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Home My WebLink AboutL 12728 P 691 , li 1111111111111111111111111111111111111111111IIll 1 1 1 1 1 1 II 1111111 11111 11111 1111 1111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE ' Type of Instrument: DEED Recorded: 05/06/2013 , Number of Pages: 3 At: 11:47:03 AM Receipt Number 13-0053416 TRANSFER TAX NUMBER: 12-21$38 LIBER: D00012728 PAGE: 691 District: Section: Block: Lot: 1000 096.00 02.00 014.001 ~ EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $15.00 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 $250.00 TRANSFER TAX NUMBER: 12-21838 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County REC~RGE6 Number of pages 2013 f4ay 0€. 11: X17: 03 RM JI.i~ITH p. PASCALE CLERK QF This document will be public SUFFOLK cputal'~,~ record. Please remove all L D00012r'28 Social Securi Numbers ~ ~~1 ri or# 1z-21038 prior to recording. Deed /Mortgage Instrument Deed /Mortgage Tax Stamp Recording /Filing Stamps 3 ~ FEES Page /Filing Fee ~ Mortgage Amt. 1. Basic Tax Handling 20• ~ 2. Additional Tax TP-584 Sub Total Notation SpecJAssit. - or EA-52 17 (County) Sub Total Spec. /Add. TOT. MTG. TAX EA-5217 (State} Dual Town Dual County _ R.P.T.S.A. ~ ~ Held for Appointment Comm. of Ed. 5. 00 Transfer Tax Affidavit ~ Mansion lax The property covered by this mortgage is Certified Co _ PY or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other ~,~C'~ J~ Grand Total `"~Z-~J If NO, see appropriate tax clause on r page ~ of this instrument. •4 Dist 13011722 >.ooo o9aoo 0200 o>_aooi 5 Community Preservation Fund Real Prop P T S ~ Consideration Amount $ Tax Servic R LPA I IIIIII I III II I II II I III IIII (IIII VIII IIIIIII CPF Tax Due $ Agency o2-MAY-1 Verificati ~ Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land LEANDRA CONDE ~ FELDMAN, KRAMER & MONACO, P.C. TD 330 Vanderbilt Motor Parkway, Suite 400 Hauppauge, NY 11788 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company In€ormation 310 Center Drive, Rivefiead, NY 11901 Co. Name wwwsuffolkcountyny.gov/clerk Title # e Suffolk Coun Recordin & Endorsemeat Pa e This page forms part of the attached ~ ~ made y: (SPECIFY TYPE OF INSTRUMENT) ' ~c~~'~'~-~~~~P The premises herein is situated in SUFFOLKCOUNTY,N YORK TO In the TOWN of C~ ~L~~~`! ~y~ In the VILLAGE ~ ~ /D -I- I](~C~ . 1"1~ ~ ~S~! ~ or HAMLET of ~ ;1 ~~(~l~l l BOXES 6 THRU 8 MUST 8E TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over „ CONSULT YOUR LAWYER BEFORE SEGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY No consideration THIS INDENTURE, made the ~ ~ day Of ~[l~ c.V~ t~ I ~ deed BETWEEN Patricia L. 131ake, as surviving tenant by the entirety of William C. Blake, deceased, residing at 1970 ' Arrowhead Lane, Southold, NY 11971, party of the first part, and Elizabeth B. Backhaus, as Trustee of the Blake Family 2013 Irrevocable Trust, residing at 12 Silver Brooke DISTRICT Circle, Scarborough, ME 04074, 1000 party of the second part, SECTION 098.00 WITNESSETH, that the party of the first part, in consideration of TEN dollars and other good and valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second BLOCK part, the heirs or successors and assigns of the party of the second part forever, 02.00 ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, LOT . lying and being in the Town of Southold, at Peconic, County of Suffolk and State of New York, shown and 014.001 designated as Lots #27 and 