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•SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED WITH LIFE ESTATE Recorded: 03/15/2013
Number of Pages: 4 At: 01:45:52 PM
Receipt Number : 13-0030735
TRANSFER TAX NUMBER: 12-18019 LIBER: D00012723
PAGE: 777
District: Section: Block: Lot:
1001 004.00 01.00 016.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $20.00 NO Handling $20.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO EA-STATE $125.00 NO
TP-584 $5.00 NO Notation $0.00 NO
Cert.Copies $0.00 NO RPT $60.00 NO
Transfer tax $0.00 NO Comm.Pres $0.00 NO
Fees Paid $255.00
TRANSFER TAX NUNIDER: 12-18019
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALS
County Clerk, Suffolk County
~U1~ tiar 15 (Jt:45:52 PI'1
Number of pages JI]i~I'fH lp. PIaSCIjLt
CLERK f]F
SlJ~FGLK CGIJiaT4'
L Crp(iG127<.
t.~ ,ifi '~f,~ll p~ar.r.~ F' 777
f1iS Ci.r~:'T°w' ~ t~'
rE'. C.:.?r:i, i'{;; i; ~k? Yk?Yi't:t~ti c311 DT# 12-I8~1'?
J~.)~1f71 ~i?C-tt rtfy ~i Ci?`il~f'r4
~at-ior tc~ !•r?ccji~rtirjy.
Deed /Mortgage Instrument ~ Deed /Mortgage Tax Stamp Recording /Filing Stamps
3 FEES
Mortgage Amt.
Page /Filing Fee 1. Basic Tax
Handling 20. 0 2. Additional Tax
Sub Total
7P-584 -
Spec./Assit.
Notation /7 / or
~ v
EA-52 17 (County) r ~ Sub Total ' Spec. /Add.
~ TOT. MTG. TAX
EA-5217 (State) ,
/~,r~ Dual Town Dual County
R.P.T.S.A. _-SI11~~- ~ Held forAppointmen~
Comm. of Ed. 5. 00 ~ Transfer Tax
~ , Mansion Tax
Affidavit
~ The property covered by this mortgage is
Ct?rtified Copy ~ ~ or will be improved by a one or two
1 S. 00 family dwelling only.
NYS Surcharge Sub Total
YES or NO
Other If NO, see appropriate tax clause on
Grand Total
page # of thi insirume~ t./
13001099 loot 00400 0100 016000 " 000 5 Community Preservation FLU~nd
4 Di
PT S
Real Prc R~PA A Consideration Amount $
Tax Sen gJAN-1
Agen~ CPF Tax Due S
Verifrca
_ improved
6 Satisfactions/1]ischargeslReleases List Property Owners Mailing Address
RECORD & RETURN TO: Vacant Land
Tp
William H. Price, Jr., Esq.
P.O. Box 149 TD
Greenport, New York 11944
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 ~o. Name
www.suffolkcountyny.gov/clerk Title #
8 Suffolk Coun Recordin & Endorsement Page
This page forms part of the attached Bargain and Sale Deed w/Life Estate and Special
made
by; (S C Y NSTRUMENT)
Alice Dunlap formerly known as The premises herein is situated in
Alice Black SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of Snnthnl d
Deborah C . Solomon, as to a 257 interest}A the VILLAGE
Conover Black, Jr., as to a 257 interest, and Greenport
t or HAMLET of
,
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
,Form 8°°2--Bazgain and Sale Deed, with Covenant against Grantors Ads--[ndivid¢a1 or Corporation. (single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS
ONLY.
