HomeMy WebLinkAboutL 12850 P 717 mmmEmmmmmmmmlimmmmimmmm
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 01/29/2016
Number of Pages : 4 At: 04 :38 :28 PM
Receipt Number : 16-0014681
TRANSFER TAX NUMBER: 15-18338 LIBER: D00012850
PAGE : 717
District: Section: Block: Lot:
1000 013 . 00 02 . 00 002.000
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 $250 .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 $385 . 00
TRANSFER TAX NUMBER: 15-18338
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
WI 2I
Number of pages ' Y RECORDED
21.A6 Jan 29 04:38:28 PM
-
JUDITH H. PASCALE
CLERK OF
This document will be public SUFFOLK COLftIT/
record. Please remove atl L D00012050
Social Security Numbers P 717
Dmi3-1?338
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording I Filing Stamps
3 FEES '
Page/Filing Fee A Mortgage Amt.
1. Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 S= Sub Total _
Notation • Spec./Assit.
or
EA-52 17(County) S _ Sub Total Spec./Add. _
EA-5217(State) Ki.20. — TOT.MTG.TAX
R.P.T.S.A. t90 •
�(p� `r""'� '> Dual Town Dual Count
UU �a• County
H•
eldfor Appointment 6
Comm.of Ed. 5. 00 It T. Transfer Tax
idavit i;' Mansion Tax
___________
rtified Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total � • If NO,see appropriate tax clause on
page# of this instrument. [ �
1000 15037579 1000 01300 0200 002000
4 Dist. 5 Community Preservation Fund
TiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiilIll iiiiiiiiiii
Real Property
Q::7m:))
Conde ation Amount$Tax Service EC a
Agency ..„..-€11-r—rax Du $
Verification ' - - - - -- - - - —-
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: 'Vacant Land )
WILLIAM F. BATES, ESQ. ID
120 Court Street
Riverhead NY 11901-3003
TD
. TD
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 BARGAIN & SALE DEED WITH COVENANTS made by:
(SPECIFY TYPE OF INSTRUMENT)
JANE SELVAR The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of SOUTHOLD
JANE C. AND DREW K. SELVAR
REVOCABLE TRUST In the VILLAGE
or HAMLET of ORIENT
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12-0la..IQfQ$kk
(over)
Form 3290
• c' CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made then 3 day of November,2015,
BETWEEN JANE SELVAR,residing at 6676 Caminito Sinnecock,P.O.Box 1818,La Jolla,California 92037,
Party of the First Part,
And JANE C.AND DREW K.SELVAR REVOCABLE TRUST.Jane C.Selvar and Drew l Selvar.Co-
Trustees,both residing at 6676 Caminito Sinnecock, P.O.Box 1818,La Jolla,California 92037, Party of the
Second Part,
WITNESSETH,that the Party of the First Part, in consideration of TEN DOLLARS AND 001100 ($10.00)
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 that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,
lying and being in Orient, in the Town of Southold, County of Suffolk and State of New York, bounded and
described as follows:
BEGINNING at a point on the ordinary high water mark of Long Island Sound at the Northeasterly corner of
the premises herein described and the Northwesterly corner of land of Ernest and Harold Wilsberg, said beginning
point being distant the following two(2)courses and distances along said high water mark from the Northwesterly
corner of land of Gus Kyrkostas:
(1) South 73 degrees 38'West,308.87 feet; THENCE(2) North 85 degrees 58'30"West,224.03 feet;
RUNNING THENCE from said point of beginning along said land of Wilsberg, the following seven (7)
courses and distances:
(1) South 17 degrees 37'30"East,362.0 feet; THENCE
(2) South 15 degrees 36'00"East,332.48 feet; THENCE
(3) South 23 degrees 28'50"East,54.0 feet; THENCE
(4) South 72 degrees 57'20"West,340.0 feet; THENCE
(5) North 23 degrees 02'50"West,20.0 feet; THENCE
(6) South 89 degrees 31'West,70.0 feet; THENCE
(7) North 15 degrees 08'00"West,570.0 feet to said ordinary high water mark of Long Island Sound;
RUNNING THENCE Easterly along said high water mark about 410 feet to the point of beginning, said
point being North 79 degrees 02'30"East,410.29 feet from the last described point.
Containing 7.1 acres,more or less.
