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HomeMy WebLinkAboutL 12757 P 956
11111111 IIII IIIII IIIII Illli IIIII IIIII IIIII IIIII IIII IIII
111111 IIIII IIIII IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/26/2013
Number of Pages: 4 At: 12:15:03 PM
Receipt Number : 13-0165292
TRANSFER TAX NUMBER: 13-14445 LIBER: D00012757
PAGE: 956
District: Section: Block: Lot:
1000 025.00 02.00 020.018
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $181,890.00
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 $250.00 NO
TP-584 $5.00 NO Notation $0.00 NO
Cert.Copies $0.00 NO RPT $60.00 NO
Transfer tax $728.00 NO Comm.Pres $637.80 NO
Fees Paid $1,745.80
TRANSFER TAX NUMBER: 13-14445
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of pages t_ RECORDED
2013 Dec 2 12:15:03 Pt9
JUDITH P. PP'1CPLE
CLERK OF
This document will be public SUFFOLK. COUNTY
record. Please remove all L D00012757
Social Security Numbers P 956
prior to recording. DT# 13-14445
Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps
3 FEES
Page / Filing Fee of (Z Mortgage Amt.
1. Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 'S- Sub Total
Notation Spec./Assit.
or
EA-52 17 (County) Sub Total Spec. /Add.
EA-5217 (State) C25Z TOT, MTG. TAX
R.P.T.S.A, ~ Dual Town Dual County -
Held for Appointment C?
Comm. of Ed. 5. 00 Transfer Tax 7 a 15
Affidavit tza Mansion Tax
T
he property covered by this mortgage is
Certified 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 381D If NO, see appropriate tax clause on
-
page # of this instrument.
it 9,0 • [ 5 Community Preservation Fund
13035670 1000 02500 0200 020018
Ri P T S C ideration Amount $ o
-A ~~IIIIIII~I~ IIIIIIEII II~IIII~IIIIIII~~II~III~ CPF Due $ (03'). V}
Ti 26-DEC
` l Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO: Vacant Land
TD
ROBERT S. HUGHES
P.O. BOX 128 TD
GREENPORT, NY 11944 TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co. Name
www.suffolkcountyny.gov/clerk Title #
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFY TYPE OF INSTRUMENT)
ROBERT W. SORENSON AND The premises herein is situated in
RACHEL QUELL SORENSON SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of SOUTHOLD
ROBERT W. SORENSON In the VILLAGE
or HAMLET of ORIENT
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
Form 8002' - Bargain and Sale Deed, with Covenants 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 16 , day of I two thousand and lit 1,,
BETWEEN
ROBERT W. SORENSON residing at 370 Orchard street, Orient, New York 11957 and
RACHEL D. SORENSON residing at 1615 Hillcrest Drive, Orient, New York 11957
party of the first part, and
ROBERT W. SORENSON, residing at 370 Orchard Street, Orient, New York 11957
Tax Map party of the second part,
Designation
WITNESSETH, that the party of the first part, in consideration of Ten Dollars and other valuable
District consideration paid by the party of the second part, does herehy grant and release unto the party of
1000 the second part, the heirs or successors and assigns of the second part forever,
Section
25,0 ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon
erected, situate, lying and being at Orient, Town of Southold, County of Suffolk and State of New
Block York, bounded and described as follows:
2.0
Lot BEGINNING at a point located in the westerly line of Tabor Road, which point is located 238.19
20,18 feet in a southerly direction, from the intersection of the westerly line of Tabor Road and the
southerly line of Main Road and from said point or place of BEGINNING:
RUNNING THENCE along the westerly side of Tabor Road South 0 degrees 38 minutes 0
seconds East a distance of 199.40 feet to a point and land now or formerly of Gillooly;
THENCE along said last mentioned land, South 87 degrees 47 minutes 30 seconds West a
distance of 218.37 feet to a point;
THENCE still along last mentioned land, North 0 degrees 38 minutes 0 seconds West a distance
of 201.51 feet to a point and land now or formerly of Tabor;
THENCE along said last mentioned land and along land now or formerly of Barbara D. Schriever
North 88 degrees20 minutes 40 seconds East 218.32 feet to the westerly side of Tabor Road at the
point or place of BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by
deed from Port Washington Lumber Company dated December 29, 1994 and recordedon January
10, 1995 in the Office of the County Clerk of the County of Suffolk in Libei 11710, Page 78.
TOGETHER with all the 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 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 OF,
ROBERT W. SORENSON RACHEL D. SORENSON
TO BE USED WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
STATE OF NEW YORK, COUNTY OF SUFFOLK ss:
On the 1 day of 06elA 6&, in the year before me, the undersigned,
personally appeared
Rachel D. Sorenson
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/she/they 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 fed, executed the instrument.
i
Al ~
(signature and office of individu 1 king acknowledgment)
ROBERT S. UGHES
Notary Public State of New York
No. 021iU5429422
Qualified in Suffolk Count
Commission Expires June 20, 0
STATE OF NEW YORK, COUNTY OF SUFFOLK ss:
On the f day of ak4(A, in the year `,0 13 before me, the undersigned,
personally appeared
Robert W. Sorenson
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/she/they 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.
(signature and office of individual to n acknowledgment)
x..
