 SECTION 1 i 5.00 BLOCK 15~00 LOT 005.000 COUNTY OR TOWN SUFFOLK, SOUTHOLD STREET ADDRESS 575 Theresa Dr., Mattituek RETURN BY MAIL TO: MR. & MRS. JACOB J. WALTZ 575 THERESA DRIVE MATTITUCK, NY 11952 Title Number PM-1416-S SChedule A Descrll~ert Page ALL THAT CERTAIN PLOT PIECE OR PARCEL OF LAND SITUATE, LYING AND BEING AT MATTITUCK, IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, AND STATE OF NEW YORK, KNOWN AND DESIGNATED AS LOT NO. 41 ON A CERTAIN MAP ENTITLED, "MAP OF DEEP HOLE CREEK ESTATES" AND FILED IN THE OFFICE OF THE CLERK OF THE COUNTY OF SUFFOLK ON JANUARY 28, 1965, AS MAP NO. 4256, WHICH SAID LOT IS MORE PARTICULARLY BOUNDED AND DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE EASTERLY SIDE OF 'THERESA DRIVE DISTANT 520.00 FEET SOUTHERLY FROM THE CORNER FORMED BY THE INTERSECTION OF THE EASTERLY SIDE OF THERESA DRIVE AND THE SOUTHERLY SIDE OF NEW SUFFOLK AVENUE; RUNNING THENCE SOUTH 87 DEGREES 19 MINUTES 20 SECONDS EAST, 182.00 FEET; THENCE SOUTH 02 DEGREES 40 MINUTES 40 SECONDS WEST, 110.00 FEET; THENCE NORTH 87 DEGREES 19 MINUTES 20 SECONDS WEST, 182.00 FEET TO THE EASTERLY SIDE OF THERESA DRIVE; THENCE ALONG THE EASTERLY SIDE OF THERESA DRIVE, NORTH 02 DEGREES 40 MINUTES 40 SECONDS FAST, 110.00 FEET TO THE POINT OR PLACE OF BEGINNING. FOR COUNTY USE ONLY j!,., .{?, to,... C~.eooai 1,2,{Piq,L~'Ic~,.PBaoi L, PROPERTY INFORMATION I I ~ I ~ i ~lllia~ il ~ tha. ~{ ~ lit ~ ~r {emi ~ I 4, Indicate tho numblr of Asset Roll ioemele transferred on the deed i , 5. Did ......, Name ;0 P PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http:/NA~v, orps.state.ny.us or PHONE (518) 474-6450 I i-~ REAL PROPERTY TRANSFER REPORT I~ . . . STATE OF NEW YORK STATE BOARD OF REAL pROPERTY SERVICES ,~, I i RP - 5217 I~O~lT Rev ~ , / I #of Parcels OR I~1 PenofePemal IoRI · · ~c..' .~.~i 7. Ch~k t~x b~ow whlsft mo~ ~re~ d~rlb~ ~e u~ ~ the ~o~ ~ ~e time M ~le: A ~ One Family Residenti,I E ~ AgriCultural [ ~ CO .... i~ S,~, B ~ 2 or 3 Family Resldanual F ~ C ...... iai J ~ Indu~al I)~ Non~esidentialVa~ntLa~ H~ Enla~ai~mentlAmu~ment L~ Forest I IOnly il Part of a Pardi ~haek oe they andy: lA, Ftanning BM~ Mth Su~M~ Aummlw Exi~ ~ ~: Su~i~siofl ~1 w~ R~ui~ ~r Tmn~ ~ ~. Pam=l ~ for Su~i~ion ~th ~ Pmvi~ ~ , Cheek the boxes halew os they ~: 8, Ownemhip Type ia Condominium [] 9. New Construction on Vacant Land[] t0A. PmparPf Locamd within ap Agricultural Disuic[ [] 1OB. Buyer reeei~dd a dilClOSum ~otJce indicating [] IJ'.a t The pmpe~ is in en Agricult urel District I SALE INFORMATION I 11.6lie Controct Dote D~ '' YMr (Full Sale Price is [he ~o~ amoum paid ~r the pm~ including ~mnal ~ ~ia pa~ent may ~ in the form M ~sh. mher pro~ or G~s, or the assu~ptiofl G[ me,gages or other obllgatloce.) ~u~theflM~wholedol~a~ou,t. I I ASSESSMENT INFORMATION - Data should ~e~ the latest Final Assessment Roil and Tax Bill Cheek ere M rome .f ti.we eonditierm ea e~e to ~an~ ~ ~le ~ofl Relad~s or Former Relati~s ~ ~le ~en Related Com~ni~ or Pa~em in Business ~ One of the B~rs is al~ a ~ller ~ B~r or ~ller is G~mment ~en~ or ~ndi~ Instit~on ~ ~ T~ ~ Wa~an~ or ~ain and ~1o (SpKIN Bel~) ~ ~le ol FraG~ional or ~ than Fee Inte~ (S~i~ ~1~ ~ Srgnifl~m Chan~ in Pm~ ~en Ta~ble S~tus and Sale ~ Sale off Busin~ is Inelud~ in Sale ~i~ ~er Unusual F~m A~ing Sale ~ ~ Non* 1LYe.r of AsNssmeot RollfTom 10~. iQ which isfemmtion token t 17. Total Aaees~ad Value (of iii pamela in troflsflf) I ,. o,.., ,,.,_,_.Name, 20. Tax &Nap Idintifierl$1 I Roll klenti~s) (ff o~re than flor, attach sheet wilh additioeel identiliorltll L J I J CERTIFICATION I I curtiS,.' thai ell or the Ilem.~ or Inl'ormatlea Lmt~ m (hb foz'm aw tru~ and mm.,cL ItU Ihe host or m.~ kr, o~bed[Ke ~ halk~ a.d I und~-dtagd Ihat thr make.R or.~ ,,uvol r.t~ ~..me.t of .=L-.-~ ra~ he~a~ ~,i0 &mbJKt me ts) the pro~t~Jom M the pul la,,.r n4ad'.e to Ihs mekhll sad ITIinK or raise Imanaaenbi. BUYER'S A'I'rORNEY LAST N~L~ FIRST NAME I NEW YORK STATE COPY