HomeMy WebLinkAboutL 12927 P 184 11111111 IIII VIII 1111111111 fllll IIIA 1111111111 IIII 1111
1111111111111111 IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 08/28/2017
Number of Pages : 4 At: 02 : 59: 41 PM
Receipt Number : 17-0148982
TRANSFER TAX NUMBER: 17-03695 LIBER: D00012927
PAGE : 184
District: Section: Block: Lot:
1000 026 . 00 02 . 00 017 .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 $5 . 00 NO RPT $200 .00 NO
Transfer tax $0 . 00 NO Comm.Pres $0. 00 NO
Fees Paid $400 .00
TRANSFER TAX NUMBER: 17-03695
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
0F2]
RECORDED
Number of pages 2017 Rug 26 02:59:41 Pt9
JUDITH A. PASORLE
CLERK: OF
TY
This document will be public SUFFOLL D00 012a272927
record.Please remove all P 184
Social Security Numbers DT# 17-03695
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00
2, Additional Tax
C
Sub Total
TP-584
Notation �r Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) y TOT.MTG.TAX
� � Q*;:
Dual Town Dual County
R.P.T.S.A. Held for Appointment
Comm.of Ed. 5. 0061Transfer Tax
Mansion Tax
Affidavit /a The property covered by this mortgage is
� ertified Copy a or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other _ n
Grand Total �u�, If NO, see appropriate tax clause on
page# of this instrument.
�3.i/-/?
4 D ]Q28939 017.000 5 Community Preservation Fund
1000 02600 0200 017000
Real Pr p T S
,11IIIIIIIf II(IfIImIII IIf Consideration Amount$ 0
T A
Ager 28a4UG-1 uuI�IIWI�I� CPF Tax Due $ 0
Verific
Improved f
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: / Vacant Land
�1 TD ib
Patricia C.Moore,Esq.
51020 Main Road TD
Southold,NY 11971 TD
Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Peconic Bay Title Insurance Agency
www.suffolkcountyny.gov/clerk Title# GSI/
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Joanne C.Anderson and Warren R.Anderson The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In theTOWN of Southold
Warren and Joanne Anderson LLC In the VILLAGE
or HAMLET of Orient
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the / If rN day of 60 G LJ ST in the year 2017
BETWEEN
Joanne C.Anderson and Warren R.Anderson
1211 Commodore Drive
New Smyrna Beach,FL 32168
party of the first part,and
Warren and Joanne Anderson LLC,a Florida Limited Liability Company
1211 Commodore Drive
New Smyrna Beach,FL 32168
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 and improvements thereon erected,situate,lying and being in the
SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF.
BEING AND INTENDED TO BE the same premises conveyed by Deed dated April 4,2011
and recorded April 22,2011 in Liber 12657 page 867 in the Suffolk County Clerk's Office.
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 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 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: a(L Sow
Joan C ndersol
arren R.Anderson
Title No.: 641-S-03840
Schedule A Description
ALL that certain plot, piece or parcel of land, situate, lying and being In the
Town of Southold, County of Suffolk and State of New York, known and
designated as Lot No. 11 as shown on a certain Map entitled, "Map of Willow
Terrace, Section One at Orient, Town of Southold, Suffolk County, New York,
owned and developed by Robert J. Douglass, Orient, New York, surveyed
January 27, 1969 by Van Tuyl &Son, Licensed Land Surveyors, Greenport,
New York", and filed in the Office of the Clerk of the County of Suffolk"on
11128/69 under File No. 5407, said Lot being bounded and described as
follows;
BEGINNING at a point on the easterly side of Willow Terrace Lane from the
corner formed by the Intersection of the northerly side of Rowe Drive with the
easterly side of Willow Terrace Lane;
THENCE along the easterly side of Willow Terrace Lane, North 22 degrees
30 minutes West, 203.00 feet;
THENCE North 67 degrees 30 minutes East, 103.77 feet;
THENCE South 88 degrees 21 minutes 50 seconds East, 40.00 feet;
THENCE South 10 degrees 19 minutes East, 190.95 feet to the northerly side
of Rowe Drive;
THENCE along the northerly side of Rowe Drive, South 67 degrees 30
minutes West, 100.00 feet to the easterly side of Willow Terrace Drive and the
point or place of BEGINNING.
