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Home My WebLink AboutL 12838 P 966 IIIHI IIII IIIII IIT111110N IIIII I1111IIIIIIIVIIII I I l I I I i 11111 l l l l l l l l l l l l l SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 10/30/2015 Number of Pages : 4 At: 12 :54 : 15 PM Receipt Number : 15-0151968 TRANSFER TAX NUMBER: 15-09515 LIBER: D00012838 PAGE : 966 District: Section: Block: Lot: 1000 088 . 00 03.00 017 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $377, 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 $1,508 . 00 NO Comm.Pres $4 ,540.00 NO Fees Paid $6,303.00 TRANSFER TAX NUMBER: 15-09515 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County I1 2 .• Numbr of pages RECORDED 2015 Oct 30 12;54:15 PM JUDITH P. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record.Please remove all L D00012838 Social Security Numbers P 966 prior to recording. DTR 15-09515 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 I FEES Page/Filing Fee .==.••:=0 i Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 S Sub Total Notation Spec./Assit. or EA-52 17(County) .5 Sub Total Spec./Add. EA-5217(State) l TOT.MTG.TAX i wog Dual Town Dual County R.P.T.S.A. .�` :,1, .� Held for Appointment Com m.of Ed. 5. 00 Ti-*` Transfer Tax (5 Q ' li!Affidavit +i.'f�,,� . Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total If NO, see appropriate tax clause on 15029666IV`b page# of this instrument. 1000 08800 0300 027000 cr. /o l D 8 (5 4 Dist. 1( Rp T S 0 5 Community Preservation Fund Real Property 19 CT-A IIlII1IihIIIIIIiih/Ii/IIIIIIII/III/jjIiijijiij •• ation Amount$ 377,0001, Tax Service Agency �~ — — _____ CPF Tax Due $ 4,540 Verification Improved xx 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Lee Blumberg,Esq. 71 TD 10 Blumberg,Cherkoss,Fitzgibbons&Blumberg,Esq. VVV TD 330 Broadway,Suite 1 Amityville,NY 11701 TD ' Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Fidelity National Title Insurance www.suffolkcountyny.gov/clerk Title# El 5-7404-99056-SU FF 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Executor's Deed made by: (SPECIFY TYPE OF INSTRUMENT) Dolores A.Jacobs,as Executor of the Estate of The premises herein is situated in Elizabeth Reddy Bernich a/k/a Elizabeth Reddy SUFFOLK COUNTY,NEW YORK. Brnich & as specific devisee TO In the TOWN of Southold Robe ,l.Bohn.Jeanne Kiernan.Be y Soper In the VILLAGE Kiernan and Francis Kiernan or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING, (over) 45-1105(19 Standard NYBTU Form 8005—Executor's Deed—Uniform Acknowledgement CONSLJLVYOUR LAWYER BEFORE SIGNING TIIIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY 1 THIS INDENTURE, made the g day of October,2015 BETWEEN DOLORES A.JACOBS, as Executor and specific devisee under Paragraph Second of the Last Will and Testament of Elizabeth Reddy Bernich a/k/a Elizabeth Reddy Brnich who died on 10/18/2014 (Suffolk County Surrogate's Court File 2015-560), residing at 1500 Indian Neck Lane, P.O. Box 63, Peconic, NY, 11958 party of the first part, and ROBERT J. BOHN and JEANNE KIERNAN, both residing at 460 Clearview Avenue West,Southold, NY, 11971; and LI 1-06el1. Soper kicrru n aka. BETTY SOPER KIERNAN and FRANCIS KIERNAN, both residing at 1600 Gin Lane, Southold,NY, 11971,all as joint tenants with the right of survivorship party of the second part, WITNESSETH,that the party of the first part, by virtue of the power and authority given in and by said last will and testament and in consideration of THREE HUNDRED SEVENTY SEVEN THOUSAND (5377,009.00)----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, situate, lying and being at SEE SCHEDULE `A' ANNEXED HERETO BEING AND INTENDED TO BE the same premises as described in deed made by John Bernich,Jr. and Elizabeth R. Bernich, his wife, f/k/a John Brnich,Jr. and Elizabeth R. Brnich, his wife, recorded 06-18-1979,Liber 8643, page 391. ITOGETHER 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 also all the estate which the said decedent had at the time of the decedent's death in said premises, and also the estate therein, which the party of the first part has or has power to convey or dispose of, whether individual, or otherwise; 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 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. IN PRESENCE OF: 1rL . DOLORES A. JACOBS STATE OF NEW YORK:COUNTY OF SUFFOLK) ss: On the g day of October, 2015, before me, the undersigned, personally appeared DOLORES A. JACOBS, 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 th- :- son upon behalf of which the individual acted, executed the instrument. r ri N. .ry Pub St& E. ZZ iy.ot t7 -- STEVEN E.IEIKOWIT2 Notary Public • State of New York No. 02ZE5066109 Qualified in Suffolk County My Comm. Expires Sep. 30. 