HomeMy WebLinkAboutL 12897 P 662 1111111 ILII 11111 lllli 11111 11111 illll IIIII IIIII IIII ILII
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: 01/24/2017
Number of Pages : 4 At: 03 :17 :24 PM
Receipt Number : 17-0013866
TRANSFER TAX NUMBER: 16-18917 LIBER: D00012897
PAGE : 662
District: Section: Block: Lot:
1000 122 . 00 03 .00 028 . 001
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 $5.00 NO RPT $200 . 00 NO
Transfer tax $0 .00 NO Comm.Pres $0 .00 NO
Fees Paid $400.00
TRANSFER TAX NUMBER: 16-18917
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Eli]
[J RECORDED
Number of pages it 2017 Jan 24 nZ:17:24 PM
JUDITH H. PPSCALE
CLERK OF
COUNTY
This document will be public
SUFFOLK D00 12897
L D00012897
record. Please remove all P 662
Social Security Numbers DT# 16-18917
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee _7�. Mortgage Amt.
1.Basic Tax
Handling 20. 00
_ 2. Additional Tax
TP-584 Cit/ Sub Total
Notation /�)V1 Spec./Assit.
EA-52 17(County) / 2Sub Total �-" Spec./Add.
EA-5217(State) f �� TOT.MTG.TAX
R.P.T.S.A. Dual Town Dual County
Held forAppointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit • . Mansion Tax
Certified Cop The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 `v family dwelling o ly.
Sub Total J YES t7orNO
Other q
Grand Total D,cb If NO, see appropriate tax clause on
page# ofthisInstrum nt.
31
4 Dist.10C 5 Community Preservation Fund
17002424 ll000li iz112oo osloll1 a 1F1oIIIlzeooi
Tax Age c'YReal P2D AN 17 I VIII VIII IIII VIII III�I ill llll!lIII IIII ILII CPF Tax Due Amount 00
Verification 0
Improved X
6 Satisfactions/Discharges/Releases List Propperty Owners Mailing Address '
RECORD&RETURNT0: Vacant Land
Kelly E. Kinirons, Esq.
Twomey Latham Shea Kelley Dubin& Ouartararo, LLP TD�
P.O. Box 9398 TD
Riverhead, NY 11909
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 Page
This page forms part of the attached Quitclaim Deed made
by: (SPECIFYTYPE OF INSTRUMENT)
Frances T.Klein,Trustee The premises herein is situated in
OTIP Trust bb/o Frances T.Klein SUFFOLK COUNTY,NEW YORK.
. TO In the TOWN of Southold
Frances T. Klein,Trustee in the VILLAGE
Frances T. Klein Revocable Trust or HAMLET of Mattituck
BOXES IS THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
W NO CONSIDERATION
Quitclaim Deed
This Indenture,made the J3 day of JfiVijt9xY ,Two Thousand and SEycn/TEO'd
BETWEEN
FRANCES T. KLEIN, residing at 485 E. Legion Avenue, Mattituck, New York
11952, as Trustee of the QTIP Trust f/b/o Frances T. Klein created under Article
SIXTH of the James E. Klein Revocable Trust Agreement, dated December 15,
2008
party of the first part,and
FRANCES T. KLEIN, residing at 485 E. Legion Avenue, Mattituck, New York
11952, as Trustee of the Frances T. Klein Revocable Trust Agreement, dated
December 15,2008
party of the second part,
TAX MAP WITNESSETH,that the party of the first part,in consideration of Ten Dollars and
DESIGNATION 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
Dist.: 1000 the party of the second part forever,in
Sec.: 122.00
ALL that certain plot, piece or parcel of land, with buildings and improvements
lilk.: 03.00 thereon erected,situate,lying and being in the Town of Southold,County of Suffolk
and State of New York, and being more particularly bounded and described as
Lot(s):028.001 follows:
SEE SCHEDULE A ATTACHED AND
MADE A PART HEREOF
PREMISES ALSO known as E.485 Legion Avenue,Mattituck,New York.
BEING AND INTENDED TO BE the same premises conveyed to the Grantor by
Deed dated June 25, 2016 and recorded in the Suffolk County Clerk's Office on
August 31,2016 in Liber D00012877 page 848 the Grantor being the same person
described as the Grantee in said Deed.
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 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:
QTIP TRUST f(b/o Frances T.Klein
1
/ L.S.
RANCES T.KLEIN,Trustee
STATE OF NEW YORK)
COUNTY OF SUFFOLK)ss.:
On the -3 day of in the year 201 7 before me, the undersigned,
personally appeared FRANCES4.KLEIN,personally known to me or proved to me on the basis of
satisfactory evidence to be the individual whose name 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.
atb2lr'�
PAMELA A.KING
Notary Public,State of New York
No. 01K14862015
Qualified in Suffolk County
Commission Expires June 16, .golf
QUITCLAIM DEED DISTRICT: 1000
SECTION: 122.00
FRANCES T.KLEIN,Trustee of BLOCK: 03.00
QTIP Trust f/b/o Frances T.Klein
LOT: 028.001
TO COUNTY OR TOWN: Southold
FRANCES T.KLEIN,Trustee of TAX BILLING ADDRESS: 485 E.Legion Avenue
FRANCES T.KLEIN REVOCABLE Mattituck,NY
TRUST AGREEMENT
RETURN BY MAIL TO:
Kelly E.Kinirons,Esq.
