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Home My WebLink AboutL 12803 P 789SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 01/14/2015 Number of Pages: 4 At: 09:36:27 AM Receipt Number : 15-0005290 Handling $20.00 TRANSFER TAX NUMBER: 14-15409 LIBER: D00012803 NO NYS SRCHG PAGE: 789 District: Section: Block: Lot: EA -STATE 1000 037.00 02.00 003.000 $5.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Deed Amount: $617,500.00 $0.00 NO Received the Following Fees For Above Instrument JUDITH A. PASCALE County Clerk, Suffolk County 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 $2,470.00 NO Comm.pres $9,350.00 NO Fees Paid $12,075.00 TRANSFER TAX NUMBER: 14-15409 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2015 Jan 14 09:36:27 All JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY L D00012803 P 789 DT# 14-15409 Deed/ Mortgage Instrument I Deed / Mortgage Tax Stamp I Recording/ Filing Stamps 3 I FEES Page/ Filing Fee Mortgage Amt. 1. Basic Tax Handling 5. 00 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 !_n --Dual R.P.T.S.A. 2ki 6Comm. Town Dual County _ Held for Appoint of Ed. 5. 00 Transfer Tax Affidavit + �. Mansion Tax The by this is Certified Copy _ �� property covered mortgage or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other L. Grand Total If NO, see a propriate tax clause on i page of r ment. ' 4 Dist. 100 Section 037.00 Block 02.00 Lot 003.000 5 Community Preservation F nd Consideration Amount $ Real Pror 15000423 1000 03700 0200 003000 T ax Servi ..r— Age c1 CPF Tax Due $ Verificat (07D IIIIIIII��l��lll�IIIII��I -JAN -1 Improved6 Sat; _ �RECORDW ddress RETURN TO: Vacant Land Thomas Persicilli, Esq. TD 2137 Deer Park Avenue TO Deer Park, NY 11729 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co. Name Advantage Title Agency www.suffolkcountyny.gov/clerk Title # 14 -AS -48299 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) Stephen Ammon Haupt & Gail Haupt The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of Southold Debra Tellekamn In the VILLAGE or HAMLET of Fast Maron BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over P )NSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY HIS INDENTURE, made the Z31t day of December, 2014 ETWEEN STEPHEN AMMON HAUPT and GAIL HAUPT, his wife, both residing at 995 Washington venue, Plainview, NY 11803 arty of the first part, and DEBRA TELLEKAMP, residing at 40 Aberdeen Road, Smithtown, NY 11787 arty of the second part, VITNESSETH, that the party of the first part, in consideration of TEN and no1100ths ($10.00) dollars paid by ie party of the second part, does hereby grant and release unto the party of the second part, the heirs or uccessors and assigns of the party of the second part forever, SEE SCHEDULE "A" ANNEXED HERETO AND MADE A PART HEREOF 3EING AND INTENDED TO BE the same premises conveyed to the parties of the first part by deed made by Richard Ammon Haupt, Stephen Ammon Haupt and Sallie A. Haupt, as to a life estate, dated August 1, 2006 and recorded in the Suffolk County Clerk's Office on September 22, 2006 in Liber 12470 Page 749. 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: TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of Suffolk ss: On the V4day of December in the year 2014 before me, the undersigned, personally appeared J. KEVIN MCLAUGHLIN 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 helshe/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. (signature and office of individual taking acknowledgment) NOTARY PUBLIC State of New York, County 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/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. (signature and office of individual taking acknowledgment) PATRICIA L. FALLON Notary Public, State Of New York No.01FA4950146 Qualified In Suffolk County Commission Expires April 24, PWAS- TO BE USED ONLY WHEN THE 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(s) 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) BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS Title No. STEPHEN AMMON HAUPT & GAIL HAUPT TO DEBRA TELLEKAMP STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by CommonweaNh A I.ANPA.LRICA COW -Y COMMONWEALTH LANDTITLE INSURANCE COMPANY (signature and office of individual taking acknowledgment) DISTRICT 1000 SECTION 037.00 BLOCK 02.00 LOT 003.000 COUNTY OR TOWN STREET ADDRESS Recorded at Request of COMMONWEALTH LAND TITLE INSURANCE COMPANY THOMAS PERSICHILLI, ESQ. 2137 Deer Park Avenue Deer Park, NY 11729 SCHEDULEA ALL that certain plot, piece or parcel of land, situate, Eying and being at East Marion, in the Town of Southold, County of Suffolk, State of New York, which plot is known. as and by the Lot Numbers seventy-three (73) and seventy-four (74) as shown on a map entitled, "Map of Section Two, Gardners Bay Estates, situate at East Marion, Long Island", which map was filed In the Suffolk County Clerk's Office on September 23, 1927, under the number 275. The policy to be Issued under this report will insure the title to such buildings and improvements erected on the FOR premises which by law constitute real property. CONVEYANCING ONLY TOGETEWR with all the right, title and interest of the party of the first part, of, in and to the land lying in the street in front of and adjoining said premises. TITLE # 14 -AS -48299 1NSTRUCTIONS(RP.5217-PDF•INS): www.OtpS.a111119 AS ,R COUNTY USE ONLY q New York Stale pepartment of C1. scups code -� , , -4 t Taxation and Finance C?flice of Real Properly Tex Services c2. Daa Deed Recorded +�� i 1!