HomeMy WebLinkAboutL 12856 P 790SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 03/16/2016
Number of Pages: 4 At: 04:40:50 PM
Receipt Number : 16-0040849
TRANSFER TAX NUMBER: 15-22944 LIBER: D00012856
PAGE: 790
District: Section: Block: Lot:
1000 031.00 04.00 014.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0.00
Received the Following Fees For Above Instrument
JUDITH A. PASCALE
County Clerk, Suffolk County
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
$0.00
NO
Comm.Pres
$0.00
NO
Fees Paid
$395.00
TRANSFER TAX NUMBER:
15-22944
THIS PAGE
IS A PART
OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of paizes "I
This document will be public
record. Please remove all
Social Security Numbers
prior to recording.
RECORDED
2016 Nar- 15 04:40:50 PM
JUDITH A. PASCALE
CLERK OF
SUFFOLK COUNTY
L D00012856
P 790
DT# 15-22944
Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps
3 FEES
Page / Filing Fee pN Mortgage Amt.
I . 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.
= Dual Town Dual County—
Held ��1�
Held for Appointment
Comm. of Ed. 5• 00 Transfer Tax.
+ Mansion Tax
Affidavit ��� —
The property covered by this mortgage is
Certified 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 If NO, see appropriate tax clause on
page # of this instrument.
CPID
I O(}rD I n�l.nn I r, cb. r7f1
4 Dist. , ,d 6C)D 1 5 1 Community Preservation Fund
THE JUDICIAL TITLE INSURANCE AGENCY LLC
800 WESTCHESTER AVENUE I SUITE S-340
RYE BROOK, NY 10573
914.381-6700
Mail to: Judith A. Pascale, Suffolk County Clerk
310 Center Drive, Riverhead, NY 11901
www.suffolkcountyny.gov/clerk
g I Suffolk County Recordi
Consideration Amount $
CPF Tax Due $
Improved V
Vacant Land
TD ID
TD
TD
Title #
m & Endorsement Paye
This page forms part of the attached 7bee6 made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of
In the VILLAGE
or HAMLET of
BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12.01N.Joioskk ....-....-
(over)
16007434 1000 03100 0400 014000
Real Propert
Tax Service
RP T A III jjjj III,, III, 1III, 1111111 III
Agency
Verificatio[
14 -MAR -1
Satisfactions/Discharges/Releases List Property Owners Mailing Address
6
RECORD & RETURN TO:
THE JUDICIAL TITLE INSURANCE AGENCY LLC
800 WESTCHESTER AVENUE I SUITE S-340
RYE BROOK, NY 10573
914.381-6700
Mail to: Judith A. Pascale, Suffolk County Clerk
310 Center Drive, Riverhead, NY 11901
www.suffolkcountyny.gov/clerk
g I Suffolk County Recordi
Consideration Amount $
CPF Tax Due $
Improved V
Vacant Land
TD ID
TD
TD
Title #
m & Endorsement Paye
This page forms part of the attached 7bee6 made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of
In the VILLAGE
or HAMLET of
BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12.01N.Joioskk ....-....-
(over)
— Quitclaim Deed— Individual or Corporation (single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, made the 1 day of February in the year 2016 COURTESY
t,ECORAING
BETWEEN
Nicolette Klein
1075 Pelhamdale Avenue
Pelham Manor, NY 10803
party of the first part, and Nickel Associates, Inc.
1075 Pelhamdale Avenue, Pelham Manor, NY 10803
party of the second part,
WITNESSETH, that the party of the first part, in consideration of #Jd•upaid by the party of the second part, does
hereby remise, release and quitclaim 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 the
See legal description attached hereto and made a part hereof
Being and intended to be the same premises granted to the grantor herein by deed dated 1/27/2012 and recorded
04/17/2012 in the Office of the Clerk of Suffolk County at Liber D00012690 Page 756
TOGETHER with all right, title and interest, if any, of the party of the first part of, 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 patty of the first part, in compliance with Section 13 of the Lien Law, covenants that the parry of
the first part will receive the consideration for this conveyance and will hold the right to receive such con-
sideration 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 parry of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF;
Nicolette Klein
Judicial Research Corp.
