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Home My WebLink AboutL 12697 P 521SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 3 Receipt Number : 12-0073212 TRANSFER TAX NUMBER: 11-23647 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 101.00 02.00 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 00 $5 oo $5 00 $5 oo $5 00 $o 00 TRANSFER TAX NUMBER: 11-23647 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 06/27/2012 09:59:58 AM D00012697 521 Lot: 018.004 $20.00 $15.oo $125.00 $0,oo $60.00 $o.o0 $255.00 Exempt NO NO NO NO NO NO Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2012 Jun 27 09:59:58 JUDITH ~, PflSCflLE CLERK OF SUFFOLK COUNT~ L D00012697 P 521 Df~ 11-23~47 I Deed / Mortgage I.nstmment Deed / Mortgage Tax Stamp I Recording / Filing Stamps FEES 31 Page / Filing Fee I t'~' __ Handling 20. 00 TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed. 5. 00 Affidavit NYS Surcharge 15. 00 Other I 4 IDist. 12015379 100o Real Prop ~ Tax Serv Agent'. Verificati .... Sub Total Sub Total Grand Total 10100 0200 018004 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. Community Preservation Fund Consideration Amount CPF Tax Due $ .... Improved Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land Mail to: dudith A. Pascalo, Suffolk County Glerk ~ Title Corn' Information 310 Gontor Drivm Riverhead, NY 11901 I_ '~"~m~ www. suffolk¢ou ntyn¥.gov/clork ~ ~ Suffolk County Recording & Endorsement Page This page forms part of the attached Oo :~ r...!c*~' I~ o_.¢'A made by: (SPECIFY TYPE OF INSTRUMENT) TO The premises herein is situated in sun O K cot.trY, mw YORK. In the TOWN of C~Ov~ k~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. 1:4101.101081~ (over) ,uitclaim Deed Individual or Corporation (Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. ?HIS INDENTURE, made the [ (a day of BETWEEN C;^~, Ooc¢>x¢¢c~cx~,ox party of the first part, and party0f the second part, WITNF.$$ETH, that the party of the first part, in consideration ofTen Dollars and other valuable consideration paid by the party of the second part, does hereby remise, release and quitclaim unto the party oflhe 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 ~OGET~[ w,~ ]]~,~t, t,~ an~,n~er~, l?tny, ~Nhe ~~ ~st p}~f, m an~ ~8 any ~ts and r~ abutting the above-described premises to the center lines thereof; TOGET~R with the appu~enances, and all the estate rights of the pa~ of the first pa~ in and to said premises; TO HA~ AND TO HOLD the premises herein ~anted =to the pa~ of the second pa~, the heirs or successors and assi~s of the pa~ of the second pau forever. AND the party of the first part, in compliance with Section 13 of the Lien Law, hereby 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. IN PRESENCE OF: USE ACKNOWLEDGMENT FORM BELOW WITHIN NEW YORK STATE ONLY: STATE OF.NEW YORK, COUNTY OF SUFFOLK } ss,: On ihe ~ay of ~'~C in the year 201~ before me, the undersigned pe~onally app~ personally kno~ to me or proved to me on the b~is of satisfacto~ evidence to bc the individual who~e n~e i, subscribed to the within instrument ~d ac~owledged to me that he/~he executed lhe sine in hi~ her capacity, ~d that by his/ her signature on the instmmant, the individual, or the per, on upon behalf of which ~he individual acted, executed lhe ins~ment. Nota~ Public ~' n N~ ~MA6153425 ~ In Suffolk Coun~ ,~ ACKNOW~DGM~T FO~ FOR USE WITHIN N~W FO~ STATE O~LY: (Out of SMte or Fomi~ Geneml Jc~o~ent Cergfi~te) STATE OF NEW YOR~ COUNTY OF } s~.: 'On the dayof , in thc ye~ 2011, before me, th~ '. undersigned, personally appeared thc subscribing wimess to the foregoing ins~ment with whom 1 am persenally acquainted, who, bring by mc duly swo~, did depose and say that h~shdthey reside(s) in (If the place of residence is in a city, include the street and street number, fany, thereo]); that he/she/they know(s) o be lhe individual described in and who executed the foregoing instrument; that said subscribing witness was present and saw said execute thc same; and that said witness at the same time subscribed his/her/their name(s) as a witness thereto. Quitclaim Deed TITLE NO. TO USE ACKNOWLEDGMENT FORM BELOW WITHIN NEW YORK STATE ONLY: STATE OF NEW Y.ORKt COUNTY OF SUFFOLK } ss.: On,the~...