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Home My WebLink AboutL 12827 P 252 11111111 lID I lIffi 11111 11111 I I I A 1111111111 I I I I I I I I 111111 VIII 111111111 liii SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/10/2015 Number of Pages: 4 At: 09:44 :40 AM Receipt Number : 15-0106711 TRANSFER TAX NUMBER: 15-00716 LIBER: D00012827 PAGE: 252 District: Section: Block: Lot: 1000 026.00 02 .00 023.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $1,592,000.00 Received the Following Fees For Above Instrument 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 $255.00 TRANSFER TAX NUMBER: 15-00716 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County • A , n RECORDED Number of pages J_( 2015 Aug 10 09:44:40 AM / - JUDITH A. PAS:ALE CLERK OF This document will be public SUFFOLK COUNTY record.Please remove all L D04012827 Social Security Numbers P 252 DT# 15-00716 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee ao Li Mortgage Amt. 1.Basic Tax Handling . 00 2. Additional Tax • TP-584 `D Sub Total Notation SpecJAssit. or EA-52 17(County) �) Sub Total 5b Spec./Add. EA-5217(State) / TOT.MTG.TAX R.P.T.S,A. __� •.i Dual Town Dual County _ i , Held f.r.A.pointment Comm,of Ed. 5. 00 Affidavit ':‘ +i; �!0 l 'ansion Tax `" r Certified Copy r -••' The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 r— family dwelling only. . Sub Total d 0 YES or NO . • Other Grand Total ,-,2 5C If NO, see appropriate tax clause on page# of this instrument, 7 3-f C /!X" "�' 7 5 Community Preservation Fund Real Property 15021364 1000 02600 0200 023000 Consideration Amount$ / n[d,60U T Agency e 06-AUGieT A bi1�II II 1111 F1111 111111 1111 PF ax Due $ p rr i el Verification Improved 6 Satisfacti, �__... - ,- -._..._...,.,.., ._.� RECORD&RETURN TO: / Vacant Land 5 I N '4 a/59/i L P _ TD • pp. &ox 746',32955 /lA U L TD Cu*46/7ae f � /I93� TD, avid c sem Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name C'h1C1�ri � //LhNCL A vu wwsuffolkcountyny.gov/clerk MI" 5g/ - 0 8 Suffolk County Recording & Endorsement Page This page forms part of the attached -GezQ made by: / {SPECIFY TYPE OF INSTRUMENT) 1/1/1/1 /%/44 //'s ni09 The premises herein is situated in 1011 A//Z SUFFOLK COUNTY,NEW YORK./,, /J ,, ,,TO In the TOWN of )0644 N dI QC A'i m6,4 (0. e1'iQ ? t) Afrse9 In the VILLAGE , —574 f. r ,/�,ie lt�/U / £' /�Q.4 or HAMLET of L//`i/4 BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. lover) • —Bargain and Sale Deed,with Covenant against Grantor's Acts—Individual or Corporation(Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE,made the 3rd day of July,in the year 2015 BETWEEN William Segallis and Louise Segallis,330 East 43rd Street,Apt. 1005,New York,NY 10017 party of the first part,and Kimberly G.Keiserman and John P.Keiserman,as husband and wife, 114 Mackey Avenue,Port Washington,New York 11050 party of the second part, WITNESSETH,that the party of the first part,in consideration of ten($10.00)dollars 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(as further described in Schedule A annexed) , Also being the premises transferred to party of the first by deed dated 11/17/1977,recorded 11/22/1977 in Reel 8347 CP 417, made by Irving Bernstein and Diane Siegel,which premises is also known as, 1170 Willow Terrace Lane,Orient,NY 11957 • 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 0F: 00111 William Segallis / . . — I ... Louise Segallis ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of Suffolk,ss: State of New York,County of ,ss: On the 3rd day of July in the year 2015,before me,the undersigned, On the day of in the year ,before me,the personally appeared William Segallis and Louise Segallis undersigned,personally appeared ,personally known to me or proved to me on the basis of ,personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are) satisfactory evidence to be the individual(s)whose name(s)is(are) subscribed to the within instrument and acknowledged to me that 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 