HomeMy WebLinkAboutL 12758 P 425
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED WITH LIFE ESTATE Recorded: 12/30/2013
Number of Pages: 3 At: 12:36:15 PM
Receipt Number : 13-0166809
TRANSFER TAX NUMBER: 13-14786 LIBER: D00012758
PAGE: 425
District: Section: Block: Lot:
1000 066.00 02.00 021.000
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 $125.00 NO
TP-584 $5.00 NO Notation $0.00 NO
Cert.Copies $5.20 NO RPT $60.00 NO
Transfer tax $0.00 NO Comm.Pres $0.00 NO
Fees Paid $255.20
TRANSFER TAX NUMBER: 13-14786
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 2
RECORDED
2013 Dec 3O 12:36:15 PM
Numberof pages JUDITH A. PASCRLE
CLERK OF
This document will be public SUFFOLK COUNTY
L D00012758
record. Please remove all P 425
Social Security Numbers DT# 13-•14786
priorto recording.
Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps
3 FEES
Page / Filing Fee ar o Mortgage Amt. _
1. Basic Tax _
Handling 20. 00
2. Additional Tax _
TP-584_ Sub Total
Notation Spec./Assit.
EA-5217(County) _ Sub Total or
Spec./Add. _
EA-5217(State) TOT. MTG. TAX
_
R.P.T.S.A. ,LLi)_ Dual Town _Dual County
Held for Appointment
Comm. of Ed. S . oo
e _ Transfer Tax
Affidavit Mansion Tax
ertiFed C
The property covered by this mortgage is
NYS Surcharge -1S. oo Sub Total or will be improved by a one or two
;~o
family dwelling only.
Other
_ Grand Total7i0 YES or NO
If NO, see appropriate tax clause on
page # of this instrument./,q-,;)o-L3
4 Dist S Community Preservation Fund
13035567 1000 06600 0200 021000
Real Pro ~I I Consideration Amount $ 0
Agenc) R DTy A
Tax Serv Z -0~~ ; I IIIIIII~II Illl IIIII IIII IIIII II 1111111 IW IIII CPF Tax Due $ 0
Verifcat
6 Satl5lduiuu»voC..a..o~r~cicano~i~rr~oNciiy-vvvcorouuy.a7 re55 Improved
RECORD & RETURN TO:
Vacant Land
Patricia C. Moore, Esq. D ~A
1020 Main Road
D
Southold, NY -11972
D
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY11go1 Co. Name
Peconic Bay Title Insurance Agency
www.suffolkcountyny.gov/clerk Title #
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed 04-A C k made
by. (SPECIFY TYPE OF INSTRUMENT)
Patrick L. Carpenter The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of Southold
Lynne B. Carpenter fn the VILLAGE
Or HAMLET of Southold
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8007
CAUTION: THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
PURCHASER BEFORE SIGNING.
THIS INDENTURE, made the o09 day of December, 2013
between PATRICK L. CARPENTER, residing at 235 Orchard Road, Southold, New York 11971
party of the first part, and LYNNE B. CARPENTER, residing at 235 Orchard Road, Southold, New York 11971
party of the second part,
WITNESSETH, that the party of the first part, 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
pan, 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 at Southold, in the Town of Southold, Suffolk County, New York, designated as Lot 2 in
Block 5, on "Map of Beixedon Estates" and filed in the Suffolk County Clerk's Office on March 16, 1946 as Map
No. 1472.
BEING AND INTENDED TO BE the same premises as conveyed by deed dated August 2,1978 and
recorded August 22, 1978 in Liber 8484 page 75
RESERVING unto PATRICK L. CARPENTER, a life estate in the above described premises for and
during the natural life of PATRICK L. CARPENTER, and upon his death, the remainder shall vest in LYNNE B.
CARPENTER, and her assigns forever.
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.
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. nn
Patrick L. Carpenter
NYSBA Residential Real Estate Forms on HotDocs'(9l00) Copyright Capsoft'Development
State of New York )
ss:
County of Suffolk
On this C2D day of DECEMBER, 2013, before, the undersigned, personally appeared
PATRICK L. CARPENTER, personally known to me or proved to me on the basis of
satisfactory evidence to the be 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.
