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HomeMy WebLinkAboutL 12927 P 334 1 � 1111111 IIII VIII VIII Illli VIII VIII Illi!loll 1111111 I I I I I I I I I I I I I I l SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/29/2017 Number of Pages : 4 At: 11 :49 : 18 AM Receipt Number : 17-0149580 TRANSFER TAX NUMBER: 17-03816 LIBER: D00012927 PAGE : 334 District: Section: Block: Lot: 1000 135 . 00 03 .00 042 . 003 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 $395 . 00 TRANSFER TAX NUMBER: 17-03816 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1❑ RECORDED Number of pages ; 2017 Aug 29 11:49:18 AN JUDITH R. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record.Please remove all L 600012927 Social Security Numbers P 374 DT# 17-03816 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20_002. Additional Tax TP-584 Sub Total Spec./Assit. Notation or EA-52 17(County) S Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX , ,�` Dual Town Dual County R.P.T.S.A. Lf� ^T"i'A�„ Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit + • Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total If NO, see appropriate tax clause on page# of this instrument. 4 Dist. li 17022895 1000 13500 0300 042003 I 5 Community Preservation Fund T r i n InI II ! rf If n RTax Service R DTY A I �IIIIIII'I InIIIIIIII�IIf�Illlllllllll�lllllll Consideration Amount$ Agency 11-J UL-17 II IIII A I 11 A CPF Tax Due S Verification _ f -=_---- ---- ` , Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD JEROEN AND ROBIN BOURS 12 HEMSLEY LANE TD GREAT NECK,NY 11023 TD 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# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached WARRANTY DEED made by: (SPECIFY TYPE OF INSTRUMENT) JEROEN r.BOURS The premises herein is situated in ROBIN BOORS SUFFOLK COUNTY,NEW YORK. TO In the TOWN of _SOUTHOLD BOURS LIVING TRUST In the VILLAGE or HAMLET of_SOUTHOLD BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over Warranty Deed NO CONSIDERATION n ' THIS INDENTURE,made the• �iJ day,of /r OY two thousand and sixteen BETWEEN JEROEN R.BOURS and ROBIN SOURS,his wife,residing at 12 Hemsley Lane, Great Neck,New York 11023 party of the first part,and, JEROEN R. SOURS and ROBIN J. BOURS, Trustees, or their successors in trust, under the BOURS LIVING TRUST, dated AUGUST 15 2014, and any amendments thereto, residing at 12 Hemsley Lane, Great Neck,New York, 11023 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 0o second part,the heirs or successors and assigns of the party of the second part forever, N C) ALL that certain plot, piece or parcel of land,with the buildings and improvements thereon erected, situate, I.- lying and being O J SEE SCHEDULE"A"ATTACHED HERETO 0 0 ci 0 Y U O J m 0 0 U, t2 0 The Grantor,ROBIN BOURS,is the same person as ROBIN J.BOURS,the Grantee herein. H w BEING AND INTENDED TO BE the same premises as conveyed to the party of the first part by deed dated rA August 11,2015,and recorded August 27,2015 in the county clerk's office in Liber 000012829 Page 921. SUBJECT to any state of facts an accurate survey may show. SUBJECT to any covenants,easements and restrictions of record,ff any. SUBJECT to mortgages of record,if any. H U iY 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 o 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, 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. AND the party of the first part covenants as follows:that said party of the first part is seized of the said premises in fee simple, and has good right to convey the same; that the party of the second part shall quietly enjoy the said premises;that the said premises are free from encumbrances, except as aforesaid; that the party. of the first part will execute or procure any further necessary assurance of the title to said premises;and that said party of the first part will forever warrant the title to said premises. 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: JEROEN BO RS R /NBURS Standard N.Y.B.T.U.Form 8003-Warranty Deed With Full Covenants-Uniform Acknowledgment Form 2222 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of NASSAU as: State of New York,County of ss: On the Ja day of Mitin the year 2016 On the day of in the year before me,the undersigned(personally appeared JEROEN R. before me,the Undersigned,personally appeared BOORS and ROSIN BOURS, 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 hislher/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 instrument,the individual(s),or the person upon behalf of which which the individual(s)acted,executed the instrument. the individual(s)acted,executed the instrument. SHEILA L.PANZELLA Nofory Public,Sta:a of New%& el �ll No.01 PA6031197 Qualified in Nassau Cou qty CimnMinion Expires Sept.27,2017 (signature and office of individual taking acknowledgment) si use and o of individual taking acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country) SS: M 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 helshelthey 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) WARRANTY DEED DISTRICT 1000 SECTION 13500 WITH FULL COVENANTS BLOC_ K 03.00 LOT 042.003 Title No. COUNTY OR TOWN SUFFOLK STREET ADDRESS 660 MILL CREEK DRIVE, JEROEN R.BOURS AND ROBIN BOURS SOUTHOLD, NY 11971 TO BOURS LIVING TRUST RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by