HomeMy WebLinkAboutL 12918 P 133 11111111 IIII IIIA IINI VIII VIII 1111111111 VIII IIII II11
I I I I I I I I I I I I I I I I I I I I I I
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED WITH LIFE ESTATE Recorded: 06/23/2017
Number of Pages : 3 At: 11 : 54 : 39 AM
Receipt Number : 17-0106614
TRANSFER TAX NUMBER: 16-35207 LIBER: D00012918
PAGE : 133
District: Section: Block: Lot:
1000 059 . 00 03 . 00 022 . 004
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 . 00
Received the Following Fees For Above Instrument
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: 16-35207
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
RECORDED
Number of pages j 2017 Jun 23 11,54:39 AM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L 000012918
Social Security Numbers F 133DT# 16-35207
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee j 5 j Mortgage Amt.
f.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 r SubTotal
Notation Spec./Assit.
_ or
EA-52 17(County) S SubTotal Spec./Add.
EA-5217(State) ' ��� — TOT.MTG.TAX
C/u Dual Town Dual County
R.P.T.S.A. Held forAppointment
Comm.of Ed. 5, 00 Transfer Tax
Affidavit • + Mansion Tax
CertifiedCopy ��� The property covered by this-mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES orNO
Other �J
Grand Total �3 If NO, see appropriate tax clause on
of this instrulnent9t .
a �
4 Dist. 1 Q00 17016363 1000 05900 0300 022004 5 munity Preservation Fund
Real Property
e y T S Consideration Amount
Tax sery $
Agency 1fiDMAY 1 I IIIIIIII IUII IIID�IIIIIII IIIIIIII IIIIIII CPF Tax Due $
Verification
pp - -- Improved
6 Satisfactions/DischargR/CORD&RList
T trope yOwnersMailingAddress
E Vacant Land
PHYLLISANN POLIZZI KALENKA, ESQ.
SPELLMAN RICE GIBBONS POLIZZI &TRUNCALE LLP TD
229 SEVENTH STREET TD
SUITE 100
GARDEN CITY NTY 11530 TD
Mail to:Judith A.Pascale,Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Blackstone Land Title Agency LLC
www.suffolkcountyny.gov/clerk
Title#08687
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED Mc 1f- V � � Q made
by: (SPECIFY PEOFINSTRUMENT)
Robert Heinisch,executor under LWT Madeleine J.Heinisch The premises herein is situated in
aka Madekleine Heinisch SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Robert Heinisch,Barbara Ann Heinisch,Joanne Wright In the VILLAGE
Thomas Heinisch,subject to Life Estate Bernard A.Heinisch or HAMLET of
BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
!D. t--9!gL'f-YUUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the day of V^9" 'K 2017,
BETWEEN ROBERT HEINISCH,residing at 37 Fulling Avenue,Tuckahoe,New York 10707,as Executor under the Last
Will and Testament of MADELEINE J.HEINISCH alkal MADELEINE HEINISCH who died on February 15,2016,late of
41575 County Road 48,Southold,New York 11971 (pursuant to a Decree Granting Probate,dated June 15,2016 by the
Surrogate's Court of the State of New York,County of Suffolk, under File No.2016-2201),whereunder Madeleine J.
Heinisch a/k/a Madeleine Heinisch was sole surviving heir and intestate distributee of the estate of Raymond W.
Donahue who died on May 2, 1963,and as sole surviving heir,intestate distributee and Will legatee cf Ann Q.Donahue
who died on August 19, 1981,party of the first part,and
ROBERT HEINISCH,residing at 37 Fulling Avenue,Tuckahoe,New York 10707,BARBARA ANN HEINISCH,residing
at 27 Lakeview Drive,Pawling,New York 12564,JOANNE WRIGHT,residing at 723 Liberty Lane;Southold,New York
11971,and THOMAS HEINISCH,residing at 41575 County Road 48,Southold,New York 11971,asjoint tenants with
rights of survivorship, SUBJECT TO THE RETAINED LIFE ESTATE OF BERNARD A. HEINISCH, residing at 41575
County Road 48,Southold, New York 11971,pursuant to the terms of the Last Will and Testament of MADELEINE J.
