HomeMy WebLinkAboutL 12892 P 927 1 Illllil IIII IIIII 11111 IIIII IIIII IIIII IIIII IIIII IIII IIII
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/16/2016
Number of Pages : 3 At: 10 :26: 49 AM
Receipt Number : 16-0199972
TRANSFER TAX NUMBER: 16--15265 LIBER: D00012892
PAGE : 927
District: Section: Block: Lot:
1000 053.00 06 .00 004 .000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0.00
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 $5.00 NO RPT $200 .00 NO
Transfer tax $0 .00 NO Comm.Pres $0.00 NO
Fees Paid $395 .00
TRANSFER TAX NUMBER: 16-15265
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
' ❑1 ❑2
RECORDED
016 Dec 16 10:26:49 W
JUDITH A. PA SALE
Number of pages CLERI' OF
SUFF01-k COUHTY
L D00012692
This document will be public P 927
record. Please remove all DT# 16-15265
Social Security Numbers
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation
Spec./Assit.
or
EA-52 17(County) / 7 v/6D Sub Total Sa OD Spec./Add.
EA-5217(State) ( (/ v✓ TOT.MTG.TAX
Dual Town Dual County
Held
���1 C7� Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax —
Mansion Tax
Affidavit / ��' —
C G j The property covered by this mortgage is
Certified Copy ✓ — or will be improved by a one or two
NYS Surcharge 15. 00 �SO family dwellin nly.
Sub Total YES or NO
Other ? �-
Grand Total If NO,see appropriate tax clause on
page (>—of this instru /nt. /`
4 Dig 16039286 �'�.5 Community Preservation Fun;do
1000 05300 0600 004000
Real Pro P T c, II�I��®��I����� Consideration Amount$
Tax Sed R SpA p {I
Agen 16-0EC4 64 Tax Due $
Verific
Improved _
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD
TD
N `/ 119 Y4 TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co_Name
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Pa e
This page forms part of the attached - made by:
(SPECIFY TYPE OF INSTRUMENT)
Fns bThe premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
�[ Q� TO 9^ In the TOWN of ,T�'4,
Li ""`� F' &�'!'1 `` � to In the VILLAGE
S Q' or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12.0104..I 0108kk
(over)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 12th day of December, 2016
BETWEEN Linda Lee Fasbach,residing at 2905 Bay Shore Road,Greenport,New York 11944
party of the first part, and
Linda Lee Fasbach and Richard J.Fasbach,Husband and Wife,residing at 2905 Bay Shore Road,
Greenport,New York 11944
party of the second part
WITNESSETH,that the party of the first part,in consideration of �Q
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,
ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,
lying and being at Arshamomoque,in the Town of Southold,County of Suffolk and State of New York, known
and designated as Lot No.50 on a certain map entitled"Map of Wickham Park",and filed in the Office of the
Clerk of the County of Suffolk on October 4, 1927 as Map No.644.
Together with all right,title and interest in and to the land lying to the east to the mean high water line of
Peconic Bay.
Section 053.00, Block 06.00,Lot 004.000
Premises known as 2905 Bay Shore Road,Greenport, New York 11944
Being and intended to be the same property as that conveyed by Lawrence A.Mitchell to Linda Lee Fasbach
by deed dated December 29, 1997 and recorded in the Office of the Suffolk County Clerk on January 6, 1998
in Torrens 11871, Page 507.
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 all the
estate and rights of the party of the first 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"when ever 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
In the presence of e57 1 a i �
Linda Lee Fasbach
Standard N.Y.B.T.U. Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowlednt
Form 3290
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,,County of Nassau State of New York,County of
On the 12th day of December,in the year 2016 On day of , in the year
Linda Lee Fasbach 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 personally known to me or proved to me on the basis of
(are)subscribed to the within instrument and acknowledged to satisfactory evidence to be the individual(s)whose name(s) is
me that he/she/they executed the same in hislher/their (are)subscribed to the within instrument and acknowledged to
capacity(ies), and by his/her/their signature(s) on the me that he/she/they executed the same in hislher/their
instrument,the i Ividual(s),or th erson up behalf of which capacity(ies), and that by his/herltheir signature(s) on the
the individuals) e ,exec ted th stru instrument,the individual(s),or the person upon behalf of which
the individual(s)acted,executed the instrument.
(signatureWd office of individua taki g nowledgment)
(signature and office of individual taking acknowledgment)
SHEILA IL LYONS
Wary Pair,fto of Now York
No.488M
wily
cow aa
Ar22,,2011
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 t
within instrument and acknowledged to me that he/shelthey executed the same in his/her/their capacity(ies), and that by his/her,
signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument,anc
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 SALE DEED SECTION 053.00
Block 06.00
WITH COVENANT AGAINST GRANTOR'S ACTS Lot 00.4000
Title No. County of Suffolk
Linda Lee Fasbacn to Lima Lee FaSbach and 2905 Bay Shore Road,
Richard J.Fasbach,Husband and Wife Greenport,NY 11944
Recorded at Request of
COMMONWEALTH LAND TITLE INSURANCE COMPANY
F117-
OF NEW YORK BOARD OF TITLE UNDERWRITERS RETURN BY MAIL TO:
Distributed by Mr.Richard J.Fasbach
Commonwealth 2905 Bay Shore Road A .gars?
