HomeMy WebLinkAboutL 12696 P 398SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Tlrpe of Instrument: DEED
Number of Pages: 4
Receipt Number :. 12-0068540
TRANSFER TAX NUMBER: 11-22791
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
145.00 02.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
06/15/2012
09:08:21 AM
D00012696
398
Lot .'
001.006
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 $0.00 NO RPT
Transfer tax $0.00 NO Comm. Pres
Fees Paid
TRANSFER TAX NUMBER: 11-22791
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
$255.oo
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of pages
5151
This document will be public
record. Please remove all
Social Security Numbers
prior to recording.
Deed / Mortgage Instrument
31
Deed / Mortgage Tax Stamp
FEES
RECORDED
2012 Jun 15 09:08:21
JUDITH R. P~SCfiLE
CLERK OF
SUFFOLK COUNTY
L D00012696
P 398
DT~ 11-22791
Recording /Fiting Stamps
Page / Filing Fee ~'~ -"'
Handling 20. 00
TP-584 '7 "-
Notation
EA-52 17 (County) .."'2
EA-5217 (State) ,
R.P.T.S.A. bo '"
Comm. of Ed. 5. 00
A~davit
Codified Copy
NYS Surcharge
Other
15. 00
Sub Total
IDist.~c.~o 12010242 zooo
RealIproperty ~
Tax Service
Agency
Verification
SubTotal
Grand Total
14500 0200 001006
Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
Mortgage Amt.
1. Basic Tax
2. Additional Tax
SubTotal
SpecJAss[t.
or
Spec./Add.
TOT. MTG. TAX
Dual Town ~ Dual County __
Held for Appointment__
,.T. ransfer 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
pag~j # _y~ of this i.nstrum~_ at.
. ...
Community Preservation Fund
Consideration Amount
CPF Tax Due $
Improved.
Vacant Land
TD
TD
Mailto: Judith A. Pascale, Suffolk County Clerk 171 Title Company Information
310 Center Drive, Riverhead, NY 119011 Co. Name Attorney's Titl~ Insurance
www.suffolkcountyny.gov/c, lerk ITitle # ~'c4~%~_. - '%%'%~.% ·
Suffolk.County Recording,& Endorsement Page
This page forms part of the attached
by:.
~-t-%~k-o,,~,-~ -'--~. '~,,~'z,~-t~,-~
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
In theTOWN of
In the VILLAGE
or HAMLET of'
BOXES 6 THRU 8 MUST BETYPED OR PRINTED 1N BLACK iNK ONLY PRIORTO RECORDING OR FILING.
made
{over)
CONSULT YOUR LAWYER BEFORE SIGN1NG THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the L~' day of ~\
2012
BETINEEN
Thames R. Kozera of Ten City Place, Unit 23H, White Plains, N.Y. 10601 and Lucy A. Kozera of 26 Scersdale Farm
Road. Scarsdale, N.Y. 10583
party of the firsl parl, and
Lucy A~ Ko, zeta of 26 Scarsdale Farm Road. Scamdele, N.Y. 10583
party of the second pad.
WlTNESSETH, thai the party of the first pad. in consideration of
ten dollars
paid by the party of the second part, does hereby grant and release unto the pan'y 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 improvemenls thereon erected, situate,
lying and being in the
~ee Schedule A At,ad'md Hereto.
Sub,ecl to any and all Covenants. Restrictions and Easements of Record.
TOGETHER with all right, IJ[le and interest, if any, of the pa~'y of the first part in and to any streets and roads
abutting the above described premises to the center tines thereof;, TOGETHER wi~h the appurtenances and all
the estate and r~ghts of the party of the first part in and to said premises; TO HAVE AND TO HOLD the
p¢emises 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 firsl part has not done or suffered anything
whereby the Said premises have been encumbered In any way whatever, except as aforesaid.
AND the paAy of the flint paR, in cempllance with Section 13 of the Lien Law, covenants that the party of the
first part will receive the consideration for this conveyance and will h0~d the dght to receive such consideration
as a b"ust fund to be applied f~mt 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 totaJ of the same tar any other
purpose. The word 'party" shall be construed as if it read 'parties' when ever the sense of Ihis indenture so
requires.
I'N WITNESS WHEREOF. the party of the first par1 has duly execuled this deed the day and year Erst above
wdtten.
