HomeMy WebLinkAboutL 12828 P 144 EmmEmmEmmEmmEmmEmmEmmEmm
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 08/14/2015
Number of Pages: 4 At: 03:18:55 PM
Receipt Number : 15-0110064
TRANSFER TAX NUMBER: 15-01408 LIBER: D00012828
PAGE: 144
District: Section: Block: Lot:
1000 078.00 06.00 014.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0.00
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 $255.00
TRANSFER TAX NUMBER: 15-01408
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
, 11 21
Number of pages k , r . RECORDED
2015 Aug 14 01:18:55 P11
JUDITH A. PRSCIILE
This document will be public SUFFOLK
OF
Lk: COUiJT'f
record.Please remove all L 000012828
Social Security Numbers P 144
prior to recording. DTI# 15-01408
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp I Recording/Filing Stamps
3 I FEES
Page/Filing Fee Mortgage Amt.
Handling 20. 00 1.Basic Tax
2. Additional Tax
TP 584 Sub Total
Notation Spec./Assn.
or
EA-52 17(County) Sub Total
Spec./Add.
EA-5217(State) _ TOT.MTG.TAX
R.P.T.S.A. (CD-. ..*0 raor 1 r, Dual Town Dual County
y.'':4:, �)'-' Held for Appointment
m v
Comm.of Ed. 5. 00 A'� Transfer Tax ..gam
Affidavit ',.+ .0111-4 ...; Mansion Tax
Certified Copy "-,t The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other �
Grand Total S If NO, see appropriate tax clause on
page# of this instrument.
4 I Dist. I^"I" r
15021610Real i00007eoo 0 600 oiaoaoConX00 5 Community Preservation Fund
Tax
Agencyerty R DTY A ICPFsideration Amount$'�
Venfrcation Tax Due $
07-AUG-1
•
6 Satisfactiuiu�uiscnarges/Releases List Property Owners Mailing Address Improved
RECORD&RETURN TO:
Vacant Land
Feldman Kramer&Monaco,PC TD /"j " '�
330 Vanderbilt Motor Parkway
Suite 400
Hauppauge,NY 11788 TD
TD
Att:Gina Panzenbeck,Paralegal
Mail to:Judith A.Pascale,Suffolk County Clerk 7 1 Title Company Information
310 Center Drive, Riverhead, NY 11901
www.suffolkcountyny.gov/clerk
Co.Name
Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by, (SPECIFY TYPE OF INSTRUMENT)
Agnes P. Dickinson The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Douglas S.Cooper.Trustee In the VILLAGE
or HAMLET of Southold
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
No
Consideration •
Deed THIS INDENTURE,made the IL day of hilt- . ,2015
•
BETWEEN
Agnes P.Dickinson,residing at 60 Koke Drive,Southold, NY
party of the first part,and
Douglas S. Cooper, as Trustee of the Dickinson Family 2015 Irrevocable Trust, residing at 11 Pawtucket
Avenue,Bristol, RI 02809
DISTRICT
1000 party of the second part,
SECTION
078.00 WITNESSETH, that the party of the first part, in consideration 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
BLOCK or successors and assigns of the party of the second part forever,
06.00
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
LOT lying and being in the
014.000
SEE DESCRIPTION ATTACHED HERETO
Subject to all covenants,easements and restrictions of record.
Said premises known as 60 Koke Drive,Southold,NY
Being and intended to be the same premises as conveyed to the party of the first part by deed dated February
6,2014 and recorded May 2,2014 in Liber 12772 page 684 in the Suffolk County Clerk's Office.
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"when ever 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.
*nes P. Dickinson
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
Form 1000-7
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of Suffolk ss: State of New York,County of ss:
On the it. day of luAit in the year 2015 On the day of in the year 2015
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
Agnes P.Dickinson
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 whose name is satisfactory evidence to be the individual(s)whose name(s) is
subscribed to the within instrument and acknowledged to me (are)subscribed to the within instrument and acknowledged to
that she executed the same in her capacity, and that by her me that he/she/they executed the same in his/her/their
signature on the instrume t,t e individual,or the person upon capacity(ies), and that by his/her/their signature(s) on the
behalf of • individ cted,executed the instrument. instrument,the individual(s),or the person upon behalf of which
the individual(s)acted,executed the instrument.
(sig re and office f individual taking acknowledgment)
STEVEN KRAMER (signature and office of individual taking acknowledgment)
Notary Public,State Of New York
No.02KR6170141
Qualified In Suffolk County
Commission Expires June 27,2019
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)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)
(signature and office of individual taking acknowledgment)
DISTRICT 1000
AGNES P.DICKINSON SECTION 078.00
TO BLOCK 06.00
DOUGLAS S.COOPER,TRUSTEE LOT 014.000
COUNTY OR TOWN Suffolk
STREET ADDRESS 60 Koke Drive
Southold,NY 11971
BARGAIN AND SALE DEED
FKM File No.:EP-15-2591
RETURN BY MAIL TO:
Gina Panzenbeck,Paralegal
Feldman Kramer&Monaco,P.C.
