HomeMy WebLinkAboutL 12702 P 800SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
N,,mher of Pages: 4
Receipt Number : 12-0096059
TRANSFER TAX NUMBER: 12-01611
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
074.00 03.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Received the Following Fees For Above Instrument
Exempt
Page/Filing
COE
EA-CTY
TP-584
Cert. Copies
Transfer tax
$20 00
$5 oo
$5 oo
$5 00
$5 O0
$o 00
TRANSFER TAX NUMBER: 12-01611
NO Handling
NO NYS SRCHG
NO EA-STATE
NO Notation
NO RPT
NO Comm. Pres
Fees Paid
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
08/2[/2012
12:35:54 PM
D00012702
8OO
Lot:
001.001
$20 00
$~5 oo
$125 00
$0 oo
$60 oo
$0 oo
$260 00
Exempt
NO
NO
NO
NO
NO
NO
Nt~nber of pages
'This 'document will be public
record. Please remove all
Social Security Numbers
prior to recording.
RECORDED
~01~ ~ug ~1 12:35:54 P~I
JUDITH A. PRSCALE
CLERK OF
SUFFOLK COUNTY
L D00012702
P 800
DT# 12-01611
Deed / Mortgage Instrument Deed / Mortgage Tax Stamp [ Recording / Filing Stamps
Page / Filing Fee f~/
Handling 6~ O0
TP-584 .~
Notation
EA-52 17 (County) ~__
~.A-S2~7 (st~t~) /~D~'
R.P.T.S.A. ~) --
Comm, of Ed. 5. 00
NYS Surcharge 15. 00
Other
Sub Total
I page ~ of ~s ¢~ent.
a~ 12016711 xooo o,4oo osoo oo~oox
T~ Se~ice' ~ Consideraaon ~o~t $ ~
Agency ~ EPF T~ Due $ ~
Ve~ca6on
' Sah ~prov~ ~
a I 'sf~ .......... ~ .................. ~---~ ............... ~Ad~as / ~
~ I ~CO~ & ~ TO: / Vac~t ~d
I c~z ~ ~s~, v.c. ~ ,~ --
~737737 Roanoke Avenue ~ ~
, ~iverhead, New York 11901 ~
I a~ to: Judith A. Pascale. Su~olk Coun~ ClerkI ? I co.~ i~o~..o.
I .,0 Cente~ Drive. ~iverhead. NY li~01 I Co N~e ~'~Se~O ~l~
I ,. I ~ ~- ~ ~ ~c)
si Suffolk Count Recordm & Endorsement Pa e
~is page fo~ p~ of ~e a~ch~ DE~D ~de by:
(SPEC~ ~E OF ~S~~)
~ark ~. ~a~ers~ ~s ~rus~ee of ~he ~ep~seshereinissi~atedin
~al~ers ~amily 2011 Irrevocable Tru~ S~OLKCO~. ~W YO~.
Mortgage Amt.
1. Basic Tax
2. Additional Tax
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 mortgage is
or will be improved by a one or two
family dwelling only.
YES~ or NO.
TO ~ the TOWN of Southold
Mark A. Walters In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED Rq BLACK INK ONLY PPJOR TO RECORDING OR 5/LING.
Form 11002 -- Bargain and Sale Deed, with Covenant against Granmr's Acls -- Individual or Co~porallon (Single Sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS gNSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, made the 2~3~ day ofd~nO-- , in the year
BETWEEN
MARK A. WALTERS, AS TRUSTEE OF THE WALTERS FAMILY 2011 IRREVOCABLE TRUST
34450 ROUTE 48
PECONIC, NEW YORK 11958
party of the first part, and
MARK A. WALTERS
34450 ROUTE 48
PECONIC, NEW YORK 11958
party of the second part,
WITNESSETH, that the party of the first part, in consideration of
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,
lyiDg and being in the
SEE ATTACHED SCHEDULE A
PREMISES KNOWN AS: 34450 ROUTE 48, PECONIC, NEW YORK 11958
DISTRICT: 1000 SECTION: 074.00 BLOCK: 03.00 LOT: 00A.001
Subject In all covenants, restrictions, agreements and easements of record, if any.