AIAPA,MPB�CACA��P.WY Greenport, NewYork 11944
EALTH LAND TITLE INSURANCE COMPANY
W
U
LL
LL
O
O
Z
O
a
O
U
W
a
LL
0
W
w
a
0
LL
W
U
a
a
M
y
2
H
W
W
N
W
IX
INSTRUCTI0NS(RP5217-PDF-INS):wwwarps.statemy.us
FOR COUNTY USE ONLY New York State Department of
C1.SIMS Code 7S, l i Taxation and Finance
02 Date Deed Recorded A-- Office of Real Property Tax Services
Q •fa o" •� RP-5217-PDF
C3.Book /
?,MAI G.Page Real progeny Transfer Report(sIZO)
PROPERTY INFORMATION
+•aoPerb 2905 Bay Shore Road
Location
'GREET •61REEr NAME
Greenport 11944
'nTY OR TOM VRIAae •aP COOS
2.Buyer Fasbach Linda Lee
Name
•LAST.AMnCpRANY FIRST AWE
Fasbach Richard J.
LAST Nllyr/(,1pW- FAST NME
3.Tax Indicate where future Tax gills are Lab,sent Fasbach Richard J.
&Ohp $other Man bay&addrese(st bottom of form) LAW N EA'.mftw FRET NAME
Address
2905 Bay Shore Road Greenport NY 11944
STREET HUMOCR AAD NAME crWORTOw erA:E Moo=
4.Indicate the number of Aaaamsnt .1 Part of e Parcel (Only N Part of a Parcen Check a they appy:
Roll pascals usnsfsnod on the deed N or Parcel: OR ❑
4A.Planning Board with SuhdnalDn Adhony ETdate ❑
e'Dned 50 X 175 OR 0.00 4B.Subdlwaon App o was Requmd for Trand er
Property •FNdrT FEET -DEPTH -ACRES
Sks 4C.Parol Approved for Subdivision with Map Prowled ❑
Fasbach Linda Lee
s.Bohr .LASTKANyCOMPAW FIRSTMAC
Name
LAS!,yW&COMPA,A. FRET NAME
'7.Select the description which most accurately dowribles the Cheek the boxes blow as Wey appy:
as at am propsrty at the ems of sale: a.Ownership Type is Condominium
A.One Family Residential e.New Construction an a vacant Land ❑
10A.Property Lauded wither on Agnn ullurd Oisuid
100.Buyer modveda discbame notice indicating that the property is in an ❑
Agdcarn Dllud%
SALE INFORMATION 16.Check air or more MMess Dondidom an appSeable to transfer.
A.Bele Between Relatives or Fommr Relahms
11.sale contract Deb 12/12/2016 B.Sale between Retaed Companies or Panner in Bueness
C.One of the Buyer Is also a Sailer
12/12/2016 D.Buyer or Sewer s Government Aooncy or Lending Institution•72.its Ot 5awfrrmfer E.Dead Type not warranty or Bargain and Sok(Spaary Ballow)
F.Sale of Fractional or Lea Men Fee Interest(Spook Below)
'12.Full Sale Price 0.00 G.Significant Charge in Pmpedy Between Taxable Status and Sale Dales
H.Sale of Buanaa Is Included in Sale Pdca
l Full Sob Price is the laid amourd paid for the property including peranol property. 1.Other Unusual Factors Affecting Sale Pape ISpedy Below)
This paymad mer be in tfr farm of rash.dIn&property or goods.or the assumption of
odgeges or other obligations.)Please mund le dM neared Minis doller emdum. J.Nuns
m
Comm n'—on Condltion:
14.Indicate the value of personal
propent,Included in the ash 0 .00
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Rall and Tax Bill
1s.Yar of Aaassm&d Roll from which Informstlon taken(YY) 16 '17.Total Assessed value qP O V
'18.Propaw Class 210 _ 1 *19.School ObtrlctName Greenport
'20.Tax Map IMMlgshspRoll IdemMsrts)IN more than four.attach shoat with additional Idem @4*1) / -
See053.00B1k06.0OLot004.0 ! 0(00 n 0 CJ 3,Q0 —0 lJ ,nom 06L1 r 000
CERTIFICATION
I Cor"Mat all of the Ilam of krformstion entered on this form are true and correct(to the bat of my knowledge and bd ls4 and I undemfand thin the making at arty,willful
Islas statement of nWArkl ha herein subject me to the.proyyjpna M the ti".Itiw rele0ve to the making and filing at Glee Imtrrmnte.
R___FR SIGN_ BUYER CONTACT lIfFORMATION
(EnMrmNnnsom kbr the suer NDN If fryer w LLC,eooMy,rewcdbm.mpasban.joad sock canpary.wAv W
1s f /a I W cad a rent an inem W ped W MAIay,9W■nmw wd awvad..I*.m W IndWUWneponeds
f l l party whocan eneRw•ykraard reesdrg the tmehrmuet be ariMad TypR w plM ckwly.)
r'�tEEnk1P�R,tErnNJAT.E �•�b�'a�L. b
Fasbach Richard J.
y Q . -,.e, @ 'usT NAME FAST NNE
RzhaJ (J114J(A%yV ! LLzj j b (516)MEA GOOF 312-6434
• ^ELEPAWNE Nai1NEn IEe WrWSI
e.rrEp 31tiNAi GATE
2905 Bay Shore Road
'WRRET HLwKn '6TREU NAwE
k , _Greenport NY 11944
CRYCATOWN 'STATE 'LP 000E
BUYER'S ATTORNEY
Lyons Sheila
AS,NNE r RST NAME
15161 871-:965
AREACOM TUEPHONS NUMM I&earn
k