HomeMy WebLinkAboutL 12760 P 476
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 01/16/2014
Number of Pages: 4 At: 10:02:03 AM
Receipt Number : 14-0005779
TRANSFER TAX NUMBER: 13-16329 LIBER: D00012760
PAGE: 476
District: Section: Block: Lot:
1000 090.00 01.00 022.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0.00
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 $120.00 NO
Transfer tax $0.00 NO Comm.Pres $0.00 NO
Fees Paid $315.00
TRANSFER TAX NUMBER: 13-16329
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
RECORDED
Number of Pa.-es I 2014 Jan 1E 10:02:03 AM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK r_OUttTv
record. Please remove all L 600012760
P 476
Social Security Numbers DTa 13-16329.
prior to recording.
Deed / Mortgage instrument Deed ! Mortgage Tax Stamp Recording! Filing Stamps
3 FEES
Page / Filing Fee Mortgage Amt.
Handling 5. DD 1. Basic Tax- - -
2. Additional Tax _
TP-584 Sub Total
Notmion Spec./ASSit.
of
EA-52 17 (County) Sub Total Spec. /Add.
LR 17 r TOT. MTG. TAX _
. IDualTown Dual County
intment
. of 00 'Transfer Tom,
Affidavit ~y' Mansion'fax _
Certified Copy ~ The property covered by this mortgage is
or will be improved by a one or two
NYS'Surchm'gc IS 00 family dwelling only.
$ub Total -
O:her YES or NO
Grand 'Total ~ 1r If NO, sec appropriate tax clause on
page # -of [his ins me t.
N• 9 I l3
4 D61
13034782 ~ e Q9~faL 5 community Preservation Fund
4gercy DO +4
VeReal ,PHEc, 11111111111111111111111111111111111111CPF Tax Due $nt
G 4-
SatislactionsNischargcs/Releases List Property Owners Mailing Address Improved
Vacant Land
50% d o TTT~
~ ~a l ~-rank It vi A-~ TD 1 C~
TD
CI N I~ 5 30
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Com an information
310 Center Drive, Riverhead, NY 11901 ~f9CT
www.suffolkcountyny.gov/clerk Co. Name
Title ff
x Suffolk Count Recor~da~n & Endorsement Page
This page forms Part of the attached
made by:
(SPECIFY TYPE OF INSTRUMENT)
The promises herein is situated in
P(y(~O ( 't ~ SUFFOLK COUNTY, NEW YIOR,K,..
0 1 In the TOWN of _ ~l1 U~Y )0
'1-~~ `---k- bi the VILLAGE n`
V or IIAMLET of J~ b l
BOXES 6 THRiI %:L7 LS)!' }3G_l'PFU OR PRI_N.TED i7J BLACK WK ONLY PRIOR TO RECORDING OR FILING.
;P T S
Doc ID: 13034782 R DHO A
17-DEC-13
Tax Maps
District Secton Block Lot School District Sub Division Name
1000 09000 0100 022000
1000 09000 0100 023000 SOUTHOLD
I
1\.
WCB
Rev. 8199 Sund„d N.T.B.T.U. F-o, 8001 • -E.<cumi. Deed-Indlddml or Eo,pw,uon ISin81e rhn,l
(uniform ack.) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
- THIS INDENTURE, made the 18th day of September , in the year two-thousand thirteen
BETWEEN INGRID HOLLIS, residing at 86 North Court, Roslyn Heights,
New York, as Executrix oftthe Estate and Last Will and Testament of
GEORGE R. HOLLIS, who died a resident of Nassau County on September
3rd, 2010, as to a one-fourth (1/4) interest in said property,
asxxHxwx x xtk fdteilask Wilkaft~~l l6mf
E kllJref
E NhEt~a~
party of the first part, and INGRID HOLLIS, as sole surviving heir of
GEORGE R. HOLLIS, residing at 86 North Court, Roslyn Heights,
New York 11577,
party of the second part,
WITNFSSETH, that the party of the first part, 6y virtue of the power and authority given in and by said last
x'ill and testamect,laBd: iaxoonsbkmtonrksfX and to whom Letters Testamentary were
issued by Nassau County Surrogatc.'.s Court on January 6, 2011 'domarar
and with no consideration paid by the party of the second part, does hereby grant and
re!ease 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 SCHEDULE "A" ATTACHED HERETO AND MADE A PART HEREOF.
