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L 12713 P 826
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 3 Receipt Number : 12-0141914 TRANSFER TAX NUMBER: 12-10220 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 085.00 03.00 EXAMINED AND CHARGED AS FOLLOWS $o .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 $5.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 12-10220 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 12/15/2012 08:54:19 ~ D00012713 826 Lot: 006.005 $20.00 $15.00 $250.00 $0.o0 $60.00 $0.00 $380.00 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. RECOR~E~ 2012 D~c 15 JUOITH R. PfiSCRLE 'CLERK OF SUFFOLK COUNTY L D00012713 P 826 DT~ t2-10220 Deed I Mortgage Instrument Deed / Mortgage Tax Stamp I Recording / Filing Stamps Page / Filing Fee Handling TP-584 5. 00 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed, NYS~ge Other (0o ©-'0 5. 00 .15. 00 SubTotal. Sub Total ................ Grand Total .,4 D 1202~043 ibbo casco o3&~ oo~oo5 Real P~~ Tax Se Ager Verific Q06.005 Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. ·. or Spec./Add. TOT. MTG. TAX Dual Town ~ Dual County ~ Held for Appointment ~ Transfer Tax '0 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 e #. . of this instrument. Community Preservation Fund Co~nsideration Amount CPF'~a~, Due $ · · · Improved 6 Sausfacuons/D,scharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land _~ Bruce Kennedy, Esq. TD Po BOX 545 · Amityville, NY 11701 . TD Mail to: Judith A. Pascate, Suffolk County Clerk I 71 Title Company Information 310 Genter Drive, Riverhead, NY 1'i90~ t.O INameFItIC 4~,- ff~. t/)~6LI. ' ' wv~ sullolkcountvn¥ {~ov . _ ,. /cterk . _ Suffolk County Recordin- This page fo.rms part of :he attached deed made by: (SPECIFY TYPE OF INSTRUMENT) ROBERT KIDS & FRANK KLOSt AS The premises herein is situated in TENA~S INZ:.~N SUFFOLK COUNTY, NEW YORK. TO In the TOWN of Southoid F & R REALTY ASSOCIATES, LLC In the VILLAGE Peconic or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED tN BLACK 1NK ONLY PR/OR TO RECORDING OR FILING. Standard N.Y.B.T.U. Form 8002 - Bargain and Sale Deed, with Covenant against Grentor's Acts- Individual or Corporation (Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS THIS INDENTURE, madethe i (~ay of J~OV,~..P'~ ~.~ ~-~['2.~ ,2012 BETWEEN ROBERT KLOS and FRANK KLOS, 37570 Route 25, Peconic, NY 11953, as tenants in common party of the first part, and F & R REALTY ASSOCIATES, LLC, 37570 Route 26, Peconic, NY lf958 Dist. 1000 Se~t. 085.00 Blk. 03. O0 Lot O06.005 party of the second part, WITNESSETH, that the party of the first part, in consideration of TEN DOLLARS ($10.00) and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second pad, 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 at Peconic in the Town of Southold, County of Suffolk and State of New York, bounded and descdbed as follows: BEGINNING at an iron pipe on the southerly line of the Main Road, 509 feet, more or less, easterly along said southerly line from Bay Avenue, being a northeasterly comer of land of Elizabeth Horton and the northwesterly coroer of the premises herein described; and RUNNING along said southerly line of the Main Road, North 32 degrees 30 minutes East, a distance of 106.0 feet to an iron pipe; THENCE along land now or formerly of Isidore P. Krupski and Hedwig M. Krupski South SS degrees 08 minutes East, a distance of t89.53 feet to land of Dietz; THENCE along said land of Dietz, South 20 degrees 28 minutes 30 seconds East, a distance of 89.13 feet to an iron pipe and said land of Horton; THENCE along said land of Horton, 2 courses, as follows: (1) South 87 degrees 15 minutes West, a distance of 49.0 feet to an iron pipe; THENCE (2) North 57 degrees 30 minutes West, a d!stance of 240.0 feet to the point of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed to the parties of the first part in deed dated 12/f0/1979, recorded in Liber 8749, Page 553 and re.recorded in Liber 8758, Page 491. 