HomeMy WebLinkAboutL 12754 P 520
11111111 1111 VIII 11111 11111 VIII VIII Illll VIII II I I IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/29/2013
Number of Pages: 6 At: 04:25:23 PM
Receipt Number : 13-0153497
TRANSFER TAX NUMBER: 13-12005 LIBER: D00012754
PAGE: 520
District: Section: Block: Lot:
1000 066.00 01.00 007.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $30.00 NO Handling $20.00 NO
COE $5.00 NO NYS SRCHG
EA-CTY $15.00 NO
$5.00 NO EA-STATE $250.00 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 $390.00
TRANSFER TAX NUMBER: 13-12005
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
F-1-172
RECORDED
Number of pages
- 2013 Nov-29_04; 25:23 Pt9
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00012754
P 520
- --DT4-137,2005
Stamp Recording / Filing Stamps
Page / Filing Fee Mortgage Amt.
1. Basic Tax _
Handling 20. 00
~ j 2. Additional Tax
TP-584 Sub Total
Notation SpecJAssit.
or.
EA-52 17 (County) Sub Total Spec. /Add.
EA-5217 (State) TOT. MTG. TAX
Dual Town Dual County_
R.P.T.S.A. Held for Appointme~nt1
Comm. of Ed. 5. 00~ Transfer Tax
Affidavit yDy~ Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 -;?2 0 family dwelling only.
Sub Total YES or NO
Other n
Grand Total N If NO, see appropriate tax clause on
page # of is i trument.
4 Dist. oo~ Se 13032427 1000 06600 0100007000 g Community Preservation Find
ration Amount $
Real
Service e y R S MI 1Conside
gency / CPF Tax Due $
Verification -
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO: Vacant Land
Mail to: Judith A. Pascale; Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co. Name 020~'I-L-E-
www.suffolkcountyny.gov/clerk Title # l o t `F %
8 Suffolk Count Recording & Endorsement Pa 2e
This page forms part of the attached `t/~z-L made by:
(SPECIFY TYPE OF INSTRUMENT)
~lGll 1 The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of w~D
140
In the VILLAGE
or HAMLET of
BOXES 6 T14RU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
i2-010+_iaOM
(over)
BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
FORM 8002 (short version), FORM 8007 (long version)
CAUTION! THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
PURCHASER BEFORE SIGNING.
THIS INDENTURE, made as of thej!j ay of February, 2013,
BETWEEN PATRICK T. HOEY, presently residing at 29 Wyatt Road, Garden City, New York
11530, party of the first part,
AND
EILEEN B. HOEY, as to a Twelve-Fifteenths (12115) interest, presently residing at 29 Wyatt
Road, Garden City, New York 11530; BRIDGET H. SMITH, as to a One-Fifteenths (1/15) interest,
presently residing at 10 Brampton Road, Garden City, New York 11530; PATRICK F. HOEY, as to a
One-Fifteenths (1115) interest, presently residing at 54 Vassar Street, Garden City, New York 11530; and
CAROLINE S. HOEY, as to a One-Fifteenths (1115) interest, presently residing at 29 Wyatt Road,
Garden City, New York 11530, party of the second part;
WITNESSETH, that the party of the first part, in consideration of Ten Dollars and No Cents
($10.00), lawful money of the United States, 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, County of Suffolk and State of New York,
referred to as Lot 4 on a Map of Town Harbor Terrace made from actual surveys completed on December
2, 1964 by Van Tuyl & Son, and approved by the Suffolk County Department of Health on December 29,
1964, said Lot being on the East side of Thomas Lane designated as 66.-1-7 on the tax map of the Town
of Southold, and known as 620 Hoey Lane;
SAID PREMISES are known as and by the street number 620 Hoey Lane, Southold, New York;
SAID PREMISES BEING AND INTENDED TO BE the same premises conveyed to Patrick T.
Hoey, by deed dated October 3, 2011, and recorded in the Office of the Clerk of the County of Suffolk on
December 20, 2011: in Liber D00012679, Page 929;
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.
NYSBA's Residential Real Estate Forms (4100) 0 2013 Matthew Bender & Co., a member of the LexisNexis Group.
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.
