HomeMy WebLinkAboutL 12861 P 497 MEMEMMEMMEMMEMMEMMEMMEM
Illifil VIII 1111111111 VIII DII 1 I I
111110111111111 11111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 04/21/2016
Number of Pages : 5 At: 02:45:34 PM
Receipt Number : 16-0062101
TRANSFER TAX NUMBER: 15-26491 LIBER: D00012861
PAGE : 497
District: Section: Block: Lot:
1000 078.00 03.00 064 .000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 .00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $25.00 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 $400.00
TRANSFER TAX NUMBER: 15-26491
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 2
RECORDED
Number of pages 5 2016 Apr 21 02:45:34 PM
JUDITH A. PASCALE
CLERK OF
SUFFOLK COIJHTV
This document will be public L 000012861
record. Please remove all P 497
Social Security Numbers DT# 15-25491
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee 5 Mortgage Amt.
1.Basic Tax
Handling 20. 00 2. Additional Tax
TP 584 SubTotal
Spec./Assit.
Notation
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
or;,,= Dual Town Dual County
R.P.T.S.A. � �` �J' Held forAppointment
0Comm.of Ed. 5. 00 S Transfer Tax
C�^'
Affidavit • AP"'; •r Mansion Tax
,tv�,
The property covered by this mortgage is
CertifiedCopy " or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other I'
Grand Total liOD — If NO, see appropriate tax clause on
p page if of this instrument.
4 I Dist.(c 160084911000 07800 0300 064000 C)6 5 Community Preservation Fund
Real Agency z2 AtIIIIjjIJIIJfjIIIIII1101111 III Oil11/11/ CPFTax DueSAmount
Tax Service R CWHR-1 4
Verification
/ p Improved
6 Satisfactions/Discharg RECORD&RETURN TO y Owners Mailing Address
Vacant Land
619tPt 1—r, XAC'v—t66— CT.{t1l`o�+r TD
5 ± Wolio SS'a 41-vwe't
TD
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((BIZ(
Mail to:Judith A.Pascale,Suffolk County Clerk7 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 ��-2-Pc( made
by: (SPECIFY TYPE OF INSTRUMENT)
Ro(e).eel. 0106- `4+ R0W- I v„- The premises herein is situated in
C Acv v d'Aolnv a1'cta, Ph..,oly--Ph GI Wick SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of --CC u 441
1 Ci
of A:Co -e 1M o(nv 6t-5 11,* In In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
DEED
Consult your lawyer before signing this instrument. This instrument should be used by lawyers only.
THIS INDENTURE, made the 18th day of January, two thousand and sixteen,
BETWEEN
Robert Mohr, a/k/a Robert T. Mohr and Andrea Mohr, a/k/a Andrea G. Mohr, 545 Wabasso
Street, Southold,New York 11971,
party of the first part,
and
Nicole Mohr, 545 Wabasso Street, Southold, New York 11971, as Trustee of The Mohr Family
Irrevocable Trust,dated 1118116,
party of the second part,
WITNESSETH, that the party of the first part, in consideration of ten dollars and no/100
($10.00), lawful money of the United States, to them paid by the party of the second part, does
hereby grant and release unto the party of the second part, the heirs, successors or assigns of the
party of the second part forever,
ALL that certain lot, piece or parcel of land together with the buildings and improvements
located and to be erected thereon, situate, lying and being at Laughing Water, in the Town of
Southold, County of Suffolk and State of New York, more particularly bounded and described as
follows:
See Schedule A annexed.
BEING the same premises conveyed by Edna Antonison, Arthur Schilling and Jeanne K.
Schilling, Grantor, to Robert Mohr and Andrea Mohr, Grantee, by Deed dated October 29, 1999
and recorded in the Suffolk County Clerk's Office on January 11, 2000 in Liber 12013 of Deeds
at page 4.
SUBJECT to covenants,conditions, restrictions and rights of way of record, if any.
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,
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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" 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.
Robert ► + bertJT. Mohr
moi
Brea Mohr, . a Andrea G. Mohr
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STATE OF NEW YORK )
)ss:
COUNTY OF SUFFOLK )
On the 18th day of January, 2016, before me, the undersigned, personally appeared
Robert Mohr, a/k/a Robert T. Mohr and Andrea Mohr, a/k/a Andrea G. Mohr, 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 hat they executed the same in
their capacities, and that by their signatures on the instrument s- individuals, or the person upon
behalf of which the individuals acted,executed the inst r -nt.
Zillear
of• - '�,; , - A MANASERI
(Public,,State of New Zbrtc
No 02MA6311347
Qualified in Suffolk County
/ �. ion Expires September la.2018
Record and r- - by mail to:
Robert T. and Andrea G. Mohr
545 Wabasso Street
Southold, New York 11971
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Schedule"A"
BEGINNING at a point on the easterly side of Wabasso Street, 339.00 feet southerly from a
point formed by the intersection of the southerly line of Hiawatha Path and the easterly line of
Wabasso Street;
RUNNING THENCE along the easterly line of Wabasso Street, South 5° 45' West, 112.00 feet
to land now or formerly of C.H. Wickman;
THENCE along said land now or formerly of Wickman,North 8° 21' East, 137.00 feet;
THENCE North 8°47' West, 113.00 feet to a point which is North 84° 21' East, 130.00 feet;
THENCE South 8°21' West, 130.00 feet to the point or place of BEGINNING.
