HomeMy WebLinkAboutL 12899 P 550 1111111 Illi IIIII!1111 IIIII IIIII IIIII IIIII IIIII Illi 1111
I I I I I I I I I I I I I I I!I l l l l l
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 02/06/2017
Number of Pages : 4 At: 12 : 43 : 10 PM
Receipt Number : 17-0022350
TRANSFER TAX NUMBER: 16--20439 LIBER: D00012899
PAGE : 550
District: Section: Block: Lot:
1000 106 . 00 02 . 00 020 . 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 $395 . 00
TRANSFER TAX NUMBER: 16-20439
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
I ❑
Number of pages RECORDED
2017 Feb 06 12:43:10 Ptl
JUDITH R. PASCALE
This document will be public CLERK OF
record.Please remove all SUFFOLY. COUNTY
Social Security Numbers L DP0554099
prior to recording. DT# 16-20439
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A, w� Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit
((,;. +;: Mansion Tax
Certified Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other _
Grand Total If NO, see appropriate tax clause on
page# of this instrument.
4 Dist1W 17002771 1000 10600 0200 0200010 )O� 5 Community Preservation Fund
Real Property P T 17 11111Jil�11� Consideration Amount$
Tax Service R CWH A ` I IIII t'11 "` II1I 1
Agency 24�IAN CFF ax Due $
Verification _ J
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Feldman Kramer&Monaco,PC 0—
330 Vanderbilt Motor Parkway TD
Suite 400 TD
Hauppauge,NY 11788
TD
Att:Jennifer Merolla,Paralegal
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name � G
www.suffolkcountyny.gov/clerk Title# 3
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
\ by: (SPECIFY TYPE OF INSTRUMENT)
'Dtir.ph h.C_C, Qh-o' The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of
—bG!i- In the VILLAGE
J d or HAMLET of S�
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
No
Consideration
Deed THIS INDENTURE,made the day of .2016
BETWEEN
Joseph D. La Rosa, residing at 106 Erin Lane, Setauket, New York 11733, as Trustee of the Joseph D. La
Rosa Revocable Living Trust
party of the first part,and
DISTRICT
1000 Paul George La Rosa, residing at 16 Elliot Drive, Lake Grove, New York 11755 and Diane Lucia Ainsworth,
residing at 3 Mildford Close, White Plains, New York, 10606, as Co-Trustees of the La Rosa Family 2016
SECTION Irrevocable Trust.
106.00
WITNESSETH, that the party of the first part, in consideration ten dollars and other valuable consideration,
BLOCK paid by the party of the second part, does hereby grant and release unto the party of the second part,the heirs
02.00 or successors and assigns of the party of the second part forever,
LOT ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
020.000 lying and being in the
SEE DESCRIPTION ATTACHED HERETO
Subject to all covenants,easements and restrictions of record.
Said premises known as 475 Inlet Drive,Mattituck,New York 11952
Being and intended to be the same premises as conveyed to the party of the first part by deed dated
July 21,2016 and recorded October 12,2016 in Liber 00012883 page 537 in the Suffolk County Clerk's Office.
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"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
written.
�Wseplf D. La Rosa
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
Form 1000-7
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of Suffolk ss: Slate of New York,County of ss:
On the 'M day of `�![ft4VA in the year 2016 On the day of in the year 2016
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
Joseph D.La Rosa
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 whose name is satisfactory evidence to be the individual(s)whose name(s) is
subscribed to the within instrument and acknowledged to me (are) subscribed to the within instrument and acknowledged to
that he executed the same in his capacity,and that by his me that he/she/they executed the same in his/her/their
signature on the instrument the individual,o the person upon capacity(ies), and that by his/her/their signature(s) on the
behalf of which the indivi ted,a ed the-instrument. instrument,the individual(s),or the person upon behalf of which
the individual(s)acted,executed the instrument.
1L (117
(signature and office of individual taking acknowledgment)
(signature and office of individual taking acknowledgment)
CANDACE T.DELLACONA
Notary Public,State of New York
No.02DE6099631
Qualified in Nassau County'],
Commission Expires 04/16120 r V
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 he/she/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 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)
JOSEPH D. LA ROSA, AS TRUSTEE OF DISTRICT 1000
THE JOSEPH D. LA ROSA REVOCABLE SECTION 106.00
LIVING TRUST BLOCK 02.00
LOT 020.000
COUNTY OR TOWN Suffolk
TO STREET ADDRESS 475 Inlet Drive
PAUL GEORGE LA ROSA AND DIANE Mattituck, NY 11952
LUCIA AINSWORTH,AS CO-TRUSTEES OF
THE LA ROSA FAMILY 2016__
IRREVOCABLE TRUST
BARGAIN AND SALE DEED RETURN BY MAIL T0:
Jennifer Rockefeller, Paralegal
FKM File No.: EP-16-1063 Feldman Kramer&Monaco,P.C.
330 Motor Parkway,Suite 400
Hauppauge, NY 11778
DESCRIPTION
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,
known and designated as Lot 988,Block 6,on a certain map entitled,"Map of Captain Kidd Estates",
and filed in the Office of the Clerk of the County of Suffolk on January 19, 1949 as map 41672.
