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Home My WebLink AboutL 12704 P 959SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED N~_~mher of Pages: 4 Receipt N~mher : 12-0104966 TRANSFER TAX NUMBER: i2-03325 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 115.00 17.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $20.00 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 Cow. Pres Fees Paid TRANSFER TAX NUMBER: 12-03325 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 09/12/2012 02:09:09 PM D00012704 959 Lot: 017. 026 $20.00 $15.00 $125.00 $0.00 860.00 $0.00 $255.00 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. RECOROED, 2012 Sero 12 02:09:09 JUDITH R. PRSCflLE CLERK OF SUFFOLK COUSTV L 000012704 P 959 DT# 12-03~25 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp I Recording / Filing Stamps 3 I FEES Page / Filing Fee Handling 20. 00 TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. ~0 ~ Comm. of Ed. 5. 00 Affidavit Certified Copy NYS Surcharge 15. 00 Other Real Property Tax Service Agency Verification 81 Sub Total Sub Total Grand Total 12021325 iooo ii5oo 17oo 017026 Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. O£ Spec./Add. TOT. MTG. TAX Dual Town __ Dual County__ Held for Appointment ~ Transfer Tax -x~ Mansion Tax The property covered by this mortgage is or will be hnproved by a one or two family dwelling only. YES or NO If NO, see appropriate tax clause on age # ___ of this in'.stt~me t. ~ 6 ! Satisfacti°ns/Dischargl~C%el~S&L~rr~t~YTOoW:nets Mailing Address Mail to: Judith A. Pascale, Suffolk County Clerk Title $10 Center Drive, Riverhead, NY ~90~ www. suffolk¢ountyn¥.§ov/¢lerR Title # 4~ideration Amount $ ~ Vacant Land Information Suffolk County' Recording & Endorsement Page This page forms part of the attached I (SPECIFY TYPE OF INSTRUMENT) made by: ...... The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of ~.~0[~h0 Id BO~S 6 ~RU 8 MUST BE ~PED OR P~D ~ BLACK I~ O~Y P~OR TO RECO~G OR ~G. (over) No Considerafio~ Section 115 Block 17.00 Lot 017.0; ~TANDARD N.Y.B.T.U. FORM 8002 Bargain and Sale Deed, with Covenant against Grantor's Acts THIS INDENTURE, made the 6th day of August, two thousand and twelve. BETWEEN James Tozar, residing at 7500 New Suffolk Avenue, Mattituek, New York 11952, party of the first part, and Melissa A. Tozar as Trustee under The James Tozar Qualified Personal Residence Trust I, with a mailing address of 7500 New Suffolk Avenue, Mattituck, New York 11952, party of the second part, WITNESSETH, that the party of the first part, in consideration of Ten 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 part 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 in the gee Schedule A attached hereto and made a part hereof, Being the same premises described in the deed to the parties of the first part herein by deed dated December 13, 2005, recorded December 22, 2005 in Liber 12426 Page 868 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 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 thc Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the fight 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. ACKNOWLEDGMENT 1N NEW YORK STATE (RPL 309)-a State of New York, County of Nassau SS,: On the 6~ dayofAugnst in the year 2012, before me, the undersigned, personally appearedames Tozar, 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 acknowledgedto me that he/she/they executed the same in his/her/their capacity(ies),j~ that by his/her their signature(s) on the instmme~h~fividual(s), or the person upon behalf of which th...e, dffjd4v..~tff~,l,.~) acted, executed the rostrum ~ ~fl~ ~f .... g gent MICHAEl- B. SHAPIRO Notary Public, State of New YOrl( No. 02SH6202943 Qualified in Nassau County Commission Expires March 30. 