HomeMy WebLinkAboutL 12876 P 77 I I I I I I l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l
I l l l l l l l l l l l l l l l l l l l l l l l l
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 08/18/2016
Number of Pages: 4 At: 04:22: 14 PM
Receipt Number : 16-0129390
TRANSFER TAX NUMBER: 16-02031 LIBER: D00012876
PAGE: 077
District: Section: Block: Lot:
1000 074 .00 03.00 020 .000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $305,000 .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 $0 .00 NO Comm.Pres $3,100 . 00 NO
Fees Paid $3,495. 00
TRANSFER TAX NUMBER: 16--02031
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
' ❑1 2❑
RECORDED
Number of pages 2016 Aug 18 04:22:14 PM
JUDITH R. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L Dp 07 5
P 01i
Social Security Numbers DT# 16-02031
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Tota I
Notation Spec./Assit.
or
EA-52 17(County) SubTotal Spec./Add.
EA-5217(State) TOT,MTG.TAX
Dual Town Dual County
R.P.T.S.A. o O
Held forAppointment
Comm.of Ed. 5. 00 °N Transfer Tax
Affidavit .nV'�, �. Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total If NO, see appropriate tax clause on
page# of this instrument.
-�- 15• Ic.
4 Dist.1( 16024444 1000 07400 0300 020000 a 5 Community Preservation Fund
Real Property p T Consideration Amount$ �S 000
Tax Service R VIT A II��NII®I■I�����
Agency NII W CPF Tax Due $ 3 1 on .
Verification 16-AUG-1
_ 1 Improved
Satisfactions/Discharges/Releases List Property Owners Mailing Address
6 RECORD&RETURN TO: Vacant Land
William C. Goggins, Esq.
PO Box 65 TD D
Mattituck, NY 11952
TD
TD
Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Stewart Title
www.suffolkcountyny.gov/clerk
Title k ST16-27225
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached deed made
by: (SPECIFY TYPE OF INSTRUMENT)
B.Phillip Beltz The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Scott Harold Dubois In the VILLAGE
or HAMLET of Peconic
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
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
THIS INDENTURE, made the 15'h day of July,2016
B.PHILLIP BELTZ, residing at 50 Lewis Street,Boston,MA 02128
party of the first part,
SCOTT HAROLD DUBOIS,residing at 31215 County Road 48,Peconic,NY 11958
party of the second part,
WITNESSETH,that the party of the first part, in consideration of TEN ($10.00)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,
SEE SCHEDULE"A"ATTACHED HERETO
BEING AND INTENDED TO BE THE SAME PREMISES conveyed to the party of the first part by deed from
Tristate Capital Corp dated 121612002, recorded 12/17/2002 in Liber 12225 page 639 in the Office of the Clerk of
Suffolk County.
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 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.
IN PRESENCE OF:
B. PH LIP BELTZ
STATE OF NEW YORK: COUNTY OF SUFFOLK) ss:
On the 1,Y day of July, 2016,before me, the undersigned, personally appeared B. Phillip Beltz, personally known to
me or proved to me on the basis of satisfactory evidence to be the individual whose name(s) is subscribed to the
within instrument and acknowledged to me that he executed the same in his capacity,and that by his signature on the
instrument,the individual, or the person upon behalf of which the individual acted, executed the instrument.
- .e,
Notary Public
PATRICIA L. FALLON
Notary Public, State Of New York
No. 01 FA4950146
Qualified In Suffolk County
Commission e=xpires April 24, 201 R
CSZSC>
stewart title Title Number: ST16-27225
SCHEDULE A— DESCRIPTION
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected,
situate, lying and being at Peconic, Town of Southold, County of Suffolk and State of New York, bounded
and described as follows:
BEGINNING at a point on the Easterly side of Peconic Lane distant 169 feet Southerly from land of Long
Island Railroad Co.;
RUNNING THENCE along land formerly of Annie Prince and now or formerly of Harry J. Smith;
North 54 degrees 10 minutes 00 seconds East, 82.78 feet;
North 56 degrees 12 minutes 50 seconds East, 137.26 feet;
South 34 degree 33 minutes 20 seconds East, 50 feet;
THENCE South 55 degrees 26 minutes 40 seconds West along land now or formerly of James H. Rich Est,
220 feet to the Easterly side of Peconic Lane;
THENCE North 34 degrees 33 minutes 20 seconds West along the Easterly side of Peconic Lane 50 feet to
the point or place of BEGINNING.
FOR CONVEYANCING ONLY: TOGETHER with all right,title and interest 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.
