HomeMy WebLinkAboutL 12782 P 570 11111111 IIII VIII VIII IIIA VIII VIII 1111111111 IIII IIII
111111 VIII(IIII 11111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 07/29/2014
Number of Pages: 3 At: 09:43:09 AM
Receipt Number : 14-0097409
TRANSFER TAX NUMBER: 13-32397 LIBER: D00012782
PAGE : 570
District: Section: Block: Lot:
1000 026.00 02 .00 024 .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 $5.00 NO RPT $60.00 NO
Transfer tax $0.00 NO Comm.Pres $0.00 NO
Fees Paid $255.00
TRANSFER TAX NUMBER: 13-32397
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
53 2]
Number of pages RECORDED
2014 Jul Z?6*04f PM
JUDITH A. PASCALE
This document will be public CLERK OF
record. Please remove all SUFFOLK COUNTY
L D00012782
Social Security Numbers P 570
prior to recording. DT# 13-32397
Deed/Mortgage Instrument Deed Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
Handling 20, 00 1. Basic Tax
2. Additional Tax
TP-584 Sub Total
Notation' SpecJAssit,
or
EA-52 17(County)
Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. Dual Town—Dual County
Held for Appointment
Comm.of Ed. 5. 00
Tfansfer Tax
Affidavit Mansion Tax
Certified Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 Sub Total
family dwelling only.
Other YES or NO
Grand Total
see appropriate tax clause on
ase
-0this instrument.
000 OQ4.001-- - 0,270 o T (3;24-000 k,
4 Dist.— 5 Community Preservation Fund
Real Property 14018146 1000 02600 0200 024000
Tax Service /�P— 1111111]II�IIIIlIgIIllllllllllllllll�Ts Consideration Amount$ _el
Agency D
_JL y A CPF Tax Due $ QJ
Verification �22 L-)14 VIII
SatisfacUons/D--isefiarg6-sikif�ase-s List Pro Improved X
6 Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Jer)nt Fer b. GoulJ , cs<,. TD 10
PO. box gag TD
,50u+ old , XJ Y 11'371 TD
Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Com an Information
310 Center Drive, Riverhead, NY 11901
Wvvvv.suffolkcountyny.gov/clerk Co,Name FIDELITY NATIONAL TITLE
--r I -- Title 0-40 9 3 -11
N1 8 Suffolk Count v Recordi
Ag & Endorsement Pau
This page forms part of the attached made by:
(SPECIFY TYPE OF INSTRUMENT)
AL duLsinarw + A= 'V, The premises herein is situated in.
Ca +I,,. "LUn3rarin 1—kn3 t'-s;f SUFFOLK COUNTY,NEWYORK.
DTD 3/15-/q3
TO In the TOWN of
In the VILLAGE
Ann, V, l41j1<rneXnn Tcug4 or HAMLET of
--Or-ien+
BOXES 6 T14RU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
124104-30/08kk
(over)
Bargain ariO,Sale Deed with Covenants Against Grantor's Acts-Individual or Corporation
CONSULT YOUR LAWYER BEFORE SIGNING T141S INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the day of j u el 2014 BETWEEN'
ROBERT N. HULSMANN and ANN V. HULSMANN, as co-Trustees of the HULSMANN LIVING
TRUST dated 44AT 15, 1993, restated by Second Amendment on October 21, 2003, both residing at
1290 Willow Terrace Lane, Orient, NY, 11957
-# Ha rG
party of the first part,
ROBERT N. HULSMANN, as Trustee of the ROBERT N. HULSMANN TRUST dated
'Tu 0 Q 30+h —, 2014, residing at 1290 Willow Terrace Lane, Orient, NY, 11957,as to an
undivided fifty (50%) percent interest; and
ANN V. HULSMANN, as Trustee of the ANN V. HULSMANN TRUST dated
�.J un e ?0,,t 1, , 2014, residing at 1290 Willow Terrace Lane, Orient, NY, 11957, as to an
undivided fifty (50%) percent interest
party of the second part,
WITNESSETH, that the party of the first part, in consideration of TEN ($10.00) dollars,
lawful money of the United States 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, Suffolk County, New York, shown and
designated as Lot No. 5 on a certain subdivision map entitled"Map of Willow Terrace, Section l" at
Orient, Town of Southold, Suffolk County, New York, which said map was filed in the Suffolk County
Clerk's Office on November 28, 1969, as Map. No. 5407.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated
July 1, 1993 recorded in the Office of the Clerk of the County of Suffolk in Liber 11796 at page 957.
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 inCLImbered 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:
o ttuste e_.