2018 • • SCHEDULE 'A' ALL THAT CERTAIN PLOT, piece or parcel of land, situate, lying and being at Bayview, near Southold, in the Town of Southold, Suffolk County and State of New York, known and designated as Lot 11 on a certain map entitled "Bay Haven at Southold, Town of Southold, Suffolk County, New York"surveyed December 10, 1958 by Otto W. Van Tuyl and Son, Licensed Surveyors, Greenport,New York and filed in the Office of the Clerk of the County of Suffolk on the 22w' day of January, 1959 as Map No. 2910. INSTRUCTIONS(RP•5217-POF-INS):www.orps.state.ny.us FOR COUNTY USE ONLYNow York State Department of Cl.SMAS Code I 1 11a Ibt 5)- I Taxation and Finance ...- C2. C2.Data Dead Recorded I )Q / r)/csitit5 I Office of Real Property Tax Services Qa., RP-5217-PDF /I�i U C3.Book I 1 , EI C4.Page I 1 El I tX 1 61 Real Property Transfer Report(8170) PROPERTY INFORMATION 1 1.Property 1500 Gin Lane Location •STREET M MRSA •Crania/WE Southold 11971 •CRY CR TOM viLAaE •uncooe 2.Buyer Bohn Robert J. Soperllama •IAS:YAsrF1COMPAW MSTNaYE 1 -� Kiernan Francis, Jeanne, Betty1AF-ff Elizaibe+h Uel nurECCMPAM' FRET NAM 7.Tax Indicate where future Tan Bias ere to be sant Billing it other than buyer eddress(m boham of farm) oar'Ammo.... FIRST MAUL Address STREET mania rho NAYS CO OR TOWN 9-ATE z p cool 4.IndiCate the number of Assessment 1 Pari of a Parcel tOny If Panel a Parcel)Check as they apply: Roll parole transferred on the deed IS a Poroeb OR ❑ I=14A,Planning Board wth Subd vision Authority Exists 6.Deed 0.36 X OR 48.Subdivision Approval was Required for Transfer Property •laaA•1 FEET •rrrTll 'KREb Ski 4C.Parcel Approved for Subdivision with Map Provided Bernich Dolores A. Jacobs 6.Sager •LAST MMeCOIVANY RBST Mals - Name Exe cut or LAST NAMEICOYPNW FIRST NAME •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: S.Ownership Type is Condominium 0 A.One Family Residential a.New Construction on a Vacant Land 0 10A.Property Located within en Agricultural District ❑ 1013.Buyer received a disclosure notice indicating that the properly is in an ❑ Agricultural District 1 SALE INFORMATION' 16.Check ono or more of these conditions es applicable to transfer: A.Sae Between Relatives or Former Relatives 11.Sale Contract Date 08/18/2015 B Sob between Related Companies or Partners in Business. -- -- C.One of the Buyers is also a Saler •12.Date of Saierrransfor 10/08/2015 D.Buyer or Seger is Government Agency or Lending Institution E.Deed Type not Warranty or Bargain and Sale(Specify Below) F.Sale of Fractional or Less than Fee Interest(Specify Below) •13.Full Selo Price 377,000.00 •G.Significant Change in Property Between Tenable Statue and Sale Dates (Full Sale Price is the tad amount id for thepropertyincludin personal propertyL H Sale onuau Business c ors udee ngn s Pnce Pa pg Pe I I.Other Unusual Faders Afred:rp Sob Price(Specify Below) The payment may be m the taint of cash,other property or goods.or the assumption of J.None mortgages or other obsgatrons.)Wase.round to rho nearest whoto dollar amount. 'Comment(s)an Condition: 14.Indicate the value of personal property Included lit the sale .00 !ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which Infonnetbn taxon(Yr) 15 '17.Total Assessed Value 4,400 •IS.Property Class 210 _ •15.School District Name Sout hold g0.Tax Map fdantl ler(agRoll Identifiers)(If more than four,attach sheet with additional IdenUBarfell 1000-088-03-017 I CERTIFICATION I I Certify that all of the Items of Information entered on this form aro 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 the pranletgneAt the.penpl law•rolative to the making and filing of Mee instruments. SEI 1 CR�ON�RE BUYER CONTACT INFORMATION J IEnur mrwnaoon for er buyer Nora N buyer,.LLC.,o0SIY.assucaeon co nweswr.icon SOC.company.SEM Or � w. 6� [/J luny site.a Mer s J r siert rte m:a tine se Own a mala and miseLente.Tyolarpo s,on an igMualeaapw YNa CI�"°�°" y who can mar/aua a Sae:vrla YM renew natal ae Maass.type er print Seely I MLR SIGNATURE rE Bohn Robert J. <-/�\^�/_J BUYER SIGNATURE _ a�"a•r C /D�L (/ 'IAS:risen FReTcur, �k/ b/i• •ARLACODE -CLCArWC M1UMBER lat eWaaES: BUYER SIONA RUrb. MT 460 Clearview Avenue, West -srFEETm.laER •e:MLLr NAML m r iilllI i. ( r Southold NY 11973 1 . f� l 1``i 1� I(1• 1: l y r •cnraa rum •auTE 'LPG= r 7i h •,(} 'd�' I I i' 'r BUYES:8ADORNEY 4 itil�i +� l ++ �� r.1 r41 1 Asst. Julie Nolan, Legal ) [I tAar.LIME FRErvWE I �+l j 1 l'' h ; 11 q...i' l Fin t (631) 789-4000 I IDL`L ,1�1 .1 I ,ai'01,,,;II 111. `} f1 IJy1�1 AREA GOOF rE_ERgNErAr,MIFMIC•wERall I �i 4J t f lr YI..'. .15iI fill r,1 s '