HomeMy WebLinkAboutL 12766 P 173 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 03/10/2014
Number of Pages: 4 At: 09:28:18 AM
Receipt Number : 14-0028787
TRANSFER TAX NUMBER: 13-20470 LIBER: D00012766
PAGE: 173
District: Section: Block: Lot:
1000 115.00 13.00 017 .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 $60.00 NO
Transfer tax $0.00 NO Comm.Pres $0.00 NO
Fees Paid $255.00
TRANSFER TAX NUMBER: 13-20470
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of pages 4- RECORDED
20-14 14ar 10 09:28.18 P[t
This document will be public JUDITH 0. PASCPLE
record.Please remove all CLERK OF
SUFFOLK COUNTY
Social Security Numbers L DOOO12766
prior to recording, P 173
Deed/Mortg-age I nstru ment Deed Mortgage Tax Stamp Recording/Filing Stamps
3 1 "NO FEES Mortgage Amt.
Page/Filing Fee —0 0�' 1.Basic Tax
Handling 20, 00 2. Additional Tax
Sub Total
Notation or
EA-52 17(County) Sub Total 15-0 Spec./Add.
TOT.MTG.TAX
EA-5217(State) Dual Town Dual County
R.P,T.S.A. Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Mansion Tax
Affidavit The property covered by this mortgage is
Certified Copy — or will be improved by a one or two
15. 00 15� family dwelling only.
NYS Surcharge — Sub Total QUITCLAIM DEED Other Grand Total C� If NO, see appropriate tax clause on
of this instrument.
-J;�om mu nity Preservation Fund
14000672 1000 11500 1300 017000 5;
on Amount$
Tax Service 09-JOAN-1 CPF Tax 2
Agency rf _�e)
Verification improved
— Satisfactions/Discharges/Releases List Property Owners Mailing Address
6 RECORD&RETURN TO: Vacant Land
When recorded return to': TD_
SearchNY
225 Broadway, Ste. 840 TD_
New York,NY 10007
(212)608-2546 t716406,Al(o TD_
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name LS1
www.suffoikcountyny.gov/clerk Title# E16606846
8 Suffolk County Recordinq & Endorsement Page
��
This �ge�mom��t�m���
bp ~(SPECIFY TYPE- ---MEN'O
The premises herein b situated in
SUFFOLK COUNTY,NEW YORK.
To |ntheTOWNo*
|n the VILLAGE
m,HAMLET vf
BOXES Tnxo8 MUST aE TYPED on PRINTED|w BLACK INK ONLY PRIOR To RECORDING nnFILING. 70 V-e7r
f
When recorded return to
ScarchNY
225 Broadway, Ste. 840
Ncw York,NY 10007
(212) 608-2546 t-:�
Return to and mail tax statements to:
Amy C. Demchak-Connell
900 Theresa Drive
Mattituck, NY 11952
Property TaxID#: 47388911500000130170000000
File#: 16606846
QUIT CLAIM DEED
MADE this t t day of v�+ ,2013, by and between AMY C.
DEMCHAK-CONNELL f/k/a AMY C. DEW HAK, a married woman who acquired title without
marital status, of 900 Theresa Drive, Mattituck,NY 11952,Grantor, and AMY C. DEMCHAK-
CONNELL, of 900 Theresa Drive, Mattituck,NY 11952, Grantee;
WITNESSETH, that said Grantor,for in consideration of the sum of ZERO($0,00) DOLLARS,
and other good and valuable considerations in hand paid by Grantee, the receipt whereof is hereby
acknowledged,does hereby remise, release and quitclaim unto the said Grantee forever, all the right,title,
interest,claim and demand which the said Grantor has in and to the following described lot,piece or
parcel of land,situate, lying and being in Suffolk County,New York,to-wit:
SEE COMPLETE LEGAL ATTACHED AS EXHIBIT"A"
Parcel ID: 47388911500000130170000000
Commonly Known as:900 Theresa Drive, Mattituck,NY 11952
TO HAVE AND TO HOLD the same together with all and singular the appurtenances thereunto
belonging or in anywise appertaining, and all the estate, right,title, interest, lien, equity and claim
whatsoever of the said Grantor, either in law or in equity,to the only proper use,benefit and behalf of the
said Grantee forever.
