HomeMy WebLinkAboutL 12900 P 364 Illllli l Ill IIIII II!!I i1lII 1111111111 lilll 1111 I IIII II
111111 IIIII(IIII 1111 IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 02/14/2017
Number of Pages : 4 At: 08 : 46 :29 AM
Receipt Number : 17-0025230
TRANSFER TAX NUMBER: 16--21069 LIBER: D00012900
PAGE : 364
District: Section: Block: Lot:
1001 002 .00 02 .00 044 . 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 $5. 00 NO RPT $200 . 00 NO
Transfer tax $0 .00 NO Comm.Pres $0 . 00 NO
Fees Paid $400 . 00
TRANSFER TAX NUMBER: 16-21069
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
❑1 ❑2
s RECORDED
Number of pages 2017 Feb 14 08:46:29 AM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please re ove all L D00012900
P 364
Social Security Numbers DT# 16-21069
prior to recording.
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.
EA-52 17(County) 7 Sub Total �� Spec/Add.
EA-5217(State) S TOT.MTG.TAX
IVDual Town Dual County
R.P.T.S.A. i ,dye Held forAppointment
Comm.of Ed. 5. 00 Transfer Tax
. �. Mansion Tax
Affidavit
The property covered by this mortgage is
C I led Copy or will be improved by a one or two
Sub Total 3
arge 15. 00 {� family dwelling only.
' v
YES orNO
Other l}
Grand Total V If NO, see appropriate tax clause on
page#t of this instrument.
- -�
4 Dist.100' 17004408 1001 00200 0200 044000 S Community Preservation Fund
Real Property P T 1111111 IIIII Illlll1f111f1111I1I1JIM 11111111I11IIIIIIII Consideration Amount
Tax Service SiNI ° IIIIII�IIII�IIIIIIII��II ��IIII�����IIIIIII�II
Agency CPFT Due $
r 03-FEB-17
Verification ` J
// Property Improved
li Satisfactions/DischargRECORD&RETUIOwners Mailing Address
Vacant Land
Jennifer B. Gould, Esq.
PO Box 988 TD /D
Southold, NY 11971
TD
TD
Mail to:Judith 4.Pascale,Suffolk County Clerk Title Company Information
310)Center Drive, Riverhead, NY 11901 Co.Name Fidelity National Title Insurance Services LLC
www.suffolkcountyny.gov/clerk Title## s
Co
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Daniel S.Clark,surviving tenant by the entirety of The premises herein is situated in
Margot W.Clark,deceased 0 710 712 0 1 6 SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Daniel S.Clark,as Trustee of the Daniel S.Clark In the VILLAGE
Trust Agreement dated 10-13-2016 or HAMLET of Greenport
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIORTO RECORDING OR FILING.
over
Bargain and Safe Deed with Covenants Against Grantor's Acts-Individual or Corporation
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the 3�h day of OC`f6,bPY"- , 2016 BETWEEN
DANIEL S. CLARK, surviving tenant by the entirety of MARGOT W. CLARK, deceased July 7, 2016, late of
Suffolk County, New York, residing at 300 Manor Place, Greenport, NY 11944
party of the first part,
DANIEL S. CLARK, as Trustee of the DANIEL S. CLARK TRUST AGREEMENT dated 10/13/2016, residing at
300 Manor Place, Greenport, NY 11944
party of the second part,
WITNESSETH, that the party of the first part, in consideration of ten dollars ($10.00) and 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 the party of the second part forever,
SEE SCHEDULE 'A' ANNEXED HERETO
Being and intended to be the same premises as described in the deed made by Frederick Preston and
Ethel Elizabeth Preston, his wife, recorded 10-04-1961 liber 5058 page 181.
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:
DANIELS. CLARK
STATE OF NEW YORK: COUNTY OF SUFFOLK) ss:
On the i 3�Nda �G-t�1cPr`
y of • , 2015, before me, the undersigned, personally appeared Daniel S.
Clark, 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 executed the same in his/her capacity and that by his/her signature on the instrument, the
individual, or the person upon behalf of which the individual acted, executed the instrument.
No Public TO-Ank r r 6 . (Sou Id
JENNIFER S.GOULD
Notary Public,State of New York
No.02G05024640-Suffolk County
Commission Expires March 14,20 )1
SCHEDULE A
ALL that certain plot, piece or parcel of land, with the buildings and improvements
thereon erected, situate, lying and being in the Village of Greenport, Town of Southold,
County of Suffolk and State of New York, bounded and described as follows:
Filed map 0-53 " Map 4 Swing m"ar " L&- -72--
Northerly by land now or formerly of Theodore Brigham, 42 feet;
ova
Easterly by Sterling Place feet, more or less;
Southerly by Manor Place, 42 feet; and
Westerly by land formerly of William G. Robinson and others, 120 feet more or less to
the point or place of BEGINNING.