800 Westchester Ave., Suite S-340
Rye Brook, NY 10573
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York, County of Westchester, ss:
On the I day of February in the year 2016, before me, the
undersigned, personally appeared Nicolette Klein
, 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 hi V/tlheia ty(ies), and that
by his/her/their signora o e dividual(s), or
the person upon behalf f i h ited, executed the
instrument.
OL APUNO
Notary Public. State of New York
No- 02FIS021975
Qualified in Westchester CountyQ
ACKNOWLEDGENV'dlhETHMBHHSVIUBI44 SS 1
TAKEN IN NEW YORK STATE
State of New York, County of , ss:
On the day of in the year before me, the
undersigned, a Notary Public in and for said State, personally
appeared , the
subscribing witness to the foregoing instrument, with whom 1 am
personally acquainted, who, being by me duly sworn, did depose and
say that he/shelihey reside(s) in
(if the place of residence is in a city, include the street and street number if any, thereof):
that he/she/they know(s)
to be the individual described in and who executed the foregoing
instrument; that said subscribing witness was present and saw said
execute the same; and that said witness at the same time subscribed
his/her/their name(s) as a witness thereto
Title No.
Quitclaim Deed
TO
DISTRIBUTED BY
YOUR TITLE EXPERTS
The Judicial Title Insurance Agency LLC
800 -281 -TITLE (84851 FAX: 800 -FAX -9396
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York, 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 histher/their signature(s) on the instrument, the individual(s), or
the person upon behalf of which the individual(s) acted, executed the
instrument.
C1-T1
ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK
STATE
*State of , County of , ss:
'(Or insert District of Columbia, Territory, Possession or Foreign
County)
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 he 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), that by his/her/their
signature(s) on the instrument, the individual(s) or the person upon
behalfofwhich the individual(s) acted, executed the instrument, and
that such individual make such appearance before the undersigned in
the
(add the city or political subdivision and the state or country or other
place the acknowledgement was taken).
�t5�rtv�— ►Ove
SECTION: 031.00
BLOCK: 04.00
LOT: 014.000
COUNTY OR TOWN: Suffolk
RETURN BY MAIL TO:
Nicole A. Filannino
Filannino and Tiangeo, LLP
274 White Plains Road, Ste I
Eastchester, NY 10709
Schedule A Description
ALL that certain plot, piece or parcel of land, with the buildings and improvements
thereon erected, situate, lying and being at East Marion, town of Southold, County of
Suffolk and State of New York, bounded and described as follows;
BEGINNIGN at a point on the northerly line of the Main Road marking the southwesterly
corner of land of Schaefer;
RUNNING THE along the northerly line of the Main Road south 79 degrees 04
minutes 10 seconds west 76.46 feet to a point and the southeasterly corner of land of
Poole;
THENCE along the easterly line of said land of Poole, north 12 degrees 41 minutes 30
seconds west 159.45 feet to a post;
THENCE north 78 degrees 47 minutes 20 seconds east 77.0 feet;
THENCE south 12 degrees 29 minutes 50 seconds east 159.80 feet to the point or place
of BEGINNING.
