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Home My WebLink AboutL 12701 P 869SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED ~ ~ N~mher of Pages: .4~ Receipt N~mher : 12-0092171 TRANSFER TAX NUMBER: 12-00876 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 078.00 05.00 EXAMINED AND CHARGED AS FOLLOWS $o.oo 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 oo $5 oo $o oo TRANSFER TAX NUMBER: 12-00876 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 08/11/2012 09:47:57 AM D00012701 869 Lot: 006.000 $20 00 $15 00 $125 oo $o oo $60 oo $o oo $260 O0 Exempt NO NO NO NO NO NO Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 20t2 aug 11 09:47:57 JUDITH ~. P~SCflLE CLERK OF SUFFOLK COUNTY L D00012701 P 869 DT~ 12-00876 Deed/Mortgagelnstrument Deed/Mo~gageTax Stamp I Recording /Filing Stamps 3 I FEES Page / Filing Fee Handling TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed. NYS Surcharge Other 20. 00 $. O0 15. O0 Sub Total 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. I 41Dist .... ....... '~ I RInck 5 Real Pro~: ~ Tax Servi Ageno. Verificat 6 Satis~act,u,,~J ~,, ......~ ................. RECORD & RETURN TO: Wickham Bressler Gordon & Geasa, P.C. P.O. Box 1424 Mattituck, New York I 1952 Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY 11901 www.suffolkcountyny.gov/clerk Sub Total NO, see approp~ate tax clause on ~/-- GrandT°tal /t~ /r~'Z~ x'O ~ YES orNO p, I Lot 6 5IC°mmunityPreservati°nFund 12018824 zooo o7~oo o5oo oo~ooo Consideration ~ount $ ~ Jdress CPF Tax Due Vacant Land ID TD Joyce E. Nilsen 7 1 Title Company Information Co. Name FtcAt~{)4~c ~x~..}CE~L~ C)CI~ , (UTC) I Suffolk Coun Recording & Endorsement Page This page forms pa~ of the attached Bargain ~ Sa,e Deed with Covenant L~i~E by: (SPECIFY ~PE OF INSTRUMEN~ The premises herein is situated in SUFFOLK COUNt, NEW YORK. TO IntheTOWNof Southold Nelson Southold Residence Trust dated 3/10/I 2 and In the VILLAGE Joyce Evelyn Nilsen Revocable Trust dated 5/26/11 or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) Standard NY.B.T.U. Form 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts - Uniform Acknowledgment Form 3290 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the /~'~day of .~'~~ , 2012 BETWEEN JOYCE E. NILSEN, residing at 1621 Park Avenue, Femandina Beach, Florida 32034, party of the first part, and JOYCE E. NILSEN, residing at 1621 Park Avenue, Fernandina Beach, Florida 32034, as Trustee of the NELSON SOUTHOLD RESIDENCE TRUST dated March 10, 2012, as to a two-thirds (2/3) undivided interest, and JOYCE E. NILSEN, residing at 1621 Park Avenue, Fernandina Beach, Florida 32034, as Trustee of the JOYCE EVELYN NILSEN REVOCABLE TRUST dated May 26, 2011, as to a one-third (1/3) undivided interest party of the second part, WtTNESSETH, that the party of the first part, in consideration of Ten and 00/100--($10.00)--Dollars, and other good and 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 Bayview, Town of Southold, County of Suffolk and State of New York, more particularly bounded and described as follows: BEGINNNG at a point on the southwesterly side of Main Bayview Road where the same is intersected by the southeasterly side of land now or formerly of William Zukas; RUNNING THENCE from said point of beginning along the southwesterly side of Main Bayview Road South 59 degrees 01 minutes 00 seconds East 63.68 feet; RUNNING THENCE South 25 degrees 16 minutes 10 seconds West 233.23 feet; RUNNING THENCE North 43 degrees 21 minutes 10 seconds West 146.33 feet to land now or formerly of William Zukas; RUNNING THENCE along last mentioned land, North 46 degrees 38 minutes 50 seconds East 200 feet to the southwesterly side of Main Bayview Road, at the point or place of BEGINNING. SUBJECT TO covenants, restrictions and easements of record, if any. SUBJECT TO the life estate of Evelyn D. Nelson. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated August 22, 2003, recorded August 27, 2003 in Liber 12268 page 925 in the Suffolk County Clerk's Office. 