HEINISCH a/k/a MADELEINE HEINISCH duly admitted to probate, party of the second part,
WITNESSETH,that the party of the first part, by virtue of the power and authority given in and by said last will and
testament,and 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,
ALL that certain plot,piece,tract or parcel of land,with the buildings and improvements thereon erected,situate,lying
and being at Southold, in the Town of Southold, County of Suffolk and State of New York,bounded and described as
follows:
BEGINNING at a point on the northwesterly side of Middle Road(now known as County Road 48)distant 187.17 feet
northeasterly from the extreme northeasterly corner formed by the intersection of the easterly side of Kenney's Road
with the said northwesterly side of Middle Road (now known as County Road 48)and from said point and place of
beginning:
Running Thence,North 42 degrees 05 minutes 50 seconds West along lands now or formerly of Paul Surozenski and
Jennifer Zajd, 175.88 feet to lands now or formerly of Noreen Hamlin and Thomas Hamlin;
Thence, North 48 degrees 02 minutes 10 seconds East along the last mentioned lands, 141.03 feet to land now or
formerly of 137 Associates Inc.;
Thence,South 41 degrees 05 minutes 50 seconds East,along the last mentioned lands 176.20 feet to the northwesterly
side of Middle Road(now known as County Road 48);
Thence,Southwesterly along the said northwesterly side of Middle Road(now known as County Road 48)along the arc
of a curve bearing to the left with a radius of 1957.86 feet an arc length of 138.02 feet(chord = S48.0939W length
137.96 feet)to the point or place of BEGINNING.
SUBJECT TO AND TOGETHER WITH A COMMON DRIVEWAY EASEMENT RECORDED IN THE SUFFOLK
COUNTY CLERK'S OFFICE IN LIBER 11940 PAGE 706.
SAID premises being more commonly known as 41575 County Road 48, Southold, New York 11971;Section 059.00,
Block 03.00, Lot 022.004 on the Suffolk County Land and Tax Map.
BEING and intended to be all or part of the premises conveyed to Raymond W.Donahue in Liber 1249 page 123,and in
Liber 3474 page 291,and to Ann Q. Donahue in Liber 7738 page 355.
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 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 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 fora er purpose.The w " 'arty"shall be
construed as if it read"parties"when ever the sense of this indenture s e ires.
IN WITNESS WHEREOF,the party of the first part has duly execut d ;Is deed the d and ar first at written.
1 PRESENCE OF
ROBERT H IS OH,as of the Last
Will and Testament of MAD ELEIN . EINISCH
a/k/a MADELEINE HEINISCH deceased
Standard N.Y.B.T.U,Form 8005-Execulor's Deed-Uniform Acknowledgment
Form 3307
~+' TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of A -s-5,4() ss: State of New York,County of as:
On the g day of 19 P r, in the year 2017, On the day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
ROBERT HEINISCH,
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(s)whose name(s) is satisfactory evidence to be the individual(s)whose name(s) is
(are)subscribed to the within instrument and acknowledged to me (are)subscribed to the within instrument and acknowledged to me
that he/she/hey executed the same in his/her/heir capacity(ies), that he/she/they executed the same in his/her/heir capacity(ies),
and that by his/her/their signature(s) on the instrument, the and that by his/her/their signature(s) on the instrument, the
individual(s),or the person upon behalf of which the individual(s) individual(s),or the person upon behalf of which the individual(s)
acted,executed the instrument. acted,executed the instrument.
(si6ftture and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment)
JOSEPHINE BARBATI
NOTARY PUBLIC,STATE OF NEWYORK
NO.OIBA5019168
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES OCL 18,20
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/sheAhey executed the same in his/her/heir capacity(ies), and that by
his/her/heir 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)
SECTION 059.00
BLOCK 03.00
LOT 022.004
COUNTY OR TOWN
Suffolk County
STREET ADDRESS
EXECUTOR'S DEED 41575 County Road 48
Southold, NY 11971
Title No. �g�g�
Recorded at Request of
BLACKSTONE LAND TITLE AGENCY,LLC
STAND'^^ --u nr•NEW YORK BOARD OF TITLE UNDERWRITERS RETURN BY MAIL TO:
Blackstone Land Title Agency LLC. Phyllisann Polizzi Kalenka,Esq.
229 Seventh Street Spellman Rice Gibbons Polizzi
Suite 203 &Truncale,LLP
229 Seventh Street,Ste 100
Garden City,NY 11530 WY Garden City,NY 11530
RESERVE THIS SPACE FOR USE OF RECORDING OFFICE
�41
TRUCTIONS(RP-5217-PDF-INS):www.orps.statemy.us
FOR COUNTY USE ONLYG1/�r New York State Department of
c,.awls cos. Q Taxation and Finance
C2.Date Deed Recorded ? Office of Real Property Tax Services
"' RP- 5217-PDF
C3.Book' / C4.Page Real Property Transfer Report(8M 0)
PROPERTY INFORMATION
1.Property 41575
Location County Road 48
STR=..NUMBER .STREET NAME
Southold Southold 11971
•CITY OR:OnN VLLAOE
•ZPCOD[
2.Buyer
Name Heinisch Robert
•
LAST NMI[KT)MPMT FIRST.-AM
Heinisch Thomas
L41,1 NMECOMPAM/ FAST NAME See Attachment
Bil7.Tax ng Indicate whero future Tax Bills are to be sent Heinisch Bemard A.
