HomeMy WebLinkAboutL 12868 P 395 �IIl l II I I III II�II I�III I�I�I�If�l Il�il IlII�II I I I IIII II I I
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 06/17/2016
Number of Pages: 4 . At: 03 : 33:31 PM
Receipt Number : 16-0093555
TRANSFER TAX NUN�ER: 15-31700 LIBER: D00012868
PAGE : 395
Da.s�rict: Section: Block: Lot:
3000 070 .00 08 .00 015. 000
EX�MINED AND CHARGED AS FOLLOWS
Deed Amount: $0. 00
Received the Following Fees For Abave 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.OQ NO
TP-584 $5 .00 NO Notation $0.00 NO
Cert.Copies $0 . 00 NO RPT $200.00 NO
Transfer tax $0 . 00 NQ Comm.Pres $0.00 NO
Fees Paid $395.00
TRANSFER TAX NUI�IDER: 15-31700
THIS PAGE IS A P.ART �F THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
. ,
' 1❑❑�
REi:rJkGED
Number of pages � �OIE .Jun 17 03:33:31 FM
JUL�ITH H. PRSCRLE
CLERI� OF
This document will be public SUFFfjLY l'.QLENTV
record.Please remove all L Di]0012s6E
F 3g5
Social Security Numbers DT# 15-3170U
prior to recording.
Deed/MoRgage Instrument Deed/Mortgage Tax Stamp Retording/Filing Stamps
3 FEES
Page/Filing Fee � ]_f Mortgage Amt.
�'1
1.Bdsit Tdx
Handling 20. 00 2, Additional Tax
TP-584 ��' Sub Total
Notation _ SpeC./Assit.
or
EA-52 17(County)�= Sub Total�_ Spec./Add.
EA-5217(State) =
TOT,MTG.TAX
� Dual Town Dual County _
R.P.T.S.A. �� Held for Appointment
Comm.of Ed. 5. 00 � Transfer Tax �
Affidavit �� � MansionTax
Certified COpy _ ���� The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 60 � family dwelling only.
— Sub Total YES or NO
Other � � �
Grand7otal �� If N0, see appropriate tax clause on
p # ofthisinstr men
2l0
4 Dist 160t6799 Z000 o�000 oeoo o�s000 I5.000 5 tommunity Preservation Fund
RealPro� �AS� I�f��l�����lmll�l��l� CPF TaxrDue �osnt$
Tax Servi� R �� Illl W
Agenc� �p�UN-1 �
Verificati
_ Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address '
RECORD&RETURN T0: Vacant Land
T��
Futterman&Lanza,LLP
222 East Main Street--Suite 314 Tfl
Smithtown,NY I 1787 TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name ��1i �(7r� �
www.suffolkcountyny.gov/clerk Title# �j��
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFYTYPE OF INSTRUMENn
John Lacev&Edith Lacev The premfses herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
John Lacev In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTEQ IN BLACK INK ONLY PRIOR TO RECORDING OR FIIING.
. over
�I
. , , .. �S�l�3�1�-
BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS(INDIVIDUAL OR CORPORATIOI�
FORM 8002(short version),FORM 8007(long version)
CAUTION:TH[S AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
PURCHASER BEFORE SIGNMG.
THIS INDENTURE,made the 2b�'day of February,2016
BETWEENJohn Lacey and Edith Lacey,husband and wife,of 440 Pine Neck Road,Southold,Idew
York 11971,
party of the first part,and
John Lacey,of 440 Pine Neck Road,Southold,New York 11971,
party of the second part;
WITNESSETH,that the party of the first part,in consideration of Ten Dollars and No Cents
($10.00),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 paet,the heirs or successors and assigns of the party of the second part
forever; �
ALL that certain plot,piece or parcel of�and,with the buildings and improvements thereon erected,
situate,lying and being in the
See nttnched Scl�edule A.
B�INC and intended to be the same premises conveyed to the party of the first part by deed dated
February 19,2004 and recorded in the Office of the Suffolk County Clerk on March 5,2004 in Liber
12305 Page 312.
TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets
and roads abutting ihe above described premises to the center lines thereof,
TOGETHER with the appurtenances and all the estate and rights of the party of tf�e first part in and to
said premises,
TO HAVE RND 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.
ANA 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 wiil 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�arry of the first part has duly executed this deed the day and year
first above written.
IN PRESENCE OF:
J acey
� �
Edith Lacey
NYSBA's Residential Real Estate Forms(9/00) �2005 Matthew Bender&Co.,a member of the LexisNexis Group.
