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Home My WebLink AboutL 12682 P 142SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Number of Pages: 4 Receipt Number : 12-0004366 TRANSFER TAX NUMBER: 11-11882 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 109.00 05.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $20.00 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: 11-11882 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE COunty Clerk, Suffolk County Ol/12/2o12 02:15:32 PM D00012682 142 Lot: 014. 013 $20 00 $15 00 $125 00 $0 oo $30 00 $0 oo $225 00 Exempt NO NO NO NO NO NO Number of pages TORRENS Serial # Certificate # Prior Ctf. # ,I Deed, Mortgage Instrument Deed / Mortgage Tax Stamp RECORDEO 2012 Jan i2 02:15:32 PM JUDITH R. PflSCRLE CL£RK OF SUFFOLK COUNTY L D00012682 P i42 DT~ 11-I1882 Recording / Filing Stamps FEES Page / Filing Fee Handling TP-584 Notation EA-5217 (County) EA-5217 (State) R,P.T.S,A. Comm. of Ed. Affidavit Certified Copy 5. 00 Sub Toml Reg. Copy ' Sub Total Other ['~ Grand Total ........ lOGO · 4 District I Section Real Property Tax Service Agency Verification 11027482 zooo ~.0900 0500 o:t,~ol3 ol~t,Ot~ i Mortgage Amt. . ..__ 1. Basic Tax 2. Additional Tax Sub Total Spec. / Assit. or Spec. / Add. TOT. MTG. TAX Dual Town .., Dual County __ Held for Appointmentta( Transfer Tax Mansion Tax The property covered by this motgage 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 $ ~V' ' ,~PF~rax Due' Improved Vacant Land Satisfaction/Discharges/Reichs," Ligt Pr3perty Uwners'~natnng ~udress RECORD & RETURN TO: ~_._~ ~ TD 7 I r~itle Company Information //ess- Title # p Y o~.3"~ / ~.~ 8'1 Suffolk County Recording & Endorsement Page This page forms part of the attached made by: /' The premisis herein is situated in SUFFOLK COUiqTY,_ NEW~.~ In the TownshiP of ,~ C) t2"- ~L.~-~.~~ TO //~ffg"'~ ~%tn~--~ Inthe VILLAGE or HAMLET of BOXES 6 THROUGH 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) Baq~ain and Sale with Covenants against Grantor's Acts CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT- THIS IHSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS ENDENTURE, made the BETWEEN 30 day of NOVEMBER, two thousand eleven, KAREN L. PAULICK and WALTER R. PAULICK, as Tenants in Common, residing at 2700 Fairway Drive, Cutchogue, NY 11935 party of thc first part, and padyofthe second part, KAREN L. PAULICK, residing at 2700 Fairway Drive, Cutchogue, NY 11935 WITNESSETH, that the party of the first pan, in consideration of Zero 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. ALL, that certain plot, piece or parcel of land with the buildings and improvements thereon erected, situate, lying and being in the SEE SCHEDULE A ANNEXED HERETO BEING AND INTENDED TO BE the same premises conveyed to the grantor herein by deed dated 6/18/2002 and recorded 7/10/2002 in Liber 12196 Page447 Said premises being known as 2700 Fairway Drive, Cutchogue, NY 11935 RESERVING A LIFE ESTATE FOR WALTER R. PAULICK 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 KAREN L. PAULICK WALTER R. PAULICK USE ACKNOWLEDGMENT FORM BELOW MTHIN {]SE dCKNOWLEDGMENT FORM BELOW W1THIN NEW'YORK Sm TE ONLY NEW YORK STATE ONL Y: STATE OF 'NEW YORK, COUNTY OF SUFFOLK: STATE OF NEW YORK, COUNTY OF. On the~') day of ~" intheyear 2011 Onthe dayof in the year 2011 Before me, the undersigned, personally appeared before me, the undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to the individual whose name is subscribed to the within instrument and acknowledged to me that she executed 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. Notary KAREN O'CONNOR Notary Public, State of New York No. 0 f 0C6141724 Qualified in Suffolk County Commission Expires February 27, 20._.[. 