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Home My WebLink AboutL 12701 P 690SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 4 Receipt Number : 12-0091395 TRANSFER TAX NUMBER: 12-00728 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Blodk: 054.00 05.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 08/09/2012 03:47:14 PM D00012701 690 Lot: 011.000 Received the Following Fees For Above Instrument Exempt Page/Filing $20.00 NO Handling COE $5.00 NO NYS SRCH~ 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: 12-00728 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Exempt $20.0O NO $15.00 NO $125.00 NO $0.00 NO $60.00 NO $0.00 NO $255.00 JUDITH A. PASCALE County Clerk, Suffolk County Number of pages TORRENS Serial 4/ Cerdficate # Prior Cfi. # Deed. Mortgage lnstrumeut p- Deed / Mortgage Tax Stamp RECORDED 2012 Rug 09 03:47:14 PM JUDITH R, PflSCRLE CLERK OF SUFFOLK COUNTY L D00012701 P 690 DT# t2-00728 Recording/Filiog Stamps 3I Page / Filing Fee Handling TP-584 FEES Notation EA-5217 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed. Affidavit Cerlified Copy 0/ 5..00 Sub Total Other /, ._..- Grand Total I 12016522 looo os4oo osoo'ozzooo 4 Districtl' ~ [i.00( Real Property ( Tax Service Agency ...... - -- ' ~ Verification Satisfaction/Discharges/Release Lis! Property Owners Mailing Address RECORD & RETURN TO: MRS. ANTOINETTA C. ROSS 117 PRINCETON ROAD ROCKVILLE CENTRE, NEW YORK 11570 I'coI Nanle Title/4' Mortgage Amt. 1. Basic Tax 2. Additional 'Fax Sub Total Spec. / Assit, or Spec. / Add. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointment __ Transfer Tax Mansion Tax The property covered by this mmgage is or will be improved by a one or two hmily dwelling only. YES or NO lf NO, see appropriate tax clause on page ~ ~ of this instrument. Communit[ Preservation Fund ,C~nside[aii~,ou,,t $ hnproved Vacant Land TD TD Title Company hfformation Suffolk County Recording & Endorsement Page This page forms part of the attached DEED Antonetta C. Ross. Trustee of theRoss Living Trust dtd May 6, TO Antonetta C. Ross. Trustee of the Ross Survivor's and Family Trusts made by: (SPECIFY TYPE OF INSTRUMENT) The prelnisis herein is situated in SUFFOLK COUNTY. NEW YORK. In the Township of Southold In the VILLAGE or HAMLET of Southold BOXES 6 TIIROUGH 8 MUST BE TYPED OR PRINTED iN BLACK INK ONLY PRIOR TO RECORDING OR FILING (over) NO CONSIDERATION [- o TRUSTEE'S DEED CONSULT YOUR LAWYER E~EFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 20~" day of June, , two thousand and twelve BETWEEN ANTONETTA C'. ROSS, as surviving Trustee under the ROSS LIVING TRUST dated MAY 6, 2009, residing at 177 Princeton Road, Rockville Centre, New York 11570 party of the first part, and, ANTONETTA Ct. ROSS, Trustee, under the ROSS SURVIVOR'S TRUST created under the ROSS LIVING TRUST ;dated MAY 6, 2009 and ANTONETTA C. ROSS, Trustee, under the ROSS FAMILY TRUST created under the ROSS LIVING TRUST dated MAY 6, 2009 residing at 177 Princeton Road, Rockville Centr.e, New York 11570, as Tenants in Common party of the second part, WITNESSETH,.[hat the party of the first part, in consideration of ten dollars ($10.00) paid the party of the second part, and, pursuant to the distribution required pursuant to the terms of said Trusts, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the pady of the second part forever, ALL that certairi plot, piece or parcel of land, with the I~uildings and improvements thereon erected, situate, lying and I~eing in the , SEESCHEDULE"A"ATTACHED HERETO BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated May 6, 2009 and recorded in the Suffolk County Clerk's office in Liber D00012590, Page 929 on June 15, 2009. SUBJECT to any state of facts an accurate survey may ~how. SUBJECT to any covenants, easements and restrictions or record, if any, SUBJECT to mortgages of record, if any. 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 also 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, 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" shafl be construed as if 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: ANTONETTA C. ROSS , TRUSTEE Standard N.Y.B.T.U. Form 8003 - Trustee's Deed Wilh Full Covenants - Uniform Acknowledgment Form 3307 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of NASSAU Rs: State of New York, County of ss: Or', the &~day of(~~''~'~J~ 201~-~ O'n ,he day of in the year before me, the unde~igned, personally appeared before me, the undersigned, personally appeared ANTONETTA C. ROSS, TRUSTEE 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), and that by his/her/their signature(s) on the capacity(les), and that by his/her/their 'signature(s) on the instrument, the individual(s), or the person upon behalf of instrument, the individual(s), or the person upon behalf of which · the individual(s) acted, executed the instrument. which the individual(s) acted, executed the instrument. /~'~ ~ (~/~..