HomeMy WebLinkAboutL 12811 P 73SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 03/20/2015
Number of Pages: 4 At: 11:14:59 AM
Receipt Number : 15-0036183
TRANSFER TAX NUMBER: 14-20853 LIBER: D00012811
PAGE: 073
District: Section: Block: Lot:
1000 063.00 07.00 014.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0.00
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
$0.00
NO
Comm.Pres
$0.00
NO
Fees Paid
$255.00
TRANSFER TAX NUMBER:
14-20853
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.
Deed / Mortgage Instrument
3 .
Page / Filing Fee 1%—
Handling 20. 00
TP -584 `J`
Notation _
EA -5217 (County) 5
EA -5217 (State)a6�
RECORDED
2015 Mar 20 11:14:59 AM
JUDITH A. PASCALE
CLERK OF
SUFFOLK. COUNTY
L D00012811
P 073
DT# 14-20853
Deed/ Mortgage Tax Stamp ( Recording / Filing Stamps
Sub Total
FEES
R.P.T.S.A. V)
Comm. of Ed. 5. 00�
Affidavit'
Certified Copy
NYS Surcharge 15.0057 Total X05
Other. a
Grand Total
4 Dist. 15006771 1000 06300 0700 014000 X00
RealProper A9ncy ,9 MAR -1 1111111111111111111111111111111111
Tax Service R POL A
Verificatior
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
Davidow Davidow Siegel & Stern, LLP
1050 Old Nichols Road - Suite 100
Islandia, New York 11749
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
Mansion Tax
The property covered by this mortgage is
or 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.
:2- -aq-A5
Community Preservation Fund
Consideration Amount $
CPF ax Due $ A
Improved
Vacant Land
TO i
TO
TO
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
31,0 Center Drive, Riverhead, NY 11901 Co. Name
www.suffolkcountyny.gov/clerk Title #
y S
S Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed
by: (SPECIFY TYPE OF INSTRUMENT)
Barry T. Charles and Barbara A. Charles, his wife The premises herein is situated in
SUFFOLKCOUNTY, NEW YORK.
made
TO In.theTOWNof ,Southold
Virginia A. Rubin, as Trustee of the Barr; T. and in the VILLAGE
Barbara A. Charles Family Trust dated 74+5 or HAMLET of Southold
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
aver
District
1000
Section
063.00
Block
07.00
Lot
014.000
NY 014 - Full Covenant & Warranty Deed Individual or Cortoration (Single Sheet) (NYBTU 8003)
CONSULT YOUR LAWYER BEFORE SIGNING TRIS INSTRUMENT • TIIIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the o?g4a day of febNW5 , in the year 2015
BETWEEN
BARRY T. CHARLES and BARBARA A. CHARLES, his wife, both residing at 265 Peck Place,
Southold, New York 11971
party of the first part, and
VIRGINIA A. RUBIN, residing at 1805 Jockey Creek Drive, Southold, New York 11971, as
Trustee of the BARRY T. AND BARBARA A. CHARLES FAMILY TRUST dated q/a 4 1d015
party of the second part,
WITNFSSETH, that the party of the first part, in consideration often 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, lying and being in the
See Schedule "A" Attached
SAID premises being known as 265 Peck Place, Southold, New York 11971.
BEING AND INTENDED TO BE THE same premises conveyed to the party of the first part by
deed dated May 6, 1996, recorded in Liber 11776 Page 472 on June 3, 1996, in the Office of the
Clerk of the County of Suffolk.
TOGETHER with all right, title and interest, if any, of tae 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, 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 fust 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.
AND the party of the first part covcnants as follows: that said party of the first part is seized of the said premises in fee simple, and
has good right to convey the same; that the party of the second part shall quietly enjoy the said premises; that the said premises are
free from incumbrances, except as aforesaid; that the party of the first part will execute or procure any further necessary assurance
of the title to said premises; and that said pa,ty of the first part will forever warrant the title to said premises.
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 fast.pLa has duly cacc atcd t;d5 decd tiic dny and yar first above written.
