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Home My WebLink AboutL 12804 P 93SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 01/15/2015 Number of Pages: 3 Exempt At: 02:10:18 PM Receipt Number : 15-0006250 Handling $20.00 NO TRANSFER TAX NUMBER: 14-15662 $5.00 LIBER: D00012804 $15.00 NO PAGE: 093 District: Section: Block: Lot: NO 1000 078.00 08.00 016,001 EXAMINED AND CHARGED AS FOLLOWS Cert.Copies Deed Amount: $0.00 NO RPT $60.00 Received the Following Fees For Above Instrument JUDITH A. PASCALE County Clerk, Suffolk County Exempt Exempt Page/Filing $15.00 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 $250.00 TRANSFER TAX NUMBER: 14-15662 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County A Number of pages Is This document will be public record. Please remove all Social Security Numbers prior to recording. Deed / Mortgage Instrument 3 Page / Filing Fee Handling 20. 00 TP -584 Notation r EA -52 17 (County) EA -5217 (State) R.P.T.S.A. _ Comm. of Ed. 5. 00 Affidavit Certified Copy NYS Surcharge 15. 00 Other Deed / Mortgage Tax Stamp FEES Sub Total _ `CS Sub Total AS Grand Total PT RECORDED 2015 Jan 15 02:10:18 PM JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY L D00012804 P 093 DT# 14-15662 rding / Filing Stamps Mortgage Amt. 1, Basic Tax 2. Additional Tax Sub Total _ Spec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town Dual County` Held for Appointment Transfer Tax - c�- Mansion Tax _ The property covered by this mortgage is Dr will be improved by a one or two Family dwelling only. YES or NO If NO, see appropriate tax clause on page // of this instrument. 0,11.114;.r<- 4 1 Dist. 1( 15001305 1000 07800 0800 016001 001 5 1 CommunityPreservation Fund Real Property PTS II�IIjIIIjIIIII�Itjjjll�I�j�jlllll�� IIIIIIIIII�I� Consideration Amount $ '0 Tax Service P LWi '�` II I I li III iE 11 Il Il Agency 15-1 CPF Tax Due $ -0- Verification . _ , ;; Improved X Re <' 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land TD IO LARK & FOLTS ESQS PO BOX 973 TD CUTCHOGUE NY 11935 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 L Title Corrivany Information 310 Center Drive, Riverhead, NY 11901 Co. Name N/A www.suffolkcountyny.gov/clerk Title # N/A 8 Suffolk Counly Recording & Endorsement Pa e This page forms part of the attached BETTY MARIE HERMANN Deed - UFE Gswre (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. made by: TO In the TOWN of Southold JUDY A. HERMANN and In the VILLAGE NANCY E. LEONARD or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12•0104..10108kk Page 1 of 3 (over) / Form 8002 — Bargain and Sale Deed, with Covenant against Grantor's Acts — Individual or Corporation (Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY NO N.Y.S. REAL ESTATE TRANSFER TAX REQUIRED THIS INDENTURE, made the 5th day of January in the year 2015 BETWEEN BETTY MARIE HERMANN, residing at 305 North Bayview Road Extension, Southold, New York 11971, as surviving tenant by the entirety of Frank Theodore Hermann, Jr., who died a resident of Suffolk County, New York on July 22, 2008 party of the first part, and South Jamesport, at 46 N. Railroad in common JUDY A. HERMANN, residing at 6 Sixth Street, New York 11970; and NANCY E. LEONARD, residing Avenue, Jamesport, New York 11947; as tenants party of the second part, WITNESSETH, that the party of the first 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, lyingandbeing in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the northerly side of North Bayview Road distant 240.00 feet easterly from the corner formed by the intersection of the northerly side of North Bayview Road with the easterly side of Cedar Avenue; thence North 16° 55' 10" East along lands now or formerly of Markov and Dowd 270.00 feet; thence South 73° 05' 50" East 131.81 feet; thence South 16° 14' 50" West 265.73 feet to the northerly side of North Bayview Road; thence North 740 55' 00" West along the northerly side of North Bayview Road 135.00 feet to the corner aforementioned, the point or place of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed by deed dated September 8, 1978 and recorded in the Suffolk County Clerk's Office on September 12, 1978 in Liber 8496 Page 117. RESERVING, however, to the party of the first part the exclusive possession and the use and occupancy of the above- described premises for and during the natural lifetime of the party of the first part, with the party of the first part to pay for all maintenance and repairs, insurance charges and taxes relating to said premises. TOGETHER with all right, title and interest, if any, of the party of the first pan 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 rightto 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 pan 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: Betty Marie Hermann Page 2 of 3 ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York County of Suffolk , ss: On the 5th day of January, in the year 2015 , before me the undersigned, personally appeared BETTY MARIE HERMANN, personally known to me or proved to me on the basis of satisfactory evidence, to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual or the person upon behalf of which the individual acted, executed the instrument. ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of County of , ss: ry Public > BARBARA DIACHUN Notary Public, State of New York No 01D14635190 - Suffolk County Commission Expires Oct. 31, 20/9 On the day of , in the year 20 , 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. ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN IN NEW YORK STATE State of County of , ss: On the day of , in the year 20 , 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 say, that (he) (she) (they) reside(s) in ; that (he) (she) (they) know(s) to be the individual described in and who executed the foregoing instrument; that said subscribing witness was present and saw said execute the same; and that said witness at the same time subscribed (his) (her) (their) name(s) as a witness thereto. ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE State of County of , ss: (or insert District of Columbia, Territory, Possession or Foreign Country) On the day of , in the year 20 , before me the undersigned, personalty 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. BARGAIN AND SALE DEED RETURN BY MAIL TO Title No. LARK & FOLTS ESQS BETTY MARIE HERMANN PO BOX 973 CUTCHOGUE NY 11935 To JUDY A. HERMANN and NANCY E. LEONARD Section: 078.00 Block: 08.00 Lot: 016.001 County or Town: Southold Distributed By Chicago Title Insurance Company Page 3 of 3 INSTRUCTIONS(RP-5217-PDF•INS): www.orps.slate.ny.os lRCOUNTY USE ONLY ) / p New York Stift, Depattzrantof C1. SMS code 111, 7 ,�j ,� , ( I Taxation and Finance C2. Date Deedcorded I J / 1 / I ice of Real Properly Tax Services �'�,9,01 RP -5277 -PDF C8. Book I , , G. I Page Real Property Transfer Report (8110) PROPERTY INFORMATION I•Lxeaatrt 305 N Bayview Road Extension 17. Beim the description which most mcaumtay doscdbn the Check the haus below as they apply: use of tho property at the time of Sale: • Onw WmFR • STREET NNE A. One family Residential Southold 'cmoRTom Southold 11971 velAGE -ap coca a. Buyer Hermann Judy A. Name ' WTNRIEiCpPNr/ FAST NATE Leonard WI NAMEI00~ - Nancy E. 'ver mw a. Tax Indicate where future Tax ass am to be Dent Leonard Nancy E. Billing it other than buyer addressi bolo. of form) ust NAmL400 Nn m0T SANE. Address 11. Sale Contrast flab N/A P.O. Box 271 Jamesport NY 11947 r.REUMUMI RNONN6 CmoRTom STATE )PCOM. a. Indicate the number of Assessment 1�I (qny 11 Part of a Pmcel) Chock me they appy: (toll porcols transferred an On deed e OF Perera qR LJ Part d a Pared aA. Planning 8oaro with Subdivision Authority Estate LOW X Olt 0.83 a& Subdivision Approval was Required for Transfer Property •FRW FEET -DEPTH -ACRES spm aC. Parent Approved for Subdrviaion with Map Provided F Hermann Betty Marie s. Sailor •.M/ K40voo .p T MST N" Nwm WTNk.EamPNJr FAST WWE 17. Beim the description which most mcaumtay doscdbn the Check the haus below as they apply: use of tho property at the time of Sale: 0.Owra rshp Type is Condomnun ❑ A. One family Residential e. Now Construction an a Vacant Lend El •-- ICA. Prapany Located vathln an Agricultural District ❑ tOB. Buyar rowived a disdwt" ndim indirmug thd the pn*erY is in an ❑ Agricultural Detroit SALE INFORMATION It Chock one or more of those condition as applicable to transfer: A gale BShvoen RekdNm or Farmer Robables 11. Sale Contrast flab N/A S. Salo bdsaen Rskaed Companies or Pammrs In Business C. one or the Buyers is also a Seller + 01/05/2015 D. Buyer or Seller Is Government Agency or Lendug lnsttutfon 12. Date or S&WTvanfor E. Deed Type not Warranty or Bargain and SW (Speedy Below) F. Sale or Fmctrond or Law than Fee Interest fSpectfy Below) 113. Fall Sale Pala .00 G Significant Changs in Property Bolwsen Taxable Status end Sale Dotes H. Sale of Business is Included in Sale Prim ( Full Sale Price is the total smoum pard for the property Including personal property. 1. Other Unusual Factors Affecting Sale Prior (Specify Soloo This payment may be in the form of ash, other property or goods, or the awumgiogd Li J. Nene morrgages or other cwgall".) RNae round to the nosiest what& daOw wnwnf. 'Comenngs) on Condition: 14. Indicate the value or pomonal property Included In the se% •00 Gift, :eto4ned life estate _ KSSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tex B01 18. Year of Assessment Roll from which Infamoaaon leko gYY) 14 •17. Total Aummd Value 7,400 •1e.ISamIVCame 210 - •ta.school District Name Southold •20. Tom Nap Id"flo (syRoN Idontakels) IN more then four, attach shoat with additional Identmorls)) 78.-8-16.: CERTIFICATION I Certiy then all of lire IMM of I No GUM mored on this form are true and correct (to the bat of my knowledge and baWD and 1 undefatand that the making of any willful 10" shtMnnt of matadal ha herein Subject me to the.elt?YWIIMdN tlra areal kms rolativs to the making and Sling of Mea Intmnwnts. SELLER SIGNATURE BUYER CONTACT INFORMATION IEderkdmmAm tor res Super Neta' n buyr, b LLC.Rxwb, uw ore, mpmbp, pro Mods conowly, @sale or �J =tMisratan ndNduaspamaloosely.t—■romatedmmrdIrA—m N fNanledmdueyr Mfr 1. 1( 115115 S "''10 ren amuses Goee'+ana nsewgdw RwnahrmvM or ardaw Typo Mmdrmy) Bett"Y""110-719 Hermann art Leonard BUYER SIGNATURE �+•Wrx L, 1115115 (631) NancyER "Leonard DATE 46 Nancy E. F TNAYE 722-3176 ?Euoxisxa wY0&R St., mono N. Railroad Avenue 'rREET'NAYE NY 11947 -STATE •apcom BUYER'S ATTORNEY Lark Richard F. FAST NAME, (631) 734-6807 ARLACaCE Ten cP1O Mw RIFa:eerarsn