28 on a certain map known as Arrowhead Cove, filed in the Suffolk County Clerk's Office as Map # 38~ 0 Subject to all covenants, restrictions, agreements and easements of record, if any. Said premises known as 1970 Arrowhead Lane, Southold, NY 11958 Being and intended to be the same premises as conveyed to the party of the first part by deed dated 07!22!1986, recorded 09/25/1986 in Liber 10132 page 529 in the Suffolk County Clerk's Office. TOGI=THER 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 frst 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 ward `party" shag be construed as if ii 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. Patricia L. Blake ~ Standard N.Y.B.T.U. Form 8002 -Bargain and Sale Deed, with Covenant against Granlors Acts -Uniform Acknowledgment Form 1000-7 ' ~ TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of ~ss: State of New York, County of ss: On the ~ day of / ~f~ in the year ZO/ 3 On the day of in the year before me, the undersigned, personally appeared before me, the undersigned, personally appeared Patricia L. Blake personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is satisfactory evidence to be the individual(s) whose name(s) is {are) subscribed to the within instrument and acknowledged to (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their me that helshelthey executed the same in his/her/their capacity(ies), and that by hismedtheir signature(s) on the capacity(ies), and that by hismerltheir signature(s) on the instrument, the individual(s), or the person upon behalf of which instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. the individual(s) acted, executed the instrument. (signature end office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) IRINA A. KARLOVA Notary Public, State of New York No.02KA6221223 Qualified in Suf{olk Caun~ Commission Expires April 26, 0~ 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 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 within instrument and acknowledged to me that he/she/they executed the same in his/herRheir capacity(ies), and that by his/herltheir signature(s) on the instrument, 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 in (insert the City ar other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) PATRICIA L. BLAKE TO SECTION 098.00 BLOCK 02.00 LOT 014.001 THE BLAKE FAMILY 2013 IRREVOCABLE TRUST COUNTY OR TOWN Suffolk STREET ADDRESS 1970 Arrowhead Lane BARGAIN AND SALE DEED Southold, NY 11971 WITH COVENANT AGAINST GRANTOR'S ACTS Title No. RETURN BY MAIL TO: Steven Kramer, Esq. Feldman, Kramer 8 Monaco, P.C. 330 Vanderbilt Motor Parkway Hauppauge, NY 1 ~ 788 rc PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP-5217-INS): www.orps.state.ny.us FOR COUNTY USE ONLY Ct. SWIS Cods New York State DepeRrnent of Taxation and Finance C2. Date Deod ReeordW ~ J~ / / Office of Real Property Tax Services n try ~ ev c~. Book I /1 X21 "Jl.~rr~ I a. Pa9a l ~ol j I RP- 5217 Real Property Transhr Report (5110) PROPERTY INFOR/~MATION 7. ProporQr u' ~A Loe.elon ~ ~ -+jG l1~7__~ r~/m~)gR/~ram G ~jA~7 Thy' VluwcL ~ L LP LODE 2 Nama I //PC _I ~/Q./Le ~/Ir1+.•!~~ o~/!.~-.J+L~~.~~~f/e f~u'r57 I Ja.lrt4~7-L9lPAll - '--"nRSTFLa e~ i I l 3. Tax IndlrJae where Nture Tax Bills are ro ba sent ~ Billing II other than buyer address (at baton of corm) ~ I I Addross ' STREET R STNFFT ~I TOY {mow STATF 4. Indlesb lho number of Asseasmsm (Only H Part of a PareeO Cheek se tMy apply: Roll paroNS trenaferretl on tlts decd I I # a Panxds OR ~ Pan M a Parcel ? 