MR.AND MRS.BOURS commonwealth 12 HEMSLEY LANE GREAT NECK,NY 11023 A LANpAME—A COMPANY fan.s COMMONWEALTH LAPD TITLE INSURANCE COMPANY SCHEDULE A. ALL that certain plot,piece or parcel of land,situate,lying and being in the Town of Southold, County of Suffolk and. State ofNcw York,being bounded and described as follows: BEGINNING at a point on the southerly side of Mill Creek Drive,said point being the division line between premises hereinafter described and lands now or formerly of Doyle; RUNNING THENCE along the southerly side of Mill Creek-Drive,South 68 degrees 22 minutes 40 seconds East,85.64 feet to a point; THENCE along the arc of a curve on the southerly side.of Mill Creek Drive as it turns to the right,having a radius of 25.00 feet a distance of 30.42 feet to a point; THENCE along the westerly side of Mill Creek Drive,South I degree 20 minutes West,99.70 feet to a point; THENCE along the are of a curve bearing to the right having a radius of 25.00 feet a distance of 45.12 feet to a point in the northerly side of Mill Creek Drive; RUNNING THENCE North 75 degrees 20 minutes West, 109.00 feet to lands now or formerly of Doyle;and THENCE along said last mentioned lands;North 16 degrees 07 minutes 30 seconds East, 157.20 feet to the southerly side of Mill Creek Drive,the point or place of BEGINNING. i INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY New Yak State Department of Ct.Burk cafe 4.-1 `�, �j c), Taxation and Finance C2.Deb Deed Recorded I Q b -19qz / 17 1 Oboe of Real Property Tax Services D.• T'- RP-5217-PDF C3.Book 1 ,/�, , �,1 1 C4.Page J_s� J Real Propeft Trenafer Report(8110) PROPERTY INFORMATION 1•PrapOy 660 MILL CREEK DRIVE Location •STPEE-NONOCR - •STNII INWF SOUTHOLD SOUTHOLD 11971 'Cllr an lawn YLIACC •tI+:COL' z.Buyer SOURS LIVING TRUST Name —.. — •LAST NANE�OMPA17'r °aT NANL I V�iNWEfr:Y'AN1 J— FIRST SAME 3.Tax Indicate wham future Tax Bills ale to be sent Billing f ottler than buyer addroWat bottom of bon) u%T ti-w-caiii A-W FIRST NAME AMme STALLT%IIwrrR AN'NAW- GI+OR TQAN S:ATF SIa COOL 4.Indicate the number of Assessment I Pan of a Parecl (Only N Part of a Parcel)Check as they apply: Roll parents transbrred to ft deed_,s of Parcels OR © 4A.Planning Board with Subdivision Authority Exists ❑ L Deed \ ()(t 0.41 40.Subdivision Approval was Required for Transfer ❑ Property -i mm I a i •Met. •A'•pES , Sm 4C.Parcel Approved for Subdivision with Map Provided BOURS JEROEN R. e.SeOer •LAST kANLXWPMr, FIRST%AMC Name BOURS ROBIN :AST NANLICOYNA- POST NWL 'T.Soler an description which most accurately describes the Check the boos halo-as they appy: use of the prapertyr at the time of sale: S.Ownmehlp Type is Condominium AL One Fafn(ls'Re identiai 9.New Construction on a Vacant land ❑ 10A.Property Located within an Agricultural DistT4t 1 OB.Buyer neeewed a disclosure notice indicating that the properly is in an Agricultural Distle:t SALE INFORMATION1 15.Check ere or more of these condittone an applicable to transfer. Njft A.Salo Between Releaves or Former Rola4ws 11.11a1e Con ract Data IS.Sale between Ralmod Companies or Partners in Business. C.One of the Buyers is also a Sosor D.Buyer or Safer is Government Agoncy or Lending Institution 12.Dar of BsleRranshr E.Deed Type not Warranty or Bargain and Sale(Specify Below) F.Sale of Fractional or Less than Fee Interest(Specify Below) '13.Full Sale Prim 0.W G.Significant Change In Property Between Taxable Sims and Sale Dams _ H.Salo of Business is Included In Sale Price (Full Sale Prim is the total amount paid for the property Including Personal property. I.Other Unseal Factors ARacling Salo Price(Specify Below) This payment may be In the form of cash.other property or goods,or the assumption 01 J.None mortgages or other obligations.)Please round to the nearest wWb doter amount. 'Commsnt(s)on Condition: 14,miscast the value of peramal property Included In the sale 0 ,Orf TRIOS TO REV-RUST W77T1 NO CONS:D—ERW ION ASSESSMENT INFORMATION-Date should reflect the latest Final Assetesrrlenl Roll and Tax Bill 18.Year of Assenment Rodd from which Info US n tsken(Yn 15 'IT.Total Aaaesmd Value 5,300 -1e.property Cmse 210 _ •16.School District Name I SOUTHOLD SCHOOL '20.Tax Map kdmmtlMr(eKRoll WontlMr(s)(If mora then four.stash shed with additional MemNlel(s)) 1000-135.00-3.00-042.003 CERTIFICATION 1 Cerdlyr that all of th Items of Ir toTmadon entered on this lam m true and correct(to the beet of my kTmoemrsdga and belle))and I understand Unit the making of sly adfful 6wesuftmentafm heroin subject me to th r.provlelorm d the panel law raladve,to the making and falling of fallen hlslrumenle. SELLER.SIGNATURE BUYER CONTACT INFORMATION / IFrrlsr rfamstnn for era Iwpr Noor If buyer a 11C,eadey,em Ow.corpvahm.pW seri wanpany.awls or `J arry Na Is nm an itavoia l seem w slludary.algin a rams and awdoet sfannotWn d an lndhMuwmpollrafe 'Art l o pony who an am-w quinu w ragomme els transfer mm be~ad.Type a print dory) SLL'.LR WMA IURL P.AIIFN .. _ BOURS JEROHN R. J BUYER SIGNATURE (\\ 'LAST NAPE I IRSI MAUI I (516) 48?.-1876 I •IEAf/]aE 'ILLL'11011 N. tiUVN r!.sawpral 9U•LN aONA'aN_ W IL 12 HEMSLEY LANE _ •57RF.ETNWBEn '514[[1 NAM: GREAT NECK _ NY 11023 'CITY ON 10*4 •S'ATk 'GF AOL BUYERMAT101911 Y KOBRICK SAUL tASI w1YL FIRST NAME (516) _ 248-9500 �j AREA 7LLL"QNLNUMKRtL-awawal 1 I I