HomeMy WebLinkAboutL 12755 P 600
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/09/2013
Number of Pages: 4 At: 12:14:40 PM
Receipt Number 13-0157354
TRANSFER TAX NUMBER: 13-12782 LIBER: D00012755
PAGE: 600
District: Section: Block: Lot:
1000 052.00 02.00 026.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amaunt: $775,000.00
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 $3,100.00 NO Comm.Pres $12,500.00 NO
Fees Paid $15,855.00
TRANSFER TAX NiJ1~ER: 13-12782
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALS
County Clerk, Suffolk County
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Number of pages ~ ~E~t~I~D~~~ .
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.Phis dacumer~t~will be public , ~ . ~ c~~~~ ~ ~ ' .
record. Please remove all ~uFF~~~
.l. p~at~ai~~~~
Social Security Numbers ~ ~ ~ ~ ~
prior to recording. ~ ~ ~ ~ Cr# t~-1282 . .
Deed 1 Mortgage Instrument Deed 1 Mortgage Tax Stamp ' 0 ~ Recardin~ 1 Filing Stam s
Pt b ~ P
3 FE~s.
Page l Filing Fee ~ ~ . , ' ~ ~ Mortgage Amt.
1, Basic Tax
. I-Iandling 5. 40 ~
Additional T~tix
TP-5$4 ~ Sub Tatal ~ ~ ~ ~
.
Notation ~ ~ ~ ~ ' ~ ~ ~ Spec,lAssit, ~ .
' ~ ~ ~ ~ or .
FA-52 1? ~Caunty) Sub Total ~ .
Spec, !Add,
EA-52I? (State) ~ TC~T. MTG. TAX
R.P,T.S,A. ~ t~ Dutil Town Dual County
~ ~ Held 1'orAppointment
Comte. of Fd, 5~ Oa `f. T Transfer Tax
Affidavit ~ ~ ~ 14'Iansian Tax - ~ ~
p R T A~
Certified Copy The property covered by this mortg~M~,e i5
. ~ ~ car will be improved by a' one c}r tw~7
NO'S Surcharge I5. OQ !'an~iiy dwelling only.
Sub Total
Other - YES ~ ter NQ
av
Grand Total If NO, see appropriate tax cltitise on
. page # of this irtstrun~ent.
d Dist.fp~?O , 13D3352$ 1000 o5zoo o~ao o2~ooa ~ 5 Communxt9 Presexvatr~n Fund
Real Property T ~ ~ ~
Tax Service RP A Consideration Amount ~ 7
Agency 45 DEC-1
CPF 'l,ax Due $ c~
Verification
SatisfactianslDischarges!Releases List Property Owners Mailing Addre • Iniproved~
~ RECORD & RETURN TQ: ~ s5
Vac4~nt Land
1~e e ~ ~
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Mail to: Judith A. Pascale, Suffolk Co~tr~tyClerk 7 Title Cam '
3~0 Center Drive, Riverhead NY ~ an Znfarmat~on
~ 9D~ Ca. Name ; o
www.s~tffalkcountyr~y.gavlclerk
Title # r 0 _ ~
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This page forms part of the attached I
made by:
~SPFCIFY TYPE OF INSTRUMENT)
r,~ ~ NC ~ Th , .
e Nrcmiscs hcre~r~ ~ti situated In
' ~ SUFFOLK COUNTY, NEW YORK.
