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HomeMy WebLinkAboutL 12829 P 967 111111 liD Ilifi Ilifi 11111 DIII 11111 11111 DIII III III 1111111111111111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/28/2015 Number of Pages: 4 At: 11:00:46 AM Receipt Number : 15-0116627 TRANSFER TAX NUMBER: 15-02773 LIBER: D00012829 PAGE : 967 District: Section: Block: Lot: 1000 144.00 03.00 040.004 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $815,000.00 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 $3,260.00 NO Comm.Pres $13,300.00 NO Fees Paid $16,815.00 TRANSFER TAX NUMBER: 15-02773 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County on i i Number of pages RECORDED 1 2015 Aug 28 11:00:46 PM JUDITH P. PASCALE This document will be public CLERK OF SUFFOLK COUNTY record. Please remove all • L 00:012829 • Social Security Numbers P 967 prior to recording. [T# 1.5-02773 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording./Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 . Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. • UV- r`S1bJ � Dual Town Dual County i` w Comm.of Ed. 5. 00 T ��'a Held for Appointment/I ,`; Transfer Tax 32_( 0 •Affidavit 4+'; Mansion Tax % The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other — tD page fi (jam of this in Grand Total If NO,see appropriate tax clause on en ,OC ' oQy U mJb ,S- 4 Dist., 15022936 1000 14400 0300 040004 _ 5 Community Preservation F nd Rea]Propert p T S 111111111lllllll�ll� Consideration Amount$ 8)5000 Rax Servtct R pOL A l Il Agency 19-AUG-1 CPF Tax Due $ 3 300 00 Verificatior, __.. Improved Satisfactions/Discharges/Releases List Property Owners Mailing Address 6 RECORD&RETURN TO: Vacant Land V \ €'n + k(---') sEel ' • TD ° 7Q (3 - rJ TD G ,c-1-1.05�e Ni 11c?3� TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information • 310 Center Drive, Riverhead, NY 11901 Co.Name FIDELITY NATIONAL TITLE • www.suffolkcountyny.gov/clerk . Title# if— 1 s-- 7yoy _ 9gysS-YIT 8 Suffolk County Recording & Endorsement Page This page forms part of the attached i< E f. made by: (SPECIFY TYPE OF INSTRUMENT) I1---1-- S \1-f-0 ) Ci t i-7)S The premises herein is situated in 1 1---. c SUFFOLK COUNTY,NEW YORK. - TO In the TOWN of �,Q -}-).--, a 1.--4 . )'' '-N 4_ Pr ^^ 1' ^ In the VILLAGE T (-,--y or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. I2-0104,d0/Oakk (nverl u • CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the ) © day of August ,2015 BETWEEN HSA HOLDINGS II LLC 108ppRemington Road,Manhasset,NY partylor to first part,and BENJAMIN BARRY 32 Waterview Court, Riverhead,NY 11901 party of the second part, WITNESSETH,that the party of the first part,in consideration of TEN DOLLARS($10.00) paid by the party of the second part, does hereby grant and release unto the party of the second part,me(lees 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"ANNEXED HERETO Being and intended to be the same premises conveyed to the grantor herein by deed dated January 7,2014 and recorded February 20,2014 in Liber 12764 page 290. This conveyance is made in the ordinary course of business of the grantor. 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 exe •ed thi'. d:-d .- •! an. -. • st above written. HSA HO DIr=,I C IN PRESENCE OF: „000";,* By: �. Name: Robe M.Fischette, Esq. Title: Authorized Signatory Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment Form 3290 Fidelity National Title Insurance Company TITLE NO. F15-7404-98452-SUFF SCHEDULE A-1 (Description) Amended 07/29/15 ALL that certain plot, piece or parcel of land, situate, lying and being in the Village of Mattituck, Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: BEGINNING at a point on the westerly line of Bay Avenue, which point is South 00 degrees 46 minutes 00 seconds East, 126.34 feet from a monument set at the intersection of the westerly line of Bay Avenue with the southerly line of land now or formerly