. '
. ` . . . . .
. `
. ^ .
. . . . ' . . . .
IN WITNESS WHEREOF,Grantor has hereunto set nhand and sea[the day and year first written
_
above.
AMY C'. DEMCHAK-CONNELL f/k/a
AMY C. D2MCBAK
STATE OF SS.
COUNTY OF_�"(C )
CN the day of -3-J\ in the year before me,the
undersigned, AMY C. DEMC8&K-CO�NELL Dk/a AMY C. DEMCHAK, personally known to me or
provided tumemn the basis oy satisfactory evidence to6e the person whose name(a subscribed tothe
within instruments and acknowledged tume that the Grantor executed the same in Grantors'capacity,
and that by his signature ontbeinonnmcoCWhoindividual,nr the person upon behalf of which the
individual acted, executed the instruments.
Notary Public-State of New York
NO.oiCA610,7478
clualified in Suffolk County
My Commission ExpireD
otary P�Jlofc
-_
owy commission expires: `-U - � ���| | ^
Nn title search was performed mn the subject property bv the prepurcr The prrpurcrof this deed makes
neither representation matn the status oy the title nor property use or any zoning regulations concerning
described property herein conveyed nor any matter except the validity uf the form of this instrument.
Information herein was provided topreparrrby Gran tor/Grantees and/or their agents;noboundary
survey was made ou the time of this conveyance.
EXHIBIT"A"
ALL THAT CERTAIN PLOT, PIECE OR PARCEL OF LAND SITUATE LYING AND BEING AT
MATTITUCIC, IN THE TOWN OF SOUTHOLD, SUFFOLK COUNTY,NEW YORK, KNOWN AND
DESIGNATED AS LOT NO, 13 AS SHOWN ON A CERTAIN MAP ENTITLED"MAP OF DEEP
HOLE CREEK ESTATES"AND FRIED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON
JANUARY 28, 1964 AS MAP NO. 4256 MORE PARTICULARLY BOUNDED AND DESCRIBED AS
FOLLOWS:
BEGINNING AT A POINT ON THE WESTERLY SIDE OF THERESA DRIVE,DISTANT 834.41
FEET SOUTHERLY FROM THE CORNER FORMED BY THE INTERSECTION OF THE
WESTERLY SIDE OF THERESA DRIVE WITH THE SOUTHERLY SIDE OF NEW
SUFFOLKAVENUE,
RUNNING THENCE ALONG THE WESTERLY SIDE OF THERESA DRIVE; SOUTH 2 DEGREES
40 MINUTES 40 SECONDS WEST, 100,00 FEET;
RUNNING THENCE SOUTH 89 DEGREES 32 MINUTES 00 SECONDS WEST, 182.28 FEET;
RUNNING THENCE NORTH 2 DEGREES 40 MINUTES 40 SECONDS EAST, 110.00 FEET;
RUNNING THENCE NORTH 87 DEGREES 19 MINUTES 20 SECONDS EAST, 182.00 FEET TO
THE WESTERLY SIDE OF THERESA DRIVE, THE POINT OR PLACE OF BEGINNING.
Assessor's Parcel No: 47388911500000130170000000
r PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS(RPv817-INS4:www.orpsstate.ny.us
FOR COUNTY USE ONLY -7 '
C1.SWIS Code 7 4{, New York State Departrrrent of
Taxation and Finance
C2.Date Deed Recorded 1 S/ 10 /14 i Office of Real Property Tax Services
�rruny '
RP-5217
C9.Book C0.Pege 1 , ► ,�I Real Property Transfer Report(8110)
PROPERTY INFORMATION
tLLoc�ationl 'TOO I 1 R4'�G�r�•, / _,_,._-- '-"
—SfFE T.R7E '
6� --A,�I ICs
CITY OR TOM vililoc— LYrxllx-
2.8uyar L�y,...,/H�)r Cc1i�1n�I --- I-- ,�/'�t I I
Name �A"rwTwL'1 lYR4f w -..