TOGETHER WITH a Right of Way over the Streets or Highways known as"Hill Crest Drive North", "Hill
Crest Drive", and "Heath Drive" on a certain Map entitled, "Subdivision Map of Hill Crest Estates, Section 1, at
Orient,Town of Southold, Suffolk County, New York"filed on August 15, 1983 as Map No. 7218,as described at
Liber 9426 Pages 425&426.
Said Right of Way provides access to and from Main Road,NYS Route 25.
Premises also known as 1125 North Hillcrest Drive,Orient,New York 11957.
BEING AND INTENDED TO BE the same premises described in Deed to Grantor herein dated 01/29/1979
recorded 02/06/1979 at Liber 8578 Page 389.
Dis. 1000
Sec.013.00
Blk. 02.00
Lot 002.000
TOGETHER with all right,title and interest 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 convents 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 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 nay 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 part of the first part has duly executed this deed the day and year first above written.
c
IN PRESENCE OF J—�
rN
N EAR
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of as: State of New York,County of ss:
On the day of in the year On the day of in the year
before me,the undersigned personally appeared before me,the undersigned personally appeared
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 Satisfactory evidence to be the individual(s)whose
name is subscribed to the within instrument and name(s) is(are)subscribed to the within instrument and
acknowledged to me that she executed the same in her acknowledged to me that he/she/they executed the same in
capacity,and that by her signature on the instrument,the his/her/their capacity(ies),and that by his/her/their signature(s)
individual or the person upon behalf of which the on the instrument,the individual(s)or the person upon behalf of
individual acted,executed the instrument. which the individual(s)acted,executed the instrument.
(signature and office of individual taking the acknowledgment) (signature and office of individual taking the acknowledgment)
NOTARY PUBLIC
TO BE USED ONLY WHEN THE ACKNOWLEDGMENTS IS MADE OUTSIDE NEW YORK STATE
State Of CALIFORNIA : COUNTY OF SAN DIEGO SS:
On the p3A�day of November in the year 2015, before me,the undersigned,personally appeared
JANE SELVAR
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 he
signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument
and that such individual made such appearance before the undersigned in the Town of LA JOLLA,State of CALIFORNIA
See A447-_chrri eh- TT.
(signature and office of individual taking acknowledgment)
NOTARY PUBLIC
(Stamp or Seal)
My Commission Expires :Tait/ /6i 7 019
BARGAIN AND SALE DEED SECTION
WITH COVENANTS AGAINST GRANTOR'S ACTS BLOCK
LOT
COUNTY OR TOWN SUFFOLK/SOUTHOLD
Title No. STREET ADDRESS 1125 North Hillcrest Drive
Orient NY 11957
JANE SELVAR
TO
JANE C.AND DREW K.SELVAR REVOCABLE
TRUST
RETURN BY MAIL TO:
WILLIAM F.BATES,ESQ.
SAFE HARBOR TITLE AGENCY 120 Court Street
1529 Main Street Riverhead NY 11901-3003
Port Jefferson,NY 11777
(Reserve this space for recording office)
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
CIVIL CODE§ 1189
• A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document.
State of California
County of San Diego
On 31i4/Date
t2O/5before me,J 1 KAr E1vie rt Name Titled of Officer 1[�.b1 G ,
personally appeared clne Se I V r
Name of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(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 authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
I .: TIMOTHY E. EMERICK1 WITNESS my hand and official seal.
