HomeMy WebLinkAboutL 12890 P 484 !I I I I I I I I I I I I I I I I I I l l!I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I
!I I I I I I I I I I I I I I I
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/01/2016
Number of Pages: 4 At: 04 :19:34 PM
Receipt Number : 16-0190939
TRANSFER TAX NUMBER: 16-13363 LIBER: D00012890
PAGE : 484
District: Section: Block: Lot:
1000 015 .00 01 .00 035. 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $669, 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 $10, 380 . 00 NO
Fees Paid $10,775 . 00
TRANSFER TAX NUMBER: 16-13363
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
F�
• RECORDED
Number of pages 2016 Dec 01 04:19:34 PM
JUDITH R. PRSCRLE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00012890
Social Security Numbers P 484
prior to recording. DT# 16-13363
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee I Mortgage Amt.
Handling 20. 00 1.Basic Tax
2, Additional Tax
7P-584 Sub Tota I
Notation Spec./Assit.
or
EA-52 17(County) Sub Total �
-, � Spec./Add.
EA-5217(State) �� TOT.MTG.TAX
R.P.T.S.A. Dual Town Dual County
Held forAppointment
Comm.of Ed. 5. 00 Transfer Tax
al
Affidavit + • Mansion Tax
Certified Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00family dwelling only.
Sub Total
Other YES-or NO
Grand Total If NO, see appropriate tax clause on
page# of this instrument.
4 Dist.1000 16033459 5 Community Preservation Fund
Real 1000 01500 0100 035000
Tax
Agency Service
rty R-0CR, IIIIIIII�IIIIIIIlIll�llllllllllln[Illlllllllllll CPFsiration Amount$ 0,000.00
Verification Due $ ,380.00
`T --
6 Satisfactions/Discharges/Releases List Propperty Owners Mailing Address Improved X
RECORD&RETURN TO:
JENNIFER B. GOULD, ESQ. Vacant Land
P.O. BOX 988
SOUTHOLD, NY 11971 TD
TD
TD
Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901
www.suffolkcountyny.gov/clerk Co.Name
y y.gov/clerk ,'O r1
Title# O ^ `O a
19-7
8 Suffolk County—Re.cording & Endorsement Page
This page forms part of the attached DEED
by; made
(SPECIFY TYPE OF INSTRUMENT)
FREDERIC V.BLANCHARD d BEATRICE ELIZABETH,Ig QUERVAIN BLANCHARD,
flkla BEATRICE ELIZABETH de QUERVAIN The premises herein is situated in
SUFFOLK COUNTY,NEW YORK,
TO In the TOWN of SOUTHOLD
DONNA RICHARDSEN In the VILLAGE
or HAMLET of ORIENT
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
Fib- 107-19 1
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the day of October,2016
BETWEEN FREDERIC V. BLANCHARD and BEATRICE ELIZABETH de QUERVAIN BLANCHARD, f/k/a
BEATRICE ELIZABETH de QUERVAIN, husband and wife, both residing at 170 John Street, Apt. 5C, New
York,NY 10038
party of the first part, and DONNA RICHARDSEN, residing at 30 Bogardus Place, Apt. 2E, New York, NY
10040
party of the second part,
WITNESSETH,that the party of the first part, in consideration of TEN and no/100ths($10.00)dollars 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"ANNEXED HERETO AND MADE A PART HEREOF
BEING AND INTENDED TO BE the same premises conveyed to the parties of the first part by deed made by
Beatrice Elizabeth de Quervain dated September 28,2013 and recorded in the Suffolk County Clerk's Office
on October 31,2013 in Liber 12750 Page 851.
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:
FRE RIC V.BLANC RD by J.KEVICL`AHLIN„
as a nt
EATRIC ' IZABETI- de QLWRVAIN BLA CHA f/k/a
TRICE LIZABETH de VAIN, by J. KEVIN
LAUG IN,as agent
� rte' _ .-a` :.. pj,•.:-. - ,.. :. ..