IN PRESENCE OF:
Barry T.��
�C1�Lt�Gltiit,CA.� t'�f .
Barbara A. Charles
II SEACRNOWf,EWMENTFORMBELOWWMIHNNEW YORKSTATEONLY..
State of New York, County of. Suffolk } ss,:
On thea,[} day of � U." in the year 2015
before me, the undersigned, peiso y appeared
Barry T. Charles antl Barbara A. Charles
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
thesame in his/her/their capacity(ies), and that by his/her/their
signature(s) on the instrument, the individual(s), or ,the person upon
be alf ich the indi rdual(s) ac excepted the instrument.
Notary Pubilc
HARIKLEA D. BAIALARDO
Notary Public - State of New Yb*
No.02BA6160903
Qualified in Suffolk County
Corm Wslon E)#res February 12, 2Q„Z
ACKNOWLEDGMENT FORM FOR USE WTTHINNEW YORKSTATE ONLY:
/New Yark Subscribing Witness Acknowledgment Cenif[tate/
State of New York, County of ) ss.:
On the day of in the year
before me, the undersigned, personally appeared
the subscribing witness to the foregoing instrument, with whom 1 am
personally acquainted, who, being by me duly sworn, did depose and
say that he/shelthey reside(s) in
(if the place of residence is in a city, include the street and street number,
if arty, thereof); that helshelthey 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.
TITLE NO.
WARRANTY DEED
(wnn FuLLCAviNAMS)
TO
FIDELm NATIONAL TITLE
INSURANCE COMPANY
lncaaraeAreo 1928
C f ale A, Fidelity A/,��
M —e,.x,,, HA s-, raa rd, /-1.1-
USEACKNOIVLEDGMENT FORMBELOW WMHNNEW YORKSTATEONLY.'
State of New York, County of
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 individuals) whose names) 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.
ACKNOWLEDGMENT FORMFOR USE OUTSIDE NEW YORKSTATEONLY
/Out of Stale or Foreign General Acknowledgment Certificate/
.. .. .........}ss.:
(Conrnlere Venue with State, Country, Province or Municipality)
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/shelthey executed
the same in his/her/their capacity(ies), that by hMiert 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
(Insert the city or other political subdivision and the state or country or
other place the acknowledgment was taken).
DISTRICT 1000
sacnoN 063.00
BLOCK 07.00
LOT 014.000
COUNTY OR TOWN Suffolk
RECORDED AT REQUEST OF
Fidelity National Title Insurance Company
RETURN BYMAIL TO
Davidow Davidow Siegel & Stern, LLP
1050 Old Nichols Road - Suite 100
Islandia, New York 11749
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SCHEDULE "A"
District 1000 Section 063.00 Block 07.00 Lot 014.000
ALL that certain plot, piece or parcel of land, with the building 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 Lot Number Fourteen (14) on a certain map entitled "Harvest Homes
Estates, Section One" and filed in the Office of the Clerk of the County of Suffolk on the 18" day
of July 1969 as Map No. 5337.
INSTRUCTIONS(RP-5217-PDF-INS): www.orps.state.i ly.us
IR COUNTY USE ONLY U� n n n
C1. SMS code ) 1' , , OV ;Y y,
Roll po cols transferred an the dead 0 d ParcelsOR
Now York State Department of
Taxation and Finance
C2. Data Deed Recorded L / �� I
a' DOM OR 0.54
Office of Real Properly Tax Services
Nem a" T'w
/ / Page
Property ' FIe1Nr FEET • 1191M 'AGMs
RP- 5217 -PDF
CS. Book 04. (O , I
Sire
Real Property Transfer Report f if18)
