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HomeMy WebLinkAboutL 12815 P 904SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 05/05/2015 Number of Pages: 4 At: 02:08:00 PM Receipt Number : 15-0060095 TRANSFER TAX NUMBER: 14-24559 LIBER: D00012815 PAGE: 904 District: Section: Block: Lot: 1000 006.00 08.00 004.000 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 $250.00 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 $385.00 TRANSFER TAX NUMBER: 14-24559 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Ej Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED f2015 Play 05 02:08:00 PN JUDITH A, PASCALE CLERK OF SUFFOLK COU14TY L D00012815 . P 904 DT# 14-24559 Deed / Mortgage Instrument I Deed / Mortgage Tax Stamp I Recording / Filing Stamps 3 FEES Page/ Filing Fee( 3 i/ Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax � TP -584 Sub Total Notation Spec./Assit. % EA -52 17 (County) �Sub Tota l or Spec. /Add. EA -5217 (State) ��U TOT. MTG. TAX R.P.T.S.A. Dual Town Dual County Meld for Appointment Comm. of Ed. 5. 00 pa Transfer Tax —� AffidavitMansion Tax Certi�y�� The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total00 22 YES or NO Other _ Grand Total If NO, see appropriate tax clause on page N of this instrument. 4 Dist. 1000 Section 006.00 1 Block 08.00 1 Lot 004 000 5 Community Preservation Fund sideration Amount $ 0 Real Property 15011113 1000 oo600 0800 004000 T ax Agencye llllllllllAIIIDIIIilIIIIIIIIIIItIIIVIII Illllll Verification (0D4 FC;PF ax Due S 0 -MAY -1 Improved 6 Satisfactio _ ^RECORD & RETURN TO: Vacant Land 7 Patricia C. Moore, Esq. TD 51020 Main Road Southold, NY 11971 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Peconic Bay Title Insurance Agency www.suffolkcountyny.gov/clerk Title# G� 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) Thomas J. Shillo The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO 1n the TOWN of Southold Thomas J. Shilln and Dianna L. Shillo, husband In the VILLAGE and wife or HAMLET of Fishers Island BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over NY 005 - Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation (Single Sheet) (NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 8day of JQppi ` BETWEEN f Thomas J. Shillo 1400 Mansion House Drive #161 Fishers Island, NY 06390 party of the first part, and Thomas J. Shillo and Dianna L. Shillo, husband and wife 1400 Mansion House Drive #161 Fishers Island, NY 06390 in the year 2015 party of the second pan, WITNESSETH, that the parry of the first part, in consideration of Ten Dollars and other valuable consideration paid by the patty 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 HERETO AND MADE A PART HEREOF. BEING AND INTENDED TO BE the same premises conveyed by Deed dated April 27, 2007 and recorded August 31, 2007 in the Suffolk County Clerk's Office in Liber D00012520 page 448. 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 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 incumbered 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 "patties" 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: '44W 2" — Thor as J. Shil USF.ACKNOR'LEOGMENTFORMBELOW wITutNNEWYORKSTATE ONLY.• Stats offNNe(�w York, County of Suffolk ) ss.: On theU day of APAL in the year 2015 before me, the undersigned, personally appeared Thomas J. Shillo personally ]mown to me or ved to me on the basis of satisfactory evidence to be the individual whose nam&Wis (subscribed to the within instrument and acknowledged to me that he/shawmy executed the same in his/ImAheir capacity(iesj, and tial by his/heFAheir signaturrWon,the instrument, the individualK, or the person upon behalf of whieh.t a individuaP acted, ecuted the ins mens. ..til. od � � f, •/. tJ NotaryJPublic -OJ RE/ 002.21543 AtK"OWLEDCAI. FORMFORUSE WrrmmAlEWYORKSTATEONLY. ]New York Subscribing Witness Acknowledgment Certificate/ State of New York, County of On the day of in the year 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 helshe/they reside(s) in (if the place of residence is in a city, include the street and street number, if any, thereon; 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 hislher/their name(s) as a witness thereto. BARGAIN & SALF DEED W mi CGVFNAN7S AGAINST GRANTOR'S ACTS TITLE No. Thomas J. Shillo TO Thomas J. Shillo and Dianna L. Shillo, husband and wife FIDELITY NATIONAL TITLE INSURANCECOMPANY INMcoRRMRATFL 192R ('. res avrii/n ar. Fidelity rG'_/y_„•ra.,e� N—h—V- kM Slme IoM 7rnr A -111W. USF.ACKNOWLEDGMENT FO&N BELOW WITHIN NEW YORK STA TE ONLY, State of New York, County of )ss.. - On ss.: On the day of in the year be€ore 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. ACKNOWLEDGMENT FORM FOR USE ODTSJDENEW YORK STATE ONLY: ]Out of State or Foreign Grneral Acknowledgment Cerdficare) .................................................. )ss.: (Complete Venue with State, Commtn. 