HomeMy WebLinkAboutL 12830 P 852 111101111101111011111011101111 I I I I I
I I iffli III 11111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 09/03/2015
Number of Pages: 4 At: 03: 02 : 48 PM
Receipt Number : 15-0119724
TRANSFER TAX NUMBER: 15-03444 LIBER: D00012830
PAGE : 852
District: Section: Block: Lot:
1000 115.00 04 . 00 013 .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: 15-03444
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
I( ! 1 2 l I Submit by E-mail ' I Print Form `
J
Number of pages4 2015 Sep 03 03:02:48 PM
�t� RECORDED
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNT?
record.Please remove all L 000012830
Social Security Numbers P 852
prior to recording. DT# 1.5-03444
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
» l;u'lr3`':;. Dual Town Dual County
R.P.T.S.A. J ,>;��` /)-y Held for Appointment/. _
Comm.of Ed. 5. 00 a I Transfer Tax i/
iw
Affidavit t 'a 14I Mansion Tax
Y 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
Grand Total -- / If NO, see appropriate tax clause on
page#�' of this iniqt�
4 I Dist. 1(M c. 13.000 5 Community Preservation Ind
Real Pro 15024608 1000 11 I50II0 04I`00 023000 Consideration Amount S
Ver TaAxf cat Seenrvc R oTY A „1",��1`41��I�tII�l�1�y��1II����I�V1IMI������ CPF Tax Due $
02-SEP-15 Improved
6 Sati,_ ____._.7_..,..c.Cdsescist 'ropertyOwnersMailingAddress
RECORD&RETURN TO: Vacant Old
Acme Marie Goodale,Esq. TO
Twomey,Latham,Shea,Kelley,Dubin&Quartararo LLP
P.O.Box 9398 TD
33 West Second Street TD •
Riverhead,New York 11901
Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk
Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Quitclaim Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Georgia C.Adams The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Greeory Alan Adams,as Trustee of The Georgia In the VILLAGE
C.Adams Irrevocable Trust or HAMLET of Mattituck
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
NO CONSIDERATION
Quitclaim Deed
This Indenture,made the 13th day of August Two Thousand and Fifteen
BETWEEN
GEORGIA C. ADAMS, residing at 17700 Main Road, Mattituck, New York
11952
party of the first part,and
GREGORY ALAN ADAMS, residing at 809 East Street, Lenox, Massachusetts
01240,as Trustee of THE GEORGIA C.ADAMS IRREVOCABLE TRUST,u/a/d
August 13,2015;
party of the second part,
WITNESSETH,that the party of the first part,in consideration of Ten Dollars and
other valuable consideration paid by the party of the second part,does hereby grant
TAX MAP and release unto the party of the second part,the heirs or successors and assigns of
DESIGNATION the party of the second part forever,all of the party of the first part's interest in
Dist.: 1000
Sec.: 115.00
BIk.: 04.00
Lot(s):013.000
SEE SCHEDULE"A"ATTACHED.
BEING AND INTENDED TO BE the same premises conveyed to the party of the
first part by deed dated April 30,2010 and recorded in the Suffolk County Clerk's
office on July 19,2010 at Liber 12631 page 586.
Premises known as 17700 Main Road,Mattituck,New York
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 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:
Vis.
GEORGIA V.ADAMS
STATE OF NEW YORK)
COUNTY OF SUFFOLK)ss.:
On the l3ih day of August in the year 2015 before me,the undersigned,personally appeared
GEORGIA C. ADAMS personally known to me or proved to me on the basis of satisfactory
evidence to be the individual whose name is subscribed to the within instrument and acknowledged
to me that she executed the same in her capacity, and that by her signature on the instrument,the
individual,or the person upon behalf of which the individual acted,executed the instrument.
j4f.403/Zikt:fieleta--A—,
Notary Public
ANNE MARIE GOODALE
Notary Public,State of New York
No. 02G05063886
Qualified in Suffolk County
Commission Expires July 29,20 la
QUITCLAIM DEED DISTRICT: 1000
SECTION: 115.00
GEORGIA C.ADAMS BLOCK: 04.00
TO
LOT: 013.000
GREGORY ALAN ADAMS as Trustee of The COUNTY of Suffolk and TOWN of Southold
Georgia C. Adams Irrevocable Trust u/a/d
August 13,2015 TAX BILLING ADDRESS:
RETURN BY MAIL TO:
ANNE MAIRE GOODALE,Esq.
Twomey, Latham, Shea, Kelley, Dubin &
Quartararo,LLP
33 West Second Street
P.O.Box 9398
Riverhead,New York 11901-9398
Pare 2 of 2 Pares
SCHEDULE A
SCTM No.: 1000-- 115.00—04.00—013.000
ALL that certain plot, piece or parcel of land, with the buildings and improvements
thereon erected, situate, lying and being at Mattituck, Town of Southold, County of
Suffolk and State of New York, bounded and described as follows:
BEGINNING at a monument on the southerly side of the Main Road at the northeast
corner of the premises herein described adjoining land of Ernest W. Jones on the east;
RUNNING THENCE along said land of Ernest W. Jones, South 3 degrees 58 minutes
West, 160.0 feet to a monument;
RUNNING THENCE along other land of the party of the first part, North 87 degrees 40
minutes West, 99.92 feet to a monument;
RUNNING THENCE along other land of the party of the first part, North 3 degrees 58
minutes East, 155.0 feet to the southerly line of the Main Road;
RUNNING THENCE along the southerly line of the Main Road, North 89 degrees 28
minutes East, 100.0 feet to the point or place of BEGINNING.