Acknowledgment by a Person Within New York State(RPL§309-a)
STATE OF NEW YORK )
)ss,:
COUNTY OF SUFFOLK )
On the 26'�day of February in[he year 2016,before me,the undersigned,personally appeared
,iohn Lacey and Edith Lacey,personally known to me or proved to me on the basis of satisfactory
evidence to be the individual(s)whose nar�e(s)is(are}subscribed Eo the within instrument and
acknowledged to me that they executed the same i�their capacity(ies),and that by their signature(s}on
the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the
t.
(sign �ce o individu taking lcnowledgment)
���p s �Lq Section: 070.00
Notary,Public,State of NewYork Block; OS.00
Re9���'O^#����� Lots: 015.000
Ouaffied in Suffolk Courriy
Ownmission Expires October 14,20 County: Suffolk
Premises: 440 Pine Neck Road
Southold,New York
Return by Mail to:
Futterman&Lanza,LLP
222 East Mai�Street,Suite 314
Smithtown,NY 11787
NYSBA's Residen[ial Real Eslale Forms(9l00) �2005 Matthew Bender&Co.,a member of the LexisNexis Group.
-z-
SCHEDULE A
ALL t�tat ce�tain plot.piere or paml oF land.with the bu��dings and impnn�rtinc�nt�ti�rm�
c�ct�d,siiwuc.lying snd bcing in thr Town aFSoutiwld,Counry af Su#�olk and Smtc of New
York,tun�nd�1 nnd deserilxd�x fnf Inws: .
BEGINNINGnt a momm�rnt on the aoudrerly 19ne o�PinC N�k ltoQd l03.p5 tert wes�rly .
along said sauthcrly line from Gardincr's l.ane.said poittt af btginr�ing being the narthwrs4erly
�nmer of land�aw or Cannrrly af Wnstcm; �
RllNNING TNBNCE along�id�d noav or focmeriy o�We�an Sou�h f 4 degroe�32 �
min�trs 20 s�eds�West,a dist�u�r ut'l50.35 frc�t to a n�onu��t and land nuw ar fcrrirnvly ol'
Mhur W Ei�ack;
RUNIVING THE11►C��loag said tand now or for�tcr��r af Arthur W.Black.Narth 71 degrea �
34 minates�10 s�rands West a dista�tcc af 100.OQ tcct w lond now or farincrly oFSt�nlccwirc;
RUNNINC T1I�NCE alo�said lxnd m�w or formerly nf 5tankrwi�;�,\rnnh 14 d��s�s 32
minutrs?0 srcvnds Cegt g di�tuncr of I 3035 i'rrt�a a munumcnt on suid�outhrrl�r li�r af�'iss
Neck Rr�ad;
RUNNlNG THENCE alon�said soutfierly ii�e South 7 E de�ers 34 minutes 40 srccmd�l:�t
s dista�cc of]Oa.�O fcc!to tlec poiat or placc of gEGIN�1NG.
' ' INSTRUCTIONS(RP-5217•PDF-IN5):www.orps.state.Mr.us
FOR COUNTY USE ONLY New York State DepaRrnent of
c,.s�nns c�a. � �� g � Taxation and Finance
C2.Da[o Deed Racordad D� r'� �[D Offce of Real Propeny Tax Servlces
(�./ 4 Oq' . YW RP-5217-PDF �
CS.Book p a(D C4.PaB• � � + �� � I Rasl Properly Trensfer RepoR(BHO)
PROPERTYINFORMATION
�•Propany qqp Pi�e �eck Road
Lx�tion
•c.neerraivaEn •ca�Tx�
Southold 11971
•em a+raw vu�ee •ar woe
s.euyar Lacey John '
Nems
•lAg7 h�yClCpypyN RPBf w1YE
W T NAYFlCpIPAW Mti XIY�
7.Tas ��,��ro Murc rax B�n�ora to bs wm
Bllllnp u ahsr tnan 6uyer aetlreaa�w Donom d rorml usi x�coxPw+r F+�*�
1laarass
B:PEETMAi@V+Dw�uE CiTYORTONM S:�iE =PCOOE
I.Indkats the numha ol As��ssmmt 1 �Part d o Pa�el (�^�If P�rl 01�P�mtll Chack n Ihoy aPp�y:
RWI vula tnnsforred on tha ds�d M d Paroels OR ❑
P 4A.Planrinp BOW�mlh Subdiviran Autha�ly Eao1s
S'� ?( �R �•34 49.SuhOirsion Approval was Requied lor Tmdx �
P�0�1� •FQOMFEET •pEyTH •�plEB
S� 4C.Parcel Approved la SubQh�ion rrnh Mep PrwlAetl �
Lacey John
6.Sslhr •uerwr�eow�xr fl98TAUWE
N°�"° Lacey Edith
IAST'N4ECO4Po�W FASThNIe
'7.Sakct ths deeerlptlon whkh most�aurataly daarlboa tho Chxk ths hosp hNow os thy�pply:
uw of tF�P��41�t tho tleno o�uN: 8.OwnenhiP Typs ia ContlomiNum �
.1.Onr.f=amiVy Rcaidcn�ial 9.Naw Conawdian on e Vawn Lantl �
70A.PmpsrlY����thm an AgriwMural Oistri�t �
tOB.Buyer reeaived a discloeura'whri Irdiulmp�hat Ne prapedy i�in an ❑
ApiiaYlural Diwlcl
SALE INFORMATION 10.Chack ono ormon olthe�s wndltlons a rppllcabkto ponster:
A.5ale Belween Rdetiva a Formsr Ralapves
77.8ala CoMnae W 4� B.Sab belxroen Rtlerotl Companlos or Pannae m Bumneaa.
