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L 12715 P 609
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE T~pe of Instrument: DEED' Number of Pages: 4 Receipt NumBer : 12-0147306 TRANSFER TAX NUMBER: 12-11661 District: 1000 Deed Amount: Section: Block: 059.00 09.00 EXAMINED AND CHARGED AS FOLLOWS $395,000.00 Received the Following Fees For Above Instrument Exempt Page/Filing $20.00 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 $1,580.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 12-11661 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Recorde~: At: LIBER: PAGE: Lot: 010.003 $20.00 $15.oo $125.00 $0.00 $60.00 $4,900.00 $6,735.00 12/31/2012 04:32:50 PM D00012715 609 Exempt NO NO NO NO NO NO JUDITH A. PASCALE County Clerk, Suffolk County Number of pages ~L This document will be public record. Please remove all Social Security Numbers prior to recording. Deed ! Mortgage Instrument Deed / Mortgage Tax Stamp FEES RECORDED 2012 Dec 71 04:72,'50 Pti JUDITH ~.' PRSC~LE CLERK OF SUFFOLK COUHT? L D00012715 · P 609 DT# 12~11661 Recording / Filing Stamps Page ! Fil!ng Fee Handling 20. o__~o TP-584 Notation EA-52 z7 (County) EA-5':'~7 (State) R.P.T,S.A. Comm. of Ed. ,;. o._9o Affidavit Certified Copy Sub Total NYSSurcharge zS, ._g SubTotal: Other __ GrandTo~ai 4 JDist. i.[ 12030449 looo 05900 0900 olooo3 Real Proper[ ~ Tax Service Agency 5 Verification. 6 Satisfaction~lDischargeslRelease$ List Property Owners Mailing Address RECORD & RETURN TO. Ot~em~d OV~c~I ~ . Mortgage Amt. ~ l. Basic Tax =. Additional Tax Sub Total Spec./Assit. or Spec.lAdd. 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 tw)) / fa ,y .e,,ngon,., YES or NO ' If NO, see appropriate tax clause on page # of this instrument. Community Presen/ation Fund Consideration Amount $ ~_~I:~:~1. FD FD Improved Vacant Land~ ./b Mail to: Judith A. Pascale, Suffolk County Clerk J 7 J Title Co. mpany Information 3~o Center Drive, Riverhead, ~lY!l_9Oz www.suffolkcountyny.gov/clerk ,, !C°'Name "~.,i~"~/ · I Title# Suffolk County Recording & Endorsement Page This page forms part of the attached , ('~ECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY~ NEW YORK, made j~ i ~hO,.,~ .~TO ,n the TOWN of ~-'~ ~ OId ' 0 ~)"'")~i ~.,,j/'~ In the VILLAGE -~- t Or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) FORM 8002 (short version), FORM 8007 (long version) CAUTION: THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATYORNEYS FOR SELLER AND PUROWSER BEFORE THIS INDENTURE, made the l~th day of December, 2012, BETWEEN DIANNE M. DANEK, of 290 Great Pond Way, Southold, New York 11971, party of the first part, and CHAEL O~BRIEN and CLARE O'BRIEN, bls wife of94-11 69th Avenue, Apartment 308, Forest Hills, New York 11375, party of the second part; WITNESSETH, that the party of the first pan, in consideration ofTen Dollars and No Cents ($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 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 in the Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described on Schedule attached hereto. Said premises being known as 290 Great Pond Way, Southold, New York. Being and intended to be the same premises conveyed to the party of the first part by Deed dated 9/26/90, recorded 10/28/90 in Liber I 1158, cp 416; 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 rights of the party of the first part in and to said premises, TO HA VE 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 PRESENCE OF: NYSBA's Residential Real Estate Forms (9/00) © 2012 Matthew Bender & Co., a member of the LexisNexis Group. Acknowledgment by a Person Within New York State (RPL § 309-a) STATE OF NEW YORK ) COUNTY OF SUFFOLK ) ss.: On t day of December in the year 2012, before me, the