HomeMy WebLinkAboutL 12694 P 179IIIIII I
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
Number of Pages: 4
Receipt Number : 12-0059293
TRANSFER TAX NUMBER: 11-21109
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
043.00 04.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
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: 11-21109
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
05/23/2012
02:12:21 PM
D00012694
179
Lot:
043.000
$20.00
$15.0o
$125.00
$o.oo
$60.OO
$o.oo
$255.00
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.
Deed / Mortgage Instrument
Deed / Mortgage Tax 5tamp
RECORDED
2012 HaU 25 02:12:21 PM
JUDITH A. PASCRLE
CLERK OF
SUFFOLK COUNTY
L D00012694
DT~ I1-21109
· I ' Recording / Filing Stamps
FEES
Page / Filing Fee
Handling 20. 00
TP-584
Notation
EA-52 17 (County) ~'~"
EA-5217 IState)
Comm. of Ed. 5. O0
Affidavit
Certified Copy
NYS Surcharge 15. O0
Other
Jg st.. 12009176 zooo
ReaIPrope ~
Tax Servlc~
Agency
Verlflcatlo
Mortgage Amt.
1. Basic Tax
2, Additional Tax
Sub Total
SpecJAsslt.
or
Spec./Add.
TOT. MTG. TAX
Dual Town, .. Dual County ~
Held for Appointment
Transfer Tax ~
Mansion Tax
The property covered by this mortgage Is
or will be Improved by a one or two
family dwelling only.
YE5 ~. or NO.
lf NO, see appropriate tax clause on
pa,e, ilg
Community Preservation Fund
~sideration Amount $ '~
Sub Total ~
SubTotal ~ ·
Grand Total (~-
04300 0400 043000
Satisfactions/Discharges/Releases Ust Property ~wners Malting Address
Ii, CORD & RETURN TO:
Mall to: Judith A. Pascale, Suffolk County Clerk
310 Center Drive, Rlverhead, NY 11901
www.suffolkcou ntyny.gov/clerk
Vacant Land
TD. /~
TD
TD.
J7 J Title Company Information
Co. Name
J Title #
Suffolk County Recording & Endorsement Page
This page forms part of the attached .~ ~O ~' J
by:
{SPECIFY TYPE OF INSTRUMENT)
The premises herein Is situated in
SUFFOLK COUNTY, NEW YORK.
In theTOWN of gO CA.~,~ O/ J
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
made
(overt
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the 26th day of March, 2012
BETWEEN HOWARD T, MOLLER, JR, residing at 6 Pecenic Lane, Selden, NY 11784
as Executor of the last will and Testament of HOWARD T. MOLLER, late of 143-25 Oak Avenue, Flushing,
NY, 11355, party of the first part, and
HOWARD T, MOLLER, JR. and IRENE M. MOLLER, husband and wife, residing at 6 Peconic Lane,
Selden, NY 11784
party of the second part,
WITNESSETH, that the party of the first part, by vidue of the power and authority given in and by said last wifl
and testament, and in consideration of TEN 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 plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
lying and being in the
SCHEDULE A is attached
Being the same premises transferred to HOWARD T. MOLLER and ARRA G. MOLLER by deed dated
4t10/62 recorded 4118t62 in Libor 5153 Page 525
Premises is known at 155 Bay Road, Greenport, NY 11944
District 1000 Section 43 Block 4 Lot 43
TOGETHER with all right, title and interest, if any, of the party of the first part, in and to any streets and roads
abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances, and
also all the estate which the said decedent had at the time of decedent's death in said premises, and also the
estate therein, which the party of the first part has or has power to convey or dispose of, whether individually,
or by virtue of said will or otherwise; 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 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 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" 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.
ESTATE OF HOWARD T, MOLLER
HOWAF~t~. MOLLER, JR., Executor
Standard N.Y.B.T U. Form 8005- Executor's Deed - Uniform Acknowledgment
· ' ' TO BE U~ED ONLY WHEN THE ACKNOWLEDGMENT iS MADE IN NEW YORK STATE
· State'of New Y, prk, Co,~nty of Queens ss: ' .'
On the 26th day of March in the year 2012
before me, the undersigned, personally appeared
HOWARD T, MOLLER, JR,
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
lhe individual(s)~
(~ign~iure and office of indi/Cd~al taking acknowledgment)
... _KA. R..E _~1,
INotary Public. 8rate of New Yo~k
No. 02Y04610634
Qualified in Queens County
Commission Expires July 31, ~0! 3
State of New York, County of ss:
On the day of in the year
before me, the undersigned, personarly 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 Io the within instrument and acknow]edged 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 indMdual(s) acted, executed the instrument.
