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Home My WebLink AboutL 12695 P 767SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 4 Receipt Number : 12-0065734 TRANSFER TAX NUMBER: 11-22300 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 075.00 04.00 EXAMINED AND CHARGED AS FOLLOWS $407,000.00 06/08/2012 11:39:25 AM D00012695 767 Lot: 026.000 Received the Following Fees For Above Instrument Exempt Page/Filing COE EA-CTY TP-584 Cert. Copies Transfer tax $20 00 $5 00 $5 00 $5 00 $0 00 $1,628 00 TRANSFER TAX NUMBER: 11-22300 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 Exempt $20.00 NO $15.00 NO $125.00 NO $0.00 NO $60.00 NO $5,140.00 NO $7,023.00 JUDITH A. PASCALE County Clerk, Suffolk County Number of pages . This document will be public record.'.Please remove all Social SeCurity Numbers prio[to recording. Deed / Mortgage Instrument 31 Deed / Mortgage Tax Stamp FEES RECORDEP 2012 Jun OS t1:39:25 JUDITH ~, PASC~LE CLERK OF SUFFOLK COUNTY L'PO0012695 P 767 PT# 11-22500 Recto-ding / Filing Stamps Page!/:F, iling Fee Handiing TP-584 Notation EA-52 17 (County) EA-5217 (State) R.ETS.A. Comm. of Ed. Affidavit Certified Copy NYS Surchm'ge Other / Mortgage Amt. 1. Basic Tax 5. 00 2. Additional Tax Sub Total Spec./Assit. or ' Sub Total Spec./Add. TOT. MTG. TAX (¢ Held fei' Appointment 5. 00 'ansfer Tax Ansion Tax ~e property covered b'y this mortgage is tr will be improved by a one or two family dwelling only. 15. 00 Sub Total I YES ~ or NO Grand Total c~ ~'~'~ If NO, s~ ~}p~ropriate tax clause on , oa_ee# -/ I 1~ of thisinstmment., t000[I 12011393 1000 07500 0400 026000 5 Community Preservation Fund 4 Dist, Real Property ~ Consideration Amount $ q Tax SeC'vice \ ....... d ~ ~ - veAr ~lecnaCt lYe n' ~ CPF Tax Due ]lSm r~ov/eclz'/-~ 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address ' / . · RECORD'& RETURN TO: . / Vacant. Land __ _ Donald McHugh, Esq- / _~ / 36 Madison Street . / II~ ~ ' Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information ~ 310 Center Drive, Riverhead, NY 11901 Co. Name· ~±t~.e 'Vest ..... t www.suffolkcountyny, gov/clerk I Title # CL s 267t01 [Suffolk County. Recording & Endorsement Page This page forms prat of the attached ERIC W. NELSEN AND PENNY L. NELSEN DEED (SPECIFY TYPE OF INSTRUMENT) ']['he premises herein is situated in SUFFOLK COUNTY, NEW YORK. made by: TO In th~ TOWN of ' SOUTHOLD MICHAEL FLORIE )2qD In the VILLAGE ~:E:,T~,,~,. ~,'XeS~.,E F~-:m_,-~- or HAMLET of .q(3ffTl4Ol,l) BOXES 6 THRU 8 MUST BE TYPED OR. PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM $007 PURCHASER nero~E sl~msG. rms m~r~, made the I ~ day of M ~ ~/2012 belween ERIC W. NELSEN and PENNY L. NELSEN, husband and wife, residing at 1722 Silver Creek Lane, Evergreen, CO 80468 party of the first part, and MICHAEL FLORIE residing at 2194 Cameron Avenue, Merrick, NY 11566 party of the second part, WITNESSETH, that the party of the first pail, in consideration of Ten Dollars and other lawful consideration, 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 foreveF, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Southold, Town of Southold, County of Suffolk and State of New York. SEE SCHEDULE 'A' ATI'ACHED HERETO AND MADE A PART HEREOF Being and intended to be the same premises conveyed to the party of the first part by deed dated 4/11/2006 and recorded on 4/24/2006 12446 at Page 676. 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 pail, covenants that th6 pfirty 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 pail, 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. NYSBA Residential Real .Eatale Forms on IlotDoes (9100) Copyright Capsofl Development ERIC W. NELSEN LSEN STATE OF NEW YORK COUNTY OF SUFFOLK ) ) SS.: ) On the o~ day of April, in the year 2012, before me, the undersigned personally appeared Erie W. Neisen and Penny L. Nelsen, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument, and that such individual made such appearance before the undersigned in the LOR RA~NF- KLOPFER N,:rlary Public, State of NawYork No, 4828373 Qualified in Suftolk County ~ommission Expires Nov. 30. ~/~ DEED Title No. NELSEN To Section 075.00 Block 04.00 Lot 026.000 County or Town SUFFOLK FLORIE Return By Mail To: Donald McHugh, Esq. 36 Madison Street Lynbrook, NY 11563 Reserve This Space For Use Of Recording Office