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HomeMy WebLinkAboutL 12832 P 422 1111101111111111111011111011111111111111#
111111111110111 11I111I1
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 09/16/2015
Number of Pages : 4 At: 11 :02 :28 AM
Receipt Number : 15-0125577
TRANSFER TAX NUMBER: 15-04655 LIBER: D00012832
PAGE : 422
District: Section: Block: Lot:
1001 004 .00 05 . 00 016 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $589,000 . 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 $2 , 356 . 00 NO Comm.Pres $8,780 .00 NO
Fees Paid $11 ,391 .00
TRANSFER TAX NUMBER: 15-04655
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
❑1 ❑2
Number of pages RECORDED
2015 Sep 16 11:02:28 PM
JUDITH P. PRSCRLE
This document will be public CLERK OF
SIIFFC1Lti COUNTY
record. Please remove all L D00012832
Social Security Numbers P 422
prior to recording. DT# 15-04655
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation SpecJAssit.
or
EA-52 17(County) • Sub Total Spec./Add. • _
EA-5217(State) TOT.MTG.TAX _
R.P.T.S.A. ,,,,co, _
„, )/)'% Dual Town Dual County
J'; Held for Appointment
Comm.of Ed. 5. 00 _ Transfer Tax 2-55Z0
Affidavit _��}' ,, Mansion Tax
The property covered bythis mortgage is Copy
•
or will be improved by a One or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total dss---- If see appropriate tax clause on
a e#
f is instrument
..f_ccil 15025366 no]. 00400 0500 0160004 Dist. ft
ro ratation Fund
TSReal Prope R CWH A ConsideraionAmouy nt$sg opoliii1 �1IIIIl 111IIIIIIlI1I1IIIIIIII1I
Tax Servic 09-SEP-15
AgencyCPF Tax Due $ q 77V•
Verificatioi, — "~ L/oved
Satisfactions/Discharges/Releases List Property Owners Mailing Addressnt6 RECORD&RETURN TO:
nt Land
©lse/t1 LL,� JO
�p'k -7o .' -' - , ivY !/g3s .\ 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# !S— 7y0Y— qS 172--
8 Suffolk County Record'ng & Endorsement Page
This page forms part of the attached s.l eX made by:
(SPECIFY TYPE OF INSTRUMENT)
74/N41.4.4- /Ut649,41 • The premises herein is situated in
SUFFOLK COUNTY,NEW YORK. •
� TO In the TOWN of ( (cQ
""uN� 0AVbN - In the VILLAGE
i//.µr. ,(Gelb,•Gk• or HAMLET of Gr- ee,tycr-r
BOXES 6 THRU 8 MUST BE TYPED Ok PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
124104..10/0M
(over)
ffG.—11;6172-
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 28 day of August 2015
BETWEEN
Amanda Nelson, residing at 35 Garfield Place, Brooklyn, New York 11215
party of the first part,and W.',F< c I4Sb4MrJ'-
Hillary Kelbick and Dennis Chalkin residing at 155 Paulin Boulevard, Leonia, New Jersey
party of the second part,
WITNESSETH,that the party of the first part,in consideration of
TEN dollars
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 the
See Schedule A attached hereto and made a part hereof
Being and intended to be the same premises as described in deed made by Celina Paillot,
recorded September 16, 2014 in Liber 12788 Page 778.
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.
IN PRESENCE OF:
Amanda Nelson
Standard N.Y.B.T.U.Form 8002 Bargain and Sale Deed,with Covenant against Grantor's Acts-Uniform Acknowledgment
Form 3290
A.; Fidelity National Title Insurance Company
TITLE NO,F15-7404-98972-SUFF
SCHEDULE A-1 (Description) , .
ALL that certain plot,piece or parcel of land,situate,lying and being in the Incorporated Village of Greenport,Town of
Southold,County of Suffolk and State of New York,known ad designated on a certain map entitled"Diagram of Lots and
Land of Nathan Kaplan"and filed in the Suffolk County Clerk's Office on June 15, 1875 as Map Number 338 as and by
parts of Lots 43 and 44 which said parts of lots,when taken together are bounded and described as follows:
BEGINNING at a point on the easterly side of Fifth Avenue,distant 100.00 feet southerly from the corner formed by the
intersection of the southerly side of West Street(Madison Avenue)and the easterly side of Fifth Avenue;
RUNNING THENCE South 75 degrees 57 minutes 20 seconds East, 107.25 feet;
RUNNING THENCE South 14 degrees 49 minutes 00 seconds West,50.00 feet;
RUNNING THENCE North 75 degrees 57 minutes 20 seconds West, 107.25 feet to the easterly side of 5th Avenue;
RUNNING THENCE along the easterly side of Fifth Avenue,North 14 degrees 49 minutes 00 seconds East,50 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_constttute aiproltiv.
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-I(Description)
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 28 day of August in the year 2015 On the day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
Amanda Nelson
personally known t o 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(s)whose name(s)is satisfactory evidence to be the individu al(s)whose name(s)is
(are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/their
capacity(ies),and that by his/her/thei r signature(s)on the capacity(ies),and that by his/her/their signature(s)on the
instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behal f of which
the individual(s)acted,executed the ins ent. the individual(s)acted,executed the instrument.
