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Home My WebLink AboutL 12905 P 721SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 03/23/2017 Number of Pages: 3 At: 03:23:15 PM Receipt Number : 17-0049402 TRANSFER TAX NUMBER: 16-25300 LIBER: D00012905 PAGE: 721 District: Section: Block: Lot: 1000 126.00 10.00 020.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument JUDITH A. PASCALE County Clerk, Suffolk County 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 $0.00 NO RPT $200.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $390.00 TRANSFER TAX NUMBER: 16-25300 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of This document will be public record. Please remove all Social Security Numbers prior to recording. Deed 1 Mortgage Instrument 3 Deed / Mortgage Tax Stamp FEES RECORDED 2017 Mar 23 03:23:15 PM JUDITH A. PASC_pLE CLERK, OF 9JFFOLK COUNT' L D00012905 P 721 DT# 16-25300 Recording / Filing Stamps Page / Filing Fee 15-- BARGAIN AND SALE DEED WITH COVENANT Mortgage Amt. (SPECIFY TYPE OF INSTRUMENT) GREGORY OLSEN & DARLENE i. Basic Tax _ Handling 20. 00 SUFFOLK COUNTY, NEW YORK. 2. Additional Tax _ TP -584 _ GREGORY P. OLSEN JR. SPECIAL Sub Total Notation Or HAMLET of Laurel Spec./Assit. EA-52-17(County) 5� Sub Total �� or _ Spec./Add. EA -5217 (State) )�5� _C(i/ TOT. MTG. TAX R.P.T.S.A. 2� Dual Town Dual County_ Comm. of Ed. 5. oo a 0 _ ,,, _ c Held for Appointment Transfer Tax cor— }J Affidavit Mansion Tax Certified Copy _ The property covered by this mortgage is NYS Surcharge xS. oo Sub Total J? or will be improved by a one or two family dwelling only. Other _Grand Total �?alQi / ytoYES or NO If NO, see appropriate tax clause on page # of this instrument. Z 4 IDist. v 5 Community Preservation Fund 1700$$28 1000 12600 1000 020000 Real Proper Consideration Amount $ �_ Tax Service R DTY A IIIIIIII� SII IIIA IIIIIIIIDIIIIII�IIIIIIIIII Agency 17 -MAR -1 CPF Tax Due $ Verification 6 Satisfa[tionsiuiscnargestHeieases List Property Owners Mailing Address Improved RECORD & RETURN TO: Vacant Land TERRY CIPRIANI, PLLC 95 Route 25A OQO Suite 4 D Miller Place, New York 22764 D Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 320 Center Drive, Riverhead, NY229oi Co. Name www.suffolkcountyny.govlclerk Title # 8 Suffolk County Recording & Endorsement Page This page forms part of the attached BARGAIN AND SALE DEED WITH COVENANT by: (SPECIFY TYPE OF INSTRUMENT) GREGORY OLSEN & DARLENE The premises herein is situated in OLSEN, his wife a 25% int. SUFFOLK COUNTY, NEW YORK. TO In the TOWN of SOUTHOLD GREGORY P. OLSEN JR. SPECIAL In the VILLAGE NEEDS TRUST Or HAMLET of Laurel BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. made (over) huff? Form 8002 — Bargain and Sale Deed, with Covenant against Grantor's Acts — individual or Corporation (Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—TRIS INSTRUMENTSHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made the 16 f day of *b'1 & , in the year 2017 BETWEEN GREGORY OLSEN and DARLENE OLSEN his wife, both residing at 6645 Great Peconic Bay Boulevard, Laurel, New York t 1948, conveying a 25% interest, party of the first part, and GREGORY P. OLSEN, SR., AND DARLENE L. OLSEN, both residing at 6645 Great Peconic Bay Boulevard, Laurel, New York 11948, as Trustees of the GREGORY P. OLSEN, JR. SPECIAL NEEDS TRUST dated March 27, 2007, with an address at 6645 Great Peconic Bay Boulevard, Laurel, New York 1 1948, 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, District: 1000 ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Laurel, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: Section: BEGINNING at a monument set at the intersection of the northerly line of Great Peconic Bay Boulevard and the 126.00 westerly line of lands of Lawrence A. Holfelder, formerly of Carlton M. Prankard, Laurel, N.Y.; running