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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 09/08/2015
Number of Pages : 4 At: 04: 12 : 51 PM
Receipt Number : 15-0121208
TRANSFER TAX NUMBER: 15-03749 LIBER: D00012831
PAGE: 245
District: Section: Block: Lot:
1000 080.00 01 .00 004 .000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $706,000 .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 $11,120. 00 NO
Fees Paid $11,375. 00
TRANSFER TAX NUMBER: 15-03749
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
•
1 2 -
RECORDED
Number of pages 21115 Seo 08 04:12:51 PM
' JUDITH H. PASCALS
CLERK OF
r.
UNTY
This document will be public SUFFOLK 000�]oc�l28�,�,31
Ci]
L 1� i
record. Please remove all F 245 .
Social Security Numbers - Nis 15-03744
prior to recording.
Deed I Mortgage Instrument Deed/Mortgage Tax Stamp Recofding I Filing Stamps
3 • FEES
Page/Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20. 00 2.-Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) — Sub Total Spec./Add.
•EA-5217(State) TOT.MTG.TAX —_
h .Aqui\"., Dual Town Dual Count
R.P.T.S.A. U i' y— .
e.4(� , Held for Api• went I i
Comm,of Ed. 5. 00 1'
e,g �I, 1 Transfer Tax . AZ /0
Affidavit s', �.� �''` \ Mansion Tax
Certified Copy • `�7�' - The property covered by this mortgage is
or will be improved by a One or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
,, Grand Total If NO,see appropriate tax clause ppn
page of this ins u e t. i�
. 4 J Dist.‘OCC 15024060 100o 08000 0100 004000 °Q 5 Community Presery 'orr Fund
Real
T A
Agency
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R V T SA III �I�II I1 III III�I III�I III f ill III Consideration Amount$
g cy 27-AUG-i 1 1 I III Ill fff I i ca—PF Ta c Due
Verification $ mow'
r PSSatisfactions/Discharges/Releases List Property Owners Mailing Address Improved
6 RECORD&RETURN TO:
1 Vaca�> nd
• �DrnO�p CdIASO`pvJ . ���b TD/ (- _
(AGO \D.\ ., \\41.�-l oo e, TD
NO, 4o�1c., ‘n..)• �. l CO ZZ TD
Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 ----..1.4c..
I `�-- � .
-.Www.suffolkcountyny.gov/clerk - Co,Name 2. c,c%�a.
'Title# l2.oCnal6C —14 .S
8 Suffolk. County Recording & Endorsement Page
This page forms part of the attached . -40 , . made by:
(SPECIFY TYPE OF INSTRUMENT)
""''\k. � A -\l"--6 -L-1 ....-L-1 ....' 1 .- • The premises herein is situated in
--'4\W n)� IAA 1. ` . Ct5 • SUFFOLK COUNTY,NEW YORK.
X1 TO In the TOWN of ,,,.a.bd
1�� In the VILLAGE •
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR.PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
u•0104..I mie,
(over)
•
BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS(INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8007
CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
PURCHASER BEFORE SIGNING.
THIS INDENTURE,made the day of,7 3Lq , 2015
between
WILLIAM J.POTTS,JR.and ANNE M.POTTS,husband and wife,
residing at 6435 Wiscasset Rd.,Bethesda,MID 20816
party of the first part,and
SALLY COONAN,residing at 12 Hughes Place,Summit,NJ 07901
party of the second part,.
WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other lawful
consideration,lawful money of the United States,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 Southold,Town of Southold,County of Suffolk and State of New York.
SEE SCHEDULE'A'ATTACHED HERETO AND MADE A PART HEREOF
Being and intended to be the same premises as described in deed from Frederick Koeppen,as survivor of
his late wife,Fredericka Koeppen,dated 10/24/75,recorded 10/29/75,in Liber 7934 p.58.
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.
'aro"A'
WILLIAM J.PO S,JR.
