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Home My WebLink AboutL 12680 P 734SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Number of Pages: 3 ReceiptNumber : 11-0141368 TRANSFER TAX NUMBER: 11-10756 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Seotion: Block: 125.00 04.00 ~NED ~ CHARGED AS FOLLOWS $0 .oo 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 No~a~ion Cert.Copies $0.00 NO RPT Transfer ~ax $0.00 NO Comm.Pres Fees Pa~d TRANSFER TAX NUMBER: 11-10756 THIS PAQZ iS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 12/29/2011 03:55:36 D00012680 734 Lot: 014.000 $20.00 $15.00 12s.oo o.oo $30.00 $0.00 $220.00 Exempt NO NO NO NO NO NO Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. Mortgage lnstmrr~nt I~ed t Mortgage Tax Stamp FEF_~ R~¢ORDED ~11 C~c ~3 03:5~:36 PH JUDITH fl. PAniCLE CLERX OF SUFFOLK CO~TY L D000t2680 P 7~4 OT~ 11-10756 Recording t Filing Stamps Page I Filing Fee Handling TP-58A Notation EA-52 17 (County) EA-5217 (State) R.P.T.S ,A. Comm. of Ed. Affidavit Certified Copy NYS Surcharge Other 1 Dist. lOOl Real Property Tax Service Agency 'verification 9%"' -" Sub 15. 00 Sub Totat Grand Total '11028139 zoo~; ~.25oo 0400 1 Mortgage Amt. 1. Basic Tax 2, Additional Tax Sub Total SpecgAssit. or Spec. lAdd. . .............. TOT. MTG. TAX Dual Town __ Dual County.__ H61d 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 ~.. ~1 IL~O, see appropriate tax clause on ~ /FRa"~e~# __. of this instrument. 0~4000 o s I Commm~ity Preaetvatlon Fund Consideration Amount $ -O- CPF Tax Due $ -o- Sat]sfact]ondD~scha es/Re '~ Improved X I ] I. ARE & FOLIS, gSqS. ~ TD __ 10 I P.O. Box 973 · / I Mail to: dudith A. Pascale, Suffolk Gounty G~erk I ? ] Title Company Information I 310 Center Drive, [:live~ead, NY 11901 Suffolk County Recording & Endorsement Page This page forms part of the attnchcd Deed with retained life estate (SPECIFY TYPE OF INSTRUMENT) made by: IiARBARA DICKER$0N The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of $outhold KEVIN J, DICKERSON, DEBORAH A. ROHLA, ln theVILLAGE DIAIqE M. ROI(ES and DAVID C. DICKER$0N, Laurel aa tenan~-a {..,~.~ or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING, Page I of 3 (over) Form ~002 -- Bargain and Sale Deed, with Covenant against Orantor's Acts -- Individual or Corporation (Single Sheet) NO. N.Y.S. REAL ESTATE TBANSFER TAX REQUIP~D. THIS lNDENTURE~ made the 20t~ay of December intheye~r 2011 BETWEEN BARBARA DICKER$OS, residing at 3220 Delmar Drive, Laurel. New York, 11948 pany~thefa~mm, and KEVIN J. DICKERSON, residing at 125 Jakes Lane, Calverton, New York, 11933; DEBORAH A., ROHLA, residing at 22410 Jay Drive, Spring, Texas, 77373; DIANE'M. KOKES, residing at 227 North Lucia Avenue, Redondo Beach, California, 90277; and DAVID C. DICKERSON, residing at 9350 North Bayview Road, Southold, New York, 11971, as tenants in common. party of the second part, WITNESSETH, that tl~ party of the first part, in consideration often dollars and other valuable conaideratio~ paid by thc party of the second part. doea hereby grant md r~lr. ase unto the party of the second part. lhe heirs or suc~$sors and assigns of thc p~'y ofth~ s~unnd pa~t fore,er. ALLthatcertainploLpi~ceorpatcelofl~d, with thebuil~n~ ~dimpwvgm~ thm:oner~teA, aitua~, lyingandbeing at Laurel, in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot 36 on a certain map entitled "Map of Laurel Country Estates", and filed in the Suffolk County Clerk's Office on June 22, 1979 as Map Number 5486. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated May 28, 2002, and recorded in the Suffolk County Clerk's office on June 18, 2002, at Liber 12192 Page 438. RESERVING, however, to the party of the first part the exclusive possession and the use and occupancy of the above-described premises for and during the natural lifetime of the party of the first part, with the party of the first part to pay for all maintenance and repairs, water cha=ges, insurance charges and taxes relating to said premises. TOG%WrHER with all righl, title and intnv.$t, if ~ny, of the party of the firat part in and to any strcrlz and wads abutting the above de, scribnd preanise~ to thc center lines thereof', TOGETHER with th= appurtenances and all the e~tato and rights of the party of tile first part in and to said premises; TO HAVE AND TO HOLD the premise.