HomeMy WebLinkAboutL 12790 P 514 11111111 IIII(IIII VIII(IIII VIII VIII VIII VIII IIII IIII
111111 VIII VIII IIII IIII
SUFFOLK COUNTY CLERK ,
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 09/30/2014
Number of Pages: 4 At: 01:22 :18 PM
Receipt Number : 14-0129175
TRANSFER TAX NUMBER: 14-05688 LIBER: D00012790
PAGE: 514
District: Section: Block: Lot:
1000 098.00 02 .00 014.001
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $714,000.00
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 $2,856.00 NO Comm.Pres $11,280.00 NO
Fees Paid $14,391.00
TRANSFER TAX NUMBER: 14-05688
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
F11 F21
Number of pages RECORDED
2014 Sep 30 01:22:18 Pt4
i, JUDITH A. PASCALE
This document will be public CLERK OF
record. Please remove all SUFFOLK 2790/
L DOOO1279O
Social Security Numbers P 514
prior to recording. DTII 14-05688
Deed/Mortgage Instrument Deed/Mortgage Tax StampT__ Recoding/Filing Stamps
------- i
3 FEES
Page/Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20, 00 2:Additional Tax
TP-584 Sub Total
Notation SpecJAssit.
--7� or
EA-52 17(County) _ Sub Total e/ Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual Count
R.F.T.S.A. Y—
Held for Appointment
Comm.of Ed. 5. 00 'Transfer Tax ,$5r _
Affidavit Mansion Tax
The property
covered b g
this mortgage e is
Certified Copy W_ or will be improved by a one or two
NYS Surcharge 15. 00 �7N~' family dwelling only.
Sub Total c. _ YES or NO
Other L
Grand Total J� If NO,see appropriate tax clause on
page# of in meat.
�0 14027305 1000 09800 0200 014001 - -
4 'D%st. P T S 5 Community Preservation Fund
Real Property
F2 SMI A IIIIIII IIII�IIIII�III�II��Ililllllllll�l�lll Consideration Amount$ 71`I,000
SEP-1
Tax Service 25
Agency CPF Tax Due $ c� O too
Verification
Improved X
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: q Vacant Land
r�^C QCu` � c�1n0.�Ur��io C S 1 TD 10
` o.\v�rnb o 9�d �tsscfi�cis VQ
Q,b . �Y p"�.��3c�•, � TD
TD
'Mail to:Judith A. Pascale, Suffolk County Clerk 71 Title Company Information
310 Center Drive, Riverhead, NY 11901
cj;Tr.Ann TITLE
www.suffolkcountyny.gov/clerk ame
Title# — .,�'14- ( $�
8 Suffolk County Recording & Endorsement ]Page
This page forms part of the attached made made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in,
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of
Q � In the VILLAGE
1 or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK.ONLY PRIOR TO RECORDING OR FILING.
u•oiw..ioroesx
(overl
t
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 12 day of
BETWEEN
Elizabeth B. Backhaus,as Trustee of the Blake Family 2013 Irrevocable Trust,residing at 12 Silver Brooke
Circle,Scarborough,ME 04074
11 arty of the first part,and
DISTRICT 1
1000 L`
BarbaraMeyer,residing at
SECTION
098.00
BLOCK party of the second part,
02.00 WITNESSETH,that the party of the first part, by virtue of the power and authority given in and by said Trust,
and in consideration of SEVEN HUNDRED FOURTEEN THOUSAND ($714,000.00) DOLLARS, paid by the
LOT party of the second part, does hereby grant and release unto the party of the second part, the heirs or
014.001 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
SEE ATTACHED DESCRIPTION
Said premises known as 197D Arrowhead Lane,Peconic, NY 11958.
Being and intended to be the same premises as conveyed to the party of the first part by deed, dated
3/6/2013,recorded 5/6/2013 in Liber 12728 page 691 in the Suffolk County Clerk's Office.
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
also all the estate which the said decedent had at the time of decedent's death in said premises,and also the
estate therein,which the party of the first part has or has power to convey or dispose of,whether individually,
or by virtue of said will or otherwise;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 ward"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.
