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Home My WebLink AboutL 12694 P 378SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED NumBer of Pages: 3 Receipt Number : 12-0060063 TRANSFER TAX NUMBER: 11-21257 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 070.00 11.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing COE EA-CTY TP-584 Cert.Copies Transfer tax $15 O0 $5 oo Ss oo Ss oo $o oo 8o 00 TRANSFER TAX NUMBER: 11-21257 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 05/24/2012 04:22:04 PM D00012694 378 Lot: 005.O00 $20 00 $15 oo $i25 oo $0 oo $60 00 $0 oo $250 O0 Exempt NO NO NO NO NO NO Number of pages 3 This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2012 Hay 24 04:22:04 PI'I JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY L D00012694 P 3?8 DT~ 11-21257 Deed/Mo~gagelnstrument Deed/Mortgage Tax Stamp I Recording /Filing Stamps FEES 31 Page / Filing Fee Handling ~"~O 00 TP-584 Notation EA-52 17 {County) R.P.T.S.A. Comm. of Ed. $. O0 Affidavit Certified Copy NYS Surcharge 15. O0 Other Sub Total Su, - ota, O9 aS Grand Total d Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total 5pec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointment _ Transfer Tax ~ Mansion Tax The property covered by th. is 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 instr~J~//~ 41Dist, Real Prope Tax Service Agency Verificatio I 12011163 1000 07000 1100 005000 / 5 Community Preservation Fund Consideration Amount CPF Tax Due $ (~ Satisfa~:tions/Discha?c~te~-/R~l%-ses List Property Owners Mailing Address RECORD & RETURN TO: Rudolph H. Bruer, Esq. P.O. Box 1466 Southold, New York 11971 Improved Vacant Land TD / TD TD Mail to: Judith A. Pascale, Suffolk County Clerk J 7 J 310 Center Drive, Riverhead, NY 11901J Co. Name www.suffolkcountyny.gov/clerk J Title # Suffolk County Recording & Endorsement Page Title Company Information This page forms part of the attached by: George S. Small Deed (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. made TO In theTOWN of Southold In the VILLAGE Bertrice W. Small or HAMLETof Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over} BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOWS ACTS (INDIVIDUAL OR CORPORATION) FORM 8007 CAUTION: THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE, made the ]Zday of May, 2012 between George S. Small, residing at 1180 Crittens Lane, Southold, New York 11971 party of the first part, Berlrice W. Small, residing at 1180 Crittens Lane, Southold, New York 11971 party of the second part, WITNESSETH, that the party of the first part, in consideration ofTEN DOLLARS ($10.00), lawful money of the United States, 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, . ~ .A. LL THAT CERTA1N plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Southold, in the Town of Southo]d, County of Suffolk and State of New York, known and designed as Lot 46 on a certain map entitled, "Map of Southwood, situate at Southold, Town of Southold, New York, surveyed October l, 1953 by Otto W. Van Tuyl", which map was filed in the Office of the Clerk &the County of Suffolk on November 24, 1953 as Map No. 2141. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated May 27, 2004 and recorded in the Suffolk County Clerk's Office on July 1,2004 in Liber 12328 at Page 378. 