HomeMy WebLinkAboutL 12928 P 276 II I I IIII III I I I I I I I I I I I I I I I I!II[I[II I I I I I I I 11111
111111 IIIII (IIII IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 09/05/2017
Number of Pages: 4 At: 05 : 14 : 10 PM
Receipt Number : 17-0153416
TRANSFER TAX NUMBER: 17 -04546 LIBER: D00012928
PAGE: 276
District: Section: Block: Lot:
1000 068. 00 01. 00 003 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $620, 000 .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 $9, 400 . 00 NO
Fees Paid $9, 795. 00
TRANSFER TAX NUMBER: 17-04546
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
' 7 0
Number of pages RECORDED
1017 Sep 05 05:14:10 FM
JUDITH A. FASCALE
This document wilFbe public CLERK OF
record. Please remove all SUFFOLK COUNTY
Social Security Numbers L D00012928
prior to recording. P 276
DT# 17-04546
Deed/Mortgage Instrument ortgage Tax St ��ReGoOing/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
Handling 20. 00
1. Basic Tax
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add. _
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. �ysb� Dual Town Dual County_
Held for Appointment
Comm,of Ed. 5. OQ Transfer Tax
Affidavit
�` Mansion Tax
—.
Certified Copy The property overed by this mortgage is
or will be i� proved by a one or two
NYS Surcharge 15. 00 family dwell ng only.
Other
Sub Total 1'E3 or NO
_
Grand Total If NO,see appropriate tax clause on
page# I of thi i trument.
/�JfJO
4 Dtst. 17028433 5 Communit Preservation Fund
1000 06800 0100 003000
Real Property Consideration I nt$
Tax Service (�i
G Tax Du $Agency Verification - - --
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD &RETURN TO: Vacant Land
Olser� - a 10 / L, P- TDQ0
3LNg5 Mt4-L
TD
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Companyy Information
310 Center Drive, Riverhead, NY 11901 Co.Name FIDELITY NATIONAL TITLE
www.suffolkcountyny.gov/clerk Title# Q
g Suffolk. County Recordine & Endorsement Pa2e
This page forms part of the attached made by:
(SPECIFY TYPE OF INSTRUMENT)
�lt f 00 tV" ter, a1 S Pec Per a�/,v �!{est The premises herein is situated in
j T if Ir o4^ ph- SUFFOLK COUNTY,NEW YORK.
f TO -In the TOWN of
L SaofiI' LL
n
0 In the VILLAGE �/
kALz 1 or HAMLET of f)kt +zd 14
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING
12-0109.AMSkk
(over)
EXECUTOR'S DEED
(INDIVIDUAL OR CORPORATION
STANDARD NYBTU FORM 8010
CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
PURCHASER BEFORE SIGNING.
� ys+
THIS INDENTURE,made the--*'day o two thousand and seventeen
BETWEEN JASON WAXLER,as executor of the last will and testament of JOHN PALMER aWa John
Lawrence Palmer,late of 302 Diamond Lane,Southold,New York,deceased who died a resident of Suffolk
County on August 13,2016.Said will was admitted to probate on November 2,201/6(File No.2016-3405).
party of the first part,and "J."L . �/++t aJC�!be'A C1 fS lG►q
SIMONE SHUBUCK and ADAM RAPOPORT(residing at 260 West 2151 Street,HG3,New York,New York
10011
party of the second part,
WITNESSETH,that JASON WAXLER,to whom letters testamentary were issued by the Surrogate's Court of the State of
New York for the County of SUFFOLK on November 3,2016,
and by virtue of the power and authority given in and by said last will and testament,party of the first part,in consideration
of SIX HUNDRED TWENTY THOUSAND($620,000.00)DOLLARS,
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
Being and intended to be part of the same premises acquired by John L. Palmer and Joyce K. Palmer, since
deceased,in deed dated January 7, 1974 and recorded February 13 1974 in Liber 7587 page 597.
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
ofthe party of the second part forever.