1I6
ElizabethM.9MM,Trustee
TO BE USED ONLoY�WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of �� "' `— ss: State of New York,County of ss:
On the 1 Nea day of% in the year On the day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
Elizabeth B.Backhaus
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)subscribe to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to
ma that he /they executethe same in his/her/their me that he/she/they executed the same in his/her/their
capacity(ies), and that by hi / e ttheir 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 which
the individual xecuted the instrument. the individual(s)acted,executed the instrument.
ca):-:::�
(signature n o of individual taking acknowledgment) (signature and office of individual taking acknowledgment)
JANET CONNOLLY
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.01 C06067844
Qualified is Suffolk County
Comurissioa Expires December 17,2017
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)
SECTION 098.00
DEED BLOCK 02.00
fly ,��14 _ ►ss�� LOT Southold Title No. COUNTY OR TOWN Southoll
d
STREET ADDRESS 1970 Arrowhead Lane
Peconic,NY 11958
TO
RETURN BY MAIL TO:
Tracy Karsch Palumbo,Esq.
Palumbo and Associates,PC
P.O.Box 132
13235 Main Road
Mattituck,NY 11952
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Policy NNY [RVH S/\K4 72]07]2 | |4 |55H0 Title N Cl47474 \55Q03UF[
SCHEDULE A-1
Description
Amended 08/21/14
ALL that certain plot' piece or parcel of land, ui{uu\c` lying and being in the Town of Southold, County of Suffolk and
State o[New York, shown and designated uoLots #27mnd#28Vuacertain map known anArrowhead Cove, fiicdinthe
Suffolk County Clerk's office as Map 438 10, which said lots when taken together are more particularly bounded and
described mmfollows:
8E(J|Ny4lNG at point on the westerly side of Arrowhead Lane where the same is intersected by the division line
between Lots 28 and Zgugshown on the aforesaid mop, said pointorplace ofbeginning being distant 1844.21 feet
southerly as measured along the westerly side VfArrowhead Lune from the corner formed by the intersection of the
southerly side of Indian Neck Road with the westerly side of Arrowhead Lane;
RUNNING THENCE from said point o, place ofbeginning along the westerly side ofArrowhead Lane South } degree 17
rninu1es 40 seconds East,250.00 fee <othe division line between Lots 2dand 27�
THENCE along said division line South O8degrees 42 minutes 2Oseconds YYe¢ \6O.00feet tnland now orformerly o[
4|70Indian Neck Lane Holdings LLC;
THENCE along said last mentioned land North | degree ]7minutes 4Oseconds West, 250.00feet tothe division line
between Lots 28and 29 |a1above mentioned; and
,rHENCE along said division line North 88 degrees 42 minutes 20 seconds Eastj 60.00 feet1Vthe westerly side o[
Arrowhead Lane, the point orplace ofBEGINNING.
Schedule A-1 <ococripcio*) Loan Policy pasc z
Rev. (oz/w)
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.sUte.ny.us
FOR COUNTY USE ONLY Now York State Department of
C1.SMS,code 1
' �7 ,r� X51 r, Taxation and Finance
/
C2.Date Deed Recorded I� t/,3(-// /'i I �ce of Real Property Tax Services
i_/�9,C4.Page Real P
Yue RP-5217-PDF
C8.Book roperty Transfer Report(8110)
PROPERTY INFORMATION
1.Pmporty 1970 Arrowhead Lane
Locatlon
'oTREai NWBPp 'STREET NwE
Peconic 11958
•0TYce TOM A' GE 'ZVCODE
t.Burar Meyer Barbara
Nems Fear NAME
•tAarwnFAeoPANv
,LAST NAMEEorwANr %vel:NAME
s.Tax Indicate veers forum Tax BIAS are to be sent
Ailing If other then buyer mmmu(al bosom d form) LAST MWLVOMPAM' FIRST RARE
STREET WAKRAND NAME CMCRTesa STATE ZPCOOE
4.Indkets ars number of Assuamo t 1 e of Paraeb OR ❑Pan d e parol (Only If Pan of a Parcelf Cheek as they apply:
Rail part"tmnsf mod on Me decd 4A.Plenning Board with Subdrvislon AuMomy,Exists
S.Decd 'X( OR 0.92 40.Subdivison Approwl was Required for Trander El
Property •FROM FEET •want •ACRES
SW 4C.Proal Approved for Subt ividon with Map Prauided
Backhaus, Trustee Elizabeth B.
