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Home My WebLink AboutL 12697 P 103SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 4 Receipt Number : 12-0071415 TRANSFER TAX NUMBER: 11-23371 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 117.00 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 $20 O0 $5 oo $5 oo $5 oo $0 00 $0 oo TRANSFER TAX NUMBER: 11-23371 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 06/22/2012 09:28:23 AM D00012697 103 Lot: 012.000 $20 O0 SiS oo $125 oo $0 00 $60 00 $0 oo $255 O0 Exempt NO NO NO NO NO NO Number of pages This document will be public record. Please remove afl Social Security Numbers prior to recording. RECORDED 2012 Jun 22 09:28:23 JUDITH P. PASCQLE CLERK OF SUFFOLK COUNTY L D00012697 P 103 DT~ 11-23371 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp I Recording / Filing Stamps FEES Page / Filing Fee 'c--~c~ , Handling 20. 00 TP-584 Notation EA-52 17 (County) Sub Total EA-5217 (State) R.P.T.S.A. ~'~(-~ (~ Comm. of Ed. 5. O0 Affidavit Certified Copy NYS Surcharge 15. 00 Sub Total Other ,,.,~'~ Grand Total 4 o 12013160 3.000 [[700 0200 012000 Real Pr~ Tax ~ Agen Vedfl~ 6 ~tisfa~ion~Discharge~Releases List Pro~ ~ners Mailing Address ~CO~ & ~TU~ TO: L~AND~ CONDE FELD~N, K~MER & MONACO, P.C. 330 V~derbiit Motor P~kway, Suite 400 Hauppauge, NY I 1788 Mail to: Judith A. Pas~lo, Suffolk ~oun~ ~lo~ 3~0 ¢ontor D~vo, Rivo~ead, NY 11g01[Co. Name ~.suffolk~un~ny.gov/clo~ I ~tle I Mortgage AmL 1. Basic Tax 2. Additional Tax Sub Total SpecJAssit. 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 P~reservation Fund Consideration Amount Improved Vacant Land TD /~ Due $ TD TD Title Company Information 8 Suffolk County Recording & Endorsement Page by: (SPECIFY ~PE OF INS~UMEND ~k ~ 14(¢~ ~e premi~, herein is sl,ua,~ in BOXES 6 THRU 8 MUST BE ~PED OR PRINTED IN B~CK INK ONLY PRIOR TO R[CORDING OR FILING. made (over) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD 6E USED BY LAWYERS ONLY No consideration deed DISTRICT SECTION 117.00 BLOCK 02.00 LOT 012.000 THIS INDENTURE, made the ~;~'3 day of [~CefV~.~2~/-/ ~t// BETWEEN Frank T. Klos and Lois A. Klos, his wife, residing at 2300 Grathwohl Road, New Suffolk, NY 11956, ' party of the first part, and Kerry L, Tyler, as Trustee of the Lois A Klos Family 2011 Irrevocable Trust, 329 Hamilton Way, Holly Springs, GA 30115, party of the second part, WITNESSETH, that the party of the first pert, in consideration of TEN dollars and other good and valuable consideration 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, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at SEE AFl'ACHED DESCRIPTION Said premises known as 2300 Grathwohl Road, New Suffolk, NY 11956 Subject to all covenants, restrictions, agreements and easements of record, if any. Being and intended to be the same premises as conveyed to the party of the first part by deed dated 11/06/02, recorded 12117/2002 in Liber 12225 page 689 in the Suffolk County Clerk's Office. 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 HAVE 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 hotd 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" when ever 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. r~ Klos Standard NY.B.T.u. Form 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts - Uniform Acknowtedgment Form 1000-? TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of <~1 ~C.~ss: State of New York, County of ss: ~On the ~ day of ['~ (,J'~-~/in the year o~( / On the day of in the year before me, the undersigned, personally appeared before me, the undersigned, personally appeared Frank T. KIDs and Lois A. KIDs personally known to me or proved to me on the basis of 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 [~t ir~dl~.vei;t;~ll~;)i;~dd,U~lx(~[.u~Pi~srst~.t~mUePr3Ot? behalf of which .