HomeMy WebLinkAboutL 12728 P 692 11111111 IIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII 1111 IIII
1111111 IIIII 1111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 05/06/2013
Number of Pages: 4 At: 11:48:28 AM
Receipt Number 13-0053418
TRANSFER TAX NUMBER: 12-21839 LIBER: D00012728
PAGE: 692
District: Section: Black: Lot:
1000 078.00 03.00 026.001
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $240,000.00
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 $1,800.00 NO
Fees Paid $2,055.00
TRANSFER TAX NUN~ER: 12-21839
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
3UDITH A. PASCALE
County Clerk, Suffolk County
S'
~ `y, .
Nnmber ut'pag'es REG+)RDEP
2013 May 05 11:8:23 AM
! • - JUC~ITH H. PR'.L'aLE
ThIS [~OCUITIeIIt Wlil be (llltlilC i:LERK OF
UFFOi.K C•OUtJT','
rl~G~rd, Pl~~;~e. rQ~qus III L pa~~lz~2
~1~~1~!I;~~Atit~t.YlN4![[tbi~rs , . . , P e~z
pl•ior to rei:arding. PT# 12-21839
De~fi.! iv'lyltgn~G ipstryllllsnt I~eec1,(Mo~;tglg~ Tax, $tapip, Recordipg / Filing Swmp~
3 'I FEES ,
Page/Filing~Fee _;~0: ~ : ,Mortgage Amt.
t. Basic Tax
Handling VO
2. Additional Tax
TP-]8~1 S ~ Sub Total
Notation Spec./Assn.
~ ar
Erb-i2 17 (Cuuntyl S ~ Sub Total 'J ~ Spec. /Add.
EA-5317 (State) TOT. MTG. TA3C
R.P."I'.S.A. (Q~~ Dual Town Dual County
Held for Appoinu ant
Comm. of &1. 5. 00
Transfer Tax C' ~
Affidavit " ' ~ ' Mansion Tax
-:7-~-
Cartitiad Cupy ~ The property covered by [his mortgage is
or will be improved by a oue ur two
NYS Surcharge 15. UO ~ family dwelling only.
Sufi Total ~ ~ 5
Othel. YES or NO
Grand Total ~'S~`r If N0, see appropriate tax clafuse on
117 0 ~tl~-,~co~/ ~~°-t
Dist ~p 13011608 iooo o~aoo osoo o26ooi
T 1 $ . C4trimuntity Rrecse~vakion Fund
TraixlSecrvi~caty 0 SMAY 77 ~I~~Illl~~ll~l~l~l~~l+~ll+l~lllilllllllll~lll~ll ~Gnnsiderati~Amount $ ~:v~
Agancy CPF Tax Dt ~ f ~OD
Veritic:atiun ~
Improved
Sntisfac[ions/Discharges/Releases List Property Owners Mailing Address ~
RECORD & R)LTU TU: t ~n L9- Vacant Land
~us~e~~ ~u r~ ~ V
ff,,,, C ~ TD
W 0~1U ,R ~ Zq TD
~~l~~,d~~ ,N, , 1155 TD
Mail to: Judith A. Pascale, Suffolk County Cierk 7 Title Com au Information
37 0 Center Drive, Riverhead, NY 11901
www.suffolkcountyny.gov/clerk Co. Name
Title #
~ Suffolk Count Recordin & Endorsement Pa e
This page forms part of the attached C~ made by:
(SPECIFY TYPE OF iNSTRUN[ENT)
The premises herein is situated in
SUFC'OLK COUNTY, NEW YORK.
Ta In the TOWN of~~~
In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED ~N BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
~a~~3q~
t;1TEWARTr1T1.E INSURANCE COMPANY
707 Westchester Avenue, Suite 411
WhitePWtq,M' 1060E
• BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
5 ~aa ® STANDARD NYBTU FORM 8007
D J CAUT]ON: THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
~ I PURC~ R BEFORE S[GNING. 11
THIS INDENTURE, made t`~ , "~`z CQJ ~ ~~I ~f~ I~~
between BARBARA J. VERITY, residing at 13620 Pintail Drive, Fort Myers, FL 33908 ~
party of the first part, and JAMES TLOCKOWSKI and CLAIRE TLOCKOWSKI, as husband and wife, both
residing at 39 7`h Street, Garden City Park, New York 11040 Z
party of the second part,
WITN$SSETH, that the party of the first part, in consideration of Ten Dollars and other valuable
consideration, paid by the party ofthc 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,
~1LL±that certain;p)ot, piece or parcel of land, with the buildings and improvements thereon erected,
si~uate;,,lyingtand•beitig' itiithe,to~'
~P~r~SEE:SCHEDUGE~A^ATTACHED (DESCRIPTION OF PREMISES)
_.~..._,f P ti' : etc.; ...7 s
BEING AND INTENDED TO BE the part of the same premises as conveyed to the party of the first part
by deed dated June 28, 2011 and recorded on November 17, 2411 in Liber 12676 page 926 in the Office
of the Clerk of the County of Suffolk
TOGETHER with alt 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 parry 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 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 Wilk
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
aL-ovc w;ittcr~.
