HomeMy WebLinkAboutL 12863 P 831 1011111111 IIIII IIIII 01110111110111111 VIII 1101II1
I I I I I I I I I I I I I I I I I HI I I 1
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 05/09/2016
Number of Pages: 3 At: 04 : 02 :24 PM
Receipt Number : 16-0072213
TRANSFER TAX NUMBER: 15-28171 LIBER: D00012863
PAGE : 831
District: Section: Block: Lot:
1000 145.00 02 . 00 001 .005
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $450, 500.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $15 . 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 $1,802 .00 NO Comm.Pres $6,010.00 NO
Fees Paid $8,202.00
TRANSFER TAX NUMBER: 15-28171
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
•
nn
Number of pages RECORDED
2016 Hay 09 04:02:24 PM .
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L 000012863
Social Security Numbers P 831
prior to recording. DT# 15-28171
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording I Filing Stamps
3 FEES
Page/Filing Fee 15 - g Mortgage Amt.
1. Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 5— Sub Total
Notation Spec./Assit.
/f or
EA-52 17(County) 6= Sub Total -]5' Spec./Add. •
EA-5217(State) 1 9- _ TOT.MTG.TAX
F� C0QI •, Dual Town Dual County
R.P.T.S.A. O(� , "�'?l Held for Appointment
Comm.of Ed. 5. 00T, %gQ,
� Transfer TaxAffidavit I : Ø-
Mansion Tax _
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 �7jJ L family dwelling only.
Sub Total ✓`[ 5 "
YES or NO
Other
Grand Total .40 If NO,see appropriate tax clause on
9,0176
page II of this instrument.
(-1-•t8-16
4 Dist.i, 16012247 1000 14500 0200 001005 1,.5- 5 Community Preservation Fund
RTaxl Servi a R -DA R 1 1LIIIII1II1IIlIII1Ii1lI1
1IWIILift Consideration Amount$ T ,SOD
—
Agency 61-;Tax Due $400—
Verification - -
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
�-7� RECORD&RETURN TO: Vacant Land
�I . Key;10 irlaAuSI11:0, ES° TD
p, O. Bok lalo . TD
Sauc
o( , /N' 119-71 TD
1"-T-9 Co 603
Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name FIDELITY NATIONAL TITLE
www.suffolkcountyny.gov/clerk Title 11 15- 7, oy- /0009 �S
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached ..e..,2_LQ made by:
(SPECIFY TYPE OF INSTRUMENT)
�f
T'di, /Yf• ,.f f'e,- 4
, 4Uoc. b/�%J'L, S 7- The premises herein is situated in.
SUFFOLK COUNTY,NEW-YORK.
TO/// In the TOWN of SL-
OTko( ,Q
2..c., ., A. A/407-er-A- - In the VILLAGE r
•
or HAMLET of L--AL.r-e. t
BOXES 6 THRU 8 MUST BE TYPED 012 PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12.OL0l.,10/pekk
(over
F1+5 laoo9$
NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the /11 day of April,in the year 2016
BETWEEN
John C.Diller and Holly M.Diller as Trustees of the Holly M.Diller Revocable Trust dated 02/132013,
both residing at 26140 Hickory Blvd. #602,Bonita Springs,Florida 34134
party of the first part,and
Lucy.Kozera,residing at 7 Sidehill Lane,Yonkers,New York 10710
A•
party of the second part,
WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other 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,Actual consideration is four hundred fifty thousand five hundred
(5450,500)dollars.
ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and
being in the Town of Southold at Laurel,County of Suffolk,State of New York,which property is bounded and
described as follows:
BEGINNING at a point where the southeasterly side of Peconic Bay Boulevard is intersected by the division line
between premises to be described herein and lands now or formerly of McNulty,which point of Beginning is distant
210.32 feet northeast of the intersection of the southeasterly side of Peconic Bay Boulevard and the northeast side of
Laurel Lane;
THENCE RUNNING along the southerly side of Peconic Bay Boulevard North 55 degrees 56 minutes 00 seconds
East,89.63 feet;
THENCE South 19 degrees 00 minutes 00 seconds East,200.00 feet to land now or formerly of Kozera;
THENCE South 55 degrees 56 minutes 00 seconds West along land now or formerly of Kozera,74.42 feet;
THENCE South 18 degrees 54 minutes 30 seconds East,still along land now or formerly of Kozera,225.33 feet to the
Vea'highway water mark of Peconic Bay;
THENCE South 63 degrees 08 minutes 35 seconds West along the mean high water mark of Peconic Bay 15.15 feet to
land now or formerly of McNulty;
THENCE North 18 degrees 54 minutes 30 seconds West along said land now or formerly of McNulty 423.45 feet to the
southeasterly side of Peconic Bay Blvd'and the point or place of BEGINNING.
BEING and intended to be the same premises as conveyed by Deed dated 10-26-2013 and recorded 11-21-2013 at Liber
12753 page 439.
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 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:
4r./. 11u�r Revocable Trust,by
J s C.Diller,Tzustee
Holly M.Diller,Trustee
USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLI': USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLY::
State of New York,County of Suffolk}ss.: State of New York,County of }ss.:
On the 68"day of April in the year 2016 On the day of in the year
before me, the undersigned, personally appeared John C. Diller, before me,the undersigned,personally appeared ,personally
personally known to me or proved to me on the basis of satisfactory known to me or proved to me on the basis of satisfactory evidence to
evidence to be the individual(s)whose name(s)is(are)subscribed to be the individual(s)whose name(s)is(are)subscribed to the within
the within instrument and acknowledged to me that he/she/they instrument and acknowledged to me that he/she/they executed the
executed the same in his/her/their capacity(ies), and that by same in his/her/their capacity(ies), and that by his/her/their
his/her/their signature(s)on the instrument,the individual(s),or the signature(s)on the instrument,the individual(s),or the person upon
person upon behalf of which the individual(s)acted,executed the behalf of which the individual(s)acted,executed the instrument.
instrument.
ROBERT DEFRESE
Notary Public State of New York
No.01DE5035117,SuNotk County
Commission Expires October 24,2015 ACKNOWLEDGMENTFORM FORUSEOUTSIDENEWYORK STATEONL Y:
ACKNOWLEDGMENTFORM FOR USEWITHINNEWYORK STATEONLY: (Out of State or Foreign General Acknowledgment Certificate)/
(New York Subscribing Witness Acknowledgment Ceriifrmte) State of Fler'ido,Count o(&isles see;Ccbrvior E7fd N }as.:
State of New York,County of I as.: (Complete Ve a with State.Country.Province or Munici lity)
On the day of in the year On the (today of April in the year 2016
before me,the undersigned,personally appeared before me,the undersigned,personally appeared Holly M.Diller,
the subscribing witness to the foregoing instrument,with whom 1 am personally known to me or proved to me on the basis of satisfactory
personally acquainted,who,being by me duly sworn,did depose and evidence to be the individual(s)whose name(s)is(are)subscribed to
say that he/she/they reside(s)in 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
(if the place of residence is in a city,include the street and street number,if signature(s)on the instrument,the individual(s),or the person upon
any,thereon;that he/she/they know(s)to be the individual described behalf of which the individual(s)acted, IV ' trument.