C.Ona ol ths Buyen is alao a Seller
`7z.Dep of SddTnmtar �( D.Buyer ar Seller ie GarornmeM Agency a Gnding Ina�ilNion
E.Osed Typs nd Warremy w Barpeln and Sale(Spadfy Belox�
F.Sale o!Fractiwiel a Lsa Inan Fce Inlerca�(Speafy Bdow)
•77.Full SNa Prka �.UO G.Siprificant Chanpe in Propeny Be[ween TaimWa Sulus end Sale Dale�
M.Sals d Bupness ie Induded in Sels Prios
(Full Sde Prica la ths Wld amoum paid tor the propeny Indudinp pereond propMy. I.Olher Umisual Faclors Alfeeinp Sale Priea(Spsdly Bsloxr)
This payment may be in we rorm ot ceah,aMr propeny or goodti w the neumplm d J.None
monpapea a other ahhpaGons.)Pkase rourM M fhe neeroat whols Copu amaml
Comment�s)on CoodMlon:
7s.lndlea»tha ralw o1 pnsond 0,o0
o�wrd�ne�udw In m�w�•
ASSESSMENT 1NFORNIATION-Data should refled the latest Final Assessment Roll aatl Taz Bill
7B.Yxr o1 Aea���mant RWI hom whkh Infoematlon Iak�n�YYJ 15 •r►.Taai Au�+■w v■w. 5,8 68
•5!.Propuq Cl�x 210 _ _ •79.Sehool Dlatelel Mama SOU LhOld
'20.Tax AA�p WmIMsKspRoll IOOMIMrp)fH mon than lour,atlach aMot wlth�ddhlonal ks�nNisqs�)
1000-070.00-0@.00-015.000
CERTIFICATION
I GRIy thet all ol thr itoms o1l�ametlon anbnd on thts lam m trus and conact(ro the Mst of my kipxMdps�nd WIIsQ anA 1 unE�nWtl thn th�m�N6q o1�mr wlllful
(a4s afat�mmt of matoAV het heraln su6J�et m�ts tliayrovlslon*Qf,�h�_ppplW�!N.+e�+tlye b tha maklnp�nd HMp of falsa Inswms�.
BUYER CONTACT INFQ$�QZj
(Em�r IMmn�oon kr ms dryar.Nota.IlNryar u LLC.wuHy.�woa�'+m.m�paaGm.qim�bd�mmpemj.a+'r a
OIILIy CW 4 fi01�Il+ltlrv�il Y7lM 0�IIaRJYY,01011�NIIIO YM WINC�110RIY'01101 N N6NtlWNY0�LS1!
prry wno un pywr aueeucn■npntlYq me tr.n■hr nwa:e.ameraa.7yp�w pn�n cweY 1
BIi7L�TIpE
flUYER.$�GNATURE Lacey JOhn
� 'LASI 4hYE F RS:NIWh
'ME�LG]F. •:E�kN'U'E ti.lY9F��F.9sY➢iil�
SCh11�JIiE TE
440 Pine veck Road
'Bi5[ET NII40Ea 'eTREET MM[
�� ' � , Southold N� 11971
'Ci'rC�T7.K. •6'ATE •2PCOOE
BUYER�s aTrQRNEY.
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� .Alinw3 F08i+uVE
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{631; 975-4300
� �wu xaF r¢:enror.e wr�rn��.�manw�
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