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Home My WebLink AboutL 12704 P 674SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 4 Receipt Number : 12-0103713 TRANSFER TAX NUMBER: 12-03106 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 056.00 04.00 .EXAMINED AND CHARGED AS FOLLOWS $415,000.00 09/10/2012 01:A3:0~ ~ D00012704 674 Lot: 022. 000 Received the Following Fees For Above Instrument Exempt Page/Filing COE EA-CTY TP-584 Cert. Copies Transfer tax $2O 00 $5 00 $5 oo Ss 00 $o 00 $1,660 00 TRANSFER TAX NUMBER: 12-03106 NO Handling NO NYS SRCHG NO EA-STATE NO Notation NO RPT NO Comm. Pres Fees Paid TSIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Exempt $2o.. oo NO $15.00 NO $125.00 NO $0.00 NO $60.OO NO $5,300.O0 NO JUDITH A. PASCALE County Clerk, Suffolk County Number of pages Sub Total This document will be public record, Please remove all Social Security Numbers prior to recording. Deed / Mortgage Instrument ,3J' gage / Filing Fee Handling S. '00 TP-584 Notation EA-52 17 (County) EA-S217 (State) R.P.T,S.A. Comm. of Ed. 5. O0 Affidavit Certified Copy NYS Surcharge 15. O0 Other Deed / Mortgage Tax Stamp FEES Sub Total GrandTota, .'~ ~ - ( 12020920 zoo6 ossoo 0400 022000 J 022.000 Real Prop (I~WH A) Tax Servi( Agency Vedficatib ................... ~ 8 6 Satlsfactions/Dlscharges/Reteases List Property Owners Mailing Address RECORD & RETURN TO: Fidelity National Title Insurance Company 485 Lexington Avenue, 18th Floor New York, NY 10017 Mail to: Judith A. Pascale, Suffolk County Clerk 3~0 Center Dr!ye, Riverhead, NY www.suffolkcountyny.gov/clerk RECORDED ~t2 Sep lO 01:45:01 PM JUBITH R.'F'RSCRLE CLERKiOF SUFFOLK COUHTY k D000i2704 P G~ ' Recording f~tling Stamps Mortgage Am.t. 1. Basic Tax 2. Additional Tax Sub Total SpecJAssit. or Spec./Add.. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointm~njt- Tran, erTa×' ' I 0 -/ Mansion Tax The property covered by this mortgage or will be Improved by a one or tv family dwelligg only. YES : : or NO if NO, see appropriate tax clause on page #.-.(~ of this iD.strurnent, 5 Community'Pre~ervation Fund j,m rove&'_,lJ II lq, Vacant Land ID t 7 Title Company Information I TM / a ' ? yo~ -~, ? ~ .?/, Suffolk County Recording & Endorsement Page This page forms part of the attached by: Mill Creek Partners, LLC Barg..a. tn and Sale (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. rrla~ TO In the TOWN of Southolcl CHLOEM~ LLC In the VILLAGE or HAMLET of Southold BOXES 6 THRU $ MUST BE TYPED'OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. ' NY2005 -- B~gain and 51de De~.d, with Covcnam agM~st Grantor'a AcB -- Individual or Corporation (Single Sheet) CONSULTYOUR LAW~ER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIs INDENTURE, madethe 22nd dayof August BETWEEN MILL CREEK PARTNERS, LLC 6~300 Main Road Southold, New York 11971 , intheyear 2012 partyof the fi~tpart, and CHLOEM, LLC 1225 Seawood Drive Southold, New York 11971 party of the second part, WITNESSETH, that the party of the first pan, in consideration of ten dollars and other valuable consideration 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, lying and being inthe Town of Southold, County of Suffolk, State of New York and further described at Schedule A attached hereto and made a part hereof. 