Said premises also known as 500 West Lake Drive, Southold, New York
11971
Suffolk County Tax Map District 1000 Section 90 Block 1 Lot 22 d-.2 3
tom' etv,~ ~ i,n~e~de~ -b b-~. `k1-e savY<e- Preuuuses canv~-e-61 tYl cited I~1301~0 i-i3-bl 4R 3y~:53?
Give deed dared Lo uo (a . ~I2', L-. s~~3 07
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 also all the estate which the said decedent had at the time of decedent's death in said premises, and also
the estate therein, which the party of the first part has or has power to convey or dispose of, whether individ-
ually, or by virtue of said will or otherwise; 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 ineumbered 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 consid-
eration 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 he construed as if it read "parties" whenever the sense of this indenture so requires.
W WITNESS WHEREOF, the party of the first part has duly Executed this deed the day and year first above
written.
I[ PRESENCE OO/F:
INGRID HOULLI S, ExecuVt ix
N
P
G
M
N
N
9
y
A
0
P
N
0
PT
00
P
O
S
n
O
d, y a1
tiJ~I~IV~~ ` fiunduoj aaun nsul ayy2s'unagAaauypy
" ~v paPgwgp
O W YILIIMINNn I'M !O OIYOI 2101 IN 10 MOI .IMNY19
WOl 9Ivw A% NMOlax
jm.A Ma!g Jo Auedwoo m.msul *11 ueOjm.,V llad
Jo panbal! IV pap'maa
Ol
Nmoi no AiNnOD
101
`AJOIH oN HILL
nal~is
paa~ ~,JOlmax~
-3le1S y+OA Maki Jo aprslno nal!el ouawapalmeuyae lqp „
hwHpa!MOuyae 5u!ys, 1,.P!A!pw
J0 aagjO pon aanleu8!S
'(ua,pi eem IuowSp!mouyae ayl noe!d Iay!o Io Aqunoo to atns ayl pue uo!s!n!pgns
!eapyod Pyto to APa ayI uasu!) - -ayI w pau5lslapun ayI Mopq aauereadde yaps apew!enpwlPw
yons Ieyl pua'IUawm!su. ayt pa!naaxa'paPe (u)!en[`impu! ayI ymym Jo J!eyaq uodn uo d ayj to'(s)!enp!n!pm aq]'IUJW SU1 ayI uo
(s)aiweu&s nay!pay !q Aq Ieyl'(sa!)APnedea naytpaLpiq u! awes ay] palnom Aalppgspy my aw w pa5pa!monyae pue Iuawnalvul u!ypm
ayt w paquosgns (am) sl (s)a=u moyx (s)!enp!n!Pu! ayI aq of aauopwa Siopep tamp s4eq ayI uO an w Panoad io aw w u Oq Apeuosmd
pweadde Apeuosad'pau5!sPpun ayl `aw aloJaq - maA ayI m Jo Aep alp u0
•ss
AllunoJ u5!aa01 10'uo!ssassud `AunlPUa,l's!gwnlaJ JO Puls!0'alvIS „
'31-19 ~I+oA mall o! uaI!e/ s/uawSpalmou>tae and , oel
luawlpajM u>pv 8uppI4 lsn u! w 1f WWO
P. P ,uaw5pa!MOUIPe 5oi>tn In ! lZ/V "Jldxg UO!95! 0
!o aaU)O Pus aunlsu5l5 'Jo aaUJO Put MR nH!S R!IInOQ neBSeN u! Pep!!e0p
9L9999V'ON
o l0 9 x Opgnd Ne)oN
aN
0tlNOw 'tl AOtltll
ay1 palroaxa'pa!m (s)(nnplnlpw ay! q3!q. Jo J!eyaq uodn uwaad ayI patnaaxa'paPn !enpya!ym Ju J!eyaq uodn uosmd
ayI n'(s)!enplnlpw DIP'JUawn1I501 ayI uo (S)amleu515 nays/nyry!y ay! Io'(s)p nPIATpw OLD
',uawtWSU! ayI uo (s)amleu5!s nay!/ny!s!y
Aq gup pue `(saQApaeduo nay!paq/sly ul awes oql W lnoaxa Aq vmp poe'(sal)Allaedea 11a411Jmps!4 u! awes DIP palroaxa
Aaylpgspy teyl ow a) paSpa!moujae pue iuawluuu! u!yl!m ayI Aaylpgspy Ieyl aw of pa5pa!moujov pue In umusw wyllm ayl
