HomeMy WebLinkAboutL 12784 P 55 I1111111IIII1111111I!lIIIIlIIIII VIII IIIIIlIIII 11111111
111111 VIII VIII IIII Iill
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 08/07/2014
Number of Pages: 4 At: 12 :35:45 PM
Receipt Number : 14-0103480
TRANSFER TAX NUMBER: 14-00660 LIBER: D00012784
PAGE: 055
District: Section: Block: Lot:
1000 052 .00 05.00 041.000
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 $255.00
TRANSFER TAX NUMBER: 14-00660
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
as
RECORDED
Number of pages 2014 Aug 07 12:35:45 PM
JUDITH A. PASCALE
CLERThis document will be public FOLK OF
p SUFFOLK, COUNTY
record.Please remove all L D00012784
Social Security Numbers P 055
prior to recording. DT# 14-00660
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20, 00 2. Additional Tax
TP 584 Sub Total
Spec./Assit.
Notation
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT,MTG.TAX
Dual Town Dual County _
R.P.T.S.A, Held for Appointment
Comm.of Ed. S. 00 M (� Transfer Tax
n
Affidavit • . Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total If NO, see appropriate tax clause on
page# of this instru ent,
4 Dist. 100 1401930$ 1000 05200 0500 oai000 S Community Preservation Fund
Real Property PTS II�I��I�Ill�ll�lll"I�Illl`I��IIIIIII�IIII�I� Consideration
FF Tax Due Amosnt$
Tax Service R DHO A Ilf NII` Ilf J
Agency
Verification 31 JUt-14
Improved
5 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD 1056
William H.Price,Jr.,Esq.
TO
P.O.Box 149
Greenport,New York 11944 TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Bargain and Sale Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Frederick H Hansen Jr. The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Colleen Drobny In the VILLAGE
__. or HAMLET of ___Southold___
BOXES 6 THRU&MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
Form 8002—Bargain and Sale Deed,with Covenant against Grantors Acts—Individual or Corporation.(single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS'INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS
ONLY.
THIS INDENTURE, made the 17th day of July, Two Thousand Fourteen
BETWEEN
FREDERICK H. HANSEN, JR., residing at 570 Bayview Avenue, Southold,New York 11971
party of the first part, and
COLLEEN DROBNY,residing at 500 Bayview Avenue, Southold,New York 11971
party of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten Dollars and other 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 Arshamomaque, in the Town of Southold, Suffolk County,
New York, known and designated as Lots Eighty-Two (82) and Eighty-Three (83) on a certain
map entitled, "Map Showing Subdivision of Property Known as Summer Haven, belonging to
William G. Herx, near Southold, Suffolk County, N.Y.," filed in the Suffolk County Clerk's
Office on July 5, 1933 as Map No. 1133.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by
deed dated January 15, 1992, and recorded February 25, 1992, in the Office of the Suffolk
County Clerk in Liber 11423, Page 327.
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 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:
FREDERICK H. HANSEN, 11t.
STATE OF NEW YORK)
) ss.:
COUNTY OF SUFFOLK)
On the 17th day of July, 2014, before me'. the undersigned, personally appeared Frederick H.
Hansen, Jr., 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.
Na ubli
WILLIAM H. PRICE,JR.
Notary Public, State of New York
No.4644944, Suffolk County
Term Expires February 28, 20
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.slatemy.us
FOR COUNTY USE ONLY. r� New York State Department of
C1,SwtS Cpda ' . 1 /-/7,31 a, 0o,9 I Taxation and Finance
C2.Dae Deed Recorded 10 V, 0,71 i q Lq Office of Real Property Tax Services
en� CA, Yes RP-5217-PDF
y
C3.Book 1 �, d /,R Lq I C4•Page Real Property Transfer Report(8110)
PROPERTY INFORMATION
1.PropMty 570 Bayview Avenue
Location
•BTACET NYMSER •aTREEr NAME
Southold Southold 11971
•c'"ca tirm vUAEE •Z POooE
2.Buyer Drobny Colleen
Name -tA6T NAYE=APANT AEOT NAME
LA6TAAYEaaw.AYy Apr.-c
J.Tax Indicate where future Tex Bits are to be sent
BIIOng 4 other then buyer address(at bottom of form) LAST YAAAICOMPANY nasi NANO
Address
STRQyrAJ�RANDW E city OR Tom STATE yPCODE
4.Indicate the number of Assessment 1 ael Parcels OR ❑Pan of a parcel (Only If Part of a Psmaq Check as they appy:
Roe parcels transferred on the dead 4A.Planning Board with Subdivision Authority Exist
G.Deed x OR 0.17 4e.Subdivision Approval was Required for Transfer
Property •FRIGHT FEET -oFPTN 'ACRES
Sw 4C.Partial Approved for Subdwisen with Map Provided
Hansen Frederick H., Jr.