(signalure and office of individual faking acknowledgment)
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State (or District of Columbia, Territory, or Foreign Country) of ss:
On Ihe day of in the year 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(ies), and
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 made such appearance before the undersigned in the
in
(insert the City or other political subdivision) (and i~sert the State or Country or other place the acknowledgment was taken)
(signature and office of individual taking acknowledgment)
EXECUTOR'S DEED
DISTRICT
Title No. ~(¢~
SECTION
ESTATE OF HOWARD T. MOLLER BLOCK
TO LOT
I'IOWAIID T, N1OLLER, JR, &: IRENE M. MOLLER COUNTY OR TOWN
STREET ADDRESS
STANDAR'D FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by
Safe Harbor Title
I~SLJRI'~ SMOOTH SAILINC
1000
43
4
12
SUFFOLK
185 Bay Road
Greenport, NY 11944
RETURN BY MAIL TO:
KAREN M. YOST
YOST & O'CONNELL
24-44 FRANCIS LEWIS BOULEVARD
WHtTESTONE, NY 11357
ALL th=t c~rt:~n plor. picc~: or p~ccl of t=~d, ',,.'~th th~' buJ[ding~ ~d ir. provcm~t~ ~hcrcon erected,
s~lu.3t~, l)'{ng ~nd being in thc To~n o~ Southold, east: o~ the ViLlage ~£ Greenport,
C:ount¥ of SuJ~folk, ~nd'State of Ne~ York, bounded and desc,z'ibed'as
£oLl. ovs: · .-
BEGINNING at a ~oint on the easterly side Of Beach Road at~a point"
thez~on' distan~ 87.95 feet northerly from the corner formed by the
'intersection' df th~ easterly .side. of Beach Road and th~ ~o~theasterly
side 'of Bay .Road;. runnin~ thence along the easterly side '6f Beach
Road North ~ degrees 21' 20" Wes~ 50.01 feet; ~-unning tha.6ce North'
86 degrees 47' 40" East 100.02 feet to the %4esterly sid~ o$' Bay Road;
running thence along the westerly side.of Bay Road, South 4 degrees
21' 20" East 50.01 feet; ~-unning thence South 86 degrees a~,~ 40" West
100'.00.. feet to the easterly side of Beach Road, the point or pla.~e
of BEGINNING,
pFOR COUNTY USE ONLY 9 I ~
Iq 7, 3, ,"/,
-,-,, .
PLEASE TYPE OR F~RESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
STATE OF I~W YORK
STATE BOARD OF REAk I~OF~RTY
RP - 521'/
1. ~l 185 I Bay Road
Le~alle~
Buyer I HOLLER. JR.
I HOLLER
Tua Indicate where future Tax Bilis are to be sent
Billing if other than buyer address (at bottom of form) I
I GreenporC
I I-IOI, IARD T.
4. Indkat. ~u numb~ of Assesemunt
· '1 ] # of Parcels OR 1~ PaK of u Panel
5. De~l
p.p.,~ [ lxl JoRI .l .I I
.. s~ [ ESTATE OF HO~A~ T. ~OLLER I
I HO~ T. NOLLER~ JR., Executor I
7. C~ the ~x MW which ~ i~rMe~ ~d~ the u~ ~ t~ pmpe~ ~ t~ time M Mil:
~ ~ 2 or 3 Fnmil~ R~Md~otisl ~mm~misl Indu~ri~l
C ~ Rflld,ndal Vamot L~nd ~meot Publis Se~ire
D U Non-RosideotisI Va~ot Land Ente~inment / Amusemeffi Forsel
lL1944
Chnck the boxes below ac they apply:.
8. Oveerehip Type is Condominium []
10A. I~erty Lncatncl within an Agricultural Ois~'ic~ []
105. Bu~' recei~.d a disc~ure notice indicatin0 []
that the pmpelIy is in an Agricultural District
I SALE INFORMA'RON I
11. Sale Con~nct Dmte I
lZ. Date of Sale l Trunsfer I 3 / 26 / 12 I
Manlh Day Yoar
13. Full Sale Price [ ...... N , 0 , NE, 0 , 0 I
! ! ·
(Full Sale Price is tho total SffiOuflt paid fur the property including personal pmpmW.
This payment mmv be in tho form of cash, other propg~ or goods, or the assumption of
~tmd~tom~u~uuo(pe.o.M I i . . .ti Q ~I. E~0.O I
15. Check oma nc mm ol' W mmdilJons as ama to ~:
Sale ~n, Re~ or Foyer ~lati~
Sale ~n Rel~ Com~ni~ or Pednem in Busi~
O~ ~ t~ B~m is 81~ a ~lter
B~r or ~ll~ is G~rnment ~e~ or ~ndl~ I~tilutlon
~ ~ ~ T~ ~ Wa~a~ or ~ain
Sala of Erosional or ~ ~an Fao Inar~ ~iiy Bel~)
Signifl~nt Change in Pr~ 9~ Ta~o ~us a~ Sale ~t~
~le ~ Ousin~ is Inefu~d in Sala
~her Unusual F~ Aff~i~ ~le Pr~
~xecu[o~~ s Dee~
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill I
15.Y#rofAss~senmmRolllmln 1201 I'~ 17. TotalAsM~edVuluelolullper~kln~nsfsdl
which IllfO~ tllmn ' '
20. T~x Mlp Iduntiflurl~ I Roll kl~tlf~(c} Iff mm1 thae four, nttaeh ah#t ~ add,lanai idem'~ie~e)J
I District L000 Sect 63 BL 4 LOT 43 I [ I
I I I I
I CERTIFICATION I
I CeJlJ~ ffi MI ef Iht" itmat ~ Infnnnndon entond on thb fman nm true and t'on~l (lo Ihs ~ ~f ri'O' kn~wk'dw and heUefl nnd I nnderltnnd Ilmt lira nnidnS
~' any ~BIfM flibe stalt~teal of Ip. Bl~'~aJ fuel lit, Mn ~ mbJeel me ti) t~c prm~lol~ af the pe~laJ Mw ~nff'~e te the mnkin~ and rdin~ id' rahs IIL~lrumentq.
BUYER
T. HOLLER, JR.~
Peconic Lane
SELLER
~uzns,~n~m,~t ttUWAKI)T. MULLI~K, JK.~,'~ Executor
BUYER'S ATTORNEY
¥OST I KAREN
718
RSeT M
767-6400
'~EEP~IB NUMBER
NEW YORKCOPY STATE