HomeMy WebLinkAboutL 12702 P 691I
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
N~m~er of Pages: 3
Receipt Number : 12-0095493
TRANSFER TAX NUMBER: 12-01523
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
038.00 02.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Received the Following Fees For Above Instrument
Exempt
Page/Filing $15.00 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: 12-01523
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
08/20/2012
01:15:38 PM
D00012702
691
Lot:
010.000
Exempt
$20.00 NO
$15.00 NO
$125.00 NO
$0.00 NO
$60.00 NO
$0.00 NO
$250.00
Number of pages
This document will be public
record. Please remove all
Social Security Numbers
prior to recording.
RECORDED
2012 ~ug 20 01:15:58 PH
JUDITH A. PA$C~LE
CLERK OF
SUFFOLK COUNTY
L D00012702
P 691
DT~ 12-01523
Deed/Mortgagelnstrument Deed/MorlgageTax Stamp I Recording/i Filing Stamps
3 [ : FEES
Page / Filing Fee
Handling
TP-584
Notation
EA-52 17 (County)
EA-5217 (State)
R.P.T,S,A,
Comm. of Ed.
Affidavit
Certified Copy '~
NYS Surcharge
Other
20. 00
5. 00
15. 00
SubTotal
Sub Total
Grand Total
41Dis~
Real Prol
Tax Set'
Agen¢
Verifica
- I
12018765 ~ooo o3soo 0200 ozoooo
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec./Assit.
or
Spec./Add.
TOT. MTG. TAX
Dual Town __ Dual County__
Held for Appointme~__
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'mx clause on
page # of this instrument.
Community Preservation Fund
Consideration Amount $
CPF Tax Due $ ~(~
" ...... Improved ~
6 I Satisfactions/Discharges/Releases List Properly Owners Mailing Address --
RECORD & RETURN TO: Vacant Land __
I Mail to: 3udith A. Pascale, Suffolk County Clerk I 7 ~ Title Company Information'
I 3~0 Center Driw Hiverhoad, NY 1~00~ I~ .
81 Suffolk County Recording & Endorsement Page
This page fo~s pan of the attached ~
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of
~(Xf ~.h ~ · ~( ~% In the VILLAGE
or HAMLET of
made by:
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
$[andard N.Y.B.T.U~ Form 8002 Bargain and Sale Deed with Covenants against Grantor's Acts
CONSULT YOUR LAWYER BEFOR~ SIGNING THIS INSTRUM~4T-T~IS INSTRL~4ENT SHOULD BE USED BY LAWYE~%S ONLY.
THIS INDENTURE, made the ~lt~day of ~ff_~ Two Thousand and Eleven
BETWEEN
PETER J. JACOBS, residing at 12 Panamoka Trail, Ridge, New York 11961 and
MARY JACOBS, residing at 940 Gillette Drive, East Marion, New York 11939
Party of the first part, and
MARY JACOBS, residing at 940 Gillette Drive, East Marion, New York 11939
Parties of the second part,
WITNESSETH, 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 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, situate, lying and being at East Marion, Town of
Southold, Suffolk County, New York, known and designated as PIot 24 on a certain map entitled
"Map of Marion Manor, situated at East Marion, Town of Southold, New York, surveyed November
25, 1952 by Otto w. Van Tuyl & Son, Licensed Surveyors, in Greenport, New York, owned and
developed by Peter Blank and Son, East Williston, Long Island, New York" and filed in the Office of
the Clerk of the County of Suffolk on March 18, 1953 as Map No. 2038, said lot is bounded and
described as follows:
BEGINNING at a point on the westerly side of Gillette Drive at a point where the division line
between Lots 24 and 25 intersects the said westerly side of Gillette Drive;
RUNNING THENCE along the side westerly side of Gillette Drive South 25 degrees 08 minutes 5
seconds East 100.00 feet to the division line between Lots 23 and 24;
THENCE along said last division line South 64 degrees 51 minutes 10 seconds West i 00.00 feet to
land now or formerly of Cherepowich, Santacroce & Polack;
THENCE along said last land, North 25 degrees 08 minutes 50 seconds West 100.00 feet to the
division line between Lots 24 and 25;
THENCE along last said division line North 64 degrees 51 minutes 10 seconds East 100.00 feet to the
westerly side of Gillette Drive at the point or Place BEGINNING
BEING and intended to be the same premises conveyed to Grantors by Deed dated March 2, 2004,
recorded April 7, 2004, in Liber D00012312 of conveyances at Page 102.
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 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 co~t of the irnprove,:em 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:
P E~T E~. JACOBS
MARY JACOBS
STAYE'OF ~IEW YORK: COUNTY OF SUFFOLK ss:
On the /~day of ~x~ ,in the year 2011 before me,
the undersigned, personally appeared PETER J. JACOBS,
personally known to me or proved to me on a 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 whieh~23e i nd~lual(s) acted, executed the
instrument,
/// / /// ~./~//1~,~ PUBLIC, State of New Yor~
~_", L,.~_'' ~_~...-~' /02AR0096585 Suff01kC0
STATE OF NEW YOP~ ss:
On the day of 20 , before me
personally came
to me known, who being by me duly sworn, did depose and say
that he resides at No.
that he is the
or,
the corporation described in
and which executed the foregoing instrument; that he knows
the seal of said corporation; that the said affixed to said instrument
is such corporate seal; that is was so affixed by order of the board
of directors of said corporation, and that he signed h
name thereto by like order.
