HomeMy WebLinkAboutL 12797 P 454 a iiiiiii ilii iiiii iiiii iiii���ii�iiiii iiiii iiiii ilii ii��
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/25/2014
Number of Pages: 4 At: 09:20:08 AM
Receipt Number : 14-0155629
TRANSFER TAX NUMBER: 14-10815 LIBER: D00012797
PAGE: 454
District: Section: Block: Lot:
1000 080.00 04.00 019.001
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 $255.00
TRANSFER TAX NUMBER. 14-10815
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
MF21'•
Number of pages 'RECORDED
2014 Nous 25 09:20:08 At9
JUDITH A. PASCALE
This document will be public CLERK OF
record. Please remove all SUFFOLK COU11TYL 600012797
SociaLSecurity Numbers P 454
prior to recording. DT# 14-10815
:Deed/Mortgage.Instrument Deed/'Mortgage Tax Stamp Recording/Filing Stamps
3 FES
Page/Filing Fee �" �� Mortgage Amt.
Handling 20. oo 1. Basic Tax
2. Additional Tax _
TP-584 Sub Total
Notation SpecJAssit.
or
EA-52 17,(County) ��_ Sub Total Spec./Add.
EA-5217(State) U) TOT.MTG.TAX
R P.T.S.A.
Dual Town Dual County—
Held
ountyHeld for Appointment
Comm.of Ed. 5 OQ Transfer Tax _
Affidavit �� Mansion Tax
Certified Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 ,o �" family dwelling only.
Sub Total YES or NO
Other
Grand Total ^' If NO,see appropriate tax clause on
Y r ' page# of this irlttrupient.
4 1 Dist: Se 14033347 1000 08000 0400 019001 5 Community Preservation Fund
Real Property -NOV-1 1 I�II���l�1!IIIIIl III��IuII�II���IW(II� Consideration Amount$
R
Tax Service DHO A
Agency 21 CPF Tax Due $
Verification
_ _-- --------_._.�_- _ — Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
�)b,,J
RECORD&RETURN TO: Vacant Land
r TD
R nMr, VdiM 86frrf_4 TD
2 2 (1-ck¢ tlur n 4V� TD
(�1 n�� ►wt CLS 0
Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Comaw Information
31 Q Center Drive, Riverhead, NY 11901 Co.Name S-yacj 5 y - ,
www.suffolkcountyny.gov/clerk Title# X4'1 2.014f– So
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached bee R made by:
(SPECIFY TYPE OF INSTRUMENT)
G�e� ro I) The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
t { _ TO In the TOWN of S a q
I t-tq t 0 r, K-�t �" �(.I 5 k Y`-, In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
u-oia.woekk (over)
• —Executor's Deed—Individual or Co`poralion(single sheet) 3NY)G 2 o I,'—"S ]
THIS INDENTURE.,made the (S day of 0&6$FL,;in the year 2014 IIV YYY✓✓✓
BETWEEN
GREGORY J.deBRUIN,residing at 7 Hiawatha Lane,Setauket,NY 11733 and who was appointed by
Decree granted May 8,2014 under Surrogate's Court,Suffolk County File No.2014-1649,as Executor of
the Last Will and Testament of Nancy M.deBruin,late of Southold,New York,deceased,party of the first
part,and
KEITH TAYLOR and SUSAN TAYLOR,residing at 9350 Chestnut Knolls Drive,Fairfax,Virginia 22032,
party of the second part,
WITNESSETH, that the party of the first part, to whom Letters Testamentary were issued by the
Surrogate's Court of the State of New York for the County of Suffolk on May 8,2014,and by virtue of the
power and authority given in and by said Last Will and Testament, and in consideration of ten dollars
($10.00),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,
Section lying and being in the
80
Block 4
Lots 18 SEE ATTACHED SCHEDULE A
&19
TOGETHER with all right,title and interest,if any,of the party of the first part of,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 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 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 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.
1N PRESENCE OF:
GREGORY . E IN,as Executor of the Estate of
Nancy M. ruin
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York,County of Nassau,ss: State of New York,County of ,ss:
On the 31 day of October in the year 2014, before me, the On the day of in the year
undersigned,personally appeared
GREGORY J.deBRUIN 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 personally known to me or proved to me on the
the within instrument and acknowledged to me that he/she/they basis of satisfactory evidence to be the individual(s)whose name(s)
executed the same in his/her/their capacity(ies), and that by is(are)subscribed to the within instrument and acknowledged to me
his/her/their signature(s)on the instrument,the individual(s),or the that he/she/they executed the same in his/her/their capacity(ies),and
person upon behalf of which the individual(s) acted, executed the that by his/her/their signature(s)on the instrument,the individual(s),
instrument. or the person upon behalf of which the individual(s)acted,executed
the instrument.
i C
r.
