HomeMy WebLinkAboutL 12924 P 337 1111111 IIII IIIII IIIII IIIII IIIII Illil 111111111111111111
I II1E11111111111111111111 -
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 08/10/2017
Number of Pages : 3 At: 08 :56:54 AM
Receipt Number : 17-0136811
TRANSFER TAX NUMBER: 17-01369 LIBER: D00012924
PAGE : 337
District: Section: Block: Lot:
1000 078 . 00 05.00 006.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $545, 000 . 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 $7, 900 .00 NO
Fees Paid $8,290 .00
TRANSFER TAX NUMBER: 17-01369
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
❑1 2
Number of pages 3 RECORDED
2017 Aug 10 05:56:54 AM
JUDITH'A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00012924
Social;Security Numbers P 337
prior to recording. DT# 17-01369
Deed/Mortgage.Instrument .Deed/Mortgage•Tax Stamp Reco ding/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
Dual Town Dual Countv_
R.P.T,S.A. Held for Appoin ent
Comm.of Ed. 5. 00 ransfe> Cax �.
Mansion Tax
Affidavit °��s�'
The property covered by this mortgage is
Certified Copy , or will be improved by a one or two
NYS Surcharge 15. 00 131T1 S family dwelling only.
Sub Total ` YES or NO
Other D /
Grand Total I/)d If NO,see appropriate tax clause on
page# of thi instrp nt.
4 Dist. 17023175 1000 07800 0500 006000 DOO 5 Community.Preservation Fund
Real Property. R CwH A Consideration Amount $ 5`7 Qa)
Tax Service �3�111L-17
Agency CPF Tax Due $ 79
Q
Verification
mproved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD 0
3D soOVA TD
Vo
M Q�h�C�; ►�-� l ��Z TD
T2b6 3
Mail to:Judith A. Pascale, Suffolk County Clerk 1 7 Title Comoany Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached 1: E4 L made by:
(SFECIFY TYPE OF INSTRUMENT)
o,She premises herein is situated in
"UFFOLK COUNTY, W YORK.
-ro In the TOWN of
In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST�13E TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12-0104..10/08u+ (over)
,.j . A'--
Standard N.Y.B.T.U.Foran 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment
Form 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 131"day of June,2017
BETWEEN
JOYCE E.NILSEN,as Trustee of the Nelson Southold Residence Trust dated March 10,2012,as to
a 2/3 undivided interest,and
JOYCE E.NILSEN,as Trustee of the Joyce Evelyn Nilsen Revocable Trust dated May 26,2011,as to
a 1/3 undivided interest,residing at 86 Michigan Avenue,Holland,Michigan 49424,
party of the first part,and
REGINA KAY,as Trustee of the Scott Kay 2001 Irrevocable Family Trust,
residing at 565 South Mountain Road,New City,New York 10956,party of the second part,
WITNESSETH,that the party of the first part, in consideration of Five Hundred Forty-Five Thousand and
001100--($545,000.00)--Dollars, and other good and 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,situate,lying and being at Bayview,Town of Southold,County of
Suffolk and State of New York,more particularly bounded and described as follows:
BEGINNING at a point on the southwesterly side of Main Bayview Road where the same is intersected by
southeasterly side of land now or formerly of William Zukas;
RUNNING THENCE from said point of beginning along the southwesterly side of Main Bayview Road,South 59
degrees 01 minutes 00 seconds East,63.68 feet;
RUNNING THENCE South 25 degrees 16 minutes 10 seconds West,233.23 feet;
RUNNING THENCE North 43 degrees 21 minutes 10 seconds West, 146.33 feet to land now or formerly of William
Zukas;
RUNNING THENCE along last mentioned land,North 46 degrees 38 minutes 50 seconds East,200.00 feet to the
southwesterly side of Main Bayview Road,at the point or place of BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed to the grantors herein by deed dated 3/10/2012 and
recorded 8/11/2012 in Liber 12701 page 869.
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"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. L
IN PRESENCE OF: � T
Joyc E. Nilsen�AsTrusteeof heNelson Southold
Aated 3110!2012
. Nilsen, as Trustee of the Joyce Evelyn Nilsen
Revocable Trust dated 5/26/2011
f/deednilsentrust20 f7
State of New Y ,County of Suffolk,ss: State of New York,County of ss:
On the I day of June, in the year 2017 On the day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
JOYCE E.NILSEN
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 (are)subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the
instrument,the individual(s),or the person upon behalf of which
instrument, the individual(s), or the person upon behalf of the individual(s)acted, executed the instrument,and that such
whit the iqdividua(s)acted,exec ted the instrument. individual made such appearance before the undersigned in
in the State of Virginia.
