HomeMy WebLinkAboutL 12811 P 867SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 03/27/2015
Number of Pages: 4 At: 01:15:41 PM
Receipt Number : 15-0040250
TRANSFER TAX NUMBER: 14-21472 LIBER: D00012811
PAGE: 867
District: Section: Block: Lot:
1000 055.00 02.00 011.001
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0.00
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
$5.00
NO
RPT
$60.00
NO
Transfer tax
$0.00
NO
Comm.Pres
$0.00
NO
Fees Paid
$260.00
TRANSFER TAX NUMBER:
14-21472
THIS PAGE
IS A PART
OF THE INSTRUMENT
THIS IS NOT
A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of
This document will be public
record. Please remove all
Page / Filing Fee
W
Handling
20. 00
TP -584
S
Notation
EA -52 17 (County)
EA -5217 (State)
%
R.P.T.S.A.
Comm. of Ed.
5. 00
Affidavit
Certified Copy
Sub Total ,So r
NYS Surcharge 15. 00
Sub Total o� �
Other _
Grand Total � v
RECORDED
2015 tlar 27 01:15:41 PP1
JUDITH A. PASCALE
CLERK OF
SUFFOLK COUNTY
L 000012811
P 867
DT# 14-21472
Stamp I Recording / Filing Stamps
a1P
r)L4
a 1 Dist. 15007359 loo0 05500 0200 011I00`l1
Real Property/ RP T S �Il�lyll�lyl11�1111�1{II�III�Iy���I��III��yV��lll
Tax Service
Agency 26 -MAR -1
Verification
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD 11 RETURN TO:
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
SpecJAssit.
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.
r Preservation Fund
Amount $
CPlx Due $
Improved
i Z(-o(o3
Vacant Land
TD /D
TD
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 1 Title Company Information
310 Center Drive, Riverhead, NY 11901
Name
www.suffolkcountyny.gov/clerk Tide #
8 1 Suffolk County Recording & Endorsement Page
This page forms part of the attached
(SPECIFY TYPE OF INSTRUMENT)
made by:
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of 0 %Nom' ��
y5l"O S�� In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12-0104..10108kk
(over)
BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8007
CAUTION: THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
PURCHASER BEFORE SIGNING.
THIS INDENTURE, made the 26T" day of February, 2015
between DARIA CRAIG MOFFAT, residing at 16617 Sabillasville Road, Sabillasville, MD 21780, as
Successor Trustee of the Declaration of the Maureen H. M. Wolfe Trust dated October 1, 1997
party of the first part, and TINA J. KOSLOSKY, residing at 48125 CR 48, Southold, New York
party of the second part,
r
.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, lying and being in the
1 R•U'. ,�� I�r•, n ,
SEE SCHEDULE A ATTACHED (DESCRIPTION OF PREMISES)
TOGETHER with a]I 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 pan, 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:
Declaration the Maureen H. M. Wolfe T
By;
r—
Daria Craig Moffat
If—
NYSBA Residential Real Estate Forms on HotDocs' (9/00) Copyright Capsoft• Development
-I-
STATE OF MARYLAND)
ss:
COUNTY OF �eGk
On the 26" day of February, 2015, before me, the undersigned, personally appeared DARIA
CRAIG MOFFAT 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 he
executed the same in his capacity and that by his signature on the instrument, the individual, or the
person upon behalf of which the individual acted, executed the instrument and that such individual made
such appearance before the undersigned in the Fm2u fS2��c,rct , /1�l C1
(Insert the city or other political subdivision and the state or country or other place th cknowledgment was taken.).
ALLISON ROSIAD
Notary Public -Maryland
Frederick County
My Commission Expires
t Jonuary 16, 2018
NYSBA Residential Real Estate Forms on HotDocs* (9100) Copyright CapsoR` Development
-2-
SCHEDULE A
ALL THAT certain plot, piece or parcel of land, with the buildings and impnovementa thesmon
erocted, situate, lying and being at Southold, Town of Southold. County of Suffolk and State of
new York. being bounded and described as follows:
BEGINNING at a point on the westerly side of C.R. 48 (Boissen Avenue) distant 1,275 fed.
mons or less from the comer formod by the imctewlion of the watcriy side of C.R. 48 (Boiesau
Avcnuc) with the southerly side of Old Notch Road;
RUNNING THENCE along the wadorly side of Old North Road, in a southerly direction along
rho am of a curve having a radius of 2259 feel, a distance of 149.05 fat.
RUNNING THENCE North 86 degtnes W OV West, I 1 S.10 fat;
RUNNING THENCE NorM 4 degrees OO' 00" Fast, 127 feet;
I
RUNNING THENCE South Sri der= 57 00" Etter, 173.98 fest to the westerly side of C.R. 48
(Boisseau Avenue) at the point or place of BEGINNING.
