HomeMy WebLinkAboutL 12793 P 951 11111111 IIII VIII IIIA VII I VIII 1111111111 VII I IIII IIII
11111111111111111 IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED WITH LIFE ESTATE Recorded: 10/29/2014
Number of Pages: 4 At: 10:56:34 AM
Receipt Number : 14-0142906
TRANSFER TAX NUMBER: 14-08282 LIBER: D00012793
PAGE : 951
District: Section: Block: Lot:
1000 121 .00 03.00 005.004
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: 14-08282
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 2
Number of pages L RECORDED
2014 Oct 24 10:56,:34 AM
TORRENS JUDITH A. PASCALE
Serial#
CLERK OF
SUFFOLK COUNTY
Certificate# L DOOO12793
P `?51
Prior Ctf.# DT# 14-08282
Deed.Mortgage Instrument Deed/Mortgage Tax Stamp =ecording/Filing Stamps
3 1 FEES
Page/Filing Fee Ab Mortgage Amt.
1.Basic Tax
Handling ,� 00 —
2.Additional Tax _
TP-584 Sub Total
Notation Spec./Assit.
--- or
EA-5217(County) Sub Total Spec./Add.
TOT.MTG TAX _
EA-5217(State) /ld> Dual Town.,_ Dual County _
R.P.T.S.A. 1 l 0 ov Held for Appointment
e Transfer Tax b
Comm.of Ed. 5. 00 Mansion Tax
Affidavit a �� The property covered by this motgage is
or will be improved by a one or two
Certified Copy family dwelling only.
or NO
Reg.Copy Sub Total dos- YES If NO,see appropriate tax clause on
Other Grand Total page# of this instrument.
9*)./
4 District1000 14030611 1000 12100 0300 005004 .004 5 Community Preservation Fund
Property (29-OCT-1Ilill111111� 1�1���1II1IIIIIIi1II1IIIII1II Consideration Amount $ ~d --
Tax Service !!II 111111 CPF Tax Due $
Agency - _ _ .--.
— - — Improved
Verification
Vacant Land
6 Satisfaction/Discharges/Release List Property Owners Mailing Address
RECORD&RETURN TO: TD
WILLIAM C.GOGGINS TD
P.O.Box 65
Mattituck,New York 11952 TD
7 Title Company Information
Co.Name
Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Bargain and Sale Deed ti6vtt made by:
(SPECIFY TYPE OF INSTRUMENT)
1VII NF DAMSON The premisis herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the Township of jiouthold
AMY TO DAMSON In the VILLAGE
or HAMLET of Mattituck
BOXES 6 THROUGH 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING,
(over)
NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT•THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the a ' day of October in the year 2014
BETWEEN
Eugene Davison,residing at 4300 Sound Avenue,Mattituck,New York 11952
party of the first part,and
Amy Jo Davison,residing at 4350 Sound Avenue,Mattituck,New York 11952
party of the second part,
WITNESSETH,that the party of the fust 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 in the
Town of Southold,County of Suffolk and State of New York
See,schedule A attached hereto and made a part hereof.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by
deed dated November 19,2007 and recorded at the Office of the Clerk of the County of Suffolk
on December 5,2007 under Deed Liber 12532 at Page 624.
TOGETHER with all right,title and interest,if any,of the parry of the fust part of,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 fust 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 fust part covenants that the party of the first part has not done or suffered anything whereby the said
premises have been incumbered 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 fust 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 fust 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 fust above written.
IN PRESENCE OF: f"
�cit ^I
EUGE DAVISON
USEACKNOWLEDGMENTFORMBELOWwrmiNNEWYOEKSTATEONLY. USEACXNOW/EDGMENTFORMBELOWW17WNNEWYORKSTATEONLY
State of New York,County of Suffolk }ss.: State of New York,County of }ss.:
On thO7 day October in the year 2014 On the day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
Eugene Davison
personally known to me or proved to me on the basis of satisfactory 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 evidence to be the individual(s)whose name(s)is(are)subscribed to the
within instrument and acknowledged to me that helshe/they executed 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 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 signature(s)on the instrument, the individual(s),or the person upon
behalf of which the individual(s)acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument.
