HomeMy WebLinkAboutL 12906 P 935 11111111 I I I I V I I 111111 V I I I1111111111 V I I I11111 I I I I I I I I
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 04/03/2017
Number of Pages : 4 At: 12 : 58 : 07 PM
Receipt Number : 17-0055315
TRANSFER TAX NUMBER: 16-26253 LIBER: D00012906
PAGE : 935
District: Section: Block: Lot:
1000 115. 00 12 . 00 004 . 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 $395 . 00
TRANSFER TAX NUMBER: 16-26253
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of pages RECORDED
2017 Apr 03 12:58:07 PM
JUDITH P. PASCALE
This document will be public CLERK OF
record.Please remove all SUFFOLK 149064'
L D44012906
Social Security Numbers - P 935
prior to recording. DT# 16-26253
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation
Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. ZDDDual Town Dual County
Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
a
Affidavit ' , �. Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other _
Grand Total If NO, see appropriate tax clause on
page# of this instrument.
nt 5 Community Preservation Fund
Real Prop 17008882 1000 11500 1200 004000 Consideration Amount$
Tax Ver fic tli 19 AR-1 111111
1U111i1111111111111111illlilllllllllll
R DTM lll
Agency A CPF Tax Due $
Improved
6 SatlSla�uu,i�rvuc..ay�-.r,..c.c..���.._..-._,-_..� _-...-_-_....___— ..dress
RECORD&RETURN TO: Vacant Land
Feldman Kramer&Monaco,PC
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
www.suffolkcountyny.gov/clerk Title# -
L
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
T The premises herein is situated in
S SUFFOLK COUNTY,NEW YORK.
1
TO In the TOWN of SVu�c�
Q—in the VILLAGE
or HAMLET of
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
Considerationday of tl 2017
Deed THIS INDENTURE,made the-CA—
BETWEEN
Warren W. Jackson and Mary A.Jackson,both residing at 300 Deep Hole Drive, Mattituck, NY 11952, as Co-
Trustees of the Warren W.Jackson Revocable Trust dated May 1,2001,
party of the first part,and
DISTRICT
10001, Todd W. Jackson, residing at 246 Fairview Avenue, Bayport, NY,as Trustee of the Warren W. Jackson 2017
W Revocable Trust,
SECTI N
115.00 WITNESSETH, that the party of the first part, in consideration 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
BLOCK or successors and assigns of the party of the second part forever,
12.00
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
LOT lying and being in the
004.000
SEE DESCRIPTION ATTACHED HERETO
Subject to all covenants,easements and restrictions of record.
• Said premises known as 300 Deep Hole Drive,Mattituck,NY 11952
Being and intended to be the same premises as conveyed to the party of the first part by deed dated
May 1,2001 and recorded May 11,2001 in Liber 12118 Page 147 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.
GL/
Warren W. Jacks
Mary A. cks
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: State of New York,County of ss:
On the C�b day dz in the year 2017 On the day of in the year 2017
before me,the undersigned,perso ally appeared before me,the undersigned,personally appeared
Warren W.Jackson and Mary A.Jackson
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 she executed the same in her ca and that by her me that he/she/they executed the same in his/her/their
signature on the instrument,the indi dual, r the person upon capacity(ies), and that by his/her/their signature(s) on the
behalf of whic he in ' al d, xecut the instrument. instrument,the individual(s),or the person upon behalf of which
the individual(s)acted,executed the instrument.
(signature and office of indi ualPERRYJR.
nowledgment)
(signature and office of individual taking acknowledgment)
HAROLD E
Notary Public,State of New York
No.02GE6005128
oualified in Nassau County
Commission Expires April U.201$
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)
WARREN W. JACKSON AND MARY A. JACKSON, DISTRICT 1000
AS CO-TRUSTEE OF THE WARREN W. JACKSON SECTION 115.00
REVOCABLE TRUST DATED MAY 1,2001 BLOCK 12.00
LOT 004.000
TO STREET
OR TOWN Suffolk
STREET ADDRESS 300 Deep Hole Drive
TODD W.JACKSON,AS TRUSTEE OF THE Mattituck,NY 11952
WARREN W.JACKSON 2017 IRREVOCABLE
TRUST
BARGAIN AND SALE DEED RETURN BY MAIL TO:
Jennifer Rockefeller,Paralegal
FKM File No.:EP-16-3342 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 in the Town of Southold,at Mattituck.County of
Suffolk and state of New York,bonded and described as follows:
BEGINNING at a point on the westerly side of Deep Hole Drive,said point being distant
264.23 feet southerly from New Suffolk Avenue;Thence along the westerly side of Deep
Mole Drive, south 2 degrees 40 minutes 40 seconds west, 150.00 feet to lands now or
formerly of Turchiano;Thence along said lands north 87 degrees 19 minutes,20 seconds
west,238 feel more or less to Deep Hole Creek;Thence along Deep Hole Creek north 6
degrees 6 minutes 40 seconds cast, 150.27 feet to land now or formerly of Edgett;Thence
along said lands south 87 degrees 19 minutes 20 seconds cast,229 feet more or less to the
westerly side of Deep Hole Drive,the point or place of beginning.