(insert the City)
(sig ature and office of individual to ing� edgmenl)
DEBRA WWW" (signature and office of individual taking acknowledgment)
Notary Public Notary Public,Slate of New York Notary Public
No.01 NES061482
Oualifled in Suffolk County
Commission Expires July 16,20
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State of , County of Ss:
On the day of April,in the year 2016, 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)an 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 the State of
(insert the City)
(signature and office of individual taking acknowledgement)
Notary Public
BARGAIN AND SALE DEED SECTION 078.00
WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 05.00
JOYCE E.NILSEN,TRUSTEE OF THE NELSON LOT 006.000
SOUTHOLD TRUST DATED 311012012,as to a 213 DISTRICT 1000
undivided interest;AND
JOYCE E.NILSEN,TRUSTEE OF THE JOYCE
EVELYN NILSEN REVOCABLE TRUST DATED
512612011,as to 113 undivided interest
TO
REGINA KAY,as Trustee of the Scott Kay
2001 Irrevocable Farnilv Trust
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
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INSTRUCTIONS(RP-5217-PDF-INS):www.orps.statemy.us
FOR COUNTY USE ONLY New York Stow Department of
C1.owls code I ?I(i���3i 9.R.9 I Taxation and Finance
C2.Date Dead Recorded I D O/ 'Lam/ I I Office o1 Reel Property Tax Services
" I>« RP-5247-PDF
C3.Book / C4 Papa cJ Rawl Property Transfer Report 18M 0)
PROPERTY INFORMATION
I.Property 6280 Main Bayview Road
Locallon
STREET NLNEER •BTFE FT NAME
Southold Southold 11971
'Om•an TOWN wt:ABE
•ON caoE
2•Buuyer Kay Regina, Trustee
:AS-V WFMCCYEMY YA6T WMNE
LAeT NAIEK;ONPAIV PWBT NAME
2.Tax indicate whsle future Tax Bills are to be sem
Billing If other than buyer addrn%st bottom of form) LAST W WEAMIMPANY IIRST MME
Address
SNCL'NUMBER AOYWF VATF bP COOL
4.Indicate the number of Assessment 1Pari of a pam, forty, n f Pad of a Parcell Check they apply:
Roll parcels transferred on the dad s a Percale OR ❑
4A.Planning Board with Subdivision Authority Exiris ❑
6.Dasa 0.S 0
Olt 40.Subdivision Approval wait Required for Transfer
Property •Feph7 FF.FT •OCp9N •A4SlES
Sba 4C.Parcel Approved for Subdivision with Map Provided ❑
Nilsen Joyce, Trustee
6.gofer ,AST„yk .M.A,n. FPSTNAaE
Name NiT.ser. Joyce, Trustee
LAST W A&CO"iAn F RET WME
•7.Select the description which most accurately describes the Check the boxes below as they appy:
unit of the property at the ams of solo: S.Ownership Type Is Condominium
A.One Family Residential e.New Construction on a vacant Land
14A,Properil•Located within an Agricultural District
70B.Buyer received a disclosure notice indicating that the Property is in an ❑
Agricultural District
SALE INFORMATION 16.Check one or mom of these conditions es applicable to transfer:
A.Sale Between Relatives or Former Relatives
11.Sale Contract Ossa 05/03/2017 B.Sala between Relem d Companies at Partners in Buxnees.
C.One or the Buyers is also a Salter
•u Data of S■lerrmmsror 06/13/2017 D.Buyer or Seem Is Government Agency or Lending Institution
E.Dead Type not Warranty or Bargain and Sale(Specify Burow)
F.Sale of FracbonY or Loss than Fee Internal(Specify Below)
•12.pull file Price 545,000.00 O.Significant Changs In Property Between Taxable Status and Sale Dates
H.Sale of Business is Included in Selo Price
(Full Sale Price Is the headamount paid for the prop"Including personal property. 1.Other Unusual Factors Affecting Sale Price(specify Below)
TNa Payment may be in the form of cash.Other property or goods,or Ov assumption of
J.None
mortgages or other obligations.)Phrase round to the nosing whole do0ar amount
Cmnmem(s)on Condltlon:
14.Indicate the value of personal
property Included In the est ® •00
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
S6.Yea of As xsmwd Roll from which Information taken(YY) 17 '17.Total Assessed Value -7,100
•10.Property Cie" 210 - •19.School District Nome 05-Southold
•20.Tax Map Idsmflsr(syRoll Idend MMs)(f mom dmn four,much shoeit wlth addla0nal lder4NbMq)
1000-078.00-05.00-006.000
CERTIFICATION
1 Cathy,that all of the Items of Information entered on this form are tree and coweat(to the Mat olmy Iln, I go and belleq and I understand that th making Worry willful
false mrtaesm of material fact herein subject me to the nrovlalems riche menet rear relstive to the making and aging of feta@ Instruments.
SELLER ER SIGNATURE BUYER CONTACT INFORMATION
SIGNATURE__ IEnxe rJbr eon WE*Buyer.NOW:N buyers LLC eodsty,nadaaon.expansion.jam sack eompmy.Exxon or
I �✓ cap erl 4 W On edNrduel egad ortduciery,ern•Munn ANI mnxd WOSMI rpn at on IrMO duWnaponeble
Pat reuseuene regerdre rue vensfw mua be emend.Type ar prim exay.)
2
xF.LL SANATIINS DATE
BUYER SIGNATURE Kay Regina
/�J7 •WT WWE FIRST NAME
✓ 'MFAGOM 'TELEPHONE WJx1ER;F.wren:
E OI1TF.
'8'REE-ArerER '91REE1 NAME
I
'CfrYORTOMMr 'STATF •bP COOL
BUYER'S ATTORNEY
I
Dantes Eric
LAST FLWL FIRST AAE
18041 349-8947
AREA CODE TELEPI.ONEhJImFRIF.INDOOR)
I 1 I