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HomeMy WebLinkAboutL 12831 P 539 immilimmmmommmmmmmmmmimm 111111 tIll 11111 11HI 11111 liii Hilt IUI lilt lilt Ill 111111 VIII VIII 1111 IIi1 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 09/10/2015 Number of Pages : 4 At: 11:07 :22 AM Receipt Number : 15-0122202 TRANSFER TAX NUMBER: 15-03990 LIBER: D00012831 PAGE: 539 District: Section: Block: Lot: 1000 115 .00 16 .00 001 .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 $255.00 TRANSFER TAX NUMBER: 15-03990 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1 2 • RECORDED 2015 Sep 10 11:07:22 Rig Number of pages JUDICL R. FSCaLE O CLERK OF SUFFOLK COUNTY This document will be public L D00P 5 519831 39 record.Please remove all DT# 15-03990 Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 I FEES Mortgage Amt. Page/Filing Fee 1.Basic Tax Handling 20. 00 2. Additional Tax TP 584 Sub Total Spec.Assit. Notation or EA 52 17(County) Sub Total 'v Spec,/Add. 401 EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. •••, Held for Appointment 5. 00 JV'4 Transfer Tax Comm.of Ed. T � 1 ,; Mansion Tax Affidavit i ._,.' • The property covered by this mortgage is Certified Copy - or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total 7,53—‘6„) If NO, see appropriate tax clause on CCS' page# of this 5171 tru ent. It 4 Dist. 1 15025340 1000 11500 1600 001000 5 Community Preservation Fund Real Property ` 18111I111111111111111111111111111111 1111IIIII III Consideration Amount$ O Tax Service R SMI R 1 1II I� 111 E11IIIA il11111 X11111111 11111111 CPF Tax Due $ Agency 09-SEP-15 Verification - --- - - - --- - -J Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD Davidow,Davidow,Siegel&Stern,LLP 1050 Old Nichols Road-Suite 100 TD Islandia,New York 11749 TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name a_),,v4 www.suffolkcountyny.gov/clerk Title# • �gl S 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) Donald Kirby and Doreen R.Kirby,his wife The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Dawnmarie Moffitt.as Trustee of the Donald and In the VILLAGE Doreen R.Kirby Family Trust dated TLA- 4 7, b r HAMLET of Mattituck BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) • • tsps • NY 014- Full Covenant&Warranty Deed Individual or Corporation(Single Sheet)(NYBTU 8003) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the -1 day of in the year 2015 BETWEEN DONALD KIRBY and DOREEN R.KIRBY,his wife,both residing at'75 Donna Drive, Mattituck,New York 11952 party of the first part,and DAWNMARIE MOFFITT,residing at 8702 Maywood Avenue,Silver Spring,Maryland 20910,as Trustee of the DONALD AND DOREEN R.KIRBY FAMILY TRUST dated ttio - 1 , 2 of 5 party of the second part, • WITNESSETH,that the party of the first part,in consideration often 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 or successors and assigns of the party of the second part forever, Od O ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the 115.-16-1 See Schedule"A"Attached SAID premises being known as 75 Donna Drive,Mattituck,New York 11952. BEING AND INTENDED TO BE THE same premises conveyed to the party of the first part by deed dated April 22,1975,recorded in Liber 7829 Page 565 on April 24,1975,in the Office of the Clerk of the County of Suffolk. 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,in compliance with Section 13 of the Lien Law,covenants that the party of the first part w ill 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. AND the party of the first part covenants as follows:that said party of the first part is seized of the said premises in fee simple,and has good right to convey the same;that the party of the second part shall quietly enjoy the said premises;that the said premises are free from incumbrances,except as aforesaid;that the party of the first part will execute or procure any further necessary assurance of the title to said premises;and that said party of the first part will forever warrant the title to said premises. 