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(les), and that by his/her/their signatures(s) on the instrument, the individual(s), ur the person upon behalf of which the individual(s) acted, executed the instrument. Notary ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONL Y: (Ne~ York Subscribing Wimess Actmo~,ledgment Certificate) STATE OF New York COUNTY OF Suffolk ss: On the day of in the year 20 before me, the undersigned, personally appeared the subscribing witness to the foregoing instrument, with whom 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 the individual 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 name(s) as a wimess thereto. ACKNOWLEDGMENT FOR34 FOR USE OUTSIDE NEW YORK STATE ONL Y: (Out of State or Foreign General Acknow[edgment Certificate) STATE OF FLORIDA COUNTY OF On the day of in the year 201 , 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(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 City of , State of Florida. (Insert the city or other political z'ubd~v~sion ancf the slate or country or other place the acknawledgment was taken). Notary Notary BARGAIN AND SALE DEED Title No.: £ KAREN L. PAULICK & WALTER R. PAULICK TO: KAREN L, PAULICK RESERVING A LIFE ESTATE FOR WALTER R. PAULICK D1STRICT SECTION 109.00 BLOCK 05.00 LOT 014.013 COUNTY OR TOWN SUFFOLK/CUTCHOGUE STREET ADDRESS 2700 FAIRWAY DRIVE RETURN BY MAIL TO: KAREN L. PAULICK & WALTER R. PAULICK 2700 FAIRWAY DRIVE CUTCHOGUE, NY 11935 PRIMARY LAND SERVICES, LLC Title No. PY25813S SCHEDULE A ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, at Southold, County of Suffolk and State of New York, being known as lot no. 13 on a certain map entitled, "Map of Fairway Farms" filed in the Office of the Clerk of the County of Suffolk on 2/15/74 as map no. 6066, said lot being bounded and described as follows: BEGINNING at a point on the westerly side of Fairway Drive, where the same is intersected by the division line between lot 13 and 14 on aforesaid map; THENCE north 89 degrees 12 minutes 10 seconds west, 225.59 feet; THENCE north 00 degrees 47 minutes 50 seconds east, 180.00 feet; THENCE south 89 degrees 12 minutes 10 seconds east, 225.59 feet to the westerly side of Fairway Drive; THENCE along the westerly side of Fairway Drive, south 00 degrees 47 minutes 50 seconds west, 180.00 feet to the point or place of BEGINNING. FOR CONVEYANCING ONLY The policy to be issued under this report will insure the title to such buildings an~t improvements erected on the premises which by law constitute real property. TOGETHER with all the right, title and interest of the party of the first part, of, in and to the land lying in the street in front of and adjoining said premises. PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http:l/vMw.orps..state.ny.u.s or PHONE (518) 474-6450 Date Deed R~rded I / / I , ~ STATE BO~D OF R~L PROPE~ 8ER~CES L -.,., .' ;P- 52 7 PROPERTY INFORMATION I 2. B.~ i 'tC~.~ I I I I 3. T~ Indi~ whom ~u~ Tax Bil~ am m ~ ~nt Billing if ~or ~ burr a~r~ la ~m of ~m) I I I 4. Indium the number d ~l~t ~ (~ Roil pakula ~an~ ~ the ~ r ~, ~ J ~ of Pamols OR~ PeK of I SALE INFORMATION I 11. Sale Contrn~t Date I / / I 12. D. of Sale , TranMer IIX / ~/~X% 13. ~11 ~ ~iG, I . . ~ . . ~ . ~.. 0 I CFull Sale Price is the total amount paid for the property mcluding parr~onal property. This payment may be in the term oB cash. ether propa~y et goods, or the essumptmn of l& Indieata trim value Of Ifemenal I , , BB , 0 I ~ ,~,.d.d in d.. ca,. i ~ ' B: C 0 E Gl lEI I $ ~' mm ef theue ee~ aa Kapli~ll ta Fo~r ~lati~s ~le ~n Related ~m~ni~ or PaRnem in Busings ~the Buve~ is also a ~ller B~r or ~ller is G~mmem ~e~ or ~nding I~ution ~ T~ m Wermfl~ or ~ain and Sale (S~i~ ~1~) ~le of Fr~onal or ~ than ~ I~ (S~iN ~1~ Signifi~nt Change in ~ ~n T~abln S~us and ~fe Da~ ~lo of Bu~fleca is Inclu~d in ~le Price ~her Unusual F~m A~ng Sale ~ (S~i~ ~1=) None I ASSESSMENT INFORMATION- O.ta should reflect the latest Final Assessment Roll and Tax Bill I c~, It Y,m' of Ae.~aammlt Roll lmmr I, ~ I 1'7. Total ~ Value Id eib pIBr~l~ h t~e~f~') I I v/Mob iMMm,tio, tam il. . , / ~ L-,I^ ,~l ,.[ ' . 20. Tax Map IdentifieKsl [ Roll IderdifiM(sB {If mm thlm fo~r, attach ~heet ~ additional kleetifim,l~l I Lo-i' ol~. Ot_-"~ I I I I CERTIFICATION I I certify Ilar .,Il ~i' de Ilem~ ef infeemaden eltleI~d on Ihk fora ~l lee und corre~ (lo Ihe ~ d la)' knm*b.~lRe and Ix4ie~ and [ understand dmt the inuldng 4d' ant vii[fid fnt<e stattquenl el' mai,rial P. Itt herein Mill .~ub, jt, t't me In iht, prevNiues of the penal law rMalJ,,,e to the maldn~ and rdJn~ of rnl.w irdtrumenL~.. BUYER BUYER'S ATTORNEY I NEW YORK STATE COPY