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Home My WebLink AboutL 12752 P 619 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: CORRECTION / DEED Recorded: 11/15/2013 Number of Pages: 3 At: 11:25:30 AM Receipt Number : 13-0146618 TRANSFER TAX NUMBER: 13-10585 LIBER: D00012752 PAGE: 619 District: Section: Block: Lot: 1000 041.00 01.00 012.000 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 $250.00 NO TP-584 $5.00 NO Notation $0.50 NO Cert.Copies $5.00 NO RPT $60.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $380.50 TRANSFER TAX NUMBER: 13-10585 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 4 n Number of pages RECORDED 2013 Nov 15 11:25:30 AM JUDITH A. PASCALE `7 - r_LERK OF _ - This document will be public SUFFOLK COUNTY record. Please remove all L D00012752 Social Security Numbers P 619 prior to recording. DT# 13-10585 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps 3 FEES Mortgage Amt. Page /Filing Fee ~ 1. Basic Tax Handling 20. 00 2. Additional Tax i TP-584 Sub Total c~ Notation Spec./Assit. or EA-52 17 (County) S Sub Total f J• Spec. /Add. EA-5217 (State) TOT. MTG. TAX R.P.T.S.A. (00- Dual Town Dual County_ Held for Appointment Comm. of Ed. 5. 00 Transfer Tax_ Affidavit +Da, Mansion Tax k Certified Copy 5- The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 ' family dwelling only. Sub Total ~ - ~ YES or NO Other Grand Total If NO, see appropriate tax clause on page # of this instrument. 4 Dist - 5 Community Preservation Fund Real Prop 13030736 looo 04100 0100 012000 Dv Consideration Amount $ vAl;ea< t, °o , 11111111111111111111 11111111111111131111111 ~ CPF ax Due $ _ I Improved 11115 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land TD O 5 C/~~ L a~~Y Jk TD 77-/ TO Cle TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Com an Information 310 Center Drive, Riverhead, NY 11901 Co. Name www.suffolkcountyny.gov/clerk Title # 8 Suffolk Count Recordin & Endorsement Pa e This page forms part of the attached ~~"`r"" made by: _ (SPECIFY TYPE OF INSTRUMENT) STftTE Or j ff /ILt S ~ The premises herein is situated in SUFFOLK COUNTY, NEW YORK. l1 TO In the TOWN of vy 07/01 In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING 12-0104..10/6&k (over) ~ I NY 025 - Executor's Deed - Individual or Corporation (Single Sheet) (NYBTU 8005) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY t THIS INDENTURE, made theZ9 day of February, in the year 2013 BETWEEN STUART E. STAPLES, residing at 6246 Hoss Lane, Amlin, OH 43002-0065 ' as executor {executrix ) of the last will and testament of, Dorothy Field Staples, (Suffolk County _Surroga.tes Court probate file # 2357P91) late of deceased, party of the first part, and ROBIN L. WALDEN, residing at 980 Cedarfields Drive, Greenport, New York 11944 Y party of the second part, WITNESSETH, that the party of the first part, by virtue of the power and authority given in and by said last will and testament, and in consideration of ten dollars and 00/100 ($10.00)------_________------- 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 in the Town of Southold, near Greenport, County of Suffolk and State of New York, more particularly designated as Lot 41 0 k a certain map entitled "Map of Washington Heights" filed in the Office of the Clerk of the County of Suffolk on December 29, 1927 as Map Number 651 Clioi t 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 also all the estate which the said decedent had at the time of decedent's death in said premises, and also the estate therein, which the party of the first part has or has power to convey or dispose of, whether individually, or by virtue of said will or otherwise; 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 incumbered 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 pan 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: STUART E. STAPLES USEACKNOWIEDGMENTFORMBELOWwrrmNEWYORKSTATEONLY : USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLY: State of New York, County of ) ss.: State of New York, County of } ss.: On the day of in the year On the day of in the year before me, the undersigned, personally appeared before me, the undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory personally kndivn 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 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 within instrument and acknowledged to me that he/shelthey executed the same in his/her/their capacity(ies), and that by his/her/their 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 signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. behalf of which the individual(s) acted, executed the instrument. ACKNOWLEDGMENT FORM FOR USE WTPRINNEW YORK STATE ONLY ACKNOWLEDGMENT FORM FOR USE OUTSIDE NEW YORKSTATE ONLY. [New York Subscribing Witness Acknowledgment Certificate) /Out of State or Foreign General Acknowledgment Certificate/ State of New York, County of )s&: STATE.OF.OHIO, .000N.TY .OF.. eMAe-!i 't..... )Ss.