thence North 41 degrees 36 minutes 10 seconds West by and along the westerly line of Holfelder's lands through a Block: monument 250 feet to lands of Pollak; running thence westerly along the southerly line of land of Pollak, South 10.00 48 degrees 23 minutes 50 seconds West, 100 feet to land of Wilbur July; running thence South 41 degrees 36 minutes 10 seconds East by and along the easterly line of lands of Wilbur July, 250 feet through a monument to a monument set on the northerly line of Great Peconic Bay Boulevard; running thence North 48 degrees 23 minutes Lot: 50 seconds east, by and along the northerly line of Great Peconic Bay Boulevard, 100 feet to the monument at the 020.000 point or place of BEGINNING. TOGETHER with a right of way in common with others from Great Peconic Bay Boulevard to Great Peconic Bay over a strip of land 12 feet in width, lying between the westerly line of lands of Edward H. Stoehr and the easterly line of lands formerly of Higgins, later of Carlton M. Prankard and now of George F. Hamill. SAID PREMISES known as 6645 Great Peconic Bay Boulevard, Laurei, New York 11948. BEING AND INTENDED TO BE a portion of the same premises conveyed to the party of the first part by Deed dated October 20, 1993 and recorded in Suffolk County Clerk's Office on January 5, 1994 in Liber 11658 Page 778. 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 parry of the second part forever. AND the party of the first part covenants that the parry 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 d ly executed this deed the day and year first above written. IN PRESENCE OF: OLSEN (ACKNOWLEDGMENT FORM FOR USE WIYH�1&` fN;`Y$TATE ONLY) STATE OF NEW YORK, COUNTY OF SJr`0114 ) SS.: On the ib'tt` day of PeAUCc(9 in the year 2017, before me, the undersigned, personally appeared GEGORY OLSEN and DARLENE OLSEN personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacities, and that by their signatures on the instrument, the individuals, or the person on behalf of which the individuals acted, executed the instrument. NOTARY PUBLIC TERRY CIPRIMn Notary Public, State of Newer No. 02CI6002962 Qualified In Suffolk County Cornfnisslon Exp. Feb 17,26-1 Bargain and Sale Deed WITH COVENANT AGAINST GRANTOR'S ACTS TITI.F NO GREGORY OLSEN AND DARLENE OLSEN, HIS WIFE, CONVEYING A 25% INTEREST TO GREGORY P. OLSEN, JR. SPECIAL NEEDS TRUST DATED MARCH 27, 2007 Distributed By Chicago Title Insurance Company (ACKNOWLEDGMENT FORM FOR USE WITHIN NY STATE ONLY) STATE -OF NEW YORK, COUNTY 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 on behalfof which the individual(s) acted, executed the instrument. NOTARY PUBLIC ACKNOWLEDGMENT FORM FOR USE OUTSIDE NYSTATE ONLY) STATE OF COUNTY OF ................ ....... ............. ) SS.: (Complete Venue with State, Country, Province or Municipality) 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 individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacities, and that by their signatures on the instrument, the individuals, or the person on behalf of which the individuals acted, executed the instrument and that said individual made such appearance before the undersigned in the (insert the city or other political subdivision and the State or country or other place the acknowledgment was taken). NOTARY PUBLIC DISTRICT 1000 SECTION 126.00 BLOCK MOO LOT 020.00 COUNTY OR TO WN SUFFOLK RETURN BV MAILTO: TERRY CIPRIANI, PLLC 595 Route 25A Suite 4 Mitler Place, New York 11764 INSTRUCTIONS(RP-5217-PDF-INS): www.orps.state ny.us IR COUNTY USE ONLY C1.SWISCode C2. Date Dead Recorded L3 / 2-3/ 7 l Y=� C3. Book L Z QtOC4. Page I t N ) _ New York State Department of Taxation and Finance Office of Real P;openy Tax Services RP- 5217 -PDF i Real Property Transfer Report (91101 I. Property 56.45 Gr''=a;, F'o.