HomeMy WebLinkAboutL 12700 P 573IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
Number of Pages: 4
Receipt Number : 12-0086084
TRANSFER TAX NUMBER: 11-26026
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
086.00 02.00
EXAMINED AND CHARGED AS FOLLOWS
$0 .oo
07/30/2012
10:58:17 AM
D00012700
573
Lot:
012. 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: 11-26026
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
$20 00
$15 00
$250 00
$0 00
$60 00
$0 00
$3s0 00
Exempt
NO
NO
NO
NO
NO
NO
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 Jvl 30 10:58:17 AH
JUDITH A. PASCALE
CLERK OF
SUFFOLK COUNTY
L b00012700
P 5?3
DT# 11-26026
Deed / Mortgage Instrument Deed / Mortgage Tax Stamp I Recording / Filing Stamps
Handling 20. 00
TP-584 S
Notation
EA-52 17 (County) ,~.
EA-5217 (State)
R.P.T.S.A.
Comm. of Ed.
Affidavit
Certified Copy
NYS Surcharge 15. 00
Other
Sub Total ~ ,
Sub Total
Grand Total
I~.~(12017118-~00o oa6oo 0200
012006
Real4 lUlS[-l~pe" ~
Tax Servio
Agency
VerificafioL ....
6
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec JAssit.
or
Spec./Add.
TOT. MTG. TAX
Dual Town
.I
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__
L¢~. ~ ff NO, see appropriate tax clause op
~ iSl Community Preservation Fund
RECORD & RETURN TO: d
'bibb' Omid
I
I
Mail to: Judith A. Pascale, Suffolk County ClerkI? I Title Compan,v IBformation
310 Center Drive, Riverfiead, NY 11901ICo. Name
www. suffoIkcou ntyny, gov/clerk
Suffolk County Recording & Endorsement Pa~e
This page forms part of Ibc attached
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TOn ~ I .... L _ ,~ i ~ I~ the TOWN of
('~ ~~"3 ;~5~ or HAMLET of
made by:
BOXES 6 THRU 8 MUST BE TYPED OR'PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FII JNG.
(over)
RECORDING REQUESTED BY:
LIBBY A. GOLDSTEIN
AND WHEN RECORDED MAIL TO:
LIBBY A. GOLDSTEIN
4300 Bellaire Avenue
Studio City, CA 91604
MAIL TAX STATEMENT TO:
David G. Edelstein, Trustee
Libby A. Goldstein, Trustee
4300 Bellaire Avenue
Studio City, CA 91604
INDIVIDUAL QUITCLAIM DEED
APN 473889 86-2-12.6
The undersigned grantors declare:
FOR NO CONSIDERATION,
DAVID G. EDELSTEIN and LIBBY A. GOLDSTEIN, his wife
hereby REMISE, RELEASE AND QUITCLAIM to
DAVID G. ED,F4tS~TJ2IN'and LIBBY A. GOLDSTEIN, as Trustee of the E.G. STEIN FAMILY
T ,UST, dated
the following described ~'eal property in the City of Peconic, Coun. ty of Suffolk, State of New
York:
SEE EXHIBIT "A" ATTACHED
Dated: ~{~[],
Grantors:
David G. Edel.~tein
Libby A. Goldstein
4300 Bellaire Avenue
Studio City, CA 91604
DAVID G. EDELSTEIN '
Grantees:
David G. Edelstein, Tru~ee
Libby A. Goldstein, Trustee
4300 Bellaire Avenue
. Studio City, CA 91604
LACA_24857891
STATE OF CALIFORNIA )
) ss
COUNTY OF LOS ANGELES )
On ~k~+ I'~1~ ,2011, beforeme, ~-'~_~\~C~
Public, personally a~l~eared LiBBy A. GOLDSTEIN and DAVID G. EDELSTEIN, who proved
to me on the basis of satisfactory evidence to be the persons whose name are subscribed to the
within instrument and acknowledged to me that they executed the same in their authorized
capacities, and that by their signatures on the instrument the persons, or the entity upon behalf of
which the persons acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that
the foregoing is tree and correct.
WITNESS my hand and official seal.