2013 ACKNOWLEDGMENT OUTSIDE OF NEW YORK STATE (RPL 309-B) State of Count of ss.: On the _ day of in the year 2012 before me, the undersignedl personally appeared , personally knowr 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 ins~a'ument and acknowledged to me that he/she/they executed the same in his/her/their/ capacity (les), 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 and the state or country or other place the acknowledgment was taken). ACKNOWLEDGMENT BY SUBSCRIBING WITNESS State of ) County of ) ss.: On the day of__ in the year 2012 before me, the undersigned,personally appeared the subscribing witness to the foregoing instrument, with whom 1 am personally acquainted, who, being by me duly sworn, did depose and say that he/she/they reside(s) in (if the place of residence is in a city, include the street and street number, if any, :nt!hereoJ) ; 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. (12if taken outside New York State insert city or political subdivision and state or country or other place acknowledgment taken And that said subscribing witness(es) made such appearance before the undersigned in Signature and Office of individual taking acknowledgment Signature and Office of indivMua! taking acknowledgment Bargain and Sale Deed WITH COVENANT AGAINST GRANTOR'S ACTS TITLE NO. JAMES TOZAR SECTION 115 BLOCK 17.00 LOT 017.026 COUNTY OR TOWN SUFFOLK TO MELISSA A. TOZAR AS TRUSTEE UNDER THE JAMES TOZAR QUALIFIED PERSONAL RESIDENCE TRUST I RETURN BY MAIL TO; Karol Hausman & Sosnik, PC 600 Old Coun~'y Road, Suite 505 Garden City, New York 11530 Zip No. ALL tha~ ce~a~n plot, piece o: parcel of I~nd, situate, '~'~ an~ bein9 a~ ~tti~k, TOWn of 5o~thold, County of ' · Suffolk, S~8~e o~ New York, ~now~ and designated 'a~ Lot Number 40 on a' certain ma~ entitled, "~ap o~ Harbor View ~a~t~uc~", an~ filed in ~he Office of t~e Clerk'0f ~he County o~ Suffolk on Augus~ ~1, 1987 as ~p. Number 8377, an~ which said lot ~s f~her bounded an~ described as follows: 'B~NN~N~ a~ a poin~ on the Southerly side ~f ~e~ Su~olk Avenue d~stan~ 200.00 feet ~ssterl~ from ~he most RUNN]N~ TH~NC~ North 8~ degree5 ~1 minu~es 30 se~on~s ~ast~ alon9 the Sou~he:ly side of New Suffotk Avenue ~45.00 ~ee~; THENCE Sou~h 5 degrees 46 minutes 20 secon.d5 ~ast, 213.9~ fee~; T~NCE North 8~ degree~ ~3 m~nu~es 40 seconds West, ~03.28 f~et; TH~NC~ No~h 6 degree5 48 mi~tes 30 seconds W~st, 164.5~ feet to the Southerl~ ~ide of Hew Suffolk Avenue Certificate of Title PLEASE T~PE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP-5217-1NS): www. orps.state.ny.us FOR COUNTY USE ONLY - -- - Taxation and Finance D?, C3. Bookl / (~,, 7.0 .YIC4. Pag.I ' I RealPmpeflyTransferRe.d(aflO) PROPERTY INFORMATION I ',- ..... ' ' .... .."- , .; . ..... - ....... 3. Tax Indi~ where Mum Ta~ Bill5 am ~ pa ~illing if ~her than ~ adflmss (at ~ ~ fo~) [ : 4. Indle~ ~e number ~ Asse~;ment (~ly · ;=~ ~ = ;=~el) Chee~ =~ they ,.-,,- , ?. Ch~.k the 1>ox below which m(~t a~curetely Mcrlbe~ the use of the propa~j at the itme of eale: Cheek the boxes below aa they apply: 8. Ownership T~q~e is Condominium A..r-V~e Family Reeldeetiel E [~ Agricultural [[~C .... iiy Samice 9. New Constmclion o~ Vacant Lend B .~ 2 ar 3 F.mily Resideqlial [: L~ Commemial J 1,~ Industrial 10A. Property L.~led wilhln un Agricultural District C: I R.sidantiel Vaa~nt Lend G I~ ~renent KI~.! P.blio Sauce 10,. e~er r~i~l a disclesum n~tJca indicaU.~g D .__lN°n'Resi(:[enlial Vaunt Land H [.. I Entenmnrnant / Amusor,'on! I. I_.: Forcer that the pmparty ;s In an Agricultural District ~SALE INFORMATION ~ 15. Cheek erie or mere of these conditions aa applicable FO mmeFon 42. Oete of Bela I Tranefer A B C D E F I J 13. FullSalePrtoe : . . * . ~ . . ~,~. 0.0 i ( Full Sale Price is the Io~.31 amount paid for the propeay including parsonal properly. 'fl~ie payment n~y he in the form of ~ash. other property or g~x~s, or t~e as~uml~lion et rrm~gag~s m' other obligabons.) Please round to the nnemsl whole dollar 14. Irldlcath the value of pemonel ~ 0 properly Included In the aale -"~)' ~ 1-- -- · .. ASSESSMENT INFORMATION - Dale should mfle~t Ihe latest Final Assessment Roll and Tax Sill I lSale Between Relatives or Former. Relatives Sale Betwse~ Related Compaqiee ar Pa~lners in Business O~e of IJle Buyers is a;so e Seller Buyer or Seller ;s Govemrvent agency or Lending Institution Deed Type not Warrant/or Bargain and Sale ISpac~fy Below ) Sale ~ Fractional or Less Ihan Fee Interest ( Spacliy Below ) Significant Change ~n Properly Between Taxable Status and Sale Dates Sale of Business is Included In Sale Price ~-~ Other Unusual Factom Affeffdng Sale Pnca ( Spa=fy Below ) Non 1S. Yner of As ..... t Roll from [ ~'~ I "T~al Aeeees~] Value (of all which In~m~ bken ; I , 20. Tax Map Idemiflm(a) f Roll fdentifler(s) ( If more than Four, attach sheet with addlitonal Identifier(s) ) . t.,~ .~3. ~_~_ .... .-b= ~mo ~ , I CERTIFICATION I ...... , o~1 ~ BUYER'S A'n'ORN EY NEW YORK STATE COPY