4-
ANNE M.POTTS
NYSBA Residential Real Estate Forms on HotDocs*(9/00) Copyright Capsoftm Development
•
THE JUDICIAL TITLE INSURANCE AGENCY LLC
Title Number: 120699FA-S
SCHEDULE A
ALL that certain plot, piece or parcel of land, with the buildings and itrtprovements
thereon erected, situate, lying and being at Southold, in the Town of Southold, County of
Suffolk and State of New York, bounded and described as follows:
BEGINNING at a stake on the line marking the westerly end of West Shore Drive as
shown on "Map of Reydon Shores, Bayview, L.1." filed in the office of the Clerk of
Suffolk County, said stake being 30.31 feet northerly along said line from the
northwesterly corner of Lot Number 4, Block C. as shown on said map;
RUNNING THENCE along the northerly line of a certain 20 foot private road, north 59
degrees 48 minutes 40 seconds west, 44.95 feet to a stake;
THENCE along land (now or formerly) north 19 degrees 55 minutes 30 seconds east
279.34 feet to ordinary high water mark of Peconic Bay;
THENCE along said ordinary high water mark of Peconic Bay, south 45 degrees 30
minutes 20 seconds east, 50 feet to the westerly line of land shown on the hereinbefore
mentioned map;
THENCE along last described line, south 20 degrees 11 minutes 20 seconds west 266.58
feet to the point of BEGINNING.
ALSO with a right of way over said 20 foot private road westerly from the premises
about 100 feet to a second 20 foot private road;
ALSO a right of way over said second private road to and from Peconic Bay and North
Bayview Road;
ALSO a right of way over a certain 12 foot private road running from a point on the
westerly line of the premises westerly about 100 feet to a second 20 foot private road
hereinbefore described.
The policy to be issued under this report will insure the title to such buildings
and improvements erected on the premises which by law constitute real
FOR
CONVEYANCING property.
ONLY TOGETHER with all the right, title and interest of the party in the first part, or, in
and to the land lying in the street in front of and adjoining said premises.
STATE OF NEW YORK
)ss.:
COUNTY OF SUFFOLK )
On the /6 day of J u NE ,in the year 2015,before me,the undersigned personally appeared
•
William J.Pottseind Anne M.Potts,personally known to me or proved to me on the basis of satisfactory
evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that
they executed the same in their capacity,that by their signatures on the instrument,the individuals,or the person
upon behalf of which the individual acted,executed the instrument.
GSC
PUBLIC
LORRAINE KLOPFER
Notary Public,State of NewYork
No.4828373
Qualified in Suffolk County /7
Commission Expires Nov.30, Q
DEED
Title No, 2c_A0 i( /q
Section 080.00
Block 01.00
POTTS Lot 004.000
County or Town SUFFOLK
To
COONAN
Return By Mail To:
THE JUDICIAL TITLE INSURANCE AGENCY LLC
800 WESTCHESTER AVENUE SUITE S-340 DONNA GLASGOW,P.C.
RYE BROOK,NY 10573 950 Third Ave.
914-381-6700
New York,NY 10022
Reserve This Space For Use Of Recording Office
NYSBA Residential Real Estate Forms on HotDocsC(9/00) Copyright Capsoft'D Development
-2-
•
.
• INSTRUCTIONS(RP-5217-PDF•INS):www.orps.state.ny.us
OR COUNTY USE ONLY /yT ^ ^ New York State Department of
C1.SVRS Code I I T/ 39e, ((j1i C) Taxation and Finance
C2.Date Deed Recorded I 09/O0, /5- Office of Regi Property Tax Services
C3.Book [ l C �L3 I ICS age I !p�y�' RP-5217-PDF
Real Property Transfer Report(8110)
PROPERTY INFORMATION I
t•iftPrUI 2662 Paradise Shores Rd.