.gyp'"
FOR COUyTY USE ONLY INSTRUCTIONS(RP-5217-PDF-INS):www.orps.statemy.us
I New York State Department of
ct,S9111s code l <j�, 3, $�I, / ; Taxation and Finance
C2.pato Deed Recorded II QIoZ/ P y/ / 7 I Office of Real Property Tax Services
" RP-5217-PDF
Ca.Book ! 67C4.Page L Real Property Transfer Report(6110)
PROPERTY INFORMATION
1-Prop" :300 Manor Glace
Location
•sieEEi wlaFa -- V.RIF I h.r4 ••• - -
Southold Greenport
:1999
•xr+s:lx
2.Buyer C-ark, as Trustee Dan-el S.
Name
'ul$I NWaCall^.NT 11x9*NWF
MST Y.YEICOYPAYr !Nal N.YE
3.Tax Ilmicals where future Tax Oda are to be sent
Billing if other then buyer addresstel bottom at form) AST Y.eLICCY-NI1 Flan'NW E
Address
STRFFT N,YILR.Yti N.VF C."0.-ovpl lY CO3E
4.Indicate the number of Assessment 1 r'Poet of a Powe; (Ony if Part of a Parcell Check as they appy:
Roll parcels thensfomd on the deed sof Parcels OR I__I El4A.Planning Board with Subctl.don Authority fillets
6.Dead 42 v( 12U Ult 0.00
Property ,FaoN'F[�7 40.Subd vision Approval was Required for Transfer
size •CFPTN 'M.RL$
4C.Parcel Approved for Subdivision vnth Map Provided
Clark. Daniel S.
0.Sailor •L.aTN.eEeCuPA' - -
Name r.Rar h.IN
LAS'-_10NP.x1 FRST N.W
'7.Select the description which most accurately describes the Check the boxes below as they appy:
use of the property at the time of sale: S.Ownership Type is Condominium i
A.One Family Residential 9.New Construction an a Vacant Land
—' 10A.Property Located withn an Agncultural District
100.Buyer received a disclosure notice inducting that the property is in an ❑
Agricultural District
SALE INFORMATION 15.Chock onser mora of these conditions as applicable to transfer.
A.Sale Between Relatives or Former Relatives
11.Sale Contract Data B_
—., Sale between Related Companies or Pariners in Business
C One d the Buyers Is also a Seller
sfe
'12.Date of SolarTronr 1 1 >12-0 D Buyeror Sellor is Government Agency or Lending Ina.tution
i-' tG E.Deed Type not werarly or Bargain and Sale(Specify Below)
F.Sale of Fractional or Less than Foe Interest(Specify Below)
113.Full Sale Price 0.0() G Significant Change In Property Between Taxable S'elus and Sala Dates
1 Full Sga Price is the tate!amount paid for the property Including personal N Salo of Business Is Included in Sats Price
This payment may hs in the form or CasR,other Property ply. I.Other Unusual Factors Affecting Selo Price(Specify Below)
Y P perty or goods,or the assumption of J.j Bose
mortgages or other obligations.)Please round to are rleeresf whale dollar amount
1 011 t)st on Condition:
1A Indicate the value of personal
property included In the sale 0 •00
ASSESSMENT INFORMATION-Data should reflect the latest Fina(Assessment Rol(and Tax Bill
15.Year of Assessment Roll from which Information teksn(YY) 16 '17.Total Assessed Value 4,550
-15.Properly Class 210 _ '19.School District Norma
'20.Tax Map Idemlfli"oyRoll Identlfler(s)pl more then four,attach shoot with additional Wondfler(s))
:CO:-aD2.00-:h2.00-CS4.00:)
CERTIFICATION
I Cortly that all of the Rens of information entered on this form fire We and correct Ito the bast of my knowledge and bollen and I understand that the making of any willful
false statement of material but herein subject me to thepWIli ins 0f thiygnel law-1e4tive to the making and filing of Mw Instruments.
RULER-319NMRE BUYERCONTACSINEORMAIIQtl
(Fi�1� Iwil:y t aria)n for a.lnmebWer rim Raryeris LLC nwne'oeMy aesaoxhos O''aea:rn.Mnte:wel.rEVIO nlibl. or
'WIT"t e mCi.n InClndYl a$eN a eeNoery,syn■rinme and Gw'Na eRwrNem w an wnel.Ylly.pemahN
WY.y wIN un enenlf QueNene ragording Ill.eemfar NVN Ire entalsa Type orprim el..dy 1
fEll For 5xM.:LaE WIL
BUYER SIGNATURE Clark LTrglS4eg .^.ar.iel S
/}y/�/ /'//��"//lr�'�/�/!r l •r.Nr x44 LnSTN.W
'.aF.CI):L `FleilSra..+NY3FR da 717yGey,
13LIC Mar.c.r Place
STNI.L r hJYe'cR '9'REE7 NIWL
S r Greenport NY _1949
I '7ir9R I:Mw.
-:;I-TE 'L-:ODE
BUYER$ALTORNEY
Could, Esq Jennifer ki
Iftbl N.'.E F nS I NAME
I
(631) 765-8375
yTf.rvv •- ItLLF•R1N=M.VIRR,E•64011'11.! _-