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Home My WebLink AboutL 12695 P 130SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 4 Receipt N11m~er : 12-0063286 TRANSFER TAX NUMBER: 11-21809 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 078.00 08.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 06/04/2012 11:05:15 AM D00012695 130 Lot: 002.000 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 $5.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 11-21809 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 $0.00 NO $260.00 JUDITH A. PASCALE County Clerk, Suffolk County Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2012 Jun 04 11:05:15 AH JUDITH fl. PA$CALE CLERK OF SUFFOLK COUNTY L 000012695 P 130 DT# 11-21809 Deed/Mo~gagelnstrument Deed/Mortgage Tax Stamp I Recording /Filing Stamps FEES Page / Filing Fee Handling 20, 00 TP-584 Notation EA-52 17 (County) EA-5217 (State) Comm. of Ed. 5, O0 ~ 15. O0 Other .Sub Total Sub Total I 4 I Dist, 1 00 Real Property Tax Service Agency Verification 12011801 iooo 07800 oeoo 002000 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Patricia C. Moore, Esq. 51020 Main Road Southold, NY 1 I971 Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Orive, Riverhead, NY 11901 www.suffolkcountyny.gov/clerk Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. 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. YES or NO If NO, see appropriate tax clause on page # of this instrument. ~.o9 3./~ Community Preservation Fund Consideration Amount $ - 0 - CPFTax Due $ - 0 - Improved Vacant Land TD TD 7 I Title Company Information Co. Name Peconic Bay Title Insurance Agency [ Title # Suffolk County Recording & Endorsement Page This page forms part of the attached Deed by: (SPECIFY TYPE OF INSTRUMENT) Michael Primich The premises herein is situated in SUFFOLK COUNTY, NEW YORK. made TO In theTOWN of Southold Michael Primich and Karen S. Primich In the VILLAGE or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) NY 016 - Administrator's Deed (Single Sheet) (NYBTU 8005) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the ~ '~ day of May , in the year 2012 BETWEEN Michael Primich 247 Big Piece Road Fairfield, NJ 07004 as administrator (trix) of the Estateof Barbara J. Primich late of Suffolk County Who died intestate on the 23rd day of August , in the year 2011 party of the first part, and Michael Primich and Karen S. Primich, Joint Tenants with Right of Survivorship 247 Big Piece Road Fairfield, NJ 07004 party of the second part, WITNESSETH, that whereas letters of administration were issued to the par~y of the first part by the Surrogate's Court Suffolk County, New York on Nov. 21, 2011 and by virtue of the power and authority given by Article i 1 of the Estates. Powers and Trusts Law. and in consideration of Ten 00/100 ($10.00) ........................................................................... dollars, paid by the party of the second part. does hereby grant and release unto the party of the second part, the distributees 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 ATTACHED HERETO AND MADE A PART HEREOF. ~AND I~TENDED TO BE the same premises conveyed by Deed dated June 9, 2011 ~?an~lei,~L~6}dgd ,l~tly 6, 2011 in the Suffolk County Clerk's Office in Liber 12664 Page 696. TOGETHER with all fight, title and interest, if any, of the party of thc first part in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER the appurtenances, and also all the estate which the said decedent had a 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 individual or other, vise; TO HAVE AND TO HOLD the premises herein granted unto the pan of the second part, the distributees or successors ad assignees 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. subject to the trust fund provisions of section thirteen of the Lien Law. the word "puny' shall be construed as if it read "parties" whenever the sense of this indenture so r%q~res. IN WITNESS WHEREOF. the party of the first part has executed this release ~da./:~',~d yT,reffTtbove wfitten. Michael Primich ~ USE ACKNOWLEDGMENT FORM BELOW WITHIN NEW YOI~ STATE ONLY: State of New York, County of } ss.: On the day of in the year before me, the undersigned, personally appeared personally known tu me or proved to me on thc basis of satisfacto~ 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), 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. ACKNOWLEDGMENt FORaf FOR USE WITHIN NEW YORK STATE ONLY: {New York Subscribing Witnezs Acknowledgment Certificate] State of New York, County of } ss.: On the day of in the ycar before me, the undersigned, personally appeared 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, thereoJg; that he/she/they know(s) to be the individual described in and who executed the foregoing instrument; that said subscribing witness was present and saw said execute the same; and that said witness at the same time subscribed his/her/their name(s) as a wimess thereto. TITLE NO. ADMINISTRATOR'S DEED Michael Primich TO Michael Primich and Karen S. Primich FIDELITY NATIONAL TITLE OINSURANCE COMPANY USE A CI~VOWLEDGMENT FORM BELOW WITHIN NEW YoRK S~"A TE 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 safisfactor~ 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 thc insWament, thc individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. A CKNOWLEDOMEhT FoRM FOR USE OU'I~IDE NEW YORK STATE ONLK' lOut of State or Foreign General Acknowledgment Certificate} State. of.N.e.w. Jersey..Co.u~ty,of .