Leeedoe
•STREET NmmTR -TWEET NNE
Southold Southold 11971
.CITY ON WW1 VILLAGE •2P CODE
2.Buyer Coonan Sally
•LAW NNEjCOePA Y PNET WANE
EAST NN¢FCWAMY FM NAME
3.Tax Indicate where future Ten Bis re to be sent
Billing y other then buyer mdleeyal betom of font) LASTNAMECOIIPANY PAST HANE
Address
STREET WENN NO NINE CITY OR Tref TATE wwcCDE
4.Iedkate t e number of Assessment 1 a d Peroeh ort El Pan d a Parcel Meryl?Part of a Parcel)Check a they appy:
Roll parcels transferred on the dad 4A.Planning Board with SubdMwon Authority Exists ❑
I.Deed X OR 0.50
Property •PRoxr FEET 4B.Sllbdvtelam Appyovel was Required for Tamara'DEPT 'ACRES
Sia 4C.Parcel Approved for Subdivision with Yep Moulded 0
Potts IR. William J.
e.Seller •LAST NASENTOSIPNJ, ran WE
Nile Potts Anne M.
LAST NArw/COMPANN FEET SAW
'7.Select the deacdgkn which mast accurately describes the Cheek the beep below as they apply:
use of die property at the ease of sale: L Ownership Type Is Condominium 0
A.One Family Residential V.Nye Construction on a Vacant Lem 0
10A.Properly Located within an Agrlaltmal Ciehia 0
10B.Buyer received a disdosae nobs indicating that the property is in an ❑
Agricultural Distant
I SALE INFORMATION' 1a.Check one or more of these condition as applicable to frontier:
A.Bele Between Relatives or Fossa Relatives
11.Sate Contact Dab 05/11/2015 B Sale between Related Campania"or Prmnere in Business.
C.one of gale Buyer is also■Saler
D.Buyer a Seller is Government Agency a Lending Institution
'12.Date of SNNidenefer 1-7•q. 1 E.Deed Type net Warranty or Bargain aid SEN tspeafy Below)
F.Sale el Fractional a Lar then Fes Interest(Specify Below)
•13.Full Salo Prise 706,000.00 G Sgritard Change in Property Between Tumble Straus and Sae Dates
H.Sate of Business is Winded In Sale Pda
(FW Sale Nos le the rota amount paid for the Fogerty including persrW properly. I.Other Unusual Fedora Affecting Sale Prins(Specify Below)
This payment may be in the fro d cash.Eller property or goods,or the assumption of .I.Nae
mortgages or other ablgoda e.)pear rand to the manta whole dour amount.
Ceinromle)on ComMon:
14.Indicate the value of pensael
property Included In the sate .00
ASSESSMENT INFORMATION-Date should reflect the latest Final Assessment Roll and Tax 8111'
1e.Year of Assessment Rol from which Information taken(YY) 14 '17.Total Assessed Value 4,400•
•te.Property Class 210 - CSL •1e.seneorMind Puma Southold
no.Tax Yap eawSerppRea eontfer(s)(i mora then four,attach sheet Nath additional eemesr(e)l
1000-080.00-01.00-004.000
!CERTIFICATION I
I Certify that all of the Hems of Information ordered On Ode farm ere true and correct(to the beta(my knowledge and belleN and I understand that the making of any willful
fates stetamam of mstrlal fact herein suget me fe the ireyblon.otdeAenaLIYlJMrhe to the making and Sing of filen Instruments.
SELLER SIGNATURE BUYER CONTACT INFORMATION
GJeM•e- (EntweNmnelm for e Tele:
Pe tapt buyers LL.C.mmatin,,Fopreaee.IoIY sail aenpeny,aassa• p/4F�+A uny Biel anal s nWntlrt/peal or SNldrm ten names mead mformites aim Intleklueleauponable
/1A��.�v �y,. .,— prywro can new aNNNm wgedr�p es tenors ins w errs.Type melte dray I
SELLER SIGNATURE�,,/ RATE
BUYER SIGNATURE Coonan Sally
•LAST NAME NWT NAME
half
)�']
"ARCA COOS 'TELEPHONE NUMBER lE.yarsrr
NalLSISTAARATE- --• DATE
12 Hughes Place
•STREET MUSES •sTREET NAVE
I I r N Summit1,1 NJ 07901
ill}1 yi 41�y � 1 .1 � ii,l rI�, �1.111,l ,ri ,,,1liil' emaramI
eTAt �COOEI I11I BUYER'S ATTORNEY
If "11)`�r , 1'�.' i. ! 'i .ILIS�
III ,11 L ' ; Prr11'f 1 V 1 I Glasgow, P.C. Donna
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