IN PRESENCE OF.•
~4.
y~
BARBARA J. V ITY
NYSBA Residetnial Real Estate Forms on HotDocs" (9100) Copyright CapsoR' Development
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til~rr.. .~a~ ti0C
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State of New York )
ss:
County of Suffolk )
On this3`~ day of ~C~ .aQf ~before,'the undersigned, personally appeared
BARBARA J. VERITY personally known to me or proved to me on the basis of satisfactory
evidence to the be individuals} 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 individuals}, or the person upon
behalf of which the individual{s) acted, executed the instrument.
Notary Pub c
BETSYA Pt=AKIN9
n.;_ Notaryr PubAc, State of NeW l~brk
No..01 PC6130t338
p,~.;;';,Qualified In Suf(olk't3ouMy
Comr~U?IiSSipo.Pacpu~s duty
i.8 <l 1 Z
NYSBA Residential Real Estate Forms on HotDocs 9100
Copyright Capsoft Development
-2-
I
11/16/2012 14:51 9147612518 STEWARTWP PAGE 01f07
NEW YORK µE780
- e e". ~T~ 800.853.4803
212.922-t 5931ax
title insurance company 6«'"~'t"a'"}'0`~`•C°"'
SCHFUULE A - DE5CRi>l'TION
Title No.: $T12-14393
AMENDED 111 2012
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 at "Laughi.ng Waters," bounded and described as follows:
BEGINNING at a monument in the easterly side of Nokomis Road distant 198.60 feet northerly from the
comer formed by tlic intersection cif the nottherl.y line of Hiawatha's Pant and the easterly line of
Nokomis Road;
RUNNING TIiENCE along st?id easterly line of Nokomis Road North 5 degrees 45 minutes 00 seconds
West. 114.U3 Feet to a tnonumcnt and land now ar formerly of Kevin and William Harding;
THENCE along said land North 84 degrees 21 minutes UO seconds East. 270.0(} feet to a monument and
land now or formerly of Susan Mackenzie;
THFNC.E along said land South 5 degrees 45 minutes 00 seconds East, 115.03 feet to land now or
formerly of T)avid Verity:
THENCE along said land South 84 degrees 21 nvnutes u0 seconds West, 270.()4 feet to the ea_~terly side
of Nokomis Road, the poin[ of place of BEGINNING.
