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Home My WebLink AboutL 12694 P 899SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 4 Receipt Number : 12-0062268 TRANSFER TAX NUMBER: 11-21641 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 053.00 04.00 EXAMINED AND CHARGED AS FOLLOWS $o.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: 11-21641 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County o5/31/2o12 01:50:34 PM D00012694 899 Lot: 044.006 Exempt $20.00 NO $15.00 NO $125.00 NO $0.00 NO $60.00 NO $0.00 NO $255.00 Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2012 Ma~ S1 01:50:S4 PH JUDITH fl. PflSC~LE CLERK OF SUFFOLK COUNTV L D00012694 P 899 OT~ 11-21641 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp I Recording / Filing Stamps Page / Filing Fee ~ Handling 20. 00 TP-584 ~ Notation i~A-52 17 (County) ~"__ EA-5217 (State) / ~Q' ~- R.P.T.S.A. (~0 Comm. of Ed. 5. 00 Affidavit Certified Copy NYS Surcharge 15. 00 Other Sub Toml Sub Total ~6 Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./-~dd. TOT. MTG. TAX Dual Town __ Dual County.__ Held for Appoint~ 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 instrument. _ ~/-~s--/~- I ' s~O/l~ vuu uD~UU 0400 044006 I" ' ~ Real ~ope.y ~ I Considerafion-~ount $ ~ _ ~ / / I lmproved [~ _ I Satishctions~isch~ges~elease~ List-~opefly owners tv~am,,[ .~s-[~ / I ' ~ I ~co~n · ~,ua~ ~o: / · ~ Iw~d I Mail to: Judith A. Pascalo, Su.olk GounW Glerk ~ 7 I Title Company Informatiom I 310 Center Drive, Riverhead, NY 11901[Co. Name Wl~(~. (&D C ) I t qiz ) 81 Suffolk County Recording & Endorsement Page ~is page fores p~ of ~e attached ~ ~ ~ made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. In the TOWN of ~'~x~ I c~ In the VILLAGE ~~ or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) NY 014 - Full Covenant & Warranty Deed Individual or Corporation (Single Shes0 (NYBTU 8003) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 25th day of April . in the year 2012 BETWEEN John J. Gayson, Jr. and Karen Gayson, husband and wife, both residing at 334 Mineola Boulevard, Mineola, New York ! 1501, party of the first part, and Karen Gayson, residing at 334 Mineola Boulevard, Mineola, New York 11501, as Trustee of the John J. Gayson, Jr. Personal Residence Trust, created under an agreement dated April 25, 2012, party of the second part, WITNESSETH, that the party of the flint 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 plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the [See Schedule "A" annexed hereto for legal description of the Premises] Being and intended to be the same premises conveyed to the party of the first part by deed dated June 28, 2002, and recorded in the Office of the Suffolk County Clerk on July 19, 2002 in Liber D00012198, Page 336. 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 hnes thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first pan 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 c~f the party of the second part forever. AND the party of thc 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. AND the party of the first part covenants as follows: that said party of the first pan is seized of the said premises in fee simple, and has good right to convey the same; that the party of the second part shall quietly enjoy thc said premises; that the said premises are free from incumbrances, except as aforesaid; that the party of the first part will execute or procure any further necessary assurance of the title to said premises; and that said party of the first part will forever warrant the title to said premises. 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 exe~J~ IN PRESENCE OF: Kareh G son I. JSE AC~KNOWLEDGMENT FORM BELOW WITH1N NEw YoRK STATE ONLY: State of New York, County of Nassau } ss.: ~n the 25 day of April in the year 2012 before me, the undersigned, personally appeared John J. Gayson, Jr. and Karen Gayson , 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 sa~ne in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual~e instrument. ~ v PHILIP V. BOUKLAS Notary Public. StAte ot New York No. 01B05046979, New York County Commission Expires Juty 24, 2013 ACKNOWLEDGMENT FORIVl FOR USE WITHIN NEW YORK STATE ONLY: {New York Subscribing Witness Acknowledgment Certificate] State of New York, County of } ss.: On the day of in the year before me. the undersigned, personally appea~cd the subscribing witness to the foregoing instrument, with whom I an~ 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 street number, if any, thereoj); that he/she/they know(s) to be the individual described in and who executed the foregoing insWament; that said subscribing witness was present and saw said execute thc same; and that said witness at thc same