HomeMy WebLinkAboutL 12683 P 26II
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
Number of Pages: 4
Receipt Number : 12-0008279
TRANSFER TAX NUMBER: 11-12569
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
116.00 04.00
EXAMINED AND CHARGED AS FOLLOWS
$o.oo
Received the Following Fees For Above Instrument
Exempt
Page/Filing
COE
EA-CTY
TP-584
Cert. Copies
Transfer tax
$20 00
$5 00
SS oo
$5 00
$o 0o
$o oo
TRANSFER TAX NUMBER: 11-12569
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
01/24/2012
01:26:16 PM
D00012683
026
Lot:
OO2.000
$20.00
$1s.oo
$250.00
$o.oo
$30.00
$o.o0
$35o.0o
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.
RECORDED ,
2012 Jan 24 01:26:16 PM
JUDITH fi. PfSCflLE
CLERK OF
SUFFOLK COUNTY
L 000012683
P 026
DT~ 11-12569
Deed/Mortgagelnstrument Deed/Mortgage Tax Stamp I Reco[ding/ Filing Stamps
3 I FEES
Page / Filing Fee
Handl!ng
TP-584
Notation
EA-52 17 (County)
EA-$217 (State)
R.P.T.S.A.
Coma. or Ed.
Affidavit
Certified Copy
NYS Surcharge
Other
5. 00
15. O0
4 ] Dist
Rea; Property
Tax Service
Agency
Verification
Sub Total
Grand Total ~SO
I
12000636 ~ooo :~oo o,~oo 002000
Satisfactions/Discharges/Releases List Pro~pe~ty Owners Ma[t,ng AOoress'
RECORD & RETURN TO:
FREDERICK STERN,'ESQ.
2163 SUNRISE HWY.
ISLIP, NY 11751
Mail to: Judith A. Pascale, Suffolk County Crerk
310 Center Drive, Riverhead, NY
www.suffolkcountyny.gov/clerk '~'r ~
11901
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec./Asslt.
or
Spec./Add.
TOT. MTG. TAX
Dual Town __ Dual County __
Held for Appointment _
Transfer Tax (_,}' __
Mansion Tax
TEe 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.
1~-t3-1/
5 Community Preservation Fund
Consideration Amount $ ('~
I7 I Title Company Information
Co. Name Spano Abstract Service Corp.
ITitw# SP22885-S
Suffolk County Recording & Endorsement Page
·his page forms part of the attached QUITCLAIM DEED made
by: (SPECIFY TYPE OF INSTRUMENT)
LIGi-IT~OUSE INTERNATIONAL (FKA The premises herein is situated in
NEW YORK ASSOCIATION FOR THE BLIND)SUFFOLKCOUNTY, NEWYORK.
SOUTI~IHOLD
TO In the TOWN of
LAWRENCE G. PALMER, ELIZABETH THOMASSEN', In theVILLAGE
MARILYN E. PERRINE, RUTH PALMER, HOWARD S
or HAMLET of SOUTHOLD
PALMER, ~4ARK G. ~:~ARSHALL, SARA F. JOHNSON
AND BOXES 6 THRU 8 MUST BE TYPED OR PRINTED iN 8LACK INK ONLY PRIOR TO RECORDING OR FILING.
MIRIAm4 F. GUEST
(6Ver)
-- Quitclaim Deed - lndi~"idual or Corporation (single sheet)
CONSULT YOUR LAV~fER BEFORE SIGNING THIS tNSTRUMENT~THIS INSTRUMENT SHOULD BE USED BY LAV~efERS ONLY,
-THIS INDENTURE, made the j ~
day of ~ in the year two. thousand eleven
100O
11t .oo
170) .0 0
BETWEEN
LIGHTHOUSE INTERNATIONAL (FKA NEW YORK ASSOCIATION FOR TIlE BLIND)
11 I E. 59'" Street, New York, New York 10022 no[) f
party of the first part, and
LAWRENCE O. PALMER, ELIZABETH THOMASSEN, MARILYN E. PERRINE, Individually and as Executor
of the Estate of Russel K. Perrine,,, Jr., RUTH PALMER, HOWARD S. PALMER, MARK~.' 10IARSHALL SARA
P. JOHNSON, and MIRIAM ~/e~GUEST, all with an address of c/o Fredrick P. Stern, PC, 2163 Sunrise Highway,
Islip, NY 11751(,~ .,- ,
party of the second part,
WITNESSETH, that the party of the first part, in consi .de.r. ation often ,.Dollars an.d other valuable consideration paid by
the party of the second part, does hereby remise, release 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 plol, piece or parcel of land, with the buildings ,and improvements thereon ~rected, situate,
lying and being in the
TOGETHER with all 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 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 sa,ne
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 duly executed this deed the day and year first above written.
