HomeMy WebLinkAboutL 12764 P 290
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 02/20/2014
Number of Pages: 4 At: 04:16:44 PM
Receipt Number : 14-0020258
TRANSFER TAX NUMBER: 13-19089 LIBER: D00012764
PAGE: 290
District: Section: Block: Lot:
1000 144.00 03.00 040.004
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 $5.00 NO RPT $60.00 NO
Transfer tax $0.00 NO Comm.Pres $0.00 NO
Fees Paid $260.00
TRANSFER TAX NUMBER: 13-19089
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of pages
RECORDED
2014 Feb 2n n4: 16: 44 PM
JUDITH R. PRSCHLE
This document will be public CLERK OF
record. Please remove all SUFFOLK COUNTY
Social Security Numbers L D00012754
prior to recording. P 29n
DT# 13-19CS9
Deed/ Mortgage Instrument Deed/ Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/ Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20. 00
2. Additional Tax _
TP-564 Sub Total _
SpecJAssit.
Notation
or
EA-5217(County) Sub Total Spec. /Add.
EA-5217 (State) TOT. MTG. TAX
R.P.T.S.A. 6~~ Dual Town Dual County _
Held for Appointment
Comm. of Ed. 5. 00 Transfer Tax
Affidavit Mansion Tax
(M The property covered by this mortgage is
Ified Copy 5
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES orNO
Ocher cfii
Grand Total a~() If NO, see appropriate tax clause on
page) of this instrument.
4 Dist. 14003986 1000 ~'IpI14400 0300 I040004 5 Community Preservation Fund
R
Agency eal Property ! t P
Tax Service F2 OHIO A
T -F B 1 IIIIII IIIII II II II II II II 11 III~IIII CPF Tas Due Amosnt $
Verification -
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
&/27- RECORD &&RRETURN TO: y- y - Vacant Land
1Z0?n' f5l5 ! i TO
TO
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co. Name
www.suffolkcountyny.gov/clerk Titles
8 Suffolk County Recording& Endorsement Page
This page forms part of the attached ,O r made
by: (SPECIFYTYPE OF INSTRUMENT)
SPQ N 7 T (r~ ` The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.c
71 '7I~` TO / In the TOWNof
D? (~Ul~~
It SH l` e)416a/S Inthe VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
NY 030- Bargain and Salc Red Without Covenant Against Grartor's Arts .Individual or Corpoation (Single Shea) (NYBTU 8(101)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -THIS msritumENT' SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the -2- day of ' bj , in the year 201~- got v
BETWEEN
SEAN H. PETERS
108 Remington Road
Manhasset, NY 11030
party of the rout pan, and
HSA Holdings 11 LLC
108 Remington Road
Manhasset, NY 11030
party of the second pan,
WITNESSETH, that the party of the fast part, in consideration of Ten Dollars and other valuable consideration
paid by the party of the second part, does hereby gram 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 SCHEDULE "A" ANNEXED HERETO
Being and intended to be the same premises conveyed to the grantor herein by deed dated May 11,
2004, recorded February 3, 2005 in Liber 12369 page 717.
TOGETHER with all right, title and interest, if any, of the party of the fast part of, in and to any streets and mads
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 pan
forever.
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 "ponies" 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.
LN PRESENCE OF:
SEAN H. P ERS
USEAcxivowEDGMFMFORAIBF.IOWWI ANEW YomSmm ONLY: USEACKh'OWLEDGM FORM BELOW wIMMNEW YORRSrA7SONLY,
State of New York, County of NCO ypQe; )ss.: StateofNewYurk,Countyof }ss.:
0. th.44(d y of DWki0bWjAkW4-f in the year W~ On the day of in the year
before me, the undersigned, isonally appeared 201f before me, the undersigned, personally appeared
SEA9 H. PETERS
personally (mown in me or proved to me on the basis of satisfactory personally known to me or proved to me on the basis of wdsfactory
evidence to be the individual(s) whose name(s) is (are) subscribed to the evidence to be the individual(s) whose Game(s) is (are) subscribed to the
within instrument and acknowledged w me that he/shelthey executed within instrument and acknowledged to me that hdsheithey executed
the same in hislher/their capacity(ies), and that by lim/her/thea the same in hisherttheir capacity(ies), and that by hislhceitheir
signanum(s) on the instrument, the individual(s), or do person upon signature(s) on the ins nument, the individual(s), or the person upon
behalf of which the individual(s) acted, execut~ theansuunrent. behalf of which the individual(s) acted, executed the insttumem.
