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Home My WebLink AboutL 12692 P 808SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 4 Receipt Number : 12-0052574 TRANSFER TAX NUMBER: 11-20038 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 015.00 06.00 EXAMINED AND CHARGED AS FOLLOWS $160,000.00 05/08/2012 03:46:38 PM D00012692 8O8 Lot: 028.000 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 $640.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 11-20038 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Exempt $20.00 NO $55.00 NO $250.00 NO $0.00 NO $60.00 NO $1,700.00 NO $2,720.00 JUDITH A. PASCALE County Clerk, Suffolk County NWambcr of,pages . This document will be public record. Please remove all Social Security Numbers prior to recording'. ,I Deed / Mortgage Instrument RECORDED 2012 M~y d8 03:46:38 PM JUDITH R. PRSCRLE' CLERK OF SUFFOLK'COUNT~ L D000!2692 P 808 OT# I1-20038. Deed / Mortgage Tax Stamp . . FEES Recording / Filing Stamps Page / Filing Fee Handling 5. O0 TP-584 Notation EA-52 17 (County) EA-521 ? (State) R.P.T.S.A. Comm. of Ed. 5. O0 Affidavit Certified Copy NYS Surcharge Other Real Property Tax Service Agency Verification Sub Total Mortgage Amt. I. Basic Tax 2. AdditionaI Tax Sub Total Spec./Assit. . or Spec../Ad~. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointment Transfer Tax 0 ,?:--0-~-~ Mansion Tax The property c6vered by this mortgage is or. will be improved by a one or two 15. 00 Sub Total family dwelling only. .~ (w~" YES or NO .J'5'/'~-'Jt''/' , '~ t~('~ If NO, see ~propr ate tax clause on 028000 Satisfactions/DiscMrges/Releases List Property Owners Mailing Address ~~ mproved~ RECORD & RBTURN TO: Mail to: ~udith A. ~ascale, Suffolk County'¢lerk 7 Title ~ompany l~format~n _ www. suffoikcountyny, gov/clerk ITide ¢ ~¢-7~q-/7&F¢~ - Suffolk County Recording & Endorsbment 'Page This page forms part of the attached ¢ e. ~..J) made by: _/~ /~'- /7 /t% / ' ,, . (SPECIFY TYPE OF INSTRUMENT) ~~~/~ · /~/~he premises herein is situated in or HAMLET of ~X[~r (over} NY 005 - Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation (Single Sheet) (NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING Tills INSTRUMENT - THIS INSTRUMENT SHOUL1} BE USEB BY LAWYERS ONLY THIS INDENTURE, made the L~J · day of APRIL, in the year 2012 BETWEEN MICHAEL SELWYN, MARIANNE SELWYN & MELANIE~SELWYN~ 870 SOUND VIEW ROAD ORIENT POINT, NY 11957 party of the first part, and SUSAN A. Du BOURG 43 OAKLAWN AVENUE GLEN HEAD, NY 11545 party of the second part, WITNESSETH, that the party of the first part, in consideration ofTen 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 EIgt, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the SEE SCHEDULE "A" ATTACHED 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 covenants that the party of the first part has not done or suffered anything whereby the said premises have been incumbered 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 improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" wheneve~ 1NiN PRESeNcEWITNESSov:WHEREOF' the party of the first pan has dul3~x~g.~,. e sense of this indenture so requkes. USEACKI~fVLEDGMENTFORMBELOWWIrHINNEW¥ORKSTATEONLY: ] USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLE' State of Ne~' York, County of ~/a~au~ } ss.: · /, t'o~O~Y~ State of New York, County of } ss.: Ont'he ~1~ {tayofAPRILintheyear2012 ~,cka-~l.~'~J/~,~'h'Onthe dayof intheyear before me,~lthe undersigned, personally appeared ~,~p~r~nallybt 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), 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. ~to of N~tt `4 CKN O WLEDGMENTFORM FOR USE WlTHINNESF¥ORK STA TEONL Y: {New York Subscribing Witness Acknowledgment Certi~cate} State of New York, County of } ss.: On the day of in the year before me, the undersigned, personally appeared the subscribing witness to the foregoing instrument, with whom l 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 street and streel number, if any, thereoJ); that he/she/they know(s) to be the individual de£~tbed 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. TITLE NO, BARGAIN & SALE DEED WITH COVEN Alhrr S AGAINST GKANIOR'S ACTS MICHAEL SELWYN, MARIANNE SELWYN & MELANIE SELWYN 870 SOUND VIEW ROAD ORIENT POINT, NY 11957 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&er/their capacity(les), and that by his/her/lheir signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. ,4 CKNOWL EDGMENTFORM FOR USE ~t~ITHINNEWYORK STA TEONL Y: {Out of State or Foreign General Ackn~vledgrnent Certificate} _._tS~. _.