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Home My WebLink AboutL 12694 P 719SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 5 Receipt N~m~er : 12-0061531 TRANSFER TAX NUMBER: 11-21499 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 079.00 04.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 05/30/2012 11:48:07 AM D00012694 719 Lot: 004.001 Received the Following Fees For Above Instrument Exempt Page/Filing $25.00 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: 11-21499 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL $20.00 $15.oo $125.00 $o.00 $60.00 $0.00 $260.00 Exempt NO NO NO NO NO NO JUDITH A. PASCALE County Clerk, Suffolk County Number of pages This document will be public record. Please remove all Social Security Numbers Prior to recording. Deed / Mortgage Insdument Page' / Filing Fee Handlil~g TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed. 2¢- o0 5. 00 15. 00 Affidavit Certified Copy NYS Surcharge Other Deed / Mortgage Tax Stamp [ FEES RECORDED 2012 H~y 30 11:4~:07 JUDITH ~. PflSCflLE CLERK OF SUFFOLK COUNTV L D00012694 P 719 DT~ 11-21499 Recording / Filing Stamps Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub T(~tai Spec YAssit. or Speci )Add. TOT.~MTG. TAX Dual Town __ Dual County__ Held for AppointmenI,,~.~ Transfer Tax (x~ ~ 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. Sub Total Sub Total I Lot 4 [Dist. [ .~ea, i,~, Imock 12010925 zooo o79oo o,~oo oo4oo[ Real Property Tax Service Agency Verification Community Preservation Fund Consideration Amount $ f- -) CPF Tax Due $ Improved Satisfactio, .......... e ................... ,- ---~ ........ Jdress ~ RECORD & RETURN TO: Vacant Land Mail to: 3udith A. Pascale, Su~olk County Olerk [ 7 [ Title Company Information 310 Center Drive, Hiverhead, NY llg01 I ~ .' ~ /~ ~'~ www. suffolkcountyny, gov/clerk I Title ¢ ~06 (~ ~ ~ 1% Suffolk.County Recording & Endorsement Page This page fo~s p~ of the attached ~e ~ d made by: (SPECI~ TYPE OF INS~E~) The premises herein is situated in SUFFOLK COUNTY, NEW yORK. In the TOWN of ~ ~ ~'~ O 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) T 69 L ! DISTRICT 1000 SECTION 079.00 BLOCK 04.00 LOT 004. l $1andard N.Y,B.T.C. Form 8002 - Baigain & sale deed with covenant against gratllor's acts - Ind, or Co~p, - singLe sheet CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the ~9/~ -~ay of ~ , Two Thousand Twelve. BETWEEN ANTHONY FOROSICH and LINA FOROSICH, his wife, both residing at 1405 Anchor Lane, Southold, New York 11971, as tenants in common, the party of the first part, AND NADALENE S]RMONS and RODNEY S[RMONS,~as Co-Trustees of the FOROSICH FAMILY IRREVOCABLE TRUST u/a/d April 26, 2012, the E~28 ~ 8YH I 0 .O~ WITNESSETH, that the pa~ of thc first pail, m c~{~yatmn, ~f:,~n: ~la~ and other valuable consideration paid by the paay of the second pan, do~s hereby grant and release unto the party of the second pan, the heirs or successors and assigns q[the. ~yO~,the second pan forever, ALL that ce~ain plot, piece or parcel of land, with 't~e' ~uildings and improvements thereon erected, situate, lying and being more ~lly described in ''' ~, :~..~'~ .. SCHEDULE A ANNEXED HERETO AND MADE A PART HEREOF SAID PREMISES COMMONLY KNOWN AS 1405 Anchor Lane, Southold, New York; and bearing a tax map designation of DISTRICT 1000, SECTION 079.00, BLOCK 04.00, LOT 004. i BEING AND INTENDED TO BE the same premises granted to the Party of the first part by Deed of Anthony Forosich and Lina Forosich, dated April 24, 1992, and recorded in the Office of the Suffolk County Clerk on May 12, 1992 at Liber 11465, Page 408. 