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Home My WebLink AboutL 12848 P 188 11111111111111111 11111 III iii iii 11111 iiu MI 1111 1 111111 V I I 1 111111111 1111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 01/11/2016 Number of Pages: 4 At: 03:04 :54 PM Receipt Number : 16-0003970 TRANSFER TAX NUMBER: 15-16455 LIBER: D00012848 PAGE: 188 District: Section: Block: Lot: 1000 078 .00 02 . 00 030. 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $729, 150.00 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 $2 , 918 .00 NO Comm.Pres $11,583 . 00 NO Fees Paid $14,896. 00 TRANSFER TAX NUMBER: 15-16455 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 'RECORDED 1 2 2016 Jan 11 03:04:54 PM JUDITH A. PASC_.ALE CLERK OF Number of pages SUFFOLK COUNTY L 000012849 P 188 This document will be public DT# 15-16455 record.Please remove all Social Security Numbers . prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 oqy FEES Page/Filing Fee d-0 Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-5217(County) S Sub Total SO Spec./Add. I EA-5217(State) 1 TOT.MTG.TAX R.P.T.S.A. )-C/{ ..5;i � ,(CI, ,, Dual Town Dual County �' Held for Appointment Comm.of Ed. 5. 00 " .' Transfer Tax Affidavit + -.t-,•1 . •• r Mansion Tax @l ; �_ The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 . 311 s family dwelling only. Sub Total YES or NO Other Grand Total 3 9S- If NO, see appropriate tax clause on / j> page# of this nstru ent. 1��' I�/ls7/S 4 I Dist. 10 15038410 1000 07800 0200 030000 J 5 Community Preservation Fund Tax Agency ge cReal Perty e P DHO 1 IN II Dliii III 1111IIIA I lIIIIIII CPF TaD ue Amount1 1 ,583 r 1 50 Verification ;:T-1-:--)k63 Improved X 6 'Satisfactions/Discharges/Releases List Property Owners Mailing Address Yl RECORD&RETURN TO: Vacant Land JOhh bloom TD 1 p Lo f 8503 swe-r-H 1ow r4 irSi Vf La., Ny TO I/747 TD I Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY . 11901 Co.Name Advantage Title www.suffolkcountyny.gov/clerk Title# ' 15-S-49848 8Suffolk County Recording & Endorsement Page . This page forms part of the attached Bargain and Sale Deed made by: (SPECIFY TYPE OF INSTRUMENT) George R.Bissell and Patricia Burkhardt,husband The premises herein is situated in and wife SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold John Bloom and I.orena Bloom,husband and wife In the VILLAGE or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. rover) 4 d r4a36 e 15,45 a 821$ 'Bargain and Sale Deed with Covenants Against Grantor's Acts-Individual or Corporation CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY °F THIS INDENTURE, made the l5' day of 7 Ge )be 1' ,2015, BETWEEN GEORGE R. BISSELL and PATRICIA BURKHARDT, husband and wife, both residing at 3901 SE St. Lucie Blvd., Unit 54, Stuart, Florida,34997 party of the first part, JOHN BLOOM and LORENA BLOOM, husband and wife, both residing at 503 Sweet Hollow Road,Melville,NY, 11747 party of the second part, WITNESSETH, that the party of the first part, in consideration of TEN($10.00)dollars, lawful money of the United States 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 SEE SCHEDULE 'A' ANNEXED HERETO BEING AND INTENDED TO BE the same premises conveyed to the parties of the first part by deed dated May 3, 2005 recorded in the Office of the Clerk of the County of Suffolk on May 23, 2005 in Liber 12388 at page 601. Said premises are known and designated as District 1000, Section 078.00, Block 02.00, Lot 030.000." 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 incumbered 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: GEORGE :ISSELL PATRICIA BURKHARDT STATE OF FLORIDA:COUNTY OF fn ax--k ) ss: On the 3 day of necremio2/ , 2015, before me, the undersigned, personally appeared GEORGE R. BISSELL and PATRICIA BURKHARDT, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacity, and that by their signature on the instrument, the individuals, or the persons upon behalf of which the individuals acted, executed the instrument. Notary Public sus � MICHAEL J.HABYAN Nctary Public-Slate of Florida �rF� �.=My Comm.Expires Mar 26.2018 '•,°'�;°"' Commission I FF 086807 t lc0m Lore 0/0Ornl .Do3 sv T_ 01)O k&I `Qa Lu L L_LE N V /1 r7 4Y] SCHEDULE 'A' ALL THAT CERTAIN plot, piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk and the State of New York, known and designated as Lot No. 14 as shown on a certain map entitled, "Map of West Creek Estates", and filed in the Suffolk County Clerk's Office on August 19, 1963 as Map Number 3848; said lot is more particularly bounded and described according to said map as follows: BEGINNING at the point where the division line between lots 13 and 14 on the aforementioned map intersects the southerly side of Glenn Road; RUNNING THENCE along the southerly and southeasterly sides of Glenn Road, North 41 degrees 40 minutes 00 seconds East 101.47 feet to the division line between lots 14 and 15; THENCE