of paquosgns (an) s! (s)aweu a5oq a (s)IMPIAEPul ayI aq of amapua of paquasgns (am) s! (s)aweu asoym (s)!enPWpu! ayI aq of aauapma
Anioppi es Jo slseq ayt uo an oI Panoad to aw ol.umotq Apeuosmd kwInJsyes Jo'slb'eq aqi U20,1. w RAwd to ow w umo" Apeuoend
_ paaeadde Apeuosnd'pau5lsupun c 11 - Z j panadde A!euuwad'pau5!saapun
ayI a. aloJaq maA ay1 w Jo Aep -ayI uO ayI aw auo;aqq Olo maA ayI uyj`Jo Aep $ / ayt u0
. ss ( dO A.LNn00 .xs (Y1DS5 V 0 110 ALN!IOJ
( MHOA m3N d031.VLs • (JOIOA M3N 303J.V.LS'.
SCHEDULE A
ALL that tract or parcel of land situate in the Town of Southold, County of Suffolk, and
State of New York, known as Lot No. 121 as shown on a certain map entitled,
"Subdivision map of Cedar Beach Park, situate at Bay View, Town of Southold, N.Y."
surveyed and certified by Otto W. Van Toy], Engineer and Surveyor, and filed in the
Office of the Clerk of the County of Suffolk as Map No. 90 on the 19th day of December,
1927.
TOGETHER with an easement for ingress and egress over all streets, roads, drives and
lanes as laid down on said map; and also the right of ingress and egress in and to any of
the Inlets, Basins or Harbors on said map and to moor a boat or boats in Cedar Beach
Harbor.
TOGETHER with all right, title and interest of the party of the first part, if any, in and to
land in front of said premises under water in the Peconic Bay and all seller's riparian
rights thereto.
TOGETHER with the right, to run with the land, to use and enjoy in common with
others enjoying similar rights and privileges, those portions of Cedar Beach Park, which
may be set aside for Community purposes, subject to any rights, reservations, rules and
regulations made by Cedar Beach Park Community Association, or its successors.
The use and enjoyment of the Community Property at Cedar Beach Park shall be limited
to those persons, who are the members in good standing of the Cedar Beach Community
Association, the authorized guests thereof or of the Cedar Beach Park Inn.
- PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: hapJ/www.orps.statemy.us or PHONE (518) 474-6450
FOR COUNTY USE ONLY
CI. SWIS code YZ..~9 REAL PROPERTY TRANSFER REPORT
STATE OF NEW YOM(
C2. Data Dead Recorded I / / l 4II STATE BOARD OF REAL PROPERTY SERVICM
~7 /I mm Y wee. 1
CS. Book 1 / I al 71 Ld, O I C4. Papa I ly 7~ I d ' w . de RP - 5217
III a- an
PROPERTY INFORMATION
t Prop«<T 500 West Lake Drive
Lille. offe'reass. 1 In res 1
L Southold I 1119711
pnh TeYa, mucE Is,
2 Sus 1 Hollis I Ingrid
Name Lan YL<lcwYxr nanwre
I
Yn xYml x r twnxw
a.Tax Indira" He M. T. HIM re an be um Hollis Ingrid
wnino it dsorM.n Wryw a.,wls lyann alomd I [a+zl!
Maras ' rear race
1 86 North Court I Roslyn Heights 1NY 1 115771
..axpmanwaR /T --road nnrt se.
4. Indiuta the nur,Mer of AsannwM 1 / IOnI, B Art a a Fbnall Dlwk n tlq qpy:
RWI pwY tnhNmd en W tleetl ~'I a of Percale OR El Part of a Pemal M MMog Bak w W SI wion ANhviy Etlu ?
III, ONE W Slidivi.inn A.mnl sea, Rdbuisdl Wr Tmmbr ?
