HomeMy WebLinkAboutL 12836 P 54 mmilimmmimmmmmismommmmilm
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 10/13/2015
Number of Pages: 4 At: 10 : 44 :46 AM
Receipt Number : 15-0140235
TRANSFER TAX NUMBER: 15-07370 LIBER: D00012636
PAGE : 054
District: Section: Block: Lot:
1000 109 . 00 03 .00 002 .029
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 $255 .00
TRANSFER TAX NUMBER: 15-07370
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 21
Number of pages RECORDED
2015 Oct 13 10:44:46 All
JUDITH A. PASCALE
This document will be public CLERK OF
SUFFOLK COUNTY
record.Please remove all L D00012836
Social Security Numbers P 054
prior to recording. DT# 15-07370
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee --- r Mortgage Amt.Il
}.Basic Tax
Handling 20.00 2. Additional Tax
5 TP-584
�- Sub Total
Spec./Assit.
Notation
�_ or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) 1 7(..5--- TOT.MTG.TAX
;; Dual Town Dual County
R.P.T.S.A. r j' Held for Appointment
Comm.of Ed. 5. 00 �'i Transfer Tax n
? Jf ..)' Mansion Tax
Affidavit �+
l,.. The property covered by this mortgage is
Certified Copy T or will be improved by a one or two
NYS Surcharge 15. 00 ' family dwelling only.
Sub Total YES or NO
Other Grand Total O 5 If NO, see appropriate tax clause on
I page# of this instrument,
a I Li 1r ,-( (s---
4 Dist. I 15026834 1000 10900 0300 002029 29 5 Community Preservation Fund
Real Property PTS 111111111111111113llll���lI Consider<on Amount$ r0Tax ServiceRCWHA
Agency 23-SEP-1 CPF Tax Du $ O
Verification
Improved
6 Satisfactibns/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
/ TD � �
JOHN BARRY GRIMM V
545 COUNTRY CLUB DRIVE TD
CUTCHOGUE,NY 11935 TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name FIRST CHOICE SETTLEMENT
www.suffolkcountyny.gov/clerk Title#
FCS 18628
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFY TYPE OF INSTRUMENT)
JOHN BARRY GRIMM The premises herein is situated in
FLORENCE ELAINE GRIMM SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of SOUTHOLD
JOHN BARRY GRIMM In the VILLAGE
or HAMLET of CUTCHOGUE
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
td I
•
Fula 8002.—Barpla and Sala Dud,with Corermi atanti Grwoo,'s Am—individual or Corporation(Sin&le Shea)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE,made the 9"Lk day of Ul t ,in the year 2015
BETWEEN
JOHN BARRY GRIMM AND FLORENCE ELAINE GRIMM,HIS WIFE,
RESIDING AT 545 COUNTRY CLUB DRIVE,CUTCHOGUE,NEW YORK 11935
party of the first part.and
JOHN BARRY GRIMM
RESIDING AT 545 COUNTRY CLUB DRIVE,CUTCHOGUE,NEW YORK 11935
party of the second part,
WITNESSETH,that the party of the first part,in consideration of Ten and 00/100($10.00)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,with the buildings and improvements thereon erected,situate,
lying and being In the
SEE SCHEDULE"A"ATTACHED HERETO AND MADE A PART HEREOF
U
D
ID
•
a-�
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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 pan,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,
1 l
IN PRESENCE OF: 1+ '
hn Barry Grimm
v 1yj t J 11 ley�s
F1aVP_Y4(P L G,di POI kA
ACKNDWLEDGEMEtfTTAKEN IN NEW YORK STATE
Siete of New Yoh:County of Suffolk,as:
On
the
Grimm ay d (l(Ttrm the year 2015,before me the undersigned,personally appeared John Barry Grimm and Florence
Personatly known to me or paved to me on the basis d satlehxtory evidence,to be the Individuat(a)whose names)h
(ars)subsahed to the wthtn instrument and acknowledged to me that(he) (she) (they)executed the earns in (his)(her)(their)
capacty(tea),arid i et by(h)s) (thetry signatures)on the Instrument,the IndIvIdusd(s)or the person upon belie of which the
indtvlhrsl(s)antted,.xeartsd the Instrument.
