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Home My WebLink AboutL 12708 P 532SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Number of Pages: 4 Receipt Number : 12-0119020 TRANSFER TAX NUMBER: 12-06054 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 065.00 01.00 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 Com~.Pres Fees Paid TRANSFER TAX NUMBER: 12-06054 THIS PAHE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 10/16/2012 02:21:30 PM D00012708 532 Lot: 013.000 Exempt $20.00 NO $15.00 NO $125.00 NO $0.00 NO $60.00 NO $0.00 NO $255.00 Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording· RECORDED 20!2 Oct 16 02;21;30 PH JUDITH R. PRSCRLE CLERK OF SUFFOLK COUNTY L 000012708 P 532 DT# 12-06054 Deed/Mortgagelnstrument Deed/MoagageTax Stamp I Recording/Filing Stamps 3 ] FEES Page / Filing Fee ~ Handling ¢0. 00 TP-584 Notation EA-52 17 (County) '~ __ EA-5217 (State) Comm. of Ed. 5. 00 Affidavit Certified Copy NYS Surcharge 15. O0 Other Sub Total Sub Total ".. IDis, 12008208 zooo o65oo o-too ol3ooo 4 I Real ProI ~ Tax Set Agent Verifica Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total SpecdAssit. 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 If NO, see appropriate tax clause on page # . of this instrument. ~ Community Preservation Fund z~on, sideration Amount $ 0 Tax Due $ 0 · ,, _ Improved Satisfactions/Discharges/Releases List -- ~ -- '"'~':~'~' ^ -- l-'roperty ,..,w.c~ ~ ~. ...... =, ,ddress RECORD & RETURN TO: Vacant Land. Albert J. Kaiser, P.C. TD 4 Laurel Road -- New City, New York 10956 Tel. (845) 634-3700 -- Mail to: Judith A. Pascale, Suffolk County Clerk Title Information 310 Center Drive, Riverhead, NY 11901 N/A www. suffoIkcou ntyny, gov/clerk Title # Suffolk County Rec; 'ding a Endorsement Page .~,1,,~ This page forms part of the attached ~ ~.~ L--~'~c tho.ny J. Bucich and Yolanda P, Bucich, his wif~SPECIFYTYPE OF INSTRUMENT) Jean M. Boyk~ Trustee of Thomas J. Bucich Irrevocable Trust Agt. of 2011 and Thomas J. The premises herein is situated in Bucich Trustee of Jean M. Boyko Irrevocable Trust SUFFOLK COUNTY, NEW YORK. Agt. of 2011 made by: ~r/~4' In the TOWN of Southold In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED ~ BLACK ~NK ONLY PRIOR TO RECORDING OR ~ILING. (over) 'NY2005 - Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation (Single Sheet) ~ ~". ,L . · .;- CONSUI~T YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT- THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 21st day of November, 2011, BETWEEN AN:THONY J. BUCICH and YOLANDA P. BUCICH, his wife, with an address of 15-34 12th Street, Fort Lee, New Jersey 07024, party of the first part -and- JEAN M. BOYKO, as Trustee of THE THOMAS J. BUCICH IRREVOCABLE TRUST AGREEMENT OF 2011, with an address of 33 Beech Street, Hillsdale, New Jersey 07642, and THOMAS J. BUCICH, as Trustee of THE JEAN M. BOYKO IRREVOCABLE TRUST AGREEMENT OF 2011, with an address of 15-34 12~ Street, Fort Lee, New Jersey 07024, party of the second part, WITNESSETH, that the party of the first part, in consideration ofTen ($10.00) 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 parties 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 Town of Southold, in the County of Suffolk and State of New York, and as more particularly described on Schedule "A" attached hereto. BEING and intended to be the same premises heretofore conveyed to the parties of the first part by Deed from Ray D. Purcell and Margaret B. Purcell, his wife, dated November 15, 1982 and recorded in the Suffolk County Clerk's Office on November 17, 1982 in Liber 9271 at Page 549. TOGETHER with all right, title and interest, if any, of the party of the first part of, 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, thc heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenant 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 wilt 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 reads "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: ANTHONY J. BUCICH, by Yolanda P. Bucich as Attorney-in-Fact YI~gLANDA P. BUCICH ~e~..