HomeMy WebLinkAboutL 12715 P 451III
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
Number of Pages: 3
Receipt Number : 12-0146940
TRANSFER TAX NUMBER: 12-11523
District:
1000
Deed Amount:
Section: Block:
037.00 04.00
EXAMINED AND CHARGED AS FOLLOWS
$0.0o
Recorded:
At:
LIBER:
PAGE:
Lot:
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: 12-11523
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
12/31/2012
09:46:18 AM
D00012715
451
001.000
Exempt
$20.00 NO
$15.00 NO
$125.00 NO
$0.00 NO
$60.00 NO
$0.00 NO
$255.00
Number of pages
This document wilt be public
record. Please remove all
Social Security Numbers
prior to recording.
RECORDED
20~2 Dec 31 09:46:18 AM
JUDITH ~, PRSCALE
CLERK OF
SUFFOLK COUNTV
L D00012715
P 451
DT~ 12-115£$
Deed / Mortgage Instrument
31
Page / Filing Fee
Handling 20. O0
TP-584 J'~
Notation
EA-52 17 (Count~)
EA-S217 (State)
R.P.T.S.A. /.r~ C-) ~)
Comm. of Ed. 5. 00
A~davit ~
Ce~ified Copy~
NYS Surcharge 15, O0
Other
Sub Total
Deed / Mortgage Tax Stamp
FEES
Recording/Filing Stamps
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 ~ __
Mansion Tax
The property covered by this mortgage is
or will be improved by a one or two
SubTotal
Grand Total
family dwelling only.
YES ~ or NO
If NO, see appropriate tax clause on
Ipage # of this instrument.
I Community Preservation Fund
41 Dist.'
Real Prop~
Tax 5ervic
Agency
Verificatii
12030838 zooo o37oo 0400 oo~ooo .ooo
6 Satisfactions/Discharges/Releases List Properly Owners Mailing Address
RECORD & RETURN TO:
J. KEV[N MCLAUGHL[N, ESQ.
P.O. Box 1210
Southold, NY 11971
Mail to: Judith A. Pascale, Suffolk County Clerk
310 Center Drive, Riverhead, NY 11901
www.suffolkcou ntyny.gov/clerk
Consideration Amount $
CPF Tax Due S ~,)
Improved
Vacant Land~.
TO /
TD
TD
ICTo. !ame
Title #
Suffolk County Recording & Endorsement Page
Title Company Information
This page forms part of the attached DEED
by:
JUDITH DIBLASI
(SPECIFY TYPE OF iNSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
made
TO In the TOWN of SOUTHOLD
ROBERT DIBLAS1. as Trustee of THE DIBLASI In the VILLAGE
IRREVOCABLE FAMILY TRUST OF 2012; or HAMLET of EAST MARION
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD RE USED BY LAWYERS ONLY
THIS INDENTURE, made the~/~ day of December, 2012
BETWEEN JUDITH DIBLASI, residing at 9950 South Ocean Drive, Apt. 803, Jenson Beach, FL 34954
/ IRREVOCABLE
party of the first part, and ROBERT DIBLASI, as Trustee of THE DIBLASI 'FAMILY TRUST OF 2012, residing
at 5-10 115th Street, Apt. F, College Point, NY 11356
pady of the second part,
WITNESSETH, that the party of the first part, in consideration of TEN and no/10Oths ($10.00) doltars 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, with the buildings and improvements thereon erected, situate,
lying and being at East Marion in the Town of Southold, County of Suffolk and State of New York, which plot is
known as and by the lot number 120 and 121, as shown on a map entitled "Map of Section Two, Gardiner's
Bay Estates, situate at East Marion, Long Island", which map was filed in the Suffolk County Clerk's Office on
September 23, 1927 under the number 275.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed made by
RICHARD DIBLASI dated September 3, 1991 and recorded in the Suffolk County Clerk's Office on September
17, 1991 in Liber 11335 Page 506.
TOGETHER with alt 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
~remises 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 pad 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 pady 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 PRESENCE OF:
JUDI .'~ DIBLASI
o/ ' ' TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
Stat~ of New York, County of Suffolk
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 the same in hislhefltheir
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.
(signature and office of individual taking acknowledgment)
State of New York, County of Suffolk
SS:
On the day of in the year 2011
before me, the undersigned, personally appeared
ROBERT JOHN BOHN
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
capacity(les), and that by his/herfthe[r signature(s) on the
instrument, the individual(s}, or the person upon behalf of which
the individual(s) acted, executed the instrument.
(signature and office of individual taking acknowledgment)
NOTARY PUBLIC
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State (or Districtt~of Columbia, Territory, or Foreign Country) of Florida ss:
On the day of December in the year 2012 before me, the undersigned, personally appeared
JUDITH DIBLASI
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 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, and that such individual made such appearance before the undersigned in the
(insert tile ~ity or ~hc~r political subdivision}
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
Title No.
