HomeMy WebLinkAboutL 12747 P 141
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 10/03/2013
Number of Pages: 3 At: 03:00:31 PM
Receipt Number : 13-0126384
TRANSFER TAX NUMBER: 13-06440 LIBER: D00012747
PAGE: 141
District: Section: Block: Lot:
1000 117.00 02.00 006.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $380,000.00
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 $4,600.00 NO
Fees Paid $4,850.00
TRANSFER TAX NUMBER: 13-06440
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
M?2
Number of pages 3 RECORDED
2013 Oct 03 03:00:31 PM
JUDITH R, PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00012747
Social Security Numbers P 141
prior to recording. DT# 13-06440
Decd / Mortgage Instrument Decd / Mortgagc'rax Stajnp Rcco ding / Filing Stamps
3 FEES
( Mortgage Amt.
Page / I"fling Fec
I . Basic Tax
Flandling 20. 00 2. Additional Tax
'UP-594 SubTolA
Notation Spec./Assit.
or
EA-52 17 (County) Sub Total Spec. /Add.
173A-5217 (State) S TOT. MTG.'rAX _
Dual Town Dual County
12.1'X.S.A. ~b
1 Icld for Appoinuncnt
Comm. of Gd. 5. 00 'Fraotsl'cr Tax s2-
Affidavit n Mansion.Tax
The properly co I i by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
SLID T'Ulall YES or NO
Other
Grand Total lP S0 11'N0, see uppropriattc lax clause on
p' of this instrutncnt.
tv
4 Dist.160 13026715 iooo 11700 0200 006000 5 Community Preservation Fund
'Lax
Real Property rvice R CWH ~ Illulll~I~~II[I~IIIII~~IIIII~III~IIIIIIIIIIIII /side ion Amount $ 3$/Oy e~C~)
Agency 30-1 CPF Tax Due $ h1~~
Verification c
- J luaproved
Satisfaclions/Discharges/Releases List Property Ownct;s Mailing Address
Rll C( IT & 1W'1'UIiN'I'0: Vacant Land
CU 1\C5 ~ Fs 'I'D ! Q _
5 ~3a IJ G.r S~;r~ f ~
~ e.l st,F~z,l~ ~ y l19~ G TD
I'D
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Com an Informs Lion
310 Center Drive, Riverhead, NY 11901 Co. Name I Arnl T i = Ph c
www.suffolkcountyny.gov/clerk Title If
tt Suffolk County Recording & Endorsement Page
This page fortes part ol, (he'attached made by:
(SI'E?
-Thompson C1PY TYPI? OF INS'YRUMCN'1')
C1 r ~5~ The premises herein is situated in
SUFFOLIC COUNTY, NGW YORI<..
'r0 In the'VOWN of 7YY [ ~l
In the VILLAGE
or I-IAML,LT of
BOXI]S G TI-IRU R MUST13E'I'YPGD OR PRINTIiD IN 131,ACIC INIC ONLY PRIOR TO RECORDING OR FILING.
12.0II14..IVONA
(over)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the G day of Spp~~ Two Thousand and Thirteen
BETWEEN
CHRISTINE M. THOMPSON r2Sld I a~ 53 N SU~r~, Pad
n-lz-8X*fI MV r q3~
TAX MAP party of the first part, an
DESIGNATION
District: 1000 JILLLCUUULBERT v
NY I, \1
Section: 117.00 party of the second part, J V Y (
Block: 02.00 WITNESSETH, that the party of the first part, in consideration of ($10.) Ten 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
Lot(s): 006.000 assigns of the party of the second part forever,
ALL that certain plot, piece or parcel of land, situated, lying and being at New Suffolk, Town of Southold, County
of Suffolk and State of New York, bounded and described as follows:
BEGINNING at a point on the westerly side of New Suffolk Lane at the northeasterly corner of the premises
herein described and the southeasterly corner of land formerly of Cornelius Raynor and wife, now of Marion R.
Cooper;
RUNNING THENCE in a westerly direction along said land of Cooper 150 feet to land of Rysko;
RUNNING THENCE in a southerly direction along said land of Rysko 50 feet to land of Eugene Raynor and
wife;
RUNNING THENCE in an easterly direction along land of Raynor 150 feet to the westerly side of New Suffolk
Lane;
RUNNING THENCE in a northerly direction along the westerly side of New Suffolk Lane 50 feet to the point and
place of BEGINNING.
"Being the same premises described in the deed to the parties of the first part herein
by deed dated 12118/2002 and recorded 02113/2003 in the County of Suffolk in Liber 12235 on page 267."
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 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" when ever 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: CHRIST E M. THOMPSON
Standard N.Y.B.T.U. Form 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts - Uniform Acknowledgment
Form 3290
J TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York, County of aR V" SS: State of New York, County of SS:
On the g' day of,1-tlkv/ 1 in the year 2D 13 On the day of in the year
before me, the unde lgned, personally appeared before me, the undersigned, personally appeared
CHRISTINE M. THOMPSON
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/shelthey executed the same in his/her/their me that he/shefthey executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their 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 i i al(s) acted, executed the instrument. the individual(s) acted, executed the instrument.
