HomeMy WebLinkAboutL 12795 P 726 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/13/2014
Number of Pages: 4 At: 03:18 :05 PM
Receipt Number : 14-0150422
TRANSFER TAX NUMBER: 14-09571 LIBER: D00012795
PAGE : 726
District: Section: Block: Lot:
1000 079.00 04.00 017.019
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $270,000.00
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 2,-
NO
TP-584 $5.00 NO Notation $0.00 NO
Cert.Copies $0.00 NO RPT $60 .00 NO
Transfer tax $1,080.00 NO Comm.Pres $3,900.00 NO
Fees Paid-
TRANSFER TAX NUMBER: 14-09571 As'5'b(co
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Anct t�W� -P -04 +0152 9-71
MF2�
Number of pages PE30RpED
2014 No-,) 13 03:18-.05 Ph1
JUDITH A. PASCALE
This document will be public CLERK OF
record. Please remove all SUFFOLK COUNTY
D00012795
Social Security Numbers P 726
prior to recording. DT# I4-05571
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording./Filing Stamps
FEES
Page/Filing Fee Mortgage Amt,
1. Basic Tax
Handling 20. 40 2. Additional Tax
TP-584 S Sub Total
Notation Spec./Assit.
EA-52 17(County) S Sub Total u Spec./Add.
1Add.
PR
A-5217(State) J`�� TOT.MTG.TAX
'
P.T.S.A. ((�}� �Y Dual Town Dual County,,•
Held for Appointment
Comm.of Ed. 5. 00 11/0 1
� Transfer Tax £St7
Affidavit Mansion Tax
Certified Copy Theproperty� covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 330 family dwelling only.
Sub Tatal
Other YES or NO
Grand Total 0 V If NO,see appropriate tax clause on
of this instrument
311I� 2-
/
4 Dist, co *; 0� ul��>r 6y' pp T,nt 01-7. 01 S Community Preservation Fund
Real Property 14031757 1000 07900 0400 017019
Conside on ount$ '?� D, OTS-OD
VerificationAgenc
R °TM IIIIIIii�III�i�IIIIIIIIlI11111PF Tax Due'-? 3, DV. OD
,o-No�, I�IIIIfIIf�1lI>�
Improved
SatiSfaCY.101talt�tscttat�ca,a�c.caou5-i,.uu.t.,y...��.. ,,,,,,,,,,,,,,,,,,,,....ddress
RECORD&RETURN TO: Vacant Land ✓
kh (2.A . TD _ /OL 7
�r'J4Jd� 70cp TD
G U oA LLLt° N TD
Mail to:Judith A. Pascale, Suffolk County Clerk 7Title Com an Information
310 Center Drive, Riverhead, NY 11901 C e FIDELITY NATIONAL TITLE
www.suffalkcauntyny.gov/clerk Title# Flq.-")t0
Suffolk C ounly Recording & Endorsement Page
This page forms part of the attached 6-GGd made by:
(SPECIFY TYPE OF INSTRUMENT)
C Gt re. +�w, j ytq (fid r rt�esrj The premises herein is situated in,
1. LC SUFFOLK COUNTY,NEW YORK.
TO r In the TOWN of 6�`��0 ted
G`6wt- ZTe-p-t:4e_ In the VILLAGE � `
L4 j f or HAMLET of )b u '�1 t I _
BOXES 6 THRU 8 MOIST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12.01a..1010ekk
(aver)
' Form 3240
N uM.M N.Y.Ii.T.U.6—%INR-Bargain and tisk It<xd
with l.--i;pmt(.di ,Act,
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE,made the �day of October in the year 2014
BETWEEN FREEFORM BUILDING PARTNERS, LLC, having an address of
c/o David Silver, 115 Norfolk Street, Suite 101, New York, New York 10002
party of the first part, and
DAVID OLSEN and JENNIFER OLSEN,his wife,having an address of 2025 Oaklawn Avenue,
Southold, New York 11971
party of the second part,
WITNESSETH,that the party of the first part,in consideration of Ten DollaMand other valuable consideration
paid by the party of the second part,does hereby,grant and release unto the;garty of the second part,the heirs or
successors and assigns of the party of the second part forever`;
SEE DESCRIPTION ANNEXED HERETO AND MADE A PART HEREOF
"earl' of
Being and intended to be the same premises as conveyed to the grantor herein by deed made by
Zoumas Home Builders Inc.dated September 21,2005 recorded on November 3,2005 in Liber 12418,
page 446.
