HomeMy WebLinkAboutL 12893 P 967 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/23/2016
Number of Pages : 4 At: 01 :44 :56 PM
Receipt Number : 16-0204322
TRANSFER TAX NUMBER: 16-16060 LIBER: D00012893
PAGE : 967
District: Section: Block: Lot:
1000 031 . 00 14 .00 014 .000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 . 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 $0 .00 NO
Fees Paid $395 . 00
TRANSFER TAX NUMBER: 16-16060
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
ao
Number of pages RECORDED
2016 Dec 23 01:44:56 Pig
JUDITH A. PASCALE
This document will be public CLERK OF
SU
record.Please remove all LFCOUNTY
D00012893
Social Security Numbers P 967
prior to recording. DT# 16-16060
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Mortgage Amt.
Page/Filing Fee
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 !TM Sub Total
Notation Spec./Assit.
EA-52 17(County) 5 ap Sub Total 6 or
Spec./Add.
EA-5217(State) V v TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit + . Mansion Tax
ID The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 jIov family dwelling o�Iy.
Sub Total YES 7 or NO
Other
Grand Total If NO, see appropriate tax clause on
page# of this instrument.
2--(0
4 Dist. 100( 16040009 1000 03100 1400 014000 5 Community Preservation Fund
Real
Agency 23-DEC 1 !lIIII!l�Illlfffllllll�llllllllll!lIIIIIlIIIllll CPF Tax Due Amount$
Tax Service R DHO A
9 Y
Verification
�— ---- � Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
SANDS ABSTRACT LLC TD
19
70 EAST SUNRISE HIGHWAY TD
SUITE 608 �J/
VALLEY STREAM,NY 11581 TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name SANDS ABSTRACT,LLC
www.suffolkcountyny.gov/clerk Title#
CTSY-2640
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Susan De Paola The premises herein is situated in
Long Island One Real Estate,Inc. SUFFOLK COUNTY,NEW YORK.
TO In theTOWN of Southold
Susan De Paola In the VILLAGE
or HAMLET of Southold
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
D4-(;q-?U,;t.0
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the 1 day of d Two Thousand and 14:2
BETWEEN
Susan De Paola,as to 99%Interest,
AND Long Island One Real Estate Inc.,as to 1%interest
at, 12910 Main Road, East Marion,NY 11939
party of the first part,and
Susan De Paola,
at, 12910 Main Road,East Marion,NY 11939
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 remise, release and quitclaim unto the party of the second
part,the heirs or successors and assigns of the party of the second part forever,
SEE ATTACHED SCHEDULE"A"
This conveyance has been made with the unanimous consent in writing of all the stockholders of the party of the
first part
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:
Susan De Paola
Long Island One Real Estate,Inc.
By, 5u5A�J Py?AOL-A , Pra(aQA+
Standard N.Y.B.T.U.Form 8004—Quitclaim Deed_Uniform Acknowledgment(single sheet)
Form 2216
ALL that certain plot, piece or parcel of land, situate, lying and being at East Marion, Town of Southold,County of
Suffolk and State of New York,described as follows:
BIrGI1,4N1NG on the southerly side of Main Road at a concrete monument which marks the division line between the
easterly side of land of Pizzarelti and others and the westerly side of lands about to be described and from there;
RUNNING THENCE North 52 degrees 48 minutes 30 seconds East a distance of 37.00 feet along the southerly side of
Main Road to the land of Hawkins;
RUNNING THENCE along the westerly side of the land of Hawkins South 33 degrees 10 minutes 40 seconds East,
222.00 feet to the waters of Orient Harbor;
RUNNING THENCE on a course the tie line of which is South 37 degrees 45 minutes 30 seconds West,70.11 feet to the
easterly side of the land of Pizuarelli and others;
RUNNING THENCE along the easterly side of the last mentioned land,North 24 degrees 28 minutes West,245 feet to
the beginning point.
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of Sll� ss: State of New York,County of Ss:
On the guy of De UV In the year;&(p On the day of in the year
before me,the undersigned' rk7iiialll appeared before me,the undersigned,personally appeared
personally known to m, or prove 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 he/she/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 inst an. 'the individual(s)acted,executed the instrument.