Prop sty I I X1 an 1 .9.41 aD Fare, Alimse l MI am..irpn.im fife, Prwiddl ?
sin ans- MwX
H. Miller, Hollis Ingrid as Executrix of the Estate
Nome ua'wwelmxraxv rlenXYE an as£-NiII nS~Ot2n~or
George R. Hollis QS1 !I,I )~LBrP
Yer rYME1COM.WY FIRi Wx[ U'Rs
1. Check Ma has Warw whloh meet ...read, desriln the ha W we prepeM W d,a HIM al ula check ma Wm bebw and May yMly:
e. Ownership Typo Is Condominium ?
A One Family Residential E Apd,ultuml I Communiy Saudis. A Now CanpmOon on Vawm Lend ?
B N2w3 Family Rnidemlel. F ~ Ddr, mertl.l 3 ~ Indi l 1h. Fro i lnalad welhin an ApdWtuml Oeldo ?
C Rnidwltl.l Views "no O Apartmem K H Bo nrin IN. Bum rac iwd a disclosure nail iXiathp ?
D NonRe idendal Vacant land 11 Enteneinmem lamunmad L Forea mN the proparly is in an Almaden, Didda
E INFORMATION - 15 Chsk nee mr mom d den p MO a appke W hs',d s
tt. s.l. eenm.W Ode 1 9 / 18 / 13 I A Bale Between Relalives a Farmer Relalae.
' B Sale Between Ralewd Companies., Parms. I. Business
C Dee or me Bums is ml.a Saar
12. Data W Sale I Transfer I 9 / 1 R / 13 D Bum or Mier Is Goaernnent At1sa' or Lending Iratitu,on
as We rw L' Dew Typo M wbronty or Wir ale end Sac ISpsi, 8.1.*
lf~J F Me of Frsllowl or Lays man Fee Wend 45p..Ky Bddwl
I v 0 1) G spniTram Cheops in Aopeay Balwen TambN SMlus end Selo Darn
I& Pup Sda area,
1 H Sete of Bhihs' he Included In Sad Rica
Full Sale Pries is life lawl emeent paid forme proeeM Including penaM property. I Offer Unusual Fedora ARV1ln, Sde Flee Mondry Below)
This hwnant may as I. Mae form of cad, mass props" ar papa, er me eseumpdan W
moteeeeearahsoblipalioraJ Plow muff Fe ma Mrnr wlwM doss annum. I NT L
1~J
,..ldr Bs' asks' apa,.en.1 I I
propwwlsL .nMaWe 0.0 , ~,y Tn:'t°res
ASSESSMENT INFORMATION - Dew should reflex me INN Final Assessment Roll and Tax Bill
If. T. W A.nunnd Rap horn J~1 17. TWO Maned VaWe We dl pe.M M mndsl I O
wrack inkrm.B Wk. L s '
N. PropMy Dsu 4d-.X-Q--1 to 9d,eel Disbkt N.ma
10. Tn M.P Mseba4d I Roll IdnW((Sl~~d IS mss 1Mn Wur. aNxM1 MM wfM addM.d Nmluladdl
Sectionbro.00 /Jyy ~1 22 I I Slock& -1JO
Lotd22.Wo '4' UoCJ'WO I Iwo
CERTIFICATION
1
,d mar m u e, ew iMs, W IMwdwtlpn herein Mir f an tae atl cars, Ito Ih Wa W r d ll 0 fln IM eM M1Nkan add I unde,dpttl WI Me nralJrT
x HIM flake, dtltelrmd W nulafil M herds sell uhjm Me W Ile e nwhkan d Me Incr.l , War reWlLe W metiaa and Til1,M,d fake iYtrvmmW
BUYER BUYER'S ATTORNEY
9/191-201 Soffey Douglas
ev. x.rule ' wrt 1~° Laireas real asse
86 North Court 516 I 294-1996
omn,,ehw emEM1rYfoo-o'aD aXYLpp! FILL-LaINVIF Mass
Roslyn Heights NY 11577
onnTowx vrart .awe
' SELLER [N7EW YORK STATE
COPY
X 7~. e m /fs~LtJ ",ec_ 19~~814Q3
YL alya'YR DF,E