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Home My WebLink AboutL 12688 P 908SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED N~m~er of Pages: 4 Receipt Number : 12-0035565 TRANSFER TAX NUMBER: 11-17111 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 079.00 06.00 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 $2O 00 $5 oo 85 oo $5 oo Ss oo $0 oo TRANSFER TAX NUMBER: 11-17111 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 03/28/2012 10:23:19 AM D00012688 908 Lot: 019.000 $20.00 $15.oo $125.oo $o.oo $30.00 $0.00 $230.00 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. RECORDED 2012 Mar 28 10:23:t9 JUDITH ~. PflSCflLE CLERK GF SUFFOLK COURTV L D00012688 P 908 DT~ 11-17111 Deed/MortgageInstrument Deed/MongageTax Stamp I Recording/~ , Filing Stamps 31 FEES Page / Filing Fee Handling TP-584 Notation LA-52 t7 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed. Affidavit._w._. / NYS Surcharge Other 20. 00 5. 00 15. 00 4'~Dist ~2 looo Real ProF Tax Se~ Agenc Sub Total Sub Total Grand Total ~3;> ' · I 07900 0600 019000 Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total SpecdAssit. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County.__ Held for Appointmen33~. 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 # of this insg;ument. -- .D Community Preservation Fund Consideration Amount $ CPF Tax Due $ Vefificat _ __ ~ )%tisfactions/Discharges/Relea-ses I~i:t ;;o;erty ~ers Mailing Address Improved __ RECORD & ~TURN TO: Vacant Land ~o~HO~D ~~ LL~ TD ~il to: Judith A. Pascale, Su~olk County Clerk ~L TiIle Information 810 Center Drive, ~iverhead, NY 11g01 I ~ . -- -- -- m. suffolkcountyny, gov/clerk ~e~e- / / Suffolk COunty Recording & Endorsement Page This page forms pan of Ihe attached N choc S ' v cic (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of E. 4,ql-¢s LLC. In Ihe VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. made by: (over) A CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS IN~.EN'FURE, made on BETWEEN party of the seconA V41TNF.,.~SE'fl~ that the paa~y of the first parh in conside~atio~ of dollars, reloas~ unto die par~ of the 9~ond iMtrt, the heirs or lawful money of I~e United ~tal~s, by the parly of lbo second purl, d~ h~~d / ~ ~at ~ plok ~ or TOCsETHER with all ~ title and interest, i/any, of the parq, o! the ~rst part in and to any streets and roads abutting ~he above described prem~es to the cemer lines thereof, TOC~THER with the appurtenances and all the estate and ri~ts of the party o! the tlrst part in and to said pmnism, TO HAVE AND TO HOLD ~e I~i~'~ h~rein ~rant~d unto the party of the second pa~ the heirs or. successors ~d assigns of dmpa~ of th~ second pan forever. AND r~e party of the fir~ pan coveoams that t~ party of the tim pa~ has not cto~ or suffered anyltfiuff whereby .the said premises have been incumbered in any way whatever, excep~ as aforesaid. .. AND the party of ~he first part, in compliance wid, Section 13 o{. the Lien Law, covenal.X, ts that the party'of the first part will receive the consideration for ~ oonveyance and will hold the right to receive such consid- eration as a trust fund to b~ applied first/or lt~ purpose of paying the cost of the improvemeat and will apply the same first to the paymmt of ~he cost of lira improvement before ush~ a~y i~rt of the total of the same for any other purpose. The word "party" shall be cons/rued as if it read "parties" whenever the sense of this indenture so requires. IN WITN~ WHEREOF, the party oi the tinct p~,t has dul)' e~ecoted this deed the da), and year first above ACKNOWLEDGMENT IN NEW YORK STATE ORPL ~..a) State of New York, County of ss.: On before me. the undersigned, personally appeared personally knowff.to me or proved to me on the basis of satisfac- tory evidence, to be the