~..b~.~.'~ · To.wn of S0uthold, Coun.ty of S~folk a~ S~ of Jon~t~ 'T. Overton", ~d filed ~n:'~e S~ffOlk Co~y Clerk's offYce on 1/4/1932, as Map No. 1055, and whi~ said 10t '~d part of' when t~en .toge~er are~ more p~icul~ly Bo~d~ ~d described as follows: of Ter~ ~'e., 150-feet ~ '~e corner foxed by the intersection the. ~ste~.~y ~ide ~f" Ter~ L~e ~d ~e.,.Dor~l~..sida of Hobart Avenue ~d W~ch ~int of beg~g is ~ded: e'0' be~..~ P6~t of ~!n~rsection of the division line be~e~'>iots NbS, '2-~'~ on ~ove+ ~ntioned map wi~ 'the west~ly side of T~ L~e; . -TH~ R~G ~along's'aid ~ivision ~ine nor~ ~8 'degrees. 28~ ~nutes ~NING~ ~.~NCE along s aid' ~Yisio~ !~e .no~ ~.51 de~ees.' 2.8 ~nutes. ' ~e-of praises sho~ on ~e s~division Map of Fo~d~s. Estates filsd' Suffolk Cowry Clerk's office as '~p No. 834.; R~G T~NCE ~ong said last men.~oned t~d nor~ 41 degrees 35 minutes 20 Second~, east, 43.61 'f~et to m ~t-~arked by a mon~ent ~~G T~N~ sou~ 68 d~re~ 2~ _~n~tes east, 192.12 feet to a mon~ent set on ~e westerly side of Ter~ L~; . R~G ~N~ ~on~ the west~l~ side of T~ .L~e',' sou~ 2! degre( 32 ~utes west, 75 feet to~e_ ~int Or place of BEG~G. Rese~ing however, ~o ~he parties of the firs~ part, the right to use the subject presses for 'and during the ~e~ of ~he%r natural lives. I~ being understood be~een ~he par~ies of the firs~ par~ and the parties of the second part that the parties of the first part shall be responsible to pay al~ zeal estate ~osed on the subject premises and all s~. necessa~ for the upkeep and ~in~enance of ~he subjec~ pr~ses for their ~tu~al lives. scm~ULE "A" DEsCRIFIiON STATE OF NEW YORK, 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 satisfactoW evidence to be the individual whose name is subscribed to the within instnunent and he acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. USE ACKNOWLEDGMENT FORM BELO'W WITHIN NEW YORK STATE ONLY STATE OF NEW YORK, COUNTY OF ROCKLAND } 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 and that by his/her/their signature(s) on the instnanent, the individuals, or the persons upon behalf of which the individuals acted, executed the instrument. NOTARY PUBLIC NOTARY PUBLIC ACKNOWLEDGMENT FORM FOR USE WITItlN NEW YORK STATE ONLY: {New York Subscribing Wime~s Acknowledgment Certificate} State of New York, County of }ss.: On the day of in the year before me, the undersigned, 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 .: (lf the place of residence is in a city, include the street and street number, if any, thereoJ); 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 wimess at the same time subscribed his/her/their name(s) as a witness thereto. BARGAIN & SALE DEED WITH COVENANTS AGAINST GRANTOR'S ACTS TITLE NO. ANTHONY J. BUCICH AND YOLANDA P. BUCICH, TO JEAN M. BOYKO, AS TRUSTEE OF THE THOMAS J. BUCICH IRREVOCABLE TRUST AGREEMENT OF 2011 and THOMAS J. BUCICH, AS TRUSTEE OF THE JEAN M. BOYKO IR.REVOCABLE TRUST AGREEMENT OF 2011 ACKNOWLED~MEN~ FOP&A FOR USE OUTSIDE NEW YORK STATE ONLY: {Out of State or Foreisn General Acknowledgment Certificate} ........................................ }SS.' State of New Jersey: County of Bergen On the 21 st . day of November, in the year 2011, before me, the undersigned, personally appeared YOLANDA P. BUCICH, 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 capaciry(ies), 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 instrumem, and that such individual made such appearance before the undersigned in the Paramus, New Jersey (Insert the city or other political subdivision and the state or country other place the acknowledgment was taken). ASHLEY ANN DEITCHMAN NOTARY PLIBMC OF NEW ~ PREMISES: SECTION: 65 BLOCK: 1 LOT: 13 TOWN: Southold COUNTY: Suffolk ADDRESS: 770 Terry Lane RECORDED AT REQUEST OF RETURN BY MAIL TO ALBERT J. KAISER, P.C. 4 LAUREL ROAD NEW CITY, NEW YORK 10956 (845) 634-3700 PLEASE TYPE OR PRESS FIRMLY WHEN ~RITING ON FORM. INSTRUCTIONS: http://www.orps.$tate.ny.us or PHONE (518) 474-6450 FOR COUNTY U~E ONLY c,.Ew,,co,. , ,3 : PROPER~ I~FOE~T~ON ~ I Sou~ho~d 2. aavse I Royko ] But±ch $. Tm; Indicate where futura Tar Bills sm to be sent Billing if oiler than burr sddre-,a let be~zom of form)'1 But[ch REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES RP - 5217 153l 12th Street I 4. Indicate the number of A~esement Roll pirelli tralssfef~d on ~e ~ I , ~. D~ ~ ~uc~ch I Bucich I Fort Lee IN ,J [07024 , I [ ~ of Portals OR Pan of · Pamel ~ ~ni~ ~ ~ Sub,lan A~odW ~ ~. Sub,ion ~1 ~ ~ui~ ~r Transf~ I oR I O .3 I ~ Pa~, ~ ~ S~io. ~h Map ~ [ AaChony J. I Yolanda P. I 7. Che~k tho box below whlah react accurately deaaibes the uso of the properly at the time of sale; B I~12 or 3 Family Bccidenfial Commercial Industzial C I,~ Residential Vacant Land Apartment Public Service D U Non-Residemial Vacant Land Entertainment I Amusement Fores[ ~teek the be~m bdow aa they appllt: 8. Ownership Type is Condominium [] 9, New Constructlo~ on Vccent Land [] 10A. Property Located wtthin so Agriceltural Diet r'ct [] lOB. Buyer reccived · disslccum notice indicting [] that the pmpmly is in an Agricultural District SALE INFORMATION I 11. Slla Contrast ~ I / H/A / I ,..De,..,se.,Tca.se ,Il / , N/A . , 0 . 0 I 15. Full Sale Pale. I , , ~ , . ~ . · (Full Sale Pr]ce is the total arwourlt iMid for the pr0p~rly including personal properb/. This payment may be in the form of cash. other prope~ or gOOdS, or the assumption of 14. ,ndieata the value of pemonal I , , , ):/A , , Q , O I i~Ol~rty ir~4udKI in the aala ~ ~1 ·I ASSESSMENT'INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill I 15 Chcck arm ar nlma of rheas W es Nqx~dde to 1]lndaK i Sale Between Relatives Or Former RelatJv~ Sale Between Related Companies or Partners in Business One of 1fie Buyers is also a Seller Buyer or SeKar L~ Government Agency or Landing Institution · Deed Typo not Warranty or Bargain and Sale ISpccify Below) Sale of Fractional or Less Ihoe Foe Ioteresl (Specify Below) Signal[cant Chaege in Proaerty Between Taxable Status and Sale Date= i! I I Sale of Busln~s is Included in Sale ~ Other Unusual Factors Affecting Sale Prim (Specify Below) TransFer co T:revocab]e Trusts ];'or Benei='lt oF Transferors ~LiYe 16'YaxrofAseoesmentRoalfmml]. ,0 I l?.TomlAseesNdValue(ofdlperudslnboedarll which infomlndon taka1 18. [~mt~ Class I2 , I ,0 I.I I l{.kh~lOlsi~'tNam { Southold ½ ½ 5 .5 .o ,0 I ~0. Tax Map IdsotisartM I Roll Idlfd~afla) (Il mom then Iour, attach Ihsot ~ udditiallaJ k~,mtBlm(s)) I 65 - I - [3 I I I I I I I CERTIFICATION I certRy If, at all d' Ihs [lees d' iM'o~nndim eetered ea Ibis term #~e lee ~ cen'e.'t Its ~le Ilel ~d' my k~l~l~ and bdle~ ~ I undemland Ibat Ihs ma]daB of mn,} ~illful false slatem[mt e4' maleti'.d raet hernia vUl .subj,1 me lo Ihe amblings et the nenal law Math~ lo Ihe ma~ and fiib~ et raihe imamment~ BUYER I SELLER BUYER'S AI'IORNEY Xainer Albert J. I 845 I 634-3700 I NEW YORK STATE COPY