INSTRUCTIONS(RP-5217-PDF-INS):www.arps.state.ny.us
FOR COUNTY USE ONLYg,7,,...51 �/ New York State Department of
c1:swis Cede g, /% Taxation and Finance
02.Date Deed Recorded I 02j//(� l Office of Real Property Tax Services
'/ P / ryLr9 RP-5217-PDF
C3.Book Y t.O r 6, 4C4.Page I /' �' 7, r � Reel Property Transfer Report 18110)
PROPERTY INFORMATION I
1.Propery 630 Wabasso Street
Loced n
•nTRCEi NURSER •STREET NL,
Southold 11971
•Car OR low. NR AGE •EPCCCE
2.Brye Mohr, as Trustee Nicole
Name
•IAEi NAre.4coeANr 'RET PARE
LAST NARCOWsly` NWT/WOE
3.Tax induces where Mum Tax gle are tobs sat Mohr Robert T. and Andrea G.
Minn d other than buyer addresyat bottom of forte) ;As,RwFxouPwn FRET NYE
Address
545 Wabasso Street Southold NY 11971
SKEET maaER MC NNE ST'OR MEM STATE LP COM
4.Indicate the number of Assessment , ❑p„,,:„„perm, (Dry If Part of as they Parcell Check apply:
Roll parcels transferred on the e d OR
OR 4A.Pluming Board with Subnmaion Authority Exlos El
5 Deed X OR 0.31
Properly •MSC FEET 4&Subdivision Approval was Rewired for Transfer'arPTN •ACRES
Sties
4C.Parcel Approved for Subdnisian with Map Provided ❑
Mohr Robert, a/k/a Robert T.
6.Beller •LAW NWEFOIPPN1 FRBTNWE
Name Mohr Andrea, a/k/a Andrea G.
STNECICCEPARy HIST WIPEM
•7.Select the description which most accurately describes the Check the boxes below as they appy
nue of the properly at the time of sale: a.Ownership Type is Condominium ❑
A.One Family Residential 6.New Construction on a Vacant Lard ❑
10A.Propmry Located within an Agricultural Dierid ❑
10B.Buyer received a disclosure notice indicating that the popery is in an ❑
Agricultural District
ISALE INFORMATION' IL Check ane or mare of thee.condItion.an applicable to Irenefer
B A.Sale Between Relatives or Farmer Relatives
11.We Contract Date __ B.Sale between Rehired Companies or Partnere In Budnesa.
C.One of the Buyers is also a Sager
•12.Date of SaldTraesfer 01/18/2016 -D.Buyer or Saner Is Goverment Agency or lancing Ineniuhon
_E.Dead Type not Warranty or Bargain and Sale(Specify Below)
_ F.Sale d r Fractional or Lethan Fee Interest(Specify Babe)
93.Full Sate Price 0.00 _ G.Significant Change in Properly Between Taxable Stake and Sale Dates
_ H.Sale of Business Is Included in Sale Price
(Ful Sale Pace is the total amount paid for the property including personal property. I.Other Unusual Factors Meeting Sala Pace(Specify Below)
This payment map be in the tam of cash.other popsy or gods,or the wumplion of
mimes or other obligations)Prean round to the newest winds dollar ernarrd. _ J.Nana
mimes
Common s)on Candltion:
14.Ildlcee tie value ofpersonal ft
property Included a
Included the sale .00 Transfer of real property into trust
I ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I
16.Yew of Assessment Roll from which Information tskenlYY) 15 97.Todd Assessed Value 4,700
•16.Properly Clue 2.10 _ 91 School ornletSimi Southold
�J l0.Tax Map IderMMllspRoll Identified')(11 more than four,attach sheet with Malarial Idlntlllerle))
166"78.-3-64
!CERTIFICATION I
I Certify that mime.tie leers of Information entered on this form are tine and correct(to the best of dry knowledge and beef)and I understand that the making of any willful
lase statement of material feet herein sabiaat me to the prvie one of IM.peml.law relatpe to the making and(ging of false instruments.
SELLER SIGNATURE BUYER CONTACT INFORMATION
(Enter inlwm enn for ha dryer.raw h tiger a=satiety.aamdabm.cervi n.lwa soot ramprb male or
�
.� ssallysally1 t e not enlndvdnal @pel torModry.hen a nems and contact nfonnamn of en rndNliaYneporabb
7Ja.4x L y(� I ,6�/ ff/ pot/wno cm anew chose
ens nerNNWere me NNW srure be entered.Type pshay)
SELLER SIGNATURE TE
DINER SIGNATURE Mohr, as Trustee Nicole
•LAST NAME F RUINER
/tt
ii// d1A ill !(631) 765-2572
f •AREA COOP -TELEPHONE NUMBER IF.MEM
BUYER ehraruaeTc
545 Wabasso Street
•STREET NUIEER •E'REE'WE
I I }11 .11�'1 L fl 11 } Southold NY 11971
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