individual(s) whose' name(s) is (are) subscribed th'the within insmsment and acknowledged to me that he/she/they .executed the same in his/her/their capadty(ies), and that by ',his/her/their signature(s) on the instrument, the indi- vidual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. (signature and offce of individual taking acknowledgment) A. cK]'~TPII/nGMENT OUTgDE NEW YORK STATE State of~l~:~,x County of ~,-~O~ ~, ss.: On jq6 o r~xc9 3 , ~ 0 ~ before me, the undersigned, personally appeared personally known to me or proved to me on thc basis of saris- factory evidence to be the individual(s) whose name(s) is (are) subscribed to the within iostrumem and acknowledged to me that he/she/they executed the same in his/her/their capacity(ins), and that by hi,/her/their signature(s) on the instrument, the indi- vidual(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 ( ir~ert c~,...o, r l~.l!.~¢M subd~n a~d ;~te or couray or other pl~e aelw. e~l- /~%:.:..~.~.YXl~n~'~ m, 4, '4 -" _~.~ .' (signature and office o~ individuat taldng acknowledgment) ~ ACKNOWLEDGMENT BY $4JBECRIBING WITNESS(ES) State of LM ~ .l ¢ d .~ I vX. ss.: County of On yV% .~c~ ~3, ~ol~x before me, the undersigned, personally appeared the subscribing witness(es) 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 (qthe place of reaidence ia in a city, include the street and street number. if any, thereoD; , / that he/she/they know(s) to be the individual(s) described in and who executed the fore- going instrument; that said subscribing witness(es) was (were) present and saw said execute the same; and that said wimess(es) at the same time subscribed higher/~heir name(s) as a wimess(es) thereto. ( [] iftal~n out~ide New York State inaert city or political subdiviaion andaate or country or other pt&ce acknaw/edgment taken Alld that said subscribing witness(es) made such appearance before the uadersigned in (signature and o.O~ce ofindivid~9i ~.~a'ng aclmowledgmtnt): " . ?,,,,L..7:.-,+' SECTION BLOCK LOT COUNTY OR TOWN RETURN BY MAlL TO: Zip No. '. PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http:# ~.orps.state.ny.us or PHONE [518) 473-7222 FOR COUNTY'USE ONLY Cl. aWlS Code , ~, ~,3, ~, ~,, ~1 REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK PRoPEflTY INFORMATION I l~-O~ (,o tc~L~:~ $. Tax Indicate where future Tax Bills ere to be sent ~PCODC 4. IndioMe the number of AiNss41mnt Roll pamato tranMeffed on ~m ~ ~ ~ · of Pamela ~ Pas ~ a Pa~l ~1 I~ Ixl ~lonl ..... ~ II I I B ~ 2 or ~ ~mily kiamiel ~m~iel D~ Non-~ntlal VKam Lend En~inmem I ~ulemenl Fore~ SALE INFORMATION ~ {Ody If Part of a Parcel) Checa as they ap#V: 4A. Planning Bo~rd w;th Subdi,~slon Authonry Exis~ [] 4B. Subdivision Approval wal Requi~ed f~' Transfer [] lC. Parcel ApprovKI for Sul0d~ion with Map Provided [] 16. Cheek one o~ mere of these eom~ons as apqda:Mde to tram~, 11. Sale Con~'act Date ;-~/ Day Year 1E. Date of Sale I Tmnsfea I 13. r~n ad. Pdt. I , . ; . . ; ~ ._ o. o I (Fell Sole Prim i8 t~ t~el .mou~ ~id ~r the pmm~ i~uding ~nel p~. ASSESSMENT INFORMA~ON - Data should rell~ the latest Final ~essment flail and Tax Bill i Sale Between Relatives or Former Ratativee SAle Between Related ~m~nim or Pannem in Bud~ O~ ~ the ~ is ar~ a ~ller Burr or ~ller is G~n~l ~en~ or ~ndi~ Ifl~it~on ~ T~ ~ Warran~ ~ ~ain a~ h~ (S~i~ ~ ~ of Fr~ional or ~ than ~ In~ (~ ~1~) Signifl~nt Chan~ in ~ ~n T~e S~ a~ Sale ~her Un~l F~o~ A~ino Sale Pr~ (S~i~ ~) ~N~ .... f. Z.O.O, ! CERTIFICATION I CerlKy dial all or the iKms or infoflmlden =ten-d on IhLq foe ef~ tree and ~ im ~ ~lor ~. ~ a~ ~ ~ I ~ ~t ~ ~ d' nn) ~ilif'ul robe statement or mGlerial fact herdn will bulJja.'t me to the ptm.'isio~.q or Ibc penal law ~ilk~a to the making and mb~ or r~t~ inarumew. BUYER I SELLER , BUYER'S ATTORNEY I I NEW YORK STATE COPY