HomeMy WebLinkAboutL 12028 P 757CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD RE USED BY LAWYERS ONLY
THIS INDENqNJRE, made the26th d~y of January
BE~%VEEN ANNY BLITZ
61 West 62nd Street
New York, NY 10023
DISTRICT SECT{ON BLOCK LOT
partyolthelirstpa~,and ANNY BLITZ, as to a life estate, remainder to
CYNTHIA BLITZ
226 West Rittenhouse Square
Philadelphia, PA 19103
,~0~n~R~n~Two Thousand
party of the second part,
WITNF-.SSETH, that the party of the first part, !n consideration of Ten Dollars and other valuable consideration
paid by the party of the se~:ond part, does hereb) 8rant 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
As Set Forth on Schedule A Annexed
Hereto and Made a Part Hereof
TOGETHER with all right, title and interest, if any ot the party of the first part in and to an~' 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 thc party of thc 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 appbed first for the purpose ofga¥ing 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 ,amc for any other ur ose.
The word "party" shall be construed as if it read "parties" whenever the sense of thi~ indenture so requires,p
written.IN WITNESS WHEREOF, the part)' of the fir~st part has duly executed this de~ day and year first above
-- A~l'itz ' /.
By: Geo~r~b Blitz, A~torney-in-Fact
To be re orded
'simultaneously herewith
STATE OF NEW YORK )
) ss.:
COUNTY OF NkW YORK )
On the ~ day of ~ , 2000, before me, the
undersigned, a notary public in and for said state, personally
appeared GEORGE BLITZ known to me or proved to me on the basis of
satisfactory evidence to be the individual whose name is subscribed,
to the within instrument and acknowledged to me that he executed
the same in his capacity, and that by his signature on the
instrument, the individual, or the person upon behalf of which the
individual acted, executed the instrument.
~ry Public
r-'-- FRANKU~t JUUE
! Notary Pub!~c, ,"t'~t~- cf New Yo~k
No. 31- 'i ~ .% ';',' ~, 7
Qualified in N.~; .'/", ~;;k County
Commission Expires August 11,
G:\USERS~ea~FRANK~ORMS\acknowlcdgement.wpd
i202' 757 .
ALL that certain plot, piece or parcel of land, situate lying and being at
Arshamomogue in the Town of Southold, Suffolk County, New York,
known and designated as lot no. 63 and part of lot no. 64 on a certain
map entitled ~Revised Hap of Peconic Bay Estates" made by Otto W.
Van Tuyle, Engineer and Surveyor of Greenport, New York, June 1928
and filed in the Suffolk County Clerk's Office on July 30, 1928 as Hap
No. 658.
]2028P 757
Numbar 0fpages ~ x~
TORRENS
Serial It
Certificate It
Prior Ctfi tl
Deed / Mortgage Instrument
41
Handling ,,.ff""-fi,/
TP-584
I:IE~IVED
-REAL ESTATE
HAR 2 0 2000
TRANSFER TAX
SUFFOLK
L cou ¥
33509
Deed / Mortgage Tax Stamp
FEES
Notation
EA-52 17 (County)
EA-5217 (State)
R.P.T.S.A.
Comm. of Ed.
Affidavit
Certified Copy
Reg. Copy
Other
500
Sub Total ,.~/~, d9 D
Real Property Tax Service Agency Verification
Dist. Section B lock
-- GRAND TOTAL 7J 0 ~
Lot
Recording / Filing Stamp~
Mortgage Amt.
I. Basic Tax
2. Additional Tax
Sub Total
Spec./Assit.
Or
Spec./Add.
TOT. MTG. TAX
Dual Town Dual County__
Held for Apportionment ~
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
If NO, see appropriate tax clause on page It
__ of this instrument.
Community Preservation Fund
Consideration Amount $
CPF Tax Due - $
Initia~ r2o
Satisfactions/Discharges/Releases List Property Owners Mailing
RECORD & RETURN TO:
Suffolk
This page forms part of the attached
$ R E~_?E D
NAR 2 0 2000
CC>MMUNITY
PPZSERVATiON
FGND
:ant,]~t~Land
Title Company Information
Co. Name -TiTL~.~kV
Title #
Recordin & Endorsement
(SPECIFY TYPE OF INSTRUMENT )
The premises herein is situated in
~SUFFOLK COUNTY, NEW YORK.
made by:
TO
In the Township of
In the VILLAGE
or H~J~ETor
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
~ INSTRUCTIONS: http://vvww, orps.state.ny.us or PHONE (518) 473-7222
FOR~:I~UNTY USE ONLY ';~ ~
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
Cl. SeWl~C~ode
PRoPERW I~oR~Ti0N I '
I I I
Billing if ~her than buyer eddre~ (at ~om of Btm) J I I
~T N~E / COMPANY FIRST NAME
I I I I
4. Indicate the number of Assessment ~1
Roll parcels transfened on the deed I I # of Parcels OR Part of a Parcel
H
5. Deed ~. /
Property I I x L I OR I .... ·
Size FRONT FEET DEPTH ACRES
(Only ff Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists []
4~. Subdivision Approval was Required for Transfer []
4C. Pame[ Approved for Subdivision with Map Provided []
I
Name LAST NAME / COMPANY FIRST NAME
I
LAST NAME / COMPANY FIRST NAME
7. Check the box below which most accurately describes the use of the property at the time of sale:
A,J~ne Family Residential
2 or 3 mily Residential
C~ 2Resi;ial Vacant Land
D[~ No~Residential Vacant Land
11. Sale Contract Date
Agricultural ! [] Community Service
Commercial ] ~ Industrial
Apartment K~ Public Service
Entertainment / Amusement L[~ Forest
Month Day Year
12. Date of Sale / Transfer
Month Day Year
13. Full Sale Price I I I ~ I I I ' ' 0 , 0 I
·
(Full Sale Price is the total amount paid for the property including personal property.
This payment may be in the form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Please round to the nearest whole dollar amounL
14. lndicate the value of personal I I I I I I I I 0 I 0 I
property included in the sale ~ ~ ·
Check the boxes below as they apply:
8. Ownership Type is Condominium []
9. New Construction on Vacant Land []
I~A. Property Located within an Agricultural Distdct []
10B. Buyer received a disclosure notice indicating []
that the prope~y is in an Agricultural District
15. Check one or more of these cond~tioas as applicable to transfer:
A
B
C
D
E
F
16. Year of Assessment Roll ftOmwhich information taken I ~, ~ I 17. Totsf Assessed Value (of sfl parcels in transfer) I
Sale Between Relatives or Former Relatives
Sale Batween Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Ba~ain and Sale (Specify Below)
Sale of Fractional or Less than Fee Interest (Specify Below)
Significant Change in Proper[,/Between Taxable Status and Sale Dates
Sale of Business is Included in SaM Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
20. Tax Map Identifier(s) / Roll klenfifl~(s) (If more than four, attach sheet with additional identifier(s))
I I I I
I eertRy that aB of the irons of ~formali~l entered on this form are true nnd correct (to'the best of my Rliowled~ and belied and ! understand that the mn~mTg
of any willful false stateme~ of mate~d fact her~n will subject me to the prov~ons of (he penal law relative to 1he m~lcln~ al3d IflinE of false inslrm]]enes.
BUYER
BUYER'S ATTORNEY
NAME FIRST NAME
AR~A CODE ~PUON~ NUMBER