HomeMy WebLinkAboutL 12846 P 100 111111111111111111111 II111V111111111I111 I1I11111111I1
1111111 1110 Ilifi 11111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED WITH LIFE ESTATE Recorded: 12/23/2015
Number of Pages: 3 At: 03 :26 :52 PM
Receipt Number : 15-0179159
TRANSFER TAX NUMBER: 15-14890 LIBER: D00012846
PAGE : 100
District: Section: Block: Lot:
1001 004 . 00 02 .00 014 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $15 . 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 $5 . 00 NO RPT $60 . 00 NO
Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO
Fees Paid $255 . 00
TRANSFER TAX NUMBER: 15-14890
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 2
+ ' �• ^ RECORDED
NaMbe,riof pages 2015 Dec 23 03:26:52 PM
JUDITH P. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record.Please remove all L 000012846
Social Security Numbers P 100
prior to recording. DT# 15-14890
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee - (� Mortgage Amt.
1.Basic Tax
Handling t 20. 00 2. Additional Tax •
TP-584 Sub Total
Notation Spec./Assit.
/ or
EA-52 17(County) 5 Sub Total Spec./Add.
EA-5217(State)
7'S TOT.MTG.TAX
/„�! ",;,,� Dual Town Dual County
R.P.T.S.A. Ut(J � 'I •� Held for Appointm nt
Comm.of Ed. 5. 00 T-v: Transfer Tax
A fidavit ' s * ' Mansion Tax
S _
�.•• The property covered by this mortgage is
'ertified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total e7L'S S • If NO, see appropriate tax clause on
page# of this instt_.rte It, f
4 Dist. 15035859 1001 00400 0200 014000 5 Community Preservation Fund
Consideration Amount$
T Real
Agency ePropertRPTSp IIIII11IIIIIIII1111I�����II�I CPF Tax Due $
Verification 0943E"
— - l Improved /
6 Satisfacti,__.- „a,yesirteleases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Wickham,Bressler&Geasa,P.C. TD 1
P.O.Box 1424 TD
Mattituck,New York 11952
TD
•
Mail to:Judith A.Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name (J IG N(/j fi 0,aq' mite
www.suffolkcountyny.gov/clerk ?__GIG'S- 3
Title# 3
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Bargain&Sale Deed with Covenant ' r'� made
by: (SPECIFY TYPE OF INSTRUMENT)
George Kenneth Waller Sr.and Pearl Sylvia Jones The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
George Kenneth Waller Sr.and Barbara Waller In the VILLAGE
or HAMLET of Greenport
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
7.05533-3
Standar cd N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
Form 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the%Q day of September,2015
BETWEEN
GEORGE KENNETH WALLER, SR., residing at 270 65th Street, San Diego, California 92114,
and PEARL SYLVIA JONES, residing at 67100 Route 48, Greenport, New York 11944, party of
the first part, and
GEORGE KENNETH WALLER, SR.and BARBARA WALLER, as tenants by the entirety,
residing at 270 65th St., San Diego, California 92114, party of the second part,
WITNESSETH,that the party of the first part, in consideration of Ten and 001100--($10.)--Dollars,and
other good and 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 of her right,title and interest in
• ALL that certain plot, piece or parcel of land, situate, lying and being in the Village of Greenport,Town of
Southold, County of Suffolk and State of New York being bounded and described as follows:
BEGINNNING at a point on the westerly side of Second Street which point is distant 50.0 feet southerly
from the intersection formed by the westerly side of Second Street and the southerly side of North Street;
RUNNING THENCE along said Second Street South 6 degrees 47 minutes East 56.45 feet to land now or
formerly of Quarty;
RUNNING THENCE along said land South 83 degrees 15 minutes 30 seconds Wet 100.0 feet to land now
or formerly of Golden;
RUNNING THENCE along said land North 6 degrees 47 minutes West 56.44 feet to land now or formerly
of Bolling;
RUNNING THENCE along said land North 83 degrees 14 minutes 50 seconds East 100.0 feet to the
westerly side of Second Street and the point or place of BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated
June 25, 2004 and recorded in the office of the Clerk of the County of Suffolk on August 3, 2004 in Liber
12334 Page 820.
By this deed, George Kenneth Waller, Sr. hereby conveys the premises to himself and his wife, Barbara
Waller, as tenants by the entirety.
