HomeMy WebLinkAboutL 12788 P 490 11111111 IIII IIIII IIIII VIII VIII 11111 VIII VIII Ilii ILII
1111111 IIIII IIIII IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 09/12/2014
Number of Pages: 4 At: 01:58:06 PM
Receipt Number : 14-0120903
TRANSFER TAX NUMBER: 14-04125 LIBER: D00012788
PAGE : 490
District: Section: Block: Lot:
1000 025.00 05.00 005.000
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 $255.00
TRANSFER TAX NUMBER: 14-04125
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
T
RECORDED
Number of pages 2014 Sep 12 01:58:06 PM
JUDITH R. PASCALE
CLERK OF
This document will be public SUFFOLK 4 MITY
record.Please remove all L D00012788P
P 49a
Social Security Numbers DT# 14-04125
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
ortgage Amt.
Page/Filing Fee z— L�)
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-5217(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
! n_ Dual Town Dual County
R.P.T.S.A. lL�/ Held for Appointment
Comm,of Ed. 5. 00 Transfer Tax
Affidavit '„ * Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total Cl)5 If N see appropriate tax clause on
ge# of this instrument. )
a�
-.2 5
4 ist. I nr
-(DC)tq 5 ity Preservation Fund
�
� z 1 1000 0250o 0500 oo5000 Considera'on Amount$
Real Property
Ve�f�tion ,SE_; 1111Agency DTY ° lll�1011lll CPF Tax Due) $
-- '" Improved
6 Satisfactions/Discnargesrnc.�..-...,....___,_,__ i Js
RECORD&RETURN TO: Vacant Land
-R- � TD /b
TID
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' C� made
by: 1 r (SPECIFY TYPE OF INSTRUMENT)
{�lU �Z Cts B{-F-1 The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of
In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
. I�ao'13a
Form 5002—'Bargain and Sale feed,with CoOnant against Grantor's Acts—Individual or Corporation(Single Sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LA
THIS INDENTURE,made the'13itday of June,in the year 2014
BETWEEN RUTH BETZ AS TRUSTEE OF THE H.SIDNEY HOLMES III REVOCABLE TRUST £�
RESIDING AT 39 Jerome Drive,Farmingdale,New York
party of the first part,and
MONIQUE HOLMES
RESIDING AT 520 East 90th Street,New York,New York
party of the second part,
WITNESSETH,that the party of the first part,in consideration of NO CONSIDERATION
dollars
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 in the
SEE SCHEDULE ATTACHED
Being the premises commonly known as 200 Old Farm Road,Orient,New York
Being,and intended to be the same,premises as those transferred to the Party of the First Part
by Deed dated February 7,2014 and recorded April 14,2014 in Liber 12770 Page 434 in the
Suffolk County Clerk's Office
Said transfer being a distribution to the Beneficiary of the Trust under the terms of the Trust.
District 1000
Section 025.00
Block 05.00
Lot 005.000
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 parry of the second part,the heirs or successors and assigns of the party of the second
part forever.
AND the party of the first pan 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.
TL 4. Sib k�7
IN PRESENCE OF:
P
--
. .... -----
STATE OF�EW YORK,COUNTY dF SUFFOLK
On the -)-3 day of tune in the year 2014 before me, STATE OF , COUNTY OF
the undersigned,personally appeared On the day of in the year 2014,
Ruth Betz
,personally known to me or proved to me on before me,the undersigned,personally appeared
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 personally known to me or proved to me
hisiber/their capacity(ics),and that by hisfher/their signature(s)on on the basis of satisfactory evidence to be the individual(s)whose
the instrument,the individual(s),or the person on behalf of which name(s)is(are)subscribed to the within instrument and
the individual(s)acted,a cuted the instrument. acknowledged to me that helshetthey executed the same in
hislher/their capacity(ies),and that by histher/their signature(s)on
the instrument,the individual(s),or the person on behalf of which
BRUCE A.MEYER the individual(s)acted,executed the instrument
Notary Public,State of New York [add the following if the acknowledgment is taken outside NY State]
Reg.No.02ME4832388 and that said individual made such appearance before the
Qualified in Nassau County undersigned in the CITY of in the State of
Commission Expires Feb.28,2015
STATE OF COUNTY OF
On the day of in the year
before me,the undersigned,a Notary Public in and for said State, STATE OF,COUNTY OF
personally appeared On the day of in the year, 2014
,the before me personally came
subscribing witness to the foregoing instrument,with whom I am
personally acquainted,who,being by me duly sworn,did depose to me known,who,being by me duly sworn,did depose and say
and say that he/she/they reside(s)in
that he resides at
that he is the
(if the place of residence is in a city,include the street and street number if any, of
thereofmhat he/she/they know(s) the corporation described in and which executed the foregoing
instrument;that he knows the seat of said corporation; that the
to be the individual described in and who executed the foregoing seal affixed to said instrument is such corporate seal;that it was
instrument;that said subscribing witness was present and saw so affixed by order of the board of directors of said corporation,
said and that he signed It name thereto by like order.
