HomeMy WebLinkAboutL 12847 P 163 ........................
1111111111111111111111111111111111111111111111111111
I IIIIII 1111111111 IIII 1111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 01/04/2016
Number of Pages : 4 At: 01 : 41 :24 PM
Receipt Number : 16-0000290
TRANSFER TAX NUMBER: 15-15696 LIBER: D00012847
PAGE : 163
District: Section: Block: Lot:
1000 063.00 07 .00 024 .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 $5.00 NO RPT $60 . 00 NO
Transfer tax $0.00 NO Comm.Pres $0 . 00 NO
Fees Paid $260 .00
TRANSFER TAX NUMBER: 15-15696
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
•
1 2
,
' RECORDED
�Jumberof pages
2016 Jan 04 01:41:24 PM
JUDITH R. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record.Please remove all L D00012C347
Social Security Numbers P 163
prior to recording. DT# 15-15696
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee
A -- 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) / ?3 — TOT.MTG.TAX
1;
R.P.T,S.A. `\�.'•O1� ° Dual Town Dual County _
R. 00
j,a Held for Appointme
Comm.of Ed. I j Transfer Tax
;FF,MJ.
,,.;. _.1= �,-:' Mansion Tax
ffidavit 4,
S ' -- _ The property covered by this mortgage is
ertified Copy or will be improved by a one or two
tA _________
e 15. 00 family dwelling only.
g Sub Total
YES or NO
Other
Grand Total )(ob i60 If NO, see appropriate tax clause on
page# of this instrument.
14t0/t�
4 I Dist. 5 Community Preservation Fund
15038119 i000 0e300 0700 024000 ,,1`
Real ServicePrP I IIII IIIIIll liii llIIIIIIISII�IIIIIIlIll CPF Tax Due Air►osnt
Tax R VIT A
Agency 29-DEC-1
Verification
__ — _ improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD I Q
Wickham,Bressler&Geasa,P.C.
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 Rate(itL( ni Titi-
www,suffolkcountyny.gov/clerk
Title U Jc
24-
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Bargain and Sale Deed w/Covenants made
by: Daniel A. Kaelin, III, as Trustee (SPECIFY TYPE OF INSTRUMENT)
of the Jennyv. E. Carlsen Living Trust dated
August 5, 2009, as Amended & Restated The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
Daniel A. Kaelin, III, TA Trustee of the Jenny Carl the TOWN of Southold
E. Kaelin, III, as Trustee oY the Jenny E. Car In tie VILLAGE
Living Trust dated August 5, 2009, as Amended
and Restated or HAMLET of Southold
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
-05650-2)-f.
Standard 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 as of the /O/2—day of December, 2015
BETWEEN
DANIEL A.KAELIN,III,as Trustee of the Jenny E.Carlsen Living Trust dated August 5,
2009,as Amended and Restated,being the successor trustee to Tom Hogle,with an address of
475 Midfarm Road,Southold,New York 11971, party of the first part,and
DANIEL A.KAELIN,III,as Trustee of the Jenny E.Carlsen Living Trust dated August 5,
2009,as Amended and Restated,with an address of 475 Midfarm Road,Southold,New York
11971,party of the second part,
WITNESSETH,that the party of the first part, in consideration of Ten and 001100--($10.00)--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,
Southold
All that certain plot, piece or parcel of land, situate, lying and being at UAW in the Town of
Southold, County of Suffolk and State of New York being more fully bounded and described as
follows:
SEE SCHEDULE"A"ATTACHED HERETO AND MADE A PART HEREOF
BEING AND INTENDED TO BE the same premises conveyed to Tom Hogle,Trustee of the Jenny
E.Carlsen Living Trust by deed dated August 5,2009 and recorded in the office of the Clerk of the
County of Suffolk on September 15,2009 in Liber 12600 Page 117. This is a confirmatory deed
being recorded to reflect that the Trustee appointed in the Jenny E.Carlsen Living Trust dated August
5,2009 has been removed and replaced with Daniel A.Kaelin,III as Trustee under the Jenny E.
Carlsen Living Trust dated August 5,2009,as Amended and Restated.
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.