INSTRUCTIONS(RP-5217-PDF-INS):www orps state.ny.us
FOR COUNTY USE ONLY
. a p Now York State Department of
Cl.SWIS tear i � co,VJ
, Taxation and Finance
C2.Date Deed Recorded L 0 1 W is I Office of Real Property Tax Services
�"" 0., rR" RP-5217-PDF
C3.Book I I , ;` 16tJ,c) i Cd.Pape I , 1 EJIS‘?‘ Real Property Transfer Report(81+0)
PROPERTY INFORMATION!
1.Property 17700 Main Road
Location
•BTREEt males •STREET a ea
Southold Mattitucic 11952
•CT CR Tam --- vilest •DFeOOE
2•Buyw Gregory Alan Adams, Ttee The Georgia C. Adams Irre
Name ---- -
•use WgeJsoemNy FIRS;cane
MIT RAIIECON01. cesi WYE
3.Tar . Indicate sham future Tax Bills are to beset Adams Gregory
Billing if other than buyer addrosslat bottom of lemq leer NCMElCOaFANy ARV NAME
Address
809 East Street Lenox MA 01240
1191Et 10 1111111 upeeja cat CR roan a►CODE
4.Indicate the number of meal 11..�Pan of a Parcel (Only it Part el a Parcel)Check as they apply:
Roll per eels uensleated on the deed a at Parcels OR 4A.Flatmig Board rah Subdwnren Authority Exists 0
S.Deed X OR 0.44 4B.Subdivision Approval was Required fa Transfer 0
Property •IRON'FEE: •OEP.N •eceES --
51x0 4C.Parcel Approved for Subdivisen with Map Auricled 0
Adams Georgia C.
6.Sailer •iioi eeeutei eaa 40St NAME
Name
UM N•aesdwu+v . MST Nae
'7.Select the description which most eccmmely describes theCheck the boxes below es they apply:
use of the property at the lime of sale: 8.0Wflership Type is Cmdamnium
A.One Family Residential 9.Now Construction on a Vacant Land 0
IDA.Properly Located within an AgrN:dWral Detect atit ❑r,
LOB.Buyer received a disclosure notice indig that the propertn y is an I__I
AgriciLtural Dietnca
ISALE INFORMATION! 15.Check ono or more of these conditions as applicable to transfer:
_A Salo Between Relalrcee or Former Relatives
11.yak Contract Dale B.Sale between Related Compamw or Partners in Baseless.
- -C.Ona of the Buyere a also a Seller
08/13/2015 - D Buyer or Seller is Government Agency or Ledingwuuban
'17.Date of intertwines. S E.Deed Type not Wartannty or Ber Cit and Sale(Speedy Below)
_ F.Sale of Fmdmnal or Less than Fee Interest(Specify Belowl
•13.Full Sale Ake 0.00 _ G.Significant Charge in Property Between l Mable Status and Sa:e Dates
FL Sale of Business a Included n Sale Price
Ala•s
(Fut Sale Althe total amoral paid for the properly mchidbrg panoral property. __ I.Other Unusual Factors Menne Sale RICA(Specify Belw)
form d
This payment may be m the forcash.ether property or goods,or the esaumptren of .1None
mortgages or ether abigatrms)Pkoas reund to Flo nearest whole dollar funning -
'Camment(s)on Condition:
14.Indiana the vela°of personal Tranefer to '7 ruse - Fur avant to RETA Opinion of L-_
prapentylncludod In sale _ .00 Cavavel, :rust retains yrarter's tax exemptions in V'Ne•
IASSESSh1EN I INFORMAI ION-Data should rolldct the latest Final Assessment Rot and Tax Bill! props v .
16.Year of Asseesmtmt Roll front which information taken(YY) 15 '17.Total Assessed Value 5,40 0
'18.Paopeny Class 21G _ '19.School District Name tizttituck
'70.Tee Map Idendeer(eyRoll!demigods),(If more than lour.math sheet whir additional Idemifer(s))
1040-115.00-04.00-013.00x_
ICER rIF ICA I ION!
I Certify that all of the Items of Information entered on this form are true and collect(to the best of my knowledge and belle)and I understand that the making of any willful
false statement al material fact herein subject me to the orovlsions of Lha venal low relative to the making and Filing of false instruments.
CFI 1 ERgIGNATURE 9(JY.ER CONTACT INFORMATION
iEnAk reanneaon Ni are baser Nate.S Sayer is LLC•mraly.nepareNe.eeeparetea.sea Deer eenganf.ewe or
wow rei■ret en emrkluel eperew aduray.Chen a sane and tame esansman Nen ranumeremenWs
7 /J/(�G•1111 peter wire em awn.wunmrw repwdeq pee V10001Mortes emerad.Typo or pm d
peerly.l
:ELLER L'aWa• / �'j41, e' GATE
BUYER SIGNATl1FZE Adams Gregory Alan
' •IAwt NAM nap NaerE
• �.�e •ANe.COW -Terarr•°w RIMIER ice uncal
, ' '�•RE J ORM
1809 East Street
•Ste CO Ween• �•"lisoeT Pane
t i' 11 tt S I
�S I ''t• �H'1} 1i jr Lenox. MA 01240 -
1,7 'P7 r''1f.1. .1 i'I; f 1d' 1��1iA Iii r� -C,., TowN -. -- • coo,
�I+� �f.:�:]•l J� '�+`+11J I'I,is �J BUYER'S ATTORNEY
I 'Iii I I� ' ',1•, it (f j' 1 + '' 1 .1111(91 Goodale AnneMarie
Ry i � WTeAY! nRSTaeNE
• ff�� �� �,
�� If ��f�jV ��, 1 � '� '�'"Ir�k'���I ,.' (031! 727-2100
t�l f rl tl' I .•I �ti ( i�1i 'L f tli OVA CODE Ta rarYE YuaeEP,r.ueeee l
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