NOTARY PUBLIC DONNA M.PAI MER
Notary Public,State c f New York
No.01 PA5069978,Su Holk Coun
Commission Expires Ile.ember 9. O��
ACIfNOWIEDGMENT FORM FOR USE WITHIN NEW YORKSTATE ONLY: ACKNOWLEDGMENT FORM FOR USE OUTSIDE NEW YORK STATE ONLY.
[New York Subscribing Witness Acknowledgment Certificate] /Out of State or Foreign General Acknowledgment Cenifrcate/
State of New York,County of )SS.: ..................................................)SS.:
(Complete Venue with State,Country,Province or Municipality)
On the day of in the year
before me,the undersigned,personally appeared On the day of in the year
before me,the undersigned,personally appeared
the subscribing witness to the foregoing instrument,with whom I am
personally acquainted,who,being by me duly sworn,did depose and personally known to me or proved to me on the basis of satisfactory
say that helshelthey resides)in 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
(if the place of residence is in a city,include the street and street number, the same in his/her/their capacity(ies),that by his/her/their signature(s)
if any,thereof;that he/she/they know(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
to be the individual described in and who executed the foregoing made such appearance before the undersigned in the
instrument,that said subscribing witness was present and saw said
execute the same;and that said witness at the same time subscribed (Insert the city or other political subdivision and the state or country or
his/her/their name(s)as a witness thereto. other place the acknowledgment was taken).
BARGAIN&SALE DEED
WITH COVENANTS AGAINST GRANTOR'S ACTS
TITLE No. DISTRICT 1000
SECTION 121.00
EUGENE DAVISON BLOCK 03.00
LOT 005.004
COUNTY OR TOWN
TO
AMY JO DAVISON RECORDED ATREQUEST OF
Fidelity National Title Insurance Company
RETURN BY MAIL TO
FIDELffY NATIONAL TITLE. WILLIAM C.GOGGINS
INSURANCE COMPANY P.O.Box 65
1928 Mattituck,New York 11952
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SCHEDULE A
BEGINNING at a concrete monument set on the southerly side of Sound
Avenue at the northwesterly comer of the premises herein described said
monument being about 3114+/- feet easterly as measured along the southerly
side of Sound Avenue from the intersection of the southerly side of Sound
Avenue and the easterly side of Aldrich Lane; from said monument and
point of BEGINNING
RUNNING THENCE along the southerly line of Sound Avenue South 72
degrees 49 minutes 20 seconds East a distance of 121.20 feet;
THENCE South 15 degrees 57 minutes 10 seconds West a distance of
314.53 feet;
THENCE South 09 degrees 13 minutes 30 seconds East a distance of 32.80
feet;
THENCE South'86 degrees 20 minutes 20 seconds West a distance of
103.18 feet;
THENCE North 03 degrees 39 minutes 40 seconds West a distance of 113
feet;
THENCE North 15 degrees 57 minutes 10 seconds East a distance of 275
feet to the point or place of BEGINNING.