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 his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf of which the i •ividual(s)acted executed the person upon behalf of which the individual(s)acted,executed the instrument. / instrument, Nr �11-7-ENCEPMONGELU otary Public,State of New York N0.011404883251 Qualified In Queens County Commission makes Jsa98,9019 ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK IN NEW YORK STATE STATE State of New York,County of , ss: *State of ,County of ss: *(Or insert District of Columbia,Territory,Possession or Foreign On the day of in the year ,before me.the County) undersigned,a Notary Public in and for said State,personally appeared ,the subscribing witness to the foregoing instrument,with whom On the day of in the year ,before me the I am personally acquainted,who,being by me duly sworn,did depose undersigned personally appeared and say that he/she/they reside(s)in Personally known to mc or proved to me on the basis of satisfactory (if the place of residence is in a city,inclede the erect and street number if any,thereof): evidence to be the individual(s)whose name(s)is(are)subscribed to the that he/she/they know(s) within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), that by his/her/their signature(s)on to be the individual described in and who executed the foregoing the instrument,the individual(s)or the person upon behalf of which the instrument;that said subscribing witness was present and saw said individual(s)acted,executed the instrument,and that such individual make such appearance before the undersigned in the execute the same;and that said witness at the same time subscribed his/her/their name(s)as a witness thereto (add the city or political subdivision and the state or country or other place the acknowledgement was taken). Bargain and Sale Deed With Covenants SECTION: BLOCK:02.00 Title No.3815-00042 , LOT:023.000 COUNTY OR TOWN:Suffolk County William Segallis and Louise Segallis TO Kimberly G.Keiserman and John P.Keiserman RETURN BY MAIL TO: David Olsen,Esq. DISTRIBUTED BY PO Box 706,3295 Maid Rd. /*/*/% Cutchogue,NY 11935 YOUR TITLE EXPERTS The Judicial Title Insurance Agency LLC 800-281-TITLE(8485) FAX:800-FAX-9396 SCHEDULE A 0 „ALL that certain plot, piece, or parcel of land, situate, lying and being at Orient in the Town of Southold, Suffolk County, New York, known and designated as part of Lot No. 4 on a certain map entitled, "Map of Willow Terrace, Section One, at Orient, Town of Southold, Suffolk County, New York", filed in Suffolk County Clerk's Office on November 28, 1969 as Map No. 5407, said premises being more particularly bounded and described with reference by said map as follows: BEGINNING at a point formed by the intersection of the westerly line of Willow Terrace Lane with the division line between Lot Nos. 4 and 6, as shown on said map; and RUNNING THENCE along said division line, South 38 degrees 17 minutes 00 seconds West 180 feet more or less to the ordinary high water line of Orient Harbor; THENCE northwesterly along said ordinary high water line, 135 feet, more or less to the division line between Lot Nos. 3 and 4, as shown on said map; RUNNING THENCE North 49 degrees 12 minutes 00 seconds East 185 feet, more or less to said westerly line of Willow Terrace Lane; THENCE along said westerly line of Willow Terrace lane, South 46 degrees 30 minutes 00 seconds East 100 feet to the point or place of BEGINNING. • INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY ,r New York Stab Department of Cf•awns coon L�l�,3, ,&,9 I Taxation and Finance • CZ,Data Deed Recorded L 03/ U) / a016:1 Office of Real Property Tax Services 'e RP-5217-PDF ,as,Book 1, , , 2,1 IN.Pape I „01.,5,A1 Real Property Transfer Report(8110) PROPERTY INFORMATION I 1.Prefeltr 1110 Willow Terrace Lane Location •SWEET NUMMI •mBELI NAI: Southold, NY Orient 11957 •OW OR TOWN VILLAGE •LD coca 2.Buyer Kei se rma n John P. Name NOM NAM•(Anti NALSvGOIa•NLY Keiserman Kimberly G. LAM