HomeMy WebLinkAboutL 12832 P 725 mmmmmmmilimmommmmmmmmmim
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 09/17/2015
Number of Pages: 4 At: 04:45:59 PM
Receipt Number : 15-0126824
TRANSFER TAX NUMBER: 15-04873 LIBER: D00012832
PAGE : 725
District: Section: Block: Lot:
1000 079. 00 06 . 00 034 .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: 15-04873
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
11,
RECORDED
Number of pages 2015 Sep 17 04:45:59 P11
:JUDITH P. PASCALE
CLERK OF
SUFFOLK COUNTY
This document will be public L 000012832
record. Please remove all P 725
Social Security Numbers DT# 13-04873
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee 1/1Mortgage Amt.
1. Basic Tax
Handling 20. 00
2. Additional Tax —
TP-584 Sub Total —
Notation Spec./Assit.
or
EA-52 17(County) Sub Total -57) Spec./Add.
EA-5217(State) TOT.MTG.TAX
��(.roij ) Dual Town Dual County—
R.P.T.S.A. �1`a
Held for Appointment
Comm.of Ed. 5. 00 Z. Transfer Tax
Affidavit ` -';• ;:f• Mansion Tax
—
= The property covered by this mortgage is
Certified Copy — or will be improvedeby 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'rostrum t. •
•
4 Distl00 15025867 1000 07900 0600 034000 200 5 Community Preservation Fund
ep T S I IillhIi1UlIllhIiIHhilConsideration Amount $Rea]Tax PropServtcerty f2 DHO A
Agency 15-SEP-1 CPF Tax Due $ d
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
DAVID PROM',ESQ. TD
131 RTE 25A TD
ROOM'POINT,NY 11778
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name \InRTH STAR TITLE AGENCY. INC.
www.suffolkcountyny.gov/clerk
Title# NsA-is= CC-F-Sys
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached made by:
--�� �y (SPECIFY TYPE OF INSTRUMENT)
Q fI
v t9`Q{O S , t� \e/1 'Y The premises herein is situated in
C iA,N9 l!R p E. Cu P.n- i SUFFOLK COUNTY,NEW YORK.
(� I TO In the TOWN of B(1 I C
id
(1'1 e,. 1.l {111 4. In the VILLAGE C_ LC(_(
or HAMLET of kA4k0 L((
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12-0109.-10/Oak
(over)
NO CONSIDERATION
* •! rgain and Sale Deed with Covenants against Grantor's Acts
s CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD
BE USED BY LAWYERS ONLY
THIS INDENTURE, made the '/N day of -C4ele•••4.6` Two Thousand Fifteen
JOSEPH S. CLEMENTS AND CAROLINE E.CLEMENTS
830 Ed's Road
Southold, New York 11971
party of the first part,
AND
CAROLINE E. CLEMENTS
830 Ed's Road •
Southold,New York 11971
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 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,situate,
lying and being
SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF.
DIST: 1000 SECT: 079.00 BLOCK: 06.00 LOT: 034.000
SAID PREMISES KNOWN AS: 830 ED'S ROAD, SOUTHOLD,NEW YORK
BEING AND INTENDED TO BE the same premises as conveyed by deed dated May 10, 2010 and recorded May
24, 2010 in Liber 12625 Cp 673.
TOGETHER with all right, title and interest, if any, of the party of the first part of, 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 incumbered 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 the 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
constructed 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: 31...........
S. Clements
Caroline E. Clements
STATE OF NEW yORK,COUNTY OF SUFFOLK:
On thetift‘day of Sip 2015,before me,the undersigned, personally appeared
JOSEPH S. CLEMENTS
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 he executed the same in his
capacity,and that by his signature on the instrument,the individual,or the person on behalf of which the
individual acted,e cuted the instrument.
NotaryPublic Mata �h �.PROKOP
rY utile,Mehl of NewYlodt
Qualified in Suffolk County
7753
My CommissionNo.Exp49ires 3Feb.D4.2044
STATE OF NEW YORK,COUNTY OF SUFFOLK:
On the Z01,day of AKSu..r 2015, before me,the undersigned,personally appeared
CAROLINE E.CLEMENTS
personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is
subscribed to the 'thin instrument and acknowledged to me that she executed the same in her capacity,and that by
her signature on - 'nstrument,the individual,or the person on behalf of which the individual acted,executed the
instrument.
Notary Public 11111
DAVID B.PROKOP
Noteryflof tyO� ed in Suffolk CountyInto.4977531
My Commission Expires Feb.01.242
OS/11/2015 TUB 11:24 FAx Prokop I6002/402
r - .
•
Title No.: 712-S-01790
SCHEDULE A
ALL that certain plot,piece or parcel of land,situate, lying and being at Bay View,near
Southold,in the Town of Southold,County of Suffolk and State of New York,bounded and
described as follows:
BEGINNING at apoint on the Northerly boundary line of land now or formerly of Lefferts
Edson,distant 150 feet Easterly along said boundary from the Northwesterly corner of said land;
RUNNING THENCE along land now or formerly of the Town of Southold,North 29
degrees 57 minutes 20 seconds East,a distance of 100.0 feet to the Southerly line ofproposed
highway to be known as"Ed's Road";
THENCE along said Southerly line of"Ed's Road"South 60 degrees 02 minutes 40 seconds
East,a distance of 150.0 feet to land now or formerly of Walter Nosk and wife;
THENCE along the last described land,South 29 degrees 57 minutes 20 seconds West,a
distance of 100.0 feet to said land now or formerly of Lefferts Edson;
THENCE along said land now or formerly of Lefferts Edson,North 60 degrees 02 minutes
40 seconds West,a distance of 150.0 feet to the point or place of BEGINNING.