e.sailor WTMALRLOImAM FIRST MWE
MEMO Blake Family 2013 Irrevocable Trust
WT NAMLCDWMV FIRST WANE
'7.Solent IM description which most accurately describes the
Check the boxes below OR they apply: ❑
use of the property at the the of Solo: S.Ownership Type is Condarrinium
A.One Family Residential e.New construction an a Vacant Lana
10A.Property located within on Agricultural District
108.Buyer received a disclosure notice Ird'eahrg trial the property is in an E]Agric
Agricultural District
SALE INFORNIATION1 15.Check one or ream of Masa condltleh as applicable to transfer
A.Side Between Relatives or Former Relatives
11.Sob Contract Date 07/28/2014 B.Site between Related Compares or Pemrem In Business.
C.One Or me Buyers is also a Sailor
•12.onto of SaloRmnsfer 09/18/2014 D.Buyer or Sailor is Government Agency or Lending Institution
E.Deed type not warranty or Bargain and Sda(Specily Salswl
F.Sale of Frodiond or Lau than Fete ImareY(Specify Below)
'13.Full Sob Price 714,000.00 G.Significant Change in Property Bowmen Taxable Seas and Sale Dries
N.Site d Business is Included in Site Price
(Full Sao Poco a the toll amount paid for the property Including personal property. 1.Other unusual Fads Affecting Sale Pdce(Spedy BelaM1
This payment may be in ee form Or cash,other property or goods,or the a anon or J.Now
mrlpages r Other obligation.)flee-mond b the nearest while doroamwnf.
Comment(a)on Coneltlon:
14.Indlaab the value of personal
property Included In dw sale 0.00
ASSESSMENT INFORMATION-Data should raged the Istest Final Assessment Roll and Tax Bill
1e.Yue of Assessmam Roll from which Information tahn(W) 14 '17.Total Assessed Value 8,800
'18.Property Class 210 _ •1e.Bch"District Name Southold
'20.Tam Map Id@rMwlsyMll IdenIJ"s)IS more than four,aRmh shat MM addhkmO IduMos))
1000,098.00,02.00,014.001
CERTIFICAT N
I Canty tht all of Ma kerns of Informodon o On on this form aro live and correct Ito the bat of my knowledge and belie$and 1 understand Mat the making of any v4mul
fat"statsmmd of matyrW foot heroin subjad Met*the,p(07h1000AL(Mi MaLNku'eoeve to the making and filing of tabo Instruments.
SELLER Eo SIGMATURE SAYER CONTACT INFORMATIO
(Enter MIMMO err nor the buys.Note:abuyer Is LLC.soONy.anoclodel Onpanwon.jaw atom am"".votes
antty ate a not an kdrd"sgord rSeaway.own•Nae and ort=inlameniou of an id6i*AamwwWble
I 0-1awry veno canmawargwularTaaNayLaavevenxwmadavrErW Typerp,lmetesry)
DATE
Sl1YERSIGNATURE Meyer Barbara A.
•Wt NMIE Fumy Mw
LA 000-0000
'AREACODe REIaP,rrE LWSFx 1E+aaeaawl
911rPn eDMAialE DATE
1970 Arrowhead Lane
•eTREET MJMWR 'STREET NAME
Oil
Peconic NY 11958
-ca,OR Ta— 'STATE WOODS
RUYFR'S ATTORNEY
Karsch Palumbo Tracy
1LAST NAVE FIRST NAVE
(631) 298-1600
MEA CODE atcPHO E MMSEA IE+awawl