ROBERT S. HUGHES 'p
Notary Public Scggal~~a New York
Qualied0 nHSt,fEot 22
Cammt'Wri Expires June 20, t10 L
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS (RP-5217-INS): www.orps.state.ny.us
FOR COUNTY USE ONLY I,~I G G~
C4, SWIS Code I New York State Department of
Taxation and Finance
-41 C2. Date Deed Recorded Office of Real Property Tax Services
ay tsar
C3. Books 1 S,' I I C4. Page l V Real Property Transfer Report (8110)
PROPERTY INFORMATION
1. Property I v o I -rA- AS a P- A- 10 I
LoeaBon - -
CITY a TOWN VL t' ' LPcOOC
2. Buyer ~s O et~WS D IN.,
10 ~$a~ i r J
Name DZYNALI r COMPMy
I I
~aI,D6~7Taxvlmv I mslaiaw J
3. Tax Indicate where future Tex Bills are to be sent
Billing If other than buyer address (at bottom of form)
AddreN -CC91•IOWETLfAPFh4 ~1RS*NAArF
SIR t NJNeLNE' JT--STREET NAIL I CrrYORTOlm1 I ATE I LPCOOE
4. Indicate the number of Assessment ? (Only a Part of a Parcel) Check as they apply:
I I of Parcels OR Pan of a Parcel I-I
Roil parcels transferred on the dad p
40. Planning Board with Subdivision Authority Exists ! J
S Deed 45. Subdivision Approval was Required far Transfer
Property : FEEf~ X I OR I~itBF.s"~"I 4C. Pascal Approved for Subdivision with Map Provided
Sin
*Sailor I S D Y~P3 W .S. O N 1 ~d gSC~r V I
Nome t,~sYNAMErcouPAAr "--rlaniE'XAM
~L4 P FlRar
7. Check the box below which most aeauratNy daoriba the use of the property at the time of sole: Check the boxes below as they apply: ?
8. Ownership Type is Condormnlum
A Or* Family Resdentral L Agricultural I Community Service 9. Now Construction on Vacant Land El
D 2 or 3 Family Residential F C
JN- J Industrial 1GA. Property Located w thin an Agricultural District
C Residential Vacant Lai 11 G Apartment K ' Public Service 1106. Buyer received a disclosure nodes indicating 1-I
D Non-Residential Vacant Land H Entertainment I Amusement 1. Forest that the property is in an Agricultural District
SALE INFORMATION ! 15. Chaek orre or more of these condRlons as applicable to transfer:
It. Sale Contract Dow A Sale Between Relatives or Former ReleWes
n 4av H Selo Batman Related Companies or Perlnere In Business
( One of the Buyers Is also a Sailor
12. Daft of Safe I Transfer D Buyer or Seller is Government Agency or Lending Institution
Month Day you L I Type not Warranty or Bargain and Selo (Specify Beim) ~Deed F Selo of Fractional or Less than Fee Interest (Spa* Below)
f~ G Significant Charge In Property Between Taxable Status and Sale Dates
13. Full Sale Pries I • 6 1 • a • 5L tea 0 L-1 H Sale of Business Is Included in Sale Price
( Full Sale Price is the total amount pad for the property Including personal property. 1 1._ Other Unusual Factors Affecting Sala Price ( Specify Below )
This payment may be in the forth of ash, other property or goods, or the assumption of J Nora
mortgages or other obligations.) Pkrase round fo the nearesf whole -I)-
_~F Y~c-QCZ'1
14. e I 1 A-{-
Indicate the vilua of personal -
property Included In the sale - a--+_-1
ASSESSMENT INFORMATION - Date should reflect the latest Final Assessment Roll and Tax Bill
18. Year of Assessment Rail from i. ~ . 3 117Total Assessed Vela (of all parcels In transfers d
which Information taken r~ i
18. Property Claris 0 -u 19. School District Name I OY S / C-1 Q O a 01 20. Tax Map IdentMer(s) I Roll IdentMer(s) (g more than four, attach sheet wkh additional Identlfler(s) )
l6D0 -025.00 -r~2-0 0 - 20.11 $ I I
CERTIFICATION
1 aSNy that all w the items of Information ordered an this farm are true and correct (to on beat of my knowledge and hot" and 1 understand that the m¦kloe of any adlftl
1.1:: tateawm or material fact bereln win Subject me to the pravielone of tb. panel law relative to the making and filing of falee Instrumsele.
SELLER SIGNATURE BUYER CONTACT INFORMATION
(Derr nionnal- for Me buyer. Nae Y. buywrs I.I.C. SOLISty. aSaocialion. mrpmabal.joint ethrk
113 . carpeny, atain or entry L,sl is ml an Individual Spans or fiduciary. then a ran* cow o unit Infamahm
{ ( of an MdwaalmsponSMa parry who clan anawsr cr emixIa regarding ea aansfor musf be entered.
SELLER SIGNATURE OA1h 1 Type w print intensity.)
BUYER SIGNATURE cC
e.~AQ,--Ax$Dn1 I ~O'
LAST -E PIRS1 `YE
WYL4eI4f1AIURL OA
BUYER'S ATTORNEY RE -°1 J L
!I ARGCWC ICLLM.fINk NUMlFX
+IrJ~tr~s I 68. 2 ~~o :
Insr rulrt: nfuT NMr O PICk or AP S?Qaa c
r/ 5114"'PARMER s-aCCT NAVE
4RfN CAGE TCLCPFONC h4MOCR {
133--'~~ S~21GN I Ny IjI~J?
NEW YORK STATE "`°aTOwN STATE zFCOCF
COPY