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HomeMy WebLinkAboutL 12915 P 120 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 06/05/2017 Number of Pages : 4 At: 09 : 40 :28 AM Receipt Number : 17-0093712 TRANSFER TAX NUMBER: 16-32798 LIBER: D00012915 PAGE : 120 District: Section: Block: Lot: 1000 056. 00 05 . 00 002 .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 $395 . 00 TRANSFER TAX NUMBER: 16-32798 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County RECORDED Number of pages 2017 .Jun 05 09:40:28 AM JUDITH A. PASCALE CLERK, of SUFFOLK COUNTY This document will be public L D00012915 tecorrl. Please.removQ all P 120 §opial;$ecurity Numbers DT# 1 -32798 prior to.recording. :Deed/Mortgage Instrument Deed/'Mortgage Tax Stamp Recta ittg-1'ytng$tamps 3 PEES V, Page/Filing Fee Mortgage Amt. 1. Basic Tax _ Handling 20. 00 2. Additional Tax _ TP-584 Sub Total Spec./Assit. Notation rr or EA-52 17.(County) % Sub Total` _ Spec./Add. _ EA-5217 (State) a15 ; TOT.MTG.TAX Dual Town Dual County— R.V.S.A. Held for Appointment Cnmm.of Ed. 5, 00 13 $ Transfer Tax ' Mansion Tax Affidavit The property.covered.by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 famAy dwelling only.- Sub Total YES or. NO Other If NO,see appropriate tax clause on Grand Total age# of this instrument. I 0 I-� 4 IDs . c� n'�''' T�a��� 5'1 C.ommunity-Preservatton Fund Real Property 17018430 1000 05600 0500 002000 ConaideratiorrAmodnt $,_-Y-1) — Tax g y� o a N 1111111!1111 lel IIIII III Illll loll 11111 lel 1111 CPF Tax Due — Verification _ Improved 6 Satisfactions/Discharges/Releases List Property Owners Nlallirig Address RECORD&RETURN TO: Vacant Land Cka rd U,() den bU rs1'/ S$, T.D TD (�b(A I 10IOt rJ "1 l [ / TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Cornipanv Informat'on 31 Q Center Drive, Riverhead, NY 1-1901 e bLa www.suffolkcountyny.gov/clerk Title# $ Suffolk Count Recordin & Endorsement Page This page forms part of the attached _ _ 1�'�-��__ _ _ made by: (SPECIFY TYPE OF INSTRUMENT) (4he premises herein is situated in l Z SUFFOLK COUNTY,NEWYrO/RK.M� TO In the TOWN of V I � {Z In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRWED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. to ma aotoskk (over) —Executor's Deed—Individual or Corporation(single sheet) 105- THIS INDENTURE,made the $ day of M*1 eN, in the year 2017 r Q 2�r7 O23 BETWEEN 8A 12 ERIC VON AMMON BtA7Z 3130 North Delaware Street Indianapolis, IN 46205-3919, as executor of the last will and testament of MARY LANG BAIZ, deceased, party of the first part, and 13A 12 ERIC VON AMMON BIB Individually 3130 North Delaware Street Indianapolis, IN 46205-3919 party of the second part, WITNESSETH,that the party of the First part, to whom ANCILLARY LETTERS TESTAMENTARY were issued by the Surrogate's Court of the State of New York for the County of Suffolk on October 12,2010, and by virtue of the power and authority given in and said conveyance being pursuant to the last will and testament, and in consideration of TEN($10.00)dollars and other good and valuable consideration paid by the party of the second part, does hereby grant and release any and all remaining interest that the party of the first part may own unto the party of the second part, the heirs or successors and assigns of the party of the second part forever,and constitutes 100%of the entire interest in and to the subject premises in the party of the second part, 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,County of Suffolk and more particularly described as follows: SEE SCHEDULE"A"ATTACHED HERETO. BEING AND INTENDED TO BE the remaining interest retained under the deed dated 8129195 and recorded on 11/28/95 in the Suffolk County Clerk's Office in liber 11751 cp 997 of Mary Lang Baiz. TOGETHER with all right, title and interest, if any, of the party of the first part of, in and to any streets and roads abutting the above-described premises to the center lines thereof; TOGETHER with the appurtenances, and also all the estate which the said decedent had at the time of decedent's death in said premises, and also the estate