HomeMy WebLinkAboutL 12823 P 155SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
Recorded:
07/08/2015
Number of Pages:
3
At:
03:22:14 PM
Receipt Number :
15-0090281
Handling
$20.00
TRANSFER TAX NUMBER: 14-29986
LIBER:
D00012823
NO
NYS SRCHG
PAGE:
155
District:
Section:
Block: Lot:
EA -STATE
1000
115.00
11.00 004.001
$5.00
EXAMINED AND
CHARGED AS FOLLOWS
$0.00
Deed Amount:
$145,000.00
$5.00
NO
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
$5.00
NO
RPT
$60.00
NO
Transfer tax
$580.00
NO
Comm.Pres
$0.00
NO
Fees Paid
$835.00
TRANSFER TAX NUMBER:
14-29986
THIS PAGE
IS A PART
OF THE INSTRUMENT
THIS IS NOT
A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
lTI
RECORDED
Numbt?r'of pages -3 2015 Jul 08 03:22:14 PM
JI iD I TH A. PASCALE
CLERK Of
This document will be public SUFFOLK COUNTY
record. Please remove all L D00012823
Social Security Numbers P 155
DT# 14-29986
prior to recording.
Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps
3 1 FEES
f
Mortgage Amt.
Page / Filing Fee
1. Basic Tax
Handling 20. 00
2. Additional Tax
TP -584
Sub Total
Spec./Assit.
Notation
or
EA -52 17 (County) Sub Total
Spec. /Add.
TOT. MTG. TAX
EA -5217 (State)
—
R.P.T.S.A.y�lOU t� .°La,
Dual Town Dual County
Held for Appointment
Comm. of Ed. S. 40
-�
Transfer Tax �V
Affidavit •
��
Mansion Tax
The property covered by this mortgage i<.
�ertifiecl Copy
or will be improved by a one or twc
NYS Surcharge 15. 00
family dwelling only.
Sub Total
YES or NO
Other uv
Grand Total a(iJS
If NO, see appropriate tax clause on
page # of this instrume t.
5
Community Preservation Fund
15017166 1000 115()o 110o ooaooi
_
Real Property
Tax Service
Consideration Amount $
CPF ax Due $
P
Agency R DTY A
I«jjjj11111111111111111111�jjj�jjjjj�jjJill1111
Verification o1 UL 5
Improved
6 Sat isfacfwnsioischarges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
Vacant Land
TO 110
Wickham, Bressler & Geasa, P.C.
P.O. Box 1424
TD
Mattituck, New York 11952
TD
Mail to: Judith A. Pascale, Suffolk County Clerk
7 Title
Company Information
310 Center Drive, Riverhead, NY 11901
Co. Name Fidel
ft No'tiorl�tl Ti+�e--
www.suffolkcountyny.gov/clerk
Title# 2oS14I —
8
Suffolk County Recording & Endorsement Page
This page forms part of the attached Bargain & Sale Deed with Covenant made
by: (SPECIFYTYPE OF INSTRUMENT)
Carolyn R. Ameen The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of Southold
Deaneal Carltony Forbes In the VILLAGE
or HAMLET of Mattituck
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
J
N
2X51` H9
Standard N.Y.B.T.U. Form 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts — Uniform Acknowledgment
Form 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
C..