Twomey,Latham,Shea ,Kelley
Dubin&Quartararo,LLP
33 West Second Street
P.O.Box 9398
Riverhead,New York 11901
Page 2 of 2 Pages
SCHEDULE A
485 E.Legion Avenue,Mattituck,NY
SCTM#1000-122.00-03.00-028.00
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon
erected,situate,lying and being at Mattituck,Town of Southold,County of Suffolk and State of
New York,and bounded and described as follows:
BEGINNING at a point,which point is westerly 292.89 feet from the northerly junction of East
Legion Avenue and Riley Avenue, running thence in a westerly direction sixty (60)feet to the
easterly side of the property now or formerly of George L.Penny;
THENCE in a northerly direction along the easterly side of property now or formerly of George
L.Penny,two hundred and seventeen (217)feet to a gutter;
THENCE easterly to the eastern boundary of the property being described;
THENCE,in a southerly direction two hundred and twenty (220) feet along the westerly side of
property now or formerly of John A.O'Keeffe,to the point or place of BEGINNING.
Easterly and westerly lines of the above property are parallel.
TOGETHER with all the right, title and interest of the grantor in and to land lying within the
bounds of East Legion Avenue and land lying in the Creek, which adjoin the above described
premises on the South and North bounds respectively.
INSTRUCTIONS(RP-5217-PDF-INS):www Lxps.state ny.us
FOR COUNTY USE ONLY NewYork State Department of
Cl.SWIS code Y7,,;.;?,� ` I Taxation and Finance
CL Data Deed Recorded i J/ /.�-q/ /w� i Office of Real Properly Tax Services
RP-5217-PDF
C3.Book 0,/ C4.Page Real Property Transfer Report(Oil 0)
PROPERTY INFORMATION
1.Property 435 !;. Lc on Ave
nueLocation 5=
-STRu T%,.mrER .WREST MYL
Southold Matt_Luck
11752
-GTi D4 Tay, wL WX
'3 SOZIE
2.Buyer K:e:n, Frances T., _TE Frances T. Klein Rev ilius
Name
-L/Iar MUFJ:dY1MN. S195T FISAL
.Aa'rmtaCMMPARw 1MST imuE
2.Tex IndleJte where future Tax Bins are to be sent
Silting d other than buyer addlesslal bottom of fern) MI MAmCWft%f
Address 'TAT Mi(
al9LE., WMR•%O.-w G-n 0.,,ow% ST— Le cour
4.Indicate the number at Amusement 1 Pad d a Parcel (only S Part of a Parcel)Check as they apply:
Roll parcele transferred on the deed i of Pamela OR ❑ ❑
4A.Pinning Board with Subdivision Authority Exists
t'DeedX OR 0-()C 45.Subdivision eq ❑
Property •rRGr FELT -X.M. -=-Cmugppmval wean uifatl for
Sim
4C.Parcel Approved for Subarddon with Map pmwded ❑
Klein, Frances T. TTE QT:P F/b/u Frances Klein
9.Boiler -LNiI IwuslG;,w.a.
Name IMST MWE
LAST RFYF i—v F"T i-vE
•7.Select the description which malt accurately describes the Check the boxes below me they apply:
use of the properly at the time of sal.: t.ORmership Too is Condominium
A.One.Fatally Residential s.New Construction on a Vacant Land ❑
1oA.Property Located with,.an Agricultural Dlsmd ❑
toe.Buyer radalred a disclosure nokca indicating that the property is In an
Agricultural Diana E]
SALE INFORMATION 15.Check one or mon of these conditions as applicable to transfer:
A.Sale Between Relalwes or Fortner Relative&
Ill.Sate Contract Date NA B.Sale between Related Companies or Partnere In Business.
C.One of the Buyers Is also a Satd
'12 Date of Balef7ransfrr D.Buyer or Boller Is Govemmenl Agency or Landing Institution
E Deed Type not Walronty or Bargain and Solo(Specify Below)
F.Bob Fractional or Less than Fee Interop(Specify Below)
•t a.Full Bah Price 0,00 le G Sgnticant Change m Properly Between Taxable Stalus and Sala Dame
(Ful Sale Price is the total amooel Fl.Sale d Business s Included N Sale Price
paid Id ileo properly Including permnal Propady. I.Other Unuwm factors Arrack. Sale Pdoe(Seedy Below)
This payment may be in the form o1 cash.other property or B
taldR or the assumption d
mortgagor or other obligations)Plasm round tothe nerves!-hole dower amount Nona
'Commengsl on Condition:
14.Indicate the value of personal .(](]
property Included In the sale quo Lr.l ai:L Feed
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll anti Tax Bill
10.Year of Aesessment Roll from which Information token(YY) 16 '17.Total Assessed Value 11,230
-19.Property CJass 210 _ '1e.School District Name Mattituc
120.Tax Map(dent flegsyRoll IdentBelfe)(if mon than four,attach sheet with additional idenU&rlo))
:000-_22.00-03.30-07.8.00_
CERTIFICATION
I Certify that all of the Items of Information entered On this form are true and correct(to the beat of my knowledge and belleQ and I understand that the making of any wlltul
false staMment of material fact herein eubJecl me to the saa9rltltaesLlha.AeteLlaiynlatiw to the making and filing of false Instruments.
$ELLMICUM WRTACUNFORMATION
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wary 11*1 k nth aw ndndui melt or SiMmary.in.■lama inti mnlw5 n,f Ira al art klarialsherpen WY
/ Fwty whe rs"amew w M116—regard.ne ft lrwu-w run be.cured Try.w prim cMefy I
bELILR SIO.&) WTE
RIGNA�)g Klein Frances T.
"Sal
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485 E.E. -.egiort Avenue
' --EET M.G= •SMFET—L
INE. Kati-ituck. NY .1552
ti.IT OR-ow% -sTLTE -2nGx1E
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Kirlir.:ns Kelly E.
WAu
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(631) 127-2180
MFACM 111 tF110re MWORl rL.rAIM)
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