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Home My WebLink AboutL 12696 P 731SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 6 Receipt Number : 12-0069910 TRANSFER TAX NUMBER: 11-23069 District: 1001 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 006.00 06.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $30.00 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: 11-23069 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 06/19/2012 12:13:03 PM D00012696 731 Lot: 011.000 $20.00 $15.00 $125.00 $0.00 $60.00 $0.00 $265.00 Exempt NO NO NO NO NO NO Number of pages This document wilt be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2012 Jun t9 i2:13:05 PM JUDITH fi. PRSCRLE CLERK OF SUFFOLK COUNTY L D00012696 P 731 OT# 1t-230~9 31 Page / Filing Fee Handling TP-584 Notation EA-$2 17 (County) EA-5217 (State) R,P.T.S.A. Comm. of Ed. Affidavit Certified Copy NYS Surcharge Other Deed / Mortgage Instrument Deed / Mortgage Tax Stamp I Recording / Filing Stamps FEES 20, 00 5. 00 Sub Total Sub Totai Grand Total 4 I Dist./'~ Real Propert Tax Service Agency Verification 15. O0 12012854 ~oo~ 00600 0600 o~zooo M ortgage Amt. 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 I If NO, see appropriate tax clause on I page #__~qfthils instrument. '~ I 5 I ¢ommuni~ ~e,:ervation Fund [Ceg~deration Amount ;PP T~ Due $ Improved__ Satisfactions/Discharges/Re~eases List Property Owners Mailing Address / RECORD & RETURN TO:. Vacant Land ,, Mail to:~Udith A. Pascale, Suffolk Coun~ Clerk m 7 J Title Company Information 310 Center Drive Riverhead, NY 11901 leo. Name ~- .- g ~ Suffolk CounW Recording & Endorsement Page This page forms part of the attached by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK, TO in theTOWN of ~~.~-~ BOXES 6 THRU 8 MUST 8E TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. made (over) CONStlI.T YOUR LAWY£R BEFORE SIGNING TltIS INSTRllM ENT-TIIIS [NSTRllMENT StlOULD BE USED BY I,AWYER8 ONLY THIS INDENTURE, made the 4th day of June ,2012 BETWEEN Debra A. Roth, residing at 67 Park Avenue, Apartment 3C, New York, NY 10016, party of the first part, and Debra A. Roth as Trustee of the Debra A. Roth Revocable Trust dated June 4, 2012, residing at 67 Park Avenue, Apartment 3C, New York, NY 10016, party of the second part, WITNESSETH, that the party of the first part, in consideration of 10.00 dollars 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 in the See Schedule A annexed hereto. BEING AND INTENDED TO BE the premises conveyed to the Party of the First Part by Deed dated July 9, 2010 and Recorded with the Clerk of Suffolk County on July 14, 2010 at Liber D00012631 at page 093. Bargain and Sale DeeO, wilh Covenan! against Grantors Acts - Uni¥orm ACknowledgment 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 thht 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 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: Debra A. Roth Bargain and Sa~e Deed, with Covenant against Grar~tofs Acts - Uniform Ackr~edg Faent TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of New York , ss: State of New York, County of , ss; On the ~t12day of 4T',~-.,e._ in the year xo i z., before me, On the day of in the year , before me, the undersigned, personally appeared the undersigned, personally appeared Debra A. Roth 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 satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to (are) subscribed to the within instrument and acknowledged to me that he/she/they ,executed the same in his/her/their me that he/she/they executed the same in his/her/their capacity(les), andt~ by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instrument, the ind~F)~ru~t(s), or the person upon behalf of which instrument, the individual(s), or the person upon behalf of which the individual(s)tffyt{d~xecuted the instrument, the individual(s) acted, executed the instrument. (signature and office of individual taking proof) (signature and office of individual taking proof) RALPH RANDAZZO ' Neta~ Public, State 04 New ¥o~ No. 02RA6031224 uatified in Suffolk CounW . -. commQission Expires Sept. 27,20 ~ TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State (or District of Columbia, 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/her/their 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 and the state or