Addiess if other than buyer address(at btxbm of form) I r N EcwPAw FIRST YALE
Address
PO Box 204 Southold NY 11971
S'RECI NINNA APJ NAVE CITY OR Tom SATE 7 CODE
4.Indicate the number of Assessment Pan of a Parcel (Only If Part of a Parcel)Check Y they apply:
Roll parcels transferred on the deed 1 p of Parcels OR ❑ ❑
4A.Planning Board with Subdivision Authority Exists
s.Deed 138176 OR 40 ❑
Property •FRnirr[[- DEPTH .Subdivision Approval wait
•ACR[e
Brae
4C.Parcel Approved for Subdivision with Map Provided ❑
Madeleine J.Heinisch Estate
6.Seller •LAST NAW-COMPAW
r,RaT NAME
Name
MST NAMCILTAPANV FIRSTRIAM[
'7.Seidel the description which moat accurately describes the Check the boxes below as they apply:
use of the property at the time of sale: B.ownership Type is Condominium
A.One Family Residential t.New Construction on a Vacant Land El
IDA.Property Located within an Agricultural District ❑
106.Buyer received a disclosure notice indicating that the property is in an
Agricultural District ❑
SALE INFORMATION 15.Check one or more of these conditions as applicable to transfer:
A.Salo Between Rclalives or Fortner Relatives
11.Sale Contract Date N/A B.Sale behveen Related Companies or Partners In Business.
C.One of the Buyers is also a Seller
`12.Dab of SalelTronsfer April 18,2017 D.Buyer or Seiler is Government Agency or Lending Institution
X E.Deed Typo not Warranty or Bargain and Sale(Specify Below)
F.Sale of Fractional or Loss than Fee Interest(Specify Below)
'18.Full Sale Price $0.00 G.Significant Change in Property Between Taxable Status and Sok Dabs
H.Be*"f Business is Included in Sale Prroe
(Full Sale Pnce is the total amount paid for the property including personal property. I. Other Unusual Factors Afiocting Sale Price(Specify Below)
This payment may be in the form of Cash,other property or goods,at the assumption of J.Nona
mortgages or other obhgations)Woase round to the nearest whole dollar amount.
Comment(s)on Condition:
14.Indicate the value of personal
property Included In the sale $0.00 Executor Deed/Life Estate
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tex BIII
15.Year of Assessment Roll from which Information taken(YY) 17 '1T.Total Assessed Value
'18.Property Crass 2 1 0 _ 1 '19.School District Name Southold
'20.Tax Map Identiflor(suRoll Identifier(s)(It more than four,attach shoot with additional Identifier(s))
059.00-03.00-022.004
CERTIFICATION
I Certify that all of the Items of Information entered on this form are true and Correct(to the beat of my knowledge and belles and I understand that the mpking of any willful
false statem of material fact heroin subject me to the,provltloDLoLthe penallaw relative to the making and filing of false Instruments.
29LIER�1SxdATUBE @MR.COHIA0.INEQBmATION
(Frier irlormarion far IFC buyer.Nota:J buyer is-LCxoe".assecietron.corporation,Joni stock cor•:pmnV.wink,a
W itay Pal Is rid an naNWi.d apwl or tdudary.;1•en a norm and tonlae.Normerion or an Indlviareumspawlhle
party who can answer qurveore reposing the aanster mus'be eNerod.Type err print aleady.)
SELILR SIOMT:IRE DATE
Tun Heinisch Bernard
•4A6T NAM C FIR$:NAer[
'AMA CODE •ra[Rtar1E WAGNER It.aaMN)
e.nER&ONATLAE '
PO Box 204
,err 1 r e i/ IT i s STREE-ITLAFD[R STREE:NAME
r
Southold NY 11971
1 'CITY OR VOM •CTATE •ZIPCapE
BUYER'S AT.tQRNEY
i
1 y t t Polizzi Kalenka, PhYllisann
r
S I
L AE7 A . FROTNAM[
I (516) 592-6807
1 i+ AREA COD[ TL'•.EPI.OYE RJWLR IEr•9WRIN:
062,32oi7
t t33
Attachment
Attachment 1:Buyer Names(continued)
3.Wright,Joanne
4.Heinisch,Barbara
5. Heinisch,Bernard
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