NYSBA Residential Real Estate Forrrz on HotDoc$® (9/00) ® Copyright Capsoft Development TitleVest Agency, inc. as agent for Commonwealth Land Title Insurance Company TitleVest Order #: CL-S-267101 Schedule A (Description) ALL that certain plot, piece or parcel of land, situate, lying and being at Southold, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the Northerly side of Freemans Lane at the corner formed by the intersection of the Easterly side of South Harbor Road and the Northerly side of Freemans. Lane; RUNNING THENCE along the Northerly side of Freemans Lane North 61 degrees 58 minutes 00 seconds East, 157.90 feet to land now or formerly of Southold Fire District; THENCE along said land North 09 degrees 17 minutes 00 seconds West, 93.00 feet to land now or formedy of Montgomery; THENCE along said land South 72 degrees 53 minutes 00 seconds West, 148.90 feet to the Eastedy side of South Harbor Road; THENCE along said Easted~ side of South Harbor Road South 08 degrees 20 minutes 40 seconds East, 123.69 feet to the corner first above mentioned, to the point·or place of BEGINNING. FOR INFORMATION ONLY: Said premises also known as 45 Baywater Avenue, Southold, NY, FOR CONVEYANCING ONLY, if in. tended to be conveyed: Together with ail rights, tit~e and interest of, in and to any streets and roads abutting lhe above described premises, to the center line thereof. Schedule A (Description) Page 1 of 1 PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP-S2174NS): www.orps.Btate.ny.us FOR COUNTY USe ONLY [/"~l'"'I ,'::'--~ ,C~:) , C~,<i I I r~/~~;~ Taxation and Finance ct. aWlS Code New Yo~ ~ ~ent ,-- G --' " '"',~,g RP- 5217 ,PR. OPERTY INFORMATION i Location ~~ LSouthold I Florie 3. T~ Indicate where futura Tax Bills am ~o be sent EIIIIng If'other then buyer nddmss (al bottom of fem.) I Addreaa 4. Indlcofa the number of Aaeeeament ROfl parcela tronaf~rmd on the dsmd I S. Beed ~. Sall~r I Nelsen I ~lelsen I ~ay~al;e~: Avenue I Southold Hlchael I 11971 I I I F' '] (Only if Prat of a Pmcel) Check as they apply: · ~, I #ofPe~z,:s OR PattofaPamal 4A. FlannmgBonrdwilhSepeivisionAutl~tyExis~ [] 4B. Subdivision Approval wes Required for Transfer [-~ I Eric T,]. I Penny L, I J 7, Check the box below which meet accurately describes the uBe of the propMty al the tim of SaM: Check the boxes below aa they apply: 8. Ownersl~p Type is Cortpemirdum [] A.[~]One FemilyResiclenhal E ~Agrscultural I[~ C .... ity Bervice 9. New CenstroGtionen V~.ant Land [] B I I 2 or 3 Family Residential F I.~ Commercial J I~ Inclust~al ltiA. Pm;sAy Loealeti wl~lin wi Agdcultura~ Owtnc~ [] C I I ResidanUal Vacant Land GH 'q--iPublic SeMM 1tiS. Buym rO(;oived e disclMium nokco indicating [] D U Non-RsoidenUal Vacant Land H I I E'nlenainmem I Amusomen! L ~j Forsot that the i)ro~fly Is in an Ag~iculWrol DMdct I SALEINFORMATIONI 1 Z. DOfe of Sale I Tmrmfer I 3 /t3 / ~2 I z, o ~ 0 o _a.A.0..J 13. Fell Sale Price I I : ~ ~ I ' ~1 ' L · ~ . ( Full Sale Price is the ~oCal amount paid for the property including personal property. This payment may he in Ihs form of c~sh. oUmf I~l~ or g~ls. ~ I~e essum~on of marigag~s ar Mhor obligst~s.) PMesemund~otlmneamstw~leddlaremnunt. la. Indlcnt~ tim value of I~monal D 0 0 ' prol~erly InofudmJ In the eel~ L~) ~ ,--. , , -, · · 15. Check aaa or mom of these condtiJona A [] ~e Between R~tives or Framer Re~tJves B t~ ~afe Between Related Companies or Parlnars in Buaine-,,a ~-' I ~ One of the Buyers i$ alSO a Selthr D [~ Buyer or Seller Is Government Agency (x' Lending Ins~tutkm I: [ [ ~ 1~/pe not Warranty or Sa~aie and Sale (Specify Sa~w ~" i ] Sale of FrecU~al or Les~ thnn Fee Inmre~! ( Specify Below ) G t~J Si~niF~nn~ Chan~ in Prope~y Satween Ta~nMe St&'u s and Sale Dates H t~ -qela of Busirm-..s is Included in Sale Pflce I L~,~hor Unusual Fa~me~/UfL~ling Sale Prim ( Specify Below J I ASSESSMENT INFORMATION · Data should mllec~ the latest Final Assessment Roll and Tax Bill I 16. YasTofAewhichinformoflontakentRellfrOml I , [ I IT. TOfalA ...... dValue (ofailparceillntrarmfer]L , . *' , , -*--~- _,-Vf.i ~' ,0 . (2.1 1,. PmparlyClarm I~.( , 0l-'~l ,'.$clmMOlofrlofName L~.~_lo_o.( ~ 2~, Tax Map IdenUfler(e) I Roll IdenUflegle) ( If mom than/our, attach sheet with addltiomel Identifier[a) ) I 1000-75-~.-26 ~ I r I I I I I CERTIFICATION I BUYER CoN'rACT INFORMATION / ,