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 exe.. .i this deed the lday and year first above written. IN PRESENCE OF: / • DonaR? . / r. .4117 Doreen R.Kirby USE ACKNOWLEDGMENTFORMBELOW WTFHINNEW YORK STATE ONLY: USEACKNOWLEDGMENI'FORMBELOW WITHIN NEW YORK STATE ONLY.:, State of New York,County of Suffolk I ss.: State of New York,County of }ss.: 4 On the?day of 441 c.IS r Lin the year 2015 On the day of in the year before me,the undersign personally appeared before me,the undersigned,personally appeared Donald Kirby and Doreen R.Kirby personally known to me or proved to me 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 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 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 signature(s)on the instrument,the individual(s),or the person upon behalf of hick the indivi (s)acted executed the instrument. behalf of which the individual(s)acted,executed the instrument __ . ANTHONY VINCENT FALCONE Notary Public,state of New York No.02FA6141300 Cootilied in Suffolk County Commission Expires Feb.21,20 ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONLY: ACKNOWLEDGMENTFORMFOR USE OUTSIDE NEW YORK STATE ONLY: /New York Subscribing Witness Acknowledgment Certificate( (Out of State or Foreign General Acknowledgment Certificate). . State of New York,County of }ss.: }ss.: (Complete Venue with State,Country,Province or Municipality) On the day of in the year before me,the undersigned,personally appeared On the day of in the year 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 personally known to me or proved to me on the basis of satisfactory say 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 (if the place of residence is in a city,include the street and street number, the same in his/her/their capacity(ies),that by his/her/their signature(s) if any,thereof);that he/she/they'know(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 to be the individual described in and who executed the foregoing made such appearance before the undersigned in the instrument;that said subscribing witness was present and saw said execute the same;and that said witness at the same time subscribed (Insert the city or other political subdivision and the state or country or his/her/their name(s)as a witness thereto. other place the acknowledgment was taken). WARRANTY DEED (Wmi FULL COVENANTS) TITLE NO. DISTRICT SECTION BLOCK LOT COUNTY OR TOWN Suffolk TO RECORDED AT REQUEST OF Fidelity National Title Insurance Company RETURN BY MAIL TO FIDELITY NATIONAL TITLEDavidow Davidow Siegel&Stern,LLP INSURANCE COMPANY 1050 Old Nichols Road-Suite 100 FINCORPORATED 1923 Islandia,New York 11749 as "c41.44sa eine Lfe Fidelity 9 rurcw/ MrmberNaw Yank Sime 140thAaaattmlm j mf w 0 f LL 0 0. Z - C cc 8 W re k 0 • u, N Ct 0 LL W U a N enW ce N W C Schedule "A" District 1000 Section 115 Block 16 Lot 1 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,known and designated as Lot 45 on a certain map entitled"Map of Deep Hole Creek Estates" and filed in the Suffolk County Clerk's Office on January 28, 1965, as Map No. 4256. INSTRUCTIONS(RP-5217-PDF-INS):www.erps.state.ny.us FOR COUNTY USE ONLY New Volt State Department of Cl.SWIS Code 14-7 r t7 t 3 i g r g 9 I Taxation and Finance C2.Date Deed Recorded I CD 9/ IL)/ IS i Office of Real Property Tax Services ibe' lee Yes RP-5217-PDF ' C� C3.Book I I , A, t�,3 J los.Page i , 5 9 1I Roal Property Transfer Report(8110) PROPERTY INFORMATION I 1.Prop•ny 75 Donna Drive Location .5TREEI HUMBER •STREET rine Southold Mattituck 11952 • •are OR Tem VLUsE •OP CODE x.Buyer Moffitt, Trustee