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 ySPF
his/her/their name(s)as a witness thereto. n.441
.4 1 CO CO
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BARGAIN&SALE DEED
WITH COVENANTS AGAINST GRANTOR'S ACTS
DISTRICT
TITLE NO. SECTION
John C,Diller and Holly M.Diller,Trustees BLOCK
LOT
COUNT(OR TOWN
TO
Lucy Kozera
RECORDED AT REQUEST OF
Fidelity National Title Insurance Company
RETURN BY MAIL TO
FIDELITY NATIONAL TITLE
INSURANCE COMPANY
(�j f Wcoariourm1928
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�14.4owerii4de Fidelity. .✓'
Member New PoritScutaradrrleAssociation
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INSTRUCTIONS(RP-5217-PDF-INS):www.oips.state.ny.ua
FOR COUI(tY USE ONLYNew York State Department of
.61.sips cock. l 75.S' I/ Taxation and Finance
•C2.Dam Deed Recorded I ....4...../ / ./t� I Office of Real Properly Tax Services
/n�p� ' ay rig RP-5217-PDF
C3.Book I /,p(,p,4913i C4 Peps I 2'1/, . I Real Property Transfer Report(5!100
PROPERTY INFORMATION I
1.Pmpery 240 Great Peconic Bay Blvd
Location
•IT1EET NUMBER •STREET te11E
Southold Laurel 11948
•CITY ORTOrer VILLAGE •EV WOE
2.RPM Kozera Lucy A•
Noma •LAST NPASCOMPANT rem NNE
LL1al NNiC01NSY Flaw NNE
3.Tie Indicate wham haze Ta Bille are to be esti
Blain- if other then buyer address(at bottom of form) .......... MST NNIS
Address
MEET NWeSAPC TWA CMOS TONS STATE roam
s.Indicate the number of Aeeaawnwd 1 0 d Peceb Oft ❑Pert d a Parcel (Only H Part of a Parcel)Check as they apply:
Roll parcels Immolated on the deed 4A.Planning Board with Subdvidon Authority Ends El
S.Deed X OR 0.4 8 4B.Suhdiviaion Approval was Required to Transfer 0
Pmpet •FRONT FEET •OEPIH •ACES
Slay 4C.Paled Approved for Subdivision with Map Provided 0
Diller John C., as Trustee
IL Seller •TMST rwFoeaNxY SIMIAN&
Name Diller. Holly M., as Trustee
WT NUEiCChevwY Fear esu
•T.Select t a description which most aceurahy describes the Chick the hoar below on they apply:
use of the properly at the Mee of ads: S.Ownership Type h Condomnium 0
A.One Family Residential S.New Constriction one vacant Land ❑
10A.Properly Located within an Aerindural Diable ❑
tOB.Buyer received a diedeeure raise indicating lhet the property is in an ❑
Agrkxaurei Dlatlhd
!SALE INFORMATION' le.Cheek ono ormore ofdime conditions sapplicable mtransfer:
—A.Sate Between Relatives or Former Relatives
ft Sala Contract Date 11/19/2015 B.Sale between Related Companies or Partners in Business.
C.One dere Buyers is'bp a Seller
•12.Date of SelalTransfer 04/18/2016 — D.Buyer or Seller is Gomnanar Agency or Lending Inettion
_E.Deed Type not Warmth or Bwgdn and Sate(Spedy Below)
_ F.Sate d Frwriomd or Lees than Fee Interest(Speedy Below)
c n 0n 0 .r,. G. moat in Property Between Taable Statue and Sale Dates
•f3.Full Sale Pries NSO,St33a7 w^+-�•°gin, _ Significant Change
_ H.Side d Business heIncludedInad In Sete Price
(Fell Sale Pira re the total amount paid for the moray Including personal property. I.Other Unusual Factors Affecting Sate Price(Specify Below)
This paymere met be in the folio d cash.other pmpeuy or goods•or the assumption of E. y None
modeles or other obligations.)Please mesad to the neared whir dolerwnoun
'Cammndp)on Condmon:
14.Indicate the value of personal 0 MO
Included In the sale
!ASSESSMENT INFORMATION-Data should reflect the latest Final Aasesamenl Roll and Tax Bill I
10.Year of Assessment Roll from Mach Information teken(YY) 16 •1T.Total Assessed Wu* 5,200
'IL PropityClass 210 _ 0 *19.School D4UktNene Mattituck/Cutchogue
'20.Tex Map IdentllbepyRoll Identified.)(f more then tow,attach sheet with additional IdentMeds))
1000-145.00-02.00-001.005
'CERTIFICATION'
I Codify that dl of the aces of Information steered an thb conn ale loan and comet(to the best of my knowledge and belief)and I understood mat the making of any willful
false determent or atedal yet buteln subject nes tothe ems ofty.Pafatlew relative to the meting and ming of odes habulhenb.
SELLER SIGNATURE BUYER CONTACT INFORMATION
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