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 of 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 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 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 thc 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. (witness) ANTHONY FOROSICH LINA FOROSICH ACKNOWLEDGMENT TAKEN IN NEW YORK STATE; O? NE~ Yig~I~'} ,COUNTY OF ~ J/od~ ss,: me, the undersigned, ~ersonally appeared ANTHONY FOROSICH AND L1NA FOROSICH personally known to me or proved to me on the basis of satisfactory evidence to be the whose name(s)~' (are) subscribed to the within individual(s) instrument and acknowledged''to me that 'he,/s~.,e/they executed the same in hi~)~/their capacity(ies), and that by ]q~/~at,/their signature(s) on'the instrument, the individual(s) or the person upon behalf of which the ind~ll~s,)_a_ct, ed, executed the instrument, NOTARY PUaklC NO. "lqot~ry-Public ' ACKNOWLEDGMENT TAKEN IN NEW YORK STATEO?N£W YORK ) COUNTY OF ) ss.: On the __ day of __, in the year of 20__, 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. Nota~ Public ACKNOWLEDGMENT TAKI~N IN NEW YORK STATE OF NEW YORK ) COUNTY OF ) ss.: On the day of , in the year of 20__, before mc, 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. Notary Public ACKNOWLEDGMENT TAKEN IN NEW YORK ~STATE OF NEW YORK ) COUNTY OF ) ss.: On the __ day of __., in the year of 20_, 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/her/their signature(s) on the instrument, the individual(s) or the person upon behalf of which the individual(s) acted, executed the instrument. Notary Public Bargain and Sale Deed With Covenant Against Grantor's Acts Title No. FOROSICH & FOROSICH. TO FOROSICH FAMILY IRREVOCABLE TRUST. SECTION: 079.00 BLOCK: 04.00 LOT: 004.1 DISTRICT: 1000 COUNTY OR TOWN: Suffolk RETURN BY MAIL TO: 'MORITT HOCK' ~:' HAMROFF LLP 400 Garden City Plaza; Suite 202 Garden City, New York 11530 (516) 873-2000 Attn: Robert S. Cohen, Esq. 313104vi Schedule A ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold, County of Suffolk and State of New York; known and designated as Lot 15 on a certain map entitled, "Map of Harbor Lights Estates, Section 1", and filed in the Office of the Clerk of the County of Suffolk on June 8, 1965 as Map No. 4362. ALL that certain plot, piece or parce! of land, situate, lying and being in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the easterly side of Lot No. 2 as shown on Map of Harbor Lights Estates, Section 1, Map No. 4362, distant 25 feet northerly from the southeasterly comer of said Lot 2; muning thence North 25 degrees 54 minutes 50 seconds East along the easterly side of said Lot 2, 25 feet; thence South 64 degrees 05 minutes 10 seconds East 31.28 feet; thence South 16 degrees 01 minutes 00 seconds West 25.37 feet; and North 64 degrees 05 minutes 10 seconds West 35.64 feet to the point or place of BEGINNING. SUBJECT TO an easement for passage and repassage over the westerly five (5) feet of said premises and together with an easement for passage and repassage over an easement five (5) feet in width fi.om said premises to the northerly side of Lot t 5 on said map adjacent to said Lot 2. TOGETHER WITH an easement over the streets or roads shown on said filed map. SUBJECT TO an easement over the southerly 2 feet (approximate) of Lot 15 on said map in favor of the Town of Southold for highway purposes. TOGETHER WITH an easement for boating purposes, in common with others, over a strip of land 50 feet in width, extending from the northerly line of Lot 14 in a north/northeasterly direction to Southold Bay 0aeconic