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 all the
estate and rights of the party of the first part in and to said premises; TO HAVE AND'TYHOLD[he premises
herein granted unto the party of the second part,the heirs or successors and assi6ris of the party,uof 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 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:
1
FR JMU ARTNER LLC
By: iller,MemberlManager
TO BE USED ONLY WHEN ACKNOWLEDGMENT IS MADE IN NEW YORK
State of New York,County of Nassau ss: State of New York.County of ss:
On the � day of October in the year 2014 On the day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
Kevin Miller
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
satisfactory evidence to be the individual(s) whose name(s)is(are)subscribed to the within instrument and
name(s)is(are)subscribed to the within instrument and acknowledged to be that he/she/they executed the same in
acknowledged to be that he/she/they executed the same in his/her/their capacity(ics), and that by his/her/their
his/her/their capacities. and that by his/her/their signature(s)on the instrument,the individual(s). or the
signature(s)on the instrument,the individual(s),or the person upon behalf' of which the individual(s) acted,
person upon behalf' of which the individual(s) acted, executed the instrument.
executed the instrule
�
111C.6e+h A. Mai- ,rt Z (signature and ol7ice of individual taking
(signature and office ol'E�I;LMAkTdiW acknowledgment)
acknowledgment) NoWy pubfiCState of New York
718k County,
ounty 18
TO BE USED ONL`�I@ #6V%FMENT 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/site/they executed the same in his/her/their capacity tics).
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)
�! ELIZABETH A.MARTINEZ
J� Nomry Public,Stade of New Ybtht
No.01 MA4716913
QuarAW In Suffolk County
ComInhW n E)#=June 30,2018- (signature and office of individual taking acknowledgment)
79
Bargain and Sale Deed BLOC
4.00
WITH COVENANTS AGAINST GRANTOR'S ACTS LOT 17.019
COUNTY OR TOWN Southold
TITLE No.F14-7goy-955.16-5u Fr 150 Deer Run
Southold,NY
FREEFORM BUILDING PARTNERS, LLC
RECORD AND RETURN BY MAIL TO:
TO David Olsen, Esq.
Olsen & Olsen, L.L.P.
32495 Main Road
DAIVD OLSEN AND JENNIFER OLSEN, his wife
P.O. Box 706
Cutchogue, NY 11935
Videfity%ationa[Titre insurance Company
TIVEM.T14-7404-95526-§VTT
SChS0VLE.A-1(Description)
Amended 09/04113
ALL that certain plot, piece or parcel of land, situate, lying and being at Bayview, Town of Southold,
County of Suffolk and State of New York, known and designated as Lot No. 2 on a certain map entitled
"Map of Zoumas Contracting Corp., situated at Bayview, Town of Southold, Suffolk County, l" and
filed in the Office of the Clerk of Suffolk County on October 1, 2004 as Map No. 11166, which lot is
more particularly bounded and described as follows:
BEGINNING at a Point on the easterly side of Deer Run,distant 280.89 feet northerly from the northerly
end of the curve, which connects the easterly side of Deer Run with the northerly side of North Bayview
Road;
RUNNING THENCE along the easterly side of Deer Run along the arc of a curve bearing to the left
having a radius of 85.00 feet, a distance of 106.05 feet;
THENCE North 51 degrees 29 minutes 13 seconds East,299.56 feet;
THENCE South 46 degrees 52 minutes 47 seconds East, 150.78 feet,
THENCE South 17 degrees 01 minutes 50 seconds West,351.61 feet;
THENCE North 57 degrees 01 111inutes 40 seconds West, 282.11 feet to the easterly side of Deer Run at
the point or place of BEGINNING.
THE POLICY TO BE ISSUED Under this commitment ivill insure the title to such buildings and iniproveinents,on
the prenrises which by hzip constitute real properny
FOR CONVE V4.,VCING OJVL Y.- Together ivith all the right, title and interest of1he parry qj'thefirst part, of ill and
to the land lying in the street in front of and adjoining saidprentises.