-o n'_c.: 3:Jy Location 'S:aEEn H1YDCa • it:ik°• YWE SOU•1 Hv'.0 T.a-.; r C• 1 2. Buyer Gregory P. akar. ._. ;'Dc•::_:._ Aoud5 ':'rust Name - .. __— •- - T •..S-YaYF.rAlY N:f IAS:Y•V. Gregory P. Sr. S Darlo nr_ I-. 0.15un, •Legs L•i: N•VEddYnY.I •• •• _. IAi+w•VL 3. Tax lr4calewhnefutun To. Srtfs anew be sent 012ar:, .siC. G.reg;.r-y 1+. d :�a=1c.-ne Billing t1 other than buyer eddrcas(at hotlom of fovn) :.s+ Y•Y• Mt.Y•••n• • • - es' x•u� - - Address P.4. Box .58 ; t rc: I:': a.-1 •a I;.0. rarYSLrr.L:I..W .- - GI'r.;�rfiAll .- - - MCI. Jr,C0F STiEE- e. Indicate the number of Assessment e 1 Part of a Parcel lOnly If Part of a Parcel) Chock ae they apply: Roll parcels transferred on the deed s d Pamela OR + eA, Planning Board er th Subdivision Authority Exists 7- I. 6. Deed \ f )R :. uC ,/,:Y=s 48. Subdivision A Pprdval was Requires For Transfer _ Property • LL' •x+Ili• lno::lLL- sin Sw eC. ParcelApproved fel Subdivision wah Man Prmrided 01 son 9. Sailer --, •. V; S aVr.Y. .. _ __ a n5_ 11— Name Name Cr.S_'fi:I_1•: .. Alt! Y.Y• ..� _.. ._. .. l.a• Y•Y=/.OWtiY '7. Select the description which most accurately describes the Chock the boxes below as they appy: !--1 use of the property at the time of sale: S. Owrership Type is Conoom ium :`.: Icer Falllll v Re'ldvillial 9. New Comin coon on a Vacant La -d IJ IDA. Properly t orated within a+Agncub..•ar Drslrict 190. Buyer received a tlusclosve notice indicating thai me propenv •S in an rr Ag^duhural D:strlc: Lr SALE INF-ORMA7ION IS. Chock one or more of those conditions as applicable to transfer: IA Sale Between Relatives or Forma Relatives Sale between Related Companies or Panners in Brsrress 11. Sale Contract Data �. C One of ine Buyers is deo a Sailor D Byer or Seller is Government Agency or L end -ng Invilui on • 72. Onto of $elefTrermfer I F Deed type not Warra-ty or Rarga n and Sale (Specify BeAw) r Salo at &•attlonal or -ass than Fed I^leres::5pecifir Below) '13. Full See Price O .1111 _ G Sign flcant Charge In Property Between Taxable Status and Sole Dates - •- •-• H. Sme ol U -mess is 1•:C.uded in Sale PriCe I FSA Sale Price is the total amount pard for n properiy.ncludrng ddratera• prope'lY either U^.suet FaCbrS A!1CLtrtg Sale Price ISpeoly Below: Tpayment may Oa m 1M form d cosh. aver progeny of goods. or the nssumClun l Nona mortgages a aver obligations 1 Rosso round fe the nearest winds dolor amount 'Conment(sl on Condrbon: 10. Indicate the value of personal Property included in the Salo ,1111 'yr ,•: r..•:-T.i r.^A '�: LI•:: __ __ ASSESSMEN 1 INFORMATION • Data should WOO tho latest Final Assessment Roll and Tax Bill 1e. Yoor of Asoossment Roll from which Information takonlYY) i '17. Total Assessed Value 7, i r.- •19. Property Class _ _ .. _ '19. School District Name 1.1 r.. 1: - .::'l:: •. '20. Tax Map IdentiMllsyRoll IdemlRarls)111 more than four, attach shoot with additional identiaer(s ) .CSO l-h.CC 1:f.CO 02C.000 CERTIFICATION 1 Certify that all of the items of information entered on this form are true and correct Ito the best of my knowledge and belief) and I understand that the making of any willful false s ant of material fact heroin subject me to the provisions of the pans! law relativs to the making and filing of false instruments. ///•••�� SELILER�IGNATURE BUYER CONTACT INFORMATION / / 7 / r LL_•+uI SniMt rr•xe•e.Alel xya• I?..Ie: IS. L-.. n:e-r aaf04•ryI-:n�MC r an 51—--Irige d q{•V. II%Ir/`/•/'/y/,`aI_/ ::T n:Y. s •1GI of -W r 1AI h N*,- :L1.•.@- ee•1 i :G F ft Y ~: E.IOrTp:4n Y an fpM.AiR•f W%'YLre Fahr rt _ y' arena• ]—w%:nga•II•:I :-n ransie, rust a e -W- Type or prim clearly G St.l "ai $e -n -1:'lith'::, iii TI __: JyB/U1,YR�+ER IGN TUR -- 3�of to � Oj Iry 1x1 � ;63: 1 r ..e _ .. �. _ -... : ._l -rI .lit•. r..V :..L. J • ,. 'tit Y:A • ricF: r..Yi - __ - . - !:_]1.:' :lane NY I: i•s •1 BIJYLRZS ATTORNEY •Sr _ _IL-1 rw .Y. •r M:—•• •_ •ELLr4.'ti_Y.e: YI:. Ki7l1 - _•