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 pan 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 cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construe~b~ if it read 'Parties' whenever thc sense °f this indenture s° requires' he/~d IN WITNESS WHEREOF, the party of the first pan has duly executed this ~t ~/ y~r first~v~(ritten. IN PRESENCE OF: Christopher Pis, Member/Manager STATe Or UEW¥OnK, ¢OUUTV Or Ontbe 22nddayof Augu,~t. intheyear 2012 , before me, the undersigned, personally appeared ehr:tstopher Pin · 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 acknowl- edged 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 on behalf of which the individual(s) acted, executed the instrument. Notary ELAINE T. VILLANO Notary Public, State of New York No. 01VI6029229, Suffolk Countw Comrnlsslon Expires Aug. 9,~ STATE OF , COUNTY OF On the day of in the year before mc, the undersigned, a Notary Public in and for said State, personally appeared · the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who. being by me duly sworn, did depose and say that he/she/they reside(s) in (if Ihe place of midence is in a city, include Ihe stmel and street number if any, thereof): that 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 thc following if ~h= acknowledgment is lakcn oulnide NY State] and that said subscribing witness made such appearance before the undersigned in the (insert th~ city or other political subdivision and the State or country or other place the proof was taken). 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 acknowl- edged 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 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 subscribing witness made such appearance before the undersigned in the Cinsen tl~ city or aher political mbdivi$ion and the Stat~ or ccuatq or ot~t piac~ rig ~,knowled~ent wa taken). STATE OF On the day of before me personally came COUNTY OF in the year to me known, who, being by me duly sworn, did depose and say that he resides at that he is the of the corporation described in and which executed the foregoing instrument; that he knows the seat of said corporation; that the seal affixed to said instrument'is such co~orate 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. WITH COVENANT AGAINST GRANTOR'S ACTS T~TLE No, Hill Creek Partners, LLC TO CHLOEH, LLC Sanctity of Contracte Diatributed by STEWART TITLE' INSURANCE COMPANY 300 EAST ~,2nd STREET. 10th FLOOR NEW YORK, NEW YORK 10017 (212) 922-0050 Fax (212) 9:83- t 133 sEcrlon 056.000 BeOCK 04.00 UO~ 022.000 COUNTY OR TOWN Southold 1000 STREET ADDRESS Recorded at Request of STEWART TITLE' RETURN BY MAIL TO: Richard F. Lark P.O. Box 973 Cutchogue, NY :11935 '~ POLICY NO.: FIDELITY NATIONAL TITLE INSURANCE COMPANY 27-03 D06~33-7190. : T~TLE N0.: 12-7406-27824SUFF SCHEDULE A - Part I DESCRIPTION ALL that certain plot, piece, or parcel of I ,and, situate, lying and being in the Town of South~ld, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the northerly line of Main Road 20.17 feet westerly from an iron pipe set on the southwesterly comer of the land now or formerly of Edward Van Cum and Charlotte Van Cum said pipe being located about 950 feet easterly from Mill Creek Bridge along said northerly line of Main Road and being more particularly located by a tie line running north 40 degrees 31 minutes 50 seconds east, 257.28 feet from a granite monument to the said iron pipe, said granite monument being set at the easterly terminus of north 69 degrees 07 minutes 20 seconds east and the southwesterly terminus of that course on the southeasterly line of said Main Road which runs south 51 degrees 37 minutes 20 seconds west said point of beginning being the southeast comer of the premises; RLINNING THENCE westerly along the said Main Road on .an undivided 300 feet more or less to an iron pipe set at a point-which is 300 feet south 59 degrees 07 minutes 20 seconds West from the said