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Home My WebLink AboutL 12717 P 617SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE T~loe of Instrument: DEED N~mber of Pages: 3 Receipt N~.~mber : 13-0006511 TRANSFER TAX NUMBER: 12-13266 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 090.00 01.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 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 $0.00 NO RPT Transfer tax $0.00 NO Comm. Pres . Fees Paid TRANSFER TAX NUMBER: 12-13266 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASC~?.~ County Clerk, Suffolk County Ol/16/2o13 03:52:47 PM D00012717 617 Lot: 022.000 $20 00 $i5 oo $i25 oo $0 00 $i20 O0 $0 00 $31o oo Exempt NO NO NO NO NO NO N. umber of pages .This document will be public [ecord~ Please remove all Social Security Numbers prior to recording. RECORDED 20t3 Jan 16 03:52:47 PH JUDITH fl. PfSCflLE CLERK OF SUFFOLK COUNTY DT~ i2-1~266 Deed/Mortgagelnstrument Deed/Mo~gageTa× Stamp I Recording /Filing Stamps FEES Page/Filing Fee Handling TP-584 Notation EA-52 17 (County) EA-52~ R.P.T.S.A.?~_~ Comm. of Ed. Affidavit Certified Copy NYS Surcharge Other 4 ]Dist. [000[ Real Property Tax Service Agency Verification 20. O0 Sub Total I&O ao 5. O0 15. O0 Sub Total Grand Total 12030904 iooo 09000 oi6o 022000 1000 09000 0100 023000 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Fidelity National Title Insurance Company 485 Lexington Avenue 18th Floor New York, NY 10017 Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY www.suffolkcou ntyny.gov/cler k 11901 iMortgage 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 family dwelling only. YES or NO If NO, see appropriate tax clause on page #~ of this instrument. 5 Preservation Fund Community J Consideration Amount $ CPF Tax Due $ - Improved ID C°N7. lame Title Company Information Fidelity, National Title Insurance Co. T tie # 12-2892 l-AC-Sug Suffolk County Recording & Endorsement Page This page forms part of the attached Deed by: Roseanne P. Hollis, as Executrix of the L/W/T of John M. Hollis (SPECIFY TYPE OF iNSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. made TO In theTOWN of Southold Patricia Terry. In the VILLAGE or HAMLETof Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. [over) NY 025a - E.x. eeutor'~ ~Deed -- Individual or Corporation (Single Sheet) (NYBTIJ CONSULT YOIJR LAWYER BE~'ORE SIGNING '['Ills INSTRUMENT - THIS [NSTRIJMEN'I' SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the ' ~ day of December, in the year 2012 BETWEEN Roseanne P. Hollis, residing at 398 Spring Drive, East Meadow, NY 11554, as executrix of the last will and testament of JOHN M. HOLLIS, who died a resident of Nassau County on January 26, 2008, as to an undivided one-quarter (1/4) interest in the subject promises described below, party of the first part, and Patricia Terry, residing at 68 Winifred Drive, Merrick, New York 11566 party of the second part, WITNESSETH, that the party of the first part, to whom letters testamentary were issued by the Surrogate's Court, Nassau County, New York on January 27, 2009 and by virtue of the power and authority given in and by said last will and testament, and/or by Article I 1 of the Estates, Powers and Trusts Law, and with no consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the distributees or successors and assigns of the party of the second part forever. ALL that certain plot, piece or pamel of land, with the buildings and improvements thereon erected, situate, lying and being more particularly described as follows: ALL that certain plot, piece or parcel 0f land, situate, lying and being in the tract or parcel of land situate in the Town of Southold, County of Suffolk and State of New York, known as-Lot No. 121 as shown on a certain map entitled "Subdivision Map of Cedar Beach Park, situate at Bay View, Town of Southold, N.Y." surveyed and certified by Otto W. Van Tuyl, Engineer and Surveyor, and filed in the Office of the Clerk of the County of Suffolk as Map No. 90, on the 19'1' day of December, 1927. TOGETHER with an easement for ingress and egress over all streets, roads, drives and lanes as laid down on said map; and also the right of ingress and egress in and to any of the Inlets, Basins or Harbor on said map and to moor a boat or boats in Cedar Beach Harbor; TOGETHER with all of the right, title and interest of the party of the first part, if any, in and to the land in front of the premises under water in thc Peconic Bay and all of seller's riparian rights thereto; TOGETHER with the right, to run with the land, to use and enjoy in common with others enjoying similar rights and privileges, those portions of Cedar Beach Park, which may be set aside for Community purposes, subject to any rights, reservations, rules and regulations made by Cedar Beach Park Community Association, or its successors; The use and enjoyment of the Community Property at Cedar Beach Park shall be limited to those persons who are in good standing Cedar Beach Community Association, the authorized guests thereof or of the Cedar Beach Park Inn. Said premises also known as 400 and 500 West Lake Drive, Southold, NY 11791 Suffolk County Tax Map District 1000 Section 90 Lots 22 and 23 