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Home My WebLink AboutL 12748 P 623 11111111111111111 IIIII IIIII 11111 IIIII III11 IIIII 11111111 1111111 IIIII 11111 IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 10/16/2013 Number of Pages: 3 At: 04:01:07 PM Receipt Number : 13-0132271 TRANSFER TAX NUMBER: 13-07541 LIBER: D00012748 PAGE: 623 District: Section: Block: Lot: 1000 053.00 06.00 023.000 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: 13-07541 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ?1 ?2 RECORDED 2013 Oct 16 04:01:07 PM r JUDITH A. PASCALE Number of pages 3 CLERK OF SUFFOLK COUNTY L D0001274O This document will be public P €,25 record. Please remove all DT# 13-07541 Social Security Numbers prior to recording. Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps 3 f+ FEES Page / Filing Fee l~ Mortgage Amt. 1. Basic Tax _ Handling 20. 00 2. Additional Tax _ TP-584 Sub Total Notation Spec./Assit. or EA-52 17 (County) S Sub Total Spec. /Add. EA-5217 (State) TOT. MTG. TAX / R.P.T.S.A. Dual Town Dual County l0 Held f or Appointment Comm. of Ed. 5. 00 Transfer Tax Mansion Tax Affidavit A'_O Qf44~0'-'a' !(~t~ The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. T Sub Total - YES or NO Other S p - Grand Total If NO, see appropriate tax clause on page # of is instrument. 4 Disc. 13025604 1000 0-9300 0600 023000 i5 Community Preservation fund Real Property P , s IIIIIIIIIII I II IIIII ~IIIII IIIIII IIII I~IIIII Consideration Amount Tax Service R DG' ,R A / Agency 19SEP-1 CPF Taal Due $ Verification - Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address ~j & RETURN TO: Vacant Land n~ RECORD f)CL . G ~S TD TD ~ (/n e ')\,I Mail to: Judith A. Pascale, Suffol County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 . Name www.suffolkcountyny.gov/clerk Title # g Suffolk Count Recording & Endorsement Page This page forms part of the attached lu j made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. ] In the TOWN of 3bt1/yn 0 14/ V v1" 04 L In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BET PFD OR PRINTED IN BLACK INK ONLY PRIOR T RECORDING OR FILING. 12-0104..10108kk over ' - Bargain and Sale Deed, with Covenant against Grantor's Acts - Individual or Corporation (Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made the 3 day of August, in the year 2013 BETWEEN SUSAN MEYERHOLZ, residing at 692 Donna Drive, Oyster Bay, New York 11771 party of the first part, and RICHARD MEYERHOLZ and SUSAN MEYERHOLZ, his wife, both residing at 692 Donna Drive, Oyster Bay, New York 11771 party of the second part, WITNESSETH, that the party of the first part, in consideration of TEN DOLLARS AND OTHER VALUABLE CONSIDERATION 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 at Arshamomaque, in the Town of Southold, County of Suffolk and State of New York, known and designated as and by Lot numbered seventy-seven (77) on a certain map entitled, "amended Map A, Peconic Bay Estates, situated at Arshamomaque Town of Southold, New York", made by Otto Van Tuyl and filed in the Suffolk County Clerk's Office as Map Number 1124 on 5/19/33. SUBJECT TO covenants, restrictions, agreements and easements of record, if any. BEING AND INTENDED TO BE the same premises conveyed to the grantor herein by deed dated April 21, 2007 and recorded on 5/1512007 in liber D00012505 page 182. Said premises are also known as and by Section 053.00 Block 06,00and Lot 023.00 o/i a 7 J TOGETHER with all right, title and interest, if any, of the party of the first part in and to anstreets and bads 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 fast 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 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 OR SUSAN MEYERHOLZ ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE P State of New York, County of NASSAU, ss: State of New York, County of ss: On the 3 day of August in the year 2013, before me, the On the day of in the year before me, the undersigned, personally appeared SUSAN MEYERHOLZ undersigned, personally appeared , 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 (are) satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that 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 he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the inswment the indiv' Ital(s), or th his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) a ted, xecuted the person upon behalfof which the individual(s) acted, executed the instrumentF---' r b. ECKI instrument. ANDIMA NOTARY PUBLIC-STATE OF ORK No.02EC4707623 Qualified In Nauou County My Commission Expires March 30, 2016 ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK IN NEW YORK STATE STATE State of New York, County of ss: *State of County of ss: *(Or insert District of Columbia, Territory, Possession or Foreign On the day of in the year before mc, the County) undersigned, a Notary Public in and for said State, personally appeared , the subscribing witness to the foregoing instrument, with whom On the day of in the year before me the I am personally acquainted, who, being by me duly swom, did depose undersigned personally appeared and say that he/she/they reside(s) in Personally known tO me Or proved to me on the basis