HomeMy WebLinkAboutL 12844 P 374 1111111111111111111111111111111111111111111111111i!IIII
1111111111111111 I1II IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/10/2015
Number of Pages: 4 At: 03 :39 :15 PM
Receipt Number : 15-0172609
TRANSFER TAX NUMBER: 15-13570 LIBER: D00012844
PAGE: 374
District: Section: Block: Lot:
1000 070 . 00 10 . 00 006.000
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 $255.00
TRANSFER TAX NUMBER: 15-13570
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of pages RECORDED
2015 Dec 10 03:39:15 PM
JUDITH R. PASCALE
This document will be public CLERK OF
SUFFOLK COUNTY
record.Please remove all L 000012844
Social Security Numbers P 374
prior to recording. DT# 15-13570
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit,
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Q6_ �j'.a Held for Appointment
Comm.of Ed. 5. OO ." Transfer Taxes
;'r �:� 1
Affidavit •�, ..;° Mansion Tax
..° The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total --� YES or NO
Other
Grand Total )f NO,see appropriate tax clause on
page# of this instrument.
4 Dist. 15035703 1000 07000 1000 006000 5 Community Preservation Fund
Real rty p T s Consideration
Tax
p , Oil I IMIII 1111111 IIl11111111111111 CPF Tax Due Amount$
Tax Service R POL A OL
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Feldman Kramer&Monaco,PC TD
330 Vanderbilt Motor Parkway
Suite 400 TD
Hauppauge,NY 11788
TD
Att:Kelly Crowley,Paralegal
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFY TYPE OF INSTRUMENT)
Neil Giambrone,Surviving Tenant by the Entirety The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Lisa Burghardt.TTEE of the Giambrone Family In the VILLAGE
2015 Irrevocable Trust or HAMLET of Southold
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
No
Consideration
Deed , THIS INDENTURE,made the day of 0/4)be,- 2015
BETWEEN
Neil Giambrone,surviving tenant by the entirety,residing at 165 South Street,Southold, NY 11971
party of the first part,and
Lisa Burghardt, as Trustee of the Giambrone Family 2015 Irrevocable Trust, residing at 51 Woodland Drive,
Easton CT 06617
DISTRICT
1000 party of the second part,
SECTION
070.00 WITNESSETH, that the party of the first part, in consideration 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
BLOCK or successors and assigns of the party of the second part forever,
10.00
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
LOT lying and being in the
006.000
SEE DESCRIPTION ATTACHED HERETO
•
Subject to all covenants,easements and restrictions of record.
Said premises known as 165 South Street,Southold,NY 11971
Being and intended to be the same premises as conveyed to the party of the first part by deed dated February
28,2007 and recorded March 6,2007 in Liber 12495 page 222 in the Suffolk County Clerk's Office.
•
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.
Neil Giambrone
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
Form 1000-7
1
TO BE USED ONLY WF N THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of State of New York,County of ss:
On the 7 day of OCkiller- in the year 2015 On the day of in the year 2015
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
Neil Giambrone
personally known to 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 whose name is satisfactory evidence to be the individual(s)whose name(s) is
subscribed to the within instrument and acknowledged to me (are)subscribed to the within instrument and acknowledged to
that he executed the same in his capacity,and that by his me that he/she/they executed the same in his/her/their
signature on the instrument,te .ividuats,or the person upon capacity(ies), and that by his/her/their signature(s) on the
behalf• is th- ndividual• =cted,executed the instrument. instrument,the individual(s),or the person upon behalf of which
1 the individual(s)acted,executed the instrument.
(signatur-and office of incl. i.ual taking acknowledgment)
STEVEN KRAMER (signature and office of individual taking acknowledgment)
Notary Public,State Of New York
No.02KR6170141
Qualified In Suffolk County
Commission Expires June 27,20/7
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 me 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)
DISTRICT 1000
NEIL GIAMBRONE,SURVIVING TENANT SECTION 070.00
TO BLOCK 10.00
LISA BURGHARDT,TRUSTEE LOT 006.000
BARGAIN AND SALE DEED COUNTY OR TOWN Suffolk
STREET ADDRESS 165 South Street
Southold,NY 11971
FKM File No.: MA-15-8304
RETURN BY MAIL TO:
Feldman Kramer&Monaco,P.C.
330 Motor Parkway,Suite 400
Hauppauge, NY 11778
Att:Gina Panzenbeck,Paralegal
rc
DESCRIPTION
ALL that certain plot, piece or parcel of ].and, situate,
lying and being at Southold, Town of Southold, County of
Suffolk and State of New York, bounded and described as
follows
BEGINNING at a point on the northerly side of South Street,
where same is intersected by the division line between
premises herein land now or formerly of Clarence Jester; Said
point also being distant 94 ,72 feet easterly from the corner
formed by the intersection of the northerly side of South
Street and the easterly side of Oaklawn Avenue;
RUNNING THENCE North 07 degrees 22 , 5017 West, along said land
of Fester, 150.00 feet to land now or formerly of Edward
Ladetaann;
THENCE North 82 degrees 37 ' 10° east, along said land, 119.00
feet to land now or formerly of William & Theresa Kodgis;
THENCE South 07 degrees 22 ' 50° Sass, along said land of
Kodgis, 150 .00 feet to the northerly side of South Street;
THENCE, South 82 degrees 37 ' 1017 West, along the northerly ,
side of South Street, 119.00 feet to the point or place of
BEGINNING, .