P9,
VANESSA L.PETRILLO
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATS Notary Public-State of New York
No.01PE6153536
State Coin of ss: Qualified in Suffolk Co nt
On the day of In the year 20 before me the undersigned,personally eppeared MY�l eS �e
proved to me on the bash o!satisfactory evidenceundersigned,,to be the ktdividual(s)whose narne(s)is(are)subscribed to the wet*Instrument
end adtriewiedged to me that(ha)(she)(they)executed the sane in(Ns)(her)Choir)rapedgr(les).and that by(Ida)(her)(their)
signature(:)on the Instrument,t,the trblvMduat(s)or the person upon behalf of which the Indkbdum(a)pied,executed the instrument.
ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN IN NEW YORK STATE
State of County of ,as:
On the day of .hh the year 20 •before me the undersigned,personally appeared the subscribing witness to the
foregoing Instrument with whom I am personally acquainted.who being by me duty sworn.did depose and say,that(he)(she)(they)
reside(s)In :that(he)(she)(they)knows) to be the Individual described In and who executed the foregoing Instrument
that said subscribing wtnaas wee present and saw said execute the same:and that said witness at the same lime
subscribed(his)(her)(their)name(*)as a witness thereto. •
ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE
•State of County of ,as:
•(or insert District of Columbia,Territory,Possession or Foreign Country)
On the day of ,in the year 20 ,before me the undersigned,personally appeared personalty known to me
or proved to me on the basis of satisfactory evidence,to be the Individual(s)whose name(s)Is(am)subscribed to the within Insburnent
and acknowledged to me that(he)(she)(they)executed the same to(his)(her)(their) y(ks).and that by(his)(her)(their)
signatures)on line Instrument the Individual(*)or the person upon behalf of which the Individual(s)acted,executed the instrument.
BARGAIN AND SALE DEED RETURN BY MAIL.TO
John Barry Grimm and
Florence Elaine Grim.his wile
To
John Barry Grinm
Section:100.00 •
Bled: 03.00
Lot 002.025
County or Town: Southold
First Choice Settlement, LLC Title No.: FCS986284'IY
issued on behalf of
Commonwealth Land Title Insurance Company
SCHEDULE A
ALL THAT CERTAIN PLOT, piece or parcel of land,with the buildings and improvements
thereon erected, situate, lying and being at Cutchogue,Town of Southold, County of
Suffolk, County of Suffolk and State of New York, known and designated as Lot Number 8
on a certain map entitled, "Map of country Club EstatesTM, and filed in the Suffolk county
Clerk's Office on October 17, 1978 as Map Number 6736.