PATRICK T. HOEY -
IN PRESENCE OF
NYSBA's Residential Rcal Estatc Forms (9100) -2- ® 2013 Matthew Bender & Co.. a member of the LexisNexis Group,
Acknowledgment by a Person Within New York State (RPL § 309-a)
STATE OF NEW YORK )
) ss.:
COUNTY OF As r 1j )
On the day of -$1'110 in the year 2013, before me, the undersigned,
personally appeared PATRICK T. HOEY, pe sonally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s) hose name(s) is (are) subscribed to the within instrument
and acknowledged to me that he executed the same in his capacity(ies), and that by his signature(s) on the
instrument, the individual(s), or the rson upon behalf of which the individual(s) acted, executed the
instrument.
(signature and o ce f individual taking acknowledgment)
GEOFFREY H. WARD
Notary Public, State of New York
N0.4759046
Qualified in Queens County
Commission Expires November 30, 20
NYSBA's Residential Real Estate Forms (9100) -3- 0 2013 Matthew Bender & Co„ a member of the UxisNexis Group.
Bargain and Sale Deed with Covenant Against Grantor's Acts
Title No. District 1000
Section 066,00
PATRICK T. HOEY Block 01.00
Lot 007.000
To County or Town Suffolk
Street Address 620 Hoey Lane
EILEEN B. HOEY, BRIDGET H. Southold, New York 11971
SMITH, PATRICK F. HOEY and
CAROLINE S. HOEY
Return B Mail To:
Geoffrey H. Ward, Esq.
Putney, Twombly, Hall & Hirson LLP
521 Fifth Avenue, 10th Floor
New York, New York 10175
Reserve This Space For Use Of Recording Office
NYSBA's Residemial Real Estate Farms (9100) m 2013 Matthew Bender & Co., a member ofihe LexisNexis Group.
F.I.R.P.T.A. NON-FOREIGN CERTIFICATION BY INDIVIDUAL TRANSFEROR
1. Section 1445 of the Internal Revenue Code provides that a transferee of a United States real
property interest must withhold tax if the transferor is a foreign person.
{9{
F', '.ICI
2. In order to inform the transferee that withholding of tax is not required upon the disposition
by Patrick T. Hoey of the United States real property described as follows:
620 Hoey Lane, Southold, New York 11971
the undersigned transferor certifies and declares by means of this certification, the following:
(a) I am not a non-resident alien for purposes of United States income taxation and,
(b) My United States taxpayer identifying number {
NAME
Patrick T, Hoey
(c) My home address is 29 Wyatt Road, Garden City, N
(d) There are no other persons who have an ownership interest in the above described
property other than those persons set forth above in subparagraph b.
3. The undersigned hereby further certifies and declares:
(a) I understand that the purchaser of the above described property intends to rely on the
foregoing representations in connection with the United States Foreign Investment in
Real Property Tax Act. (94 Stat 2682 as amended).
(b) I understand this certification may be disclosed to the Internal Revenue Service by
transferee and that any false statement contained in this certification may be punished
by fine, imprisonment or both.
Under penalties of perjury I declare I have examined carefully this certification and it is
true, correct and complete.
Date: Z L / 13 1
G
^T Patrick T, Hoey
NYSBA's Residential Real Estate Forms (9103) 0 2004 Matthew Bender & Co., a member of the LexisNexis Group.
PLEASE TYPE OR PRESS FIRMLY, WHEN WRITING ON FORM
INSTRUCTIONS (RP-52174NS): www.orps.statemy.us
FOR COUNTY USE ONLY
C1. $WIS Code Now York State Department of
Taxation and Finance
C2. Data Deed Recorded I /62q / Office of Real Properly Tax Services
ovy oar RP- 5277
CS. Book 1 ~L C4. Page I ~a .I J I Real Property Transfer Report (3170)
PROPERTY INFORMATION
1. Property 1 620 1 Hoey Lane I
Loudon -BRaE LT
Southold I I11971 I
CRY OR TOWN y E ZIP CODE
Hoe Eileen B.
2. Buyer I Smih I Bridget H. I
Name usj nowt; r Car , FIRM wwL
Hoey Patrick F.
