HomeMy WebLinkAboutL 12752 P 221
11111111 IIII IIII1 IIIII IIIII Illll IIIII 11111 IIIII IIII IIII
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/13/2013
Number of Pages: 4 At: 10:15:00 AM
Receipt Number : 13-0145084
TRANSFER TAX NUMBER: 13-10260 LIBER: D00012752
PAGE: 221
District: Section: Block: Lot:
1000 078.00 09.00 071.002
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $395,000.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $20.00 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 $1,580.00 NO Comm.Pres $4,900.00 NO
Fees Paid $6,735.00
TRANSFER TAX NUMBER: 13-10260
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
FF
Number of Pages
RECOPCDED,
2013 Nov 13 10:15:00 AM
JUDITH A. PASCALE
This document will be public CLERK &
record. Please remove all SUFFOLK COUNTY
Social Security Numbers L D00012752
prior to recording. P 221
DT# f3-10260
Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recofding / Filing Stamps
3 FEES
Page / Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Notation Spec JAssit.
or
EA-52 17 (County) Sub Total Spec. /Add.
EA-5217 (State) TOT. MTG. TAX _
`
R.P.T.S.A. Dual Town Dual County_
Held for Appointment
Comm. of Ed. 5. 00
Transfer Tax /5
Affidavit Mansion Tax
Certified The property covered by this mortgage is
Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total S H NO, see appropriate tax clause on
page # of this instrument.
000 13030933 3.000 07800 0900 071002 U 3 ! 3
4 Dist. P T A Q~ g Community Preservation Fund
FZ
T
R~Property
o8-NOV-1 IIIIIIII~II IIIIIIIII 111111111111111111 illl~l Consideration Amount $-3/-~ ~
Service rvtce
Agency - - - CPF Tax D $ 00.
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO: Vacant Land
SEA } ~JSElJ TD
TD
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, ICY 11901 Co. Name
www.suffolkcountyny.gov/clerk Title# F--) _ y o
8 Suffolk. Count Recording & Endorsement Page
This page forms part of the attached made by:
(SPECIFY TYPE OF INSTRUMENT)
Z F- )J b S The premises herein is situated in
~a s S u i v y--IF, - SUFFOLK COUNTY, NEW YORK.
TO -In the TOWN of _ C-"
,.jam In the VILLAGE
7o y c F..E; or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
i:•o~oa..iaroakk
(over)
NY 005 -Bargain and Site teed with Covenant against Grantor's Acts Individual or Corporation (Single Sheet) (NYBTU 8002)
CONSULT YOUR I.AWYFR BEFORE SIGNING THIS INSTRUMENT. THIS INSTRUMENT SHOIJLD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the 31 st, day of October in the year 2013
BETWEEN
EILEEN M. EDEBOHLS, 750 Victoria Drive, Southold New York, as surviving tenant by the
entirety of Fred W. Edebohls, deceased 12-04-01
party of the first part, and
BRIAN J. ALAN and LAURA POTUCEK, 226 50th Avenue, Apt. 6E, Long Island City
New York/ no.S JntAT ~Ci~^+S ff~t r~hI o-- s,. ,,it,-6
party of the second pan,
WITNESSETH, that the party of the first pmt. in consideration of Ten Dollars and other valuable consideration 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
SEE ATTACHED SCHEDULE "A"
SCTM# 1000-078.00-09.00-071.002
TOGETHER with the right, if any, to use, in common with others, of a strip
o land 50 feet in width as an easement for ingress and egress to Corey Creek, said
:strip of land being bounded on the east by land now or formerly of Edson and on
the west by land now or formerly of Todeter and Dickinson.
Being and intended to be the same premises as described in deed made by Mary B. Kilkenny,
as surviving tenant by the entirety of Joseph M. Kilkenny, deceased, recorded 10-13-00, Liber
12078 page 132.
TOGETHER with all right, title and interest, if any, of the party of the first part of, in and to any streets and roads abutting the
above-described premises to the ecnter lints thereof; TOGETHER with the appurtenances and all the estate and rights of the
party of the first parl in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the parry of the
second part, the heirs or successors and assigns of the party or 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 or 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 pan has duly executed this deed the day and year first above written.