SECTION:109.00
BLOCK:03.00
LOT:002.029
DISTRICT:1000
Being and intended to be the same premises as conveyed to parties
of the first part bydeed dated 4/28/99 and recorded 6/28/99 in Libei
11971 Page 782.
INSTRUCTIONS(RP-5217-PDF•INS):www orps.state.ny.us
FOR COUNTTY USE ONLY 3 4 New York State Department of
'Cl.SITS Code I'- Ii I 5 I(v I9 i Taxation and Finance
C2.Date Deed Recorded I 10 /13 AJ I Offise of Real Properly Tax Services
(,� z! on TOT RP-5217-PDF
C3.Book 1 1 4 Ur o rb ICC Page I I 6i "I I I Real Property Transfer Report(8110)
PROPERTY INFORMATION]
1.Property 595 COUNTRY C:.UB DRIVE
Location
•SIREET FLAMER •SIRE(I NAME
CUTCIICGUE 1935
•CITY OR WAN vuAer •ITP CODE
2.Buyer GRIMM JOHI' BARRY
Name Flet MK
um'NAYGCOYPum
I AS:NAVE/COMPANY FIST LAME
3.Tea I•rdca:e where future Tae Bids tae to be sem
Billing if other than buyer eddress(al..mom d form) 1 Am uslticowyr rear NAPE
Address
EIREET NUMaFR ANORAK CRY OR Ions STATE LP CODE
4.Indicate the number of Assessment 1 0 Part ala Parcel (Only If Part of a Parcel)Chock as they apply:
Roll parcels transferred on the deed s d Parols OR 4A.Planning Board wdh Subdivision Authonty Exists 0
G.Deed X OR 0.92 4B.Subdlwsion Approval was Rewired for Transfer 0
Property •Ansi'FEET •oEP111 •ACRES
Sloe 4C.Parcel Approved for Subdivieon wilt Map Provided ❑
GRIMM JOHN DARR?
I.Seller •US'NAYEIcoupre ire-surer
Nam® GRIMM FLORENCE ELAINE
LAST LAME/COWAN/ =PET WY.
'7.Select the description which most accurately describes the Check the boxes below as they apply:
use of the property at the time of safe: IL Ownership Type is Condominium ❑
A.Uric Family Ile:>icicntial 9.New Construction on a Vacant Land 0
10A.Property Located wit in en Agdculturel District 0
105.Buyer received a disoosure notice indicating that the property lain an ❑
Agricultural District
(SALE INFORMATION' 15.Check one or more of these conditions as applicable to transfer:
A.Sale Between Relatives or Former Relatives
11.Sale Contract Date 08/14/2015 B.Selo between Related Companies or Partners in Business.
C.One of the Buyers rs also a Seller
•12.Date of SeleRmesfsr 08/14/2015 D.Buyer or Seller Is Government Agency or Lending Instautian
E.Deed Type not INarmmy a Bargain end Salo ISpeafy Belay)
F.Sated Fractional or Less than Fee Interest(Specify Below)
'13.Full Sale Price 0.00 G.Significant Change in Property Between Tenable Status and Sale Dales
H.Sale of Business is Inducted in Sale Price
(FIA Sate Price is the total amount paid for the property induding personal property. I.Other Unusual=actors Affecting Sale PriceISpedy Below)
This payment may be in:he form of cash,other properly or goads,or the essumpion of I N1M1e
mortgages or other obtgatrone.)Pleas,round lo the nearest rinds dollar amount
Comments)on Condition:
14.Indicate the value of personal 0 .00
properly included In the sale
!ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I
us.Year of Assessment Roll from which Information takenlYY) 15 '17.Total Assessed Value 10,000
•1LProperty Class 210 _ 'le.School District Name 12-MATTITUCK
-
'20.Tax Map Identifier(syRoll idealisms)Of more than four,attach sheet with additional Identlnegs))
1000-109.00-03.00-002.029
I CERTIFICATION I
I Certify that all of the Items of Information entered on this form are true and correct(to 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 Cha Provisions of the Donal law reletNe to the making and filing of false Instruments.
SELLER SIGNATURE BUYER CONTACT INFORMATION
(Enver imarrralon for re buyer Now If xye•is LLC society.madman.mrman:a+.jum stock aorosny,criee or
wily tot is no:a rd sduel owl o Wm cry,Tien a now rd omit=Flomesei C on ndmduadaeponsnle
party who eon aper oueo:onereeerdap the transfer must be cohered Type or print cwady.l
ezusii AI 11.-.1 CATE
1Lveeoca G• Gf-IrAr'A A AI!!BE GRIMM JOHN BARRY
/ . L •LAST NAVE FIST NAME
1 i (631) 727-990
'APER=OE • •TELEPHONE timaro IE.tasasea
LIP S.3'YIJPE CATE
RI• Baty Gar. P.O. BOX 1247
•STREET NUMBER '51RFE1 NAVE
L I I CUTCHOCUE NY 11935
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