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HomeMy WebLinkAboutL 12683 P 25SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED N~mher of Pages: 4 Receipt Number : 12-0008279 TRANSFER TAX NUMBER: 11-12568 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 116.00 04.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 01/24/2012 01:26:16 PM D00012683 O25 Lot: 002.000 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: 11-12568 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL $20 00 $15 O0 $250 00 $0 oo $30 oo $0 00 $350 O0 Exempt NO NO NO NO NO NO 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. RECORDED · 2012 Jan 24 01:26:16 PM JUDITH ~. P~SCALE CLERK OF SUFFOLK C. OUNTi~ L D00012683 P 025 DT~ I ~-125~8 Deed/Mortgage Instrument Deed / Mortgage Tax Stamp I ReeD(ding / Filing Slamps FEES 31 Page / Filing Fee 'Handling TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed. Affidavit Certified Copy NYS Surcharge Other __,_] Dist. Real Property Tax Service Agency Verification ~-- Sub Total 5. O0 15.00 SubTotal ;S~) 12000635 iooo ~16oo o¢oo 002000 Satisfactions/Discharges/Releases List Property Owners Mailing Addless RECORD & RETURN TO: FREDERICK P. STERN ASSOCIATES 2163 SUNRISE HWY. ISLIP, NY 11751 Mortgage Amt. 1. Basic Tax 2. Additional Tax i Sub Total ! Spec,/Assit. or Spec./Add. · TOT. MTG. TAX Dual Town __ Dual County __ Held for,.Appointment~ Transfer Tax L Mansion Tax ' The property'covered by this mortgage is or will be improved by a one or twb family dwelling only. YES . or NO I If NO, see appropriate tax clause on .,~ I page # of this Instrun3ent, 5. I Community Preservation Fu Consideration Amount $ CPF Tax Due '$ ('7,/ h'nproved To I© TD Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY www.suffolkcountyny.gov/cl.erk "';": 11901 J 7 I. Title Company Information me Spano Abstrack Service Corp. SP22885-S Suffolk County RecoCding & Endorsement Page This page forms part of the attached by: AMERICAN CANCER SOCIETY LAWRENCE G. PALMER, ELIZABETH THOMASSEN, OUITCLAIM DEED (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. SOUTHOLD In the TOWN of In the VILLAGE made MARILYN E. PERRINE, RUTH PALMER, HOWARD S,orHAMLETof SOUTHOLD PALMER, ~RK G. ;~SHALL, SARA P, JOHNSON 80XES6THRUSMUSTBE ~PEDORPRINTEDINBLACKINKONLYPRIORTORECORDINGORF~LING. AND MIRIAM P. GUEST (over) *'t ' ¢ ~ -- Quitclaim Deed - Individual or Corporation (single sheet) CONSULT YOUR LA~ffER BEFORE SIGNING THIS INSTRUMENT~THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made the /~, .t~ day of ~ in the year two thousand eleven BETWEEN AMERICAN CANCER SOCIETY 8400 Silver Crossing, Oklahoma City, Oklahoma 73132 party of the first part, and LAWRENCE G. PALMER, ELIZABETH THOMASSEN, MARILYN E. PERRINE, Individually and as Executor of the Estate of Russel K. Perrine, Jr., RUTH PALMER, HOWARD S. PALMER, MARK G. MARSHALL, SARA P. JOHNSON~/all with an address ofc/o Fredrick P. Stem, PC, .2163' Sunrise Highway, Islip, NY 1175 I party of the second part, WITNESSETH, that the party of the first part, in consideration ofTen Dollars ~hnd other valuable consideration paid by the party of the second part, does hereby remise, reldase and quitclaim 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, wit}~ the building~ and impro~'ements thereon erected, situate,' lying and being in the TOGETHER with ali right, title and interest, if any, of the party of the first part of, 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 right to receive such con- sideration as a trust fund to .be applied first for the purpose of paying the cost of t_he 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 purpos9. 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 execute?this d~d the day and year first above written. Title: ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York, Counly of , SS: On thc day of in the year me, the undersigned, personally appeared , before , personally known to me or proved to me on the basis of satisfactory evidence to be thc 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 th.at 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. ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN IN NEW YORK STATE State of New York, County of , ss: On the day of in the year , before me, the undersigned, a Notary Public in and for said Stale, 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 (if the place of:es[d~ee is in a city, include the street and street number if any, thereoO;that he/she/they know(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/hedtheir name(s) as a witness thereto Title No. 5 ~9 ,.