Dawnmario Name •,Air ryt,,EEm.PNIY FIRST met • LAST NIWEICOMMSN FIRST NNE 7.TaaIndicate where ferre Tex BlRsaetobesent Kirby Donald and Doreen S. Billing - dother than buyer addrcss(at bosom of form) LAST h.Arycauwwr FIRST NATE Address 75 Donna Drive Mattituck NY 11952 STREET MMNRNINNE CrtYOR TOMi STATE names 4.Indicate the number of ASSasement 1Part of a Parcel (Only If Part of a Purcell Check an they appy: Roll parcels transferred on the deed 8 ❑ of Parcels OR 4A.Panning Board with Subdivision Authority Exists I] 6.Deed x OR 0•S3 4B.Subdivision Approval was Required for Transfer ❑ Property "•FRONT FEET •OFPTN •Acres Size 4C.Parcel Approved for Subdasalon with Map Provided 0 Kirby Donald 8.Seller •LASHIPMEMORPNM FIRST MME Name Kirby Doreen R. LAST NRYE,rdWwY FIRST WE •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: B.Ownership Type a Condanlnium 0 A.One Family Itesidcntial B.New Construction one Vacant Land 0 10A.Property Located wlthm en Agricultural District El 10B.Buyer received a disclosure notice indicating that the property Is in an 0 Agricultural District (SALE INFORMATION' 15.Check one or more of these conditions as applicable to transfer. N A.Side Fanner le Between Relatives or Relatives 1 L Sale Contract Dale B.Sale between Related Compendia a Partners in Business. //((�T C.One of the Buyers a also a Sailer 12.ata of SHMrenefer Oil 1 I S" D.Buyer or Seller Is Government Agency or Landed Institution • 1 E.Deed Type not Warranty or Bargain and Sale(Specify Below) F.Sale of Fredcnal or Less than Fee Interest(Specify Below) •13.Full Sale Price .00 G.Significant Change in Properly Between Taxable Stabs and Sale Dates N.Sale of Ruaeless Is Included in Sale Price (Fut Sale Price Is the toter amount paid far the properly including personal progeny. I I.Other Unusual Factors Affecting Sale Price(Specify Below) ThIe payment may be in the form of cash,other popery or goods,or the assumption of _j J.None metopes or other obligations.)Pleue round to the neurit whole dollar amount. 'Commends)on Condition: 14.Indicate the value of peraonet property Included In the sue .00 conveyance to trust ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I 15.Year of Assessment Roll from which Information teken(YY) 15 97.Total Assessed Value 4,600 •711.Property Crass 210 — •1e.School District Nam* Mattituck 10.Tax Map Identllher(sliR011 Identlllege)(If more than four,attach sheet with additional Identmerle)) 1000 115.-16-1 'CERTIFICATION' I Certify that all of the Some of Information entered on this form are true and correct(to the best of my knowledge and beltof)and I understand that the making of any willful false stats. -nt of material fact herein subject me to the.proylslen6.af.Ihe.penallaw_relative to the making and filing of false Insaumenta. ELLER SIGNATURE BUYER CONTACT INFORMATION Mier inhume:merle buyer.Note ll tonsil LLC,saaaty,aeeaasm.carp:moan.Idle sock company.estate or/• entry 6w isnot at indmduel ages a e:Leary.awn a nen,and meta seamaNn hen Irgn iedsompaeno ����/ p /4' parry win can rower quinces MBadng Se Sander real be erased Typo or pale dearly I /�./11 •Iii////��....•� �� .1 SELLER.Mei -ii a Moffitt, TrLstee Dawnmarie DMYE6 MONAIUHE n •WT RMF mid wee L'r'p ' a_� !-F (301)AREAcaDE 495-9239 y�llll....(((( .TELEPHola mosiERIEs.effete aNERSIONIIT�-eDATE 87.02 Maywood Avenue •sT1EEr RAISER •STREET PAVE 1, J 1 ' Silver Spring MD 20910 �' 1�1 li'll,�ki 11 ` 5,,.r j' (i ClivORTOYYN ...STATE, •OP coca �h 1(I I1. �11'+5 =•1+ t llyl l��' �1 BUYER'S ATTORNEY i'1,l. 11i'' 1, 6;11+f ;f I�I,i,1 Il+�,i' Falcone Anthony V. �'IIL14 I '}1 j111''I,}'�l'll +ll {'1� Y r usTxsuE FIRST ERIE ,rl, � 1 � 4�, I'; I 'r' 1116111%,'I � Lt !s I (631) 234-3030 r' I'4�11� 54'�f' • r,J I'1 1 NaAaa • ,EtErrwrEMRaaitE.:Ne,e, ,S` :�1:'V1I,1., �n..I; 'r,'' :4)1. 14.1,14 15�,4, 14