HomeMy WebLinkAboutL 12713 P 24SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
Number of Pages: 4
Receipt Number : 12-0138485
TRANSFER TAX NUMBER: 12-09592
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
122.00 06.00
EXAMINED AND CHARGED AS FOLLOWS
$490,000.00
12/07/2012
11:42:56 AM
D00012713
024
Lot:
036.000
Received the Following Fees For Above Instrument
Exempt
Page/Filing
COE
EA-CTY
TP-584
Cert. Copies
Transfer tax
$20 00
$5 oo
Ss oo
$5 O0
$0 00
$0 oo
TRANSFER TAX NUMBER: 12-09592
NO Handling
NO NYS SRCHG
NO EA-STATE
NO Notation
NO RPT
NO Comm. Pres
Fees Paid
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Exempt
$20.00 NO
$15.00 NO
$250.00 NO
$0.00 NO
$60.00 NO
$6,800.00 NO
$7,180.00
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of p~ges
This document will-be public
record. Please remove all
Social Security Numbers
prior to recording:
Deed / Mortgage Instrument
Deed / l~lortgage Tax Stamp
. , FEES.
Page / Filing Fee
Handling
TP-584
Notation
EA-52 17 (County)
EA-5217 (State)
R.RTS.A,
.. -', Sub Total
Comm. of P.d.
Affidavit
Certified Copy
NY$ Surcharge
Other
.4 ]Dia
Real Proi
Tax Serv
5. O0
Sub %tal
Grand Total
ts. O0
.5
-RECORDE~
2012 Pee 07.[1:42:56
JUDITH ~, PflSCflLE
CLE~KOF
SUFFOLK COUNTY
L 000012713
P 024
DT~ 12-09592'
Recording/F!ling Stamps
Mortgage Amt.
I. Basic Tax
2. Additional Tax
Sub Total ' ,, .
Spec./Assit, ·
or
Spec./Add, _
TOT, MTG. TAX
Dual Town. 'Dual County _
Held for Appointarr[e.nt ~
Mansion Tax '
The property covered by this mortgage is
or will be improved by a"one or two
t'amily dwelling only.
YES_ or NO
Agenc:
Verificati ........... CPF
t S'~t'sfactmns/D'scharg_es_/R_el;~se, List Property Owners~'~aTling Address / Improved
RECORD & RETURN TO: / Vacant L.'md
~//J.,~,m' ~. ~i~c/,¢s, £s~a. ' I ,~---~
Mail to: du~ith A. ~aseat~, Suffolk County GlerR [ 7 [ Title Company Information
310 Center Drive, Riverhead, NY 11901
www. suffolkcoun~ny, gov/clerk
_ ITC~ ~ ¢W~-/¢~/
Su olk Count Recor ' '
dm8 & Endorsement
opriate tax clause on
of this instrument.
x--/a.
~1000 12200 0600 036000 '~-~(o. o00 Community Preservation Fund
Consideration Amount $ ~tq~/0'~ /
This page forms part of the attached
made by:
(SPECIFY TYPE OF INS'PRUMENT)
'~q'/-4g,O ~__~ct~,ea-y~ DOg; P.(2. The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the,TOWN of ~'ot~'q4-O-q6
~ c]~.5 ff--dqT~ 4,o~- ~--~,q~. In the'VILLAGE
,' or HAMLET of' ,~-.,e'"'~
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRt0R TO RECORDING OR F1LING.