EItEEN G,; ry public
;NdiW Pt111L1C-STATE'OF NEW YOgK
:Na:OI M6160252 ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK
` lsoli oWn Nassau County STATE
w.ciii Y Gtie gs066,duly 24.201
*State of County of ss:
ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS *(Or insert District of Columbia, Territory, Possession or Foreign
TAKEN IN NEW YORK STATE County)
State of New York,County of ss: On the day of in the year
On the day of in the year
before me the undersigned personally appeared
before me, the undersigned,a Notary Public in and for said State,
personally appeared Personally known to me or proved to me on the basis of satisfactory
,the evidence to be the individual(s)whose name(s)is(are)subscribed to
subscribing witness to the foregoing instrument, with whom I am the within instrument and acknowledged to me that he/she/they
personally acquainted,who,being by me duly sworn,did depose and executed the same in his/her/their capacity(ies), that by his/her/their
say that he/she/they reside(s)in
signatures)on the instrument,the individual(s)or the person upon
behalf of which the individual(s)acted,executed the instrument,and
(if the place of residence is in a city,include the street and street number if any,thereof);
that such individual make such appearance before the undersigned in
that he/she/they know(s)
the
io be the individual described in and who executed the foregoing (add the city or political subdivision and the state or country or other
instrument;that said subscribing witness was present and saw said
place the acknowledgement was taken).
execute the same;and that said witness at the same time subscribed
his/her/their name(s)as a witness thereto
Executor's Deed
SECTION; 80
BLOCK: 4
LOTS: 18&19
Title No. COUNTYORTOWN: CountyofSuffolk
GREGORY J.deBRUIN,as Executor of the Estate
of Nancy M.deBruin
TO
KEITH TAYLOR and SUSAN TAYLOR RETURN BY MAIL TO:
V1N1'31,1'RP0RATEb'
Robert D.Rynkar,Esq.
RACTs, Rynkar,Vail&Barrett 22 Jericho Turnpike(Suite 100)
565 Stewart Avenue-Garden City,NY 1 1530 Mineola,New York 11501
516.6631000
SCHEDULE A
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, known and designated as Plots number 17, 18 and
19 in Block H on a certain map made July 22, 1930, by
Daniel R. Young, P.E. and L.S. entitled, "Map of
Reydon Shores, Inc. , Bayview, L. I . , New York in the
Town of Southold, Suffolk County, N. Y. " and filed in
the office of the Clerk of Suffolk County, Riverhead,
New York, on July 31st, 1931, as Map Number 631 .
Together with all the easements, rights, licenses
and privileges contained in two Deeds: (1) dated
May 23, 1958 to Katherine T. de Bruin and Nancy M.
de Bruin by John H. Beach recorded in the Suffolk
County Clerk' s office at Liber 4464 cp 387 and (2)
dated July 5, 1968 to A. James de Bruin by M. Lillian
Beach recorded at Liber 6381 cp 322 on July 15, 1968
and the premises conveyed herein are the same as
described in both deeds and in L 10571 pc 430 .
Premises known as 200 Grove Drive, Southold, New York
and designated or the Suffolk County Tax Map as follows :
1) Lots 18 and 19 in Block H on the aforementioned
filed map are District 1000 Section 80 Block 4
Lot 18;
2) Lot 17 in Block H on the aforementioned filed
map is District 1000 Section 80 Block 4 Lot 19 .
