HomeMy WebLinkAboutL 12903 P 286SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED WITH LIFE
ESTATE
Recorded:
03/03/2017
Number of Pages: 4
Exempt
At:
04:38:39 PM
Receipt Number : 17-0038119
Handling
$20.00
NO
TRANSFER TAX NUMBER: 16-23375
$5.00
LIBER:
D00012903
$15.00
NO
PAGE:
286
District: Section:
Block:
Lot:
NO
1000 064.00
02.00
033.000
EXAMINED AND
CHARGED AS
FOLLOWS
Cert.Copies
Deed Amount: $0.00
NO
RPT
$200.00
Received the Following Fees For Above Instrument
JUDITH A. PASCALE
County Clerk, Suffolk County
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:
16-23375
THIS PAGE
IS A PART
OF THE INSTRUMENT
THIS IS NOT
A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of pages
This document will be public
record. Please remove all
Social Security Numbers
prior to recording.
RECORDED
2017 har 03 C14-7,8-7,9 PM
tIJDITH A. PA5CALE
CLERK OF
SUFFOLK COUNTY
L D00012903
P ...16
DT# 1r-233715
Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording/ Filing Stamps
3 I FEES
Page/ Filing Fee
Handling 20. 00
r
TP -584 7
Notation
EA -52 17 (County) ^�
EA -5217 (State)
R.P.T.S.A.
Comm, of Ed. 5. 00
Affidavit
Certified Copy
NYS Surcharge 15. 00
Other _
Sub Total 7�-
4 Dist. 1001 17004549 1000 06400 0200 033000
eal
R Agency Property
Tax Service U3HOFE8 17 �Il��illlll�lllllll�f�lIVI111fI1hIIl11111111111�
R DA
Verification
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
William H. Price, Jr., Esq.
P.O. Box 149
Greenport, New York 11944
Mortgage Amt. _
1. Basic Tax
2. Additional Tax
Sub Total
Spec./Assit.
or
Spec./Add.
TOT. MTG, TAX
Dual Town Dual County
Held for Appointment
Transfer Tax
Mansion Tax
The property covered by this mortgage is
or will be improved by a one or two
family dwelling only.
YES or NO
If NO, see appropriate tax clause on
page # of this instrument.
l /_ `7 C I I .,
Community Preservation Fund
Consideration Amount $
kCPFT c Due $ ___.... LK
improved
Vacant Land
TD
TD
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 1 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 Bargain and Sale Deed w/Life Estate made
by: (SPECIFY TYPE OF INSTRUMENT)
William B Kelly a/k/a The premises herein is situated in
William Brian Kelly SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of Southold
Brendan Dunnigan Kelly, Sean Tynan Kelly, In the VILLAGE
Noreen Bawn Kelly. and Coleen K. Witherspomi or HAMLET of Southold
BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
Form 8002 --Bargain and Sale Deed, with Covenant against Grantofs Acts—Individual or Corporation. (single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS
ONLY.
THIS INDENTURE, made the 28`" day of November, Two Thousand Sixteen
BETWEEN
WILLIAM B. KELLY a/k/a WILLIAM BRIAN KELLY, residing at 385 Founders Path,
Southold, New York 11971
party of the first part, and
BRENDAN DUNNIGAN KELLY, residing at 806 Flaxton Trace, Chesepeake, Virginia 23322,
SEAN TYNAN KELLY, residing at 7425 Skunk Lane, Cutchogue, New York 11935,
NOREEN BAWN KELLY, residing at 375 Kenneys Road, Southold, New York 11971
COLEEN K. WITHERSPOON, residing at 7283 Maplewood Avenue, Lima, New York 14485,
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 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 thereon erected, situate,
lying and being in the Village and Town of Southold, County of Suffolk, State of New York,
being known as Lot No. 59 as shown on a certain Map of Founders Estates, Inc., made by Otto
W. Van Tuyl, C.E., dated March 18, 1927, and filed in the Suffolk County Clerk's Office on May
10, 1927, and filed as No. 834.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by
deed dated July 3, 1975, and recorded in the Suffolk County Clerk's Office on July 16, 1975, in
Liber 7875, Page 306.
RESERVING, HOWEVER, a legal life estate in the above-described premises with the buildings
and improvements thereon erected, in and to 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.
v
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:
4 l I ? 9 (//'
WILLIAM B. KELLY
a/k/a William Brian Kelly
STATE OF NEW YORK)
) ss.,
COUNTY OF SUFFOLK)
On the 28th day of November, 2016, before me, the undersigned, personally appeared William B.
Kelly a/k/a William Brian Kelly, 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.
Not ublic
WILLIAM H. PRICE, JR.