~, day of-'-~U~]'~'~ in the year 2011 before me, the unaers:gned personally appeared 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 ~nd acknowledged to me that he/she executed the same in his/ her capacity, and that by his/ her signature on the instrument, the individual, or the person upon behalf of which the individual acted exec~e instrument. Nora.fy Public LUOILLE BRAND Notmy Public - ~lzte of New York No. 01Bf14736514 Qualified In Suffolk County M~ ~omml~ion Explrem May 31,2015 ACKNOWLEDGMENT FORM FOR USE OUTSIDE NEW YORK STATE ONLY: (Out of State or Foreign General Acknowledgment Certificate} [Complete Venue with Stale, Country, Province or Municipality] On the day of , in the year 201 I, before me, the undersigned, personally appeared personally known to me or proved to me on the bfisis of satisfactor. 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 instrument, the individuals(s), or the person upon behalf of which the individual(s) acted, executed the instrument, and that such individual made such appearance before the undersigned in the (Insert the city or other political subdivision and the state or country or other place the acknowledgment was taken). DISTRICT: SECTION: BLOCK: LOT: COUNTY OR TOWN: SUFFOLK RECORDED A T REQUEST OF RETURN BY MA.rL TO IFOR COUI~TY USE ONLY ~" A , Z 5 g', , PROPER~ INFORMATION ~ PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP-5217-1NS): www.orpa.atate.ny.us New York 5rate I)epmtment of Taxation and Finance Olfl~ of Real Property Tax ~wi~s RP- 5217 Real Property Transfer Report (8/10) a, Tax Indi~ whom ~m Tax Bills sm ~ ~ ~nt Billleg if ~her than b~r a~mss (at ~ ~ fo~) I I 4. Indl~ h numhr ~ Asaessme~ Roll N~le ta.eb~d on ~ d~ I . . S. Deed P~op.dy L ._Jxl I ' [ (Only If Pert of · Pmqcal) Check es they · . I # of Pa~s OR Pa~ ~ a Pa~l ~. Planni~ Bca~ ~ Su~Mslon ~ Exis~ 4B. Su~s~n ~1 ~s R~ui~ ~ Trans~r ?. Check the M)x below v~leJt most accurately deacribee the u~e of the proper~ al the lime of sale: B I I :Z ~ 3 Family Residentla! ~: I~J Comme~a~ Indust~d C I ~ Resldeneal Vacant Land G ~ Apmlmem Public Ser,~ca D I INon'Re$idanUal Va;act Land H I I EnWtalnment I AmL=emant Forest Check tho boxes below es they apply: L Ownerabip Type ~ Condominium L.~ 9. New Con~tructiofl oe Vacant Land [] I~A, Pm~er~ L(xawd Mlhin an Agricultural Di$1dct [] t0B. BiJye( received · dlsdcame notice ~dicaling [] that the pmpe~y ~s Iff an A4lH~JIbJral Disbict ,SALE INFORMATION I 11. sa~*Con..~tOm L 0~, / t~ ~m];~--~- Year ( F~I ~ P~ Is ~ ~1 ;~t ~ld f~ ~ p~ I~i~ ~;I ~, pm~ In~lud~ I~ the ~ ~ ; ' ' ' ' ASSESSMENT INFOR~TION - Da~ ~ou~ ~e~ ~e la~ Final ~nl Roll and Tax Big ~ r ,o , ~. Tjx Map MenOhrJM ~ ~1 Iden~fle~J) ( ~ m=m ~nn ~r, J~ch J~ w~ Jddl~.l I~.~fle~t) ) I __l L J C.~k m'le or mm of thes~ co~dltloee as applicable to V~J Sale Satwlen Reletives m' Fi~-mer Re.lives ~J Sale Between Related CompanJe~ (x Pmlnem in Business ..~ O~e of ~e Buyers is ;dso e Seller ,.~LBuyer or Saner is Government Agency or Lending lesUtutiart v~ Dend Type eot Wa~nN ~ Sar~in and Sale (SpecJiy Below ) Sale ~ Fmcfi°flal mlLeSs than Fee Interest ( 8pacify Bel°w ) Significant Change In Pmpen'y Between Taxable Status end Sale Dales SBIc of BusMess is leduded :n SMe PfiGe O~M Unusuel Fac~s Affecting Sale P~ca ( ~oedly Sak~w ) SELLER SIGNATURE BUYER 81GNATURE BUYER'B ATTORNEY NEWYORK STATE COPY ) BUYER CONTACT INFORMATION T~pe ar iMM ctead~.) 6~1 ~ q69-sqs~ CIT~ oa TOWN ~J