time subscribed his/her/their name(s) as a witness thereto. USE ACKNOWLEDGMENT FORM BELOW WITHIN NEW Yovoc Srnrf. ONLY: State of New York, County of } ss.: On the day of in the year before me, the undersigned, personally appeared personally known to me or proved to me on the basis of satisfacto~ 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 instxument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. ACKNOWLEDGMENT FOR~I FOR USE OUTSIDE NEW YORK STATE ONLY: [Oul of State or Foreign General Acknowledgment Certificate] (Complete Venue with State, Country. Province or Munb-ipaliry) On the day of in the year before me, the undersigned, personally appeared personalty known to mc or proved to me on the basis of safisfactor~ evidence to be the individual(s) whose name(s) is (are) subscribed to thc 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 upon behalf of which the individual(s) acted, executed the inslrament, and that such individual made such appearance before the undersigned in the (insert the cio' or other political subdivision and the slate or country or other place the acknowledgment was taken). TtTL£ NO. WARRANTY DEED {WIT[{ FULL COVENANTS} John J. Gayson, Jr. and Karen Gayson, husband and wife TO John J. Gayson, Jr. Personal Residence Trust FIDELITY NATIONAL TITLE O INSURANCE COMPANY l,vconPon~ rEr~ 1928 L~.,,~,,.,-,;?,,,.,'~ Fidelity ~ DISTRICT II~O SECTION 053.00 BLOCK 04.00 LOW 044.006 COUNTY OR TOWN Suffolk County ,~com~£~v A r R£Q v£xr ov Fidelity National Title Insurance Company RETURN BY MAIL TO Philip V. Bouldas, Esq. Bouldas & Associates PLLC 137 Fifth Avenue, 9th Floor New York, NY 10010 DESCRIPTION ALL that certain plot, piece or parcel of land, situate, lying and being in the TOwn of Southold, County of Suffolk and State of New York, known and designated as Lot NO. 4 as shown on a certain map entitled, "Map of August Acres, Section 1" and filed in ~he Suffolk County Clerk,s Office on June 30, 1991 as Map No. 9107, and being more particularly bounded and described as follows: BEGINNING at a point on the southwesterly side of Kerwin Blvd. distant I37.00 feet northwesterly from the extreme westerly end of an arc of a curve connecting the southwesterly side of Kerwin Blvd. with the northwesterly side of Sage Spur; Said point also being where same is intersected by the division line between lots 4 & 5 as shown on said map; RUNNING THENCE South 46 degrees 50' 20" west, along said division line, 250.00 feet; THENCE North 43 degrees 09' 40" west, 160.00 feet; THENCE North 46 degrees 50' 20" East, 250.00 feet to the southwesterly side of Kerwin Blvd. THENCE South 43 degrees 09' 40" EaSt, along the southwesterly side of Kerwin Blvd., 160.00 feet to the point or place of BEGINNING. PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http://www.orps.state.ny.us or PHONE {518) 473-7222 REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK 51'ATE BOARD OF REAL PROPERTY SERVICES RP - 5217 I PROPERTY INFORMATION I 3. Tax I~e where futura T~ Bills am m ~ ~m Biffing if ~r than b~r e~ Ist ~m of f~) I I I hll~r~tm~KontRed~ I , , I tofPor~ls OR~ P~of~Psmel ~Plonnino~a~withSu~Msion~hor~Exi~ ~ B I 12 or 3 Family Reaidandal ~.' Commercial Industrial C U Residential Vacant Land G ApaRment Public Sewice DI I Non-Residemial Vacant Land ['T EnmrtaJnment IAmusementForsst Chedc tim pexae pelow es they eppll¢ & CX,~nership Type is Condominium[] 9. New C~flstmctimt on VAcant Land [] 1~ Property Lacatmi within an Agricultural District [] tOO. Buyer received a dimlolum netice ifldieeting [] thai the pmpan'y is in an Agdcultural D~IHC2 SALE INFORMATION 11. Sele Coetract DM , ~ Day Ye~ B c F 13. ~1' I ~ ~ .... ~ ~ , 0 I ~SESSMENT INFORMA~ON - Data should r~ect tho latest Final As~ment Roll and Tax Bill 15. Check mm or rome M theee mmdJIMes es q~le to ~'anMec Sale R~w~n Relatives or Former Relst~'us Sale Between Related Companies or Partners in Business One of the Buyers ia alao · Seller Buyer or Seller ia Go~rnment Aganw or Le~ding Institution Deed Type net Warrant~ of Bargain and Sale (Spe~ifi/Below) Sale of FracUonel or Less than .gee Interest (SpeelPf Below) Signilicant Change in Property Between Taxable Status end Bale Dates Sale o! Business is Included In Bale Price Other Unusual Faclom Affeeling Sale P~e (SpeeKy IElelow) None FIAp IdMtIRIII'[II I Roll kbfrtl~[ll Ill nlm thin hr, Ittlch M with ed~tlousl IdomlRerle)l CERTIFICATION I em'df) that all (fl' the Iten~ of information tmlemd aa ~k~ fm'm am il'us and emit IiO lite Ixml al' m)' koomle(l~e and belial') and [ undef,,~lmmd Ihat lite nmldnR ~ an)' tdl~ul false slalen~nl M' nmlerlal fad he.in sift suhJed nm m.) lite pnwL~io~ of the penal law mistake to the m~ and ITIJmlll of false Jm,tmmenls. BUYER BUYER'S ATIORNEY I NEW YORK STATE COPY