9.Tax if other where er ad Tax sans amca o sent f'1 .1►-�G 1['. {j•�{�,,,,
alpine d dhor than buyer address lot bottom of form) NwC rTlAixrN`"'� al'etM"r
Address ����j
SWEET NUaeEN AND SIHE@TNWE CnY ON TONA' STATE -A STATE d '
4.Indicate the number of Assessment
(Only N PM m a Parcel)Check n they apply:
Roll Itareols transbrrod on the deed L-.�.�._I of Panxls OR' Part of a Parcel
I..— 4A.Planning Board with Subdlvrow Authority Exists
S.Dew q 4B.Subdivision Approval was Required for Transfer L J
Property ICJ x 1 .. ccvnr--__J OR I. _O:e ,J 4G,Parcel Approved for Subdivision with Map Provided
r Six* 0
L Seller ( bf r .&1y fit...
Name wi
LAS.SAME I Goa-
7.Chock the box below which most accurately describes the use of the property at the tiTm of sale: Chock the boxes below as they apply:
8.Ownership Typo is Condominium
A no Family Residential E Agricuhn:rel I Community Service 9.Now Construction on Vacant Lard
() 2 or 3 Family Residential F Commercial J Industrial 14A.Property Looded wdNn an Agricultural District El
C Residential Vacant Land G Apartment K Public Service 140.Buyer received a disclosure notice Indicating ❑
D Non-Rosidantral Vacant Land H Entertainment/Amusement L Forest that the property a In an Agricultural District
SALE INFORMATION 18.Chock one or more of these conditions as applicable to transfer:
11.Salo Contract Dab I / / I A Selo Between Relatives or Former Relatives
`NarTi h�LW Year R Sale Between Related Companies or Partners in Business
(' Ono of the Buys.is also a Seller
12.nets or Sato I Transfer l 07 / ! /J01.3 I u Buyer or Seller is Government Agency or Leading Institution
ear Dead Type not Warranty or Bargain and Sale(Specify Below}
-/ ) Sale of Fractional or Less than Fee Interest(Specify Below)
19.Full Sale Price O I C Significant Change in Property Between Taxable Status and Sob Detes
Q
r 0 _-., H Sale of Business is included in Sale Price
(Full Sete Price is the total amount pad for the property including penanal property. 1 Other Unusual Factors Affecting Sale Price(Specify Borow)
This payment may be In the form of cash,other properly or goods,or the assumption or J None
mortgages or other obligations.) Please rou id te the nearest wholo ddb mowx.
14.Indicate the value of personal 0 U -
Property included In the sal
ASSESSMENT INFORMATION -Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of I formatmom Roll from ! 3 117.Total Amassed Value(of all parcels In bansftr_, ,
which Information taken -r
18.Property Clew L A_1__� 19.School District Nome + };_• a�! 1 r IJ G
20.Tex Map Maniff er(s)l Roll IdeatiBer(s)(If more Men four,attach sheet with additional Identifier(s))
_.i
CERTIFICATION
1 canary drat alt W the'- of bare w[on smell on this fam are trim and correct(to thin best of my knowledge and began text 1 understand tltet ate mewg of any vvnacl
Nw ststanrsnt of manorial hart herein will=Nmt me to the previsions of the panel taw roledva to ere mmkkq and nitre of Sales hadrum nta.
SELLER SIGNATURE BUYER CONTACT INFORMATON
't (E.Worme.lea the Baer.Note:a buyar h I.I.C.Society,aaodshoo.wgmmaon,jam eta:v
�. ..k. r _( 1 t 3 or arvWRhwlaan.rmay rase�a"uwfcv rnte'n Widua'Ra gird orrfi ucuaV.th n a mina and writad irdommm
SELMERe '�_C �`__•••• r�poneN Writ rwj"rV the trerafir mien be omMen
Type or pdet clearly.)
BUYER SIGNATURE /
-I I-t
aurE NJrA (I, rM1 RT I&WE n�RST`K'M7"E
ltpE MIM
BUYER'S ATTORNEY
1 �nAREACOUE �TEELEP,HHONENUMBER
,
1 a,NEF-1 NUMBER STMI-1 WJa-
_
ARFA COGS T6lPHerE NUMBER
NEW YORK STATE~�� OnYea T0" STATE MCOeE
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COPY