1
USEACKNOWLEDGMENTFORMBELOWWITH/NNEWYORKSTATEONLY: USEAC/dVOWLEDGMENTFORMBELOWWrmivNEWYORKSTATEONLY:
State ofNew York,County of Suffolk )ss.: State of New York,County of Suffolk }ss.:
On the// day of d'k f 4- 5 T in the year 2017 On the l i day of 09W 6: 5 7' in the year 2017
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
Joanne C.Anderson Warren R.Anderson
personally known to me or proved to me on the basis of satisfactory 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 evidence to be the individual(s)whose name(s)is(are)subscribed to the
within instrument and acknowledged to me that he/shelthey executed within instrument and acknowledged to me that he/shelthey executed
the same in his/her/their capacity(ies), and that by his/her/their 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 signature(s)on the instrument,the individual(s),or the person upon
behalf of which the individual(s)acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument.
MARGARET C.RUTKO SKL ��f�" �UT
Notary Public,State of New York Notary Public MARGARET C. WS�ary Public
No.4982528 Notary Public,State of New York
Qualified in Sutfolk County No.4582528
Commission Expires June 3, °) Qualified in Suffolk County
Commission Expires June 3, a.O/9
ACKNOWLEDGMENTFORMFORUSEWITHINNEWYORKS7'ATEONLY: ACKNOWLEDGMENTFORMFORUSEOUTsLDENEWYORKSTATEONLn
(New York Subscribing Witness Acknowledgment Certificate! (Out of Stare or Foreign General Acknowledgment Certiftcatel
State of New York,County of }ss.: ...............................................)ss.:
(Complete Venue with State,Country,province or Municipality)
On the day of in the year
before me,the undersigned,personally appeared On the day of in the year
before me,the undersigned,personally appeared
the subscribing witness to the foregoing instrument,with whom I am
personally acquainted,who,being by me duly swom,did depose and personally known to me or proved to me on the basis of satisfactory
say that he/she/they reside(s)in 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
(ifthe place ofresidence is in a city,include the street and street number, the same in his/her/their capacity(ies),that by his/her/their signature(s)
if any,thereof);that he/she/they know(s) on the instrument,the individual(s),or the person upon behalf of which
the individual(s)acted,executed the instrument,and thatsuch individual
to be the individual described in and who executed the foregoing made such appearance before the undersigned in the
instrument;that said subscribing witness was present and saw said
execute the same;and that said witness at the same time subscribed (Insert the city or other political subdivision and the state or country or
his/her/their name(s)as a witness thereto, other place the acknowledgment was taken).
BARGAIN&SALE DEED
WITH COVENANTS AGAINST GRANTOR'S ACTS
TITLE No. DISTRICT 1000
SECTION 026.00
Joanne C.Anderson and Warren R. BLOCK 02.00
Anderson LOT 017.000
COUNTY OR TOWN Suffolk
TO
Warren and Joanne Anderson LLC RECORDED AT REQUEST OF
Fidelity National Title Insurance Company
RETURN BY MAIL TO
FIDELITY NATIONAL TITLE Patricia C.Moore,Esq.
0 tNSURAN CEoiCOMPsANY 51020 Main Road
Southold,NY 11971
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INSTRUCTIONS(RP-5217-PDF-INS):www.Orps.state.ny.us
FOR Cl IUNTY USE ONLY New Yolk State Departinent of
C1.Slums code �/ rI I Taxation and Finance
¢ /CS
CL Data Deed Recorded L (J U/( I/� I Office of Real Property Tax 5etvices
12-111 RP-5217-PDF
C3.BookC4.Pogo Real Property Transfer Report(8110)
PROPERTY INFORMATION
1.Property 715 Willow 'Terrace Lane
L otlan
•a I RLLI NUYECR '%•NLL'WE
Sou Llro.d Orient 11957
.C.T'as Tow'I VL.AGL
'LPCrICF
2.Buyer Warren and Joanne Andersc n LLC
Name
•LAST NAIEICdlY7AhY F RST WE
LAST MAMIUCOUP&W I IRAT WE
3.Tax Indeab where future Tax Bes aro to be sent
Billing y other than buyer addms%at bosom of Term) LAST.0 E=M-AW FAST h"L
Address
6:Rhh•NJARFR A%hAwE Cr V OR TOM 9"ATF 2 PCOIE
4.Indicate the number of Assessment1 [:]Part of a Parcel (Only N Pert of■PtreeO Check as they appy:
Rail parcels transferred on the dead a or Parcels OR
4A.Planning Board with Subdivision Auawnry Eluate
S.Deed X OR 0-56 48.Subdivision Approval was Required for Transfer
Property FROM FEET •Ewes-F 'ACRES
Bw
4C.Parcel Approved for Subdivision with Mop Provided
Anderson ,'•oari ne C.
