HomeMy WebLinkAboutL 12849 P 689 11111111111111111111111111111111111111111111111 11111111
1111111 Illll 11111 IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 01/22/2016
Number of Pages: 4 At: 12:36: 47 PM
Receipt Number : 16-0010424
TRANSFER TAX NUMBER: 15-17566 LIBER: D00012849
PAGE : 689
District: Section: Block: Lot:
1000 056 . 00 05. 00 001.004
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $410,000 . 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 $200 .00 NO
Transfer tax $1 ,640 .00 NO Comm.Pres $5,200.00 NO
Fees Paid $7,235.00
TRANSFER TAX NUMBER: 15-17566
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
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t 1 2
RECORDED
Number of pages 201E Jan 22 12:36:47 PM
JUDITH A. PASCRLE
CLERK OF
SUFFOLK COUNTY
This document will be public L D017012849
record.Please remove all P 689
Social Security Numbers DT# 15-17566
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
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1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
Or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. 6lOD .6--b ¢'� •r ii 1 Dual Town Dual County
""'a Held forAppointment
Comm.of Ed. 5. 00 y'. Z Transfer Tax
•Affidavit e) _F�..�
° + , ,t ,,T'; Mansion Tax
Certified Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES
Other �f�� or NO
Grand Total /9S—,.....E If NO, see appropriate tax clause on
page ofthisins r ment.
4 Dist.1( I
160001564 1000 05600 0500 001004 4 5 Community Preservation LA
Real Property 7 p T� 11111111111111111111111111 111111111IIIIII11111111 Consi mount$ `-(�D cm
Tax Service R SMI A 111111111111111111111111111 CPF Tax Due $ ��
Agency 19-JAN-16
Verification - Wil
6 Satisfactions/Discharges Releases List Propperty Owners Mailing Address
R�CORD&RETURN T0:
CHARLES A.LEVAS, ESQ. Vacant Land
214-41 42nd Avenue,Suite 4C TD
Bayside, NY 11361
1 TD
TD
Mail to:Judith A. Pascale,Suffolk County Clerk7 Title Company Information
310 Center Drive, Riverhead, NY 11901
www.suffolkcountyny.gov/clerk Co.Name fig/p4/5/9//,17/0
l
Title# / Ay60
8
Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFY TYPE OF INSTRUMENT)
ROBERT LANG BAIZ The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of SOUTHOLD
S. DONADIC, INC. In the VILLAGE
or HAMLET of SOUTHOLD
BOXES 6 TI-IRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
jMi9I/ 3
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
s//lo
THIS INDENTURE,made the a.. day of DecerrHSer,2015
+� O BETWEEN ROBERT LANG BAIZ,residing at 817 Elm Spring Road,Pittsburgh,
`1, g PA 15243
party of the first part,and S.DONADIC,INC.,with offices at 45-25 39`h Street,Long Island City,NY 11104
party of the second part,
WITNESSETH,that the party of the first part,in consideration of TEN and no/100ths($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,
SEE SCHEDULE"A"ANNEXED HERETO AND MADE A PART HEREOF
'BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed rade-by
fro-- ' .•. ' - .. - : , -. ;alz e dated 4/4/89 and recorded in the.
Suffolk County Clerk's Office on 9/8/89 in Liber 10924 Page 495.
flova
54 X‘c21, JIold," r
b OU
OT-6-0O
00.63 TOGETHER with all right,title and interest, if any,of the party of the first part in and to any streets and roads
r abutting the above described premises to the center lines thereof;TOGETHER with the appurtenances and all
00( O 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:
')/1/<--et-'(--4311,-(-A-4591
ROBER LANG BAIZ
Madison Avenue Abstracts Inc.
Schedule A Description
0/07
Underwriter No. 589S3392
Title Number MAA16405S
District: 1000 Section: 056.00 Block: 05.00 Lot: 001.004
ALL that certain plot, piece or parcel of land, 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 westerly side of Bay Home Road at the
northeasterly corner of land of Mary Lang Baiz and husband, from said point of '
beginning running along said last mentioned land South 52 degrees 44 minutes
00 seconds West, 192.00 feet to land of Clara E. Lang;
RUNNING THENCE along said land of Clara E. Lang, two courses as follows:
1) North 37 degrees 16 minutes 00 seconds West, 209.00 feet;
2) North 52 degrees 44 minutes 00 seconds East, 192.00 feet to the said
westerly line of Bay Home Road;
THENCE along said westerly line of the Bay Home Road South 37 degrees 16
minutes 00 seconds East, 209.00 feet to the point or place of BEGINNING.
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TO 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 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
satisfactory evidence to be the individual(s)whose name(s)is personally known to me or proved to me on the basis of
(are)subscribed to the within instrument and acknowledged to satisfactory evidence to be the individual(s)whose name(s)is
me that he/she/they executed the same in his/her/their (are)subscribed to the within instrument and acknowledged to
capacity(ies), and that by his/her/their signature(s) on the me that he/she/they executed the same in his/her/their
instrument,the individual(s),or the person upon behalf of which capacity(ies), and that by his/her/their signature(s) on the
the individual(s)acted,executed the instrument. instrument,the individual(s),or the person upon behalf of which
the individual(s)acted,executed the instrument.