Ignature and office of individual taken acknowledgment) (signature and office of individual taking acknowledgment)
0077~ '(OM
DpAVt c -S ato, Ot 'e
notary p2JFur525CountY
No in Sullolk /
Ovao ed Expires Da 3~
Comm'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/shelthey executed the same in his/her/their 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, and that such individual made such appearance before the undersigned in the
in
(insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken)
(signature and office of individual taking acknowledgment)
117.00
0
BARGAIN AND SALE DEED SECTION BLOCK 02.0
LOT 006.000
WITH COVENANT AGAINST GRANTOR'S ACTS
.000
Title No. H7A-3020-S COUNTY OR TOWN Town of Southold
STREET ADDRESS 5330 New Suffolk Road,
CHRISTINE M. THOMPSON New Suffolk
TO Recorded at Request of
JILL CULBERT Old Republic National Title Insurance Company
RETURN BY MAIL
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by Jill Culbert
Hamlet Title Agency, Inc. 400 Chambers St
New York, NY 10282
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PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS (RP-5217-INS): wtlyw.orps.state.ny.us
FOR COUNTY USE ONLY (7.
C1. StMS Code 1 , 7 31 S New York State Department of
Taxation and Finance
C2. Date Deed Recorded 1 /O / e93/ Office of Real Property Tax Services
rl I..y 4v
-77 RP- 5217
Q. Book 1 /r IC/ ` r / I C4. page I Real Property Transfer Report (8110)
PROPERTY INFORMATION
1. Property
1I l~i9ElP I J \rf [ 1 ~J~~~rlC l (n II
2. Buyer I](~ I
Nems r FIR , uE
3. Tex indicate where future Tax Bills are to be sent
Billing If other than buyer address (m bottom of to=) 1. / I _ rttBr I
Addroou
kT9E N nx - ill - I I SR4
4. Indicate the number of Assesamont (Only If Part of a Parcel) Check me they apply:
Roll parcels transferred on the deed I if of Parcels OR Part of a Parcel
4A. planning Board with Subdivision Authority Exists
S. Deed 4B. Subdivision Approval was Required for Transfer
$.r."*orlY x OR I 1 I 4C. Parcel Approved for Subdivision with Map Provided Rum 6. Seller I V f `~t 1 Y~ I
Name NAME r
I I I
~@1'R7mE7 '
7. Check Via box below which most accurately describes the use at the properly al the time of wit: Check the boxes below as they apply: ?
B. Ownership Type is Condominium
One Family Residential E A9riculturel I Commonly Service 9. New Consbuclion on Vacant Land
a 2 or 3 Family Residential F Consnerd 0 1 IMusbial 1CA. Property Located within an Agricultural District ?
C Residential Vacant Land G Apartment K0 pudic service 166. Buyer received a disclosure notice Indicating ?
D Non-Residential Vacant Lary] H Entertainment I Amuwmam L Forest [hat The property is in an Agricultural District
SALE INFORMATION '~7 15. Cheek one or more of these conditions as applicable to transfer:
It. Sala Contract Dab I lJ ~j /(x r, ] I A Selo Between Relatives or Former Relatives
R Bolo Between Related Companies or Partners in Business
C Ono of the Buyers Is also a Seller
72. Data of Soh 1 Transfer J D Buyer or Seller Is Government Agency or Lending Institution
Day Ysar E Deed Typo not Warranty or Bargain and Sale (Specify Below )
Sale of Fractional or Lou than Fee Interest ( Specify Below )
Significant Change in Property Between Taxable Status and Sale Dates
13. Full Seta Price ~ .0 I 1.{ seta of easiness is Included in Sale Price
( Full Sale Price Is me total amount paid for the property Including personal property. 1 star Unusual Factors Affecting Sale Price ( Specify Below )
This payment may be in the form of cash, other properly or goods, or the assumption of 1 Now
mortgages or other obligations) Ffoew round to lineamental whole dollar amount.
14. indicate the value of personal I - 1 -
prop" Included In the sale T~ 0.0
ASSESSMENT INFORMATION -Data should reflect the latest Final Assessment Roll and Tax Bill
16. Your at Assessment Roll ham 131 17. Total Assessed Value la all parcels In transfer*
which Information taken / New 1 r,
1a. PROpMy Chss I a 1. 19. School District Name A r
I • V ew S)Rc l
2e. Tax Map Idon6f~r(s) I Roll Idontfor(s) (N note than four, Which sheaf with additional h1TmWhr(s) )
nin
I C C:b I i-- t=C.p GOO I
CERTIFICATION
to arNy hid Till alike Item. of informshw adored on tllb ferric are Ines end Traci (to thethat ofray hnersledgo and bellon and I ands Land that them" of any wslkd
few atwaant of aeteMl teat Mraln WII w Nest as to and pravlal"a of 1M POM law slates/ to flit caking and filing of fat" t"tromwits.
SELLER SIGNATU - BUYER CONTACT INFORMATION
n 11 (Enter mbmwloo for the brys. NOW If dryer Is I.I.C. society. aaoae". corporation. man TaTek
commany. wd ina"ust krotan sdw4uol agave or muery, 7wn a nnro and
coma Ir nmrodmotion
of on _ ~!L 1 ddTiwrap-Min party who ®n .naraartlwe regwdlrgtaeownrernwdbaend.
SELLER SONATURE GATE Type Y part aaarly.)
BUYER SIGNATURE
I I IASr N11aE I FIRW WAS
i6a
R SrGNAIVRE OI1IG I
BUYER'S ATTORNEY AREA COM TELEPHONE NuuaER
Lwr"r. I RR9T NAM I
STREET NUMOM SFREETNNE
I
AI OOM TELEFFIORENUUM I~ I
NEW YORK STATE anroRTawN STATE ZIPCOME
COPY