execute the same; and that said witness at the same time
subscribed his/her/their name(s)as a witness thereto
[add the following if the acknowledgmetq is taken outside NY State]
and that said subscribing witness made such appearance before
the undersigned in the (insect the city or other political subdivision
and the Stale or country or other place the proof was taken).
Bargain and Sale Deed SECTION 025.00
BLOCK 05.00
WITH COVENANT AGAINST GRANTOR'S ACTS LOT 005.000
TITLE No COUNTY SUFFOLK
H.SIDNEY HOLMES III REVOCABLE TRUST TOWN
TO
MONIQUE HOLMES RETURN BY MAIL TO:
Bruce A. Meyer
Distributed By 1200 VETERANS Hwy,STE.350
Chicago Title Insurance Company HAUPPAUGE,NY 11788
SCIIFD-ULE_A
SEC-BON 025.()0,BLOCK 05.00,LOT 005-000 ON THE TAX MAP OF
SUFFOLK COUNTY
el of land with the buildings and improvements
ALL that certain plot,piece or pare Orient,Town of Southold,County of Suffolk
thereon erected,situate,lying and being at Ori 5 on a certain map entitled
design
as Lot NO.
York,known and I the Clerk-Of the County of Sufolk as
and State of New YO , ,
Bayview Farm' duly filed in the Office Of ded and
Map of Bayv- January 19, 1982 which said lot is more particularly boun-
Map No.7045, on
described as follow'*
�d by the intersection of the Southwesterly side of
BEGINNING at the comer formed side of Old Farm Road;
Orchard Street with the Northwesterly arm Road, South 24 degrees
RING CE along the Northwesterly side of Old F 5 and 6,
,UNNING THEN
17 minutes 40 seconds West,300.00 feet to the division line between Lots
ees 42 minutes 20 seconds
RUNNING THENCE along said division line,North 65 degr
feet line between Lots 4 and 5;
West,200-00 't to the division .North 24 degrees 17 minutes 40 seconds
RUNNING THENCE along said division line,
East,300-00 feet to the Southwesterly side of Orchard Street;
-1y side of Orchard Street,South 65 degrees
CE along the Southwester place of BEGINNING.
RUNNING THENCE feet to the point or
42 minutes 20 seconds East,200-00
..........
