HomeMy WebLinkAboutL 12795 P 572 1111111 VIII VIII IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/12/2014
Number of Pages: 4 At: 03:54 :39 PM
Receipt Number : 14-0149724
TRANSFER TAX NUMBER: 14-09479 LIBER: D00012795
PAGE: 572
District: Section: Block: Lot:
1000 067 .00 05.00 002 .000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $420,000.00
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 $0.00 NO Comm.pres $5,400.00 NO
Fees Paid $5,655.00
TRANSFER TAX NUMBER: 14-09479
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
T j
RECORDED
Number of pages 2014 Now 12 03,54:39 PM
JUDITH A. PPSCALE
CLERK OF
This document will be public SUFFOLK COUNTY'
record.Please remove all L D00012795
Social Security Numbers P 572
prior to recording. DT# 14-09479
t Deed Mortgage Deed/Mortgage Instrument Tax Stamp Recording/Filing Stamps
3 FEES Mortgage Amt.
Page/Filing Fee i.Basic Tax
Handling 20. eQ 2, Additional Tax
TP-584 Sub Total
Spec./Assit.
Notation or
EA-52 17(County) Sub Total Spec,/Add.
EA-5217(State) TOT.MTG.TAX—7
Dual Town_/Dual onunty..
r
R,P.T.S.A. C) Held for Appointment b
f Ed. S. 00
Transfer Tax
Comm.0
Mansion Tax
Affidavit
ed by this'mortgage is
The property cove ed -
Certified Copy — or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES_or NO
Other Grand Total If NO, see appropriate tax clause on
-page#—of this instrunt
�—b
4 1 D, 5 Community Preservation Fund
140318211000 06700 0500 002000 Amount$j
Real Prc p T S
Tax Sen CRLPA A {{IIIIN{I{IIS{IIIIIIII{Il{{Illllll{�Il{�{{II{ °Z CPF Tax Due 6D
Agen, 10 NOV)
Verifica 10-NOV-1 Improved-
--Ta t�isf—ac ti o n s/Di sc In a Fg es-/Re I e 5 s esT I st'i,ro pe rTy V w i Address
6 RECORD&RETURN TO: Vacant Land
TD
TD
TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title lCompany Information
310 Center Drive, Riverhead, NY 11901 Co.Co,N.-W, �\tA
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached made
by: (SPECIFY TYPE OF INSTRUMENT)
M.1i LL( The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
T, In the TOWN of
V\ In the VILLAGE
oiHAMLET of—�- M)j'(-
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. Tover
" CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BLAWYERS ONLY
THIS INDENTURE,made the �� day of September,2014 CA 6 ti4ty i I'll �zoly
BETWEEN 2700 Mill Road LLC,with offices at 4350 Sentinel View,Atlanta,GA 30327
art of the first art, and�FXll47f1EXVt1IVU44
with offices
party p at Chidlom Place Condo, Apt. 5A, 6/10 Soi Chidlom Road,
Bangkok 10330,Thailand
party of the second part,
WITNESSETH,that the party of the first part, in consideration of TEN and no/100ths ($10.00)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,
SEE SCHEDULE"A"ANNEXED HERETO AND MADE A PART HEREOF
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed made by
Hugh K.Switzer dated January 26,2001 and recorded in the Suffolk County Clerk's Office on March 13,2001
in Liber 12107 Page 282
060
S y ci-c0
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: 2700 MILL ROAD,LLC
By:—
Hu4Kit—,er,Mt. 'ng'ng Member
Schedule A Description
Title Number HTA-3409-S Page 1
ALL that certain plot, piece or parcel of land, situate, lying and being at Peconic,
in the Town of Southold, County of Suffolk and State of New York, known and
designated as Lot 16 and part of Lot 15 on a certain Map entitled, "Map of
Property of Blanche T. Dickinson, Peconic, Long Island, New York, surveyed by
Daniel R. Young, P.E. and L.S." and filed in the Office of the Clerk of the County
of Suffolk on June 6, 1926 as Map Number 860, which said lot and part of Lot,
when taken together , are more particularly bounded and described as follows:
BEGINNING at a point on the Easterly side of Mill Lane (Road) which said point
is where the division line between the premises herein described and land now
or formerly of Barbara Fitz intersects the Easterly side of Mill Lane (Road);
THENCE South 28 degrees 00 minutes East along the Easterly side of Mill Lane
(Road), 110.90 feet,
THENCE North 62 degrees 48 minutes 00 seconds East, 120.37 feet to the
ordinary highwater mark of Goldsmith's inlet;
THENCE along said highwater mark the following (2) courses and distances:
1) North 17 degrees 52 minutes 58 seconds East, 51.37 feet;
2) North 21 degrees 18 minutes 39 seconds West, 74.97 feet to land now or
formerly of Fitz
THENCE South 62 degrees 49 minutes 00 seconds West, 165.99 feet to the
Easterly side of Mill Lane (Road), the point or place of BEGINNING.
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of Suffolk ss: State of New York,County of ss:
On the 10 day of September in the year 2014 On the day of in the year
before me, the undersigned, personally appeared HUGH K. Before me,the undersigned,personally appeared
SWITZER
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 whose name(p) is satisfactory evidence to be the individual(s)whose name(s) is
010 subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to
me that he/§�q/tbq executed the same in his/*tj>e4C me that he/she/they executed the same in his/her/their
capacity(o), and that by hislbytb4jr signature(*_on the capacity(ies), and that by his/her/their signature(s) on the
instrument,the individualK,or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which
the individual(9ct xecute a ins rume t. the individual(s)acted,executed the instrument.