- (Complete Venue with State, Country, Province or Municipality) On the day of in the year J& before me, the undersigned, personally appeared On thdWday of February in the year 2013 before me, the undersigned, personally appeared the subscribing witness to the foregoing instrument, with whom i am STUART E. STAPLES personally acquainted, who, being by me duly swom, did depose and personally known to me or proved to me on the basis of satisfactory say that he/she/they reside(s) in 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 (if the place of residence is in a city, include the street and street number, the same in his/her/their capacity(ies), that by his/her/ their signature(s) if any, thereofl; that helshelthey know(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 to be the individual described in and who executed the foregoing made such appearance before the undersigned in the instrument; that said subscribing witness was present and saw said jl bbl I n execute the same; and that said witness at the same time subscribed (Insert the city or other politir&V subdivision and the state or country or his/her/their name(s) as a witness thereto. other place the acknowledgm nr was taken). TAUSHAPAPE * * ` Nokq Pubk State of Ohio EXECUTOR'S DEED My Commission Eons 06-01-2015 INDIVIDUAL OR CORPORAn'ON Ary7~O~ \`+p TITLE No. '4t11tnnnmr~`` DISTRICT 1000 SECTION 41 ESTATE OF DOROTHY FIELD STAPLES BLOCK 1 LOT 14 COUNTY OR TOWN TO ROBIN L. WALDEN RECORDED AT REQUEST OF Fidelity National Title Insurance Company RETURN BYMAIL TO W V 00 O O - tL O V w Q O w N K O W O Q a Ul N W a w N W PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP-52174NS): www.orps.state.ny.tis FOR COUNTY USE ONLY Cl. SWIS Code New York State Department of II Taxation and Finance C2. Date Deed Recorded 6J Office of Real Property Tax Services .y wr/ RP- 5217 C9. Book 9 a `S C4. Page ( Real Property Transfer Report (0110) PROPERTY INFORMATION 1. Location I 5TREE7 NuMBER I /M,less.9 / n) di rmYN VlLn1GE_ rIp CODE 2. Buyer I ~~G~t_Dl~t.~ I bbl I Name f wtr Fl T I I I L,I6fWWE'7-L'Ot~7aJP nR97 RAW 9. Tax Indicate where future Tax Bills are to be sent II Billing If other than buyer address (at boom or form) ~ I FWSt .J Addreu i 9MEETINA ERuSSTREEI' I cm OR TDOM IsTTk'Zipcone 4. Indicate the number of Assessment (Only tt Part of a Parcel) Check as they apply: Roll parcels transferred on the dead 0 of Parcels OR ? Part Of a Parcel 4A. Planning Board with Subdivision Authority Exists ? 5, Dead I I 4B. Subdvision Approval was Required for Transfer ? Property rrti'r~ x I OR I ~ I 4C. Parcel Approved for Subdivision with Map Provided ? size -osvrlr S. seller I s~ - srAA~-~~ - ; C.~Fc~; ne iC` ~o2oTxY ~z~_ nP~s Name f FwaT N1WE I i I ~ImgJfi1'CO167g11 L7g1 ' 7. Check the box below which meet accurately describes the use of the properly at Ma time of sale: Chock tho boxes below as they apply: ? S. Ownership Type is Condominium A One Family Residential E Agdcvhurel [ Community Service e. New Construction on Vacant Land ? B 2 or 3 Family Residential F Comcial J Industrial 10A. Property Located within an Agricultural District ? C Residential Vacant Land G Apart merment k Public Service 100. Buyer received a disclosure notice indicating ? D Non-Residential Vacam Lanil H Entertainment I Amusement L Forest that the property is in an Agricultural District SALE INFORMATION p. 15. Chock one or more of these conditions as applicable to transfer. H. Sale Contract Date A : Sale Between Relatives or Former Relatives If Year U Sale Between Related Companies or Partners in Business C I One of the Buyers is also a Seller 12. Date of Selo I Transfer U Buyer or Seller is Government Agency or Lending Institution amen Day ter E Deed Type not Warranty or Bargain and Sala (Spacty Below ) r Sale of Fractional or Less than Fos Interest ( Specify Below ) 19. Full Sale Price ' n I G Signiirant Change in Property Between Taxable Status and Sale Dates Sale of Business is Indudod in Sale Prim ( Fug Sale Prim is the keel amount paid for the property including personal property. I Other Unusual Factors Affecting Sale Price f Specify Below ) This payment may be in the form of cash. other property or goods. or the assumption of J None morlgagos ov other obligations.) Ftease round lo the nearest whole dollor amoum. 14. Indicate the value of personal I r\ - O O property Included In the sale l • ) ASSESSMENT INFORMATION - Date should reflect the latest Final Assessment Roll and Tax Bill 16. Year Information Roll from I 117 Total Assessed Value (of all parcels In transforA _ J whlehltttormatlon taken ~ ~ - 18. Propmty Class 13.4 i -U 19. School District Name I C_ N~CfAzirt r J 20. Tax Map tdentieer(s) I Roll Identifier(s) ( If more then four, attach sheet with additional IdentMar(s) ) I I I ~ CERTIFICATION 1. Ulm that all of ttm hands of lalk-ten entwed -this form am bus and correct (to the best of oU knowledge and bmMM and 1 endwstand that Ibe making all any wllrlrrl fates atalame rt of material tact hemin will aab)eot Rte to the preNalesa at the panel law mlatke to the melting and filing off rake Instreemnte. SELLER SIGNATURE BUYER CONTACT INFORMATION ^ (Enter Inhwnitia n kr In boyar. Nola. If buyer is LLC. ruddy. usrooa6m. coggmton. pM 9MM C}J eammny. mmw or artery to Is not an individual agan: or fdadwy. than a mnw and contact Information Bran rdwidualhespomaN pary who can answer qumfiom rryprd'rq the ransle moat be entered. SELLER 81131ATURE WE Type or print clearty.) BUYER SIGNATURE LAST NAME hielf;aiii! dIYlR wbtLerllRk DATE BUYERS ATTORNEY AREACOCE I (=Pxx.Li%Re"i i 6- tyc) s )2. NSr MMF 9R3-MME 1 V6 I 11711M NIIaS6R aTRFFTNNIF. n4FAwoe 7eLEpnoNEruva[R C J r ~ ' QELE fbe I / I SyY NEW YORK STATE cITr OR TOWN Mw ZIP COIL COPY