of George E. Snider; RUNNING THENCE from said point of beginning South 00 degrees 46 minutes 00 seconds East along the westerly line of Bay Avenue, 150.00 feet to land now or formerly of Francis P. Vermaelen,Jr; THENCE South 76 degrees 58 minutes 00 seconds West along said land now or formerly of Francis P. Vermaelen, Jr., 373.76 feet to a point and land now or formerly of Cianciotto; THENCE North 21 degrees 30 minutes 00 seconds West along lands now or formerly of Cianciotto and along land now or formerly of O'Connor and land now or formerly of Cienski and Hohorst, 148.19 feet to a point and land now or formerly of Vermaelen; THENCE North 76 degrees 58 minutes 00 seconds East along said land now or formerly of Vermaelen,427.44 feet to the point or place of BEGINNING. THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which by law constitute real property, FOR CONVEYANCING ONLY: Together with all the right, title and interest of the party of the first part, of in and to the land lying in the street in front of and adjoining said premises. SCHEDULE A-1(Description) Rev.(03/04) ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE Slate of New York,County of Suffolk ,ss: State of New York,County of ,ss: On the 10th day of August in the year 2015, On the day of in the year before mc,the undersigned,personally appeared before me,the undersigned,personally appeared ROBERT M.FISCHETTE, ESO. personally known to me or proved tome on the basis of satisfactory 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 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 within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),and that by his/ler/their signature(s) 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 on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument. the individual(s)acted,executed the instrument. Ri[,hurtl S. ICI4ARD S.FERNAN F{�,tpA(1 NOTARY PUBLIC-STATE OF NEW YORK No. 02FE4624168 Qualified In Suffolk County My Gommlulon Expltst Aptlt 30,201 ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN ACKNOWLEDGEMENT TAKEN OUTSIDE;NEW YORK IN NEW YORK STAIR STATE State of New York,County of , as; *State of ,County of , ss: '(Or insert District of Columbia,Territory,possession or Foreign County) On the day of in the year before me.the undersigned,a Notary Public in and for said State. On the day of in the year personally appeared , 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 Personally known to me or proved tome on the basis of satisfactory that he/she/they reside(s)in 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), that by his/her/their signature(s)on (ifthe place of residence is in a any.include the street and street number if any,thereof): the instrument,the individual(s)or the person upon behalf of which the that he/she/they know(s) individual(s)acted,executed the instrument,and that such individual make such appearance before the undersigned in the to be the individual described in and who executed the foregoing instrument;that said subscribing witness was present and saw said (add the city or political subdivision and the state or country or other execute the same;and that said witness at the same time subscribed place the acknowledgement was taken). his/her/their name(s)as a witness thereto Bargain and Sale Deed With Covenants SECTION: 144.00 Title No. BLOCK: 03.00 LOT: 090.004 HSA HOLDINGS II LLC COUNTY OR TOWN: Suffolk County/Southold To BARRY RETURN BY MAIL TO: David W.Olsen Olsen&Olsen LLP 32495 Main Road PO Box 706 Cutchogue, NY 11935 INSTRUCTIONSIRP5217•PDF-INS):www.orps.stale.ny.us FOR COUNTY USE ONLYNow Yolk State Department of C1.Swls code 14,1 ,3,$,g,9 I r Taxation and Finance C2.Date Deed Regarded I 02 /;8 /oE0 j I orf.,....., kea!Property Tax SCrviaS Mx:, f r *- r J � .,. RP-5217-PDF CS.Book j r ,�s, n a, C4.Page I , l 1 t(J Real Property Transfer Report(8110) PROPERTY INFORMATION I 1.Prbperl 1910 Bay Avenue