(signature and office i ndl1d al tac Jg_a nowledgment) (signature and office of individual taking acknowledgment)
ICbt"I�, ROBERT DEFRESE
Notary Public State of Nevi**
No.010E5035117,Suffolk County
Commission Expires October 24,2018
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 rue 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)
SECTION 1001
BARGAIN ANDSALE DEED BLOCK 4
WITH COVENANT AGAINST GRANTOR'S ACTS
LOT 5
Title No. 16
COUNTY OR TOWN
GreenpOrt
Nelson STREET ADDRESS 324 5th Avenue
TO Recorded at Request of
Kelbick/Chalkin
RETURN SY MAIL TO:
DISTRIBUTED BY Olsen &Olsen, LLP
P.O. Box 706
Cutchogue, New York 11935
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• INSTRUCTIONS(RP-5217-PDF-INS).www.orps.state.ny.us
FOR COUNTY USE ONLY Now York State Department of
Ci.SWIS Code1 /7, 32-, 0,11,p f Taxation and Finance
C2.Date Deed Recorded ! / /(02/ /!JJ
Office of Real Property Tax Services
� e3,...41 Car RP-5217-PDF
C7.Book I /I C4.Page I . i qe27I Real Property Transfer Report(8110)
PROPERTY INFORMATION
1.Propery 324 5ch Avenue
Location
-:JTRCCI NWoW •STREET SAW
Greenport --? IVA
ffMA11944
CTOM• y CR TOV SS •ESr •=P COOL
2.Buyer Kelbick Hillary
Name
•:AST NAME/CCMRMn FIRST NAME
Chalkin Dennis
1 AST NAYGCONYNN FIRST NAME
3.Tax
Indicate where future Tex Bills are to he sent
Billing if other than buyer eddrese(el tenon of Arm) LAST ruVEICOArPAM FOOT NAVE
Address
STREET HUMBER ANDRAME CITY OR MINN STATE on CODE
4 Roll ateparthenumber
uels berrofed Assessmentn thdee1 0,Panels Op D Pert of a Parcel (Ory I1 Part of a Parcel)Chock n they apply:
4A.Planning Board with Subdelsion Authority Exists ❑
5.Deed0.11
Property •FRONT FEET X OR 48.Subdivision Approval was Required for Transfer 0
•DCP:N 'ACRES
Size
4C.Parcel Approved for Subdivision with Map Provided ❑
Nelson Amanda
S.Seller •LAST rJJAIEXCISPANr Flail NAME
Name
LAST r1ANEJCOMPANT FIRST RAW
•7.Select the description which most accurately describes the Check the boxes below as they apply:
use of the property at the time of wale: S.Ormers/rip Type is Condominium ❑
A.are Family Ruesiticrttiat L New Construction one Vacant Land ❑
10A.Property Located main an Agricultural Distort 0
10B.Buyer received a disclosure notice Indicating that the property Is man ❑
Agricultural District
(SALE INFORMATION 15.Chock one or more of these conditions as applicable to transfer:
1 A Sale Between Relatives or Former Relatives
11.Salo Contract Dale 08/14/2015 — B.Sale between Related Companies or Partners in Business
C One clthe Buyers isalso aSaler
08/28/2015 _ D Buyer or Seller is Government Agency or Lending Institution
•12.Date of Sale/franehr _E Deed Type not Warranty or Bargain and Sale(Specify Below)
_F.Sale at Fractional or Less than Fee Interest(Spealy Below)
13.Full Sale Price 589,000.00 _G.Sgmfxant Change in Property Between Texate Status end Sale Dales
N.Seta or Business is Included in Sale Price
(Full Sale Price is the total amount paid for the properly Milo:hog personal properly. — I Other Unusual Factors Affecting Sale Price(Specify Below)
This payment may be in the form of cash,other properly or goads,or the assumption of
mortgages or other obltgelions.)Please round to the nearest whole dollar amount
g J.None
Commend(s)on Condition: r
14.Indicate the value of personal
property Included in the sale .00
I ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I
15.Year of Assessment Roll from which inhumation tsken(YY) 15 17.Total Assessed Value 2,864
'ie.Properly Class 210 _ mi.School Dlstrkt Nemo Greenport
•20.Tax Map tdentiMr(eyRoll Identifier(e)(if more than four,attach sheet with additional Identifier(M)
1001/9/5/16
!CERTIFICATION I
I Certify that all of the Items of Information entered on this form are true and correct Ito the best of my knowledge and belief)and I understand that the making of any willful
false statement of material fact herein subject me to thejroylslans_af the.penelJew_rolative to the making and filing of false instruments.
RFI r S SIGNATURE BUYER CONTACT INFORMATION
Ever rramargn for Ow buyer Nos.d ouyera LLC society aameaaen=pennon jam pool Tampsny,nem or
/�!s clam lint is Cnp
I an rmdual repent or Educe".van a erne and mnJea+rlarnmmon or •d
an sidual/mpenaea
i 8/�� Duty who an ammo RxeaRra reee•dng din vane*new be e'ervd Type or print cludy.j
se_RSERIa•IAE DATE
BUYER SIGNATURE Kelbick Hillary
J+ •� � •or NAME Fear sues
1.-1) I/.r[� 47.2x, •MCA COGS •TE.EV.s7nE MIr3ER.E.rliae,
eu•ERS LYRE DME
155 Paulin Blvd.
•MEET MAWR 'STREET Nava
l . I1 I 1 11'I r f )4 I Leonia11 NJ 07105
;11,1), I r 11 1�I I) I L i I II II �(' I try SR TOW. .eTA-E 'zncrot
1 tTyl BIZYER'8 ATTORNEY
11 iIl�,II� ill Oil'1 I + ,
11I�1I ll!I'll '1,'
1ri I I1 11 l ( Olsen
(631.7
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1 '11: .ASI NAM1
FIRST SASE�'
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