IN PRESENCE OF:
r
EILEEN M. EDEBOHLS
Fidelity National Title Insurance Company
TITLE NO. F13-7404-92305-SUFF
SCHEDULE A-1 (Description)
Amended W /10M
ALL that certain plot, piece or parcel of land, situate, lying and being at Southold, in the Town of Southold, County of
Suffolk and State of New York, being bounded and described as follows:
BEGINNING at a point on the easterly side of Victoria Drive distant 150 feet southerly from the corner formed by the
intersection of the southerly side of Liberty Lane with the easterly side of Victoria Drive;
THENCE South 64 degrees 40 minutes 10 seconds East along land now or formerly of Kennedy, 100.00 feet land now or
formerly of Levin;
THENCE South 25 degrees 19 minutes 50 seconds West, along land now or formerly of Levin, 13.78 feet;
THENCE South 64 degrees 40 minutes 10 seconds East still along land now or formerly of Levin, 100.00 feet to the
westerly side of Colombia Road;
THENCE along the westerly side of Colombia Road, South 25 degrees 19 minutes 50 seconds West, 156.11 feet to lands
now or formerly of Angotti;
THENCE along said land, North 64 degrees 40 minutes 10 seconds West, 200.00 feet to the easterly side of Victoria
Drive;
THENCE along the easterly side of Victoria Drive, North 25 degrees 19 minutes 50 seconds East, 169.89 feet to the point
or place of BEGINNING.
TOGETHER with the right to use, in common with others, a strip of land 50 feet in width as an easement for ingress and
egress to Corey Creek, said strip of land being bounded on the East by land of Edson and on the West by land of Todetar
and Dickinson.
THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which
by law constitute real property.
FOR CONVEYANCING ONL Y: Together with all the right, title and interest of the party of the first part, of in and to the land lying
in the street in fronl of and adjoining said premises.
SCltEDULF. A-1 (Description)
• USE ACKNOWIliUGdfL,'NTFORhIBFI.OWVWITHINNFWYORKSIATFONLY, USEACKNOliL DG.LIENTFORAIBF,LOWVWITF/feVNFWYORKSTATEONLY:
State of New York, County of Suffolk } ss.: State of New York, County of } ss.-
s
On the; day of October in the year 2013 On the day of in the year
before me, the undcrsig~cd, ppe~rsonally a~x erred before me, the undersigned. personally appeared
E11LEElV M. E a OHLS
personally known to me or proved to me on the basis of satisfactory personally known to me or proved to me on the basis of satistactory
evidence to he 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/shelthey executed within instrument and acknowledged to me that he/she/they executed
the same in his/her/their capacity(ics), and that by his/her/their the same in his/her/their capacity(ies), and that by his/herAheir
signature(s) on the insintment, the individual(s), or the person upon signature(s) on the instrument, the individual(s), or the person upon
behalf of which the in ividual(sl a ed, executed the instrument. behalf of which the individual(s) acted, executed the instrument.
~1.
MARt11...0WSIQ
Notary public, State of New York
No. o1K0487M
Oual~flod in Suffolk C-MY
Comm, Exp. Sops. 2, 20-121
A CKNOW-hIN'MPYFFORM FOR USE WITHIN NEW YORKS TA 77i ONI. Y.• ACK,YO IW.F.UGMBAT FORM FOR USF Owsnm' NF.IY YORK STATE 0,vtr.-
lNew York Subscribing Witness AcknaivIedgmenl Centfrratel lOw of Stare or Foreign General Acknon'ledgmenl Cerrificalel
State of New York, County of } ss.: } ss.:
(Camplete Venue with State. Cbunvg. Province or Municipafiry)
On the day of in the year
before me, the undersigned, personally appeared On the day of in the year
, before me, the undersigned, personally appeared
the subscribing witness to the foregoing instrument, with whom t am
personally acquainted, who, being by me duly sworn, 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
(ifihepku:eqfresidenceis in acily,include thestreetandsneernumber, the same in his/her/their capacity(ies), that by his/her/ their signature(s)
Jaikv, lherety); that he/she/thcy, 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
iristnrmcnl; that said subscribing witness was present and saw said
execute the same; and that said witness at the same time subscribed (hiseri the city or other political snGdivision and the state or cammv or
hither/their name(s) as a witness thereto. oilier place lire acknowledgment was taken).
BARGAIN & SALE DEED
WITH COVIiNANIS AGAI.NS'I' URAY(OR-3 All'
TTTI.FNO. F13-7404-92305-SUFF DISTRICT 1000
SECTION 078.00
EILEEN M. EDEBOHLS BLOCK 09.00
LOT 071.002
COUNTY OR TOWN
TO
BRIAN J. ALAN & LAURA POTUCEK RECORDFDATRFQUFSTOF
Fidelity National Title Insurance Company
RETURN BY MAI L TO
FIDELITY NATIONAI. TITLE DAVID OLSEN, ESQ.
INSURANCE COMPANY Olsen & Olsen
INCURPURATLD 1928 PO pox 7(~06
Cutchogue, New York 11935
C4j~ifrrra/raaFidelity ~r nA~ivx/`
MrmA^r,Ym Y,rrPSnnr! .nJ Icr1e Arnrciulinn
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INSTRUCTIONS(RP-5217-PDF-INS): www orps.state try us
FOR COUNTY USE ONLY Q Q New York State Department of
C1. SwIS Code , y 73, 9, F. / I Taxation and Finance
C2. UM Dead Recorded 1/// /,3//,3 I Office of Real Property Tax Services
MwN o'n' TaE RP- 5217-PDF
• C3. Book 7 C9. Pape Real Property Transfer Report (8110)
PROPERTY INFORMATION
I. Property 750 VTCTORIA DRIVE
Location
' 81REET WYBER ' STREET W WE
SOUTHOLD 119,11
cmm T YalAriE • LPCoIE
2. Buyer ALAN BRIAN
Nome !