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 all the estate and rights of the party &the first part in and to said premises, TO HA VE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns &the party &the second part forever. AND the party of the first part, covenants that the party of the first pan 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 &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 &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. George S. Small STATE OF NEW YORK : 2SS. COUNTY OF SUFFOLK : On the' '~'~ day of May, 2012, before me, the undersigned, a Notary Public in and for said State, personally appeared George S. Small, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacities, and that by their signatures on the instrument, the individuals, or the person upon behalf of whigh the individual acted, executed the instrument. RUDOLPH H. BRUER NOTARY PUBLIC, STATE OF NEW YORK NO. 52-0465530, SUFFOLK COUNT~' COMMISSION F_XPJRES ,MARCH PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP-52174N$): www.orps.Etate, ny.uE FOR COUNTY USE ONLY cl. swm Cod. I ~...:~, ~', <~, gl ~TaxationNeWYErk st-fo Depaltmeflt Bland Finance C2. DateDeed Recorded I(~) '~'/ c>"~q / /='~' I Office of Real Property Tax Service$ C$."°°kl /~ ~.~ ~.. ~,C/,iC4. P,,;~ RP'5217 Real Property Transfer Report (8/10) PROPERTY INFORMA~ON I i. Pmo~y 575 I Southold I CrittenE Lane I 111971 I BezC:ice ~. 2. Buyer I $mall I [ 3. TaxIndicate where ~tum Tax Bills am ~ ~ ~nt Billing ~ ~ t~n ~r ~d~ss (at ~t~ ~ ~) [ I I [ ~l'i'r;~-I 7.pcooc , I I #dP;~ OR [----] PmnofmmPmrcml · . 60 I (Only If Pad: of a PaecM) Chock aa they apply: 4A. Planning Beard wth Subdivision Authority ExJsts [] 4B. Subd~sion Approval was Reo, ulmd for Transfer [] 4C. Pan:el/~oproved for Subdivision with I~p Pro~ [] 4. Indicate the number of Atl~tlmant Roll ~la tranafmtd mi the rind I , 5. Deed pra,,.,,~ I~=~_./x I Size ucF.. 6. Beller i Small I Geo:ge S. 7. Cbeck the b~ batow whEcI1 most accurately daKdbes the ose of the propid:y at thn tima of sate: B I 12 ~ 3 F;mmgy Residential Y H Commeecial Indu~z~l C I [ ResidenUal Vacant Land (:] Apa~a~t Public Barite D L_.JNon-Roelden~l Vacant Land H L_j Enmnalnmem I AntusementFo~eat C;hock t~a boxes below aa they aPMy: 5. Ownsmhip Tt~o is Condominium [] g. New Corm~uction on Vacant Land [] 10A. Pmpedy ~ within an Ag~cultuml Dis~ict [] 1 OB. Bwer recei~ecl a disdo~ur~ nodce Indicting [] that tho ;x'ope~y is in an Agricultural Distltct SALE INFORMATION I ,.~ co,,,,so, ~ I / ~//a I 12. Date of Bela l Tmnafer I 5 / ~/ 2012I 13. Full Bale PHco O 0 I ( Full Bate Prioe is Ihe total Im~unl p~id ~ ~e ~y in~di~ ~ p~. This p~nt may ~ in ~e ~ ~ ~. ~er ~y ~ ~s. ~ ~ ~m~ ~ m~agoc ~ ~er ~U~s.) ~M ~ ~ the ~ ~ ~r a~. l~lnd~theval~nal I -0-- 0 0 I ~ ioclud~ te ~e oste ~ ~ Chock one or more of these conditions as applicable to transfer:. [] Eale Between RelafJ~eS or Former Relal]ves L~ Sale Belween Related Conll~nles ar Pa~eea in Busine~ I-,--J One (M the Buyem is also a Seller ~ eu,~. m Bailer ,s Govemmem AOoncy or Lendln9 Insdtubon I I ~ Type nM Wa.,ranty ~' Bargain end Sale ($pe(~y Below ) I I ~ of Fmclk)nsl or ~s Ihan Fao Intent ( Bpe(~fy Be~ ) ~ Signir~l Cherige ~ P~W ~ Taxable S~I~ ~cl Bets ~tes L ] '~ ~ ~ainas~ ia Included in ~te Pdca I~ ~r U~s~l Fac~m Aftecting ~le Pdca ( Spoc~y ~1~ ) I I~e ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill YosrofAossoementRo from 11!12I which Infermatlon taken i 17. Total AnsnsMd Value (of dm paKete In tranafed Pmped,/¢laos L 2,½.°_,/-I I ..E,hos,~.mat.... I So-chold 7 1 0 01 20. Tax Map IdontJBer(e) I Roll JdMttJBer(a) ( If mo~o than four, attach ahost with eddJtkmal IdonBfle~a) ) I 1000-070.00-11 . 00-005. 000 I I CERTIFICATION I EELLER SIGNATURE BUYER CONTACT INFORMATION BUYER SIGNATURE .~,.as~,v~ Bert:ice W. Small BUYER'S ATTORNEY Bruer __. I Rudolph_ H. 631 [ 765-1222 C NEW YORK STATE COPY T,Aee e~ tMm =tueS.) Small i Bectrice W. 631 I 765 I I~O Crittene Lane I Southold 11971