ROBERT N. HUL MANN, 0-TRUSTEE
ANN V. 1-1ULSMANN, CO-TRUSTEE
STATE OF NEW YORK:COUNTY OF SUFFOLK.}ss:
On the -2e" day of J-u ti2 -2V' , 2014, before me, the undersigned, personally appeared
ROBERT N. HULSMANN and ANN V. HULSMANN, personally known to me or proved to me on the
basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and
acknowledged to me that they executed the same in their capacity, and that by their signature on the
instrument, the individuals, or the persons upon behalf of which the individuals acted, executed the
instrument.
r
Nc66 Public
JENNIFER 0.GOULD
Notary Public,State of New York
No.02G05024640-Suffolk County
Commission Expires March 14,201&
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny us
FOR COUNTY USE ONLY q,7
,7
I New York State Department of
C1•SUB coda I s l e I Taxation and Finance
C2.Date Dead RecordedOffice of Real Property Tax Services
0.,0., RP-5217-PDF
L4
CS.Book G.Page (✓l / Real Property Transfer Report(8170)
PROPERTY INFORMATION
1.Preporty 1290 WILLOW TERRACE LANE
Location
'etRaai WYBER 'SiRE[TNAtE
SOUTHOLD QRIENT 11957
-awmro �— "— wltAla: -ap 000E
2.Buyer ROBERT N. IIULSMANN
Name ' RRst WAX
usrNaawc0laAxr
ANN V. RULSMANN TRUST _
IAs,NAMkittliOAM' FITSINALE
s.Tax indicate whole future Tar Bills am to be sent
Billing If otho than buyer odtt nMM bottom or form) uwH raYscarr.Airr' MOST wua:
Address
SMEf NueskR wONAME -- orr OP Orv- atATE aposigE
a.Indicate ON number of Assessment 1 can d o Portal (Only It Pan of a Portal)Cheek as they appy:
Roll parcels transtr nod on the dead e d Parcels OR aA,Planting Board won Subdlvlstan Auhotly Exlda ❑
S.Dead _ \ OR 0.50 40.Subahnsion Approval visa Required for Transfer
Property •prom FakT —da•o •ACxu __
Size 4C.Forced Approved for Subdribiol with Map Provided
NULSMANN LIVrNG TRUST DTD 3-15-1993
6.Seller •LASTNWnOemN.•y - FMsi...a
Name
LAaI XAYaCOYpAN' —_- -- PINS,I."
•7.Select the description which most accurately describes the Check the boses below as they apply:
use of the property at the time of sad: A.Ownamhlp Type is Condominium
A.One Family Residential s.New Conviction on a Vacant Land M
10A.Property Located within an Agricultural District ❑
1106.Buyer nxened a disclosure notice intlitming am the property Is In an Q
Agricultural District
SALE INFORMATION1 is.Chock one or more of these conditions as applicable to transfer:
A Sale Between Removes or FOmter RemMBs
71.Solo Contract Data 01(k, B.Sale between Related Companies or Porkeers in Business.
C One of the Buyers is star a Seller
'12.Date of SakRranlihr, 0.Buyer or Sailor is Grnemment Agency or Lending Inslsuion
�__I_•__}_ _E'used Type notwarranty or Bargain and Sale(Specify Bebwl
F.Salo d Fractional or Less than Fes Interest(Speedy Below)
Full Salo Price 0.00 G.Significant Change In Property Between Taxable States and Sam Oates
-'- H.Sale d Business is Included in Sam Puce
I Full Sale Price a the total amount paid for Ina property inclining oemonal props-ty I Other Unusual Factors Affecting Sam Price(Specify Below)
This payment may be in the form of cash.other property or goods,or The assumption of ,I None
mortgages or other abfea'ucas.)Please round to Me nearest whale dollar amount
CammenNsi on Condition:
1e.Indicate the value of personal
propertyIncluded In the sate v 110
ASSESSMENT INFORMATION-Data should tellect the latest Final Assessment Roil and Tax Bit
16.Yesr ofAsaosament Roil from which Information takon(YY) 14 117.Taal Aasoued Value 15,50C
-16.Property Class 210 - „•- '19.School District Name OYSTERPONDS
'20.Tex Map Identlflanslritoli Identiaor(sl(if more then four,8=eh shoot with additional tdantlner(a))
1000-026.00-02.00-024.000
rffR-TIFICATION
I(Certify that all of the items of InformaUon entered an this form aro true and correct Ito the beat o1 my knowledge and belief)and I understand that tM making of any willful
"1"61mtfmootofiiterlal he In subtest mo te the pryvJf141lsALthO_pggaUaw,reuilre to the making and Itllnp of lame Instruments.
ELLER SICY,NATU COUYER CONTACT INFORMATION
t Ti'ffY ..I(Lnxr niomoion:a':'w bryo Flro a boyo w tLG.soaoY.✓man.Cggar06m lorx stock tom(wy.osuwt Or
Y a'ely:+m is rat or im-sir,pari o hitter.L' ..a nomas W o mtd rnion mon d m ndwaudkagalable
rarwr
t:Da'^'frlWfl!'e oanywhom aquostioerotarMll,ftnng&rWbeanlMadTo.created cMrs.)
lER 6xNaiuRE •� _—gR7E
1tR RE ,e NUI.SMANN ROBERT N.
'LAST MME MET NNE
—
SG. .. ..•Mu.. .ivYr.
dYyTR mtNAT.IR[
PO 301% :88
--stmeEf MIYmR '.I.w•u.
O:'.IEYT _ NY 11957
ti I r fi _.-atvw Taxa -sTATE -ap coca
014YER3ATTORNEEX
i G(YULD, ESQ. !.__. JENNIFER B.
nmilwm
I
1631) _ l65-60_8_5
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