of satisfactory (if the place of residence is in a city, include the street and street number if any, thereof); evidence to be the individual(s) whose name(s) is (are) subscribed to the that he/she/they know(s) 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 to be the individual described in and who executed the foregoing the instrument, the individual(s) or the person upon behalf of which the instrument; that said subscribing witness was present and saw said individual(s) acted, executed the instrument, and that such individual make such appearance before the undersigned in the execute the same; and that said witness at the same time subscribed his/her/their name(s) as a witness thereto (add the city or political subdivision and the state or country or other place the acknowledgement was taken). Bargain and Sate Deed With Covenants SECTION: 053.00 BLOCK: 06.00 Title No. LOT: 023.000 COUNTY OR TOWN: Southold SUSAN MEYERHOLZ TO RICHARD MEYERHOLZ and SUSAN MEYERHOLZ RETURN BY MAIL TO: ANDREA D. ECKL, ESQ. DISTRIBUTED BY 58 School Street Suite 201 Glen Cove, NY 11542 YOUR TITLE EXPERTS The Judicial Title Insurance Agency LLC 800-281-TITLE (8485) FAX: 800-FAX-9396 PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP-52174NS): wxrw.orps.statemy.tis FOR COUNTY USE ONLY C1. SWIS Code 4 -i Q Now York State Department of Taxation and Finance C2. Date Dead Recorded Q_j Office of Real Property Tax Services RP- 5217 C3. Book I[ ~Raq, C4. Page Real Property Transfer Report (8110) PROPERTY INFORMATION 0 CI R TOWN wMArrE- - -MCOOM 2. Buyer fig Name r r1AMt r xAx d' 2 3. Tax Indicate where future Tax Bills are to be sent Bitting it other Then buyer address (at bottom of form) T ~.A~ad[~ 1 V~ C CS t/lTd-+4/Vt I Address a-~~ n n - 1111 L IM CI OR 'A - IM 4. Indicate the numbor of Assessment O ? (On fy If Par of a area) Check as thsy a ply: Roil parcels transferred on the deed I N of Parcels OR Part of a Parcel ? 4A. Planning Board with Subdivision Authority Exists 6 Dead Property X OR I { ` ea I 40. Subdivision Approval was Required for Transrer E3 44C. Parcel Approved for Subdivision with Map Provided 6. Seller I r^r'? a ~'f~ 1 L I" `•uK.• e Name I 1/LSI NALtr AN ii$I'xAlr ~c,T .?.-FSerxwe-I 7. Check the bas below which most accurately describes the use of the property at the doe of sale Cheek the boxes below as they apply: ? 8. Ownership Type is Condominium rte Family Residonthel E Agncultural I H Community Service 6. New Construction on Vacant Land 2 or 3 Family Residential F Commercial J Industrial ICA. Property Located within an Agricultural Dishict C Residential Vacant Land G Apartment K Pudic Service 100. Buyer received a disclosure notice indicating ? D Non-Residential Vacant Land Fl Entertainment I Amusemenl L Forest that the popery Is in an Agricultural District SALE INFORMATION 13. Cheek one or more of those cotditlons as applicable to transfer. 11. Sale Contract Date I / / I A Sale Between Relatives or Former Relobvos merry ~f aer B Safe Between Related Companies or Partners in Business 1 „ G One of the Buyers is also a Seller 12. Derv of Sob 17reasfor D i Buyer or Scllar Is Government Agency or Lending Institution Month I* aer E • Deed Type net Warranty or Bargain and Sale (Splay Below) F Selo of Fractional of Lass then Fee Interest ( Specify Below) 13. Full Sale Ries I O C SegnScant Charge in Property Between Taxable Status and Sale Dates • 0.0 I 11 sale DI Business Is Included in Seto Price ( Full Sale Price is the total amount paid for the property Including personal property. I Other Unusual Factors Affecting Sale Price (Specify Below ) This payment may be in the farm of cash, other property or goods, or the assumption of j None mortgages or other obligations.) Please round to the nearest whole doaar amours. _ 14. Indicate the value of personae 0 0 property Included In 0* sale ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Role and Tax Biel J Lion Role from 16. Year Assessment which Information token I 1 2 117 Total Assessed Value (of all parcels In trensfel 16. Property Class I a. bl-U 19. School District Name 20. Tax Map ldeniMer(s) I Roll ldentMer(s) ( R more than four, attach shoot with additional Identlflor(s) ) 11 C,t ) 6 t5 e3 S~ OS a-C) IaC,C -b. L j o23_r azr I I I ~ CERTIFICATION I centy that all of roe Items a irdi matron entered an thisfairies are the aid cornet (to the Mat affray Im, '-'a- and began aid 1 understand slue gm -king of soy wI1Nul false stetemest of matsdat met heroin will subject me to the provisions of the p?asl ievr rereevs to the making and snag of late lastmosints. SELLER SIGNATURE BUYER CONTACT INFORMATION (Enter inferrneim for as buyer. Note: If rwprr is I.I.C. society. osso orthon, ovponwlon, joie steci, camoany, osm:a a entity that is not m indvidual agar: or fd,rdary. ;hen a name and conted nfwma',bn _ I of an i divduav pwwefe party who an answer quoshas regerdrg the transfer mud bo entered. LL RSI }LRE p.lE To..pri 1,0 ateNely.) ~ J ~ C ~Rn~ ER SIG fATURE t y - _ „ n f- 1 9) C ICrI eUYERSIGNATURE DATE 5 J i fl d(/ BUYER'S ATTORNE AREA CM rElElwar~Y' Lis-TruMeC~ 1 rl4srr. e'-"L- t;, Yin C. ~ in 1/Q FREEThhMBER WHET NAME ~1~ 13~s~ 39T I AREA Was TELrP11aNE NULBER NEW =YORKSTATE o YORTOM sT.TC T]pcooE