330 Motor Parkway, Suite 400
Hauppauge,NY 11778
DESCRIPTION
All that certain plot,piece or parcel of land, ituate,lying and being at Bayview,Town of Southold,
County of Suffolk and State of New York, bounded and described as follows:
Beginning at the intersection of the westerl side of a 50 foot private road known as"Corey Creek
Road",with the southwesterly side of Main ayview Road;
Running thence from said point or place of eginning along said westerly side of"Corey Creek
Road",South 25 degrees 16 minutes 10 seco ds West 111.27 feet to land now or formerly of Harold
Asapu;
Thence along said last mentioned land,Nod 64 degrees 43 minutes 50 seconds West 125.00 feet to
land now or formerly of Zebroski;
Thence along said last mentioned land,Nort. 25 degrees 16 minutes 10 seconds East 138.66 feet to
said southwesterly side of Main Bayview Road;
Thence along the southwesterly side of MaiBayview Road,South 52 degrees 22 minutes 10
seconds East 127.97 feet to the point orplac of Beginning.
INSTRUCTIONS(Rp 5217-PDF-INS):YN/w.orps.state.ny.us
FOR COUNTY usg ONLY
Cl.SWIS CedeO O ' New York State Department of
•
r Taxation and Finance
C2.Date Deed Recorded O pit/ / lJ I Office of Real Property Tax Services
aP�./ �` � RP-5217-PDF
CS.Book i /l ar O Q 1 al OIC..Page , /
Real Property Transfer Report(8/10)
PROPERTY INFORMATION I
1.Property 60
Location Noke Drive
•SIREET WYSER
•STREET NAME
Southold Southold
•cm'ce MXVILLAGE
•- 11971
2.Buyer Dickinson Family2015aPCOOE
Name Irrevocable Trust
•Mat NAYFIae etor
FM NW E
Douglas S. Cooper, Truste
LAST pMurco,n• FAR WniE
3.Tax
Indicate where future Tat Bills are to be seDickinson. A nes P
'- if other titan buyer address(m bottom d lorm g
Address ) WTNlweppYPAR _ Pain WYE
60 Koke Drive Southold
NY
971
RREET M.YoER Ara Ncuc `r ca� coc
STATE MGM
4 Indicate the number of Assessment 1 m (Only If Part of a Parcel)Check as theya
Roll parcels transferred on the deed e d Parcels OR Part d e PenalPPlyt
4A.Planning Board with Subdivision Authority Exists
Q DeedEl
X V0.
Property •Mew FEET •OEPT.1 OR ant EB as Subdivision Approval was Required for Tranelar
See 36
4C.Parcel Approved for Subdivision with Map Provided ❑
Dickinson
6.Seller • Agnes P
•rAer xANE,CpwANr
Nemo
glen NAW
LAST MNYECOPPM MST MYE
'7.Select the deription which most accurately describes the Check the boxes below as they apply:
se
use of the property at the time of sale: I Ownership Type is Condominium ❑
A.One Family Residential 9.New ConaWcuon one Vacant Lend ❑
14A.Properly Located within en Agricultural District C]
10B.Buyer received a disclosure notice indicating that the property is in an 0
Ag icultural peril
(SALE INFORMATION
15.Check one or more of these conditions as applicable to transfer:
r A.Sale Between Relatives or Former Relatives
11.Sale Contract DateB.Sale between Related Compemes or Partnere in Business.
/ _C.One d the Buyers is also a Seller
•12.Dote of BalaRransfer (p'I&- r161 _D.Buyer or Seller la Government Agency or Lending Institution
_E.Deed Type not Warranty or Bergen end Sae(Spemy Below)
•1S.Full Sale Price 0 _F.Sale d Fractional or Less than Fee Interest(Specify Below)
00 _G.Significant Change In Property Between Taxable Stave end Sete Dates
(Full Sale Price is the total amount in paid far the property nduct _H Sale d Bueinesa is Included in Sae Price
�RO1ul su Otherr Unusual Patton Affectinginp Sale Price(Specify Below)
This
payment utas h m tae form d ash,other property using,or the assumption of J
mortgages or other obligations)Please round lothe neared whole dollar amount .Nene
Comment(e)on Ccodidon:
14.Indicate the value of personal
property Included ln the sale 0.00 Tcans:er to Trust
I ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I
16.Year of Assessment Roll from which Information taken(YY) 14 •17.Total Assessed Value 1,390
16.PmpertyClas5 210
- - •16.School District Nome SOUthOld
-20.Tex Map ldentfler(efRdl Identifier.)orf more than four,attach sheet with additional Identlfler(s))
1000-078.00-06.00-014.000
'CERTIFICATION I
I Certify that all of the gems of Information entered on this form aro true and correct(to the best of my knowledge and ballet)and I understand that the making of any willful
false statement of material fact herein subject me to theJya tahni59GIle rtmell 1r_nlsdve to the making and filing of false Intemmente.
SELLER SIGNAT�I $OYER CONTACT INFORMATION
IFR.adomr-on for the teear hero II buyer la LLC.Iooah.auedrJeo.endorser,pat ova rAmpany,aural,O
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nNA:WE CATS
ISLYEELSIONAMBE Cooper Douglas, C
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11 Pawtucket Avenue
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