(ei~'~ure e~nd office/~f i~l'Gl:l'a'~king acknowledgment) (signature and office of individual taking acknowledgment) ~ STEVEN KRAMER ~lotary Public, State Of New York . No. 02KR6170141 Ouallfied In Suffolk County Corn~ssion Ex,Dire8 June 27, TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowled§ed 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. State (or Distdct of Col~mbia, Territory, or Foreign Country) 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 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/hedtheir signature(s) on the instrument, the individual(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) in (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) FRANK T, KLOS AND Lorn A. KLOS TO THE LOIS A. KLOS FAMILY 2011 IRREVOCABLE TRUST BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS Title No. SECTION 117.00 BLOCK 02.00 LOT 012.000 COUNTY OR TOWN Suffolk STREET ADDRESS 2300 Grathwohl Road New Suffolk, NY 11956 RETURN BY MAIL TO: Steven Kramer, Esq. Feldman, Kramer & Monaco, P.C, 330 Vanderbilt Motor Parkway Hauppauge, NY 11788 Description ,'~ALLlh=;¢¢ru~in ph~tpi~enrp=~¢lnfl=nd, with~hebui~&~ndimpm~rmcn~(her~neA~led.~ilua~¢.lyin~and [~hltim~m ac Ne~ in/folk, To~ of 5ouchold, County of Suffolk and SCare oE Ney York, bounded and described as follovs~ 8EGI~ING a& a concrete mon~ent sec on Che easterly line of G~ach~hL Road a~ a poin& distant 84.22 [eec Southerly irom Che South~esCsrly comer of land no~ o~ R~I~C thence alon8 land nov or fo~erly of Ross South ?~0 29' ~0' East 150.00 ~eet to a concrete aonu~ent~ I~CE a~ou8 land nov or fo~erly cE Grodski, the follovin8 cvo courses and distances: (1) Sou~h 21° 17' 00' ~es~ 75.00 feet, and (2) ~or~h 71~ 29~ lO' ~est 1~0.00 [ee~ ~o the easterly line o~ Crach~hl Road; I~E~Cl aloes said Easterly line of Crath~hl Road North 2~' 17' feeC Co ~he point or plac~ of PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP-S21?-INS): www,orps.atate.ny,us FOI~ COUNTY USE ONLY , 9.c/, Ta~tion and Finance c2. Dam O.d .coM. I~ / ~ ~ /& ~ of Real P=e~ T~ ~i~s PROPERTY INFORMATION I _(~ I I I lilllq i~r ~n ~r/d~(m ~m of~)g . I ~ I 4. Indicate the number of Allseimem Roll parcels tmnsfen~d on the deed I , 5. Deed ~p,~, ~ x I Io. L ........ ~.~., 8. Sel~' I 7. Ch~k the box below which mo~t er. serafeiy de~cdboe tho uBa of the property at the time of Bale: A [] One Farmly ResldentJal [~ ~ AgrtGultural [ [~ Community Service ~,,I~]2m'aFemlly Res~d'e,nliel F LJ~,nn~rclal J' [j im:lusM.i C LI Residential VKa~ Lend O I.~ Aparlmefll KL~ Public 8en~ce D[__JNofl-Ret~lsn',alVecantkend II [~Enmnamment/Amus~rml I.~J Fomsl (Only if Peat of · Parcel) CI-4d; Ba th~ apldy: 4A. Planning Board with S~bdMslml AuUtotity F. xJsls [] 4B. Sutx:lMslon ~rovar vms Required f~r Transfer [] 4C. Parcel Approved for SobdM$iofl with Map provided [] Cheek the boxes below ee they apply: B. Ownership Type is Condeminium [] 9. New C_,~lslmclJml on V~nt ~d ~ 1~, ~ ~ ~in an ~d~ltuml ~l~ ~ lOB. ~r ~ a dictum ~ i~tl~ ~ · al ~ p~ iS in &fl ~fi~l~ml ~S~ I SALE INFORMATION ] 1t. Slle CofllreCt Date 12. Dm of Safe I Transfer , 15. ~ull Sale ] 14. Indl~ the vMm ~ fe=lud~ ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 1~ YBar of A~l ..... tRo ~rom ~. ~ 17. TotatA..seMIVatUe (ofatlperCdlln~,'Bnsbr~ which Information tlkon ' ] ] ~ ' ?ax l;p Identifier(a} / R~II Identlf~i(e) { if ;o; then bul, aah eltBat .Itfl apditl=el IdlntlflM(;) ) , I ,BUYER SIGNATURE BUYER"S ATTORNEY