PROPERTY INFORMATION
t. Property 265 'Peck Place
Location
• etRCET rM19ER ' 9TRtar NAVE
Southold Southold 11971
•GTYORTORN YM1LAIi 'ry COOa
2. Buyer Rubin, Trustee Virginia A
Name ' Wr NMM1COea+AN1' Plow "ML
LM NNACICOL"k r FEMT BANE
2. Tax Indicate where future Tar Bills are to be a em Charles Barry T. and Barbara A.
Bllling d othertho buyer oddmss(ot bottom of form) L,Aer xwecoNPAxr Flaw rearE
Address
265 Peck Place. Southold NY 11971
SMETNUMAxb NSE cnvop TORN aTAM DPC*M
4. Indicate the number of Assessment• Pan d a Parcel (Only If Pan of a Parcell Check n they apply:
-
Roll po cols transferred an the dead 0 d ParcelsOR
4A. Planning BesN with 9ubtltrhbn Authority Exists
a' DOM OR 0.54
4B. Subdivision Approval was Repuired for Transfer
Property ' FIe1Nr FEET • 1191M 'AGMs
Sire
4C. Parcel Approved far Subdivision WM Map Provided
Charles
}Barry T.
S. Salter • t/wT NAACCaI.PSIY
Fors, NArM
Name Charles
Parbara A.
LASTNAYeCa11PAMr
FiRT .. .
-7. Select the description which most accurately describes the
Chock the bons below, as they apply:
use of the property at the time of sale:
A. Ownership Type 4 Condominium
A. Onr Family Residential
e. New Construction an a Viacom Lend
fall. ProWty Weeks within an Agricultural District
F1
.
108. Buyer received a disclosure notix indicating that the property is In an
Agricultural Dhtrht
SALE INFORMATION
1S. Chock one ar more of these conditk m as applicable to tmnefor.
A. Sale BeleMan Relatives or Former Relations
11. Sale Contract Data
S. Sale between Rohm Companies or Partners in Buenos.
C. One or the Buyer M also a Sailer
�t `,.•�•
ler h l
D. Buyer or SoGowmma Agency or Lending Institution
12. Date of SaleRrenster Q I J
' _ _
E. Deed Type not warranty or Bargain and Sale (Specify Below)
F. Sale of Fractional or Less than Fee Interest speedy Below)
'ib. Full Saki Price .D(1
G. Significant Change In Pmparty Between Taxable Stabs and Sale Dates
11, Sale of Business Is In"od in Sab Price
( Ful Sale Prise M the roast amount pail for the property Including personal property.
t. Other Unusual FacUn Af seft Sale Price (Specify Bob"
This payment may be in the form of cash. other property or goods, or the aasumpaon of
J. None
mortgages or agger obligations.) Phan mund to the momist what doearomot.
'Commem(sl on Condition:
14. Indicate the value of personal
property Included In the sale .00 conveyance to gust
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
14. Year of Assasamem Roll from which Information taken(YY) 15 '17. Total Assessed Value 7,500
118. Properly Class 210 - '1e. School District Name Southold
-20. Tax Map IdentMerisyRoll Monasterial sof mom than four. attach sheat with additional Managerial)
-000 063.011 07.00 014.000
CERTIFICATION
I Certify out all of the Mame of Information entered on this form m true and correct (to the best of my knowledge and belleQ and 1 undenrtand that the making of any wlllful
false statement of material fact herein subject me to ths.provlllotts.gttht.ponWsw relative to the making and ging of false Instruments.
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endrmwnrotanlltlNdtelepervorasnq n•Imesonaand mnisoimmrosano!a,xxeMauroapaeere
2/Z� 15 palYwho con en imaemnaregwdAemtorwernotowaived Type or print clearly)
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BUYER SIGNATURE Rubin, 'trustee Virginia A.
ourFAsw mere1, pre
(631) 765-9685
•ARFACOaa 'TMM4CME mmlea aur. MewM)
1805 Jockey Creek :7r:ve
-GYMET MANE •$TRTLINANE
Southold NY 11971
'CRY OR,aFIN WIT, WOME
SU.Y.EKS.ArEORNEY.
Baialardo 19arikloa 31.
tAeT wive near NWC
(631) 234-3030
ARU000E TEVAIaIfi Nwerur the sMeMb