therein, which the party of the first part has or has power to convey or dispose of, whether individually,or by virtue of said will or otherwise; 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 incumbered 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: X ERIC VON AM ON BAIZ, as Nxecutor of the Estate of Mary Lang Baiz i ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of ,ss: State of New York,County of ,ss: On the day of in the year On the day of in the year , before me,the undersigned,personally appeared before me,the undersigned,personally appeared ,personally known to me or proved to me on the ,personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) basis of satisfactory evidence to be the individual(s)whose name(s)is is(are)subscribed to the within instrument and acknowledged to me (are)subscribed to the within instrument and acknowledged to me that that he/she/they executed the same in his/her/their capacity(ies),and helshelthey executed the same in bis/her/their capacity(ies),and that that by his/her/their signature(s)on the instrument,the individual(s), by his/her/their signature(s)on the instrument,the individual(s),or the or the person upon behalf of which the individual(s)acted,executed person upon behalf of which the individual(s)acted,executed the the instrument. instrument. ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK TAKEN IN NEW YORK STATE STATE &Ian State of New York,County of ss: *State of Indiana,County of ss: On the day of in the year I *(Or insert District of Columbia, Territory, Possession or Foreign before me, the undersigned, a Notary Public in and for said State, County) personally appeared f'r� the On the IM day of in the year 2017, before me the subscribing witness to the foregoing instrument, with whom I am undersigned personally appeared personally acquainted, who, being by me duly sworn, did depose ERIC VON AMMON BAIZ and say that he/shelthey reside(s)in 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 (if the place of residence is in a city, include the street and street number if any, the within instrument and acknowledged to me that he/shelthey thereoQ;that he/she/they know(s) executed the same in his/her/their capacity(ies), that by his/her/their signature(s)on the instrument,the individual(s)or the person upon to be the individual described in and who executed the foregoing behalf of which the individual(s)acted,executed the instrument,and instrument,that said subscribing witness was present and saw said that such indivi tEaI make such ppe a be ore the ndersigned in the a'I'hL4;x e"dsatakftgsgi M*dkdaQ&c=me time subscribed (add the city or political subdivisio and the state or country or other acco&"kW4Wy)rfiMWFthi%Weflt of place the acknowledgement was taken). " 1: title examination or assumption of responsibility for correctness or validity" Executor's Deed � 'yj ►� ''' ` ,.F SUSAN K ANDERSON h��•y'� 1. CJ Jr' SECTION 056.00 NOTARY PUBLIC SEAL BLOCK 05.00 FIAMILTON COUNTY,$TATE OF INDIWdA LOT 002.000 MY OQMNiiaGON SPIRES MAY 2B 2024 SOUTHOLD,NEW YORK RETURN BY MAIL TO: Title No. Q Z©�7`� RICHARD W. VANDENBURGH, ESQ. ESTATE OF MARY LANG BAIZ ]405 OAK DRIVE T4 SOUTHOLD,NY 11971 ERIC VON AMMON BAIZ Ir ahnct u ic 11111P Pl`.......... y ALL thu ctnaln plat, &" oe of Irnd. Vh the bulldlrg and. Improwatfnts thorson snared, sh"te, lying rad being IsNbt ae Sout old, in Che Torn of Southold County of Suffolk -and State of Now York, more particularly bounded and described as followst SEOINKIKC at a point on the westerly side of Boy Home Road distant S. 37' 14p' 00" R. 937.89 feet from a monjseent at the intersection of the westerly side of Say Home Road and the southerly side of Hain Road (Route 23) 1 from said point of beginning running along land now or formerly of the Estate of LanS , S. 52' 44' 00 W. 192 feet= thence further along land now or formerly of the 9stats of Lang, S. 37' 16' 1. 100 festa running thence further partially < along land now or fo merly of the Estate of Lang and along land of Data N, 52' 44' 00" t, 192 feet to a eonment on the westerly side of Say Hove Roads running thence along the westerly aide of bay Homs Rood K. 37' 18' 00" WI 100 feet to the point or place of BEOINNING. • .. f..