TQ In theTOWN of ~ ~ ~
' ~ ~ r Ire the VILLAGE
T ~ or HAMLET of
BOXES G TI-IRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TD RECORDING OR F1LlN
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CONSULT YQUR LAWYER BEFQRE SIGNING THIS INSTRUMENT-THIS INSfiffUMENT 5HQULD BE USED BY LAVYYERS ONLY
THIS INDENTURE, made the ?~D day of November, 2013
BETWEEN
DEBRA LACHANCE, residing at 120 Bond Street, Brooklyn, New York 11217
Nis 6~~~ ~ ~
party of the first park, and ADAM SHEBITZ and SANDRA SHEBITZ,~residing at 12 G#ark S#., Apt, fiB,
Brooklyn, New York 11201,
party of the second part,
WITNESSETH, that the party of the first part, inconsideration of TEN ($10.00}
the party of the second part, does hereby grant altid release into the art of the se dollars paid by
successors and assigns of the party of the second part forever, p y cond pad, the heirs ar
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate
lying and being in the T
SEE SCHEDULE `A' ATTACHED HERETO
BEING and intended #o be the same premises conveyed to the party of the first part by deed dated Au ust 2
2005 and recorded September d, 20D5 in Liber 12408, Page 088 in the Suffolk County Clerk's Cft:lce. g 9,
TOGETHER with all right, title and interest, if any, of the party of the first part in and to an street
abuitrrlg the above described premises to the center lines thereof; TOGETHER wi#h the a yurtenancend roads
the estate artd rights of the party of the first part ire and to said premises, TO HAVE AND Tp HO and all
premises herein granted unto the party of the second part, the heirs ar successors and assi ns of th L~ the
the second part forever. g e party of
AND the party of the first part covenants that the party of the first part has na# done or suffered a
whereby the said premises have been encumbered in any way whatever, except as aforesaid. ny#hing
AND the party of the first part, in compliance with Section 13 at the t.ien l.aw, covenants that the a
first part will receive the consideration for this conveyance and will hold the right to receive such c p rty of the
as a trust fund to be applied first for the purpose of paying the cost of the improvement and will a oln the s tan
first to the paymen# of the cost of the improvement before using any part of the total of the same fora ame
purpose. The word `party" shall be construed as if it,read "parties" when ever the sense of this indent other
requires. a so
IN WITNESS WHEREGF, the party of the first part has duly execu ed this deed the y and ear first above
PRESENCE Dl=: y N
DEBRA LACHANCE
Standard N.Y.b,T.U. Form 8002 -bargain and Sale Deed, with covariant against Grantor's Acts -Uniform Acknowledgment z754385.i
Form 3280
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TO BE USED ONE.Y WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York, County of ~ .
ss: State flf New York, County of s$;
On the day of November, zg13, before me, the 0n the da of before
undersigned, personally appeared personally DEBRA appeared personally known to me orbs undersigned, personally
LACHAIWCE, known to me ar proved to me an the basis of ry evidence to be the indi dual d to me on the basis
of satisfacto (s} whose names} is
satisfactory evidence to be the individual{s) whale name{s) is (are} subscribed to the within instrument and acknawled e
{are} subscribed to the within instrument and acknowledged to me that helshelthey executed the same in hislherlthel~
me that helshelthey executed the same in hislherltheir ~paclty(ies}, and that by hislherltheir signatures} on the
capacity{ies), and that by hislherltheir signature{s) an the Instrument, the individuals}, or the person upon behalf of which
instrument, the individual(s), ar the person I~pan behalf of the individual{s} acted, executed the instrument.
which the individual(s~ acted, executed the instrument.
(signature and office of individual taking acknowledgment)
signature and office of individual taking acknowledgment)
TO BE USED ONLY WHEN THE AGKNOWLEpGMENT IS MADE OUTSIDE NEW YORK STA
TE
State ~ W ~ f , Coun of ~
~ ss:
~ ~ ~atOr~ l~"'c
On the ~ ~ day o f 0 , ,before me, the undersi ned
on the balls of satisfactory evidence to be the individuals whos personally appearec~persanally known to me or proved to me
acknowledged to me that helshelthey executed the same in hislherltheiame(s} Is dare} subscribed to the within instrument and
instrument, the Individuals}, or the person upon behalf of which the indiv duals}les}~ and that by hislherltheir signature{s} on the
E~~~~~~Instrument, .a,~
Notary Pt,blic, State of New York
Nfl.01~tw6U89327
in ouaiified in Kin s Court ~ f
iinsert tl~e City or other political subdivision
hand insert the State a ry ar o ` r p ace t~~ ~
taken
a Public, State at New York
` ~G~6U893z7
(signature and offi~ ~ , . ment}
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BARGAIN AND SALE DEED r ~r k; ~?9s C~ `"'`•r~
INI7H COVENANT AGAINST GRANTD ' ~Mm~ S~.`aN ~~~~rc~ AtA1~ ~ ~t S
R S ACTS SECTION: 05z.00
Ti#I'e Na. BLOCK: Oz.OD
LOT: 028.000
TO STREET ADDRESS: 630 Ruch Lane,
Southold, New York
Recorded a# Request of
COMMONV11EA1_TH LANG TITLE INSURANCE COMPANY
STANDARD FORM OF NEW YORK f30ARD OF TIT~t: UNDERWRITERS ETtJ N BY MAIL T
Distributed by OLSEN OLSEN, L.I..P.