~.x,~2A,~.,. } ss.: (Complete Venue with State, Country, Province or M~nicipality) On theo~o day of May intheyear 2012 before me, the undersigned, personally appeared Michael Primich personally known to me or proved to me on the basis of safisfactor~ 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), that by his/her/their signature(s) on the inslrument, the individual(s), or the person upon behalf of which the indiv/dual(s) acted, executed the instrument, and that such individual made such appearance before the undersigned in the (Insert the ally or other political subdivision and the state or country or other place the acknowledgment was taken). Dm~cr 1000 Sac'no~ 78 BLOCK 8 LOT 2 Country OR Tow~ Suffolk Notary~u-bli¢ ~ RECORDED A T REQUEST OF Fidelity National Title Insurance Company RETURN BY MAIL TO Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 SCHEDULE A ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Bayview, Town of Southold, County of Suffolk and State of New York, particularly described as follows: BEGINNING at a stake set in the northerly line of a certain right of way hereinafter described at the southwesterly comer of the premises herein described: RUNNING along said land of Fremont B. Hallock North 20 degrees 20 minutes West 210.0 feet to the dredged canal leading to Goose Creek; THENCE northeasterly along said dredged canal leading to Goose Creek 100 feet more or less to a stake which is North 69 degrees 09 minutes East 100.0 feet from the last described point; THENCE along other land of Howard A. Toldter, Inc., South 20 degrees 17 minutes 40 seconds East 206.12 feet to a stake set on said northerly line of said fight of way; THENCE along said northerly line the following two courses and distances: (1) South 64 degrees 08 minutes 50 seconds West 25.91 feet to a concrete monument; (2) South 67 degrees 53 minutes 50 seconds West 74.09 feet to the point or place of BEGINNING TOGETHER with right of way in Liber 3169 page 236. FOR COUNTY USE ONLY C1. SWIS Code C2, Date Deed Resorded PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http:l/wvw.orps.state.ny.us or PHONE (518) 474-6450 ~)~ D~.f.~' STATE OF NEW YO"K I / ;~ I STA~E BOARD OF RD:AL PROPERTY' SERVICES , , I RP- 5217 PROPER'IY INFORMATION t. ~,...v I 900 I Goose Creek Lane I I SouChold } Southold 111971 I ~'~Y~' I Pr[mlch I Nichael I I Ptimich I Karen S. ] 3, Tax Indicate where f~tore Tax Bills ere to be sent mlllug if other then lever nddrg~ (at bo~om of form) Addma~ I STREET NUMBE~ MiD STREET N4ME Indlsate the numbs' of A~mant Roll paFcds t~en~luw~ on the deed I , S. Daed 6. 8ell~ I Primich I --1 (Only if Pet of · Parodi ~ ac they ~ , l [ # of Pmcals OR Part of a Parcel eA. Planning Board with Subdivision Authority Exists [] 4~. Sulu[ivi~on Approval was Rmuired for T/ansfor [] I OR I, . ',~:~S' · ' I 4C. Parcel Approved for Subdiviswfl with Map provided [] I t,l£chael I FIRST NAME I 7. Cheek the box below which molt eeeuretdy deeLYihes the use of tho prapenty .at tho time of sale: B ~.~ 2 or 3 Family Residential Gommemial Indusaial C I~ Residemial Vacant Land Apartment Public Sepias D U Non-Residential Vacant Land Entertainment / Amusement Forest SALE INFORMATION I 11, ~ale ~a'alt Date 12. Date of Sale [ Transfer o (Fell Sale Price [s the total amount paid ~r tbe pro~rty including ~nal This ~yment may ~ in the form ~ ~sh. mhsT pro~ or g~s. or Ibc sesem~ion of mortgages or other obligations. I ~mu~wthen~~ram~nf. I ASSESSMENT INFORMATION - Oa~ should mfl~ the latest Final As~ssment Boll and Tax Bill 15. Chldt mil a' m of thin asm[rrtbas as appli~lde to ~anden Deed Type not Warranty or Bargain and Sale ISpeci6/Belowl Significant Change in Property Bot~'oo Taxable Status and Bale Dltse Other Unusual Fac'tom Afi'~cting Sale Price ISpecify BelGwl None 16. Yser of Went Roll kern I , I 17 Tel Am.seed Value [of ell Isercelu In b'nnsfsT) I which infomml~on taken ' 1B. Pmpe~tCZam~ r~,/ ,~-~ I-I I 1g. schodDiltx~tNlme [ Soul:hold 20. Tax Map Identhtmll) / Roll IdMIglTm(a) {if mere then four, attach Ihsat tMth ndff~Bonll IMM(II) [ 1000-078.00-08.00-002.000 [ [ I I I I CERTIFICATION I l ~-diJ'y rial all ~' lie II~fm d' I~m'amllea mined on Ibb rom am In~e .ed ~ (lu lite best ~ my Ime~le~ .m~ IMidl and, I um~ersteed dmt Ibc maldnl: of an)' wgB'uJ fake ~tet,=u~,i of nmteHM fact herein will ~lljert me to lbo prwvMms el' the pmal Law rdaif',e Io Ibe makinB ~ fdir,~ d' false imbunN.'ms. BUYER 217 I Big Piece Road Fairfield [ HJ [ 0700~ o~Y oa TOWN SLURSJG'~TUm/ ' i' BUYER'S ATTORNEY bloore Patrlcla C. FIRST ~ 631 I 765-~330 I NEW YORK STATE COPY