STATE OF NEW YORK: COUNTY OF SUFFOLK ss:
Onthe ~ dayof ~/[~ ,in the year 2011 before me,
the undersigned, per§onally appeared MARY JACOBS,
personally known to me or proved to me on a 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.
· , NOTARY PUBLIC, State ol New York
STATE OF NEW YORK Qualiti~ io Suffolk ~unty '
-':... NO. 4998~B4 ss:'-'
h,~a' ,.'/ I/.
personally came · the -
subscribing witness to thc foregoing instrument, with whom I am
personally acquainted, who, being.by me duly sworn, did depose
and say that he resides at No.
that he knows
to be the individual described in and who executed
the foregoing instrument; that he, said subscribing witness,
was present and saw execute the same;
and that the, said witness, at the same time subscribed h
name as witness thereto.
BarlMlfl and Sale Deed
With Covenant Against Grantor's Acts
Title No.
SECTION 038.00
BLOCK 02.00
LOT 010,000
PETER J. JACOBS &
MARY JACOBS
TO
MARY JACOBS
COUNTY OR TOWN SUFFOLK
RETURN BY MAIL TO:
Dawn L. Hargraves, Esq,
.......... PLEASE Type OR PRESS~=iRMLY~NHElq WR1TiNG ON~:OFIF~
INSTRUCTIONS: hap2/www, orps,state.ny.us or PHONE (518) 473-7222
FOR COUN~ USE ONLY I
PROPER~ INFORMATIONI
. ,
I I I
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
~TATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
3. Tax Indic~e where fotura Tsx Bills am to Iai ~
einlnB if other than buyer address Cat b~ttom of ferm) I I I
4. Indlsote 1he nlLimhi~r of ~semMlt l~] IOl~/If Port of · Psesed) ChM:k ,Be ~ ~
Roll portals t~an~fen~d on the Bend I I e of Percale OR&~t Part of a Parcel 4A Plaflniflg Board with SubdMsloe Authority ExMs []
5. Deed 48, Sabdivisiofl Approval was Rm:luimd for Tracefor []
~ I J x I I OR I . I 4~. Parcel Al~rovad for gubdi¢~den with Mall Prl~ilied []
7. Chesk the box below whlob most aceurotfly dserJibos tike use of 1he ia~ at the tlmo of sere: ~he~a the be~es hefow m they eppfy:
g. Ownemhip Type is Condominium []
S J,~ 2 or 3 Family Residential ' Commercial Industrial 10A. Property Located within an Agricultural District []
~' ~1 Residential Vacant LandApartment Public Saw,ce 10~. Ruyer receiv~J · diKlesure notice indicating []
DI ] Non-Rseidenfial Vacant Land Entertainment I Amusement Forest that the I~Olterl~ is in an ~gliculluml District
SALE INFORMATION
11. Sale Controct Date
12. Date of Sale I Tmnofer
I / / I
lOS/iq/Il,
(Full Sale Price is the total amount paid for the property including perSOnal property
This payment may I~e in the form ef cash, other properly er goods, er the assumption of
moriDgages er ot hs r obligadons.) P&,as~rou]tdtotheooarestwholedolleramouot.
14. Imlicate the value 01 personal I
0
0
property ilnduded in the 'seleI ~ I I ~ ' ' ·'
I~ ~J. Sale Between Reloted Companies or Partnom in Busin~'-~t
C ~] One of the Buyers ie also · Seller
]~ ~ BLwer or Seller is Government Agef~/or Lending Ivatilution
I~ ~l Deed Typo not Wananly or Bargain and Sale ISpecify Below)
F ~ Sale of Fractional or Lees then Fee Interest (Specify Below)
~ Significant Change in Property Between Taxable Snttos and Sale Dotse
~ Sale of Business is Included in Sale Price
..~ Other Unusual Factors Affecting Sale Price [Specify Beiowl
J ~,LNone
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
1L Ysor of Ammmmlent Roll fro~ I r I 17, Tetd A. esend Value for ell parcels In trended
which information taken
20. Tax Map IdantifimlsJ I ~ IdandSm(al Ill moro then four, ottoVn eboat ndth nddhloflal Idemb(el)
I I I I
CERTIFICATION
I ~rti~' Utol all of the Ik'ms or intormution entered on thLq ri~m om tree and cerrefl Itc t~ he~ of m~' karo'ledge and helieO end I under~l~r,d Ib.t the makinB
of an)' willful fab., statement or material root horde ~tll sobJKt me te Lhe prat.dons or the penni 'law n"lati*e to the nmk]nf~ and fllinll or fal.~ ieslnJrmm~
BUYER
BUYER'S A'II'ORNEY
I NEW YORK STATE
COPY