NAMEMAIPANY Isar NAME 3.Tax in few efutureTasBitserelobeunt Keiserman John P. and Kimberly G. Billing if other than buyer eddrese(al bottom d form) ,AyI MO'&JGwNANT gas:NAVE Address 114 Mackey Avenue Port Washington NY 11050 BIRCET r,MeW ANO Met GT'On Woo MATE amcNE a.Indite%the marker of Assessment 1D Part d a Parcel (Only If Part of a Parcel)Check am they apply: Roll parcels transferred ore the deed e d ParGele OR W(.Planning Board with Subdivleon Authority busts 0 IL Deed 185 X 0 OR 0.00 413.Subdivision Approval was Required for Trawler 0 Property 'FROM rut -GEPIM 'ACLS Size 4C.Parcel Approved for Subdivision with Map Provided 0 Segallis William 6.Seller •LAST NArsa:ow•wa roar MwE sane Segallis Louise LAST NAINA•AYrAN1' PRN ME '7.Select the desorption which most accurately describes the Chick the boxes below as they apply: Una of the property at the time of sale: 6 Oarreidp Type is Condominium 0 A.One Family Residential e.New Construction on a Vacant Land 0 10A.Property Located within ml Agricultural District ❑ 10B.Buyer received a disclosure notice indicating that the properly is in an 0 Agnicidturel Drsald ISALE INFORMATION( 115.Check one w mere of these conditions as applicable to transfer J A.Sale Between Relatives or Fanner Relatives 11.Bale contract Data 03/28/2015 B.Sale between Related Companies or Penner,in Business. C One of the Buyers is also a Soder 07/03/2015 _D.Buyer or Seller is Government Agency or Lending Institution '12.Dab of SalsRnwfer w) _E.Deed Type not Warranty or Bargain and Sete(Specify Belo _F.Sale of FraOJcn l or Lea than Fee Interest(Specify Below) 13.Full Sale Price 1,592,000.00 ' _G.Sugnificant Change in Properly Barmen Taxable Status and Sale Oates N.Sale at Business is Included in Sale Price (Full Sale Price is the total amount paid for the properly including pentane'property. 8 I.Other Unusual Factors Affecting Sale Price(Specify Below) The payment may be in the farm of cosh,other properly or good,,a of the assumptionJ.Nome mortgages or other odigebow.)Please mend to the nearest whole dofareatoun! Comments)on Condition: 14.Indicate the value of personal .00 property Included In the sale IASSESSMENT INFORMATION•Data should reflect the latest Final Assessment Roll and Tax Bill I 16.Year of Aesesemsst Roll from which Information taken(YY) 15 '17.Total Assessed Value 10,000 96 Property Class 210 _ 99.School District Name 973802 Orient '20.Tax Map IdentiMtfs)Rott tdsndfler(,)(If more than four,arch sheet with additional ldendtlhs)) 1000-026.00-02.00-023.000 I CERTIFICATION I I Certify that all of the Items of Information entered on this form are true and correct(to the best of my knowledge and belief)and I understand that the making of any willful fake statement of material fact herein subject me to the provisions of the penal law relative to the making and filing of files Instruments. J c / E LER SIGNATURE BUYER CONTACT INFORMATION ' , f . (EuN iv a noun or the OIL Nolo EWjary.t,i nano aeadeven.Newmann.yax stock=piny.awry Or VV Rep Ell Oret an.,Belt•pent a MOONY,dyersrag end cert Rdemeand an ndmdumirewanatie aq �� e Mwoo ea IMAM eaee:wuragaelnp ee aweex mart a entered.Tips or print Moody) L:C/IL.G.l.1e, . efat 7-3. 3 ((( etuEa sex _ OWE BUYERS NATURE Keiserman John P. and Kimberly G. •LAST NAie Fain NANO • �� .��.r 9i7- 7/6 - 3g76 ' /� //.A, 'OWGOV: 'TErEpiOor MnmaumE.:N n%u, R ATURE pA'E /11 '_170 WiiiOw :ane Terrace •snrcETNWax •BTALEI NAr6 h11.1'' i1'li I 1 l''.1'!1,41'.''.:' 1 Orient NY 11957 I f1{'j!' � � �� A' I iI.i.1'.4 •eTr ole rover roTAIE .LIP COM I�,;,,,111'!'1I li ,i let' 'I ISI}L Ile 1k1I r f '',,p'1,,, BUYER'S ATTORNEY till If, Ili I l/Ilii lr' .1E.)1It Ar�1'I11l.1ti1+ ` +}1 xi H.�,,,I r`. ,,� r; tY i,.11 +,r,17I1 I'fj' Lr ``1 'I Olsen David I.I'ia x1111 .Jil../•il y'Y �I' 11Ii'+if 11 ill f 14 ABT witPea-Nue� r lyt i 1t�,t. 5 +�c,t1i l {, l ;,f'!' 11} (6311 739-7666 1)11,1+( .+" 1 tit ti +' ifo I j !',,A1'1'0(.1,1,1V'v' AMA CODE mEPaxa xurafaIIO bosun �� t41 .I' 'rt.''''l1'PI 71 '�'IAA%,' l ,, stir