SCTM No. 1000-121-00-03.00-005.004 -
Town of Southold, County of Suffolk, State of New York
INSTRUCTIONS(RP5217-PDF-INS):www.arps.stato.ny,.us
FOR COUNTY USE ONLY CIO New York State Department of
C1.awls Code 17 /
�. , ; T � Taxation and Finance
C2.Date Deed Recorded l L Q `7/ 1 J Office of Real Property Tax Servkes
cs soak ,7 aur ries RP-5217-PDF
G.Page L Real Property Transfer Report(9110)
PROPERTY INFORMATION
I-ProperiY 4350 Sound Avenue
Location
�- •emaErxnanste •rnmErMANE
/ Southold Mattituck 11952
•IIIM NTOVM VluA E •acaos
2.Boyar Davison Amy Jo
Name 'LAWTHAMECOINWIF Fear New
LACK-*ARAfKRFgTr rowkMm
i.Tax Indicate wham future Tax BBs am to be rent
Billing if other than buyer oddresa(at bottom of farm) uAerNu,�rieosvAxr FRIATNAME
Address
OMUTWJVKRAWKME Cn7oR7am STATE a►CdOE
4.Indlosto the number of Assessment�e of Pamah OR pan or•parch (On If Part of a Forest)Chock as they apply: ❑
Roll parpeh traner&rr&d en the tided 4A.Planning Board with SubdlNslon Authority Exists
Lolled )i OR 0.90
Property .FRakr Far .DEM - 40.Subdroleren Approval was Required for Transfer
ACWA
un 4C.Parch Approved for Subigrialon with Map Provided
Davison Eugene
4.Seller .LAXTHAWCOWWAV FINTIO rE
Name
nAerrawauaspANr FMTrNae
'T.Select ries description which most accurately describes the Chock do(axes below as they appy:
use of the prop"at the ems of sale: B.Ownership Type is Condominium
A.One Family Residential e.New Construction an a vacant Land
ICA.Property located within an Agricultural District
108.Buyer maWved a disclosure nolke Indicating Mat the property Is in an O
Agricultural District
SALE INFORMATION 15.Chock one or more of than conditions as applicable to transfer.
A.Sale Between Rdebm or Fortner Relatives
11.Soh Contract Dots B.Sob between Reined Companies or Parmem in Business.
_ C.One of the Buyers is also a Seller
O•12.Dara of SalerTrenahr ty D.Suver or Soler Is Govemment Agency or Lending Institution
E.Dead Type not warranty or Bargain and Sale(Specify Below)
F.Sale of Fractional or Less than Fes Inbrest(Specify B&*
112.Full Sale Price 0.00 G.Significant Change in Property Betmew Taxable Status and Sale Deka
H.Sale of Business is Included in Sale Price
(Full Sal*Price Is the total amount paid for the property Including personal property. I.Other Unusual Factors Affecting Sale Pride(Specify Bebe)
This payment may be in the ken of cash,other property or goods.or the assumption of J.Nope
mortgages or other oblpatimal)Phase mond b are nearosf wads ddaar amount.
Commend(&)on Condition:
14.Indicate the vow of personal
property Included In the ash 0 .00 S�Q.4 e
ASSESSMENT INFORMATION-Data shoukt called the latest Final Assessment Roll and Tax Bill
15.Yew of Assessment Rall from which Indonesian token(YY) 117.Total Assessed Value H,100
-I&Property Claim 210 _ *19.School Dsti tName Mattituck
120.Tax Map id&ndfl"oYRoe Wadmsr(s)(if more time four.attach sheet with additional Wenfifier(s))
1000-121.00-03.00-005.004
CERTIFICATION
I Cady that allot the film&of Information enured an this some am true and coned(to the Ind of my knowhdgo and belleQ and 1 understand out the making of any willful
hid sfstenot of materiel let herein"act me to theprovlalena of the penal hos ralad"to the making and filing of fain Instruments.
SELLER SIGNATURE BUYER CONTACT INFORMATION
^ (Eme,rfamnkn for dos talar.rib:9 super is LLC.xaeny.modro %Gapwalorl ldrt stock omawrY.edeua
enaytlmhnot en WHWkel opst arltkrdmy,amnerwrm avlamtad iMermetion of an lndaAmwegxRwiNe
"� perry who ar rwner9uallmersilod. dmewraernkmbewtwwt Typearprkasteny.l
rELLaR SIGNATURE BUYER SIGNATU DATE
Davison Amy Jo
-IAU PLANE FIRST NOAG
---- (631) 298-4307
----'_- -AReA caoE -retvrnmeNureR R+c essarar�
Rrrsn INGNATURE DATE
4350 Sound Avenue
-OTREETNateM -STMTNwE
L
Mattituck NY 11952
-cmYoRTVM .ATE .mcom
BUYEWD ATTORNEY
Goggins William
nASTNAME wRSTH"s
(631) 298-4818
r AREAcaOE TELEPHONE KNOWNsec MOM