t
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
n INSTpRUCTCIONQS: hltp:/hlBww.orps.state.ny.us or PHONE (578) 474-6450
C R~S SE ONLY l'7F'1 / I~10 IQ 1/ I REAL PROPERTY TRANSFER REPORT
' STATE OF NEW YORK
C2. Data DNd Raeo?dad I ~ ~ ~ ~ ~V I 1 ~ STATE BOARD OF REAL PROPERTY SERVICES
oath ry esi r . ll RP - 5217
C3. Book I ~ I C4. Page ( _ tLl, aP-un tt« slay
PROPERTY INFORMATION pp
Pr°P•"y l I ~ K n M I S 1` C~~1'~ ' I 1
LoeatiOn 6TREET NUMBER SIRFET NAME ~ ~ \
UIY d TURN NL aP CoOF
2 Buy«
Wa1M LAST NAME / ODMPANY FBKT NAME
I -TL~cKa~SIC.~ I Cr_A J2t I
LAST NAME / (xarPANY F r NAME
9. Tex Indicere where fuluro Tax Bilh are a be sent
&Iling if other than buyer addreu {at bottom d tonnl I I I
Addrtaa UST NI1ME I txwVANY FNST NAME
I I I I I
STREET NUMBER 4Np STREET NAME aIY UI IpNIN SIAIk aP CODE
e. MdleNe the number d Assesement ~ IOngr N Part d a Parceq Grari as thry apply:
Roll parcels transfarrod on the deed I I • oT Parcels OR Part d a Parcel ~ Plannittg Board wiN Subtlrvision Au:horiry Exists ~l
5. Deed Subdivision Approve! was Required for Transfer
propany I I X OR I I ec. Parcel ApproYad ra Subdivision wiN Map ProvillBd
BIZe FeaNI FEET OE ACRES
B. s.llar I V ~ 2 . -r~.l I k~Fl ~ f~ A2A
Name N /TAMPANY FIRS'f~x,~EIE
I I I
IASr NAME /COMPANY FIRET AAAF
7. Cheek tM box below which moat aauretaly dexrl~ae the use d the propeAy at the time d cola: CIteTJL the boxes Mlovlr as they aPPM
8. Ownership Type is Condominium
Ona Family Residential r Agricultural 1 Community Service 8. New Conatrudion on Vewnt Lontl
d 2 or 3 Family Residential IT Commercial ] Industrial 70A Property Lotutetl within en Agricultural Diatrid ~ I
Resitlentisl Veeent Land G Apartment K Publit: Service 706. Buyer rlxcivad a dial«uro notice indieeting ?
U Non-Residential Vacant Land H Entanoinmant ! Amusamam L Forest that the property is in an Agricultural Oistrid '
SALE INFORMATION 75. Cheek ale « mac d tlrase eadidala as epp5seble to trertder:
11. Ssls Contract Date I ~ [ ( / I~' ' I A Sale Between Relatives or Farmer RalMiws I
Mach Day ear C3 Sale Between Related Companies or Partner in Business I
One d the Buyare is also s Sallor
7;. DNa d Sao / Tranehr 1 °1 D Blryer or Seller is Govemmam Agerxy or lending Institution
Mmtx Day Veer ~ D[ierl Typo not Warconty or Bargain and Solo ISp«ify Balowl
F Solo d Fredicnal ar Lau than Fee Interest ISltaeify BDlowl
- 1 ,V , ~ n ~ l U U I G Significe Change in Pmparty Between Taxable Sta<us and Sole Dates
73. Full Sale Prig I H Sale Business i9 Included in Sale Prico
! ! •
(Full Sale Price ie the total amount paid for the property including paraonal property. 1 Dr Unusual Fedora AReding Sala Prise ISpodfy Belowl
This payment may bo in the form of cesh, other property or goods, or the assumption of J None
mortgages or other obligatlons.l Please round to fhe nearest whole dollar amount. 1
U. Indirah the value d pereorlel I , ~ ~ 11 D I
property krdudad in the sale e
ASSESSMENT INFORMATION • Data should reflect the latest Final Assessment Roll and Tax Bill J~
t& Yxr d Aesesemam Roll ham ~ fl. Total Aseaaed Value Id ell percale in tremlerl ~ ~ •v ~ I
which idormedon ttske~n 1 , l' ..a 1 ! !
7B. Property Clau Lr~J~U 15. School Distdd Nsme I ~~1.!-~ .Cl~c ` lit Y \l~l~ I
Za. Tax MaP WentBleHs) /Roll IdamRlerlal IB man than four, attach sheet with eddrdonel idnttiBerlsl)
. l I I I
CERTIFICATION
[ certlly~ that 00 d the iMrM d infiaTnalila entncd on IhLt form are We and mrrecl Ib dre had d rrq kalwkNlRe and helieD and 1 uaderstsnd Bat the makltrR
d an}' I faLYe statement of nmterial fM hertln will subJM tnr to Ilre pruYisiolts d the Deral law reladye M are reakitrg and ~ilittg d false iminFmenls.
YER BUYER'S ATTORNEY
~5' i ~U~Cl~t~l I ~lt~k_
LL- i
BUYER Sxir41URE DATE 1 AST MANE FNBr gALC
~ , ~At~on~~5 R~>~~ 5» I '1y-~-y3a~l
STPFFT MINBCR snaET NAAE METER SALEI AREA [IICF IELERIaiC NUMBCn
~~oi~ I N1l I il~la
cnr oR rowx s1A1 aP toDE
SELLER NEW YORK STATE
` ~ r COPY
' SEDER s+D Ta U
_ pQA v tee. ~ T`'~ -