THIS INDENTURE, made the 11 a' day of October, Two Thousand Twelve
BETWEEN
ALICE DUNLAP, formerly known as ALICE BLACK, residing at 422 Kaplan Avenue,
Greenport, New York 11944,
party of the first part, and
DEBORAH C. SOLOMON, residing at 162 Jackson Avenue, Rutherford, New Jersey 07070, as
to a 25% interest, CONOVER BLACK, JR., residing at 9104 Montague Court, Laural, Maryland
20708, as to a 25% interest, and CONNIE D. SOLOMON, residing at 422 Kaplan Avenue,
Garage Apt., Greenport, New York 11944, as to a 50% interest,
party of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten Dollars 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 thereon erected, situate,
lying and being in the Village of Greenport, Town of Southold, County of Suffolk, and State of
New York, bounded and described as follows:
BEGINNING at a point, said point being on the east side of Kaplan Avenue, 251.61 feet north of
the intersection formed by the north side of West Street and the east side of Kaplan Avenue;
RUNNING THENCE along the east side of Kaplan Avenue, North 13 degrees 45 minutes 30
seconds East, 49.11 feet;
RUNNING THENCE along the southerly property line of land now or formerly of John and
Lillian Norman, South 77 degrees 43 minutes 20 seconds east, 169.73 feet;
RUNNING THENCE along the westerly property line of land now or formerly of Benjamin,
South 18 degrees 53 minutes 20 Seconds East, 61.65 feet;
RUNNING THENCE along the northerly property line of land now or formerly of Valrose
Wilson, North 75 degrees 41 minutes 30 seconds West, 202.94 feet to the point or place of
BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by
deed dated March 7, 1975, and recorded in the Suffolk County Clerk's Office on March 21,
1975, in Liber 7814, Page 13, and by correction deed dated March 15, 1978, and recorded in the
Suffolk County Clerk's Office on April 3, 7 978, In Liber 8408, Page 271.
.J ~ .
RESERVING, HOWEVER, a legal life estate in the above-described premises with the buildings
and improvements thereon erected, in and to the party of the first part.
THE PARTY OF THE FIRST PART HEREBY RESERVES A SPECIAL POWER OF
APPOINTMENT, exercisable as often as they may choose, to change their remainderman as
fO1lOW5:
TO or among any one or more members of a class consisting of the party of the first part's
descendants, in any degree, whether presently living or born hereafter, in such proportions and
amounts, without regard to equality, outright or in trust, as the party of the first part may direct
and appoint during her lifetime by properly written and acknowledged instrument, and recorded
prior to death, making specific reference to this power of appointment. The party of the first part
may not appoint themselves, their estate, their creditors or the creditors of their estate, under any
circumstances.
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 all the estate and rights of the party of the first part in
and to said premises; 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 parry 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 park, 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:
L
ALICE DUNLAP f/k/a Alice lack
•J ~ ~ f t
STATE OF NEW YORK)
} ss:
COUNTY OF SUFFOLK}
On the 11th day of October, 2012, before me, the undersigned, personally appeared Alice
Dunlap, personally known to me or proved to me on the basis of satisfactory evidence to be the
individuals} whose name{s) is (are) subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in hislherltheir capacity(ies}, 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.
Not Pu i
WILLIAM H. PRICE, JR.
Notary Public, Stare of flew Yark
~j• No. 4644944, Suffolk County
• Term expires February 28, 201
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PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: Itttp:llwww.orps.state.ny.us or PHONE {518) 474450
FOR COUNTY USE ONLY u-7
C7. SWIS Code I ` r''{y I ~ I u U rl I REAL PROPERTY TRANSFER REPORT
O V I ~ 13 STATE OF NEW YORK
C2. Dots Dead Rsctwded I / / I - i r STATE BOARD OF REAL PROPERTY SERVICES
MaPrh ..r ~ RP - 5217
a. Book I I r ~ I~ °L ~ I C4. Page I I I~ I • '1 I d 'r, • r~ ~
RP-0E17 Rw tle7
PROPERTY INFORMATION
t. P`O~ I 422 I Kaplan Av n r I
Loesdon arrtEf NUMBER srA NAME
I Southold ~ I Greenport 111971 I
LTfY 011 TOWM NLIAGF aP CODE
z. sayer I Solomon I Deborah C. I
Name usr NAME/coMPArn twat xAME
Black Conver, Jr.