Signature
(Seal)
ff~,.~:IO~"~ Commission # 1811328
~ ~,..~ Notary Public - California
z \~.+._~_ ~ Los Angeles County
~ ~ My ~; Expires Sep 23, 20~2
LACA_2485789.1
EXHIBIT "A"
ALL of that certain plot, piece or parcel of land, situate, lying and being at Peconic, Town of
South01d, County of Suffolk and State of New York which said parcel of land is more
particularly bounded and desdribed
BEGINNING at a point on the Southwes~'ei'l¥ si& o~ u3ttt5~OO[ distant 4105.08 feet more or
less, Southwesterly and Westerly and Northwesterly as measured along the Easterly, Southerly
and Southwesterly side of Wells Road from the comer formed by the intersection of the Easterly
side of Wells Road and the Southerly~ ~d~gf_M. ~n Road;
RUNNING THENCE South 30 degrees 14 minutes ~-0-'~af~c~d'qC/est, along land now or
formerly of Mitchell, 194.41 feet to Richmond Creek;
THENCE along' Richmond Creek, the following tie-line course and distance, North 71 degrees
12 minutes 03 seconds West, 233.92 feet to land now or formerly of Hallock;
THENCE North 48 degrees 27 minutes 40 seconds East along said land 253.53 feet to the
Southwesterly side of Wells Road;
THENCE South 59 degrees 45 minutes 30 seconds East, along the Southwesterly side of Wells
Road, 150.00 feet to the point or place of BEGINNING.
LACA_2485789,1
........... PLEASE TYPE,OR PRESS FIRMLY' WHEN WRJTING ON FORM
INSTRUCTIONS: hRp://www, orps.state.ny, us or PHONE (518) 473-7222
FOR COUNTY USE ONLY ~ ~ __ I~-~
Cl. SWlS Code I L~i-7 13 18, ~,~ ' . REAL PROPERTY TRANSFER REPORT
8TAI~ OF NEW YORK
STAI~
BOARD
OF
REAL
PROI~RIT
8Em/ICES
IMonth Day Year '"71D RP' 5217
=.,oo,, I, A.q,op , . I
i. Tn II~dicate where Iutura Ta~ Sills are
Billing '~ mh~ than ~ ~d~ (~ ~mm M fmml J
I
I. India the n.mber ~ A~mant
Roll ~ tra~fe~ on the ~ J
5.
6. ~er J
I
I
LAST N~E/COMPANY
Clm~ the bowm below aa they Wa]IV:
ii Ownership 'Type is Condominium
ii New Construction on Vacant Land
1aA. Property Locatod within an Agricultural Olearict
10L Bm/er received c diKlo~ure notic~ indicating
that the property is in afl AgriCultural Oistd~
7. Cheek the bgxjr~i~l~ ~O~d-l~bel°W which ~OIt~~IKW~ d~b~ ~e m ~ the W~ M the time M ~le:
A ~ 0no Family Residential ~ ~ Agricultural ~ Co itySewica ....
B ~ ........? ..... ~ ~ .... iai Industrial
~sideflti81 V~Am ~nd ~ Apammenl Public ~wi~
~on R~idential V~ant ~nd H ~ Emenainment I Amu~ment ~omst
J SALE INFORMATION J
11, Sale Cmltreet DMe
Monlh D~y YeP
12. OateofSalelTrenMer J ~ / J~ /~O~lJ
13. Full S.~ ~ica I ; ; , ,
I , , ~,~, 0,0 I
Gh~k one or more of
Sale B~n ~lamd ~m~ni~ or Patinae in Busine~
One of the Bu~m is eisa a ~ller
Burr or ~ller is G~n~nt ~enW or ~i~ In=itut~n
~ Ty~ m Warra~ or ~roain e~ ~le (S~i~ Bel~)
Sale ~ Fr~ional or ~ than ~e Inte~ (S~i~ ~1~)
~her Unusual FolD= Affming SMa ~ko (S~i~ ~1~
J ASSESSMENT INFORMATION · Data should reflect the latest Final Assessment Roll and Tax Bill
liiYear°fAs~ee~mnntR°llflem I iih& ,?.T,ctdA~es~edYakmIMalllN~rc*intrandefl~ -
which Inf~rmatla~ taken ~
20. Tax MN) IdimWlerle) I Flail Idlmtifim(~} Ill mom then four, attach dicer with ~ddl~,d kinntifler(e)l
1~Ooo-O~O.C~-°;~.OO-o[b. ooro I I I
I I I I
CERTIFICATION J
I certll)' Ihet eli of Ihe liras of infiTrmatJ(m calered ~m Ihb term are true ami COnwd lin the bet of my Imo~edl~. and belief) and I undemlaed tlmt Ih(. making
of any willrul ruhr, alutemenl (d' malerinl ra~l het~in wUl ~hJk'cl me lo the pnrvL4lm,~ of Iht. pt'mil law relative ti) Ihe making and filing of tek. instrumenL, i.
BUYER BUYER'S ATrORNEY
SELLER
I NEW YORK STATE
COPY