4A. Planning BOerd With Subd'Nision Auttxxiry Exiab 5. Deed 4B. Subdivisbn Approval was Required to Trerlsfer PraPe~ I F~RREEI I X ~~'.i ~ ~RE~ 4C. Parcel Approved for SubtlMslon with MaP Pmvldad SW 9. Seller I 1~~~ f~(~,~`. I Nema L~'r - ' I E ~ oar - - I Fl I 7. Chock fire box below which most aecurotely deserlbee the use of ttra properly r the dme of sale: Cheek the bozos below as they appy: 9.Ownership Typo is Condominium i A One Family RDSitlanlial C Agdwltursl I Community Service 8. New Conatnwiion on Vacant Land 2 or 3 Family Residential F Commeraal J Industrial teA. Praparry Located within an Agdwllurel DlstdU Residential Natant Land G Apartment K Pudic Service 108. Buyer received a disdosure notroa mdlceong Non.Restdendal Varam Land I { Entenabmwrl I Amusement I . Forost That Iho propeAy is in en Agdwllural Dlstrla SALE INFORMATION 15. Cheek one or moro of these conditions as applleabb to transfer: 77, gals Contract Dots I / / A Sale Between Relatives or Fortner Relatives nl nor f3 Sale Betvreen RDlaretl Canpanies Dr Partners in Business C One of Vro Buyers IB also a Seller 72. Dab of Sals I Transhr v / / D Buyer a Seller Is ()ovemmea Agerlry a lending Institution Atanlh ey or i C Deed Typa not Wananly or Bargain and Sob (Specify Bebw ) F Sala of Frsdionel or Less than Fee Inbrssl (Specify Babw ) G Significant Change in Property Between Taxede Status end Sale Dates 79. Full Salo Pries ~ _ ~ ~ • ~ ~ I I [ ' Sele of Business is Induded in Salo Pdee - ( Full Sale Price is lho ldal amount pard to the property including personal properly. 1 ~ OTlar Unuwel Fsaors AReegng Sale Pdee (Specify Below ) This payment may bo In the form of cash, atller property or goods, or the assumption of J Nona mortgages a other oblga5au.) Please round to the rrearesr whole dollar amoum. 70. Indicate the wlua of pereonsl / - . I -~'~~-~a~+-'-'~^ w property Ineludetl In the sale i ~ y - A ASSESSMENT INFORMATION -Data should re5ed the latest Final Assessment Roll and Tax Bill 78. Year of Assgamanl Roll from 1 77. Total Assessed Value (of all percale In transhr~ _ g~~ which InhmuOon taken i - _ 1 /J - -T~° ' - t- t& Property Class U~_U 79. School Dlstdd Name _ I 20. Tsx Map Idenli9or(s) !Roll Idsmebr(s) (N more then four, aaach shat wah atldmonr IdontMor(a) ) I l ODOT®~l~~L'~~br~~ ~ @~~ I I ' L-_... I ' - I CERTIFICATION 1 wAlfy drat an M tea Ibme r trarmeaen emend en tale rn.m an trw ens eerreer (b IM t».e r my annwtadaa see Mlr.q err 1 uneantarr ttm u• meklny r arty velar fetes etatanen! r matedal /aoe Mretn will wldeet era es tb arnetelene N sae pen¦~ raw rrrhn is Me euklry ens mitre e• Ireo Imfrrrrrrenh. SELLER SIGNATURE BUYER CONTACT INFORMATION ~-y ~ (ENV in7orrllohon for ar buyer. NDM: II (Wyv em LLC. sadely, aesaanson, aarParsrlae. hint Glad. /l/ ~ mmpvry. Mob V antsy :hv s ra an iM.vdunl aanm a:duovy. IMn a nave antl eased Inkrlmaon !lITTT I Wen indviatvYmsrgnS~Nn poly who answm q~asWna rapsrdirp aye amYr rtwd 6o VM:rM SEDER aILNA•JYE iC~~ / /4 r.~ wlk ! Typo er nl e1Nr41.) BUYER SIGNATURE R ~L L~~~ I Jam`[ 1 _ ~j 3 ~ IA4T RAtrE 'FIRS/T'YAM~E~A~i r I ~ aDrERSIix,1~ /y,~~ ....,'/y/e~13fllfV lrrpT ._I 1 BUY SATTORNE1r ~I,~CM a J ,IREarmF TELEPIIOrE IrA/aER Q~ NAYS ~ FIR$TlWle~ ~ ~ i _~`I f~~( ~ ~~~j STREETNJ\SERL SINEEINNIE eti~ I NEW YORK STATE Clty oa .oust s. 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