(signature and office of individualta in acknowledgment} (signature and office of individual taking acknowledgment)
NOTARY PUBLIC
CAROL HYDELL
NOTARY PUBLIC-STATE OF NEW YORK
NO.01 HY6169695
QUALIFIED IN SUFFOLK COUNTY
��
TO BE USED ONOI Y WHEN THHEE 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($) 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)
BARGAIN AND SALE DEED DISTRICT 1000
WITH COVENANT AGAINST GRANTOR'S ACTS SECTION 067.00
BLOCK 05.00
Title No. t�IN +✓"I'S LOT 002.000
COUNTY OR TOWN
2700 MILL ROAD,LLC STREET ADDRESS
TO
POTE VIDER Recorded at Request of
COMMONWEALTH LAND TITLE INSURANCE COMPANY
[3ETURN BY MAIL TO: _
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by DAVID JANNUZZI,ESQ.
P.O.Box 1672
Commonweafth Mattituck,NY 11952
A LA DAmnwc.cowANY
COMMONWEALTH t.AND TITLE INSURANCE COMPANY
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INSTRUCTIONS(RP-52174PDF4NS):www.orps state rly.us
FOR COUNTY USE ONLY New York State Department of
C' SIMS�O1'a l�?t 3, Q r E l I Taxation and Finance
C2.Date Deed Recorded I ( I f (.1-1 W I OIPce or Real Properly Tax Services
CS.Book I I ,o lj mo ca.P eB L r I RP-5217-PDF
Real Property Transfer Report(8110)
PROPERTY INFORMATION
1.Properly 2700
Location Mill Road
.STREET MMMR .STREET must
Southold Peconic
•rntu
raRTamr vAOE 11958
2.Buyer fM GOL)SMITH'S INLET, LLC MAR •aNcOaE
•LAtrNVINCOOAtK FEa{rww
LAST wed Osevve nuffl e
a.Tax Indicator Whom future Tax We an,to be acre
milling If other am buyer edersss(at bottom of form) ,Aar ,r,A. FOOT WAS
Address
STRMTaaaERA/DNAAE MOR rowel STATE ZVOWE
I.Indicate erre number of Assessment 1 ❑Pan of a Parried (Only It Part of a Parcel)Check an they appy:
Roll palbele transferred on the dead a of Paroals OR El4A.Planning Board with Subdivision Authority ExistsERls
A.Dead X OR 0.43
prop"
I Factor FEET aB.Sutesvlelon Approval was Required for Tmnefer ❑
'MPIN •AORES
aC.Parcel Approved for Subdivision wfh Map Provided ❑
2700 MILL ROAD, LLC
a.Better CAST INre ooLVArw
Name FRNwam
WT NmE1WIO ere, WneT NAME
Z.Select the description which most accurately describes the Cheek the hoses below as they appy:
use at the property at the time of solo. S.Owershlp Type IS Condominium ❑
A.One Faintly Residential a.Now Construction on a Vacard Ladd ❑
10A.Property Located waren an Agricultural District ❑
108.Buyer received a disclosure mice Indicating that the pmperty is In an
Agricultural District ❑
SALE INFORIMATION1 13.Cheek one or more of thus conditions as applicable to troneter.
A.Sale Bet-eon Relatives or Former Relatives
11.Sate Contract Date 08/15/2014 B.Sate between Related Competing or Partners In Business.
C.Ore of the Buyers IS also a Saner
'12.Date of S&WTrsneter 0.Buyer or Seem is Government Agency or Lending Insgfmlon
E.Dead Type not Warranty or Bargain and Sab(specwy Below)
F.Bab of Frorlionar or Lean than Fee interest(Specty,Below)
M2.Full gels Price 420,000.00 G.Significant Change in Property Between Taxable Status and Sale Dates
(Pull Sao Price is the total amount paid br are property including personal Property. H.Sara of Business Is Included m Bale Price
The Payment may be In the form of ash,Other property or goods,or the assumption of 100wr UnusuW Faaom Aascting SOIe pnt:e(Spwry Below)
mortgages or other otlgatiom.)Planes round to me nwme whop daft amount UJ.Noes
Comment(sl on CondWm:
14.Indicate the value of personal
properly Included In the sale .00
ASSESSMENT INFORMATION-Data should reflect the latest Final AasesrenaM Roll and Tap Bill
1e.Year or Assessmant Roll Imam which Information tokan(YY) 13 '17.Totes Assessed Value 5,500
95.property Class 210 _ Ne.School District Name
Southold
'20.Tax Map IdentUhr(syRoll rdentMer(s)(If mom than four,attach sheat with additional MaM1Ner(s))
1000-067.00-05.00-002.000
CERTIFICATION
1 Certify that AN of the Items of Infermotion enter*d On fhb term ate taro and correct(to the best of my knowledge and belle}}and r ureamtand that the making of any willful
false staarem of material fact hemi"subJeot ms to the,p M610ML#LftPa dIo Lmkvdve to No making and ting of false Instruments.
KhLER 31MATURE BSLYER WNTACT INFORMATION
{EwR inlmneTm lar ew baraC Tree II hm,sr■liC,eodaly,arladwon,oxpwiwm lofty aterAxpmD,eny,oNatear
gustyrhwleroean IrxOmb agweelixg,dwy,awnawuubgdarW ypearpri i anrpm4wwerpweele
_ mmrywlq on arw�w mamereww reDmmme ee bereter mW Teo wxwed Tyfeerpdm derrly)
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rmaT NAIB Fe1gT NAAe
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nUYERaDIMiVd Wt5
6/10 Soi Chidlom Road, Apt. 5A
'SIKETAURSER 'er ETNern
Bangkok, Thailand Td 10330
•pry ORiuLTN �- 'mATE WCOME
BAYER'S ATTORNEY
Jannuzzi David
LAST WAS MWNWA
(631) 298-8065
ANSA C" TEIEAma NamER1Er Urso
I I It I I I I