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 ali the estate and dghts 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 of the 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 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. IN THE PRESENCE OF: _ ./~~ ~ Frank Klos STATE OF NEW YORK, COUNTY OF SUFFOLK ss: Oh the ~ ~°'t33'' day of ~3v'~w~P~,-.in the year 2012, before me, the undersigned, personally appeared ROBERT KLOS 8, FRANK KLO$ personally known to me or proved to me on the basis of satisfactory evidence to be the individual (s) whose name (s) is (are) subsc~bed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity (ies), and that by his/her/their signature (s) on the instrument, the individual (s), or the pemon upon behalf of which the individual (s) acted, executed the instrument. ~ Notary Public, State of New Yo~ No. 02KE4503483 Qualified in Suffolk Count~ Commission Expires May 31, ._. BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS Title No. DISTRICT 1000 SECTION 085,00 BLOCK 03.00 LOT 006.005 COUNTY OR TOWN Suffolk/SouthoId STREET ADDRESS ROBERT KLOS & FRANK KLOS, AS TENANTS IN COMMON P/O 37570 Rte. 25 Peconic, NY TO F & R REALTY ASSOCIATES, LLC RETURN BY MAIL TO Bruce Kennedy, Esq. PO BO 545 Amityville, NY 11701 (631) 691-0100 PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP-5217-1NS): www. oq)s.state.ny.us FOR COUNTY USE ONLY c1.-. c.. ' / - z g'''- 2._ N. Yor, .,.,. O.,.,,m.., Taxation and Finance · C3, BookI L g 71 ~¢ i"~C4. Pagsl ~"J~" RP-5217 ~ ~ · , Real Pmpedy Transfer Repod PROPERTY INFORMATION 1. Property Lo,B. LplA~.,TA?J~ I ~.euy.r I ~ & R ~ ~~. I · I~1~ the num~ ~ Roll ~el~ ~n~ on ~e d~ I 5, ~d p~ ~.. 1~1 , I I #ofPamds OR ~-I PeltMaParcel Is,~,~, I a~o=, (Only if Peri of a Pamol) Check is they apply: 4A. Pharming Board with $ubdivL~xl Authorily Ex[sis 4B. Subdivision Appro~M was Raqu~rbd fro' Trane[er 4C, Parcel Approved lot BulxlK, bi~ wi~ Map Provided T. Chock the box below which most mccur~tMy G~ncdbel tho usa of the p~pml~ at the time of ~ile: A [] One FBmily Rea~gel~d I~ [] ~lpiculmral I[~ Community Sen/ica BI 12~3FamJlyResidential F I~Commercial J ~ Industrial C I I Residefllnd Vacant Land O I IApm~ment K.I~ Public Se~ca D ~ Nofl-Resldan~al Vacant Land I { I IEntenalnment; Amusement L I I Fomsl Cheek the bases below aa they atqdy: 8. O~mership Type is CeedominLum [] e. New CoflstructJoe oe Vacant Land [] t0A. PropeKy Located mthln an Agricultural DisMcl [] 10B. Bu'~r received a dlsdcaum notica indicalblg [] that the prond~y LS In an AgHcailurel District SALE INFORMATION I 11. ~le Contrlet Date t2. Date of Bale I Transfer I / / I / I'Ll ( Full ~le Pdee is Ihs total maounL paid I~ ~e ~ in~i~ ~al pm~y. ~ls ~y~nt may ~ in ~e ~ d ~, ~r ~W ~ ~s. ~ ~e ~sum~on M m~s ~ c~er ~s.) ~ ~ ~ M ~st ~e ~ar a~. 14.1ndlM~thevalue~nal -~-- , ---e 0 O ~ Inclu~ In ~o aais I ~ , , , 15. Check offs or more of theta conditions aa appli=abla to transfer: A ~ Bela B~tween Relatives er Formes Relalivea R ~ Sale Bah~,~n Roland Companies ~ Padnem in SUsi~ C ~ ~e ~ ~e B~m ~ ~ a ~ller ~ ~ ~r ~ Sel~ is ~t ~W or ~ding I~ E ~ ~nd Ty~ n~ We~an~ ~ Ba~ain end Safe (S~ ~ ) ~ ~ S~nlfi~nt Cha~ In P~W ~ T~ble Sm~ ~d ~ H ~ ~le ~ Business is I~d~ In ~ P~ J __~ ~er Un.ual Fa~ A~g ~ P~ ( S~ ~1~ ) J ~ ~ne ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill Year of AJ. seeement Roll ~om which Information taken ~ 1T. Total Assessed Value (of all parcala In banafof)l 18. Property Cia.. I--_~"~.(I:)_1-1 I lg. Schod Dlstrlct N.m. I 20, Tax Map Identlfie~(s) I Roll Identifier(a) ( If more then four, attach sh#1 with additional IdentiSer(s) ) I Dist l O00/Sect: 0.85...0.0/._B~-~._0.~.,.0.O/.Lo:t:..0.06,.0O~l i CERTIFICATION SELLER ~I~TURE BUYER $1GJ~GTURE BUYER'S ATIORNEY Kennecl¥ I ~ruce 6.31 I 69J=0.1.0.0. BUYER CONTACT INFORMATION T)IOO m' I~fot eleady.) Klos I Fr~k ~r Robert __.6_~1 I 734-7911 A.I~.A COOC IELEIPe~INE NUMDER $TREET M, JNEE~ 958