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 also all the estate which the said decedent had at the time ofdecedent's death in said premises, and also the estate therein, which the party of the first part has or has power to convey or dispose of, whether individually, or by virtue of said will or otherwise; 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 o f 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, thc party of the first part has duly executed this deed the day and year first above written. Roseanne P. Hollis as executrix of the last will and testament oflohn M. Hollis USEACtC~VOlet£OCM£tCrFORMB£~.OIJ:WIrJmvNEw¥osrSrArgONLr: State of New York, Coun[v o~ On the }~ day of December in thc year 20J2 beford' me} the undenigned, personally appeared Roseanne Hollis, personally known to me or proved to me on the basis of satisfacto~ evidence to be the individual(s) whose name(s) is (are) subserved to the within ins~ument and acknowledged to me that he/shehhey 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 upon behalf of which the indivldua~(s) acted, executed the instrument. ACKNOSVLEDGAIENTFORM FORUSEWITHINNEW¥ORK STATEONLY: {N*w York Subscribing [Viiness Acknowledgment Certificate} State of New York, County of } ss.: On the day of in the year before me, the undersigned, personally appeared the subscribing witness to the foregoing instrument, with whom I am personaIly acquainted, who, being by me duly sworn, did depose and say that he/she/they reside(s) in (if the place of residence is irt a city, include the street and street number, if any. thereo, O; that he/she/they know(s) to be the individual described in and who executed the-foregoing instrument; that said subscribing witness was present and saw said execule the same; and that said witness at the same time subscribed his/her/their name(s) as a witness thereto. USEACKNOWLEDGMENTFORMBELOWIVITIIINNEWYORKST, qTEONL Y.: State of New York, County of } 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 wilhin 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. A CKNO IFLEDGMENTFORM FOR UsEOUTSIDENEWYORK STA TEONL Y: {Out of State or P'ore~gn General Acknowtedgment Certificate} ............................................... } SS.: (Complete Venue w~th State, Country, Prov/.ce or Municipality) On thc 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 ~o be the individual(s) whose name(s) is (are),subscribed to the within instrument and acknowledged to me thai he/she/they executed the same in his/her/their capacity(les), that by his/her/ their signature(s) on the instrumenl, the individual(s), or ~he person upon behalf of which the individual(s) acted, executed the instrument. EXECUTOR'S DEED [NDIVIDIJAL OR CORPORATION 777LE NO. 12-7406-28531 -SUFF Roseanne P. Hollis, as executrix of the last will and testament of JOHN M. HOLLIS Patricia Terry TO FIDELITY NATIONAL TITLE OINSURANCE COMPANY II~eo~lt4~D 1928 DISTRICT 1000 SECTION 90 BLOCK I LOTS 22 and 23 400 and 500 WEST LAKE DRIVE SOUTHOLD, NY TOWN OF SOUTHOLD, SUFFOLK COUNTY RECORDED A T REQUEST OF Fidelity National Title Insurance Company RETURNB}'MAIL TO NICHOLAS DE MARTINI FIDELITY NATIONAL TITLE INSURANCE COMPANY 485 LEXINGTON AVENUE NY, NY 10017 INSTRUCTIONS(RP-5217-PDF-INS): www.orp~.Mate.ny.ue :OR COUNTY USE ONLY ~ NewYork 8tale Department of c,.sV, lS,~ea. I q ~, ..~'., ~, ~1 Taxation and Finance C"'. D' Deed Re¢.~rde, , O/ / / ~ / /'3 ! ~-'--'J ~1~ Office of Real Property Tax v-- / RP- 5217-PDF C3.~ok , /, i~ 7 /Y,C4. PTUo , . ~Z } ReM Property Tmnsfer Report (B/10) PROPERTY INFORMATION I tProp*dy 400 & 500 ~eat r.~ke Drive $0uthold Southold 11971 Terry Patricia Irldlcl~ wham fulum Tm; BI~ me to I~ sent J~ (~hef ~hBI1 buyer "ddrela(~t ~'~u. - 0( ~rOl~l) La~TG FIRaT NAA~ Buyer Name BIIIInB Addllaa 4. IIIdlelllt~ the number o! All#lmlnt 2 $'Deed X __ OR Hellas, as executrix OR [] Paid of · P/rml (Only If Part of I P&reM) Check aa they apply: 0.00 44. SubcfMak~ &pemv~l w~s RmqulrmJ fur Trml ~r [] 4C' Perc~ Apemved for aul°dheal~ wllh MaP13fo~ed ; [] Roseanne P. .. Nme '7. Dell~t Iho deectliNlOfl whk;h mo~t lacmtBly daacdbou die ule of file props/fy et the Bma of amir. A. One Family Residential ChKk die boxes belowm they apply: 8. OweemNp 'r~pe b Cond~ 10A.~ ~ ~ ~ 10B. BU~ ~ a dm~ ~ ~ ~mt~ ~y ~ ~ ~ ISALE INFORMRTION[ 11. Bill CofllrlCt Dill ' 14. Dam of $,l.rr,i~sfer 12/03/2012 'nil, peymem nlay be bi I~te roms Of ce.h. other ixoperly or goods, o~ the elaumption o( modoagea or othm' obligmtkma.) flfegse ~ef/o b'~ r, ea~d wtto/e d~fae amoun~ Im)begly lacludld In tl~ aale 0 .00 E Deed Type nm WananLy er De~iln and Sale (Specify Below) F. SaN oW Fr~limal er Leas IIleLn Fee Interest (S~cify Below) ~ I. Other U~luetlBI Fect~l Af~:Ll~g Sale ~ (Specify Below) INFORMATION - Data should mlluct ~ L~est Final ,aaaeaament Roll aM Tax Bin I 14. Year d Aeeaumant Roll from WllJch InformdJoa liken(YY) 12 't7. Total Alaanald Value 4,6 0 0 '14. Property C~-,,i 210 '11. School DIBMd Name -qouthold '40. Tax Map Idmflfllrtll/Roa IdlflBfial~a) (E more tJI4~ fOur, atta=h ahad vdth ad~tloflal ldedlflm~B)) 1000-90-2-22 1000-90-1-23 [GF..KTiFiCATION I SELLER SIC:BA1TIRE BUYER CONTACT INFORMAllON Terry Patricia (631) 962-2539 68 Wini fred Drive Merrick BUYER'S ATTORNI~¥ 11566