HomeMy WebLinkAboutL 12772 P 731 111111 VIII VIII ILII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED WITH LIFE ESTATE Recorded: 05/02/2014
Number of Pages: 4 At: 04:16:52 PM
Receipt Number : 14-0057476
TRANSFER TAX NUMBER: 13-25097 LIBER: D00012772
PAGE: 731
District: Section: Block: Lot:
1000 018.00 05.00 002 .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 $5.00 NO RPT $60.00 NO
Transfer tax $0.00 NO Comm.Pres $0.00 NO
Fees Paid $260.00
TRANSFER TAX NUMBER: 13-25097
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
5T21
RECORDED
Number of pages 2014 Mag 02 04:16:52 PN
.JUDITH A. PRSCALE
CLERK OF
This document will be public L D0001SUFFOLK C2772OUNTY
record. Please remove all P 731
Social Security Numbers DT# 13-25097
prior to recording.
Deed/Mortgage Instrument Deed I Mortgage Tax Stamp Reca[rding/Filing Stamps
3 FEES
ti Mortgage Amt.
Page/Filing Fee fAu
1. Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Notation SpecJAssit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. SOD
Dual Town—Dual County
Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit Mansion Tax
it
it
Certified
if_ The property covered by this mortgage is
ertified�Copy or will be improved by a one or two
NYS Surcharge 15, 00 3UD Total family dwelling only.
YES— or NO
Other
Grand Total tr"r) If NO,see appropriate tax clause on
page#—of this instrument
22(6-1�
4 1 Dist. 11 5Z.Ar) n I-— r'I- n17fro I Community Preservation Fund
Real Property, 14010497 1000 01800 0500 002000 Consideration Amount$
'Fax Service pT S
Agency R DTy A Tax Due $
-APR-1
Verification 28 9 1111111111111111111111111111111111111 ;"—E� Improved
6 Satisfactions/uiscnargesixe teases List Yroperty-uwners ivialung-Auaress
RECORD&RETURN TO: Vacant Land
UJIcKhn(yi , fixe�IeA i-Geloe6l1 C . TD 10
Dox 1q ,
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Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Com ariv Information
310 Center Drive, Riverhead, NY 11901 Co.Name H�1
wwvv.suffolkcountyny.gov/clerk '�o
Title# .
Suffolk Count y Recording & Endorsement Page
&1i - J
This page fo rms part of the attached 6 n P, fj 4 le beeDLA)I* &VOVA � made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of -60C40 IJ
kc)0�T"`, In the VILLAGE
61111A
or HAMLET of 0
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12-0104..1010ekk (over)
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
Form 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the-4day of February, 2014
BETWEEN
HARRIETT R. RACKETT, residing at 165 Oysterpond Lane, Orient, New York 11957
party of the first part, and
ROBERT JAMES RACKETT, residing at 165 Oysterpond Lane, Orient, New York 11957
party of the second part,
WITNESSETH,that the party of the first part,in consideration of Ten and 001100------------------------------
--------------------- — ----------------($10.00)------------------- — ------—-----dollars,
and other good and valuable consideration paid by the party of the second part, does hereby grant 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 at Orient in the Town of Southold,County of Suffolk and State of New York, being more fully
described on SCHEDULE"A"attached hereto and made a part hereof.
SUBJECT to any state of facts an accurate survey may show.
SUBJECT to covenants,restrictions,reservations and easements of record.
Reserving to the party of the first part,Harriett R.Rackett,a life estate herein.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated
February 26, 2014 and recorded in Liber 1,,1769 page '7;po .