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 pad, 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: ~_~, (..~.._ ..~ ~~ ~ ,/ JOYCE E. NILSEN Forms/N¢lsonSouthold ./ ~. BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE St~'te of New York, County of Su..f~lk, ss: .On the/' y the year 20t2 before me, the undersigned, personally appeared JOYCE E. NILSEN personally known to me or proved to me on the basis of ' satisfa~o~ eviden~ to be the individual(s) ~ose name(s) is (are) subscribed to the within instrument and a~nowledged to me that he/she/they executed the same in his~erltheir ~paci~(ies), and that by hisSer/their signature(s) on the instrument, the individual(s),_or th~ p~on up. chair of which the individual(s)acted, ~~stm~ (signature and office of indMdual ~akinfl acknowlod~ment) Nota~ Public ChS~ No. 31-4970341 ~ommission E~i~es Fabrua~ State of New York, County of Suffolk ss: On the day of , in the year 200, 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 Ihal 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. (signature and office of individual taking acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State (or District of Columbia, Territory, or Foreign Country) of , County 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) in (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgement) Notary Public DISTRICT: I000 BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS Title No. JOYCE E. NILSEN TO SECTION: 078.00 BLOCK: 05.00 LOT: 006.000 TOWN OF SOUTHOLD COUNTY OF SUFFOLK IRecord & Return To: Wickham Bressler Gordon & Geasa, P.C, P,O. Box 1424 Mattituck, New York 11952 PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP-5217-1Na): www. orps.state.ny.us FOR COUNTY USE ONLY Taxation and Finance C2. Date Deed Recorded I / c,.-ookl /, ~, 7, O, / Ic4.,.,.I ? 17, RP- 5217 Real Property Transfer Report (8/t0) I PROPERTY INFORMATION 1. Properly I Soutbold I Elizabeth Lane [ $ou~hold I 1[~71 I ~n Rtlsen Revocable T~ust date(t 5/26/11...T..c Tax Indicate whme future Tax Bills am to be sent Billing if olher Ihan buyer address (at bot~m of form) I I ~ Rollparcalafl'anaMrredmlthedcad L ,. ]' I PofParccqs ORL~ PadofaParcal , ~ 5. ,m,..~ I J x I I or L-. G. Seller ] ~e].aon I 7. Check the box below which most accurately describes the use of the properly at tho time of eale: F~--~one Family Rsei~ential E [~AOncultuml ] [] Co .... iiy Sewice A ~ ~2er 3 Family RasidenUal F I ]Comrcar~tel J [~] m~us~si C ~ Ras]dm'disl Vaunt La~d O ~lApartmem KI.~I Public Service D I IHon'Residen~al Vasen! Land H U Enmrlainmani I Amuasm.ni L ~ I Forest (Only ff Pad of a Parcel) Check as they apply: 4A. Planning Beard with Subdivision Authority Ex~sts 4B. Sulxlivision Aid'oval was I~cluired fOr Transfer ,4C. ParcG~ Approved for Subdivision with Map Provided Evelyn D. ____] Check the boxse boloW se tkmJ Ipgly: & Ovmershlp Type Is C~mlnlum ~ g. N~ ~tm~on on Vaunt Land ~ 10A. P~dy ~ ~n an ~l~ral Dis~ ~ 10B. Burr m~ · di~ n~i~ I~i~fing ~ ~t the ~Hy Is in an ~ffuml Dist~ I SALE INFORMATION I 1 $. Check one or more of th~sa conditions aa applicable to transfer: Sale Be~n ~a~ ~m~flise ~ PB~n6~ in Busi~ ~m ~ Y~ ][ ~ ~ Ty~ not Wa~ ~ Ba~ain and Sara (8~ Bel~ ) ]~ ~ ~ ~ F~io~l ~ ~ then Fee Interest ( S~;i~ ~1~ ) ~ (~ / Slgfllfi~nl Che~ in P~ ~ Taxn~e Status and ~ ~tas ( Full Sale ~ ~s ~ ~1 amount ~ld ~r ~ p~ i~ud;~ ~1 ~. [ ~er Unu~al F;~ ~ng ~ P~ ( S~ ~1~ ) 4 ~ ~ *~ -- ' ~~ ' -'--' l~.YHr~ses~nt~ ~ 7 ~ 0 0 I ~lch ,~lon ruben I ~ 9 I 17. T~I ~...d Value (~ mil pa~ete In tm~r~ ; 7 & ' ' 20. Tax Map Identifier(e) I Roll Identtifer(s) ( If more than four. attach sheet with additional Identifier(s) ) I [ 000--078.00--05.00--006. 000 I I t I I i I CERTIFICATION I ~ SELLER SIGNA,T~URE ~) __ ·., /l~k,~ce~rS~c-WeiCson Souchold Restrlen~-T~ust I.'Jlt'uetee o~ Joyce ~~ Revocable Trust ~tckham I .~gatl A. 631 [ 298-8353 (NEW ~,~STATE ) BUYER CONTACT INFORMATION