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Home My WebLink AboutL 12786 P 350 VII Illi sill 11111!1111 1!111 III I I II III I II II I III!IIII IIlI 1111111 VIII 1!111 IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/26/2014 Number of Pages: 3 At: 11:00:03 AM Receipt Number : 14-0112310 TRANSFER TAX NUMBER: 14-02428 LIBER: D00012786 PAGE: 350 District: Section: Block: Lot: 1000 128.00 03.00 005.000 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 $250.00 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 $375.00 TRANSFER TAX NUMBER: 14-02428 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ❑ 2 RECORDED Number of pages 2014 Aug 2E. 11:00:03 A14 JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record.Please remove all L D00012786 Social Security Numbers P 350 prior to recording. DT# 14-02428 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing FeeMortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 / Sub Total Notation Spec./Assit. / or EA 52 17(County) `+ _ Sub Total Spec./Add. �) EA-5217(State) v TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held for Appointment Comm.of Ed. S. 00 �;: I _-%1 TransferTax Affidavit Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00family dwelling only. Sub Total Q YES or NO Other _ Grand Total ' If NO, see appropriate tax clause on age# of this instrument. 7 00 5 Community Preservation and Real Properl 14 W83 1000 12800 0300 005000 Consideration Amount$ TAge Agency P T IIIIl111II1Illlll�llllll111lllli�l111`1ll�llllll Verification R CWH CPF Tax Due $ 6 Satisfao� 25 AUG-1 - Improved r.,,yvw , ners mauirig'Aaaress RECORD&RETURN TO: Vacant Land TD Jeff Ehrlich,Esq 575 Jericho Tpke TD Jericho,NY 11753 TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name verrazano closing sery www.suffolkcountyny.gov/clerk Title# verr10505 8 Suffolk County Recording � �& Endorsement Page :J This page forms part of the attached r` made XA r� [ {SPECIFY TYPE OF INSTRUMENT) � - ` G" The premises herein is situated in SUFFOLK COUNTY,NEW YORK. Q �j Q rTQ/ // In the TOWN of C r 1 tl CIn the VILLAGE �� O ' � or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over QUITCLAIM DEED(INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8009 CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE,made the 4h day of April,2014 between AUD JANE PELCHUCK,residing at 15 LeBritton Street,Locust Valley,NY 11560 party of the first part,and DON C.PELCHUCK,residing at 455 Gibbs Pond Road,Nesconset,NY 11767 and LORA GASTON, residing at 171 East 841'Street,Apt 9F,New York,NY 10028 as Co-Trustees of the AUD JANE PELCHUCK Irrevocable Trust,dated April 4,2014, 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 remise,release and quitclaim 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 County of Suffolk and State of New York,bounded and described as follows: ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate,lying and bring at Laurel,in the Town of Southold,County of Suffolk and State of New York, known and designated as and by Lot Number 4,on a certain map entitled,"Map of Laurel Country Estates"and filed in the Office of the Clerk of the County of Suffolk on June 22, 1970 as Map Number 5486. Being and intended to be the same premises conveyed to the party of the first part on February 11, 1981 and Recorded on February 25, 1988 in Liber 8964 Page 488. 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,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 costs 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. / AU ANE PELCHUCK BY Agent Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK } COUNTY OF 1V9SS9J }ss.: On the_�day of April,2014,before me,the undersigned,personally appeared DON C. PELCHUCK,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 executed the same in his capacity(ies),and that by his signature(s)on the instrument,the individual(s),or the person upon behal ich the individual(s)acted,executed the instrument. JEFFREY S EHRUCH Notary Publ245�0�678w York Qualified in Kings Countl+ aor� (signature fice of individual taking acknowledgment) Commission Expires February 28, Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK } COUNTY OF )ss.: On the day of ,2014,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 she executed the same in her capacity(ies),and that by her signature(s)on the instrument,the individual(s),of the person upon behalf of which the individual(s)acted,executed the instrument. (signature and office of individual taking acknowledgment) Deed Title No. Section 128 AUD JANE PELCHUCK Block 03.00 To Lot 005.000 DON C.PELCHUCK as TRUSTEE County or Town Suffolk Street Address Vacant Land Southold,NY Return By Mail To: JEFFREY S.EHRLICH JEFFREY S.EHRLICH,P.C. 575 JERICHO TURNPIKE JERICHO,NY 11753 Reserve This Space For Use Of Recording Office INSTRUCTIONS(RP-5217-PDF-INS):www.orps.stels.ny.us FOR COUNTY USE ONLY New York State Department of C7.swls code ( 4 t 7 i 3 1 8 n 8 1 s l Taxation and Finance CIL Date Deed Recorded 168 1.2(. 