The URL can be used to link to this page

Home My WebLink AboutL 12723 P 404SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 3 Receipt N~m~er : 13-0029212 TRANSFER TAX NUMBER: 12-17753 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 041.00 01.00 EXAMINED AND CHARGED AS FOLLOWS $0.o0 Received the Following Fees For Above Instrument Exempt Page/Filing COE EA-CTY TP-584 Cert. Copies Transfer tax $15 00 $5 00 $5 oo $5 oo $o 00 $o o0 TRANSFER TAX NUMBER: 12-17753 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 JUDITH A. PASCALE County Clerk, Suffolk County 03/13/2013 11:44:02 AM D00012723 404 Lot: 014.000 $20 00 815 oo $250 o0 $0 o0 $60 00 $0 oo $3~s oo Exempt NO NO NO NO NO NO Number of pages RECORDED 2013 Mar 13 1t:44:02 JUDITH fl. PflSCRLE CLERK OF This document will be public record. Please remove all Social Security Numbers prior to recording. SUFFOLK COUNTY L D00012723 P 404 OT# 12-17753 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp [ Recording~ / Filing Stamps FEES 31 Page / Filing Fee Handling TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. 20. 00 o'-- Sub Total Comm. of Ed. 5. 00 Affidavit Certified Copy NYS Surcharge 15. 00 Sub Total Other 37 , Grand Total -- [ I.eCO. I.. ~.~t .~,e~ ]nl,~ck°X'°~:> I Lota t~ 4 iD,st. 1300686'2 Iooo 04100 0100 Real Prope~ ~ 014000 Tax Semi, (~nW ~ Verificatb ~ ] Satisfa~Di~h~?ges/~etea~-~,~,- .... r---~ ...... g Address I RECO~ & RETURN TO: ' I Mail to: Judith A. Pascale, Suffolk County Clerk I w~.suffolkcountyny, gov/clerk Mortgage Amt. I. Basic Tax 2. Additional Tax Rub Total Spec./Assit. or Spec. ladd. TOT. MTG. TAX Dual Town __ Dual County.__ Held for Appointment __ Trangfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a family dwelling only. YES or NO If NO, see appropriate tax clause on /page # __ of this instrument. Community Preservation Fund Consideration Amount $ --C~ - CPF Tax Due $ Improved__ Vacant Land TD TD TD made by: Name ]Title # it~~ .t~~ Suffolk County Recording & Endorsement Page This page forms part of the attached ([)OO(~. (SPECIFY TYPE OF INSTRUMENT) Title Company Information The premises herein is situated in SUFFOLK COUNTY, NEW YORK. In the TOWN of F~e,~oLC~ In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0t04..10/OSM( (over) NY 025 - Executor'$ De~d -- Individual or Corporation (Single Sheet) (NYBTU 8005) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the~&.Ct~'~ t~'day of February, , in the year 2013 BETWEEN STUART E. STAPLES, residing at 6246 Hoss Lane, Amlin, OH 43002-0065 as executor (executrix)of thelast willand testamentof, Dorothy Field Staples, (Suffolk County Surrogates Court probate file # 2357P9I) , late of , deceased, party of the first part, and ROBIN L. WALDEN, residing at 980 Cedarfields Drive, Greenport, New York 11944 party of the second part, WITNESSETH, that the party of the first part, by virtue of the power and authority given in and by said last will and testament, and in consideration of ten dollars and 00t100 ($10.00) dollars, 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, near Greenport, County of Suffolk and State of New York, more particularly designated as Lot//3 on a certain map entitled "Map of Washington Heights" filed in the Office of the Clerk of the County of Suffolk on December 29, 1927 as Map Number 651 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 of decedent's death in said premises, and also the estate therein, which the party of the firsl 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 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 promises have been incumbered 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 c6nstmed 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: USE A Ct~OWlf~OaMFJff FOP~t BELOW WFflIIN NEW Y01o; STa 11~ ONL Y: Stale 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 6f satisfactor~ evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he&heJthey execmed 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 hidividual(s) acted, executed the instrument. ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONLY: [New York Subscribing Wimes$ Acknowledg~nenr Certificatel 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 1 ar~ personally acquainted, who, being by me duly swum, did depose and say that he/she/they reside(s) in (if the place of residence is in a city, include the street and street number, if any, IhereoJ); 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 execute the same; and that said wimess at the same time subscribed his/her/their name(s) as a witness thereto. TITLE NO. EXECUTOR'S DEED INDIVIDUAL OR CO[1DORATIObl ESTATE OF DOROTHY FIELD STAPLES TO ROBIN L, WALDEN USEA CKNOWLEI~MENT FOPuFI BELOW WITHIN NEW YOPO: STATE ONLY:' State of New York, County of } ss.: On the day of in the year before me, the undersigned, personally appeared personally I;,nown to me or proved to me on the basis of satisfactor~ 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 algnature(s) on the insn-ament, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. ACKNOWLEDGMENT FORM FOR USE OUT~IDE NEW YORK STATE ONLY: [Out of&ate or Foreign General Acknowledgment Certificate} STATE.OF.OHIO, .COUIN. TSf OF.. [~3'&a ~d,.-D. ..... } ss.: (Complete Venue with Stare, Country, Province or MunicipaliD') On the~d~y of February in the year 2013 before me, the undersigned, personally appeared STUART E. STAPLES personally known to me or proved to me on the basis of safisfactor~ 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), that by his/her/their signature(s) on the iastmmenL 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 the city or other political subdivision and the stale or country or other place the acknowledgment *vas taken). ~'% TAUSHAPAPE ~ ? I~iIIII~*~ Nolary PuI~c, State d Ohlo ~~,,~' I~/Commission E.~i~ 06-0~ DISTRICT 1000 ' SECTm~ 41 BLOC~: 1 LOT 14 COUNTY OR TOWN RECORDED AT REQUEST OF Fidelity National Title Insurance Company RETURN BY MAIL TO PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http:l/vm~orps.state.ny, us or PHONE (518) 474-6450 B. Tax Billing Addmce C2. Date Deed Reem'ded I 0~/ t3 / ~ I PROPER~ INFOBMATIOH I I I Ind~ ~em ~m T~ Bills am m ~ ~m if ~har than burr a~m {~ ~m ~ ~rm) ~ I MI pemde transferred on the deed I , ~ I if of Parcels ORPart of e Parcel S. Dasd ~p..~ I Ixl IORI 2_.(NI Sba I 7. Ch~ck the ~ below whirl1 mm eceuretlly dceedbll thl m of the Im)peIy et the time of sale: I [] Cnmmunily Service I I~1 Industrial K]~I Public Service LU Forest REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVlCES RP - 5217 (Only if Pert d · PMCM) Ch~ es ~Mv Koldv: ~ Planning Bcenl with Subdlvlsm Aulhorily Exls[s [] ea. Subdivision AI)pmvsl was Required for Transfer [] 4C, Parcel Aplxoved for Subdivision with Map PrtMded [] Chcek the Bex.s Ixdaw ax tlmy epplv: 8. Ownership Type is Condominium [] g. Now Construct]on on Vacant Land[] 10A. Property mind wi~in an Ag~ultursI DiSL~Ct [] 109. Burr rKeived a disdoeum cedce indicating [] that the pmpe~y is in an Agricultural Oistri~ 15. Check one ar mere of thee emNMJona as Itpfd~bla to ~..,~..: i S ale Batwelm Relatives or Former Relatives One of the Buyers ia also a Seller Buyer or Seller ia Government Agency or Lending Institution Deed Type not Warranty or Ser0ein and Sere csmc~fy Sale of Fractional or Less than Fee latemst ISpecify Below) i ~ Significant Chang' in Pmperty Between Taxable St~ua end Sale Dates Sale of Business ia Included in Sale PHce OttmT Unusual Faotom Affecting Sale P~ce (Specify Below) J_,.~ 2 or 3 Family Residential Commercial ~.,::~Rceidendsl Vacant LandApmlment Non-Residential Vaunt ~nd EnM~inmeat I ~ucement r i / u/13 , tz. Fa. Safe ~,,ce L (Full Sale Pri~e ia the total eatoun; p&M for Ihs ~is ~yment may ~ in the form ~ ~sh, other pm~ or g~s, or the o~umption of mor~agce or ofher obligations.) ~mund~e~mat~lla~mount. 14. hdl~ t~ vabe ~ ~al I , ~, 0 , 0 I ~ ~ud, In ,..I. ~ ' ~ ' · I ASSESSMENT INFORMA~ON - Data shauld reflm the late~ Final ~sessment Roll and Tax Bill I 20. Tax Map Idanflfle'is) I Roll IdaltRll~l) (11 mm theft fanr, BRad1 Lqant wllh IdiitOIlel idlntlfilr(i)l L I [ I CERTIFICATION I [ ce~r) [hat dl (~ the ftmq et fofotTa~an t'.tered on this form n,~ ~,~ and cm.t~ uo the hst d m kanwledM and bedef) and [ undeiltand that the nJkJni M' en.v wglfbl hL~ sbitanum or' nutefiM fnct herein ,A"dl mb]ed me Id) the prm'tdon.q ot lb penni Iww relotlve tn the ruskinR end minK ed' false ind~mell~s. BUYER SE~R BUYER'S ATTORNEY NEW YORK STATE COPY