IN PRESENCE OF:
a KCI
Daniel A.Kaelin,III,Trustee
frdeedlors
•
•
SCHEDULE A
ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of
Southold, County of Suffolk and State of New York, being more particularly bounded
and described as follows:
BEGINNING at the southeasterly corner hereof at a point on the northerly side of
Midfarm Road where northerly side of Midfarm Road is intersected by the westerly line
of land now or formerly of Barnes, and from said point of beginning;
RUNNING THENCE along with northerly side of Midfarm Road the following two
courses and distances:
1. South 68 degrees 44 minutes 30 seconds West 118.20 feet;
2. Westerly along the arc of a curve bearing to the right and having a radius of 200
feet, a distance of 91.35 feet to land now or formerly of Ahless and Rubin;
THENCE North 17 degrees 12 minutes 10 seconds East along the said last mentioned
land 178.57 feet to land now or formerly of Bartlett;
THENCE South 73 degrees 36 minutes 50 seconds East along said last mentioned land
190 feet to land now or formerly of Barnes;
THENCE South 12 degrees 01 minute 00 seconds West along said last mentioned land
135.96 feet to the northerly side of Midfarm Road to the point or place of BEGINNING.
TOGETHER with a non-exclusive easement of ingress and egress over Midfarm Road in
an easterly direction out to Calves Neck Road.
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 Nassau ss:
•
On the /II ay of December , in the year 2015, On the day of ,in the year ,
'before me,the undersigned,personally appeared before me,the undersigned,personally appeared
DANIEL A. KAELIN, III
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 capacity(ies), and that by his/her/their signature(s) on the
instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which
the individual(s)acte xe ted the i stru t. the individual(s)acted,executed the instrument.
si nature and office of individual takingacknowledgment)
(signature and office of in ' i al takm know e grd ment) g
9 ac
Cheryl Simons
Notary Public,State 01 New York
No.31-4970341
Qualified In Suffolk County
Commission Expires February 4,20 J.
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT 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 2005, 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 New Jersey
(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
WITH COVENANT AGAINST GRANTOR'S ACTS SECTION
BLOCK
LOT
COUNTY OR TOWN
Title No. STREET ADDRESS
Daniel A. Kaelin, III, as Trustee of the Jenny E.
Carlsen Living Trust dated August 5,2009, as
amended Recorded at Request of
TO COMMONWEALTH LAND TITLE INSURANCE COMPANY
Daniel A. Kaelin, Ill, as Trustee of the Jenny E. RETURN BY MAIL TO:
STANDARD FO" OF NEW YORK BOARD O' INCE Of4DERWRITERS Wickham,Bressler&Geasa,P.C.
amenaea P.O.Box 1424
Distributed by Mattituck,New York 11952
y .. Commonwealth
A LAN OAmuRlc,COMPANY
COMMONWEALTH LAND TITLE INSURANCE COMPANY
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INSTRUCTIONS(RP-5217-PDF-INS):www.orps.slate.ny.us
� -
FOR COUNTY USE ONLY Q New York State Department of
. ' Cl.SPS Code i d .� $
I I l I Taxation and Finance
C2.Date Deed Recorded i 0 1 /04 /2916 I Office of Real Property Tax Services
Erse Or / / RP-5217-PDF
•C3.Book i I2.t g s 111! t7 I C4.Pape i I I (r f)10 i3 I Real Property Transfer Report(8110)
PROPERTY INFORMATION'
1.Property 475 Midfarm Road
Location
•STREET/AMER •STREET NAME
Southold Southold 11971
•CITY OR TOWS SILAGE •re COLE
2.Buyer Daniel A. Kaelin, III, as Trustee of the Jenny E. Carlsen Living Trust
Name
•LAM"AVE/COerN+T Petra the August 5, 2009, as amendedand restated
L AST N111[/CpiPNVr FIRST MME
3.Tax Indicate where future Tax Bias ere to be sant
Stung if other than buyer eddress(at bosom of foil) LAST tomscaforny 11051 RAMC
Address
S TREET MYeER AND NAME CitYCR TOOK s:ME 25 COOL
4.Indkate the number of Assessment I i ot Percale OR ❑Part aa Parcel (Only If Pavlof a Parcel)Check n they apply:
Roll parcels tremferred an the deed 4A.Planning Board illi Subdivision Authority Exists ❑
5.Dead \ OR MOW 1 4B.Subdivision Approval was Required for Transfer ❑
Properly •men FEE: •OE'Tl `ACRES
Sera 4C.Parcel Approved for Subdivision with Map Provided 0
6.Seiler Daniel A. Kaelin. III, as Trustee of the Jenny E. Carlsen Living Trust
Name
'"''NAu! OsPA" fR$45 ted August 5, 2009, as amended and restated
LAS NYIE,WVIM T FRm IVYE
'7.Select the description which most accurately describes the Check the boxes below as they apply:
use of the property it the time of sale: I.Ownership Type is Condominium ❑
residential improved 9.New Construction on a Vacant Lend 0
10th.Property Located within an AgnWturel District 0
10B.Buyer received a disdasure notice indicating that the property Is In an D
Agnculturel District
1 SALE INFORMATION'
15.Check one or mare of these conditions as applicable to transfer:
1 A.Sale Between Relatives or Former Relieves
11.Sale Contract Date n/a B.Sale between Related Companies or Partners in Buwness.