~_~__C~_ ,____~____~_.~. ___,_~ ....... } s~.: (Complete k'enue with State, Country, Prov~nce or Municipatiry) Onthe ~01'~tayof~.0~,~ [ntheyear .,3.01~... , .~,.-i before a/e, the undersi~ls/:d, personally appeared ~lelt0nt~.~lhtl~ personally known to me or proved to me on the basis of satisfactory evidence to be the individuat(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 the individual(s) acted, executed the upon behalf of which instrument. DISTRICT SECTION 15 BLOCK 06 LOT 028 COUNTY OR TOWN SUFFOLK Cristina Festa~ to ~ Notary Public of New J~rse~ ~ ~y C ommissio. ~pires~ I ~ SUSAN A. DU BOURG 43 OAKLAWN AVENUE GLEN HEAD, NY 11545 TO FIDELITY NATIONAL TITLE OINSUIIANCE COMPANY RECORDED A T REQUEST OF Fidelity National Title Insurance Company RETURN BY MAIL TO JAMES KEV1N McLAUGHLIN PO BOX 1210 SoLrrHOLD, NY 11971 FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO. 09-740d-76592-SUFF SCHEDULE A-I (Description) ALL that certain plot, piece or parcel of land, situate, lying and being at Orient, in the Town of Southold, County of Suffolk and State of New York, known and designated as Plot 7, on map of Section One, Orient-By-The-Sea, at Oriem, Town of Sou/hold, Suffolk County, New York, by Otto W. Van Tuyl and Sons, Licensed Land Surveyors, Greenport, New York, filed in the Office of the County Clerk of Suffolk, New York, on November 21, 1957, file #2777, ABS #2997. ./ / TIlE POLICY TO BE ISSUED under this commitment wilt insure the title to such buildings and improvements on the premises which by law constitute real properO,. FOR CONVE YANCING ONL Y: Together with aft the right, title and interest of/he party of the first part, of in and Jo the land lying in the street in fi'ont of and adjoining said premises, SCI'lED ULE A- t (Description) FOR COUNTY USE ONLY C,.B.BCo. , c.. r,.,. r.,,..c.,,.., c,..., / PROPERTY INFORMATIO~ I 2. BWm" .,m,LI;~_~ ,~."=~__ .~, I $, Tax Indicate ~ hgur~ Tel SIIII aillthi if ~ Iha~ b~jer adtress (al betmm ~1 t~rm) [ __ 4. Indle~t~ tha numbe~' of Aeaassmant Roll p.~els Iranef.~.~ on th~ d~d I PLEASE TYPE OR PRESS FIRMLY WHEH w~ITING OR FORM INSTRUCTIONS (RP-S2174NS): www.orps.state.n¥.us He~ Yak 8tare Depa~trnent of Taxation and Finance Office of Real Property Tax Sewices RP- 5217 Rail Pmperbj Transfer Repmt (8110) I ~ ~;~ ..... P~obedys,.. ~x I --.., I OR I Naltt~ B 1___12 or a Family R~den"al F ~ Commer~al industrial (,~ R~le~tial Vacant brai C; [~J Apamant Public Sendca D L~ Non-Residenbal Vacant Land H ,i I Ent~lainmenl / Amucament Forest iSALE INFORMATIONI Clllek the box~ b~l~w II th~J Ip~ly: L ~ip T~ is ~dominium ~ 9. ~ ~ ~ Vamnt La~ ~ 1~ P~ ~ ~ln an ~ml Di~ ~ 10B. B~ ~ a diem ~i~ i~i~ng ~ ~t tbe ~ is in an ~uml Dis~ tS. Ch~k one or mom of Ibeae conditions ~s ippllcable to transfer: M Day Year o.o , ( Furl Sale PHca is ~e total amm~fll pa~ I~ ~he iXOl~rly inrduding pamonal propmty. This payment may be in the form of cash, other pmpe~/er 9¢x)cls, er the assumption of t4. Indicate the value of pemoeel property i~ In tbe UII I ) , , ~ , , , A B C l) E F G H I j~ Sale Between Ftalal~es er Fommr Relatives Sale Between Related Cemoanles er Partners in Business One ~f the Bu~s is a~ a ~r B~ ~ ~11~ is ~mme~ ~en~ or Le~i~ In~ ~ ~ nM Wa~nty or ~in a~ Sale (S~N ~ ) Sale ~ F~al m L~ ~n F~ In~ ( S~N h~ ) ~r~m C~ ~ ~ ~n Ta~Ne S~s a~ Sale Oa~s Sale ~ Busi~ is I~ in ~le ~ I ASSESSMENT INFORMATION - Data should reflect Ihe latest Final AsBessmenl Roll and Tax Bill I 16. Y.ar~fA~mentRollfmm. i / / l~ · t~nleh Information taken ~ 17, Tetal Assessed Vllue (of all parnell In ttansf~r)l Tell Map Identifier(a) 1 Roll Identlber(a) ( If mom Ihan bur, attach shell Illth IcldiUonal Id~lllJ~el~e) ) CERTIFICATION I //Ii ,¢~ L'~ ~ ~EEIL~t~,~I"I~[(,! .///~,./J~J_ ) BUYER CO~ACT ,NFOR~T~N l~/~J.,. ~.t//~f.~ ~ , II ~ / v /~///~ I .... ~1--~ ~,~~~~~r~m~. ~ BUY,leCTURE i Susan - ' BUYEr; AT~RNEY ~'~ McLau~hlin i J.Revin __ I 7~6085 NEWYORK STATE COPY ~