country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) BARGAIN AND SALE DEED, WITH COVENANT AGAINST GRANTOR'S ACTS TITLE NO.: Fid Nat 10-7404-78056-SUFF Debra A. Roth TO Debra A. Roth as Trustee of the Debra A. Roth Revocable Trust dated June 4, 2012 410 New York Avenue, Huntington NY 1 t743 ?hone: 6.31.424.6t00 Fax: 631.424.6049 800.285.1551 www. advantagetide.com TAKING SERVICE TO THE NEXT LEX. EL DISTRICT: 1001 SECTION: 006.00 BLOCK: 06.00 LOT: 011.000 PREMISES:411 Fourth Street, Greenport, NY COUNTY: Suffolk RECORD AND RETURN TO: Ralph M. Randazzo, Esq. 464 New York Avenue Huntington, NY 11743 SCHEDULE "A" ALL THAT CERTAIN plot, piece or parcel of land, situate, lying and being in the Village of Greenport, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNiNG at a concrete monument set on the westerly line of Fourth Street distant in a northerIy direction 200 feet from the intersection formed by the northerly line of Flint Street with the westerly line of Fourth Street, from said point of BEGINNING; RUNNING THENCE along the westerly line of Fourth Street, South 7 degrees 17 minutes 30 seconds West, 100.00 feet to a pipe; THENCE North 82 degrees 48 minutes 40 seconds West, 166.00 feet to a concrete monument; THENCE North 7 degrees 17 minutes 40 seconds East, 100.00 feet to a point; RUNNING THENCE South 82 degrees 48 minutes 40 seconds East, 165.99 feet to the westerly side of Fourth Street at the point or place of BEGINNING. Bargain and Sale Deed, with Covenant against Grantor's Acts - Unifom3 A~nowl~:,dgment PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http:l/www.orps.state, ny.us or PHONE (518) 474-6450 FO, cae,. o,LYc,, sw,s ........,._.. , o PROPER~ INFORMATION I ~e~on 3. T~ IndUe ~ Mum Tss Bills am ~ ~ ~ Billing ff ~ than ~r 4. In&~ce~e the number of Ae~esa,~t flctl percale translated ou the deed I REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERLY SERVICES RP - 5217 I ZIP cant RRsT ~ FIRST NME ~o-~ I~,~1 Ioo,~l , ~ I e Of Pamela ~ Pan of a Panel ~ Planning ~ ~h Su~iwion ~ho~ Exam S. Deed P.p.,r, I I x I I OR I .... I 7. Chick ~a ~x ~low ~h ~ Brambly ~ t~ u~ M ~l p~ ~ the ffme M Mia: A ~One Family R.idential ~ ~ ~ricultural ]~ .... i~ ~wice "~2 or ~ Family Rssi~mi,l ~ ~mmemi,l J ~ Industrial C~Rssidmtisl Vacam ~nd A~ment K~ Public Sewi~ D ~Non-Rmi~ntisl Vacnnt ~nd Ente~inment I Amu~ment L ~ Forest 4~ Subgivislo~/k~proval was Required for Tra~fer [] · 5". gl 4C.P~rcelApflroveclflx Subdivision with MOp Frovided [] CheGk fM hex~ below Is they NN]~. 8. Ov~ershlp Typ~ is Condominium [] 9. New Construction on Vecent Land [] I~A. Frei)any Located within an ~riGultuml District [] 10B. Burr received a disclosure notice indicating [] that tl~ pmpeKy i~ in an ,~ricultural District I SALE INFORMATION 11. Sale COU~'KI Date 1~. D~,, d Sale I Trnnifer 13. FullsaloPr~e I ........ (~, 0 , 0 I ! ~ · CFull Bale Price is the total amount paid for the property including Personal property. This Payment may be in tho foflTI of cash, ether properly er goads, or tho assumption of 14. Im:licnte ~he value of panonBI I ...... ~}, 0 , 0 1 pmpe~y indud~d in ~he ale ~ ! · 15. Chedr one ce mom of these ceediSous es applicable to . Sale Batsmen Rela~ed Companies or Pannem in Business One of the Suyem is dso a Seller Buyer m' Sailer is Govamment Agency or Landing Icotitufion · Deed Type not Wermmy or Bargain end Sale {Speci~ Balowl Sale of Frec~ionel or ~ than Fee IrKor~t (Specify Below) Significant Change in Property Between TaxaMe Statue and Sale Date~ [ I I Sale of BuaineM is Included in Sale Other Unusual F~ctors Affecting Sale Price (Specify Below) None ASSESSMENT INFORMATION · Data should reflect the latest Final Assessment Roll and Tax Bill 1LYwdAss~-.~RoOIrom I I ' ti whieh Infou~etion takou ~ 17. Total AsM~aed Value (of dl pemels le tTender) I ~ ~ ½ ~ ~ 5'. ~ .O .~ I ! 25. Tax Map IdouSif~lel I Roll klentiifer(el (If more than four. atta~ eheet with edditJouel MentSlerle)) I t OG~ I I gO G,OO I I O~,,OCJ I I oil ,OO I CERTIFICATION I cerviX' 0mi arq o~ Ihe II,~tq E bd'mlJo, mien oa Ihk Ion, a't W OM CON (.m lhe ~ of' my knewbd~e and beech and I* u~mad Ihet lite reaki.~ of an)' .,,,'ilEal fabe statement Of' nmte~J fss~ hendn v4]l suhject tm, to lira pn),r,i, Jom, id' the penM luw nd~fi~ le Ihe makJal~ end fllin~ oF fehe im'trumenta. BUYER SELLER BUYER'S A~rORNEY I NEW YORK STATE COPY