Location - •morn.MMDLN •g-PLLI TWO SouLhold 11952 •OMY OP:OM Vn:acn •• •La CODE 2.Buyer Barry Benjamin N ame • .asl,uuE Va:wME.COMama ISI NNMaCOImMr FAS'NANL 8.Tex Indicate where Mute Tex Dills are to be sent B illing d other than buyer eddressfd bottom of form) IneT r:awbbwPwr - ,sus,Nae. Address SISEL,MUM C MONM! - -- O,'rn WISH _ - tial' 2PCOM 4.Indicate the number of AssessmentI� (Only If Part of a Parcel)Check as they apply: Roll parcels transferred on the deed 1 •a of Parcels OR t-•I Pan M e Parcel 4APlanning Board with Subdivision Authority Extols EJ S.Deed X OR 1.35 4B.Subdwrs•on Approval was Required fe Transfer D. Property •rite-_ET •r.Frl- ..:PM Sias 4C.Parcel Apprered tar Subdivision wall Map Provided ❑ RSA Holdings II 1..e.4 6.Seller •LAST w1EICOUPNY Fag:MUTE Name lag:,wcrcoM.w+ Inst MIA.- '7.Select the description which most accurately describes the Check the boxes below as they apply: use of the property at the time of sale: 8.Manual)"Type is Cerldwlroom ❑r' A.One.Faintly Resident ill 9.New Construction on a Vacant Land l__I -- 10A.Properly Located within at Agticuewal oisviM D 10B.Buyer received a disclosure notice inocaing that the properly is et an Agricultural DMtnct LJ (SALE INFORMATION I 16.Check one or more of these conditions as applicable to mansion - A.Sao Between Receives or Fencer Relatives 11.Sale contract Date 06/18/2015 B.Sale between Related Corllpanee or Partners,n thinness. -- - C One of Ilse Buyers is ase a Seller • 08/10/2015 D Buyer or Seller,s Government Agency or Lendmg Institution 72.Date of SeleRnnshr - _•__ E.Deed Type not Warranty or Bargain and Sale ISpehy Belewl F.Sale of Fractional or Less than Fee Interest(Specify Below) MI.Full Sale Price 815,000.00 G.Significant Change in Property Between Taxable Status and Sale Dates -•-- H.Sale d Buskins'is ineklded In Sere Pres (Fun Sale Price M the total amount paid to Ile property Including personal property. I Other Unusual Faders Affecting Sale Pros(Specify Below) The payment may be in Me form or cash.Oliver properly or goods.or the assurrlp(.n of . .None Tia mortgages or other abligetu .I Meese round to live nearest whole dollar amount - Comment(s)on Condition: 14.Indicate the value of personal property Included In the sant (1(1 3 __ _ IASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I 18.Year of Assessment Roll from which Information taken(YY) 1.1 '17.Total Assessed Value 7,300,00:.! 96.Property Class 210 _ ___ "19.Schaol District Name MF.zt1 ter:;:/Cutchcque 10.Tea Map Idendtler(s)Roll IdenBner(s)(Il more than four,attach sheet with additional Identifier(s)) :000-144.01-03.T0-0•I0.O0.1 I CERTIFICATION I I Certify that all of the Item , Information entered on this form are true and correct(to the beat of my knowledge and belle)and I understand that the making o1 any willful false tetement of mat•• -et herein sub'. t sic to the previsions-of the penal taw relative to the making and filing of false Instruments. R.SIGNAL4lBE - 9UYEI�CANIAGLNEORdIAIlQtl I(Flty rdorna i n,n a4 mae•NY.e a buys,s LLC.ewelr.asstr iad gn nutnm.ar stook Gunny.alma or Iti / ,err ly TM to no:an esu Rata alien oinelff try,men a man sea lerno mfa.5aaaon el ar maxi.aesponeeie ' pany who ran arum questions*wen the transfer mus be eniereo Type or prim Merry�' I 10 1.•411 BEL ". .- .. tTL Barry Benjamin SO B-UYER.SIONA.LYSE �s Far TOME Slag 4llON.TIeE aalL :T.'. / 7 I 0 tear�-r'•trw-Start 0/......./.�i 7 /71/! I 1 } i 1.. r a -.•.- '=oriearl /I J/G7 •1✓Vg_ NY 11-9'01 •i 11 A. ..kl.'i 1''1 i� '4i 1 II 4�1, 1 ••cnr•r+IOW. 4.r.-a .aPrmL X111 i�' j. ,1 T i Ii 4i ,t i+,. rI1 N1 ` y+�' BU.Y.ER:S_AUORNEY 1,,,,!,;11, I I'111,,,,,,iii,i„ ll' i+�s ic' '+ {i 7i II r' '1�+�if+11,: . David W. "7 1� 4'l' ++ti wii�rl o1sL ,L.51 MAW. F sal:..TE i ''IlliyH Pr1'1,11111 I1 I ,'1,'•11+ !, .J:1"', (631) 134-7666 {1�1},' 11k } ',� 1 7+1If ••ucMaF E_rM a a MaN:c.WW1: 111)‘ i .l +�Is 'r { t,j I �� '�I �'u 1�; , { I ''I I l l l