INSTRUCTIONS(RP5217-PDF-INS): www.orps.stste.nhy.us
IR COUNTY USE ONLY New York State Department of
C1. SMS Code I^,�y I Taxation and Finance
C2. Dale Deed Recorded 1 b 3 /,Q7 / 1J i Office of Real Property Tax Services
New, °^ w Y RP- 5217—PDF
Q. Book I� Ida l�` 1 V 1 1 I I I C4. Page 1 1 I%0 1 I Real Property Transfer Report (9/10)
PROPERTY INFORMATION
1. Property 48125
Location
COUNTY ROAD 48
•amr:Tr: xAME
SOUTHOLD 11971
. cm CII TOWN Se3Arf -AP Cum
2. Buyer KOSLOSKY
Nems
• [AST xlaE,colPAxr
Ir: icR"rJ.-.rel
TINA j.
nee -w
11TISTRAME
3. Tax Indicate wham future Tax Bills are to be sem
Billing it ether than buyer addressfol broom of form) ,Ay- NA E,CONryTN, FRbT NAME
Address
STRErn NMWFRANCNAW
Cm Cm TCUS! STATE
7PCCm
4. Indicate the number at Assessment 1a
P11d ol Poa Pamal (Only RPM of I ParmQ Cheek as they appy:
Parcels
law relates to the making and filing of false InstrumeM.
BUYER CONTACT INFORMATION
Roll permits transferred on the deed
or OR 4A. Planning Board with Subdivision Authority Exists
El
6• Dead X
OR 0.44 46. Subdivision Approval was Required for Transfer
❑
Pmpory •FRpm FEET •013
r 'ACRES
❑
9be
4C. Parcel Approved for Subdivision with Map Provided
❑
DARIA CRAIG MOFFAT, VEE MAUREEN HM WOLFE TRUST
I. eager .I.ABTNAEECOWARY REST NAME
Homo
:AST 1UwCAWWANY
Fwr; NAME
1 Certify titer all of the Items of Inbrmatim entered on this form are hue and
'7. Select the description which most accurately describes On
Check the boxes below as they appy:
law relates to the making and filing of false InstrumeM.
BUYER CONTACT INFORMATION
use of too property at the time of sale:
a. OwnereNp Typo is Condonenium
awl. M IR not ar iN NON M agml aeOOM". Ohne a Tame and QRMBCl kaamaym or an EOeiduaweepMYtis
L New Corlstrucesn on a Vamnt Land
❑
111A. Property Located within an Agricultural District
❑
108. Buyer received a disclosure notice wallowing that the property is In an
❑
a �$
Agricultural District
SAIF INFORMATION
16.
Check one or mom of Ossa conditions as applicable to transfer
-STRFFI%Vmmi -BTREV NAUE
A. Sale Between Refolnes or Fonar Relatives
11 Sale Contract Date
B. Sale between Related Companies or Partners In Buanm.
C. One of the Buyers is iso a SdoF
• 02/26/2015
D. Buyer or Safer is Govmonam Agent' or Lending institution
12 Date of SaWTmnsbr
E. Deed Type net Yyarrenty, or Bargain and Sale (Specify Below)
F. Sate of Fractional or Lou than Fes Imemet (Spedy Below)
'13. Full Bab Price 0.00
G. Significant Change in Property Between Taxable Status and Sale Dales
H. Sale of Business is Included in Sale Prim
( Full Sale Price is the tial amount pad for the property Including personal property
I. Other Unusual Factors Affecting Sale Price (Spemfy Below)
This payment nay be in ted tom of cash, other property or goods, or the assumption of
J. Nom
mortgages or carer obligations.) Flame round to the minimal wit doer amount.
Commem(s) on CoredlOon:
14. Indicate the Makro of personal
0
property Included In the sale •00
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year o/ Assessment Roll from which Inforrndbn token(YY) 15 •17. TOW Assessed Value 4,800
411. Property Class 210 — '19. School District Nome SOUTHOLD
120. Tax Mop Idastifler(sVRoll Idsntlger(s) (R mom than four, agech sheet with additional Iderdmms))
100-55-2-11.'.
CERTIFICATION
1 Certify titer all of the Items of Inbrmatim entered on this form are hue and
correct (to the Mut of my knowledge and lellef) and 1 understand that the making of arty willful
blas statement of material bet herein subject me to the mdMlelena TRT the renal
law relates to the making and filing of false InstrumeM.
BUYER CONTACT INFORMATION
(Enter Intamum for the buyer. New 11 buyer U.C.aodeq, mmrm m. mrpomtm. pre eEra Torpaw. eR1Ye or
awl. M IR not ar iN NON M agml aeOOM". Ohne a Tame and QRMBCl kaamaym or an EOeiduaweepMYtis
a Ai
esrtr who Cir aTreRw q"as M MRmre se Venda germ be WWW. Type w prior CMM*)
TBUYASIGNATURE aRE 1J�21n no��ma,+a
KOSLOSKY TINA J.
•LIST
a �$
NATE FIRSTNAME
(631) 765-2774
-AREACODC ^- Ew CFE NUMBER Irl"MMi
E4M DATE
48125 COUNTY RU 48
-STRFFI%Vmmi -BTREV NAUE
SOUTHOLD
NY 11971
-81-M •ZTCOOE
PATRICIA C.
REST VAMC
(631) 765-4330
AREACOOE TEUD E,EArERIET gaaeer)