undersigned, personally appeared DIANNE M. DANEK, 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 she executed the same in her capacity(les), and that by her signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. (signature and offic, 6 9f~indivi~ t~ng acknowledgment) Deed Title No. FI2-7404-87711SUFF District 1000 Section 059,00 DIANNE M. DANEK Block 09.00 To Lot Ol 0,003 MICHAEL O'BRIEN and CLARE County or Town O'BRIEN, his wife Street Address Suffolk 290 Great Pond Way Southold, New York 1 t 971 Return By Mail To: DAVID WORTHINGTON OLSEN, ESQ. Olsen & OIsen, L.L.P. 32495 Main Road, P.O. Box 706 Cutehogue, New York 11795-0706 Reserve This Space For Use Of Recording Office NYSBA's Residential Real Es~¢ Forms (9/00) il> 2012 Matthew Bender & Co., a member of thc LgxisNcxis Group. -2- OFidelity National Title Insurance Company Title No.: F12-7404-8771 ISUFF SCHEDULE A-1 Description ALL that Certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: Beginning at a point n the northwest side of the proposed road distance 281.37 feet southwesterly as measured along the northwest side of the proposed road from the southwest end of the arc of the curve connecting the southwest side of a private road and the northwest side of the proposed road; Running Thence along the northwest side of the proposed road, in a southwesterly direction, along the arc of a curve, bearing to the left, having a radius of 200 feet a distance along said curve of 62.03 feet; Thence South 47 degrees 43 minutes 20 seconds West, 106.62 feet; Thence North 40 degrees 59 minutes 00 seconds West, 113.30 feet; Thence North 41 degrees 21 minutes 30 seconds West, 83.42 feet; Thence North 42 degrees 14 minutes t0 seconds East, 153.30 feet; Thence South 44 degrees 48 minutes 20 seconds East, 191.07 feet to the northwesterly side of the proposed road, at the point or place of BEGINNING. Schedule A-I (Description) Rev. (02/04) FOR COUNTY USE ONLY c....s... , 7. PROD~ ~ IHFOR~TION 2. ~r 3. T~ I~ I~ the num~r Roll pn~ls ~a~ on PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM. INSTRUCTIONS: hRP://www.orps.state.ny.u$ or PHONE (518) 474-6450 REAL PROPERTY,. TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPER~Y SERVICES RP - 5217 J Ill of Percale OR [] Pan of a Parcel I oRL . . . I S. Dead ~ I |xL L~ 7. CJlack the box below which m~t accurately doscrfbox the u~ of ~ p~ ~ t~ time ~ ~le: A~ O~ Family Res~enliel ~ ~ ~6cuitural ] ~ Community So.ice B ~ 2 or 3 Family R~idenfial' F ~ Ceremonial C~ Residential Vaunt Land O~ ~nmen~ ~ In~u,tri, l Public ~wi~ D~ Non-Residential Vaunt Lend H ~ En~alnment / Amu~ment ~. Forint 11. ~le ~atra~ ~ I (OmJY if Pat of a Pmlad) Chick M~ thelf ipp~. Pianni~g BOard with Subdivision Aulhmity Exbts Subdivision Approval was Requir~J for Transfer Parcel Approved f~r SubdiviSion with Map Provided 12. Dali of SaJe J Transfer LOg / z5 / z2j L12 / ~4 / ~3. FunS. l.P~ [ , , ,3 , 9, 5, 0,0 , 0 0 , Q I l& ~ one °r more of ~1~ ~m.~ b Nsp&a~4e to l~aaldec All ~le ~n ~lati~ or Po~er ROI~ ~ ~le ~n Rola~ ~m~nies or Pa~ne~ in Busin~ C One of the Burrs is also a ~ller D Burr or ~ller is G~rnment ~ or Lending Institution E ~ Ty~ ~ War~n~ or ~ain ~nd Sa~ (S~ ~l~J ~le ~ Fr~l ~ ~ than ~ I~ G Signi~ant Change in ~ ~n Taxa~e S~us and ~le of Busin~ ia Inclu~d in Sale ~er Unusual F~m Aff~i~ ~le ~im J None 14. Ino~ali Ihe value Of parM~ld property indudmJ In the sale ASSESSMENT INFORMATION. D,ta ~hould reflect the latest Fi~t Roll an~ l&Y'r°fAssoxsmemRellfmml ~k-- , ~...--_._~ . which InlMmMIon take. 20. Tm]( Map IdmltJfler|s) / Roll fder~Utl~s) (if m~ than four. aired1 Ihoxt wfth edd~ooxf IdmttiSerlsJ) l Dist. 1000, Sec. 059.00, Blk. 09.00~ L Ln°t 010.003 J ----J I j SELLER OLSEN t ~st' ~.~ r DAVZD NEW YORK STATE COPY