%A I 1L7 %All Itj
• INSTRUCTIONS(RP-5217-POF4NS):www.orps.stale.ny.ua
• FOR COUNTY USE ONLY New York State Department of
C1.SWIS Code17Z dt9Sr�'CII Taxation and Finance
C2 Date Dead Recorded I lJ7/ 1 7 I Office of Real Property Tax Services
C'�^ L��j RP-5217-PDF
C9.Book O C4.Papa Y.! Real PropertyTransfer Report(910)
PROPERTY INFORMATION
1•PrOPeft 2CC OLD FAHY ROAD
Location
'81WE@T YUABW 'BmEET nANE
SOUTHOLD ORIENT 11957
ary own WILAGE -aPQ=
2,Buyer HOLMES MON:QJE
Name
'Uffi taMFA:dPANr rPgT NAS[
LASI HAWAX Niro nR31 MNa:
S.Tax lridmato whero futum Tar BSIs are lo be sant HOLMES MON:QUE
online It other men buyer address(m bottom of form) NAsr wN,apounAAv nal nAw±
Addleas
520 EAST 90TH ST APT 3H NEW YORK NY 10128
STMETNUUNRADN" CMORTUM STATF aPCODE
4.Indicate the number of Auessrmnt ❑Pan of a Pared (Only If Part of s ParorQ Chockids they apply:
Roll parcels tremMnd on the deed o of parcels CR 4A.planning Board Nth Subdivision Autho ft Exist
S.0"4 \ OR 1.38 46.Subdivision Approval was Required for Transfer
Properly •real Illi •DEM y�S
sin 4C.Parcel Approved for Subdivision with Map Provided ❑
H. SiuNEY HO—'MES T_?1 REV TRJSI
a.seller •LAST MMEACO PAW -MY Mut
Name
IAS1 MAL*)C ,� FIRST Mata'
h.Select the description which most accuratoy describes the Check the boxes below as they appy:
use of the property at the time of sola: a.Ownership Typo is Condominium ❑
A.On,Fain&Residential I.No-Com3nucdon on a Vocam land E
1aA.Property Located within an Agdanuml District
108.Buyer received a disclosure MMM indicating that ere property,Is in an ❑
Agricultural District
SALE INFORMATION1 INFORMATION1S.Check ore or mon of these corndaluns ss a Plkablo fo franehr.
A.Sam Between RoMmes or Former Relothes
If.Sols Conrad Date 06/19/2014 S.Sale between Related Companies or Partners In Business,
C.One of the Buyers is also a Seam
12.Dole of SslNhansfer 06/23/2014 D.Buyer or Seller is Government Agency or Lending Institution
E.DOW Typo not warrenly or Bargain and Sola(Specify&slow)
F.Sae of Fracmnol or Loss than Fee Interest(Specht Below)
•15.Full Sala Price 0.(K) G.Significant Change in Property Between Taxable Status end Sale Dates
H.Salo of Buslnsss is Included in Sale Price
(Full Soso Price a the etal amount paid for the Properly including personal property. I.Dear Unusual Factors Affecting Sale Pim(Specify Below)
Tie payment may be in me loom N cash,other property at goods.or the assumption of J.None
morgagds at other obtgatlons.)Freese round to the new"whole dour,amount.
•Comrnsnt(p an Condition:
14.Indicate the value of personal
Property included In the safe 0•oo Gl F'i •;F PRGPER7Y :R ACCORDANCE W:TH TERNS OF TRUST
ASSESSMENT INFORMATION-Data should Toned the latest Final Assessment Roll and Tax Bill
16.Year of Auosemant Roll from which Infonranion taken(YY) 12 '17.Total Assessed Value 14,400
Ma.Property Class 210 _ •tae.school District Name Oys Ler Ponds
•20.Tax Map W Mr(yRa11 MtmiRat(s)at mom then four,attach sheet with modification identillegq)
100 25.0 5.0 005.000
C IFICATION
1 Cenly that all of the gams of Information entad on this form are true and correct(to the beet of my knowledge and belleQ and I undarstard that the making of any willful
let"statement of nsUrW fact herein subject no to the,potvislona of tho ponot.low.miative to the making and ming of false Instruments.
$ELLER SIGNATURE BUYER CONTACT INFORMATION
(Enter rermsom its the super.Nato,it buyer is LLC.sodsty.araedron concraton.pins stock Ca usury.Met or
L wery vista,not an M"viduaseem a sduasry o-",a nems ant mad ribmaeon or an maiduahespmaide
�ibL.Glt 61ai Iy �'Yw•p o,grout•aueaaoio reaardnalhs:ransfa mud be mend.Type Or print ct".nY.)
SHLlR SnNAT1aE pA1C r
BUYER 9�� Holines Monique
�
A USTMNE FIRST MAW
f ' 545-7315
m N a�NIURE it
520 East 90th St., Apt'j II
'4TRFFT MIrffiN 'STREEr"NNA,
New York: NY :0128
i 'CJIY OR TOWN •STATE -ZIP CAPE
BUYER'S ATTORNEY
La Laude Fearo:lce
I I ,A"TwNME 'R"TNNAE
(718; 217-7146
AREA COPE TEIENmNE MwaER tab$MOM
I � I