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