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HomeMy WebLinkAboutL 12709 P 926SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 3 Receipt N,.,mher : 12-0124339 TRANSFER TAX NUMBER: 12-07149 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 128.00 01.00 EXAMINED AND CHARGED AS FOLLOWS $339,200.00 lO/31/2o12 01:33:34 PM D00012709 926 Lot: 015.000 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 $1,358.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 12-07149 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL $20 00 $15 00 $125 00 $0 oo SS0 oo $3,784 00 $5,392 00 Exempt NO NO NO NO NO NO JUDITH A. PASCALE County Clerk, Suffolk County Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2012 Oc~ 31 01:33:34 PH JUDITH A. PR$CRLE CLERK OF SUFFOLK COUNTY L D00012709 P 926 DT~ 12-07149 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp~-{ 0 I Reco[ding / Filing Stamps ..31 FEES Page / Filing Fee Handling TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Conu'n. of Ed. Affidavit Certified Copy NYS Surcharge Other Real Prol~ Tax Serv Agenc: Verificati 20. 00 5. 00 15. 00 Sub Total Sub Total Grand Total _ 2025367 I 1000 12800 0100 015000 Mortgage Amt. I. Basic Tax 2, Additional Tax Sub Total Spec~/Assit. or Spec./Add. TOT. MTG. TAX Dual Town ~ Dual County__ Held for Appointment Transfer Tax /,3"5~ dO 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 Prase~atton Fund Consideration Amount $ ~.~--- CPF Tax Due $ ~'-)~S~,~ ......... Improved 'X~ Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO:, Vacant Land ! TD ~ Mail to: Judith A. Pascale, Suffolk County Clerk I ' I Title Company ~formation 310 Center Drive Riverhead NY 11901 ICe Name ~'~,'T~ ~o~/ ~~ ~.suffolkcou ntyny, gov/clerk ' ' ' Suffolk County Recording & Endorsement Page /T)ar7 ~ Orr TO The premises herein is situated in SUFFOLK COUNTY, NEW YORK. In the TOWN of In the VILLAGE o~ HAMLET or BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. ~.o:,,_,~o,~, (over) PF 29 (I 1/85) Standmd N.Y.B.T.U. Form 8002 Deed, with covenant ~gatn~ Gtnntor's Act~-Individt~l ~r C0~pomte (Single Sheer) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY, /~'~'~ This in~lenture, made the Between Two Thousand Twelve Mary Jo Peters a/k/a Mary Jo Orr, residing at 7 Leary Lane, Nesconset, New York ~n~arty ot~the&,,, fu'st part, and . '/~'~ Richard Bosworth and Wendy Bosworth, resl~mg at 3035 Peconic Bay Road, Laurel, New York party of the second part, Witnesseth, that the party of thc first part, in consideration ofTen Dollars and other valuable consi._deration 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, at Laurel in thc Town of Southold, County of Suffolk and S~ate York, bounded and described as follows: BEGINNING at a point on the northwesterly side of Peconi¢ Bay Boulevard, distant South 39 degrees 46 minutes 30 seconds West, 335.00 feet from the comer formed by the intersection of the northwesterly side of Peconic Bay Boulevard with the southwesterly side of Birch Drive; RUNNING THENCE along the northwesterly side of Peconic Bay Boulevard South 39 degrees 46 minutes 30 seconds West, 65.00 feet to land now or formerly of Zajic; THENCE along said last mentioned land North 50 degrees 13 minutes 30 seconds West, 95.00 feet to the land now or formerly ofJ. Venteau; THENCE along said last mentioned land North 39 degrees 46 minutes 30 seconds East, 65.00 feet to land now or formerly of Parsons; THENCE along said last mentioned land South 50 degrees 13 minutes 30 seconds East, 95.00 feet to the northwesterly side of Peconic Bay Boulevard the point or place of BEGFNNING. Said Premises being known as and by 5035 Peconic Bay Boulevard, Laurel, New York "Being and intended to be the same premises as described in deed made by Henry Cisnems, Secretary of Housing and Urban Development recorded 04/26/94 in Liber 11674 cp 144. 