~ No,ory Public, S~ate of New Ya* ~f_~ n ~ W~c~qq 10~ (signature and office of individual taking~ml~fi~Jlel:fgm~n. {~p_untT_ (signature and office of individual taking acknowledgment) TO I~E USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State (or District of Columbia, Territory, or Foreign Country} 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 in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) TRUSTEE'S DEED Title No. ANTONETTA C. ROSS, TRUSTEE UNDER THE ROSSLIVING TRUST TO ANTONETTA C. ROSS, TRUSTEE UNDER THE ROSSSURVIVOR'S AND FAMILY TRUSTS STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by Commonweal th DISTRICT 1000 SECTION 054.00 BLOCK 05.00 LOT 011.000 , COUNTY OR TOWN SUFFOLK STREET ADDRESS 1130 N. SEA DR. SOUTHOLD, NY Recorded at: Request of COMMONWEALTH LAND TITLE INSURANCE COMPANY RETURN BY MAIL TO: MRS. ANTONETTA C. ROSS 177 PRINCETON ROAD ROCKVILLE CENTRE, NEW YORK 11570 SCHEDULE A ALL that certain plot. piece or par~ o~ land, ~th '~he'buildings ahd im~'ro~ments ther~oa 'are~e~ aimate, lying ~dhei~ in%he Sown 6f Southo'ld, County of Suffolk and State of New YQrk, ~bounded and described as follows: BEGINNING at a potn~ on the southerly side o~ North S~a..~ive dis- tant 1083.~8 .fee~ eastwardly from the corner formed by the int~r- ' ' section of said southerly 'side of North Sea,Drive with the. easterly side of Kenney's Road; running then0e South 50 ~egrees, 36 minutes, 00 seconds Eagt 362.97 feet; running thence North 34 degrees, 14 minutes, 30 seconds East 26.28 feek%'to all ~ron bar; running thence North 26'd~grees, 29 minutes; 30 seconds East 75.74 fee~;' running thence North 50 dgqrees, 36 minutes., 00 seconds West 343.6B fee~' to the southerly side of North Sea Drive; bunn~ng thence 39 d~grees, .24 minutes,00 seconds West along said southerly'side of No,th'Sea Drive 100 feet'.to ~he'point or place'of beginning; hereinafter re- feared tO as "~remises'~; TOGETHEK with~the appurtenances and all. the estate a~d rights of. Grantor in'and, to' said Premises, includ~gg all'riparian ~ights, if any~' ~ PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM ..... INSTRUCTIONS (RP-E217-1NS): www.orps.state.ny.us FOR COUNTY USE ONLY . ~ ..~. ~ ~_c~ ~ ..Yo~k St.t. [~p..~..t of C,.SmSC.de '--.-- ,~,,, I Taxation and Finance C2' Date Deed Rac°rded ' ~.,o.m~' / ~ / (~,~l'*"~ I (~ ~ at'ce °f Rl='l PI'°p'rtY Tax Services RP- 5217 C3. Bookl /,/'~, ?, //~ / I c4. P=geI /,~q /~, , I Real Property Transfer Report (8~10) 3. Tax Indicat. where futura Tax Bills are Io be BIIIIn$ il other then buyer address (a~ bottom of fo~)I J 4.Roll pamale trans/~Ted on the deedlndtGlte the numlmr of A~msme.t J 4B. 8UMMSI~'t Approval was Required 6.Pilepropmy [~.~1. x J JoRI , ' ,~s · ~ J 4C. Parcel Aparoved ~r SubdMs~n wilh M~p Provided ~ I~One FandJy Residential ~ [] Agricultural J [] CammunKy Ser,~.,e ~ r 12 or 3 Family Res,,domlel I" L~ Comms~el J ~ Iridu~al C g_JResldenUalVacant Lend G ~Apmtment ~l~ Public,~m~e DUNon-ReiddentlelVacantLand J'l UEnt~rltunmantlAmusement [-U Forest (;lle~k the bQxee below aa they apldy: 8. Owna~ip T~m is Condominium [] g. New Consl~ction on Vacant Land [] 'IOA. Pmpady Located within an Ag~ic.Jltuml District [] 10B. Burr receM~ a disdeeum no~ee Indicating [] I]~l ~e property Is ~n an A~ncullural Olstnct 16. Check Ona Or more of thole conditJona aa apldicable to transfer: ~an ~ · ear . R~ SaleBet~eenRelate4Compenm~orPe~ne~mOu~ne~ 11 ~ale Cmllract Date J ~ J A 5ale BeWmen ReMtivee or Framer Relatives __ C · Ono of the Buyers is alee a Seller i,'C-~'.~'--- ~ ' -' Y&sr -- I~ L~. De~dTypenotWsnantymBargalnandSaM(Specif'/Below) }; I- Sale of Frac~al or Less than Fee Interest ( SbecJf¥ Balow ) ~ ~ ~ ~ / -~lgnlficanL C, han~ in Properly Salwean Taxable Status and Sale Dams 13 FullSala Price ~ ~) Pnee · I . . , . · ~ . ~_._~_u.u I ( Full 5a~e P~e is Ihs total amount paid for the propM~y inGluding pa/~.o~l pro, arty. [ I~. ,Oiher Unusual Faclors Ah'e~ing This payment may ~e in ~e fom~ of r. Bsh. alhar props;fy (x' goods, d' the aS.lumpbon of J I-/'-I Hone 14,1ndiGatethovsl eof man I ~1_~ ~.~~_t~-.'~'~J- ' [] P' ' I ...... (~::).0.0 t ,; - , ' ' ASSESSMENT INFORaATIOH · Data should refleGt the latest~irml Assessment Roll and T~ Bill I 16.Year of Alemrneflt ROfl from / ~ whlchlntomta$ontekan Ii ~1 l'r. TmlAs~amdValue (ofatlpareelalfllranafer]~ ,,.$o-o,..-.. , 20. Tax Map Idonifflsr(s) I Roll Ideeiffler(s) ( IF mom than fo.r, al'tach sheet wi, th additional Idonllflar(N ) L I L J CERTIFICATION J SELLER SIGNATURE ~IGNATURE N~W YORK STATE ¢0P¥ BUYER CONTACT INFORMATION ~ er I~m clel~y.) ~'l~ 7_G..~.