-Schedule A Description(Page 1 of 1)-
INSTRUCTIONS(RP-5217-PDF-INS).www.orps.statemy.us
FOR COUNTY USE ONLY New York State Department of
C1;SWIS Coda ,Ip Taxation and Finance
C2.Date Dead Recorded i j�(},/ 1 5?/ 1(0 Lq Office of Real Property Tax Services
/ Y cur C4.
+-}7 RP-5217-PDF
C3.Book ( C4.Page f Real Property Transfer Report(BH 0)
PROPERTY INFORMATION
1.Property 2600 Peconic Lane
Location
•aTREET nuMaFA •e:R[ET xAYE
Southold Peconic 11956
•cm oe town VTC -cup CODE
2.Buyer Dubois Scot: Darold
Name •.ART RAMU OMPANV F.RST hAYE
LAST 14MMOIVMJV FIRST NAPE
3.Tax indicate wham future Tex Sills are to be sem
Billing a other than buyer address(at bottom of form) LAST NAME CO IPATa FIRS:NAME
Address
Or RUT MKG RX91 NAPE CI:YORTCFM STATE T9CoW
4.Indicate the number of Assessment 1 Not Parcels OR ❑Pad d a Pascal lOny N Part d a Parcel)Check as they apply- ❑
Roll parcels transferred on the used 4A.Planning Dowd wins Subdivision Authority Exists
a'Dead X OR 0.25 4B.Subdivision Approval was Required for Transfer
Property •FROM FEET •oEmN •ACRES
She 40.Parcel Approved for Subdivision with Map Provided ❑
Beltz B. Phillip
5.Sailor •LAOT NAMECOMPAM FAST hwE
Name
LAST WW EIAMPMV FRT MANE
17.Select the description which most accurately describes the Check the boxes below as they appy:
use at the property at aro lima of sale: L Ownership Type is Condominium
A.One Fancily Residential L New Construction on a Vwxtm Land ❑
10A.Property Located within an Agricultural District ❑
708.Buyer received a dlsdosure notice Indicating that the property is in an ❑
Agricultural District
SALE INFORMATION IN,Cheek one or There of tins conditions as applicable to transfer.
A.Sale Between Relatives or Former Relatives
11.sale contract Date 05/20/2016 B.SSI@ between Related Companies or Partners in Businses.
C Ono d the Buyers is also a Sella
12.Dab at Sold7mnsfer 07/15/2016 D.Buyer or Sailer Is Government Agency or Lending Indiludon
E.Deed Type not warranty or Bargain and Sale(Speary Below)
F Sob of Fractions!or Less than Fee Interest(Specify Below)
Full Sale Price 305,000.00 G.Significant Change in Property Between Taxable Status and Sals Dates
H.Sale of Business is Included in Sole Price
(Fun Sale Price is the M alneotrt paid for the property including persomll property. I.Other Unusual Factom Affecting Sele Price,(Specify Below)
This payment may be In the form d cash.other property or goods.or the assumption of
mortgages or other obligations.)R!"On Found to the nearest whole doloremounf J.Nora
Cohnmem(s)on Condition:
14.Indicate the Value of personal
property Included In the sato 0 .00
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
15.Year of Assessment Roll hem which Ihilmn auxin bkmnll'17 15 '17.Total Aneesed Vetes 3,900
•18.Property class 210 _ •19.School District Name Southold
120.Tax Nap IdestMer(slatoll Iuonditr(s)pf more than four.altach shed with oddhforlal Idaltiaeds))
1000-074.00-03.00-020.000
CERTIFICATION
I Cortiy that all at aro Items d ation adored on thin form aro true and correct Ifo M
the best of my knowledge and ad)and I understand that the making of any willful
INION
rate,d ma cup M n subject me to thoyrevislens eithe penaljgXreladve W the making and filing of labs Instruments.
LER SIGHAIUSE BUYER CONTACT 11EORMATION
IEmor isamswn for eve alyw.Nate:a tabor is LLC f o".manowron•co orwrat Min sloe comany,suites
wsq to 1.not an RlmwmY agern or memory.Ron a nems erw mmaa Ime maoan or an rrdNicumaponaaa
7 I 1e Imre vdw m awwsl @Valens mgaarq ave Werulsr LIIYY be a rend.TYPR a PIM s1Pdy.)
BELLER SGNJTNRE CAT F
Dubois Scott Harold
WT NAPE FWST—E
r— 7
•AREACOOE REIERgrF NUYSFR IEF a-27811
ITE
'STREE*nLTAs[R 'STREET NAPE
*7 -C-TV OR-pwN •aTATE '21P CODE
BUYER'S MORNEY
Goggins William C
LAST NAME -RST NWE
I I
(631) 298-4818
AREACM 7EIFPI N NUMMRIE."92/62)