point of beginning; THENCE along said land of Charlotte Van Cum and others north 4 degrees 52 minutes west 200 feet; THENCE north 53 degrees 26 minutes east, 187.11 feet along said land of Charlotte Van Cum and others; THENCE South 38 degrees 22 minutes 40 seconds East, 200 feet along said land of Charlotte Van Cum and others parallel to and 20.17 feet from the westerly line of land now of Edward Van Cum and Charlotte Van Cum to the point or place of BEGINNING. SCHEDULE A-I (DESCRIPTION) OWNER'S POLICY PAGE 2 PLEASE 'I'Y~E OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http:fl www. orps.state.ny.us or PHONE {518) 473-7222 IFOR COUNTY USE ONLY PROPER~ INFORMATION REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES RP - 5217 1. p~ 64755 I Hain Road l Sour_hold I Southold 2. RO~ I CHLOEM. LLC I I 11971 I ZIP CODE I Tex Indicate where future Tax Bills ars to be sent Billing if other than bu~er addrssa (at bottom of from) [ Addroen [ 4. Indite the ·umber M AHeesment Roll parcels ~'aenlml~l on the deed [ , 5. D.d /. /,/ I Size 6. ~eller ,I 7. Cheek tho hex hefow which mod accurately d~misee the ~e of the property at the time of sale: 2 or q Farsily Rcaidentisl F L[ Commercial J 1~1 Industrial Residential Vacant Land G[~] Aganmem K],~] Public Service Non-Residential Vacant Land ILL__] Entertainment / Amusement L] ] Forest I i it of Parcels OR [ [ PaR of e Parcel Jxl Ionl Hill Creek Partners, LLC FIRST NWE IOnbr ff Part ol a Panmt) Chee. ken they PPpItr.. 4A. Iqaening Board with Subdivision Authofhy Exists [] 4t 8ubdivisien Approval was Required for Trensfer [] 4~. Parcel Approved for SubdMsion with MaD Provided [] I By: Christopher Ched~ the boxen Wefow a~ they BI, Iv:. 8. Ownership Type is Condominium [] 9. NOw Con~ruation on V~nt b~ ~ 1~ ~ ~ ~thin an ~ricu~uml D~r~ ~ 10B. B~r r~ n di~m ~ i~i~ ~ rhm ~ ~ is Ln en ~Fgu~uml Di=~ [ SALE INFORMATION 11. Sel, Comrn~ Dm 'lZ. Dateofhfo/Tron~r I 8 / 22 /2012 I 1~, Che~ ·ne ·r more of them ~o~ am app~lble to 1S.~ullS.foWic. I , , ,4 I 5. ,0 0~. . 0 . 0 I ! ! · [Full Sale Prica i, the Intel amount paid for the ammn'y including i)er~onsl property. This p~frsent may be in the ~orm of cash, other property or 9ends, or the assursption of tsar[gages or ether obligetions.) Pteacareundtothaneareatwholedollaremount. I [ , , [~ 0 0 I 14. the of propmly IndudKI in the .fo ~ ~ -' ' ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Biff ILYenrofA~eMment Rolllrom / [~' [ 17. To[st Asenes~lVelue(ofallparsalRintrer~er) l whieh nformdlon taken ltlM~ityC~u [~/[ ~'[ / [-~ 19.6dlodDIntdntNam [ Southold Sale B~w~n Relatives or Former Relatives Sara Between Related Companies or Partners in B~ienss One of the Buyem is also e Sailer Buyer or Seller is Government Agency or Lending Institullon Deed Type not Warranty or Bergeln and Sale (Specify Below) Sole of Fractional or Leca than Fee Interest (Specify Below) Significant Change in Property Between Taxable Status and Sale Dates Sale of Business is Included in Sale Pdca Other Unusual Factors Affecting Sale Prie~ {Specify Below) ' None 20, Tax Map Idea[Marls) I Roll Meetiflede) (it more than four, etleeh sheet with ~ldMomM i/atise~e)) I 10oo I I 056 I I 04.00 I I 0022.000 I [ CERTIFICATION [ I t~rti~' thai all of Ihs tten~ of IMormat~m entered m Ihi~ turm m true emi ~ tfo the Ix~t ~f my k~ledlte and belief) ami I tmdermmd tirol the em]de~ ag' aliT' wtl]ful raise statement of malerfol Fact hen'in wig subject me tn t]w prm-P, knm d the paml [aw' rthlthw to tlw nmkJnl; and rdln~ d' fekw inMmnmlL% BUYER CHLOEN~LLC BY:~__J~.'L I 8-22-2012 BUYER'B AI'rORNEY Lark I Richard 631 734-6807 i I NEW YORK STATE COPY