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 (ate) subscribed to the within instrument and acknowledged to me that he/shelthey executed the same in his/her/their capacity(ies), 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 (Insert the city or other political subdivision turd the .state or country or other place the acknowledgment was taken). DISTRICr 1000 SECTION 006.00 BLOCK 08.00 LOT 004.000 COUNTY OR TOWN Suffolk RECORDED AT REQUEST OF Fidelity National Title Insurance Company RETURN BY MAIL TO Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 SCHEDULE A ALL that certain plot, piece or parcel of land, with the buildings and Impraovements thereon erected, situate, lying and being at Fishers Island, in the Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described as follows: BEGINNING at a point on the southeasterly line of Madeline Avenue, said point being 4327.47 feet North of a point which is 383.80 feet West of a monument marking the U.S. Coast and Geodetic Survey Triangulation Station "PROS'; and RUNNING THENCE South 18 degrees 43 minutes 20 seconds West, 143.00 feet to an iron pipe; THENCE North 86 degrees 39 minutes 40 seconds East, 114.71 feet to an Iron pipe; THENCE North 40 degrees 24 minutes 22 seconds West, 141.85 feet to said Avenue line; THENCE along sold Avenue line South 80 degrees 54 minutes 15 seconds West, 73.28 feet to the point of BEGINNING. INSTRUCTIONS(RP-0217-PDF-INS): www.orps state.ny.us IR COUNTY USE ONLY f9 , 2 ? /� C7. SIMS Code ) l , J , I I New York State Department of Taxation and Finance C2. Date Deed Recorded I / •� 115, I Office of Real Property Tax Services am" aw r C7. Book C4. Pape )� , , f , , I RP- 5217 -PDF Real Property Transfer Report (81110) PROPERTY INFORMATION 1•Locry Madeline Avenue ation • amEETruaaER • mxffr NAIan Southold Fishers Island 06390 •cnronTww vuNe -ZPCM 2. Buyer Shillo Thomas J. Nome • LMTNrwearwAwr FlaaT remm Shillo Dianna L. wT wu(Heare'Axr FMT WAE 7. Tax Indate wham hdum Tax Bits we to be sem oullne bother then buyer address(m boom dfimn) reserN seacg FANT polef Atldmts enRWNIVAMAMD E MORMON erATE We= 4.Intlkemthe number crAms ad 1 edPamds OR ❑Patdeparoel(OnlyBPart are Pascal) Check asthayapply: Rall pascals transferred on the deed 4A. PbndV Board with 8ubdtidon Authority Etdw L Dead0.31 Prop" •Faesr Fear X .0on" OR •Rales 4B. Suhdtitlm Apptoral was Ragrdred for Trrnder ❑ stem 4C.Pm Approved for Subdvlsion with Map Provided ❑ Shillo Thomas J. e. Seller .uH,a„eAN,. merNANe Name (/sir MANOMb P MUM" '7. Select Use description which most accurately describes the Chock the boxy below as they appy: 1 Corft that all alum Items of Information entered an this farm we trus and correct per the beat of my knowledge and bollal) and 1 understood that the making of any w10fo1 use ofthe popery at Use time ofseb: a. Ownership Type is Catdairdurn ❑ C. Residential Vacant ).and e. Now Construction an a Vacant Land ❑ 10A. Property Located wilhln an Agricultural Dlateti ❑ 108. Buyer Waived a dladauro notice Indaanp dial Use property be In an ❑ Agricultural Diselm BUYER SIGNATURE SALE INFORMATION 1a. Cheek ono a mom of theos eeWidonees spplkabto h transfer •usrNAae may NAM A. Sale Between Relatives or Former Rdalivea 11. Bala Codrset Doh B. Bob between Related Companies or Partners In Business. C. One of the Buyers Is also a Sager O• !j 1t. Doh of BabRrsnsbr D D. Buyer or Sdw Is Comment Agency a Londng Institution' li Deed Type ndwmnody or Baryon and SW (Spedfy Bags) F. ads of FreetiarW or Lou than Fes IntemM (Wy Below) '13. Pull Bab Prim 0.00 G. Significant Changs In Properly Batsman TaxWe Shue and Ser Does ( Fd Stls Adm Is am Intel amomnH• paid for Its properly Indwdng pereonel property. Sate d Business Is Included In Sale Pim I. Other Unusual Factors ABssting Sale Prim (Sporty Below) This primed my be In the form of gash other property, or goods, or the assumption of El J. Now, designer of other oWl cne.) Rhoss round to Ifs nnmd whole de eramoud. Caansrd(s) on Condition: 14. Indicate are value of personal 0 property Included In Use sale .00 ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax BB 10. Year of Asaaeamsm Roll from which Information hken(YT) 15 '17. Tabl Assamd Value 400 'IL Property Close ail - ___. .19.School Oba tName Fishers Island •2a Tsa Map Idantisor(syRol Woods") (if mon don four, ssach shoowllh additional MantlRorpl) 1000-006.00-08.00-004.000 CERTIFICATION 1 Corft that all alum Items of Information entered an this farm we trus and correct per the beat of my knowledge and bollal) and 1 understood that the making of any w10fo1 falae ctaI ant of material fact herein cabled me to the mevldown of the anal law relative to am making and Mine of falae Instruments. BUYER CONTACT INFORMATION FELLER SIGNATURE MOW WWOSl m forces weer. Nona Ir buyers LLC,aadeb, Wisdom. mrywerbn, jobs done compre, area orwake em Is net an WIMd al sane orfdudwy, wro y a ma and codas bxmmum of on kwwu wespaaals ( p pry who ran m—wqupirm reposing we hansf r mud be worse. Type or prim dwely.) erHNInURe BUYER SIGNATURE Shillo TfiOMas J. •usrNAae may NAM 631) 788-7857 •mHAabH •raamanrr WW (ECcomma 1400 Mansion House Drive 1161 •ensarnwem-MEUNum Fishers Island BUYER'S ATTORNEY Patricia NY 06390 •BATH •arcm (631) 765-4330 NwA done TwHmrdNe mrrmwa Is." en