HA5~1'-ITAkIPAa l Caroline S. _..J
a. Tax Indicate whore future Tax Bills are to be sent
Billing it other than buyer address (at bottom of form) ~Hoe~y, I Fron Eileen B. _J
Address
1 29 Wyatt Road I Garden City I N •Y 111530
I
SrRFCT NUMCR AND STREET NAME CITY OR TOWN sTArc F.
a. Indicate the number of Assossmord ? (Only If Part at a Parcel) Check as they Apply:
Roll parcels transferred on the dead I 1 . 111 of Parcels OR Part of a Parcel
4A Planning Board with Subdivision Authority Exists
a. Dead 48. Subdivision Approval was Requi ed for Transfer ?
property I naRrrEEt I )t ~~rvrtr~ OR a 4C. Parcel Approved for Subdivision with Map Provided ?
shm 6.sonor I Hoey 1 Patrick T. I
Name ww r wm• ~IxSrriw
I I I
~¢rTaacrr:mc Frml -
7. Cheek the box below which most accurately describes On use of the property at the time of ante: Check the boxes below as they apply:
8. Ownership Type is Condominium ?
A Ono Family Residential F Agricultural I Camrunlty Service 9. New Construction on Vacant Lend ?
R 2 or 3 Family Residential r Commercial ] Industrial I OA. Properly Located within on Agricultural District
C Residential Vacant Land G Apartment K Public Service 101111. Boyar received a d'ECbsure notice indicating I-I
D Non-Residential Vacant Land Entertainment I Amusement L Forest that the property Is In an Agricultural District ;__I
SALE INFORMATION 15. Checkouts Drovers a those conditions as applicableto tranafor.
11. Sale Contract Date I G7j / Lr /4.3 A Sale Between Relatives or Former Relatives
ME- I m a,' 'tR Sale Between Related Companies or Partners in Business
C One of The Buyers is also a Seller
12. Date of Sale 1 Transfer I o /'1~ / /3 I D Buyer or Seller is Government Agency or Lending Institution
Mmtn~ay ~rwr l: Deed Type not Warranty or Bargain and Sale (Specify Below )
Sale of Fractional or Less than Fee Interest ( Specify Below )
G Significant Change In Property Between Taxable Status and Sale Dates
11 Full Sale Price e , U I H Sale or Business o Included in Sale Price
(Full Sale Price is the total amount paid for the property inducting personal properly. I Other Unusual Factors Affecting Sale Price ( Specify Below )
This payment may be in the form of cash, other property or goods, or the assumption of J None
mortgages crolhor obligatiorts.) Plasse round ro the nearest whob doasromount.
14. Indicate the value of personal 0 l
property Included In the sale e 0
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
18. Year of Assessment Roll from 17. Total Assessed Value (of all parcels In tronsfert- 1,51.0.0 J
which Information taken LL,_ J yeL ' I ~I//i
18. Property Class 1 ? cJ L -U 19. School District Name
20. Tax Map Merdeler(s)1 Roll Identifier(s) (N more than four, attach slant with additional Idendfler(s) )
I iogo 04b.n - al -oo - 0t7r 0001 1 _ I
CERTIFICATION
to UP, that ill of the time at Information entered an this farm are true and connect (m the beat or my knowledge aRid bell" reel 1 onderefaM that the moklea of any willful
free etrteRaeet of narieriel fecal hereto will era)ect - to the provlelww d dR. penes Inv relative to the imagr a and mire or fore Inahperenfo
SELLER SIGNATURE BUYER CONTACT INFORMATION
(Enter intonRegon for the buyer. Nato; II buyer is LLC, satiety, association. corporation. JOIN! stock
~T an Woni windily is not an indYldual agent or trtudiamy. then a none end cdnx;t -kri o On
_ Y parry who=m rwm Weekins mpading the awafor muss to mlWed.
sEUEN SOMI URE o.TE type ar print Slaty.)
BUYER SIGNATUR Hoey, Eileen B. Smith, Bridget H.
Hoe , Patrick F. Hoey, Caroline S.
BUYER Intel SI(aAl11Nt DATE LAST
BUYER'S ATTORNEY aREAO of TELEPHONCNUNBFN
Ward I Geoffrey H.
LAIN NAME F.RST NAM 29 1 Wyatt Road
amEETNUMEEN STREET MANE
(212) 1 682-0020
MIFAOODE TQLPHONENtMWA Garden City I NY 1 11530
NEW YORK STATE CITV OR TOWN SIAM 21P CODE
COPY