By this deed, Pearl Sylvia Jones for herself, her heirs, successors and assigns, hereby releases her life rc
estate in the premises,and releases and quitclaims same and any other interest she may have in the
premises whatsoever, by deed, operation of law, agreement or otherwise,to the party of the second part, .
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"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: r �+ r' aA,><4�P1� LUO� C7�
EOR%•E K NETH WALLER, SR:
PEARL S LVIA JONE
Esta tes 2/Waller/de ed347SecondSt
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 Suffolk,ss:
6.• F a1•.Gv lbc r'
On the ''
l kA day of September, 2015 in the year On the/0 day of Suffolk, in the year 2015 ,
before me,the undersigned,personally appeared
before me,the undersigned,personally appeared GEORGE KENNETH WALLER,SR.
PEARL SYLVIA JONES 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(s)whose name(s) is
satisfactory evidence to be the individual(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/their signature(s) on the
cap city(ies), and that by his/her/their signature(s) on the instrument,the individual(s),or the person u on be alf o hich
inst ment,the indi .i.1(s),or the person upon behalf of which the individual(s)acted,executed t str n
i dividual(s) -c-. ecuted the instrument.
(40._ (signature and office of individual mg acknowledgment)
• (signature and,office of indi ideal taking acknowledgment) Cheryl Simons
Notary Pu TANYA PALMfiRE Notary Public Notary Puhlic,State Of NeW York
NOTARY PUBLIC-STATE OF NEW YORK No.31-4870341
No. 01PA6214745 1i� COmm�sohnExpfresU ebkrllaryq 20
Qualified In Suffolk County (vl Ce
TOSIEUSIIR1glikiL VV14ETIPI IO4AdRI]WLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of,County 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 acknowledgement)
Notary Public
BARGAIN AND SALE DEED SECTION
WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK
Title No. LOT
George Kenneth Waller,Sr.and COUNTY OR TOWN
Pearl Sylvia Jones
TO
George Kenneth Waller,Sr.and
Barbara Waller Recorded at Request of
COMMONWEALTH LAND TITLE INSURANCE COMPANY
RETURN BY MAIL TO:
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Wickham,Bressler&Geasa, P.C.
P.O. Box 1424
Mattituck,New York 11952
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INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY /� New York Stale Department of
• C1.SWIS Code L1'1 , 21151D r( 1 Taxation and Finance
C2.Defe Deed Recorded < I a,a 3 / )5 I Office of Real Property Tax Services
1 I Medan Cb •- RP-5217-PDF
Ci.Beak I 1 I �rp L
U1113 y i, i C4.Pape I i ,. I1�v I Real Property Transfer Report(ISMO)
PROPERTY INFORMATION I
1.Property 437 Second Street
Location
•STREET NURSER •CTRET NAME
Southold Greenport 11944!:
•c.:,.":TCYN TUVE •if'COAL.
2.Buyer Waller George Kenneth, Sr.
Name FIRST NAME
•:Aar'WECOMP*r
Waller Barbara
I AST NAVF/COMRAM' rataT NAME •
3.Tax Inacete where future Tax Bin are to be sent
Billing if other than buyer addreas(et bottom d!arm) ;Aa-NAMEFewAv. FAST NAME
Address
STREET WRITER ANS RAMC CITY OR MR STATE IPCW=-
4.tndleate the number of Assessmeet ❑Pari of a Parcel (Only N Part of■Parcel)Cheek as they apply:
Roll parcels transferred on the deed_. p d Parcels ON 4A.Planning Board with Subdivision Authority Exists ❑
S.Deed X OR 0.00 416.Subdivision Approval was Required for Transfer El
Property •FROM FEET •SERPI 'ACRES
Slze 4C.Pared Approved for Subdivision with Map Provided Ii
Waller George Kenneth, Sr.