IN PRESENCE OF:
Star~letd N,Y.B.T,U, Fc~"m 80(]2 - Bargain and Sale Deed. with Covenenl egain$1Grantcx's Acts - Unifoem A,cknowiedgme~
Form 3290
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New YoM. County of
Mf~ mc. th~ ~de~i~cd. ~rmn~ty ~pe~
Thomas ~ Kazera
p~{ly ~own :o m~ or proved
~id~ce 1o ~ ~e i~vid~(s) who~e n~e(s) is (~e) $ub~d~d
wi~in inm~em ~d ncknowladaad to me
same in hi~/thcit ca,cia(into). ~d ~a~ by hi~tr/~ir
on ~r lambent. ~a in~vi~a](s), or the penon upon ~ha{fofwhicb
~e individ~(s) aclcd, exec~ed the ink--enl.
N~ Public, State
~. 02KO5057310
Oualifi~ in W~ch~er ~u~
~~ ~ir~ Ma~h 18,
IN ~EW YOR~ STATE
Smtc of Ncw York, Co~
On ~e ~y of in ~e y~r
be~re me. ~ ~dersigned. a Not~ Public in and tot said State.
pan.ally sp~d
~e subscribing ~mess to ~e foregoing Student. wi~ whom 1
pe~nally ~q~nt~ who, being by
· at h~shd~ resides) in
that he/r, he/~ey know(s)
to be lira individual described in and who executed the forego~
insm.macnt; ~ ~id subscribln~ wlmcss was ptes~ anti mw said,
execute the same; ~nd that said wimess ut the same time subscribed
h/.s4~r/thelr nom~ffs) as a wime~ ihereto
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
q,~ .
Onthe~ dayof ~~ ~meye--2Ol2 .
bcfo~ me, die u~ersiBnad. ~zlly sppe~
Lu~ A. Kozer~
pe~o~Ily ~owa to m~ or proved to me on tbe ~sis of ~tJsf~cto~
evid~ce ~ ~ ~e individ~l{s) who~ n~e(s) is (~)
wi~in ins~em and neknowladged m me ~at be/shiley exscmad
s~e in hi,stair capaci~(ies). ~d ~at ~ hi~¢r/~eir
on the inst]~t~the individual(s), or 1he person upon ball, of which
~ ~ Public, ~t8 0f N~ ~
~ ~ Ho. OglH~ii7~21
~ in Wes~hes~ ~u~
ACIGNOWLEDGEMENT TAICEN OUTS[DE NEW YORK
STATE
*State of . County of
*{Or in~en Dist6~ e f Celtm/l~. Terumo. Pe~msien m Fc~ig~ Caum~
Oaths dayof in the year 2012
before me. the undersianad pcrsonaJ]y appeared
Personally known to me ar p~ovcd In me on (he basis ofsatisfac:ory
evidence to be the individual(s) whose name(s) is (are) subscribed to thc
within instrttm~nl and ackaowledgr, d to me that be/site/they execuled the
~me in hirdherhbei~ capeclty(ics), that by bis/her/their signata~(s) on
she insmrmenL thc individual(s) or thc person upon behalf efwhicb the
individUal{s) aae~L e;~e~'utcd Ibc insa'um~nL and, thai such individual
make such appear~ce before the undeniaa~d in the
(add the city' ut polilicaJ suMivision tad the state m cotmu'7 or other
place the ack~owledgemen~ was takcn)~
Bargain and Sale Deed
With Covenants
Title No. ,.J:Nce~\-C
Thomas R. Kozera and Lucy A. Kozera
TO
Lucy A. Kozera
DISTRIBUTED BY
¥Og~ TITLE EXrlCRT.5
The Juffi¢ial TttJe Inaurance Agency LLC
800-Z81-TITLF. {8485) FAX: $00-FAX-9396
SECTION: 145. OO
9LOCK O~
LOT. : ~0~.0~
COUNTY OR TOWN: Soulhold
RETURN BY MAlL TO:
The Kitson Law Firm. LLP
50 Main Street
9th Floor
White Plains. N.Y. 10606
CHICAGO TITLE INSURANCE COMPANY
File No. SA-99541-SX
SCHEDULE A
ALL that certain lot, piece or parcel of land, situate, lying and being at Laurel in the Town of Southold, County of
Suffolk, State of New York, which property is bounded and described as follows:
BEGINNING at a point where the southeasterly side of Peconic Bay Boulevard is intersected by the division line
between premises to be described herein and lands now or formerly of John C. Diller and Holly Diller, which
point of beginning is distant 315.48 feet northeast of the intersection of the southeasterly side of Peconic Bay
Bird and thc northeasterly side of Laurel Lane;
THENCE RLrNNING along the southerly side of Pecoaic Bay Bird, North. 55 degrees. 56' 00" East, 15.53ft to a
point where the southwesterly side of Peeonic Bay BIvd is intersected by the division line between the premises
described herein and lands now or formerly of Eh!ers;
THENCE RUNNING along said dividing line and the dividing line betwe~.n the premises described herein and
lands now or formerly &Carolyn D. Thoet, South 19 degrees Off 00" East 434.73f~ to Peconic Bay;
THENCE RUNNING along said Peeonie Bay the following 3 courses and distances:
South 72 degrees 05' 26" West 19.45ft;
South 57 degrees 36' 12" West 33.67fl; and
South 61 degrees 16' 25" West 35,53ff to a point and the division line between premises described herein and
lands now or formerly ofJo,m C. Diller and Holly M. DiIier;
THENCE RUNNING along said dividing line the following 3 courses and distances:
North 18 degrees 54' 30" West 224,78ft;
North 55 degrees 56' 00" East. 74,42ff; and
North 19 degrees 00' 00" West 200.00ft to the point and place of BEGINNING.