JOSEPH DI OL
•`,1d~1 Iary public, State of New York
No. G1()14937148
3 7., ..,pualified in Kings County
t6 C fission Expires July 11,
ACXrr'OWLFOGME ~ FOR USE W1TNr,YNF.W YORKS/ATE ONLY: ALKNOW/RIX:.NRNTFORMFOR USEOInSIOENAWYORK $TATF.ONLK
(,Vew York Sabrzrib(nX Wirmse ACrnow/edRmem C'art~/'icare/ IOmofgwuor Foreign General Acb: wledgmem Cenfcare/
State of New York, County of ~IEJ YDIp )M: ) se;
(Complne Vewr wilh Sta" Caun" PmWnm ar Municipals y)
On the 3N dayof ~M ALy intheyear 2OI4
before me, the undersigned, personally appeared 14Pi rEC On the day of in the year
SEM.a S before me, the undersigned, le'tsainaBy appeared
the subscribing witness to the foregoing instrument, with whom I am
personally acquainted, who, being by me duly swum, 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 (arc) subscribed to the
within instrument and acknowledged to me that us//he/they executed
(frheplace ofresidertce is in a city, include the. street andstreer nronber, the same inhtiWhedtheir capalityles), that by his/hert their signature(s)
ifany, nheregn; that h shelthey 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 individaal
to be die individual described in and who executed the foregoing nude such appearance before the undersigned in the
instrument; that said subscribing winces was present and saw said
execute the same; and that said witness a the same time subscribed (/risen the city or otherpolitical subdivision ruin the state or country or
his/her/their name(s) as a witness thereto. other place the acknowledgment was taken).
BARGAIN & SALE DEED
(Wormer COv.Amr AGAINSTGRAMOR' s ACIs) 1000
DlsrwcT 144.00
BLOCK n'O. LCKN 03.00
BLOOCK 040.004
SEAN H. PETERS L Suffolk Co./// Southold
COinGNrY OR TOWN
TO
RECORDED ATREQDESTOF
HSA HOLDINGS II LLC
R RNRYMAILTO
Robert M. Fischette, Esq.
Fenian & Fischa tte, LLP
P.O. Box 1283
Southampton, NY 11969
w
U
LL
0
W
2
t]
06
U
W
¢
0
W
N
s
w
U
Q
w
N
M
F
W
1
2
W
N
ne
C.Msel ~!~3167i
We Number UL-"952
certain plot, piece or parcel of land, with the buildings and
ALL that lying and being in the Village of
improvements thereon erected, situate, being
Matatuck, Town of Southold, County of Suffolk and State of New York,
bounded and described as follows: point is south
line of Bay Avenue, Which Po
BEGINNING at a point on the westerly a he
00 degrees 46 minutes 00 seconds east 126.34 feet from a monument therly It line set of at t the
Intersec ion of Charles e rly li a of Bay Avenue with the southerly
now or formerly 00 degrees 46 minutes 00
RUNNING THENCE from sai
a point of of BayiAveuue~ 50 00 feet to land now or
westerly
seconds east, along the
formerly of Francis P. Vermaelen, 31•
THENCE south 76 drees 58 formerly of Francis P Vermaelen, 71r., r., 3700 seconds west 36 feet to a along point and land now or
formerly of Usa P. Lennon; USa THENCE north 21 degrees 30 minutes Wal00 seo,)nds west ter and Caroline aenskl lands feet W a 148.19
Lennon and land now or formerly
point and land now or formerly of Charles 1. Vermaelen; ds east
long
427.44 nfeet to the point orn place of
said l formerly onor f Charle essg . 58 minutes
BEGINNING.
1910 Bay Avenue, Maitiwd4 NY 11952 ,
PREMISES:
REFERENCE UIS20 22153818
aY:
TAX pESiGNAT10N: DLstritt : 1=, Sectlon :144.00 Block : 03.00, lot 040.0
a one or two fam0y dwelling only.
i Said premises is or witf be improved by
i
I
FOR COUNTY USE ONLY q Nee York Stab Department of
c+.swocode 7, Taxation and Finance
C2. Dabdlsed Rdperded I V °2/ ateyy/ / T 1 9 ORICB of Real Plopelly Tax Services
Ca. BBBk I/,A7,0~cdPage L f RP- 5277-PDF
Real Property Transfer IbpM (a78)
PROPERTY INFORMATION
1.pn ft 1910 Bay Avenue
Ipratlr
•ausxrnprx •s,wetxrae
ou
Sthold l Mattituck 11952
•onamwx vaubemma
2ms+ HSA Holdings II LLC
nr,xoMmaexr Nwrnar
3. TIM
s,aramwhp,sluroTr B4Y anbMrm
Molne adhx Mr Myx tla,er(r edam dm.) nrrxxx
Mdnrs-~Ftl1µr
wurnusw4wwae amcamw, are ems
a l„iraYBn wsbrdAaaremad 1 ?PSeNaP•,m~ (Onlytl Pax Ma hnmO WeY as May apply:
RdlrNaYYr awred wtlndW NufPadab OR ~ IA Plannkp Bped Yih 8,OdiWbn 0.vebdiy Enlab ?