1 f'T I Office of Real Property Tax Services ^� /' ^ 0". YEr RP-5217-PDF G3.Book I J,�, r ;8 m I C4.PagS Real Property Transfer Report 010) _ PROPERTY INFORMATION 1,Property Vacant Location eT'RE'ET�Nes!rsEn 't STREET NAM sout9Rola ��i"A'd�� New York rEIttORTom VILLAGE ` -�— •DP LOGE 2.Buyer Gaston Lora `� CCC) 'Tl�-� Nam. •MM-MaeeaPAm yeETIVAE �i✓ Chu C %n C•' nRer NAre 3.Tax Indicate where future Tax Bills are to be sent enling n other than buyer address(al bottom of form) usr"Aiw cowA nroTNANE Address •amEETNUa RMONAYE CIYORTCM STATE aPCODE 4.Indicate the number of Assessment ❑Part of aarce Pl tong If Pad of a Pascal)Check as they apply: Roll parcels transferred on the dead #of Parcels OR 4A.Planning Boats with Subdivision AuMadty Exists ❑ L Deed X Olt 4B.Subdivision Approval was Required for Transfer ❑ Property 'FRONraENT •oEMN -ACRES silo 4C.Parcel Approved for Subdivision with Map Provided ❑ pelchuck Aud Jane 9.Saner LAST IpAVJCCWANY FlRSTNAS Name LASTNALWdCOWANT MSTW E h.Select the description which most accurately describes the Check the boxes below as cher appy: Eluse of the property at the at"of Sala: 8.6wnerWp Type is Condominium C.Residential Vacant Land 9.New Conewction on a Vacant Land El IDA.Property Located within an Agricultural District ❑ 106.Buyer received a disraosure notice Indicating that the property is in an ❑ Agricultural District SALE INFORMATION 19.Check one or more of these conditions as applicable to transfer. A.Sale Between Relatives or Fenner Relatives It.sale contract Date April 4,2014 B.Sale between Related Companies or Partners in Business. C.One of the Buyers is also a Seller •13.Date of salanrartafer Aril 4,2014 D.Buyer or Seller is Government Agency or Lending Institution E.Deed Type not warranty or Bargain and Sale(Specify Below) F.Sale of Fractlonal or Less than Fee Interest(Specify Be" •13.Full safe Price $0,00 G.Significant Change in Property Between Taxable Status and Sale Dates H.Sale of Business is Included in Sale Price (Full Sale Pdea is the total amount paid for the property Including personal property. I.Other Unusual Factors Affecting Sale Price(Specify Below) This payment may be in the ram of cash,other property or goods,or the assumption ofNone mortgages or other obligations.)Please round to Me nearest whole dolleremount Comm nous)on Condition: 14.Indicate the value of personal Property Included in the sats -- ' ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 19.Year of Assessment Roll from which Information tWwn(YY) 14 n '17.Total Assessed Value r - •19.Property Class -19.School District Name c,ivLtTTl�1�v4 120.Tax Map Ment ei(syRon Identifler(s)(If more than four,attach sheat with additional Idendffor(s)) 128.00-03.00-005.000 CERTIFICATION I Carey that on of the Bums of infomuicon'emsred on th4^form am we and correct go the best of my knowledge and bon"and I understand that the making of any willful false statement of material fact herein subject ms to the frmirrsMnp of MnyagaLlaw_relative to the making and filing of false instruments. WR SIGMJURF BUYER Co)y,TACMINFORM 11IDN ferem nicimadan for the buyer Nixe.x buyer is LLC.sadaty.mandation comoraiom pent slack campany,alUl,ar patty to c mat on ndvquN ns irrRWoay, ns a nems arta tared Type ar one to norduoarapansrbls perry who rm anwar ruecLme rseamrrp to aransnar muse los anLaratl Type er prim alaMy.r SELLEROW.4%WRE WE BUYER S16NAz(J).JE Gaston Lora p ®G LAST NAME nlwTNAaa :/ ,• . . -Artie,ccoE •reEPriorE raaoER WA sspsLw, erLNATuae. OATE.::��e:.• •�„Y) East '4th Street ' -STMETNULEER' •STREET NALEJ . - rl e a 1 p New York NY 10028 'Lrr1'on TOM 'STATE 2a LODE 11 Jill BUYER'S ATTORNEY r + r I I ' Ehrlich HALE P Jeffrey I 5 1. r MAGME 931-3525 TELEPHONE NLSEER M.:MMM