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 parry 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:
HARRIETT R.RACKETT
FormsldeedRackett2014LE
SCHEDULE
SCTM#1000-18-5-2
All that certain plot, piece or parcel of land, situate, lying and being at Orient, in the
Town of Southold, County of Suffolk and State of New York, being bounded and
described as follows:
BEGINNING at a point on the easterly line of Oyster Ponds Lade distant 121.68 feet
northerly along said line of Oyster Ponds Lane from the southwesterly comer of land now
or formerly of Winthrop H. Kellogg and Gertrude E. Kellogg; running thence along said
easterly line of Oyster Ponds Lane North 28 degrees 13 minutes East 120 feet; thence
along land now or formerly of the party of the first part South 72 degrees 29 minutes 40
seconds East 106.35 feet to land now or formerly of Young; thence along land of said
Young and land now or formerly of Kellogg South 26 degrees 48 minutes 50 seconds
West 135.04 feet; thence along other land now or formerly of Kellogg North 64 degrees
19 minutes 06 minutes West 107.92 feet to the point or place of BEGINNING.
Subject to covenants and restrictions of record.
formslRackeudesc
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of Suffolk ss: State of New York,County of SS:
On the.X day of � �'J in the year 2014, On the day of in the year
before me,the undersigned,person ly appeared before me,the undersigned,personally appeared
HARRIETT R.RACKETT
personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s)whose name(s)is satisfactory evidence to be the individual(s)whose name(s) is
(are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to
me that he/shelthey executed the same in his/her/their
mo that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the
capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which
instrument, the individual(s), or the person upon behalf of the individual(s)acted,executed the instrument.
which the individuals)acted nM14rA-1--
the' strument.
(signature and office of individual taking acknowledgment)
(signature and office of indi (dual taking acknowledgment)
Notary Public
Cheryl Simons
Notary Public,State Of New York
No.31-4970341
Qualified In Suffolk County
Commission Expires February 4,20
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of ss:
On the day of in the year before me,the undersigned,personally appeared
personally known to me or proved to me on the basis of satisfactory evidence to be the 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,and that such individual made such appearance before the undersigned in the
in
(insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken)
(signature and office of individual taking acknowledgment)
BARGAIN AND SALE DEED SECTION 01 5.0
BLOCK 0000
WITH COVENANT AGAINST GRANTOR'S ACTS
LOT 002.000
COUNTY
Title No. COUNTY OR TOWN
STREET ADDRESS
HARRIETT R. RACKETT
TO Recorded at Request of
ROBERT JAMES RACKETY COMMONWEALTH LAND TITLE INSURANCE COMPANY
RETURN BY MAIL TO:
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by Abigail A.Wickham,Esq.
Wickham Bressler&Geasa,P.C.
Commonwealth 10315 Main Road
AL-AMFFktL cowAw P.O.Box 1424
Mattituck,New York 11952
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INSTRUCTIONS(RP•5217•POF-INS):www.orps.stab.rgrme,
FOR COUNTY USE ONLY _ I New York State Department of
C1.WAS Code �77 /LlL/J Taxation and Finance
C2.flats Deed Recorded i ?5—/av��Z/ !TI ��e of Real Property Tax SerYlces
a,./.�
+� VNW Der TAM RP-5217-PDF
7 /
C3.Nook �, X . . I C4.Page Real Property Transfer Report(SHO)
PROPERTY INFORMATION
1-Pfepww 165 Oysterpond Lane
t station
'BTRCEt FR.r/0CR 'STREET NAME
Southold, Orient q!5q
Tatum d vuAOE 'aFccm
Z.Buyer Rackett Robert James
Name •LAST NAMN=MPAm
Flasl NAME
y18T FAYwR:aan'M!w !NN NAME
a.Tax Indicate whom future Tea Bills are to be we
Belling it other than buyer addrns(at bow,of form) LAST NAlelCDWN 1 AOT NAGE
Address
P.O. Box 67 Orient NY 11957
STREET M--R ANDN-E CITTORTOm STATE aRcoDE
4.Indlub the number of Assessment 1 0 d POMMS OR [:]Pan do Parole Jody N Pan of a Parcae M
Check as than,apply:
Roll parcels fmnefanmd on the dead 4A.Planning Board win Subdlvisal Adhdny Exists
$'Deed X OR mm .25 48.Subdiusion Appoval was Required for Tromf r
Property, 'FROMFUT •nEPTN •Awca
She 4C.Pared Approved for SubdMolon with Map WaWed
6.Seller Rackett Harriett R.