~ammon~~alth 3z4s~ CAIN RAC, Pp gp~ 706
Cl1TCHOGUE, NY 1935
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CahiMONWEALTN LANs TITLE INSURANCE COMPANY
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' Fidelity National Title insurance Company
TXTLE N0, F13-740492463-BUFF
SCHEDULE A-~. ~~escrip~tor~}
ALL that certain plat, piece or parcel of land, situate, lying and being at Ashamomaque, ire the Town of Southold, County
of Suffolk and State afNew Yark, hounded and described as follows:
BEGINNING at a paint an the southwesterly side of Private Road, distant 625 feet, more or less, southeasterly from the
corner formed by the intersection of the southeasterly side of Middle Road with the southwesterly side.of Private Raad;
RUNNING THENCE along said Private Road, South 4~ degrees 0~ minutes ~q seconds East, 48,0 feet;
THENCE South 34 degrees 45 minutes West,157.11 feet to the ordinary high water mark of Ashamamaque Panel;
THENCE along said high water mark, on a tie line course bearing North 59 degrees 4$ minutes Oa seconds West, 5.72
feet;
T~NCE North 35 degrees 4~ minutes 3D seconds East, 16$.77 feet to the westerly side of Private Raad and the point or
place of BEGINNING.
TGGETHER ~VITI~I a right of way aver said private road, 25 feet in width as same is now laid out to the North Road and
together with a right of way ~S feet in width leading from the North Road parallel to the westerly line of lands of Edith M.
Paynes to the waters of Long Island Sound.
THE POL.~CY TO RE ~S'sUED under thus commilment will insure the title to such buildings and improvements an the premises which
by law constitute real property.
FOR CONVEYANCING ONLY; Together with all the right, title and interest of the party of the~rst parf, of in and fa the land lying
in the street in~ront of and adjoining saidpremises.
. ,
SCH~DCI~EA-1(Description~
Acv. (p31a4)
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PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS (RP-5217-INS): www.orps.statemy.us
FOR COUNTY USE ONLY ^
C7. SIMS Code 7 New York State Department of
Taxation and Finance
C2. Date Dead Recorded / O Office of Real Property Tax Services
7 Favor ar eRr RP- 5217
C3. Book 1 1 C4. Page Real Property Transfer Report (6110)
PROPERTY INFORMATION
1. Property 1
Location 14 63E30 I RUCI[ 1JkLANE 1
- er rxPvm. I+9EE'rF -
I SOUTHOLD )
CITY OR 100111 VILLAGE LPCOOE
2. Buyer ~SHEBITZ _ADAM I
Name I.W. N&ME I ArM1 Fnat rlgE
dm I SANDRA - I
3. Tax Indicate whom future Tax Bills are to be sent c~ w
Bultng if other then lalyhv address (ate bottom or toms L u`-r 4 't I .fit ~.d m ~ftw.GllA
Address
Llerk Sheep A9} 6d I &Cpkl~fN I IrtY 11,10
srREEr xuMOER A!O s nT sr~Y
4. Indicate the number of Assessment ? (Ony N Part of a Parcel) Check as they apply:
Roll parcels transferred on the deed I I N of Panels OR Part of a Parcel
4A. Planning Board with Subdivision Anthony Exist9
& D"d 40. Subdivision Approval was Required for Transfer ID
Property I Fl~ )t i OR 1 .0 -1-.-,7 1 AC. Parcel Approved for Subdivision with Map Provided
Sin
6. Seller I uLxAACHANCE I DEBRA
Name )
Frer. -
~A4TIalA57 I Fols. m. 1
T. Cheek the box below which most accurately deseribn the use of the property at the time of sets: Check the bases below as they apply: ?