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PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM.
INSTRUCTIONS: http:lAvww.orps.state.ny.us or PHONE (518) 474-6450
FOR COUNTY USE ONLY I i~
C1, aWlS Cod. , L'~',"'7 ~,~ ~,~5, REAL PROPE.~ T~NSFE. REPORT
STA~ OF NEW YORK
PROPERTY INFORMATION
I
alIEnS if other than buyer addrms (Bt t~nom of fain) I I J~' I
Add~ L,~T K, U4£;
4, I~ th numhr d ~ ~ ~ (Only
~B~ont~d~ I , , I ~ofPamels ~~ Pa~aPemel
~ ~ 2 or 3 Family R~i~ntlal F ~ ~mmerclal Industrial
~ ~ Residential V~nt/end~ ~ Apa~mem ~blic Sawi~ 10&
DU Ran-Residential V~nt ~nd ~ U Ente~einment / Amusement Forest that ~ p~ is in an ~d~l~ral Di~
..F.,,s.,,~ t . . ; . . ; . .(~.o.ot
IFuIL Sale Price is tho tOtal smouflt paid for the property including per~oflsl~roperty.
mis pm/men( may be in Ihs form of cash. other props~y or go~ls, or the assumption of
mortgages or other obligations.) Please round to the neeree~ whole dollar amount.
Il. Indicate the value of pemoeal I , , (~ 0 , 0 I
I ASSESSMENT INFOflMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
15. Cheek one er mom of triage eondMons ee Nqdleeble to ~ll~fon
A [] Sale Between Relatives or Fenner Relatives
R ~1 Sale BBtwonn Related Companies or Fa/tne~ in Business
C [.~Ona of the Buyers is also a Seller
D ~ Buyer or Sailer is Government Aoencv' or Lending In.itu(ion
E ~ Deed Type not Wananty ur Bargain and Sale {Specify Balow}
F ~.~ Bare of Fractional or Less Ihon Fee Interest (Specify Below)
G [.~ Significant ChanGe in Properly Between Taxable Status and Sale Dates
I! ~sale of Buslnes~ is Included ;n Sale I~ice
I [~ Other Unusual Factors Affecting Sale P~ce {Specify Below)
J L_J No..
whh~h Info~a~en taken ~,~ ~ ' ! '-
18. Properly Claes "~. \ .('~'-I I 19. ~.-'honl Distttot N.m. ' '"~'(~ ~."
Tax Map IddmlSef(s) I Roll Msntl/IoHa) (If mine than four, attach sheet whh additional IddmWerlaJ)
I I I J
CERTIFICATION
I ~ertif)' that all or the itent+ or infennadun enlen'd., thb farm are me and em~'ct (to the best ~ my kon~led~ nad beUeh and I umterstand thai the ntr, ddn~
el' an~ ~E'u] raise slatau~nl el' mukrbl r~ heF~4n will .~b. jed me le the p~vi~ons or the penal law rdati~ to the md(h~ arid rdln~ or fd~e instmmenL~
BUYER
' ' STREET NU~IBER
BUYER'S AITORNEY
I NEW YORK STATE
COPY