6.Sellar •I ASI hAU:eA PAwr
F.Rtl:NAYI
Name
Anderson +terra"
R.
LAS'NA41!."WAVY 9PSNWL
17.Select the description which most accuntay descrfbas the Check the boxes below as they appy:
use of the property at the Omo of sob: G.Ownership Type is Condominium
A.One Family Residential I.New Construction on a Vacant Land
10A.Property Inearad within an Agdealturel District ❑
168.Buyer received a dlsclesum notice indicating that the property w in an ❑
Agricultural District
SALE INFORMATION I L Check one or more of these conditions as applicable to transfer:
A.Sale Between Relelives or Former Relatives
11.Sole Contract Daft B.Sale between Related Companies or Partners in Business.
C.One of aro Buyers is also a Seller
V11/20117
� 'I "120' D.Buyer or Seller is Government Agency or Lending InstitutionInstitution1 Z.Data of SolslTrenisfer O E.Deed Type not Warranty or Bargain and Sale(Sporty Below)
F.Sale of Fractions]or Lep than Fee Interest(Soo*Belong
•1S.Full Sale Price 0.00 G Significant Change in Property Between Taxable Status and Sale Dates
(Fut Sale Pdee is the total amount paid for the property including personal properly. 1.H.Saler mumu Business is Included ti Sale Prig
This payment may be in the form of cash,other property or goods,or the assumption of J Osler Unusual Faison Affecting Sale Price(Specify Below)
nwngages or other obligations)Plesse round to the near"while layer amount J None
Comirsm(s)on Condition:
14.Indicate the value of psmomal
pm party Included In the sets .00 :rana!'er :o Scalers' LLC
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year d Assessmtm Rall from which Information token(YY) 17 •17.Total Assessed Value 7,000
Y&Property Clem 310 _ •12.School District Name Oyster Ponds
•20.Toe Map Ide dfler(s)Rta6ldenenMts)(R more than four,attach shag with addlBonal klattiibr(a))
3000-020.00-02.00-017.000
CERTIFICATION
I Certify that all of the Items of Information Entered an this farm am USES and correct(to the best of my knowledge and bel"and I understand that the making of any willful
fete statement of material but heroin subject me W the orevlGkag of the selul law relotlae to the making and Illing of false Instruments,
URE BUYER CONTACT INFORMATION
(Enmisty g o6 rdA to-MIs buys•.Noor a suyar Is LLC.name id cosaon.l monean film Oro aainimpo same or
anegl and a rad an'ndrieNE open N rAlydry titan■Ilene eM cerCe.:Yxarrnallon d en rldswduWraspmebls
�(J � pwgr who dal envier yuneons mg rdlg ale xerMa neat be emEex Tw,,or prall CIW V.l
8W.ER SrMTUV WE
RE Anderson Warren
'.AS"WL MST hAYF
(51 6) b27-6727
'MRA C.YP •TL_CFM E WU3FR Eta 9NVAGI
BUTCN SxiNAILNL BATE
1211 CoTiriodore Drive
•$TRCET NJNYYr •STREET NAPE
New Smyrna Beach ?L 37.168
.0ry ON•OWN •6141[ 4P CCnF
BUYER'S ATTORNEY
Moore Yat.ricia
I
' -UT MYL F Na:..AOL
I
16311 '165-1330
AIaJ QTCE TE-Eft-ONE hJWLR;Lr 9a99Y991
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