- / Q car RP- 5217 -PDF CS. Book I ✓ C4• Page v Real property Transfer Report (8110) PROPERTY INFORMATION Check 4. Indleate the number of Assessment 1 ❑ Pad ar a Parch l A. P a Pan of a paroeq ubdMi o Dhey appy: ❑ Roll parcels transferred on the deed X Parrrels OR 4A Pinning Btlam with Eateries Ston nutiwdy Exists S. Deed�( Q]Z __R.28 as. SubdMsion APPMW was Required for Teamster ❑ '' Property 'PMONrFEET •afiPSlr S ❑ Sles 4C. Parch Appmyod for Subdwislon won Map Provided Haupt Stephen Ammon Parsons Boulevard I. Property 275 Egerton rner hnufi • erKfiT NSE LAsrwarECOMPANr describes the ameerN WER Bast Marion 11939 'T. Euless the descdpaon which most actluretely, Southold �� scone use of the property at the time of $ale: • r7 N aR TOwN ❑ A. Onvratnlly Residential a. New Construction on a 10A. Property Located warm an Agricultural District Debra t. Saylor Tellekamp ❑ Name • LAST heAMONFAN, FSriT haME 70. NOT a" LAST r PJAEKZ -RNr a. Tax habeats where hdare Tax Sib are to be sem Tansy NAnE BeEng a ofher mbuyer address(at botinn of form) an LASTMrwumhOAn Address C. One of the Buyers is also a So41er D Buyer or Saner is GovernmentAgency or Lending Institution 12/23/2014 STATE lop COOS E. DOW Type not Wsrmmy Or Sale (Spaclly Ballow) SiKEi rAawERAraININE �� Check 4. Indleate the number of Assessment 1 ❑ Pad ar a Parch l A. P a Pan of a paroeq ubdMi o Dhey appy: ❑ Roll parcels transferred on the deed X Parrrels OR 4A Pinning Btlam with Eateries Ston nutiwdy Exists S. Deed�( Q]Z __R.28 as. SubdMsion APPMW was Required for Teamster ❑ '' Property 'PMONrFEET •afiPSlr S ❑ Sles 4C. Parch Appmyod for Subdwislon won Map Provided Haupt Stephen Ammon a.SNbr • LAST W,4ADOnAW Feer NAME Gail Nome Haupt rner hnufi LAsrwarECOMPANr describes the Cheek the Mxes Mlow es tltey appy: ❑ 'T. Euless the descdpaon which most actluretely, g, Ownership TYPO b CondOminlum use of the property at the time of $ale: Vacant LSM ❑ A. Onvratnlly Residential a. New Construction on a 10A. Property Located warm an Agricultural District ❑ lee, Buyer received a disclosure notice Indicating that the property Is in an ❑ Agdaltural District 70. bns los appecabet to transfer Check one or mom of those condBr. LE INFORMATIONISA— A Sale Bohresn RelerNpartners or Ftlter Relatives 10 2 0 2 014 B. Slob Mtwesn Related Compardes ofPartners In Barites. H. S■Is contract Dob C. One of the Buyers is also a So41er D Buyer or Saner is GovernmentAgency or Lending Institution 12/23/2014 E. DOW Type not Wsrmmy Or Sale (Spaclly Ballow) ' 12. Dots o/ SalydTeamsfer .. F. Sate of Fmdbnol or lea man Fee Imwast (SPsony Bolo-) 617,500.00 0. significant Chong@ In Property SOMOen Taxable Status eM Salo Dates Salo of Business Is Included in Sats Pries Sola Pdee is low bbl amours paid (OF on property including personal property. 1. Other Unusual Factors Ageutkrg Sab Price (Sploegy Bebw) ( Fun This payment may be n ate bum Of cash. Omer property or goods, or to assumption of J. None mortgages or other abllgannms.) Plano round to the nearest whole dollar amount. Comment(s) on Condition: 14. Indicate the value Of Pamonal 0 ,40 property included In the ole ASSESSMENT INFORMATION - Oete should rsfta the latest Final Asssasment Rolland Tax Biti 16. Year M Assessment Roll from which Infammbn Ukan(YY) 13 •17. Total Assessed Value 4,800 '1s. Property Class 210 _ _- '1s. School District Name Oysterponds '2a. Tax Map Id@MMONSYR011 Iesmabr(s) (Y more than four, aaach shoes wish addalonel IdsndMr(y) 1000-031.00-02.00.003.000 CERTIFICATION I Corby th■t oil of the Items of Infare teen entered On this form am true and correct (to on Mal M my knowledge and bellsQ and t OMeretend that the making o/ lorry willful fifes statement of material fact heroin subject me todxxJMbkI11SAi01a. MM,UAM efetve to an making and Ming hTroRhis* GnuTACT INFORMpnoN I(EKer kswmasm for se barer Nan a Sero N LLC.sed*l aRaamar.OMpdad-k idea worth mnierN• Wares seely■m is rot on Inceii lseesa 1duan7. clan a mmeand armed baawnaon of annfWtlusarRPofwwale p nyv" can meow oseon regmena to verofermar be wesed Tops er P"M da -y l Tellekamp Debra FWST MME .yw Ww •TELEPIIQIE MLNSER rEL lrereeel 40 Aberdeen Road • i ET _NN KR 'STREET New Smithtown NY 11787 •cm'ORTOwN 'STATE 'm tour. sus YEWS ATTORNEY Persicilli Thomas LAST MAK FOM Nese (631) 491-9200 AIEACOoe IaLEPNGahe.wesaA:wrewq