~{;~5.. '~' Quitclaim Deed TO ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York, County of , SS: On the day of me, the undersigned, personally appeared in the year , before' , personally known Io mc or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the wilhin instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(les), and 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. ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE *State of ~R.,/.a~, ,,'~'Couniy of 0/,ff~t~ r'~r_.. , ss: *(Or insefl District of Columhi~ Te~itory, Possession or Foreign County) Onthe /6~dayoC ~3~r intheyear , before me the undersigned personally appeared Personally known lo me or proved to me on thc b~is of satisfacto~ evidence to be thc individual(s) whose name(s) is (are) subscribed to the within instrument and ac~owledged to me that he/she/they executed the same in his/her/their capacity(ies), that by his/hedtheir 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 make such appew~ce before the undersigned in (add the city or political subdivision and Ihe stale or count~ or~ I ~,~9I' Stat~ahoma - [ ~ It ~ ~ ' I ® a RETU~ BY MAIL TO: Fidelity National Title Insurance Company (Amended October 7, 2011) SCHEDULE A DESCRIPTION OF PREMISES Title No. SP22885-S ALL that certain plot piece or parcel of land, situate, lying and being at Cutchogue in the Town of Southold, County of Suffolk and State of New York, bounded and -described as follows: BEGINNING at a point on the westerly side of Dean Drive (Beachwood Road), distant .the following three courses and distances from the intersection of said westerly §ide of Dean Road with the southerly side of New Suffolk Avenue: 1. South 14 degrees 00 minutes 00 seconds West 261.76 t~eet; 2. South 04 degrees 29 minutes 00 seconds East 189.70 feet; 3. South 26 degrees 00 minutes 00 seconds East 231.80 feet to a monument set in the westerly side of Dean Road at the point or place of beginning; RUNNING THENCE South 26 degrees 00 minutes 00 seconds East 65.00 feet; THENCE South 72 degrees 27 minutes 10 seconds West 161.85 feet; THENCE North 68 degrees 39 minutes 20 seconds West 102.40 feet; North 72 degrees 27 minutes 10 seconds East 232.00 feet to the point or place of BEGINNING. The policy to be issued under this report will insure the title to such building ~nd improvements erected on the premises which by law constitute real property. ., '. ~ Bt , .. FORCONVEYANCING ONLY: i ' ', ' ' TOGETHER with all right, title and interest of the party 9f the first part, of, in and to the land lying in the street in front of and adjoining said premises. DESCRIPTION ~ PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM · f INSTRUCTIONS: http.~/www.orps.state.ny.us or PHONE (518) 474.6450 J~--~'-~ ~ T '/ INFORMATION - · - ' Billing if~r~a,~d~cat~m~f~m) l I~UF[r / ~/~/A~ / / [ I ....................I ...... I I Indl= Roll pm~ls Irnn~nH Qn t~ -~ t I x I I on I - 7. Chedt thI box below which most lt. uretel¥ deseribaa the Oll C~ ~14 ]l-iI~rtlj iR Ihl lime of #11: Ctlitll ~ ~ g. OwnePship Type is Condominium[] AI~ One Family Residenlii, EI~ ~oricultura, , [] C ..... ityS .... ,. NewCoeslmctio~ on Vacant Land[] IT ~J~or 3 Family Rac;dendsl F I~] Comrnefci.l J I--I Industrial IOA. Pr~er(y L.~oted vwthin an AOrlCultural District [] C [~ Residential Yacsni I..nd O [~ A~snmsm K[._J Public $srvfc~ 10B. Buyer received · diacl~uf~ flotics indi~a~ns [] ]~ U Nor'i-Residential Vacant Lsm;I H Iii Emeoalnment I Amusement [' LJ Forest that the prope~.y is in mn Agricultural SALE INFORMATION I ls. C~d~ om or rno~ M ~ cond'mom N ~qdi~ble to trar,~m 11. Sale Colltrl~t Dltli 12. DIte of Side / Trenslw 13. Full hll IMcs I , ,  T /~)~1 / ~ /11 i .... O0 0 I · , IFull -'qsls Pdcs is the ~tal amount ~M for the ~ro~ ineluding ~nal gmp~. ~is ~ment ~y ~ in the ~orm af cesh, olher pm~e~ m g~a, or the ~sum~ian of mo~gag~ or ~her obligmiontl I , , , (~ e , ~ I 14. ~d~ ~ ~a~e ~ ~ A [] Sale Between Relatives ar FondLer Relatiws . I~ Ii~ ~le ~en Related ~m~ni~ or Pa~ in Busin~ C ~ One M the Buvom is also a ~ller D ~Bu~r or Seller is G~mme~ ~n~ ~ ~ndi~ Institu~on E ~d T~ ~ Wana~ or BI,in a~ ~le (S~i~ Bel~) F ~sale of Fra~ioflal or ~. thsn Fee Inm~ (S~i~ ~1~) ~ ~S~nifi~nt Chan~ in ~ ~n T~able S~tus ~ ~ ~. }] ~le ~ Busi~ is Inclu~d in ~ Pri~ I ~her Unusual Fa~;s A~ng sate ~e (S~i~ ~[~ 3 ~None I ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill I I Roll ~rom I I ' I -. T,,~I A=.,,d vdu, der,. p.,.h i. ~..~ac) I ~kh I~n taken s 20. Tax Map MentifleHI~ I ~ Id~ltlfllf~S} IR mme than four, atteth that with Idditimlal [dalt[fllf[l)| I I I I SELLER , I NEW YORK STATE COPY