SCHEDULE (Descriptioti)
Rev.(03/04)
INSTRUCTIONS(RP-5217-PDF-INS):www.drps.stata.rty.us
OR COUNTY USE ONLY �� New York State Department of
C1.SMS Code '7, 7.3.g2,?,IT � Taxation and Finance
C2.Data Dead Recorded I /1 / 13/ /V I Office of Real Property Tax Services
car Y_ RP-5217-PDF
Gt.BookC4 Page ( 7,a, ' Real Property Transfer Report(8110)
PROPERTY INFORMATION
1.ProptNy 154 Deer Run
Location
•eTRCLT MIIY-Ee 'SmParNAME
Southold Southold 11971
•CrrYORTOWN VILLAGE •apom
2.Buyer Olsen David
Noma
•tMTnAanCarpan rest Mahe
Olsen Jennifer
LMT NAre1maMVrr mer-SE
a.Tax Irhaam where tours Tax baa aro to be ram
atlang d close then buyer addran(to botlohn of tam) LAST NAMECOMPPAxr nrmT NAes
Address
ffmmm Aim Amo Nke MTV OR TGAM SUTE aPCmE
4.Indicate the number of Assessment 1 0of Parak OR ElPan of a Permit IOny N Part of a Parcae Clack es they appy:
Roll pmmek bmmfipvW on the deed 40L Planing Board with SubdMsMn Authority Exh s ❑
S.Deed X OR 1.98
Property •Pppm FW 48,Subdivision Approval was Requrad for Transfer ❑
SM •oEPTx •ArAta
4C.Pmed Approved for Subdiukion with Map PmWed ❑
Freeform Building Partner
L$Saer ,y, Ca, MRST MASS
Name
L,a,NA,�papw,y FPST WK
7.Sika the description which most accurately describes Na Check the boxes blow as thy appy:
use of the property at the area of nit: a.Ownership Type Is Condaalhihan ❑
C.Residential Vacant land a.New Constnhctim on a Vacant Land ❑
10A.Property Loafed wil in an Agdaaund DOM
100.Buyer»slawd a dtodcaurs nodes Intimating amt the property Is In on
Agricultural District ❑
SALE INFORMATION 15.Check one or more of than condiaam as applicable to transfer:
A.Sats Between Rlatiws at Former Relatives
11.ser contact wk 08/20/2014 B.Sok bekam Related Companies or Partner In Business.
C.On of the Buyem Is ON a Sauer
10/28/2014 D.Buyer a Seller Is Gownmom Agency or LancingInWNbon
`ti Dates of SaINTnmfer E.Dead Type not Warrant or Bagln and Sale(Spedy aelaa)
F.ads of Fomented-Lass Sun Fee Interval(Spsdy Below)
'12.Full Sale Price 270,000.00 G.Sgnificam Changs in Property BOMM Taxable Status mid Sale DIMS
H.SaIM d Buena i-Indutlad in Sale Rice
(Fd Sole Phis is the total ampul paid for the popery including penonl Property. 1.Other Um+wal Fears Affecting Sale Prim(Spa"Blow)
This payment may be in the form of cash.other property or goods,or the anumpgon of J.Nona
morapges or OHM mhiigatinns.)PMnss mond to do name whds dollar annual.
Centennial on Condition:
14.Indicate the value of penal
pn*wq Included In the sale AID
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Rog and Tax Bill
tor.Ynr of Asaesalnent Roll hem whlch IMomaaon teken(M 14 97.Toed Assesasd Value 1,900
'18.Property Cites 311 _ '10.School olsbict Name Southold
'20.Tax Nap gelMor(syW Monf"s)fit mon clan four,such shoot with additional kmtMagsp
1000-079.00-04.00-017.019
CERTIFICATION
1 Certify that as of the Unna of infamaam ordered on this form are true and coact Be the best of my knowledge and beli*4 and 1 understand that the making of any wNhrl
fake statement ofmatedd tact hermn subject me to me.proYlNans.dLtle.pond.kre relative to the making and Sling attain Instruments.
^^J Rpl I r:m SIGNATURE BUYER CONTACT INFORMATION
/ MnW Waorwerm-E ew beer.NOW.If burwrw LLC soft.awombon.camoram.PEE EMa m,npew.am*or
y pmhy ono ralaerquawlr9ahxRNwthatandernasamarE. ypeartondmaONadaerpwpMb
�wromEnarrl�Erprmg ma tranaleramba wlewae.lYP erpma caaM.l
erenA GATE
�I BUYER SIGNATURE Olsen David
•WT MME FlesT NAME
(*"+to=/ 6y. TC JL,y
Iy 2,W17 •MEAma •TELEPHOMEMlm qtU 9MMi
> are
2025 Oaklawn Avenue
•mREET m:Mmx •WREET NAME
loinSouthold NY 11971
-crhva+mva. STATE -Woom
BUYER'S ATTORNEY
Olsen David
hover n 9 !ql NAYE
(631) 734-7666
MEACmOE Tol"a NE"amIS,"Mewl