I Solomon I Cen~d
as ,D „ I
IAai NAME/COMPANY fIRST NAMC
9. Tex Indiuu whom futuro Tax Bills are ro a sam Dunlap I Alice I
Billing if other than buyer address lot bottom of fortnl I
Ad~ea LAaI NAIa-/GOMPA\Y FIRS"LIMC
j I 422 Kaplan Avenue I Greenport I NY 111944 I
~ SIREEr NUMBER AND STREET NAME STY ON IUWN aTA7E NCOnE
Indicate the number of Assessment 1 ? IOnh B PM of a Pertxdl flask as they apply:
Roll paresis trelnlarnd on the deed I I s of Parcels OR Port of a Perool
IIL Planning Board with Subdivision Authority Exists
5. Deb IB. Subdivision Approval was Required for Trensfcr
property I 49 I X I VAlt I oR I I ac. Parcel Approved for Subdivision with Mep Provided
S.~ FRpNT FFFr OEIRII .ACRES
8. Seller I Dunlap I Alice I
Name LAST NAAE I[OMPA.VY FIRST NANk
f/k/a Black Alice
I I I
UST NAME I COMPANY FIPST LAZE
7. Cheek the box below whisk most stxuretely deudbes the use of the property a< the time of salt. Clredl the boas below n they apply:
B. Ownership Type is Condominium
A One Family Residential E Agricultural 1 Community SONICC 9. Now Construedon on Vaeam Land
R 2 or 3 Family Residentist F Commercial J Industrial fOA. Property Located within an Agricultural Distda
C RDSidential Vacant Land G Apartment K Public Service f06. Buyer rocoivM o disclosure notice indiuGng ?
D Non-Residential Vacant Ladd fl Entertainment /Amusement L Forest That the proPeM is in an Agriwlturel Diablo
SALE INFORMATION 75. Cheek ens or mac d thw eendtbns a applkebM to aamfar:
11. sale DOIIVIret Dats I N/A / / I A SRIe Between Ralativaa or Fonnar Raltltivea
Mantll Day Ycar g Salo BMwoen Related Companies or Pannere in Business
C one of the Buyere is also a Seller
1Z. Data of Sale /Transfer I / ~ / ~ ~ / 12 I U Buyer Or Seller i5 Ciovefnmenl Agemy or lending Institution
MDnN Day Yssr E Duud Typo not Warranty or Bargain and Sale ISpeciry Balowl
F Slue of Freaionel or Lsas than Foo Interest ISpxify Bolowl
17. Full SBIe Pries I D 0 ~ I G Significant Change in Propnrry Batwean Taxable Status and Sele Dates
, ; ; ~ - H sale of Business is IrxJudad in sale Price
(Full Sale Price is the total amount paid for the properly Including personal property. 1 Other Unusual Factors Affecting Sale Price ISpaclfy Below)
This payment may ba in the form o1 task, other property or gootls, or Ne assumption of J Nona
mongages or other obligations.) Please round ro the nearest whole dollar amount.
74. Indicate the velwdpereanel ~ 0 0 11 I Life Estate b Special Power of Appointment
properly illdudad in the sob ~ •
ASSESSMENT INFORMATION • Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from 1 1 I 4 4 0 0 1
which IrlMrmetlon taken ICJ 77. Total Assassad Value ltd all petals In trensferl
7 7
ts. Property qaa I 2 1 0 I_U 19. School Disldct Neme I Greenport I
20. Tax Map IdmtNerlsl / Rpll IdemlRerlal IB more than four, attedl ehllOt Willi addltionel irtsntifiarlsll
I 1001-004.00-01.00-016.000 I I I
I I I I
CERTIFICATION
1 trrtifv that all tlf the i ms of Infermrtion xnttrLd o n orm arc trur and romcl to the lrast of my knuwlcdge urd INiieI) uml I untkreWnd Ihut thy makirlA
o[ m' willful [ulvE sW nT nwlerial fuel hrtrl ill bj my W dly wisiu Llf the LNaJ I•rw Istalitc lu Ihr nuddrlR uml Rlirgt ed falve im11vr11LmLt
BUYER I BUYER'S ATTORNEY
I D r o n v lack,
10/11 2 Price I William H., Jr.
• BUYe S'4 TUNE aAlk UST NA4C rweT NAME
Connie D. Solomon
422 I Kaplan Avenue. Garage Apt. 631 ~ 477-1016
aiNkk l NIIMBFR BTRCET HALE IAFIER SAIEI AREA Cql! ICLlwLxlk NUMBER
Greenport NY 11944
I I
atv on Town srATE nP cDce
SELLER n`EW YURK STATE.
~ CUPY
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