Notary Public
PATRICIA C. MOORE
Notary Public, State of New York
Suffolk County - No- 4861688
Commission Expires June 16iSLL 7
NYSBA Residential Real Estate Forms on HmDocs' (9/00) Copyright Capsoft` Development
-2-
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS (RP-52174NS): www.orps.state.ny.us
FOR COUNTY USE ONLY c
P New York State Department of
C1. SWIS Code
72 S' f'-
22 Taxation and Finance
C2. Date Dead Recorded I / rT /J / Office of Real Property Tax Services
^Ia I Y RP- 5217
C2. Book 123,5-f C4. Page 1 44- Real Property Transfer Report (8110)
PROPERTY INFORMATION n
1. Property 12......
5 I
Location gES7
CRY 011 TOM Nr r Acs me=
2. Buyer AR QL- tJ !L I F ~j oL 3- I
I I I
~@I p18r
S. Tax indicate where future Tax Bills are to be sent II
Billing If Omer then buyer address (at bottom of foam) I J77wrewr n cotPlefr - -I..Tmahr." Se 'J
Address
I
STRrETNUMSEll AND STREET MME CITY STATE zpcmE
4. Indicate the number of Asusement ? (Only If Part of a Parcel) Check as they apply:
Roll parcels transferred on the deed I I e of Parcels OR Pan 018 Parcel
4A. Planning Board with Subdivision Authority Exists ?
S. Dead 40. Subdivision Approval was Required for Transfer ?
Property rFRti~ X I I OR I _ 4C. Parent Approved for Subdivision with Map Provided ?
Size *ms
6. Sailer I C (a•(Z P :t 2 I ~/kTIZIGI~ C I I
Name LAST ww I I+AUV Fursrww
I I I
- hdRs
7. Check the box below which most accurately describes the use of the property at the time of Sale: Check the boxes below as they apply: ?
& Ownership Type Is Condominium
A no Family Residential E Agricultural I Community Service 9. New Construction on Vacant Lend ?
B 2 or 3 Famly Residential F Commercial I Industrial tOA. Property Located within an Agricultural District ?
C Residential Varard Land C Apartment K Public Service 108. Buyer received a disclosure notice indicating ?
D Nan-Residential Vacant Land f( Entertainment I Amusomont L Forest that the property is in on Agricultural District
SALE INFORMATION ,rte 15. Check ono or more of these conditions as applicable to transfer:
11. Sale Cemrect Date A Selo Batman Relewos or Former Relatives
B Sale Between Related Companies or Partners in Business
C One at the Buyers is also a Seller
I D Buyer or Seller is Govemmem Agency or Lending Institution
12. Deco of Sale I Transfer +X
alb ayt5-vase E Deed Type not Warranty or Bargain end Sale (Specify Below )
F Sale of Fractional or Less than Fee Interest ( Specify Below )
I& Full Salo Price I `y L V 0 G Significant Change in Property Between Taxable Status end Sala Dotes
H Sale of Business is Included in Salo Pries
1 Full Sale Price is the total amount paid for the property including personal property. 1 Other Unusual Factors Affecting Sale Price (Specify Below)
This peymam may be in the form of cash, other property or goods, or the assumption or ] None
mortgages or other obligations.) Please mund to dm nearest whole doter amount. / ~P s J _
14. Indicate the value of personal I 0 0
property Included In the sale - -
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from IT. Total Assessed Value of all
which Information taken ( parcels In transfer
18. Properly Class .OI-U 19. School District Name S , n L
20. Tax Map Idoldlflor(s) I Roll Idontiller(s) (K more than four, attach sheet with additional IdentMar(s) )
I I l _ I
CERTIFICATION
1 cmtify that all of the time of inre m Lion eefared on this farm are trm and correct (e the beat of my limmriedtle and bete" and 1 uhd watend that to m¦klag i l any willed
false statement of material fact heratn will srddact me to the Provisions, of Ma panel law relative to the maklrq and None at latm imtromm
SELLER SIGNATURE BUYER CONTACT INFORMATION
A (Erder inkinnamin far ms buyar. we. M buyor is U.C. socloy, asredatwh, taporsbon, pie slack
mmpary. mars «aRtr net to nor an uesidual aaem or fiduciary. dim a rwmo and nomad IMmnR:kin
of an Indwiduaamspomibb parry who ran ansm, uumbms reeemap dw mrmlrc must to armored.
7'L593hdNA1uhE PiarTelidjL 4- CA 1r.'.1~ Type or print steady)
BUYER SIGNATURE
K'P~ C.qnl? e. 1~.J
"'f 7'C' .i, ~a~ I\NNe- ~ /h ; FIRST C
LIMM"AMi9^ r X-1J` oL . DATE Coll I V/V - ~U
BUYER'S ATTORNEY AREA CODE ma10ER
LAST NAME FAST NAME G/~~J~.] I ~I`~(~•I~~
STET ALMBER STREET NAML
U11 ~S--
AREACOOE ILLLRIONE141uNK T K..!1~ I Ir/ 1~/
(NS~~
EW YORK STATE arvo9Town STATE F ZIP CODE
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