% 1 , , , 11 ` ' r 'i � • ' s r INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY Now York Sm Departrtlant d -Cl.SwIS Cod. I L/, , 9 I Taxation and Finance C2.Dae Deed Reltorded I / s / I Office of Real Property Tats Servioes RP-5217-PDF C3.Book 1 / ,2, 9 ,/ ,Lj C4.Page I / Z F O k I Real Property Transfer Report(BMO) PROPERTY INFORMATION -1.PropsTgr 870 BAY HOME ROAD Location .STREET WIESE- •81XEE:NMk SOUTHOLD 11971 .cl:Y on lowl, Y uA;E •r,P NOE 2."r BATZ =RTC VCN AMMOV Nems 'IMThAMFICCm'AW MRST NA1t IAYTYIWEICORPNA' FIST NATE 3.Tax Indicate where total,Tax Bius w9ro be sem BAI Z ER:C VON AM;ON INIIinB deem then buyer eddrms(al tlDaem d emrn) IAST NAIEICCw'NA• FIRST NAME Addrns 3130 N. DELAWARE STREET INDIANAPOLIZ ''-V 46205 eTREETN1M RA.%DkME CRY OR TOM S1KC PCOOE 4.Indkabthe numberafAessssmmm 1 e or Panels OR [-]Pmt of a Parcel (Only N Part of a Parcel)Cheek as they appy: ❑ Roll Parcelstm.ida. on the deed 4A.Planning Board with Subdivisxxl Author y EmM 6.0esd X OR 0.42 lee.Subdiweion Approval was Required for TrAmEW ❑ Property •Fq=FEET •DE-TM -ACRES Sha 4C.ParoNApproved for Subdivision with Map Providad ❑ ESTATE OF MARY LANG BAIZ L Sager •,MT NAIFJCCM~ FIST NAIT=_ HMO BAIT• a3 ExeCULO: ERIC VO4 AMMON LAST NAMEICCMPANT -MU-NAME •7.Won the duceolbn which moat m=urMly dessMoa dw Check the loxes below,as they appy: I=of the propery at She time of sak: 6.Ownership Typo is Condominium ❑ A.One ramily Residential fa.New Construction on a Vanni land ❑ 10A.Property Located within an Agricultural District ❑ 100.Buyer received a diadcaure rhdlcs indicating the me property is in an ❑ Agricultural District SALE INFORMATION IL Chair ons or mom of-- conditions as applicable to transhr. A.Sale Between Relativism or Former Relatives 11.Sale Contract Dab 57- 17-(4- B Sale between Related Companies or Partners in Business {� C.One of the Buyers is also a Seller 12.Dab of SalNhaemler S- a- 1+ D.Buyer or Se6sr is Government Agency or Lending InatilWon E Dead Type not Yllananty or Bargain and Sats(Specify Below) F.Sale d Fractions]or Lm than Fee 1.Its at(Spedy askew) •13.Fell Sale Price 0. Z 88-.•+x0 Q.QQ G.Significant Change in Pmpany Bowman Taxable Stmuo and Sale Dela H.Soled Business is Included in Sale Price (Fid Sale Price is the btu amount ped tar the property including personal properly. I.Other Unusual Factors Affecting Sale Price(Spa*Below) This psyment may be In On form of cash.other property or goods,Or the emampti m Of r 1l Norm rlTatgspm a ether obligetione.)Pfesas tearer ro nm neerasf e1mis drraramoumf. •Commsm(s)on Condition: 14.Ind cab the value of plc l property included mum sa% 0 •00 50 :M=EREST PURSUANT -0 ESTATE BEQUEST ASSESSMENT INFORMATION-Data should ratted the latest Final Attseasnend Roll and Tax Bill 16.Yaer etAssss cat Roll farm which IrlIts merlen taken(Ytr) 17 117.Totot Assessed Value 986 •16.Property Cws 210 - •19.School Dlefmld Name SOUTHOLD •a0.Ta Wp IdmhtMensyRog kMn~s)(N mom than your,atach*hast with additional kbmMer(sp 1000 056.00 05.00 002.000 CERTIFICATION I Car ft dmL aU d the Itm of infannodw enlersd on thls ham aretrue and corned po the bmt d my knowledge and boW and I underabnd that the making of any willful Mss sTaOmmd d Poh W ted hendo subject ma to do amrklons dthe pearl law dilater to the making and Sling of bite Instruments. I aro I-ser-IGNATURE BUYERCONTACIINFORMATION -- - IRAs wkmebw for do buyer No's If buyer a LLC.roost y.@$Mstion capwx5on.psi Shock company.muse a �( am Mr.IN mw al mowm ire owl a Rd o".Nal a rlMs am owmad dmrmr"at m,ro oumnaapawae Lt - MLL/7►• .S���O/� pap who can ane arsue nee now"els senwr mer me wlwred TyW m plan gwdy) SFIIFO SPOW.L 1F DATE 11WERS)QNAIUM EAIZ ERiC VONAKMON •LMT hA1F. 1 iFST YAMS (317) 259-6000 •.�X -f-24W.7 �� •AREA (✓tea' twOE ••El[9aNL rANm[R IEa sEemePi BUYER 81DNATLPE GTE 3130 N. DKAWARF. STREET .STFEET NJFER •STREET XAME r INDIANAPOLIS IN 46205 --TI'ca'0W4 •STATE -?.PCOM AUORNEY. Ing, VANDENBURGH RICHARD LAST h-M FIRST NIME (631; 513-9019 MFACDE TF.EP ME NUNILP ox.mmasaI