COMMISSION#2119599 c
E NOTARY PUBLIC 3
SAN DIEGO-COUNTY,CALIFORNIA-I
Cormvss�om��20 �on 19 €
��.�w.■n
Signature
Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional,completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: L o ,0/ Dee-oZ
Document Date: �1
Number of Pages: /It Signer(s) Other Than Named Above: X44
Capacity(ies)Claimed by Signer(s)
Signer's Name: Signer's Name:
❑Corporate Officer-Title(s): ❑Corporate Officer—T - s):
❑Partner— ❑ Limited ■ 'eneral ❑Partner— ❑L'• ed ❑General
❑Individual ❑A+.rney in Fact ❑Individual ❑Attorney in Fact
❑Trustee ' Guardian or Conservator ❑Trust-- ❑Guardian or Conservator
❑Other: ❑ Other:
• Signer Is 'i senting: Signer Is Representing:
FOR COUNTY USE ONLY New York State Department of
C1.MS Code 14'itr 13l gi nC I Taxation and Finance
C2.Date Deed Recorded I 1 / Zl9/ I' 1 Office of Real Properly Tax Services
'/oo Day tan RP-5217-PDF
C3.Book.1 •1' y/��12-r UI�3 I C4.Page I 1 r I
1 I 1 Real Property Transfer Report(811 D)
PROPERTY INFORMATION'
1.Property 1125 North Hillcrest Drive
Location
•STREET NUA®ER •STREET NAME
Southold Orient 11957
•[MICR TORN VILLAGE •EP CODE
2.Buyer JANE C. AND DREW K. SELVAR REVOCABLE TRUST
Name
•LAST NANEJCCYPM Y FIRST NAPE
LAST NAMFJCOMPAW FIRST NAM
3.Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address(at bottom of form) ow...a,cTJTPurr FIRST NAPE
Address
PO Box 1818 LaJolla CA 92038
STREET WRYER AFC IONS CITY OR TORN STATE EP CODE
4.Indicate the number of Assessment iPan of a Parcel (Only If Pan of a Parcel)Check as they appy:
Roll parcels transferred on the deed a of Parcels OR ElIA.Planning Board with Subdivision Authonty Exists
5.Deed X OR 7.10 4B.Subdivision Approval was Required to Transfer ❑
Property •FRONT FEET •OEPTx 'ACRES
Size 4C.Parcel Approved for Subdivision with Map Provided ❑
Selvar Jane
6.Seller •RAST NAFEDISIPANY FRIT NAME
Name
LAST NAAIIPMAY FRIT NAME
F.RA
•7.Select the description which most accurately describes the Check the boxes below as they apply:
use of the property at the Ume of sale: 'L a.Ownership Type is Condominium El
A.One Family Residential/141.64r' 9.New Construction on a Vacant Land El
10A.Property Located within an Agricultural District ❑
10B.Buyer received a disclosure notice indicating that the property is in 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 B.Sale between Related Companies or Partners in Business
8 C.One of the Buyers is also a Seller
•12.Date of Saler-Transfer 11/23/2015 _ D.Buyer or Seller 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)
93.Full Sale Price 0.00 _ G.Significant Change In Property Between Taxable Status and Sale Dates
_ N Sale of Business is Included in Sale Price
(Full Sale Price 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 farm of cash.other property or goods,or the assumption of J None
mortgages or other obligations)Reese round to the nearest whole dollar amount. -
Comment(s)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 end Tax Bill I
16.Year of Assessment Roll from which Information taken(YY) 15 97.Total Assessed Value 7,100
•16.Property Claes 3//14 VAti011 •19.School District Name Oyster Ponds
•20.Tax Map Identifier(a)1Roll identlfler(s)Of more than four,attach sheet with additional Identifer(s))
1000-013.00-02.00-002.000
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 the.proylelons.OLthe.penel.ltwrelative to the making and tiling of false Instruments.
SELLER FR SIGNATURE BUYER CONTACT INFORMATION
(Enter eearmMMn for SDA buyer.NOW If buyer ie LLC.eScIaty,e..eciMNn.oonpenclon Ata creep cornperny,estate w
araty ilk a rot an tntridu5 spent cc Muslin,.then a name and contact Seormelen of en indnelualyenponsble
S n 'j )iic parry who can answerwesterns n uvorip Ns transfer must be amerce.Type or print clearly.)
R SIGNATURE "'te•"(/'wVV^}'r� DATE
BUYERSIGNATUf� SELVAR Jane c.
c •Lear NAME FIRST Nue.6010.---S /J MA 1sI�P)1} (858) 959-5067
Pj�,� AREA CODE TFIEAIOEMNBER IF.:MOO*
Ia'ER aoNATURE DATE
PO Box 1818
•STREET NUMBER "STREET NAME
k'rt.1
' l{ I' rLaJollaCA92038
�I ( {�{�I�I fII r f Irl �1 ,II �� �f 'CmoR •STATE 71P COLE
h11 1111 1'l�I�� 1 �i� 11�1�l i ' !II i� B.UY.ERS ATTORNEYi� III 41111 i ill I1lI l l 111
�' 1, IIir � pp1�1 1 BATESWilliam F.d6 .1 � 1j5I 1' �Tii A IIIA ,� ` �iI 1,11 + RRST NAPE
f II 1 I � I1
',�11111 1�}I'JI I' +I'1�Li'l I�'I 4y �'I ' �16��1'1r1
` (631) 727-0050
141 1� ilj' 1 I?PO, 1 }I '+1�1 (11{ 1I I r , k I. ARucooe TnlmaarAAveEarE<sRaewr