INSTRUOTIONS(RP-5217•PDF-INS):www.orps.state.ny.us
FOR OQUNTY USE ONLYNew York State Depanbnent of
C1.SwIS Code i '/1 91 Taxation and Finance L
C2.Date Dead Recorded I 1 � / oS-fit/ � 1 J Office of Real Property Tax Services
/ r�Q� 3" Ya RP-5217-PDF
C3.Book ! / r C4.Pape L { I Real Property Transfer Report(SMO)
PROPERTY INFORMATION
1.P-Pmty 200 Grove Drive
Location
•STRiT Nllwo:N 'STREET NAVE
Soathold 11971
•CITY OR TOw4 YLLASE •nF clxTe
2.B or Taylor Susan
Name .AST Nom. OuPYh' FRSThAME
Taylor Keith
LAST NAlfleeNPMN I P!,1NMa
s.Tax Indicate whers lubm Tar Bias am to bs sem TAYLOR SUSAN
Biline it orwrthan buyer addrewal bottom aform) LASrw,,E=NPANY -VST.WE
Address
9350 Chestnut Knolls !hive Fairfax VA 22032
STREETNUMEERAND WE crud as-am STATE aP cwe
4.Indbalo the number of Assessment 1 a of Parcels OR [:]Parc a a Prat (Only B Part of a Parses Chadic as that apply:
Rall parcels transferred on the dead 4A.Planning Baan with SubdlNEron Aut"FAsts ❑
L Deed )( OR 0.49 46 Subdivision Approval wait Required for Transfer
Property 'FROW FEET 'DCP:1, 'ACRES 13
Mw 4C.Pascal Approved CIN Sub*AWM with Map Provided ❑
deBruin, Gregory J., Exec., E/0 Nancy deBruin
e.SeSer •,Ag-NALFKaNPAM -or NWE
woos
IAr NNMEC WPAM 1 RST FAN.
•7.Select the daaeription which most accurately dossribes the Cheek the boxes allow as they apply:
use of this property at the time of sale: L Ownemlap Type a Condominium ❑
A.one ratnily Residential 0.New Construction on a Vacant Lead ❑
10A.Propeny Located within an Agriculture!District ❑
100.Buyer received a disclosure Ticks indicating fled the property Is in an ❑
Agricultural District
SALE INFORMATIONI IL Check on or mom of these conditions as applicable to banaler.
A Sale Bowmen Retadvas or Fomler RalaOvea
11.Sale Contract Dab N/A 8.SW halwaan Related Companies or Partners in Business.
1 C.One of the Buyers is also a Bestir
D.Buyer or Sager
is Government Agency or Lending Institution
12.Date of SaleRrassler
r I— ' �� L.� E.Dead Type ad or Baron ad Seta(Specify Below)
F.Sefa of Fraeaonel a Gess than Fes inbrsal(Specify Below)
•13.Full Sale Price 0.00 O.Significant Change in Property Between Taxable Soba and Seth Dates
H.Sale of Business is Included in Sale Prios
(Full Sale Price Is do fixed amount paid for thm Property Including personal properly. H L Omer Unusual Factors ARxOng Side Prim(Specify Baba)
This psymem may be in the form of cash.cover pmpedy or goods•or the assumption of J floc►
manages or other obbipatons.)Phase roundto The nosiest whole doaaramownt
'COmlesm(a)011 Condlaon:
14.Indicate the value of persona
property Included In the sale 0•00 Cxecztoc's Deed
ASSESSMENT INFORMATION•Data should resect the latest Final AssesameM Rol)and Tax Be
10.Year of Assessment Roll from which Information token(YY) 14 •17.Tata)Asswead Value 8,600
•1s.Propeny Claes 210 - 1 Me.School Dlso4t Name Southold
'20.Tax Nap WontMsr(allRoll kbneflet(s)Of mom tlbn four,stiaeh sheatwkb additional kkaffiMs))
S: 60, B: 4, Lot 18,19
OFIFICATION
I Cerdly that all of the Rome of Irdmmaoon a to an this tam are true and correct(to the best of my knowledge and b@M and I undemtW that the making a1 any wNful
false statementof maeriel fact heroin subject mato dye rxovidons of the metal bus raWha to the makhp and Islas of fel"Instruments.
BELI,ER.S GRATURE . ' BUYER CONTACT INFORMATION
(Erxrimxendn Ibrea coyer Note If buyerle LLC.wd*.m due.mmaabw.pun Mock MP&M,tineas
arxay the u Mn an awimaim agwa r&alduv.a"a rano one oanled oEoaaaam on an WhAdNwhrstxaee,
pant whoem aaararamaapllr ae.mrw six earararrNm cue amxw ripewpremebady.)
uyn a arLT
BtLYEBBIGNA7tlRE Tay:or Susan
LASS NWL Rom NAME
(703) 503-3051
yam(/d -��•r—.�—I((LI�')
1112111y 'ARFAfA:a •'ELLWiON1.WNa�t�.mawh
aJYER SF.WI @
DATE
9350 Chestnut Knolls Drive
•rREFTNUNeetr '69L1ETNAME
II j Fairfax VA 22032
'I �Ty�eT STATC LP WOE
BUYER'S ATTORNEY
1
Rynkar Robert
LAST WE FIaST RAE
t (516) '147-0110
APLAIXxa 111aRWr1E NUaaF41@�MseraM
1
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