• IASTHALEAOYPANY FeraTNAYE
POr7 7CEK LAURA
IAxt WWECtlVHf! FF- -,ix
a. Tex Indicate where hRTxe Tax Bills ere 10 be sent
Billing it Othtf men buyer oddmss(at bottom or form) ,All WIMEICU lliAm FIRSTN N E
Address
STREET WYBER AND RAE CITY OR TOM STATE ZIPCWE
4, Indicate the number of Assessment 1 ? Pad d e Pacel (only if Part of a Parcel) Check an they apply:
Roll pemels transferred m the deed IF or Parcels OR I~I
4A. Planning Board with Subdlvleion Authority Exists LJ
s. Deed
• FRONT FEET OR 0.72 46. Subdivision Approval was Requked for Transfer Size DEPTH -ACRED
Prop
4C. Parcel Approved for Subdivision with Map Provrde0
f
EDEBOHLS 6 5-5 04114 -I{~g ErTZEN IVI ,
CSeller -uu1TNAMFJCQVPAjft-
Nome
MST NAME4CC la FIRST NAME
•7. Select the description which most accurately describes the Check the boxes below as they apply: I''I
use of the property at the date of sole: A. OwnOmhlP Type Is Condominium LJ
A. One. Family Residential 9. New Construction on a Varard Land ?
IDA. Property Located within an AgrNmeunl District
I GB. Buyer received a disclosure 110,06 WI iCMing IIW the property w n an rrII
Agricultural District I__I
SALE INFORMATION 11- Check one or more of they o conditions as applicable to transfer.
A. Sale Between Relatlvea or Former ReIMWs
11. Sale Convect Date 09/16/2013 B. Sale between Related Compenlea or Partners in Business.
C. One of The Buyers is also a Seller
• 12. Date of Solefrransfer 10/31/2013 D. Buyer or Seller Is Gcwemmem Agency or Lending Institution
E. Deed Type not Warranty or Bargatn and Sale (Specify Babes)
F. Sale of Frectlon it or Less than Fee Interest (Sp@c y eekA q
•1s. pull SBIS Price 395, 000 , UD G. 51gnAicont Change In Property Between Taxable Statue and "Is Dean
N. Sale of Business is Included in Sale Price
( Full Sale Price is the IoW amount paid for ms property mcluding personal properly 1. Other Unusual Fallon Affecting Sale Price (Specify BeldA1
Th b payment may be in The form Of roan, other property or or goods. or the assumption of J. None
mrmgages Or other obligations.) Ploose mud to the nearest *11M dollar amOUm
Comment(s) on Condition:
14. Indicate the value of personal 0 .OU
Property Included In the sale _
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
1S. rear of Assessment Roll from which information uken(rT) 12 •7T. Total Aeeeaeed Value 7 , 800
-tar. Property Chas 210 _ '79. School District Nome SOUTHOLD
'20. Tax Mop Identabr(s)IRoll Identifier(s) IV more then four, sttach shoot with additional Idengner(s))
1.000-C79.C0-C9.130-07.002
CERTIFICATION
I Certify that all of the Items of Inrorrnatlon orasrsd on this Form am we and CCr=t (to the beat of my knowledge and belidq and 1 understand that the making of ony wilful
filed statement oI material fact herein subject me, to the.RMIslone of the penal law relative to the making and filing of false Instruments.
ILLERSIGNATURE J}UYER CONTACT INFORMATIM
(Etherrea.. vinfor Nabl.Tar.Now If
ouyw Is LLC eppey ntadeoq oolpcielpn. pin iledi mllpwq, ea&ed
una must e yi d o pd+liduaweeponi he
allay h1101DalpdMelsl rd"'"
IPaRY slip ho can ensxer ques.msle0lmlMlM must be entered rad Type ar d FdA elnly.)
aIAnA a
BUYER SIGNATURE ALAN BRIAN
'LAST NAME FIRST NAME
rV--~ JO)s/J)3 'AREA "WE 'TELEAOrE NLA@ERIEr UMMM
a11YFR BrRIAIL'RE DAIL
750 VICTORIA DRIVE
'STREETNixEER 'STREET NAME
S I SOUTHOLD NY 11791
-C1TYORl0wN -STATE WCWE
j}UMM ATTORNEY
I I OLSEN DAVID
LAST AA.C FIRSTNAwC
1
(631) 734-'/666 _
AREA Cad. TElEP110tE NIa.EFA1Fx 1lwlrsl
I
1