(over)
NYS Transfer Ts~
District
1000
Section
Block
06.00
Lo~t
036.000
Smadant N,Y,B,T.U. For8002- BargainandSalcDeetl, wlthCovenantsagainstGraator'sAets- ndlvi ua orCorporation(Slnge
File
CONSULT YOUR. LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, made GCT3ZER 2012
BEIWEEN
LAURA COUDREY, MD P.C,~ 7 PITCH PINE CT., FORT SALONGA~ NY 11768
party of the fin'st part, and
6955 ROUTE 25 CORP. 69SS MAIN ROAD~ LAUREL, NY 11948
party of the second part,
WITNESSETII, that the party of the first part, in consideration often dollars and other valuable consideration paid by
the party of the second part, does hereby grant and retease 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, w/th the buildings and improvements thereon erected, situate, lying and
being in the THE STATE OF NEW YORK COUNTY OF SUFFOLK
SEE SCHEDULE A ANNEXED HERETO
BEING AND INTENDED TO BE THE SAME PREMISES AS CONVEYED TO THE PARTY OF THE
FIRST PART HEREIN BY DEED DATED 01/20/2010 AND RECORDED 02/09/2010 IN LIBER 1261~ PAGE
919. IN SUFFOLK COUNTY CLERK'S OFFICE
PREMISES MORE COMMONLY known as 69§S MAiN ROAD, LAUREL, NY 11948
TOGETHER with ali right, title and interest, if any, of the party of the first par~ in and to any s~rec~s and roads
abutting the above described Premises to the center lines thereof; TOGETHER with the appurtenances and all thc
estate and fights of thc parry of the first part in and to said Premises; TO HAVE AND TO HOLD thc Premises herein
granted unto the party of the second pan, the heirs or successors and assigns of thc parry of thc second par~ forever.
AND the parW of the first pan covenants that the party &the first par~ has not done or suffered any11~ng whereby thc
said ?rem~ses have been encumbered in any way whatever, except as aforesaid.
AND the par~y of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first
part will receive thc consideration for this conveyance and will hold thc 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 ~¢ cost of the iraprovemcnt before using any pan of the total of the same for any other purpose,
AND this ~'ansaction is made in the Sellers regular course of business with 100% shareholder approval.
IN WITNESS VOtEREOF, the party of the first part has duly executed this deed the day and year tn-st above written.
IN PRESENCE OF:
Laura Coudrey, MD P,C.
By: udrey
State of New Yorl~, County of Suffolk ) ss:
On ~ ~', , 2012
before me, the undersigned, a Notary Public in and for said
State, personally appeared
Laura Coudrey
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 eapacity(ies) and that by h/s/her/their
signature(s) on the instrument, the individual(s), or the
person upon behalf of which the individual(s) acted,
executed this instrument.
State of New York, County of ) ss:
On
before me, the undersigned, a Notary Public in and for said
State, 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
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 this instrument.
Notary Public
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State (or District of Columbia, Territory, or Foreign Country) of
SS'
On the day of
in the year before mc, 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 his/her/their
capacity(ies) and that by his/her/their signature(s) on the instrument, the individual(s), or the person on behalf of which
the individual(s) acted, executed the instrument, and that such individual made such appearance before the undersigned in
the
(insert dF. City or other political subdivision)
(and insert the State or Country or other place the acknowledgment was taken)
(signature and office of individual taking acknowledgment)
Bargain and Sale Deed
Title No: ST12-15371
STEWART TITLE INSURANCE COMPANY
COUNTY: SUFFOLK
DISTRICT: 1000
SECTION: 122.00
BLOCK: 06.00
LOT: 036.000
RECORD AND RETURN BY MAIL TO:
6955 ROUTE 25 CORP.
6955 MAIN ROAD
LAUREL, NY 11948
stewart
title insurance company
NEW YORK METRO
800-853-48D3
212-922-1593 fax
staw'artnewyork, com
S CI-iF. DLrLE A - DESCRIPTION
Title No.: ST12-15371
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected,
situate, lying and being at Laurel, in the Town of Southotd, County of Suffolk and 8tare of New York,
bounded and described as follows:
Suffolk County Tax Map No. 1000 122.06 06.00 036.000
BEGINNING at a monument set on the northerly side of Main Road (NYS Route/125) at the
southeasterly comer of land now or formerly of Eula Wells and the southwesterly comer of land about to
be described;
BEGINNING THENCE along said land now or formerly of Eula Wells North 26 degrees 44 minutes 10
seconds West 210 feet to land now or formerly of B.H. Kermowski and H.I Kersnowski;
THENCE along said land three (3) comes as follows:
1. North 49 degrees 18 minutes 40 seconds East 75 feet to a monument;
2. South 43 degrees 47 mutes 40 seconds Eazt 77 feet to a monument;
3. South 34 degrccs 14 minutes 40 seconds East 133 feet to a monument set on thc northerly side ofsa/d
Main Road;
THENCE along the northerly line of said Main Road South 51 degrees 55 minutes 20 seconds West 115
feet to the point or place of BEGINNING.