9.Beller .UNIT NAaFJMYPAN, RAST NAME
Home
WT NAAI6ECtlm A FAST NAPE
'7.Soba the descdpton which most accurately describes the
Check the boxes below es they appy:
use of the property at the time of sale: S.Ownership Type is Condomi ium
A.Own(•amily Residential 9.Now Construction an a Vacant Land
10A.Property Located within an Agricultural DsMG
1818.Buyer received a distxesere notice indicating that the property is in an ❑
Agricultural District
SALE INFORMATION 15.Chack one or mon of these candirbns as applicable to transfer:
A.Sale Between PAWves or Footer Relatives
11.Sols Contract Date NIA B.Sate between Rallied Companies or Partners in Business.
C.One of the Buyers Is Mao a$War
•u.Date of SalMransfsr 7/17/14 D.Buyer or Better is Government Agency or Lending Institution
E.Deed Type not warranty or Bargain and Sale(Specify Below)
F.Sens of Fractional or Lou than Fee Interest(Specify Below)
•17.Full Sale Pike 0.00 G.Significant Changs in Properly Between Taxable Sous and Sole Dates
H.Sale of Business is Included in Sole Price
(Fug SW Price is the total amount pad for the property including personal property. I.Other Unusual Factors AlroOng Sale Price(Specify SEW
This payment may be In the form of cash.other property or goods,or On p mpton of A Now
mortgages or other obligations.)Please round to the nearest whore dubremounG
Commentpq an Condition:
14.Indicate the value of Poaoael 0.00
property Included In the sato
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from which Information takm(YY) 13 117.Total Assessed Value 2,100
Property Class 210 _ •19.School Dlsbkt Name Southold
•20.Tax Map Ment9or(syRo9 ldonbffMs)(If more than four,ettch shoat with additional Idontleogt))
1000-052.00-05.00-041.000
CERTIFICATION
I Cordly,that all of the items of Infmmstion entered an this form aro true and correct Bo the best army knowledge and he0eq and I understand that the making of my vAI1Nl
hits shtem ust of material had heroin subject me to the DrorNitlDa of Na newel law alatlro to Ne making and Blue of%Ise Instruments.
$ELLER SIONATURE BUYER CONTAQXMEOBYATION
(EaarWwmo n for M6 buys.Net.dbuyris LLC.sadley,associntlm,corporaMn,PMI storA oanpaor,MIal6 err
apmAntys,tiAl°t lReannd ArfiwnnMrAiwRIW.AMkSng.syMepaiaNsndpYi.seryw.e.wnAer,w6 onwnAetae dwwamYrrW.Ed.7vyaRm
.xryabpmdm ofrabnwMly.Mt
6Wrsladlebb
7/17/14rDATE
FreetcfH. Hansen, JDrobny Colleen
BAzURE
NAYS F1RbT NAYS
LLkSM {63 . 765-0071
of
1 A •NEACCCE 'TLLLRnYayalwsAiG aMMwl
Y TURF RAIL
Colleen Drobny 500 Bayview Avenue
•STREET NWaEA -61RCET"Aas
Southold NY 11971
n MTYaRTONM 'STATF '2FCaaE
BUYERI ATTORNEY
Price William H., Jr.
tier WAS r as'NAYE
(631) 477-1016
AAucoOE TcIL'NNOfE WWII!it.MOM.
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