BEING AND INTENDED TO BE the same premises as conveyed to the party of the first part by deed
dated September 21, 2001 and recorded in the Suffolk County Clerks Office on October 25, 2011 in Liber
D00012674 Page 815
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 hum 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 6;' the total of the same i'br 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:
MARK A. WALTERS, AS TRUSTEE OF THE
WALTERS FAMILY 2011 IRREVOCABLE
TRUST
STATE OF NEW YORK, COUNTY OF SUFFOLK
On the ~:~ day of ~-'u CXe._ in the year 2012
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 capacily(ies), and that by his/hedtheir signature(s) on
the instrument, the individual(s), or the person on behalf of which
the individual(~)actcd, executed the instrument.
Comml~o~ ~,xlfu'~ i/! I,'ZOI4
STATE OF , COUNTY OF
On the day of in the year ,
before me, the undersigned, a Notary Public in and for said State,
personally appeared
, the
subscribing witness to the foregoing instrument, with whom [ am
personally acquainted, who, being by me duly swum. did depose
and say that he/she/they reside(s) in
,her~ot3:lhat he/she/they know(s)
to be the individual described in and who executed the foregoing
instrument; that said subscribing witness was present and saw
said
execute the same: and that said witness at the same time
subscribed his/her/their name(s) as a witness thereto
[add the following if the acknowledgment is taken outside NY State]
and that said subscribing witness made such appearance before
the undersigned in the (insert the city or other political subdivision .
and Ibc State or country or other place the proof was taken).
Bargain and Sale Deed
WITH COVENANT AGAINST GRANTOR'S ACTS
TITLE NO.
MARK A. WALTERS, AS TRUSTEE OF THE
WALTERS FAMILY 2011 IRREVOCABLE TRUST
TO
MARK A. WALTERS
STATE OF
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/lheir signature(s) on
lhe instrument, Ibc individual(s), or the person on behalf of which
the individual(s) acted, executed the instrument
[add the following if the acknowledgment is taken outside NY State]
and that said individual made such appearance before the
undersigneo in the (insert the city or othe[ political subdivision and the
State or country or other place thc acknowledgment was taken).
STATE OF , COUNTY OF'
On the day of in the year
before me personally came
to me known, who, being by me duly sworn, did depose and say
that he re~ides at
that he is the
of
the corporation described in and which executed the foregoing
instrument;ihat he knows the seal of said corporation; that the
seal affixed to said instrument is such corporate seal; that it was
so affixed by order of the board of directors of said corporation,
and that he signed h name thereto by like order.
SECTION 074.00
BLOCK 03,00
LOT O01.00I
COUNTY OR TOWN SUFFOLK COUNTY
RETURN BY MAll. TO:
Distributed By
Chicago Title Insurance Company
PATRICIA A. DEMPSEY, ESQ.
CIARELLI & DEMPSEY, P.C.
737 ROANOKE AVENUE
RIVERHEAD, NEW YORK 11901
Description
ALL ~Jaat certain plot, piece or patrol of land, - ....... = ............. situate,
byingand be_lng ~ ~.'~ ~CO~Cv ~ ~ TO~ ~ ~o~hoLd~ Co~y Of ~o~
~'~te ~ No~ York~ bo~d ~d ~ac~[bod aa
~~ at a ~te men.ant aet on t~ aout~a~t~ l~e ~
~eea ~ a~a ~at a ~st~e ~ ~ feet; ~ t~oe al~ ·
Mac~,~z,'. No~h 37 ~oes ~ ~nu~s Wost a ~a~oe ~ ~ fee~
~ ~"100 feet to t~ po~ o~ p~ce of ~g!nn~n2.