(Votary Public, State of New York
No. 4844844, $,jffolk County f�
i@r'm Expires February 28, 20
R COUNTY USE ONLY
C1. SVAS Code
C2. Date Deed Recorded
C3. Book
PROPERTY INFORMATION
INSTRUCTIONS(RP-5217-PDF-INS): www.orps.slate.ny.us
(� I New York State Department of
`l d
Taxation and Finance
it?Lq
Office of Real Property Tax Services
2.r
RP- 5217 -PDF
C4. Page
Reel Property Transfer Report (8110)
1. Properly 385
Location
Founders Path
•amLLl MIYSFR
'ems: MMIC
Southold
Southold 11971
•CnYCR :Grin
2. Buyer Kelly
VeLAGL . al' 00:11L
Brendan Dunnigan
Name I r.w=eu+rsr
Kel�"y
-asrNAUE
Sean Tynan
Kelly
Noreen Bawn
LAST NANEXCARRAw
7. Tea Indcate Tax&nsoretobesel Kelly
I AS! NAME
Coleen K. William B.
luturre
Billing l other than buyer addreas(at bottom or form) LASI 4MrJCf.w'A9
rnaThANE
Address
P.O. Box 464 Southold NY 7.:971
STeEF.TWJMERMOMWE•
CF, CRTOM STATF 7.P OCE
4. Indlcate the number of Assessment 1e ❑ Pad of a Parcel (Only 9 Pert are Pared) Cheek as they appy:
d Parcels
Roll parcels transferred on the deed OR
4A. Planning Board with Subdivision Authority ExiSts
a. Deed X OR 0.15
4B. Subdivlson Approval was Required for Trander
Property •FRCN'FEET •pEp:T• 'ACRES
sin
4C. Panel Approved for SubdNsion with Map Provided 1�
Kelly
William B.
4. Beller •LAS-NAWICO-Ahl
IDielhAM: -
Name
_ ---
USI NMIFJCC 1nMY
-7. Select the description which most accurately describes We
MAT -11
Check the boxes below as they apply:
I❑
use of the property at the time of Sale:
B. Ownership Type is Condominium
A. One Family Reslderuiat
B. New Construction an a Vann land
10A. Property Located within an Agricultural District ❑
108. Buyer received a disclosure notice indicating that the property ie in on ❑
Agricultural District
SALE INFORMATION
1
x Cheek one or more of these conditions as applicable to transfer:
A. Sale Between RAlagves or Fannie Relatives
Sale between Related Companles or Palmers in Business.
11. Sate Corr0 ac: DebB.
N /A
C. One of the Buyers Is Alen a Seller
D. Buyer or Sailer is Government Agency or Lending Institution
' 11. Date of Salorrmnskr7 R / 1� (Y
E. Deed Type net Warranty or Bargain and Sala (Specify BdaL)
F. Sale of FmWonal or Lass than Fee Interest (Specify Below)
'12. Full Bak Puke 0.00
G. Signlacam Change in Property Between Taxable Status and Sale DAlas
H. Select Business res Included m Sok Price
( Full Sale Price Is the teal amount paid for the property Including Personal property.
I. Other Unusual Factors Affecting Sale Pros (Specify Below)
This payment may be in fie form of cash. other property or goods. or the assumpaon of
-J. None
mortgages or other obligations.) Plows round to the newest whole cblaramounl.
Commerlgs] on Condition:
14. Indicate the value of personal
propefgr Included In the sale 0 •00_
ASSESSMENT INFORMATION - Data should rallied the latest Final Assessment Roll and Tax Bill
16. Yaw at Assessment Rall from which Information bken(YY) 15 '17. Total Assessed Value 3,300
•1a.Property Close 210
'It. School District Name Southold
120. Tax Map Identifier(spRoll ldwrMr(sl (If mom than four, attach Ahad with additional Idemllkr(sll
1000-064.00-02.00-033.000
CERTIFICATION
I Certify that an of the Items of Information - he an this form aro true and correct (m the beg of my knowledge, and beIRM and I understand that the making of any willful
false statement of Matarid feet heroin subject me to the,arpvislOBBALWIAMal.law.mbdim to the making and filing of bias Instruments.
l g HUXER CONTACT. IN FORMATION
Minorinlmmfm for the surer. Mine: .1 dyer Is LLC soUety, nwcoam. corooa:wn.IoW elocit carnpmy. Seats or
edLry.a ret San kVM:Let agent or lb6c Aly. sun a name and cameo. Nannuxan d aS-nevJuainammsess
1 . L 1/28/ 16 putt' who carr An~ q,eabwle regantag Am Veneer Mr.. be eniwd. Type a Stint wooly.)
WifffamA ' Kelly a/k/a Willi n1rian Kelly Brendan
BUYERSIG Kelly AST ,AW FEST NAIL
-•0 15 1 DA
fFD
(757) 274 -481.8-
-AREA CODE •rL'1R10%W wENrL• 9M1101191
806 Flaxton Trace
•STRFFT N,WRFR 'STREET NAME
BUYER2ATTCIRN(Y
Price
i MI Miff
(631) 477-106
ANIACIxa. _
VA 23322
W.H. ,ACXF
William IT., Jr.
TAS! NAW
rCLC1A#0%C WYM; rL• CHAIM