JUDITH DIBLASI
TO
ROBERT DIBLASI, as Trustee
STANDARD FORM OF NEW YORK BEARD OF TITLE UNDERWRITERS
Distributed by
Commonwealth
COMMONWF~LTH LAND TH'LE INSURANC~ COMPANY
DISTRICT 1000
SECTION 037.00
BLOCK 04.00
LOT 001.000
COUNTY OR TOWN
STREET ADDRESS
Recorded at Request of
COMMONWEALTH LAND TITLE INSURANCE COMPANY
RETURN BY MAIL TO:
Southold, NY 1 lg71
PLEASE TYPE OR PRE$-~' Fii~MLY WHEN WRITING ON FORM
INSTRUCTIONS (RP-521?-IN$): www. orps.stata.ny.u$
FOR COUNTY USE ONLY
New York State Depadment of
Cl. Sw,. Cod. I ~.. ~7. '~ <~:>.~ .~ I Taxation and Finance
..... ' RP- $2~7
c-~..soil i .~-~"~ i t I I~l C4~i "~la I I '~IS. I I Real ..party Tranlfer RlporL (.10)
PROPER'P( INFORMATION
I I I
$. TOX Indicate wlmm future Tax Bills ere to be seul
BIIIFOg if other than ~ayer address (at ta)tlom of form}I I I
I aT.ET KUMBE. ~-T'q~EE~i' ~ I I ~
4. Indl.~ the flumher d Amsemsnt I~1 (Only if Peri d B Pemct) CheGk aa they
Rctll~rccta~anafermdonhdeed I · / I #ofParsels OR-- PadofaPamat 4A.F~enningBoardm~Bulx~ivislonAuthorifyExlsts []
S. DNd
4C. Parcel Approved for S~bdMslon with Map F)ro'~ed []
-.,,... , ,
I
7. Che~k the boa below which meet ImGUrctMy dslGdhel the ul~ of h properi~ Bt the time of ~le:
A'r~one Family Resid~rtisl P- [~Agd(:iJItaml I [] Commundysar~se
~ LI2orSFemllyRoxldenttal F L._lC4~mmorciul J ~ Indusaiel
~ I I Residential Vacant Land (; I__~ Nxl~ment KI__~ Public samoa
I)~ INon'RoxiderdiaJ Var, ant Land H U Enterlalnmem I Amusement I. I I Forse~
Cheek the boxes below al thly apply:
B. ChvT1al~hip Type i$ CondOminium []
9. New C.u~ slmctam =e Vacant Land []
10~. Property Located within afl AgdGultuml Diatric~ []
lOB. Buyer reselved · dlsctowre notJse indiGating []
that the property is in un Agricultural
SALE INFORMATION I
11. Sale Contract Date
12. DBt~ of ~mle I TrBnaMr
I i~-/~/ I~-I
Monlh Day
Full sate Price
I
I
( Full Sale Pdse is the total amount paid For the pmpmty Indnding personal pfopmty.
This payele~t may be in the FO~m M cash. cther property or ooods, or the aseumphon of
mortgages or other ot)bgattons.) /:qeoxe round to h'm nogmM Mm/e dotk~ amounL
14.lnctcitethevatueofperJoxlat .~..~ 0 0 J
properly included In the mto 1__ ~ · · j . .
Chock mis or mom of ~m condlllo~s as applicable to transfer.
8ale Betwee~ Reisfi~os Or Fonl~' Relotivox
Sale Betvmen Rel~thd Ce~panlse or Partners In Business
One of the Buyem ~s also a Seller
Buyer Or S~ltor is Government A~mcy or Lending Institution
Oend Type nol Wa n'anLy or Bargain and Bale (Spech'y Below )
sale of FracUonat or Less &1lan Fee I~ltare~t ( Spm:~l"/9elow )
Significant Change in Pm~erty Between Taxable Status and Sale Dates
Sale of Business is lactuded in Sale Price
Other Unusuat Factors Affecting Sale F~ce ( Specify Below )
Nmle
J ASSESSMENT INFORMATION - Da~a should reflect the latest Final Assossment Roll and Tax Bill J
1il. year of A~Bs~.ment Ret I from ~, ..~
whidl Iofo~nBtion ~bn ~ 17. T~I ~ ViI~ (~ ~1 ~ In ~n.~ ~ .
Tax Map I~l~l) I MI I~n~e~l} ( ff mm ~an ~ur. ~h Ih~ ~ ~dlfl~al I~n~fildl) )
I I
~ ~ .0 .c>. SI
J CERTIFICATION J
SELLER SIGNATURE
__BUYER SIGNATI,IRE
BUYER'S AT[ORNEY
NEW YORK STATE
COPY
BUYER CONTACT INFORMATION
(EnMr klfommUon Mr IJ~ buyer. Hots If bu)~' JS LLC. ~. Imlsodllbl~, cl~. j~M Itogk
,
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