S. Ownership Typo is Condominium
Community Service 9. New construction on Vacant Land ID
A X One Family Residential L• Agricultural
B 2 or 3 Family Residential F COnnMeTdal J industrial t CA Property Located within an Agricultural District
C Residential Vorard Lend G Apartment K Public Service 108. Buyer received a disclosure notice Indicating ?
D Non-Residential Vacant Land H Entertainment I Amusement L Forest that the property is in an Agricultural District
SALE INFORMATION 15. Check one or more of these condltions as applicable to transfer.
11. Sets Contract Date I 10 / owl, / 013 1 A Sala Between Relatives or Farmer Relatives
ta' B Sale Between Related Companies or Partners In Business
C One of the Buyers is also a Seller
IL Daft of Sale I Transfer 1 11 / VP / 2013 1 D Buyer or Seller is Government Agency or Lending Institution
Month Day Y! L•' Deed Type not Warranty or Bargain and Selo (Specify Below)
F Sole Of Fractional or Less than Fee Imalest (Spottily Below)
G Bigndcant Change in Property Between Taxable Status and Sale Dates
13. Full Sale Price I 7 ] 1~
. 5 , 0. 0. 0- 0.0 1 H Sole of Business Is Included In Sale Price
~Y
( Fug Sala Peace Is the total amount paid for the property Including personal property. 1 Other Unusual Factors Affecting Sale Peace (Specify Below)
This payment may be in the form of cash, other property or goods, or the assumption of J X Norse
mortgages crother obligations.) Please round m Nov nearest whole dollar amount.
14. Indicate the value of personal O - Q ,
property Included in the sale ~ -y-
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and L. Bill
18. Year I Aes. adon t Roll from
I 1• 3 17 Total Aswased Value (of all parcels in tranafir)1 . 5 7 n . 0
which Ilhformatlon taken ~1~
1e. Property Class 2 1 -U 19. School District Name L- GREENPORT I
20. Tax Map WmdNlel(s) I Roll Identlfler(s) ( N morn than four, attach sheet with addidonal Idendflor(s) I
I DISTRICT 1000 I I SECTION 052.00 )
I BLOCK 02.00 ~J I LOT 026.000
CERTIFICATION
1 corny that all of the Items of bdermetran entered an this flown .ro true and corset (to the best at mir I,n.w1, 'a and bd" and 1 understand shot on n kb g of any wllMd
team atatemwd of matwW fact thermal was mb)vet ma to am provialms at the venal low reladaa to U. =Mno and fling of taW Instruamfa.
SELLER SIGN- aE BUYER CONTACT INFORMATION
(Enterrly. Na a for the buyer. Now: If -LV' IY/v buyer a I.I.C. wagty. geode ion. mrynedm, pm shtl,
WuoUr or entry amt o not an irlveiad spent or f wmc apes s Irma and centers dered.
aam
O) 1 , D13- clan nn ntltvduiMeepangde Ponywaho hen errww rlallwr repwdr p the transrer nursebe anrned
eMWIFACHANCE Gtr type or print clearly.)
BUYER SI TURE
SHEBITZ I ADAM & SANDRA
11/ .7(&/2013 114T RNxE FlRBTNAME
v BIT6WR'S ATTORNEY GTE
AREA IxeE I TELEPHONE Nissan
OLSEN I DAVID _ 12 I CLARK ST., APT. 6B
LAST IVAE FINaI hNVE
UMErNUa R sTREFT NAEE
631 1 734-7666
AREA CODE TELEPHOrE1rJMBER NEW YORK I NY I 11201
NEW YORK STATE I `mORTOMN STATE ZIP CODE
COPY i