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Home My WebLink AboutL 12708 P 607III SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED N~m~er of Pages: 3 Receipt Number : 12-0119280 TRANSFER TAX NUMBER: 12-06112 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 113.00 07'.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $15.00 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 Comm. Pres Fees Paid TRANSFER TAX NUMBER: 12-06112 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 10/17/2012 09:16:32 AM D00012708 607 Lot: 001. 003 $20 00 $15 00 $125 00 $0 O0 $60 00 $0 oo $2so oo Exempt NO NO NO NO NO NO .N,,umber of pages This document will be public record. . Please remove all · Social Security Numbers prior to recording. RECORDED 3312 Oct 17 09:16:32 JUDITH ~. PASCflLE CLERK OF SUFFOLK COUNTY L bOOOt2708 P 607 BT# I2-06112 Deed/Mortgage Instrument Deed/MongageTax Stamp [ 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. (~_~JD~'~ Comm. ofEd. 5. 00 Affidavit Certified Copy NYS Surcharge 15. 00 Other Sub Total Sub Total Grand Total Q"~/'~ ' I I 4 Dist. 12024580 zo3o ~[3oo 0700 om. oo3 Real Property~ Tax Service Agency Verification 5 Mortgage Amt. l. Basic Tax 2. Additional Tax Sub TotaI 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 If NO, see appropriate tax clause on page # of this instrument. Community Preservation Fund Consideration Amount CPF Tax Due $ ~ ~' .......... " Improved Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land Mail to: Judith A. Pascale, Suffolk County Clerk I 7 [ Title Compan~ Information 310 Center Drive Riverhead NY 11901 I~ . ' w ' ' ~ ~ ww. suffolkcountyny, gov/clerk I Title ~ .... Suffolk County Recording & Endorsement Page This page forms part of the attached ~Jqrg~/~Z.r',a s' 5¥-t-~ ~ e'~"B ~/d> ve-~',4,.,-~ made by: (SPECIFY TYPE OF INSTRUMENT) j~.~rr- ~/~ ~ The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of .~C,~ ~&-~rc6~ ~42 ~¢/~ ~.~/~. In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. [ 2-OIO~.A 0/081~ (over) NY 005 - Bargain and Sale Deed with Covenam against Grantor's Acts Individual or Corporalion (Single Sheet) (NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT · THIS INSTRUMENT SHOULD BE USED BY I,AWYERS ONLY THIS INDENTURE, made thc 17th day of October , in the year 2012 BETWEEN Bennett Brokaw, residing at 4317 Bergen Avenue, Mattituck, New York 11952 party of thc first part, and Kettle Creek Corp., a domestic corporation with offices at 4317 Bergen Avenue~ Mattituek, New York 11952 party of the second part, WITNESSETH, that the party of the flint part, in consideration ofTen Dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second parc, 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 in the SEE "SCHEDULE A" ATTACHED HERETO 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, the heirs or successors and assigns of the party of the second part forever. AND thc party of the first part covenants that the party of thc first part has not done or suffered anything whereby the said promises have been incumbered in any way whatever, except as aforesaid. AND the puny of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of thc first part will receive the consideration for this con veyance and will hold the right to recei ye 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 o~is indent.~o requires, USE ACKNOWLF. DGMENT FORM BELOW WITHIN NEW YORK STATE ONLY: State of New York, County of Suffolk }ss.: On thc[~ day of October in the year 2012 before me, the undersigned, personally appeared Bennett Brokaw personally known to me or proved to me on the basis of satisfactor~ evidence to bc thc individual(s) whose name(s) is (arc) subscribed to thc 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. ACKNOWLEDGMENT FORM FOR UsE WITHIN NEW YORK STATE ONLK' [i~w York Subscribing Witnezs Acknowledgment Certificote} State of New York, County of } ss.: On thc day of in the year before mc, thc undcrsigncd, personally appeared thc subscribing witness to thc foregoing instrument, with whom I am personally acquainted, who. being by mc duly swom, 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, thereo~; that he/she/they know(s) to be the individual described in and who executed the foregoing instrument; that said subschbing witness was present and saw said execute thc same; and that said witness at the same time subscribed his/herhhcir name(s) as a witness thereto. USE ACKNOWLEDGMENT FORM BELOW WITHIN NEW YOtOt STATE ONLY: State of New York, County of } s8.: On the day of in the year before mc, the undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory cvidencc to bc the individual(s) whose namc(s) is (arc) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in Ns/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. ACKNOWLEDGMENT FORM FOR USE OUTSIDE NEW Yogli STATE ONLY: [out of State or Foreign General Acknowledgment Certificate} .................................................. }SS.