(signature and office of individual taking acknowledgment)
(signature and office of individual taking acknowledgment)
•
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District
of Columbia,Territory,or Foreign Country)of Pennsylvania ss:
On the 62q 1-4 day of December in the year 2015 before me,the undersigned,personally appeared ROBERT LANG BAIZ
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
Pittsburgh in Pennsylvania
(insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken)
(si ure and office of f ividual taking acknowledgment)
COMMONWEALTH OFPENNSYLVANI
NOTARY PUBLIC ./NOTARIAL SEAL • •
Margaret A.Johnston,Notary PublIC
Castle Shannon Boyo„Allaghaay Count
My Commisalah Expfras July 15,2018
MEMBER,-PENASYI,YANIA ASSOCIATION OF NOTARIES;
BARGAIN AND SALE DEED DISTRICT 1000 V ' J •
D'
WITH COVENANT AGAINST GRANTOR'S ACTS SECTION 056.00
m �i1. BLOCK 05.00
Title No. �7 2/7 7 ,WaS—S LOT 001.004
COUNTY OR TOWN
ROBERT
NG BAIZ STREET ADDRESS Dir f� jne ,
iiTil/7 / "u4
S.DONADIC, INC. Recorded at Request oof
COMMONWEALTH LAND TITLE INSURANCE COMPANY
RETURN BY MAIL TO:•
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by CHARLES A.LEVAS,ESQ.
•
214-41 42nd Avenue,Suite 4C
y Commonwealth Bayside,NY 11361
A LANDA\IERICA COMPANY
COMMONWEALTH LAND TITLE INSURANCE COMPANY
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INSTRUCTFONS(RP5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY • �� New York State Department of
Ci.SIMS Code 1 t , , ; 1 Taxation and Finance
C2.Date Deed Recorded I J f/Of a /6 I Office of Real Property Tax sr rvices
C3.Book I ,rte!^9,u // RP-5217-PDF
l l 1 C4.Page 1 Y.
to I
Real Property Transfer Report(11110)
PROPERTY INFORMATION I
1.Property 885C Ba home Road
Location y
•SIREET NULELR •STN1cMM/YE
Southold Southold 11971
•C.TY OR'OW. 1.71,LGE
•CREME
Z Buyer S. Dor.adic, Inc.
Name
•LMt NRLEcocpasy RWT SAME
.AST NAMFtCOIRANY FIRST WAS
3.Tax Indicate whore future Tax Bas are to be sant S 1)O/Nj�'� C- /ex
Billing d other than buyer cddress(at bottom of form) T.
Address T+,— err, 3RD fie r�+• � c FRsr NAME i,iD y
STREET NURSER AMUSE ory STATE oro COOS
4.Indicate the number of Assessment 1 Pad ole Parcel (Only If Part of a Parcel)Check as they apply:
Roll parcels transferred on the deed °of P° ° OR
4A.Flanning Board bier Subdivision Authority Exists
S.Deed 0.92
Property •FRONT'EST _X •CERnl OR 'ACRES 0.92
Subdivision Approval was Required for Transfer
Slee
4C.Parcel Approved for Subdivision with Map Provided
Bali Robert Lang
0.Seller •.*ST hNEICCN aE.y
Name FRET NAME
LI1S1',mummifyFIRST NILE
'7.Select the description which most accurately describes the Check the boxes below es they apply:
use of the property at the time of sale: 5.Ownership Type le Condominium
A.One Family Residential 3 9.New Construction on a Vacant land
10A.Property Located within an Agricultural District
10B.Buyer received a dedosure notice indicating that the property Is in on
Agricultural District
ISALE INFORMATION' 15.Check one or more o1 these conditions es applicable to transfer:
A.Sale Between Relatives or Former Relatives
11/14/15
1 L Sale Contract Data B.Sale between Related Companies a Partners In Buserss.
C.One of the Buyers is also a Seller
'12.Date of Seleirransfer / / D.Buyer or Safer 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 4100 0 0.00 G.Significant Change in Property Between Taxable Status and Sale Dates
H.Salo of Business Is Included In Selo Price
(Fug Sale Prise is the total amount paid for the properly including personal properly. I.Other Unusual Fedora Affectin Solo Price
This payment may be in too form of cash,other property or goods.or ilea assumption of B (Specify Below)
J.None
mortgages or other obhgabans.)Please round to the nearest whale dollar amount
Gemm int(s)on Condition:
14.Indicate the value of personal
property Included In the sale 0 .00
IASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bd)I
16.Year of Assessment Roll from which Information tak°n(YY) 19 '17.Total Assessed Value 3300
98.Property Class 213 - •19.ached District Name Southold
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•20.Tax Map Idenitger(s)IRoll'dentia°r(s)(Km=than four,attach sheet with additional ldentmor(a))
law f65G•oo/61-vo/a)I.Gby
'CERTIFICATION I
I Certify that all o1 the dame of information entered on this form era 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 thegoyleiggo.of aha oe,.i taw relative to the making and filing o1 false Instruments.
BELLEB$tGNATURE BUYER CONTACT INFORMATION
'Ener irPomrt4cn for M buyer.Nate.a baler is LLC.emiety.eseaoehan comeae.l°Rs seekestate err
entity Pm r IRR mile
•
duel aud er agent Ildudery,leen a name and contact slarnese.or so iNbNMdM1irp Mm,a
(2.-_a_t pony any caworm Mw gumbos regerdng the trawler oast be warred.Type or print clearly.)
ltE�. Tow � pe-E
*1'trYER tij$E S. Donadic, Inc
/ 'LMT NAME ra6T MAW
/ I `--( Cf I...(,.i' —.,RE,cdna --
'TELERN7RE WARM IE.•eRreRr
. TEN SIGNATURE ' DATE
, ev ��A• e, 45-25 39th Street
�+'T •sneer Rumor •nom'melt
11 t ° ( IIIc t; 1� 11,, 1 ` Long Island City NY 11104
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