PL~E TYPE-OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:# www.orps.state.ny.us o[ PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
BTATE OF NEW YORK
~TATE BOARD OF REAL I~OPERTY SERVICE8
RP - 5217
PROPERTY INFORMATION
I
3, Tax
Billing Ur, ST f:X~E I c~ap4~Y
4. Indls~ ~e n~ M ~i~
Roll ~ls ~ on ~he de~ f ~, ~ , I I ~ of Pa~l= OR P~n of = P~l
5,~
~ I Ixl IoRI . .O.~.OI
Nome
I
if other than buyer add.ss (at bottom of fermi
I
(Only Il: PM~
~. ~ni~ B~ ~h ~si~ Am~i~ Ex~
~ ~M~ision
~ Pa~ A~ for
'/. Check the box below which most ecGuretdy dmeribB the UM of the propalty it tile time of wire:
i~ Oho .amdy R~si~en. tial ,i ~ AgrK:ultural i~P ..... i~ .....
2 ]r 3 Fam.'l~ Residential ' Cemmar~iM lode]If iai
Nen-Rseidorltiel Viw.~nt 1.0nd Entertainment / Amusement Forest
Check the bex,a below as thW epldy:
~. Owne~hip Type is ~n~inium
1~, ~ ~ ~i~
1~. ~ ~ a di~um
t~t the pro~ b in an ~mu~uml
SALE INFORMATION
11. Bill Contract Date
1~. ~ oeo or store of tflm cona~tiofls la ep~lic~bb to t~
~ ~en Roi&md Companies or Panners in Businw
One of tho B~m is al~ o ~llet
~u~r Or ~llor is ~mmont ~e~ or Lendi~ In~itution
~ Ty~ ~ Wanan~ or brgaifl and ~le (S~i~ ~
Sale of Fr~onal or ~ than ~ Imemst [S~i~ Bel~
SigniflMnt Change ~n ~ ~en Ta~able S~us an~ ~le ~s
y~ ~Le o~ Busin~ ic IKlud~ in ~1~ Pric=
Other Unusual F~om A~ting ~le Pri~ (S~ciN Bel~
I ASSESSMENT INFORMATION - D&ta should reflect the latest Final Assessment Roll and Tax Bill
1gl Y#r M Aseeasment Roll Irm I ////~' I 17. Tetll AaMMed Valise IM eU gat'Mil In tmnMerl ~ i i
which infMmition taken - '
Il TI MI Idatlifill~l) I ~ IdiotIBM~l) (g IflOfO Ibllt Rwr. lttoah ahlit with addMM1d idil~ll~l)l
I /o'~ - I~.A.~o -sG,oo - a 5G,ooo I I I
I I I I
I CERTIFICATION I
I ;flil)' ll~t ;ill of ti; latfitq of IrZm'milln; ml~n'd ~ tads [mm em tree ,nd mr~'~ lie the be,1 of ~1 ~W~ ~ ~ ~ I mtden;la=l Ihat the owkin;
el' m~' w~l~u] ~'al~e sm~eme, t of nmL-H~ fhct her~.n w411 &ab~ m~ to Ihe p~biom of Ihe pared [aw edative to lite mMdeB and fllhlR ~ [n[qe I~mment~.
BUYER
CITYORTA a ~J 4 STA~ I =,coK
BUYER'S A'ITORNEY
NEW YORK STATE I '
COPY