~ hear, in grantezl unto the party of the s~cond part, th~ he'in/or successors and assigns of th= party of the s~cond part forever. AND thc party of the fu~ part covenants that thc pa-,iy of tim first part has ~ ~n~ or suff~ ~n~in$ whmby · e ~ ~i~ hay= ~ ~cum~ in ~y way wha~, exert ~ afo~s~d. ~ ~ p~ of ~ f~ pm, in ~plian~ wi~ ~fion 13 of ~e Li~ Mw, co~ ~at ~e p~ of p~ ~ll ~civ~ ~ ~d~on for ~is conv~c ~ will hold ~c fi~t ~ ~vc $~h cold.on ~ a ~st Mhd ~ ~ a~li~ f~ f~ ~c p~ of payi~ ~ c~ of ~ im~v~t ~ ~ll a~ly ~c ~ pa~en/Of ~e ~st of ~ impmv~=m ~om ~i~g ~y ~ of ~ t~ of ~e ~e f~ any o~ lrN WITNESS WHFJlF_I)F, tim parey of thc fir~i part has duly cxccumd this dr~ the day and y~ar in-at abo~c written. IN ~CE OF: Barbara Dickerson Page 2 of 3 A'CKROWLF..~EMENT TAKEN IN NEW ¥O_RK STATE SUite of N~v York Cr~nty of Suffotk . On 1~ 20t~ of ~ecem~e; , in the ~r 2011, ~m me ~ und~n~, pe~eily a~md BAR~ DICKER~N, ~ly kn~ ~ me ~ p~ to me on ~e ~a of ~in in~m~nt a~ a~ed~d ~ me ~t s~ ~ ~ same in ~r ~, ~d th~ ~ her sign~um on I~ in~, ~e rnd~i~l or t~ pe~n u~n ~helf of ~i~ 1~ i~i~dual e~d, ~d the in.meN. ~ Public &CKNO~E~EME~ T~EN IN N~ YORK STA~ ~ of Coun~ of . On the day ~ . in ~e y~r 20 , ~f~ me the u~emign~, ~mo~l~ a~md p~n~ly k~ m me or pm~d ~ me on the b~s ~ s~b~ ev~e~, te be ~e ind~uei(s) whose na~(s) ~ (am) sub--ed ~ ~e ~in inseam and a~e~e~ ~ me thM (he) (she} (~) ~md ~ ~me · (his) ~) (thiO' m~(ies), and ~1 ~ (his) (~ (~ei0 si~m(s) on ~e instmm~t, ~e in~al(s) or t~ pe~n u~n beha~ of ~i~ instant. ~CKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN IN NEW YORK STATE State of County cf . On Ihe day ef , in the year 20' , before me the undersigned, personally appeared the subscribing witness to the fm'egoing instrument, with whom I am Pemonal¥ acquainled, who being by me duly sworn, did depose and say, that (he) (she) (they) reside(s) in ; bhat (he) (she) (they) know(s) to be lhe individual descril~e~ in an;I v/no executed the foregoing inslrument; t~at said subscribing witness was present end raw said execute the same; and that said w~tness at lhe same time subscribed (his) (her) (their) name(s) ~s a wilnesa 1hereto. A.C_KN_O1NLEDGEMENT TAKEN OUTSIDE NEW YORK STATE * State of County of . ss: * (or insert ~istrtot of Columbia, Ten'itory, Possession or Foreign Counay) On [he day of . in the year 20 . before me the undersigned, personally appeared pmsonally 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 ~thin instrument end e~nowle~ged to me that the) (she) (they) executed the same in (his) (her) (their) cepadty(ies), and that b~r (his) (her) (their) signature(s) on lhe instrument, the individual(s) ct the per;on upon behalf of which the individual(s) ac~ed, executed the instrument. BARGAIN AND SALE DEED Title No. BARBARA DICKP. RSON RETURN BY MAIL TO LARK & FOLTS, ESQS. P.O. Box 973 Cutchogue, NY 11935 To KEVIN J. DICKERSON, DEBORAH A. ROHLA, DIANE M, KOKES and DAVID C, DICKERSON, as tenants in common. Dist~cl: 1000 Section: 12~.00 BIAS: 04.00 Lot: Town: Southold Distributed By Chicago Title Insurance Company Page 3 of 3 PI.E~qE TYPE OR PRESS FIRItY WHEN WRmNG ON FORM iNSTRUG'llONS: htlp'./Jwww.~p~.ltlte, ny.us ot PHONE C51~ 474-6450 RF.~L F'ROPEKTY TIMNSFER REPORT STATE OF NBIN ~ M'&TE BQ/d~D ~: REN. Iq~PERIY :B~'VICGB RP - 5217 1.1~I 3220 I ~ellar o=tva I ("8ourhold '~ Dn Addllm I Laurel 111948 I I Kmvin J. I I Barbai:a I I Liltu:ll I ~ · 11918 I fl]Id~ I Pllt d ~ l,l,md Cl~k m tll~ .gW/: ,l. Subtr~v/iM Kqk~mll wlS K~luir4d k~ Tmmhr [] [] ~t [~ll rlllhd I d[[[lt l[1 hJi~ [] Barbara I D~ a~m ~ ~ ~/~ I / I [ ~.Dmdm,/~:,,d, I 12 / 20 / 11 I I L~ ~uaumm ?i~bml~~ ll, P, qu,~am I 2.1 . 0 I-I I l~ld~immmN.M I Kue,-ttuc:k-~utchosua ..... ~.O,OlOI ~Im IW J / .d kkmilmW I mrna ~m. W, m m ~i~ M~w k~ I 1000-12f ' O0-Oill" 00-01 ~l 1000 I I r I I I I i Cllly tlutd d' lll* Illl d' hl~mlllu / m 1M1 b'u ire tm~ ld ~tTl~ rio b Ilt d lUF kl.~ K ~ d I ~ h b d dlly w~Rd him I er mmerhl list heelb ,,~l ml~ i t~ b ~ rdall~ l- b mmltllll md I~lll d' b ~ BUYEI~S A'rlORl~ mfl~ KevJ. n J. Dlcker$on [ Jakes Lane ~¥erton I ~ [ 11933 Barbara Dicketson l~rk & Yolta, E.qs. [ 631 I 734-6807 I NEW YORK STATE COPY