~ (Complete Venue with State Country Province or Munlclpalitv) On the day of in the year before me, the undersigned, personally appeared personally known to me or proved to me on thc basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to thc within instrument and acknowledged to me that be/she/they executed the same in his/her/their capacity(ies), 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 stale or count~, o r other place the acknowledgment wax taken). TITLE NO. BARGAIN & SALE DEED Bennett Brokaw TO Kettle Creek Corp. FIDELITY NATIONAL TITLE INSURANCE OCOMPANY OF NEW YORK D1STRICT i000 s~o~ 113 BLOCK 7 LOT 1.3 COUNTY OR TOWN RECORDED A T REQUEST OF Fidelity National Tide Insurance Company of New York RETURN B Y MAIL TO East Quogue, NY 11942 SCHEDULE A All that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Mattituck, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point along the southerly side of Bergen Avenue, said point being the following three courses and distances from the intersection of the southerly side of Bergen Avenue and the westerly side of Cox Neck Road; South 63 degrees 54 minutes 31 seconds West 1298.54 feet to a point; South 55 degrees 12 minutes 21 seconds West 20.87 feet to a concrete monument; South 55 degrees 10 minutes 53 seconds West 20.01 to the point and place of beginning; RUNNING THENCE from said point or place of beginning South 36 degrees 10 minutes 49 seconds East 260. t 2 feet to a point; THENCE along the northerly property line of lands now or formerly owned by Bennett Brokaw, South 54 degrees 35 minutes 16 seconds West 307.48 feet; THENCE along the easterly property line of lands now or formerly owned by Pindar Associates, North 35 degrees 24 minutes 44 seconds West 263.24 feet to a concrete monument and the southerly side of Bergen Avenue; THENCE along the southerly side of Bergen Avenue North 55 degrees 10 minutes 53 seconds East 304.01 feet to the point or place of BEGINNING. BEING AND INTENDED TO BE Lot lof the map "Subdivision of Bennett Brokaw" as prepared by Joseph A. Ingegno, Land Surveyor, last dated December 15, 2008 and approved by the Town of Southold PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS {RP-5217-1NS): www. orps.state.ny.u$ FOR COUNTY USE ONLY PROPER~ INFOR~11ON New York State Deparbnent of Taxation and Finance Office of Real Property Tax Services RP- 5217 Real Property Transfer Report (8/t0) I 3, Tnx Indl~te where iulurc Tax Bills 8m ~ ~ ~t Billing if ~er ~an ~r a~m~ (at ~ ~ ~) ~ I R~I ~b ~ns~ on the rind I , / I ~ d Pa~ls ~L.~ P~ ~ a ~r~l P-~ x l Io. I · , ' . I e. ~.~r I 7. C~k ~ box ~1~ which most ~ou~ deKdMs t~ ~e M t~ pm~ ~ ~ time ~ ~: A ~ Fsmi~ R~on~ ~ ~fi~l~l [ ~ ~ni~ ~M~ ~ ~ 2 ~ 3 F~ily Resi~nllal F ~ ~mme~,l J ~ Indus~l D~N~R~idendalVa~nlLand. H ~;~in~nll~u~nl L~ FO~SI I I (Only If Pnr~ of · Pared) Check el they apply: 4A. Planning Board with Subdhds]on Authm~ty Exists [] 4B. 8ubdMsmfl Approval was Required for Transfer [] 40. Parcel Approved far SubdMsiun'~th Map Provklnd [] ChKk the bmme below u thw lpply: 8. Ownemhip Type is Condominium [] 9. New Cm'lSb'ucb00 ~n VaceN Land [] 1GA. PfOpelly LocaWd within an A~ricult:ural DIsMc/ [] t0e. BuyM received · disck)~Jro notice indicaUng [] that tho property is in an Agrkm~ml District SALE INFORMATION 11, Sale Conbmnt Dam 12. DatooiSala/Tranafer I /a / /7 13. Full 8ate PHca I 0 I ( Full Sale Price ia the mlal amount paid f~ ~e ~ including ~ p~. 14.1ndi~t~cal~M~nM ~ ~. 0 0 I 15. Check one or more of thee conditions ns applicable to transfer: A [] Sale 9eWmen Ralat~ms o~ Framer Relates R L,~ Sale BeMeen Related ~nles M PaYee in Bu~ C ~ ~e ~ ~e B~m Is al~ a ~ler D ~ 8~r ~ ~ller is ~mmem ~nW or Le~i~ Ins~ ~ ~ D~ T~ fl~ Wa~n~ ~ ~aln a~ ~la (8~ ~ ) ~ ~ Sela ~ Fra~al ~ ~ss ~an F~ In~t ( S~ BIU~ ) G ~ S;~N C~n~ in ~ ~n Ta~ 8~s e~ ~ DaLes ~ ~ ~ sale ~ Busi~ is I~ in Said ~ ] ~ ~ Unu~al F~ A~i~ ~id ~ ( S~ ~ ) J ~ ASSESSMENT INFORMATION - Data should reflec~ the latest Final Assessment Roll and Tax Bill 16 Year of AMassment Roll from which Information taken I ~' ~. I 1T. Total Assessed Value (of all parcels In trennfer)L~,.' 18. PropertyClasa I ~,1 . f!"ll lg. SahMeletdGtNeme I 20. Tax Map Idantlfist(a) I Roll Identifier(e) ( ff more than four, altech slum with additional Identifier(s) ) I /~e~- /iS-'7- /.~ I L L____ I L CERTIFICATION ~.--.tm...,.,.:T~..m m., ~..,..~...~..--.~ ~,~ d ~ ~,.. ~. ~ ...q ~ m~ ~ h~..,~.~ ~SE~IGNATURE / / BUYER CONTACT INFOR~TION ~ ~/~ ~ / .. / (E~~.,.:,,~..c.~.~~,,~ BUYER 81G~E ~ il/ ~~ , ~-r~