Bay on subdivision map) for ingress and egress to said bay. TOGETI-IER WITH the use, in common with others, of the beach area and parking area adjacent thereto; said beach area having a depth of approximately 50 feet from the average high water mark on Peconic Bay, and having a length of 900 feet, more or less, measured along the ordinary high water mark, and said parking area having a frontage on the northej'ly side of Harbor Lights Drive of approximately 150 feet, running westerly along said street from Lot No. 7, and having a depth of not less than 150 feet northerly of Harbor Lights Drive. The parking area shall be immediately adjacent and contiguous to the beach area herein referred to. 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, bounded and described as follows: BEGINNING at the southeasterly comer of Lot 2, "Map of Harbor Lights Estates, Section 1", filed in the Suffolk County Clerk's Office on Map No. 4362, from said point of beginning running along said Lot 2, North 25 degrees 54 minutes 50 seconds East 25.0 feet; thence South 64 degrees 05 minutes 10 seconds East 35.64 feet; thence along land of Reese South 16 degrees 01 minutes 00 seconds West 25.38 feet to lot 14; thence along Lots 14 and 15, as shown on said map, North 64 degrees 05 minutes 10 seconds West 40.0 feet to the point of BEGINNING. SUBJECT TO an easement for passage and repassage over the westerly five (5) feet of said premises. / 3~83~1 PLEASE TYPE OR PRES8 FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP-5217-1NS): www.orpe.etate.ny.us C2. Dat~ Deed R-corded I O,.,~/ 3 Q / C~ Office of Real Property Tax Services .... ' RP- 5217 C3, Book' Z C~ & 9, ~1C'. Page] 7l?1 , ' Real Propert~ Transfer RepMt (a/10) PROPERTY INFORMATION I , ..L, ,, o/_d , 4. INIo~ the n~r d ~me~ ~ (Only S. Deed .,~ !~m~.T__l x l .~ o. I . , ..~. .... 7. Ch~k ~e ~X ~ which ~t a~ur~ Mafl~ the use M the ~ at t~ A ~ O~ Fami~ ~idenUal E ~ ~d~mt [ ~ C~ni~ ~im J] ~ 2 m 3 Fa~ ~s~lial F ~ ~al ~ic [)~No~eside~alVa~nd H~Enm~inmentl~u~nt L F~t 4B. Subdivision Approval was Required for TmnsMr Check the beso. I helow al the'/apply: 8, Ownership Type is Co~eefinium ~. New Consbuclion on Vacant Land 1 ~A. PropaK¥ I. ecated ~[hi~ an Agrlc~llural 1 0e. Su~er mcai'~d e discl~Lms n01ica irKlicalin~ Ihet Ilia property Is In an A~d~ltural D~stoct 13. Fol18nlnPdon I O. O. ~--a'~"O ,.o .o y.~._.~.__,.n _. 0 0 i ( Full Sale Price is the total acleunt pnid fro' tho pmlmr~y including pemenal properly. ~is pa~nent may be in the tom~ d cash. ether properly er goods, or the assumptio~ of mOl~lages el' other obligations.) Please round to the neamsl ~ deilar amount. 14.1ndlaltethevnlunetp.lflloall I ~ ~0_,._~).O ~ a.D. 0 0 property Included In the alb -- ~ ' ' lS. Ch~k mle M more of t~nse condltloal ms aplMICmble ~o tmnnfm': /% ~ ~le Between Reb~Jvso or FmTner R-latives B ,~ Sale Between Related Companies or Partners in Business (-' ..--I One of the euyers is also e Sehar D ._.j Buyer or Seller I~ Government Agency or Lending InsfihJ~ I'.' ~J ~ T~q~e net Warranty or Bargain end Sale (Sl~i~ Below) I" ~J Snle of FracUonnl er Less than Fso thtores! ( Specify Botow ) (] ~ SigniScant Change bi property ~ Taxable Status and Sale Dntca [ ! ---I Sale of Business ,s included in Sale Price J .~ Other Unusual Factom AffGctJng Sale Pdca ( Specify Below ) J .~ Nmle ASSESSMENT INFORMATION - Date should reflect the latest Final Assessment Roll and Tax Bill ._J CERTIFICATION ~- .~'~'/~LF~ $1GNA_TURE -- /~/' -- --' J '-N- BUYER CONTACT INFORMATIO~ ~/__ BU~KGIGHATURE A~I~Ul~ .~' ~J ~ / BUYER'S A~ORNEY__ , , f73- ooo , C"7-, O ,YToc'' STATE ZP ~