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY Now York Stab Department of
Cl.awls code I g, �9I Taxation and Finance
C2.Date Deed Recorded 10t910&1 /7- 1
7- 1 Office of Real PropeAy Tax Services
�yRP-5217-PDF
0.Book O C4.Page Real Property Transfer Report(Silo)
PROPERTY INFORMATION
11-Prop" 475 Inlet Drive
Location
'STPEET aJMEEP •STREET KIIIE
Mattituck 11952
•CrYCR TMN ra1AGE •t P CM
2.Buyer Paul LaRosa and Diane Lucia Ainsworth,as CO-TTE
Name
•LAST NAtl6C0YPANY isaT NAME
of LaRosa Family 2016 Irrevocable Trust
NET NAME,CDMPANf FIRST NAME
7.Tia Indicate whore future Tax Blots are to be sent La Rasa Joseph, D.
Billing if other then buyer addraWal bottom of form) LAST hAN&WUPAMr FIRST MARE
Addmas
106 Erin Lane Setauket NY 1-1733
arREET NLMMR 41L Alli-c CITY W TOM STATE ZP CCOE
4.Indltate the number of Assessment 1 ❑Pon or a Parcel (Only If Part of a Parcel)Cheek as they apply:
Roll;areola transferred on the dead a of Perca:s OR 4A•Planning Board with Subdivision Authority Exists ❑
e'Dood X OR 0•32 40.Subdivision Approval was Required for Transfer ❑
Properly 'FRCYr FEET •DEPTH 'ACRES
She 4C.Panel Approved for Subdivision with Map Provided ❑
Joseph D. La Rosa as Trustee of the
a.Beller .NST NAMEANW4hY FRS""APF
Name Joseph D. La Rosa Family 2016 Irrevocable Trust
LAST NAMEVA N-ANY ■RST IIWE
17.Select the description which most accurately describes Na Check the bozos below as they apply:
use of the property at the time of ails: S.Ownership Type Is Condominium ❑
A.Ono Farully Residential a.New Construction on a vacant Land ❑
10A.Properly Located within an Aglldr0urel Distinct
108.Buyer received a disclosure notice indicating that the property Is in an El
Dlsift
SALE INFORMATION 1S.Cheek one or mon of these conditions as applicable to transfer.
A.Sae Between Roldives or Fanner Rdabves
B.Sala between Related Compan;es or Parton In Business.
11.Santo Contract Dole
t A C.one of the Buyers is also a Sailor
Its!
12.Date of SaleRranslar Noll i(A D.Buyer or Seller Is Government Agency or Lending Instlkhon
r_ E.Dead Type not warranty or Bargain cud Sala(Specify Below)
F.Sale at Fractional or Less than FEE Internet(Specify Bdow)
117.Full Salo Price 0.00 G Significant Change In Property Between Taxable Status and Sale Dales
H Sore of Business is Included in Sate Price
(FIA Sale Prion Is the total amount paid for the property including personal property. I.Other Unusual Factors Affects S
This payment relay be in the loan of cash•other property or goods.or the assuapns
lion of a Sale Price( P�IY Blow)
J.None
mortgages or other obllgadons.)Irises round to the nearest whole dozer amount.
'Commengs)on Condition:
14.Indicate the value of peraenal
property Included In the solo 0 •00 Transfer to Trust
ASSESSMENT INFORMATION-Data should resect the latest Final Assessment Roll and Tax BIII
16.Year of Assessment Roll from which lnfmmation tekenIVY) 16 117.Total Assessed Value 4,400
•11.Property Class 210 _ •1g.School District Name Mattituck-Cutchogue UFSD
'20.Tax Map IdentMer(syRoll Idennle r(s)(If more then four.attach shoot with eddltionsl Identhter(s))
X000-106.00-02.00-020.000
CERTIFICATION
1 Csrtxy that all of the Rams of Information entered on this form ora true and correct(to the bat of my knowledge and better)end I understand that the making of any willful
false statement of material bet heroin subject me to the mnvlslens of the penal law relative to NE making and Sling of fatty Instruments.
`f BUYER CONTACT INFORMATION
(-X ilv 'Enter k arms! n Por the buyer.Nota II Ixryw Is LLC society.sswwt pi
:on.corwallwnt vock conpany.asue v
diet M rim m en lrelrldlal anent or in •
ry.
ion .elan more and rased Inlolmebun of on InelvdusYlaspondwE
` punywocallchimerqusaansragwangueimnsarmustbe&WW TypemprintCharly.)
LL[R eloi E
r_arenllxn LaRosa Paul George
3 Y_ .LASThAME FIAT NAME
I • O�' --ii, 'rFIF.'WNE.N.NYRIFr 9WyWi•
air BANIRL,RE Jl TE
IR+rw/)'/v/•w/N/J/—//P//-//`a+ 16 Elliot Drive
'STREET MIYBER '6TREE1 HANE
Lake Grove NY 11755
Irl'
YnY CR TDaIR •erATE 'y CODE
I BUYER'S ATTORNEY
I r 5
' De_lacoaa Candace
LAB!IJAME FIRST NAME
'1 (631) 231-1450
l I l r AREACODE TELEPHONE MJMBER t&atesssal
I I r s i 1 1 11 1 1 I
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