THIS INDENTURE, made thet7 day of May, 2015
BETWEEN
CAROLYN R. AMEEN, residing at 755 Lupton's Point Road, Mattituck, New York 11952,
party of the first part, and
DEANEAL CARLTONY FORBES, residing at 755 Lupton's Point Road, Mattituck, New York
11952, as to an undivided twenty (20%) percent interest, party of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten and 001100--($10.)--Dollars, and
other good and 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 on Lupton's Point in Mattituck, 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 a 20 foot right of way distant 720 feet easterly as measured
along the northerly side of said right of way from the corner formed by the intersection of said northerly
side of right of way with the easterly side of Marratooka Road;
RUNNING THENCE along the land now or formerly of Hanus, North 4 degrees 03 minutes 40 seconds
West, 208.48 feet to the southerly side of a 15 foot right of way;
THENCE along the southerly side of said right of way and through a monument North 78 degrees 47
minutes 10 seconds East 110.79 feet to the mean high water line of Deep Hole Creek;
THENCE southeasterly along Deep Hole Creek measured on a tie line bearing South 49 degrees 00
minutes 57 seconds East, 44.78 feet to land now or formerly of Kreiling;
THENCE along said land now or formerly of Kreiling the following two (2) courses and distances:
(1) South 28 degrees 44 minutes 00 seconds West, 98.24 feet;
(2) South 10 degrees 14 minutes 50 seconds East, 100.00 feet to the northerly side of the said 20 foot
right of way;
THENCE along the northerly side of said 20 foot right of way the following two (2) courses and distances:
(1) South 79 degrees 45 minutes 10 seconds West, 95.24 feet;
(2) Thence North 73 degrees 28 minutes 50 seconds West, 4.76 feet to the point or place of
BEGINNING.
TOGETHER WITH a right of way over the 20 foot wide private road to and from the premises hereby
conveyed to Marratooka Road, and to and from Deep Hole Creek at the end of said 20 foot private road
where it adjoins Deep Hole Creek on the easterly end of Lupton's Point.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated
April 9, 2013 recorded May 13, 2013 in Liber 12729 page 472.
As a result of this conveyance, title to the property will be held by Carolyn R. Ameen as to a fifty (50%)
percent interest and Deaneal Carltony Forbes as to a fifty (50%) percent interest in the premises, subject
to the terms of an Agreement between the parties of even date herewith.
TOGETHER with all 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 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 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:
arolyn R. Ameen
f/deadameen
BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN New York STATE
State,of New York, CountyofSuffolk, ss:
On the .�% day of in the year 2015
before me, the undersigned, personally appeared
CAROLYN R. AMEEN
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), ort person upon behalf of
which the individualp) ate, a ted the instrument.
(signature and office of individual tak' a;owl dgrnent)
Notary Publicry� "'mofl�
Notary Public, State Of New York
1
1 "I SINIMS� No. 3i-4970341
Qualified In Suffolk County
Commission Expires February 4, 201
State of New York, County of ss:
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/she/they executed the same in histher/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.
and office of individual taking acknowledgment)
Notary Public
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State (or District of Columbia, Territory, or Foreign Country) of County of ss:
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/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, and that such individual made such appearance before the undersigned in the
In
(insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken)
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
Title No.
CAROLYN R. AMEEN
TO
DEANEAL CARLTONY FORBES as to an
undivided 20% interest
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
(signature and office of individual taking acknowledgement)
Notary Public
SECTION 115
BLOCK 11
LOT 4.1
COUNTY OR TOWN Southold
Wickham, Bressler & Geasa, P.C.
P.O. Box 1424
Mattituck, New York 11952
I TRUCTIONS(RP.ci217•PDF-INS):www.orps.state.ny.us
IR COUNTY USE ONLY New York State Department of
C1.S%MSCode7P9 Taxation and Finance
Cs. Data DeeMOIRE—
,S Office of Real Property Tax Services
Lq RP- 5217 -PDF
C3. Book Y Real Property Transfer Report (8110)
1. Property
755
Lupton's
MP COW
4. Indleate the number of Assessment
Point Road
(only If Part of a Parcel) Check as they apply:
• SmEET NUMBER
• eTREETNAt
ort
Southold
•Cayah row"
Mattituck 11952
vetxme
2. Buyer
Forbes
•xvace
Deaneal Carlton y
Nome
• L40 NA MMPAYT
—
ANT —E
MUT NAEXX PA MSTr4WE
7. Tax Indicate where future Tax Bills are to be sem
BIIIIng it other than buyer eddreos(al bottom of form) MST ",unrcou' y MST mwE
Address
eTREETANKRANDNAME
CITY OR TOM
TATE
MP COW
4. Indleate the number of Assessment
I--1 part of a pual
1 a a Persia r
(only If Part of a Parcel) Check as they apply:
10A. Property Located within an Agricultural District ❑
Roll parcels transferred on the deed
ort
4A. Planning Board with Subdivision Authority Exists
❑
S. Dead
Property-rRG"rrear }i
Property
OR . 52
•OWTN -ACRES
49. Subdivision Approval was Required for Transfer
❑
She
A. Sale Between Relatives or Former Redves
4C. Parcel Approved for Subdluslon with Map Provided
❑
Ameen Carolyn Q.