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 part, in compliance with Section 13 of the Lien Law, covenants that the party ofthe 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 thc 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 thc same for any other purpose. The word "party" shall be construed as if 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: ~ PETERS, AfK/A MARY JO ORR STAT~. Or NZW VOm~ COOmV Or 5~ (fdk ~ss.: On ~e ~ ~y of~ ~ ~e yc~ 2012, b~fore me, ~e unde~i~ed,~o~lly appe~cd Ma~ Jo pete~ Ma~ Jo Orr, pemonally ~o~ to me or proved to me on &e b~is of satis~cto~ evidence to be ~e individuaL(s) whose n~e(s) is (~e) subsoiled tO ~e wi~ ~s~ent ~d ac~owledged to me ~t h~sh~cy ex~uted ~e ~e hi~er/~e~ ~paciW(ies),_~d ~ by h~er/~e~ si~a~s) ' on ~e ins~en~ ~e ~divid~(s); or ~e ~on u~n.~halfof ., .c.: ' which m{ ~d~i~ia~i~),~ ~}ma~unt.' R°~O~ ~"' ,." ~'.- STATE OF NEW YO~ COUN~ OF }~.: OnCe ~yof ~ ~¢ y~ 2012, me, ~e ~demi~e~ ~nally ~d · e subsefibMg wimess m ~e fomgo~g Ms~en~ ~ whom 1 ~ pemonally a~t~ who, ~Mg by me duly sworn, did depo~ ~d ~t h~she/~cy ~ide (s) ~ · e individ~l M ~d who execu~ ~e fomgo~g · at ~id subs~bMg ~m~ ~ p~nt ~d ~w ~id ex~u~ ~e ~e; =d ~ hid wimess at ~e ~e ~¢ sub~fi~ hi~er/~ek ~e(s) ~ a wire,ss ~ereto. - NolaryPublic STATE OF NEW YORK, COUNTY OF }SS.: On the__dayof , in the year 2012, before mi, 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) (are) subscribed to the. within instrument and acknowledged t~ me that he/she/the~ executed the same in his/her/thei~ capacity(les), and that by his/her(their sign~an'c(s) on th4 instrument, the individual(s), or the ~V~?n upo~ behalf of whicll the individual(s) acted, executed the insffument. ' Notary Public STATE OF NEW YORK, COUNTY OF }SS.: On the day of m the year 2012 before me,,~ the undersigned, personally appeared ~ the subscribing wimess to the foregoing insln~, ent, with whoml I am personally acquainted, who, being by me,' .duly swom, did! depose and that he/she/they reside (s) in ; that he/she/they know(s) to be! the individual in and who executed the foregoing instrument;i 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. Notary l~btic BARGAIN and SALE DEED WITH COVENANTS Title No. ORR DISTRICT: 1000 SECTION: 128.00 BLOCK: 01.00 LOT: 015.000 COUNTY OR TOWN: TO BOSWORTH RETURN BY MAIL TO: ' Twomey, Latham, Shea, Kelley, Dubin & Quartarario, LLP PO Box 9398 Riverhead, New York 11901 Attn: Janice Snead, Esq. Date Deed Recorded . ....... ~LEAsE TYPE O-R pRES~"FilRi~L-Y-~/~EN WI~IT~:ORM ' INSTRUCTION5 (RP-5217-1NS): www. orpa.$tete.ny.u$ New York State Department of Taxation and Finance Office of Real Procerty Tax Services RP- 5217 Real ProparP/Trans~r Repmt (8/10) I (Only If Pet of · Pergel) Check ee they apply: 4A. Planning Bo~d with Subdivision Authority Exist~ [] aB, Bubdivisio~ AI~I was Requir~J ~r Transfer [] 4C. P~rcal Approved hx Subdivision vdlh Mep Pmvtded [] . 7. CI~ tsa b~x b~l~w which mest ~eumt~l~ dessdl~ t~e u~ of the I~o~ et Ihe ~/me of ~le: Check tim boxes below. San*ice ~,r $ Family Rmlidential ~ ~ Commercial $ L~ Industrial I~A. Properly Located wilhin en Agricultural Dis~ict Non-Rm~idenDal¥1~anlLmld ~L,JFnterlainmanl/Amusemant L,[~J F~rest I~lthe~ropm~rlalnanAGric,lluralCq$ldct 12. DMI of ~'Ile ! TrInafIr [ Jo //~ / / 13. Full sale PdC, I ;~,2, .~___~ ~ O. O. 0.0 I ( Full Sale ~ ~ ~ mi am~ni ~ ~r ~a ~ ~du~i~ ~m~l p~. ~s ~ may ~ In ~ ~ 1~ Ind~ ~o value ~ ~m~al I 0.02 p~ J~lu~ In the .le 15. Check ofl~ or more of thff4 r. ondlflm~s es applicable to transfen A B C D F. F H 1 J Sale Satvmen Relatives ix Fro'mix RelatNes Bale Sat,,veefl Related ~m~ m ~ in ~sine~ ~e ~ ~e ~m b ~ a ~ler ~r ~ ~1~ b bm~l ~n~ ~ Lending I~fi~t~ De~ Ty~ nm W~a~ m h~aln a~ Bale (S~ Sal~ ) ~ ~ FG~I or ~s ~an Faa Interest ( S~iN ~ } S~nibnl C~nge in P~ ~ Taxa~ ~tus and Salo Da~ ~ M ~sine~ is Indu~ in ~la PHm ~ Unus~ Farm A~ Bale PH~ ( S~ Sa~ ) ASSESSMENT INFORMATION - Date should reflect the tatest Final Assessment Roll and Tax Bill I 16. Yom'ofA~m~rdentROlwhlah InfomlaUon talmn fT~nl/O/( I 17. Tot~IA~ .... dYelue (of.,,p.....ei.~..s~.~ . , ~ . . ,__. .~ '~ ~ ~.~1 ,,. 1,.sahoofDIsP'tetNe.® L~"'/I.._7..~ ~/.,~' ..~~--'~/~-.-~.JT~--.- L~'~. ~,,~=_...__j Tax Map Identifier,s) I Ro~l Identifiers) ( If more then fuur. altech eh.et with additional IdentlsaKs) } I CERTIFICATION I BUYER'S A~ORN~ NEW YORK STATE COPY BUYER CONTACT INFORMATION (Enl~' In~xm~l~n ~r fJ~ lar~'. N~e. ff buy~' is U.C, s~aaty, s~l~n. ~or~xx~,~q, ~lkd S~ T~jFe M W ~Iee~.)