•IASr IMaaeCDYP11rIF F-Rsr Towe
Name
rAeT NwECorrPANT FORT NANE
17.Select the description which most accurately describes the Cheek the boxes bolder as they appy:
use of NNF propmly at the ams of sale: a.Ownership Type is Condominium El
9.New Cautmdwn an a Vacent Lend! El
ICA.Property Located wNNn an Agnculwae Detect
lost Buyor received a ch-Hn-To notice indicating that Box property is in an ❑
Agrearkurm Distil
SALE INFORMATION 19.Check one or mom of these conditions u applicable to hoarder:
A Sale Between Relabves or Former Rmesves
11.Sok Contract Dab n/a B.Selo between Rdmed Companies or Partners in Business.
C.One of the Buyers is on a Sailer
12.Data of SahRraesfar ^'•'a. —1 0.Buyer or Sailor is Gowmmem Agency an Lending Incaution
E.Coed Type not Wanemy or Bargain and Side(Specify Bmdw)
F.Sale of Fradionel or Less than Fes Interest(Specify Sekon)
N2.Full Selo Prim 0 .00 G.SilpeliduTt Change in Property Balis an Taxable Status and Sete Oates
H Sole of Business is Included in Salo Price
(Full Sole Price is the total amount paid for ere property Including persmai popery. I Other Unusual Factors MPrice ads ce(SpecifyBelow)
form Tats pay ism may be In do m cash,other Property W goods.a are ossumpdxt of J.Nana
morlipeas or Timor obligations)Waage mundfo film neemm whole WW ardcrmt
Cornrrtent(s)on CondWon:
14.Indicate the value of personal 0 •W
Property Included In the sale
ASSESSMENT INFORMATION-Data should relied the latent Final Assessment Roll and Tax Big
19.Year of Assessment Roll from which Information talcen(YY)4W
'17.Tdbl Aespsed Vaka
'ia.Property Class 210 — '19.School dsdkt Name
•20.Tax Map IdedlSarlayfloll Idesefbr(s)Of mom than four.mouth shoat viae addWmsi kesNflerlgl
1000-118.00-05.00-002.000
CERTIFI A I N
I Gley that dl of the Items of Information a to on this form are due and tonere Pro the best el my low --dgo and bdia4 and 1 understand Mat U*making army vAMt
false atatement or materiel fact hemb subject me to Ma•pp7yplon9.gLate.pepsl Iew.relsave to the making and filing offal"imtrumsnb.
RFI I E SIGNAzU1119 BUYER CONTACT INFORMATION
)) (EnbrintNmatlon arae lunar.NOw If Hann LLC,aooary,anhodhmSTarearaaan,taxa htrA mmpmy,orrat Er
�� �/7. 1.,,.,�r��J�—•
only em is nim kdrvitlwl agmt rxmd hey,even a nes.No mNaxceire San at on m*Mudk"pwmu
Mel whom enaRweuNbmsra"in"Ver wandwm oat be wawM.ryM fir pain chary.)
HaArTe tArl. Rackett DATE Rackett Robert James
BAYER ltIGNAI1jj,
'LAST NAME Final NAME
•MEACODE 'TE.EMWE hYMaERIFa anMlmf
RRo eWrrtX.Iames Rackett °"`E 165 Oysterpond Lane
`2-wom MM 'STREET NAM
Orient NY 11957
-orfop Ave •/TATE -b-cow
jj UYER•B ATTORNEY
Wickham Abigail A.
VST%ME Fear NANC
631 298-8353
MEA 100E 1CLEPKRE WYIIFRlH anSanwl
I I I