.,,~0GETltER.w£tI~ all the right, title a~d i~tereat, if a~y, of the
pa~Sy of th~ float pa~t in and to the hig~mway in front of and abutti~8
said p~omisea t,o~e center line thereof.
COUNTY USE ONLY
~ ~NFOR~ON I
PLEASE TYPE OR PRESS FIRMLY WHEN WRmNG ON FORM
INSTRUCTIONS (RP-5217-1NS): www.orpa.state.ny.us
Ne~ Y~k Sta~ Department of
Taxation and Finance
Off]ce of Real Property Tax Services
RP- 5217
Real Property Transfer Repozt (8/10)
~.~o~. 34450 I Route 48
I Peconic I
?.B.y~ /Walters I Mark A.
I
!. T.x Indicgte whet'e ~utur~ Tax Bills are t~ be sent
BKling ~f nthor then huyer address (at bomx~ of form) I
I
I
4. Indicate thn number of Aussssment [~ (Only if Pet of a P~I) Che~k ca they apply:
R~llpametetranaf~rredonthedssd I , , I #of Parcels OR PadofnPnr;~l 4A. PtenningBcaMvNhS~bdiviaionAutho~tyExJsts []
S. ~ 4B. Sulx~i~on Approval was Required ~' Tmnofer []
P,~,,~, I~_J x I I OR ! ..... · I 4C. Pan;el Appro~d ~or Subdiv~km w~th Map Pn)~ded []
Lhmw I~a~a~,~tq_a_l_.~.ere.,__~_~_T;_us~e_e_o£ the_Hog, ess 2011 I=;~.v~ca~le_~c~s.~ I
I
y. Ghssk the box below whlnh mo~t ncaurat~ly de~Gdboa the uae of 1he pmberty at the ifmo of sslo:
A [~Onn Family RssWentl,l I:. ~] Agdc~uml [~] Cemmunity Servi~
R ~_]2= 3 Fnm~ ResidenU~l F ~Comme~lal J I I Indus~tal
C i--] Residential Vacant Land (} ~ ~paMrnanm K~] Public SenSe
D~JN~l-I:~si~tJnlYncantLnnd H L~Entn~iflmentlAmussmen! L~J Fore~
I E,.FORMA O.I
11.$stecomm~Dat. L.t,~m' / / I
O~ YW
t?. DM of ~lte I Tmnofer
1= FWl s,te ~ I ; ,'~' ~ _~ 0.0 I
( Full Side Price i~ the total amount paid tor the property including pamonnl Fxopafly.
This payment may he in Ibe foe1 of cash, Mher prupnrty or grads, or mn assumption of
14.1ndlnat~evalue=fpam~nnl [ , 0 0
papacy Innl,dnd In the sslo ~ ~ ' ' --- '
Sale Between RalaliYss or F~mer RelntNss
~ele Betaken Related Companies ur PaYee in Busi~
B~ ar ~ler is ~m~ ~ m ~i~ In~
~ T~ nM ~nW or ~in a~ ~le (S~N ~ )
Sale ~ Fra~al ~ ~ ~n F~ I~t ( S~ Bel~ )
~n~ Cha~ In ~ ~n TomUe Sm~S a~ ~b Dams
Sale ~ B~ b I~ ,n ~te ~
~h~ Un.al F~ ~ ~e ~ ( S~ ~1~ )
N~
ASSESSMENT INFORMATION - Dale should reflect the latest Final Assessment Roll and Tax Bill I
16 Year of Asssssmant Ro from | I 17. Total Assessed Value (of nil parcels In tranafer)I t
which Iofo~nation taken I T . I I
2~. Tax Map IdanifBM(a) I Boll Ipantlfle~(n) ( If more then four, attssh christ wifh mkliifonal idnntlfler(a) )
1000 I I 074.00
03.00 I 1~001.001
CERTIFICATION
BUYER SIGNATURE
BUYER'S A'rFORNEY
BUYER CONTACT INFORMATION