6.Seller -•LAST NA.&XCNPANT F RST NAME _
Name Jones Pearl SylviaAlk
LAN YASIEILOVAPATr FgaT NAME
•7.Select the description which most accurately describes the Check the boxy below as they apply:
use of the property at the time of sale: - II.Ownership Type Is Condon mum El
S.New Construction one Vacant Land
residential
10A.Property Located within an Agricultural District
10B.Buyer received a rksdosure notice indicating that the property Is in an r
Agricultural District :__I
(SALE INFORMATION( 15.Check one or more of these conditions as applicable to transfer:
•
A.Sale Between Relatives or Former Relatives
17.Sala Contract Dab ^ —. Sag B.Sabetween RNsed Companies or Partnere in Business
C One of the Buyers isalso eSeiler
7
•12.Data of Sakffl7ansbr 9/,/f �,/ D Buyer or Seller is Government Agency or Landing Institution
E.Deed Type not Werramy or Bargain and Sala(Spedfy Below)
F.Soto of Factional or Less than Fee Interest(Seeley Below)
'13.Full Sala Price O .00 G.Significant Change In Property Between Taxatxe Status and Sale Dates
Full Sala Prce is the total emoumpaid far the including personal I H.Sole r Business F is Induced IniSale Price
( property� p Pm property. I.Other UnusWl Factors Miming Sale Price(Specify Below)
This payment may be in the form of cash,other property or goods,or the assumption el J.None
mortgages or other obxgadorts.)Please round to the nearest whole Oder amount.
Comment(s)on Condition:}
•
14.Indicate the value o1 personal .00 1 Mt t'1rAA.C-S/1Y Le.4,S Lac 1 Ifo 11
Property Included In the sale II
IASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I
15,Year of Aseeeament Roll from which Information taken(YY) 14 '17.Total A ad Value 1900
'11.Property Class 210 — 9s.School District Name Greenport
'20.Tu Map Identlger(eURoll!dentinal')(if more than four,attach sheat with additional ldentlgees))
1001-4-2-14
•
I CERTIFICATION I
f Certify that all of the Items of Information entered on this font are tore 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 the orovlelpyyLthe penal levt,relative to the making and filing of false instruments.
N [. C SELLER SIGNATURE BUYER CONTACT INFORMATION
..,,,rI t•, f- n l ig y r' (Ent'rfomaban ler IM Iwya.Nota.I1 buyer P u-c.ataty,nuouaaan.nopaafon,hint slot.cancan.:arra or
S^WLI.Vt�'eorge Kenneth Waller, Sr. an5y mat is rails ramie:anon«nrrery,elan anima and mean atamnat a w+matMaulhs.ppneua
/) �](u�r�,`'�`�/^y- Pearl Sylvia Jones arm ewe can w'rm a'ase01a regime)we Wander must be mama.Type or print Wady)
/
SELLER ATrise LATE
BOYERBleN TA LIRE - Waller George Kenneth, Sr.
" •LAST NAME FAST NAME
Q, p{it -4,33teorge Kenneth Waller, Sr.!
• Q6/z4/Barbara Waller 1 'AabcOCE •TELEFyoN=wuieypIS.NNW
sch•tRE C'` 270 65th Street
•STREET NUMBER •STPCET MANE
' �Ilii ;} f 1'i. r d i 5 San Diego CA 92114
it d t JJ N ■ �{ I r uul if�II �1.1 •PnOfn' •STATE •7J'COOde
1 1, ,S '} ir<4 11'I I♦ '( L r'' gin
IIr PBUYER'S ATTORNEY
`, rr `,1 I,l II r7„1 1 il,ILII(
I. + Jrl II�I,, YI .1, Wickham Abigail A.
'# I f 4 :11,1
"�'tl
�Irll Y : l li ' I11 LAST TORE FRB:TOME p ! t '�I '+ Ih �'I,�'i ll11 Itlh,�Ia631298-83531j :. 1 �i f1 �FI1 t , If +�I APFA GOOE TEIEPNONF MJMSF.RICaitrI �a '1 iI� it is 1f � ,' 1 l'�1 ��
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