along last mentioned division line South 12 degrees 30 minutes 00 seconds East 291.66 feet to the northerly line of West Creek; THENCE along last mentioned division line South 12 degrees 30 minutes 00 seconds East 291.66 feet to the northerly line of West Creek; THENCE along said northerly line of West Creek the following 2 courses and distances: 1, South 76 degrees 54 minutes 07 seconds West 49.16 feet; 2. South 44 degrees 36 minutes 56 seconds West 20.33 feet; THENCE North 16 degrees 15 minutes 40 seconds West 244.34 feet to the South side of Glenn Road and the point or place of BEGINNING. INSTRUCTIONS(RP 5217-PDF-INS):www.orps.state.ny.us OR COUNT(USE ONLY Gp New York State Department of Ci.i31/1113 Code • I y' ,3 a,tel T Taxation and Finance C2.Date Deed Recorded 169 I / // / /4 i Office of Real Property Tax Services SI; ( y�.�/ tar RP—5217—PDF C3.Book I l r O� �' /lt p I C0.Pape I i t t /r F I Real Property Transfer Report(8110) PROPERTY INFORMATION I 1.Property 1240 Glenn Road Location •STREET Ia sBER •STREET NAME Southold - Southold 11971 •CIN CMSDAVW A5LAOE -EP CODE 2.Buyer Bloom John Name •LASTNWeCa.ATm FRS-NW Bloom Lorena LAST Na.fl OnPn' .AST NMI 3.Tax Indoete where future Tax Bills are to be sent Billing y other than buyer addresent bottom of fam) uerxAMGCOAPAmer F{rar NAME Address nICEET NMYaER NVNATE cm,0.1 TCee STATE bloom 4.Indicate the number of Assessment 1 Oaf Pamela Pan of a Parcel (Doty d Part of a Parcel)Check es they apply: Roll parcels transferred on the deed OR ❑ 4A.Planning Bond with Subdnsion Authority Exiets ❑ e.Deed Property •MOM FEET X OR 0.4 6 48.Subdivision Approval was Required for Transfer El •DEMN •ACRES Size 4C.Parcel Approved for Subdivision.nth Map Provided ❑ Bissell George R. C.Seiler •r kTNAIMaoepaye FRET TAW Name Burkhardt Patricia L iT NI11fjcourisNr fAETNWE '7.Select the description which most accurately doscribeethe Check the boxes below as they apply; use of the property at the time of sale: 8-Ownership Type is Condominium ❑ A.One Faintly Residential• C.New Construction on a Vacant Land ❑ 10A.Property Located within an Agncutural()Nino( ❑ • 10B.Buyer received a disclosure notice indicating that the properly is in an 0 Agricultural District (SALE INFORMATION I 15.Check om or more of these conditions as applicable to transfer: _A.Sale Between Relatives or Former Relatives 11.Sale Contract Data 10/23/2015 _ B.Sale between Related Companies or Partners in Budneaa. _C.One of the Buyers is also a Seller •12.Date of Salt/Transfer tit 2/ 15/'S D.Buyer or Seger is Government Agency or Leafing Institution E.Deed Type not Warranty or Bargain and Sale(Specify Below) _F.Sale o1 Fractional or Less then Fee Interest(Specify Below) 93.Full Sale Price 729,150.00 _G• Significant Change in Property Between Tawas Status and Sete Dates (Full Sale Price is the total amount paid for the property including personal property. I. • Salo r nusu l Factors is included AffectingInSe Price • Other Unusual Sale Price(Speofy Below) This payment may be in the fare of cash,other property or goods,or the assumption at X J Nola mortgages or other obligations.)Please sound to the nearest whale dollar amount. Comment(s)on Condition: 14.Indicate the value of personal property Included In the Bate 0.00 I ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 18.Year of Assessment Roll from which Information taken(YY) 15 97.Total Assessed Value 9,300 '18.Properly Claes 210 - 'tie.Scholl Dlstdct Name Southold '20,Tax Nap Identlfler(e(Roll Identlfier(s)(If more than four,attach sheet with additional'dentieerts)) 1000-078.00-02.00-030.000 CERTIFICATION I I Certify that all of the items of information entered on this form ere true end correct go the best of my know:edge and belief)and I understand that the making of any willful �,�/hese statement of material fact herein subject me tone gr ebrici s stth oand lew-relatIve to the making end filing of false Instruments. /rlsa0A � BELLER.SIGNATURE J'/3/� i @-t)-YEBSEQNIACT INFORMATION `'' 0d�_ 2 4 IEme,elemmeksn ter IM pryer.Nose I!buyer u LLC.uoery,esbecemon.m•porebon joint neck=Meet estate o, entry 1k •s molen rCNioua spent erha.reery,awnanameand Kmiec!kedmmonde,nawaaeheEpknsSre 2/,j/5 pelf con FJn answer el.esmnsFegnmxq ors sanarnr must IDA enanp.Type a para cwrly) MLLES aurArIRE '^- DATE Bloom John — BUYER SIGNATURE LAST AMIE F 5T NADA: vet*cooc •rELEAnaa TAMER IE..swear! • BOEReIDNATU C DATE 503 Sweet Hollow Rod • •STREET NAMER •STREET NAME 1 ,,, ! I 11 I Oil' I r Melville NY 11797 I'1'1 f I.f�� ,j � ilk i n '�,��' i' H1'ri: J I„'`1 I -urn cur TaeRr BUYER'SATTORNEV •STATE .7.0 CODE ��I It)l'I1'11111' ''10%� 1Il}11.�� 1'I1 rJ'1'Il 11,' 1f' k1V� aiPP, Esq. William G. I t rami I l 1 ii., I' ., i 1' I IAM ImhE FIasT NAME � II� Il I ' I� { �i I'I i( �I I • I 'II 1 ! II I' I� I I' '� ' (631) 365-1610 1 '� I j�I le ii t } 1 ARCA I t ` roLEPmONE NU1aER L.OWeaeY i 1 I) I i f r' I L + it' l