INSTRUCTIONS(RP-55217-PDF-INS):www orps.state ny.us
FOS COUNTY USE ONLY New York State Department of
c1.SIMeCode 143 1. 11$18 9 I Taxation and Finance
•
C2.Date Deed Recorded I , p't/ I3 / 157 I Office of Real Property Tax Services
e" '`w RP-5217-PDF
C3.Book I , I a L5 14 t' I G.Page I 1 t 3; 1 .•is
Real Property Transfer Report(iN10)
PROPERTY INFORMATION! '—
1.Prop.ty 165 South Street
!pennon
•e TREAT MASER - •STREET!ANE
Southold Southold 11971
•CITY OR TORN mires
•mCODE
2.Buyer Giambrone Family 2015 Irrevocable Trust
Name
•LAST NANECONPAM. F.9ST YAVF
Lisa Burghardt, Trustee
LAST NAYLCONPA.Y Fer NAME
a'T" Indicate where future Tax Balsam to be sent Giambrone Neil
Billing if other than buyer addresa(at bottom el form) LAST NSIraOOLOAm FIRST NAME
Address
165 South Street Southold N° 11971
STREET MAMA AND NAIR CITY OR TO,AN STATE Ci CODE
4.Indtcat the number of Assessment I ❑Pon of a Parcel (Only If Part of a Parcel)Check as they apply:
Roll parcels transferred on the deed - N of Parcels OR ❑
4A.Planning Board with Subdivision Authority Exists
S.Deed 0.34
pro X OR _ • 4R Subdivision Approval was Required for Transfer ❑
party •FRONT FEE• •ma.. •ACNES
Slav
46.Parcel Approved for Subdivision with Map Provided 0
Giambro.a Heil
6.Seller •:Alt m1E/COWART
rRsiNATO
Name
LAS:NA4FroouPAIV PRO MLC
1.Select the description which most accurately describes the Check the bones below as they apply:
use of the property at the time of eale: 8.Ownership Type is Condoninium 0
A.One Family Residential 9.New Construction on a Vacant Land 0
10A.Property Located within en Agricultural District
10B.Buyer received a disclosure notice indicating that the property is in an ❑
Agricultural Dmtdct
'SALE INFORMATION' to Chock one or more of these conditions es applicable to transfer:
A.Sale Between Relatives or Former Relatives
11.Sale Contract Dote B.Sale between Related Companies or Partners In Badness.
C.One of the Buyers is also a Seller
/-7 0.Buyer or Sayer is Government Agency or Landing Institution
'12.Date of Salallransfer /b ,r� —_E peed Type not Warranty or Bargain Sale S
N and ( Peofy Below)
_F.State ci Fractional or Less than Fee interest(Specify Bawl
Full Sale Price 0.00 _G Significant Change in Properly Between Taxable Status and Sale Dates
(Full Sale Price is the told amount paid for the including _ H Sale of Business is Included in Sala Pima
property ng Personal property. I.Other Unusual Factors Meiling Sale Pride(Specify Below)
This payment may be in the form of cash.other property or goods•or the assumption of S l None
mortgages or ether°Nigerians.)Please round to fere nearest whole defier amount.
Comment(a)on Condition:
14.Indicate the value of personal
property Included In the sale 0 .00 Tzarafer to True:
'ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill'
16.Year of Assessment Roll from which information taken(YY) 15 '17.Total Assessed Value 5,200
'18.Property Class 210 _ •'19.School Distrlct Name Sou t hold
10.Tax Map Identifier(e)Roll IdentiMr(s)(If more than four,attach shoat with additional Identlfer(a))
070.00-10.00-006.000
CERTIFICATION I
I Certify that all of the Items of Information entered on this form are true and correct(to the bast of my knowledge end belief)and I understand that the making of any willful
false statement of material fact herein subject me to ehe.proylelogs el blaenal Iiri-relative to the making and filing of false Instruments.
SELLER.SIGNAIUBE BUYER CONTACT INFORMATION
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SELLER SIONA E OATS
BUYER SIGNATURE Burghardt Lisa, Trustee
•VST NAVE FIRS!hANE
�
l� } •AREA CODE •rEmA.V.L,N/SEF ii.'NMI%
write aorrorr pIC WI
51 Woodland Drive
•STOEE-NIIVSER •STREFT HARE
1
li1 1 Southold NY 11971
4'11. J'�yf 1��' ''rr i5 }l lel ,Lr I I ! +y) .el•roPTVNN
t: lI
TL rL' sT.TE •cPfdoE
il ( Gerry Harold
LAST SANE rooT NAME
1. 11II i,., di ,,„
6 1 231-
A� '111 Pfll I 1f l t1 ( 3 ) s 1450
1 'i I4'I0a I 11 � AREA c� Tau ovu KAMER:C.MEM
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