IN PRESENCE OF: //~.,,~
LIGHTHOUSE INTERNATIONAL (FKA NEW YORK
ASSOCIATION FOR TIlE BLIND)
By:
ANK, IGELLO, SVP & CFO ' '
Title:
ACKNOWLEDGEMENT TAKEN tN NEW YORK STATE
State of New York, County of
, SS:
On the 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 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 higher/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 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 State, personally
appeared , the
subscribing witness to lhe 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 residence is in a city, include the slreet and sEreet number if any. thereoD; 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/her/their name(s) as a witness thereto
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York, County of ~'g',y"-,/~ ,ss:
On the /~day or ~~',~j-'"' in the year ~/~, before
me, the undersized, personally appeared
, personally known {o me or proved to me on Ihe
b=is of satishcto~ evidence to be the individua~wbose name~ is
~ subscribed to the ~vilhin instrument and acknowledged to me
that he/~ executed the same in hi~ capacity~and
that by hi~ signature~ on the instrument, the individual~,
or the person upon behalf of which the individua~) acted, executed
the instrument. ~ L ~ .....
f..' .~ ~. m O~ ,.
AC~OWLEDGEMENT TAKEN OUTSIDE NEW
STATE
*State of , County of , ss:
*(Or insert District of Colmnbia, Territory, Possession or Foreign
County)
On the day of in the year
, before me the undersigned personally appeared
Personally known to me or proved to me on thc basis of satisfactory
evidence to be the individual(s) whose name(s) is (are) subscribed to
the within inslrument and acknowledged to me that he/she/they
executed the same in higher/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 make such appearance before the undersigned in
the
(add the city or political subdivision and the state or country or other
place the acknowledgmerit was taken).
Title No.
Quitclaim Deed
TO
RETURN 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 side of
Dean Road with the southerly side of New Suffolk Avenue:
1. South 14 degrees 00 minutes 00 seconds West 261.76 feet;
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
BEGINNII~,G.
The policy to be issued under this report will insure the title to such building ~nd improvements erected on the
premises ~vhich by law constitute real property.
FOR CONVEYANCING ONLY: ~
TOGETHEK with all 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.
DESCRIPTION
; INSTRUCTIONS: http:l/www.orps.slate.ny.us or PHONE (518) 474-6450 ~ -'
FOR COUN'P( USE ONLY I
STATE OF NEW YORK
PROPER'rY INFORMATrON ~
4. Indicm ~. number d l~ ) ~ I~ ff P.~ d B P~ ~ n ~ a~:
Roll parsela ~an~ on the de~ I t , I ~ of Parcels ORPa~ of a Parcel ~ ~anni~ B~ ~h Su~ ~hed~ Exi~ ~
S. Deed
~p..v I Ixl IoRI . .
7. Cheek the hex bdow which most egmJrately deeaibee the uae of the prope~y it the tim of
It [~,2~r 3 Family Residential F [~ Commercial Industrial
C ~..~rRRsidcntial vacant Land G ~ Agartmsm Publi~ Sewice
D [~J Nan-ResidentiaL Vacanl Land ~'! U Entertainment I Amusement ForeSt
4B. Subdivision Approval ~ Required for Transfer []
4(:. Parcel Agpmved for Subdi,~sion with, Map Rovided []
ChKIc the I)mms baJ~w ee ~heV eppl~/:.
8. Ownership Ty~o is Condominium []
9- New Construotion on Veeant Land[]
IOA. Pmparty Located within en Agricultural Distdet []
100. Burr m~iwd a disclosure notice indicating []
that the property is in an Agricultural District
SALE INFORMATION I
11. Sale Ceeb'eel; Dat~ I ~q~/
,,....,..,.,Tr...,. ,
,3. F.IIS.~P~ I , , ~ , , ~ ·
IF.II Scl. Pace is the tom1 amount paid ~r the pm~.y including ~nal
~is p~ment m~ ~ in the form of cash. ocher property or O~s. or tho assum~ion of
1~ I~ the val~ ~ p~l I ...... 0 . 0 .
p~ I~M In ~e ~ ~ ~ ·
I ~SSESSMENT INFORMATION · Dita should ~e~ the la~es~ Rnal ~s~ssmem ~oll and Tax Bill
M
~1~ i~on M~n
15. Che~4 ~te er more of thru eerldW~m ee eppl~s~bbl t~ bersl~w-..
Sale Ba~n RMati~ or Fo~er Relati~
O~ ~f the Bu~m ia else a Seller
Burr or ~ler is Gwnment ~ or ~ndi~ In~it~ion
~ T~ ~ Warran~ or Ba~ain and ~le (S~i~ ~1~)
~ of Fr~onal or Le~ than F~ In.mst (S~i~ Bel~)
Signifl~nt Change In ~y ~on Taxable Status and Sale
~le ~ Busies. is I~lu~d in ~le Pri~
~her Unu~al Fn~om A~ ~le ~ (S~ ~l~l
~o'~ ~c~ ~,~
~0. Ting Map Idefltfller(s) I RMI kbntiflede) (B more then four, ofteeh sheet w~*h nddltJon~l idmlfif'wl~))
I
J [
CERTIFICATION
[ C~rtJfy thai Id] id' the IkltV of Infonna'on entew~ mi thTs form nm mw nnd con~-t IlO die Iwst of an)' knowledge and hdiafl and I undex~nnd Ihat Ihe mnkinR
of ~v wUIlld tube ~lemem ~ =mW t~ct heMn MU subjm me bt the im~.d~ms of ~ha pemd Mw Mmi~e lo ~ nmldng lind filing of fidse
BUYER'S ATTORNEY
FIRST NAME
I NEW YORK STATE
COPY