Fidelity National Title Insurance Company
TITLE NO.F16-7404-102197-SUFF'
SCHEDULE A-1 (Description)
Amended 09/08/2016
ALL that certain plot, piece or parcel of land, situate, lying and being in Orient, Town of Southold, County of Suffolk and
State of New York, known and designated as Lot 7 on a certain map entitled, "Map of Green Acres at Orient", and filed in
the Office of the Clerk of the County of Suffolk on April 13, 1962 as Map No. 3540, which said lot is bounded and
described as follows:
BEGINNING at the corner formed by the intersection of the southerly side of Park View Lane and the westerly side of
Greenway East;
RUNNING THENCE along the westerly side of Greenway East South 6 degrees 48 minutes 10 seconds East, 146.42 feet
to the southerly line of said map;
THENCE along the southerly line of said map South 82 degrees 24 minutes 00 seconds west, 150.02 feet to the easterly
side of Lot 8;
THENCE along said easterly side of Lot 8 North 6 degrees 48 minutes 10 seconds West 148.50 feet to the southerly side
of Park View Lane;
THENCE along the southerly side of Park View Lane North 83 degrees I 1 minutes 50 seconds East, 150.00 feet to the
point or place of BEGINNING.
-
THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which
by law constitute real property.
FOR CONVEYANCING ONLY: Together with all the right, title and interest of the party of the first part, of in and to the land lying
in the street in front of and adjoining said premises.
SCHEDULE A-1 (Description)
Rev.(03/04)
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
• State of New York,County of Suffolk ss: State of New York,County of ss:
On the & day of October in the year 2016 On the day of September in the year 2015
before me, the undersigned, personally appeared J. KEVIN before me, the undersigned, personally appeared JEANNE
MCLAUGHLIN DENEUFVILLE
personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s)whose name(s)is satisfactory evidence to be the individual(s)whose name(s) is
(are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to
me that helshe/they executed the same in his/her/their me that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the
instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which
the individual(s)acted,executed the inst ant. the individual(s)acted,executed the instrument.
(signature and o of individual taking acknowledgment) (signature and office of individual taking acknowledgment)
NOTARY PUBLIC NOTARY PUBLIC
ROBERTOEFRESE
Notary Public State of New York
No.01 DES035117,SufVk Courcy
Commission Expires October 24,2018
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)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 helshe/they executed the same in his/her/their capacity(ies),and
that by hislherltheir signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,
executed the instrument,and that such individual made such appearance before the undersigned in the
in
(insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken)
(signature and office of individual taking acknowledgment)
BARGAIN AND SALEDEED DISTRICT 01 0
SECTION 015.00
WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 01.00
Title No. LOT 035.000
COUNTY OR TOWN
FREDERIC V.BLACHARD&BEATRICE ELIZABETH STREET ADDRESS
de QUERVAIN BLANCHARD,f/k/a BEATRICE Recorded at Request of
ELIZABETH de QUERVAIN COMMONWEALTH LAND TITLE INSURANCE COMPANY
TO
DONNA RICHARDSEN RETURN BY MAIL T07
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by JENNIFER B.GOULD, ESQ.
P.O.Box 988
Commonwealth Southold,NY 11971
�I,utoAntuR]G CO.(PAN1'
COMMONwEALTH LAND TrrLE INSURANCE COMPANY
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COUNTY USE ONLY ww.INSTRUCTIONS(RP-5217-PDF4NS):worps.statemy.us
FOR
C7.SNRS Cade I r 3 J New York Stat.Department Of
1 I Taxation and Finance
C2.bate Deed Recorded I I-X/G 1f 1/ k. I Office of Real Property Tax Services
�e DwRP-5217-PDF
Ca.Book U C4.Pape
Reef Property Transfer Report(9110)
PROPERTY INFORMATION
t•PraPortV 3665 Park View Lane
Location
°amFar swsol srrry Nur•
Southold Orient :1957
• •CITYarT01RN WLLNE
•rot coat
2.Buyer Richardsen Donna
Name
•rwsrNNrnRrawun FwmNwe
WI wMINCOUPMIY FNMTNMIk -
S.Tax Indicate where future Tax Bic are to be sad
Billing 0 other than buyer addressiat bottom of town) rAm NIWFTAIFANT FRFr NAME
Address
arraET maeERANDKML rRTV OR TOM* mA1L APCCDE•
4.Indl r the number or Assessment 1 Part at a Parcel (Only If Part of a Parcel)Check n they apply:
Rog parcel*transferred on the deed R of Percale OR
4A.Planning Board with S116tlrYisien Authority Exists
5.Deed X UR 0.51
Property •FRoui r mT .DtriN ,fie 4B.Subd"on Approval was Required for Transfer
Stu
4M Parcel Appwed for Subdivision with Map Provided
Blanchard Frederic V.