C.One of the Buyers is also a Seder
•12.Data of SelelTmmfer 12//d/15 D.Buyer or Seller is Goverment Agency or Lending Institution
E.Deed Type not Warranty or Bergen and Sake(Specify Below)
F.Sale of Fractional or Less than Fee Interest(Spedy Below)
'13.Full Sete Price .00 G.Sigalacant Change in Property Between Taxable Status and Sale Dales
H Sale of Business is Included in Sale Price
(Full Sate Pnoe M the total amount paid for the property including personal popery. I.Other Unusual Factors Alfechng Sale Pnce(Speefy Below)
This payment may be in the form d cash,other property or goads,or the assumption of X J.None
mortgages or other obligations.)Reese round to the nearest whole dollar amount
Commant(e)enConditlon: confirmatory deed
14.Indicate the value of personal tl/8 ,OO
property Included In the sale
I ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I
19.Year of Assessment Roll from which Information taken(YY) 13 '17.Total Assessed Value 8,700
o la•Properly Class 210 - '19.School District Name Southold
'20.Tex Map IdenfRer(s)IRoll identified.)III mors than four,attach sheat with additional Id■na9ee(s))
1000-063.00-07.00-024.000
•
CERTIFICATION I
I Certify that ail of the Items of Informattan entered on title 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 materiel fact herein subject me to the,pLg_v)a)gns f me sent lee relative to the making and ming of false Instruments.
SELLER SLONAIUBE BUYER.CONIACI INFORMATION
IENer nerana,os rotme eueer.nes II NSW ie LLC..sdYy,maxoasm,Earpaasm.leen Ned,CanpmY.eared
ens.lA- K -' pet eYl is S.,anmFrquorul sworsteI sof r name nue
dims Type
mafkieR1I waFpmsde
aare who rat lane ido,.umanlpardeq Reader.Insofar.nam be mitred.Type Srer tend sirs 1
9}aarlel"EA. Kaelin, III, Trustee
BUY.ER.SIGNATURE Kaelin, III Daniel A.
•:AST SUFE F RST NUC
A----- .).,:s) /�. 631
CayLL— •NEPA WOE 'r1NaNL WINO Ms wM99el
m'—r'.e Sra
Daniel A. Kaelin, III, Trus?ee 475 Midfarm Road •
•MEET SUMER •STRPFT NAYF.
I i 1 : i�1 ( '1 I r, Southold NY 11971
1I )I itu �+ I V i1 i lIf �i7J •Cr'Y OR:Om 9:AIL •.7P COOL
1 Iw �rS 11th II 1`."1.10,11,.1,11 M BUYERS ATTORNEY
�IL1� I�,11/1111:1
' \i; it ISI' . ' r S I Wickham Abigail A.
ill (i �. �, ` �"'� 1 alt {ii 11 1I ` +
..es,Feria Fr,sTrNe
' 1 r I'' 1 r Irl r I e 631 298-8353
i 1,1� °i yLill i. l��ri ( 1 all ii)Ili h,i, i l ac Tncl:acxuNtiR:E nomvw:
�, }I111 i1�1 'i' .. 1 i111i ,r�( 1' 11 111I