(signature and office of indiMuM taking a wledgment) (signature and office of individual taking acknowledgment)
Nfty� M' �NowYwk
O
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbi 'ory,or Foreign Country)of ss:
On the q11k day of U a in the year .20 before me,the undersigned,personally appeared
personally known to me or proved to me on the basis of s i actory evidence to be the individual(s) whose name(s) is (are)
subscribed to the within instrument and acknowledged to me that h they executed the same in his/her/their capacity(ies),and
that by his/her/their signature(s)on the instrument, the individual(s), or t rson upon behalf of which the individual(s) acted,
executed the instrument,and that such individual made such appearance before t dersigned in the
C td,7"Gµ in 0 r-r
(insert the City or other political subdivision) (and insert the State or rountry or other pla t cknowledgment was taken)
L
WENDY KUKLA
nOTARY PUBLIC-STATK OF NEW YORK (signature an ffice of individual taking a edgment)
NO 01KU6176871
QUALIFIED IN SUFFOLK COUNTY
MY COMMISSION EXPIRES 11.05-2019
QUITCLAIM DEED SECTION
BLOCK
LOT
Title No. CTSY-2640 COUNTY OR TOWN
STREET ADDRESS
TO Recorded at Request of
Old Republic National Title Insurance Company
RETURN BY MAI O:
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by
Agency
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ly.us
FOR COUNTY USE ONLY New York IStabo Department of
C1.SWIS code 147 , S, I Taxation and Finance
C2.Data Dead Recorded I !-/-;Z3/--2016 I Once of Real Property Tax Services
pQ (� """ D^ - RP-5217-PDF
C3.Book O -f 3 C4 Page I , ,-(-ILl
,�I Real Property Transfer Report(BMO)
PROPERTY INFORMATION
I.P-Perbr 12910 Main Road
Location
•sraEETµv11DA •STREET hA1P
Southold
11939
.CITY OR TOM YLLAGL '=p COPE
2.Beyer Do Paola Susan
Nemo
LAST TIATEICorPAYY FIRS.-NAME
LAST NAMEJCOMPAY'• FIRST WAKE
7.Tax Indicate when future Tax Bills are to be sant
Addrpa
Billing If other than buyer nWrmKat botic n of form) LAST NAIECDMPANr FIRST mwL
STREET hUMMEN AND NAPE CITY OR VAN STATE LP CODE
4.lridlcats the number of Aasesemod 1 #of Parcels OR F]Part Of■Pared (Only If Part of a Pa")Check n they appy:
Roil parcels Vanslorlad on till deed 4A.Planning Board with Subdivision Authafty Exists
a'Deed0.28
!L OR 40Subdivision Approval was Required for Transfer ❑
Progeny •FrIOhT FFFr •DEari -ACRES
Sia
4C.ParoN Approved for Subdivision with Map Provided ❑
Long Island One Real Es-tato Inc.
e.seller •;AST MIEJCTI iii,- rinsT NAME
Nem° De Paola Susan
WT hAMFCCMPANY FIRST NAME
'7.Select the description which mod acdundely describes ms Check the boxes below as.they apply:
use of the property at do time of sets: S.Ownership Type Is Condominium ❑
A.One Farllilp Residential e.New Construction an a vacant Land
10A.Property Lamed within an Agricultural District ❑
100.Buyer received a disclosure notice Indicating that the property is in an ❑
Agricultural District
SALE INFORMATION 16.Check one or mom of those condldon as applicable to transfer:
A.Sale Between RdIalives or Forma Relatives
11.Sale Contract Data C.Selo between Related Companies or Pallas in Business.
'One of the Buyers is also a Setter
'12.Date LN aalefrw/netar 2
� 'a-l(o D. Government Buyer or Seller is Govament Agency Lending InsdUbn
E.Dead Type not Warranty or Bargain and Sale(Specify Below)
F.Sale o1 Fractional or Lou than Fee Intsrtod(Specify Below)
'13.Full Sats Price 0 .00 G.Slgni6unl Changs in Property Between Taxable Status and Sale Delp
(Full Sale Price IS the UM amount paid to the property IllctutlL H.Selo of Business is Included In Sole Plica
This payment my be In the form of cash,aha property or goods.or the msumpion of I.Other Unusual Factors Affecting Sala Price(Seedy Bslowt
orgagas or obligations)Please rand to the nearest whde d0saramormt. J. O
rn
•Canm°nt(s)on Condition:
14.Indicator the value of pemonsl
property Included Inthe Sale •00 no cona?dcration
ASSESSMENT INFORMATION-Data should reflect the lalest Final Assessment Roll and Tax Bill
16.Year ofAesesanrnt Roll from which 1.Son ation token(YY) 16 '1T.Total Attempted Value 7,500
-18.PmperyChina 210 _ •1 g.School District Name oyster ponds
'20.Tex Map Ideoiifler(syRoll ldsllflMgs)(if mon then four,attach shout with eddittsnal Idemlflor(s))
1000-31.-14-14
CERTIFICATION
I Cordy that all of the Homs of inromadon entered on thin form ore true and comet(to the but of my knowledge and boltsl)and I understand that the making of any wllNul
tabs stat°mwd of materiel fact harsin subject no to mo aarlswns gfthe germUsfimlative to the making and filing of fake Inshwn ts.
RELLER.SIGNATUM 1SUYER-00NTAC1INFORMATION
tenter wixTraderL for ecu buyer Kos 11 buyer is tLC.suueb.aumaban.coryronWn•pm srodr Aampoy nark or
pa..y tlho u sed rI quest peel pdr4 u i ws a rant ertl anuli SIM,or print
SI h rtyrihdMeyreepwlenb
RW w1w awn nawr aMn:ans reaaNna au eansler mer ltt tenant Typs x prim ehsdY.l
SELE•T S WTLME DAIL
HUYER.SIGNATURE DeFaola Susan
LAST—ME FAST NAME
S�Iy
OAA.
A- (999) 999-9999
Jf.+6iN-GL�� Gip-GJ�� •ARSAeaE •TELEPI0NETA4.wER,&MMMT
aUYLRSKW-.URE DATE
12910 Main Road
.S-PEET NUkSER -xTxEET KAM
1 East Marion NY 11939
r, 'CITY OR TOM •TATE -ZIP CODE
BUYER:$ATTO IM
1 LAST MIE FFsI h"L
1 AREA CODE TL-EMCNCNIJMUPIE.9NO M)
1