6. Seller .MST N,yXdyPµY nasrxAUE
Name
LASTNAIxeC ~ me-. WWE
•7. Select the description which most accurately describes the
Check the boxes below as they appy:
use of the property at the ding of sale:
8. Ownership Type is Condominium ❑
singli family residence
1. New Construction an aVocardLand
10A. Property Located within an Agricultural District ❑
10B. Buyer resolved a dadasure notice Indicating that the property Is in an
❑
Agricultural District
SALE INFORMATION
16.
Cheek one or mora of theme conditions as applicable to transfer:
A. Sale Between Relatives or Former Redves
11. Sala Contract Dab
B. Sala between Related Companies or PeMem in Business.
•
C. one of the Buyers Is also a Saler
• 12 Date of BaleRrenahr
D. Buyer or Setter Is Government Agency or Lending Institution
E. Deed Type not yymrreray or Bargain and SNe (Specify Belex)
F. Sale of Fractional or Less than Fee Interest (Specify Below)
•17. Full S41e Pelee 145,000 •QQ
G. Significant Change In Property Between Taxable Status and Sale Dees
( Fuc Sole Price is the lout amount paid for the property including personal property.
N. Sale of Business is Included In Sale Pita
1. Other Umsuel Factors Affecting Sete Prix (Specify Soo.)
This payment maybe In the form or cash, other property or goodk, or IM eewmien of pt
Dq J Nona
mortgages of other oblloaaons.) Phreae touts to erre nearest whore ddferemormt.
Comments) on Gmdltont
14. Indicate the value of personnel
property included In the sale .00
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from which Inforhnatten taken(VY) 14115
•17. Total Assessed Value 5.900
•11. Properly Class 210 — —
•18. Schaal Olstrlet Name Mattituck—Cutchague
126. Tax Map Identifier(syfloll ideedfier(s) pf mem than four, ataeh sheet with additional IdendRer(s))
1000-115.00-11.00-004.001
CERTIFICATION
1 Certify that all of the Itams of Information entered on this form are use and correct (to the best of my knowledge and bellon and 1 understand that the making of any willful
false statement of material feet herein subject me to the oroxislona of the nenal law
relative to the making and filing of false Instruments.
��
BAYER CONTACT INFORMATION
cab no IL rex n aehiaml eerier saNAb. else ■ rums w Wnlep Iwesseem et en elawe.a.eimndge
I sod rr.. isnotaninc eveagNota: aUry ry.am aodad.uwdrim�earpwaaw *A stock mmWa. due
Perry who con aswar qusetlmq regem'na the venter mora be emend. Type or prim clearly.)
wilSIR BIGNATURr Ameen Carolyn R.
. Mal NAlE From N.ME
631 298-8353
•AREACOW 'IEIEmmME WMRA IE+ellemrl
Forbes DATE 755 Lupton's Point Rd.
'STREET WMSER 'ITAM NAYS
y Mattituck NY 11952
Wyatroni 'STATE -OPCOM
.i BUYER'S ATTORNEY
( WT RARE MU -2
atGCOCE TpEPkM NJMM si: 00 l l