1.3s
JI OMM x OR
aB. auMiNivn ApPer•I rorov Raq,eatl bTn,Nx ?
P pM
nty 'nVnrOi 'aOM '.VRI
Sm aC. pemlAppprd waubdhtlebn NM MepPmAtlad ?
Peters Sean H.
asdw •4arnN.ROIaMr nrramc
wx.
,...1MIGm1Y.a. rW.nee
'1.8NrIMSMarlptlrwelellnrtesueagl daaeMe tine CMak ax boreeNOxr Mayeppry:
nw NMa pngpxly Nlae aloe dedx e.Onxnbip TypsrCOdwNnlum
A. One Family Residential
18A. Pmpmg Loa" wMln an/gdnlrnl Dreid ?
108. MIrR naked a dwbepm nation Indicating Md ft popft Y In r ?
AyiddN ObAdd
[SALE INFORMATION
A. Bar Mho, ReYdwe a Fommr Rdallw
11. else /wdnpt Cale B. Bab balueen RNBIBd CompwM x Pa4wuln BueYm.
C.Oned tlb Byron isaboa Saw
'1i IMb NBaYRnrM ~ ~ O.B,yvxSetlvYGwamwntAamYUta,dInBlnmL,Ibn
E.Ord Type wt Wa,nnyx Bupeln ud SeY Ispedb Beldwl
Ch l tan Men Fr Inbnal II~edN0abw1
F.SnindRadlim
'tAFdl BabP,ISe 0.00 H. ni
IndYepxrtldw®,TacaW Sbsxutl Sob Wbe
H. Sale Bela of Neimesis Ind Aff InSarPb
IRe Bab Pdw le MebrlamudpalswMePNpecbInrLding puvel PmPwM I. odlxunuChnpe uW FaeYmA)w•*g rote 141a(8pedry 8ebw)
ThYpeymxa mry M In IM ram, dmM, oche pngxyuapodA x Ne aecunpebn d
ngryepas paMxeaalBtieN.))WBrlpladrdlerNanx Mxbdsramwd J. None
'Cemnunga) w CeMtlx,:
14.hMrm Ma Hr cf pmq,al
papxglndWtllstlu rls 0 .00 change of form of oenexship
ASSESSMENT INFORMATION- Date shoals wed the teteN Final Assessment Rol and Tax all
1a Yex NAaaarmaN edlYVm wNCh 4dxmripnbkrCM 13 '17.TNNAeaeerd W. 618,644
'fa Pnpx1,C1mw •1e. algal EYaO Mane Mattituck
'30. Tea tillIdrglrrp)cell ItleNllrrte)Itl nxn tlunlour. eyartc Neatwllh*Wlft lMMrm(s))
1000-144-3-40.4
CERTIFICATION
1 Ce"am all Nat Mae of Information amnadw tide knM nn Yr xd wad lte tlx bat of my awNxq. xM bdK and I unlanwd tMtlr mW,g NS,g wtlN
tern arMrNN nwindel lest hxeln wblerA mob ebayyadNppe dMa venal Ia-nWM bdN nab, Md Mind Nfalr YeY,nuda.
'1 wektlx YnAn YiMedrpnsasWy,mxamn Maenad Htn,allxpmYgM1ralryepnWy
aLnoERSONA7iMte IFtYr IMnxn b nY e,ex. bb: a Y,x, Y tLG V orb. eel m V nra~ pn tlaa w,pee iN v
'I pMMew®we~xtipwwardYg MexWmelYnnM.TlAxpdntluYA
ante, 61V,e Gia (/r
NSA Holdings IT LLC
usaxe noon
~I71~W ,mwws -ma,nramavn w.:®l
an
108 Remington Road
'911H1bYF11 •.n Mnx
Manhasset NY 11030
ans+an ronre •ama
BIOff4$AIIQ&IET
Fischette Robert
usr,me cam uro,a
(631) 283-3510
.name +ur~xcarar®Iw.axrwrl