6.seller •LAUT KANFICIA PANY
FRaT NNIE
Name Blanchard Beatrice Elizabeth de Quervain
WTU%LJCOLWw FRar WAS
'7.Soled the description which moat aseunhly dnenbes the Cheek the boxes below as they appy:
use of the properly at On time of We: S.Ownership Type Is Condominium
A.One Family Remdential a New Construction an a Vacant Land
10A Pmpery Located within an Agricultural District
186.Buyer received a disclosure notice Indicating that the property is In an
Agricultural District
SALE INFORMATION 15.Chock one or mom of those r ondidome n applicable to tnnafor.
07/11/16 A.Sale Between Relatives a Former Roletives
71.Sol*Contract Deb B.Salo between Ralalad Companies or Pallas m Business.
C.One of Bin Buyers Is also a Seller
•12.Date of Saleffninsfer 10/06/16 D.Buyer or Sailer Is Government Agency or Landoll;Inshlulion
E.Dead Type not Warranty or Bargain and Sala(Specify Below)
F.Sala of Fractional or Lou then Fee Interest(Speedy Below)
•77.Full Sale Price 669,000.00 G.Significant Change In Property Between Taxable Status and Sale Dates
c
(Full Sale Price is the total amount pail for the property inN.Sale of Business is Included In Salo Price
aq personal property. 1.Other Unusual Factors Affecting
This payment may be m the form of cash.other property or goods,or the assumption or 0 Sale Price(Specify Below)
mortgages or other obligations.).)Please mond tose
the nrnf winds dollar amount }( J.Nan
Carnment(e)on Condition:
14.Indicate the value of personal
property Included In the sale 0 .00
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Rall ham which Into rm s an token(YY) 15 117.Tabl Assessed Value 6,800
•18.Property Clare 210 _ •18.School District Name Oysterponds
•20.Tax Map Idendfie(syRoll Idelttilor(s)(ti mon than four,attach sheat with additional Manu ler(a))
1000-015.00-01.00-035.000
CERTIFICATION
1 Cerny that all of err Hens o1 Information entered on this form are true and correct(to the best of my knowledge and ballaq and I understand tint the making of arW wlllrul
false stetement of material fact hemin subject me to theyrovI&I Ds.9f#BUBIS I Isltirestres to the making and filing at Islas Instrument&
BUYER CONTACT INFORMATION
(Enter kftumm tar ale folder Note,IT Mryar is LLCA=W.y,assomdun.oarpwa(on,lana aid,ooalpany,smote a
f
enft eu1 to not an ndMdUM*gam or Mickey.am a nsrs and=No NknnFean of an L•raMdwa•ayendbb
/+L f•—� Perb cell m maaar Questions meantime ds vanakr mud be Snared Type or soon clearly.)
4F*3:1auntie:y DATE
Richardsen Donna
9lJYEB_$LQNAT!!BE
/` •:AST NM! lnST NAVE
•axFA COOL •I r.LLMONE NUMI[a 1E,.MOi
WERUNE !//GTF
30 Bogardus Place, Apt. 2E
•etRrETMxBF.N -STNLETN"A
New York NY 10040
YJ1YaR TOwlll •STA:L -2.PCON
ti!!YE@�$A1741iNEY
I I Gould Jennifer
UM NAM NAME
y 631 7658375
/JiEa CODE ILLEFNONF.MA101.R('adl! FReL1(Inl
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