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY ( New Yak Stab Department of
Ct.Stens Code I ` 1, 3,c8, 5 5 I Taxation and Finance
459
C2.Date Deed Recorded � /1 +1 / I C Office of Real Property Tax Services
3 a� on RP-5217-PDF
CS.Book , , , I C4.Page I r 773'5: I 1 Real Properly Transfer Report(8170)
PROPERTY INFORMATION I
1.Property 830 Ed's Road
Location
•STREET NUMBER •ITREET NAME
Southold Southold 11971
•CI W es Toww vnucE •xP COOS
2.Buyer Clements,. Caroline E.
Name
•LAST NAMEICrlPAAY FRIT NAME
LAST NAL ER'OCNIn Neer NAYS
3.Tax Indicate where future Tax Ms are to be sem
Billing if other than buyer addmes(el bottom of form) LAST NAue courevr FRST NNE
Address
STREET NUMBER NC NATE CTT OR TOWN STATE xpsort
4.Indicate the number of Assessment 1 ❑Part ofa Parcel (Only if Part of a Parcel)Check es they apply:
Roll Parcels transferred en the deed a of Percale OR 4A,Planting fiord with Subdivision Authority Eddy • El
5.Deed X OR 0.34 4B.Subdivision Approval was Romero!for Transfer ❑
Property •FRONM MET •OCPT.I •ACone
Size 4C.Parcel Approved for Subdivision with Map Provided ❑
Clements, Joseph S.
IL Seller •,AST NAIEICOSIPNe FeeT Wen
Name Clements, Caroline E.
LAST NAMNCOMPANT FRST NAME
•7.Select the description which most accurately describes the Check the hoses below as they apply:
use of the property at the time of sale: S.Ownership Type is Cendarinium ❑
A.One Family Residential O.New Construction one Vacant Land ❑
ISA.Property Located within an Agricultural District ❑
706.Buyer received a disclosure notice indicating that the property is In en ❑
Agricultural Distad
1 SALE INFORMATION' 7 S.Chock one or more of these conditions es applicable to transfer.
L E A.Sate Between Relatives or Fortner Relatives
11.Sale Contract Date 9/4/15 a Sale between Related Companies or Partners in Business
_x C.One of the Buyers is also a Seller
•72.Dab of Saldirassfr 9/4/15 _ D.Buyer or Seller re nr
Government Agency or Lending ldution
E Deed Type not Warranty or Bargain and Sale(Specify Below)
F.Sale of Fraction l or Less than Fee Interest(Specify WOW)
93.Full Sale Price 0 .00 ^ G.Signal:GM Change in Property Between Taxable Status and Sale Dates
H.Sale d Business Is Included in Sale Price
(Full Sale Pnce Is The total amount paid for the property including personal property. — I.Other Unusual Factors Affecting Sale Price(Specify Below)
This payment may be in the form of cash.other property or goods.or the assumption d — J None
mortgages or other obligations.)PNase round to the nearest whole doearemount —
Comment(s)on Condition:
14.Indicate the value of personal
property Included In the side 0 .00
rASSSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
15.Year of Assessment Roll from which infonnetlen taken(ri) 14 '17.Total Assessed Value 3,900 •
•78.Property Class 210 '18.School District Nemo Southold
•20.Tax Map tdentMedsyRoll Identifier(s)(If more than four,attach sheet with additional identlflerleN
1000/079.00/06.00/034.000
I CERTIFICATION I
I Certify that ell of the Items of Information entered on this form are true and colrect Ito the best of my knowledge and belief)and I understand that the making of any willful
false etatemept of d facct herein subject me to the orovisione ojthe renal leer rotative to the making and ming of false Instruments.
r.....6••••• ..d L .....'ty BELLER SIGNATURE BUYER CONTACT INFORMATION
^ bermu alteration a torOmnor rtdryay,StaLLCmmers
anti
odediaboo mrmetton joint awucamprqumussa
(/J' �v/ Merem tlMrMmm�trOmowRp No :fu.dry,IMCaP.eely endcarrel corporllon of en L•gck company,
two
mi
pens who Can enres04ReRmns repenting the banger mull he entente Type or print dearly)
SELLER 9/y[7s
To,t1ek9,Citmtn•1s/CAiDiInLe..cre .y Clements, Caroline E.
BUYER SIGNATURE
•
�! •LAST NNE FEST NAME
' �/79/F7 • U%c. E •ICICiuoriL ouMILNn,mom
BUYER ecNuTneJ- ogre
r
Ca. D lint RIC-1 830 Ed's Road
•armor whew% •STREET NATE
ie Southold, NY 11971
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fffl'1 r it, hI } 1x1'1 S1' rrII �11.A � ,1 �'II BUYER'SATfORNEY
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