)K COUNTY USE ONLY
C1. SMS Code I .1 ,Z ,,R 18 19
C2. Date Bead Recorded I G 3f 1(h Z RV
I 6�
�a1a� °" Two ►�g v
CS. Book I r, �-, , 7,'D I C4. Page I I I r I I
PROPERTY INFORMATION
1•P -Party 10475 Main Road
Location
• BfREET NIabER • eIREET NAME
Now York State Department of
Taxation and Finance
Office of Real Property Tax Services
RP- 5217 -PDF
Real Property Transfer Report (8110)
Southold 11939
• GTYOR TOuar VILLAGE • BPCOOE
2. Buyer Nickel Associates Inc
Name
• WTD FlRSTNALE
WT NAMIMCONPANY FIRST NAME
3. Tax Indicate where future Tax Bells are to be sent
Bllling If other than buyer address(oi bottom or form) tAST NANECONPm r neer Nene
Address
eTREETMUMATONANE
CITY OR TOM
4. Indicate The number of Assaasment1 ❑ Part of a Parcel (Only If Part of a Parcel) Check m they apply:
Roil percale transferred on the dead a of parcels OR
4A. Planning Board with Subdivision Authority Exists
6. Dead X OR 0.00 4B. Subdivision Approval was Required for Transfer
Property •FRONTFEET •OEIM 'ACRES
Size
4C. Pastel Approved for Subdivision with slap Provided
Klein
6. Seiler .L„mrN Aw
Name
WT NALEIOOMPAW
Nicolette
FIRST NAME
FIRST Nj4NE
STATE We=
'7. select the description which most accurately doscdbos the
Check the boxes below as they apply:
use of the property at the time of sale:
S. Ownership Type is Condominium
13
B. 2 or 3 Family Rcsidential
9. Now construction on a Vacant Land
❑
10A. Property Located within an Agnculbaral District
108. Buyer received a disclosure notice indicating that In properly Is in an
13Agricultural
District
SALE INFORMATIOn
16.
Check one or more of than conditions as applicable to transfer.
A. Sale Between Relatives or Former Relatives
11. Sato Contract OEM 01/28/2016
B. Sale between Rabled Companies or PaMem in Business.
C. One of the Buyers is also a Seller
• 02/01/2016
D. Buyer or Seller is Government Agency or Lending Instibdion
11 onto of SoioiT1 a ssfor
E. Deed Type not Nhrrranty or Bargain and Sale (Specify Below)
F. Sale of Fractional or Leas than Fee Interest (Specify Below)
117. Full Sale Price 0 .00
G. Significant Charge in Property Between Taxable Status and Sale Dales
H. Sale of Business is Induded in Sale Price
( Fug Sale Price is the total amount paid for the property Including personal property.
I Other Unusual FwMm Afiecltng Sale Price (Spedy Below)
This payment may be in the form of cash. other property or goods. or the assumption of
J. None
mortgages or other obtlgalicr s) Phrase round to the nearest whose doer amount
Com ent(s) on Condition:
14. Indicate the value of perional
property Included In the sale •00 N/C Quitclaim Deeri
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roil from which Informsllon taken(YY) '15 '17. Total Amassed Value 1 L i00
•16. Property, Class 210 _ •19. School District Name southold
�i .20. Tax atop Identifler(alistoll Idendllbr(s) (if mom Ben four. attach sheet With additional Iden lfierta))
031.00-04.00-014.000
CERTIFICATION
1 Certfy that all of the Items of Information entered on this form are true and correct (to the best of my knowledge and beflon and I understand that the making of any willful
false statement of mstedal feet heroin subject me to theprav191ensJltthlgenaLlow.relative to the making and filing of blse Instruments.
3Ft 1 ER.BJSxNATUBE BUYER CONTAMNEORMATION
(Einar Worcs sen lor as b4sr. Nets. Shires is LLC.society. Summon, oepaS lorA pIt stock company. state a
w
ary Md
the a nor an Iadt Seem orfduraaa ne y. men mine aease imamrion of an rrdlNkae
ro lhspaaab
pamyw�wwwgAnc e.sochg to tram must be Entered Typeorpenelarty,)
SELLERSIarllaraa: DATE
BUYER8I0NATURE
iL&z�
atrrER soxATURE DATE
Filannino Nicole A
• Wi NM! FIRST NAME
(914)
%me=
725-9604
•IHFplara MAMR IFx wrral
274 White Plains Road Ste 1
•STREET NUMBER •STREET NAILS
Eastchester NY 10709
cm DAT TGYIn VIA= 'aW CODE
@UYER.8 ALLQRNEY
WT MALE FfW NwE
w1FACON -
TILEFHW ULUM tF. womest