SAID PRUMISES also known as 300 Deep Hole Drive,Multituck,NY 11952.
rNSTRUCTIONS(RP-5217-PDF-INS):www.orps.slate.ny.us
FOR COUNTY USE ONLY -1 New York State Department of
C1.SMS;code �I 3 (��7 Taxation and Finance
(
C2.Date Dead Recorded iD 1 /03 / ! 1 Office of Real Property Tax Services
ala ' V., V_ RP-5217-PDF
C3.Book ._D,2 d C4.Page L_' Ti I I Real Property Transfer Report(8110)
PROPERTYINFORMATION
1.PropOTty 300 weep Hole Drive
Location ;
'STRUT NJMESR •STREET NAY!
MatziLuck _T952
'tllY-N TOM VIL.ACL
'SFLOCE
2.Buyar Warren W. Jactsor. 2017 Irrevocable "rust
Name
'_AB'NAMECdPANl FIRSThAMF
Todd W. Jackson, as Trustee
LASI I.AYErr,OWAY, ARS'NAME
3.Tax Indicate where future To.Bills are:o be sent Cackson Warrer W. d Mary, A.
Billing if other then buyer address(sl bottom Of forml—LAV'YAVFaL_VFAnl
Address FlierVAMF
300 Deep Hale :rive Mattituck NY
BRLEi YYDlR A,Q NAME GI:+G7 ibYst STATE ZF'0311
4.Indicate the number of Assessment 1 d ❑of Parcels Pana arethey a Pr (Only if Pert of a Parcel)Chock as apply:
Roll parcels transferred on the dead OR LAA,Planning Board with Subdivision Authority Exists C
S.Dead OR 0.75 4B.Subdivision Approval was Required for Transfer
Properly •l VGrrt FEET 'CE':I. •Y.PES
See
4C.Parcel Approved for Subdivision w,th Map Provided ❑
Warren W. Jackson Rev. Trust dated May 1, 2001
S.Seller •I,w1 h.nc.ow— F%ST-ME
Noma
Warren W. d Mary A. as Co-Yr:15_ees
:AS-YwEAWWA.n Sam 1,ALC
•7.Select the description which most accurately describes the Check the boxes below as they appy:
use of the property at the time of solo: i.Ownership Type Is CoTdominium Fi
A.One family Resideuriat 9.New Construmon on a Vacant Land ❑
10A.Property Located within an Agricultural Dlatda ❑
708.Buyer received a d.sdosure nC'aea ina.gtirthat the property is in an
x
Agultural District ❑
SALE INFORMATION 15.Check one or more of masa conditions as applUblato tmnsfor.
A.Sale Between Relatives or Former Relatives
71.Sale Contract Date B.Sale between Related Companies or Partners in Business
C.Ons of the Buyers a also a Seller
r '12.Date of SaloTransforD Buyer or Seller is Government Agency of Lend:ng trial fulion laabz
'E'Dead Type not warranty or Bargain and Seo c5peofy Below)
11 r F.Sala of Fred and or Less then Fee Interest(Solitary Below)
'13.Full Sale Price 0.00 0 Significant Change In Prbpeny Between Taxable Status and Sale Dales
H Sae of Business is Included In Sale Price
(Full Safe Pride is the total amount pard for the property Including personal property. I.Other unusual Factors Afreckrg Selo Price(Specify Betowl
This pOymem may be in the form of cash,other property or goods,or the assumption of J.none
mortgages or other obligations.)Please nxmd to the nearesf while dollar amount.
'Commengs)on Condition:
14.Indicate the value of personal
Property Included in the sale 0 •00 Transfer :o Trust _
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
18.Year of Assessment Roll from which Information taken(YY) 15 17.Total Assessed Value 11,000
9i.Property Class .0 _ •19.School District Name llatLituck School )'Str_ct
Tax Map Identifter(s(IRoll IdenUfrbr(s)(If mora than four,attach shoot with additional IdenUfiar(s))
r 115.00-12.CO-0C4.000
CERTIFICATION
1 Certify that all of the Items of Infomat in entered on this form aro true and correct Ito the best of my knowledge and belle,,and I understand that the making of any willful
false statement of material fact herein subject me to the inovis)Ons Of!ha ntnal,law relative to the making and filing of false Instruments.
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@UYERSIGNATURE Jackson Todd, W.
�1 A.� -LAST hAME NA§'YAVE
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f I .1T OR:ChH ••_ '9:ATE 711rJA
BUYER'S ATTORNEY
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ferry,
LAST NYE IRS'YAVE
I (631) 231-_450
ADS,TATE TELEFNLhEWVe:RIL•OWN): •_