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~.)