AND the parry 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 ofthis 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:
STATE OF JOHN PALMER
by Jason Waxler,Executor
ACKNOWLEDGEMENT TAKEN IN NEWYORKSTATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York,County off �a� t��`' ss: State of New York,County of ss;
On the;n day of dt�s in the year IP t�7 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
b5sis.of sa[isfactan evidence to be the individual(s)whose name(s)is to me or proved to me on the basis of satisfuctor•evidence to be the
(arc)subscribed to the within instrumeneand acknowledged tome individual(s) whose name(s) is (are) subscr bed to the within
that he/sheAlicy executed the same in•his(hcrltheir,capaciq•(ics);and instrument and acknowledged to me that,helshe(they executedthe
that by hisfherltheir signaturc(s)on the instrument,the individual(s), same in fustier/their ca act tes), and that by histherhheir
orahe person upon behalf orwhich the individual(s)acted.executed p 4(
the instrument�,e— o
MONTASIX signalure(s)is the"instrument,the individuated' or the person upon
.StatBadlVerrtibAlbehalfofahichthcindividual(s)acted.executed"the instrument.
MorYorstwew CMT
Cornrrdsslon Expires Ap fi 2.2
ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK
TAKEN IN NEW YORK STATE STATE
State of New York,County of ss. "State of County of
On the ss:
day of in the year '(Or insert District of Columbia, Territory, Possession or Foreign
before me,the undersigned,a Notary Public in and for said State, County)
personally appeared
,the On the day of in the year
subscribing witness to the foregoing instrument,with whom I am ,before me the undersigned personally appeared
personally acquainted,who,being by me duly sworn,did depose and
say that he/she they resides)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'rs in a city,include the str t and street number i(aoy,ther an;
the within instrument and acknowledged to me that he/she/they
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 individual make such appearance before the undersigned in
execute the same;and that said witness at the same time subscribed the
his/her/their name(s)as a witness thereto
(add the city or political subdivision and the state or country or other
place the acknowledgement was taken).
Block: 1
Lot: 3
County: Suffolk
Town/City: Southold.
Executor's Deed
Title No.
FROM:
ESTATE OF JOHN PALMER
TO:
SIMONE SHUBUCK and
ADAM RAPOPORT
RETURN BY MAIL TO:
David Olsen,Esq.
Olsen&Olsen,LLP
32495 Main Road
Cutchogue,New York 11935
Pol Ic"y No: Ny--FgvF1=SAM=2730632-2-17-]04265 Title No:: F]7-7404=104265-SUF t -
SCHEDULE A-1
Description
AMENDED 4/18/2017
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, designated as Plot No. 4 on a certain map describing property belonging to Acres of Diamonds, Inc.
situate at Peconic, Suffolk County,New York, which map was filed simultaneously with the recording of deed from Acres
of Diamonds, Inc. to Louis Larsen and Martha Larsen, his wife, dated March 31, 1933 in the Office of the Clerk of the
County of Suffolk and was prepared by Otto W. Van Tuyl, Greenport,New York from actual surveys completed on the
28th day of October 1932, as Map No. 1128, filed on June 12, 1933 bounded and described as follows:
BEGINNING at a pipe on the division line of Lot 3 and Lot 4, at the southerly corner of the property herein described;
RUNNING THENCE, along the division line of Lot 3 and 4, the following two courses:
1) North 32 degrees 36 minutes 40 seconds West 68.59 feet;
2) North 41 degrees 36 minutes 00 seconds West 129.65 feet to the land now or formerly the County of Suffolk;
THENCE,North 61 degrees 50 minutes 40 seconds East 46.64 feet to a point;
THENCE, South 42 degrees 00 minutes 40 seconds East 200.00 feet to a point;
THENCE, South 61 degrees 35 minutes 00 seconds West 59.22 feet to the point and place of BEGINNING.
Schedule A_i(Description) Owner's Policy Pae 2
Rev.(02104) g
INSTNUC7IONS(RP-5217-PDF-INS):www.brps.statemy.us
FOR COUNTY USE ONLY Neor York SFate Depwtttm. of
C1.awns coat I4, 1-7 ,3^x
,$,8,,9 I Taxation and Finance
(2.Data Dead Recorded 1 101
/(D/ 17 I Office of Real Property Tax Services
--1 RP-5217-PDF
C3.Back I l I d 1--L-1.,G.Pogo � f I Raol Property Transfer Report(N99)
PROPERTY INFORMATION
1.Property 302 17_amcn0 :.&no
Lsr+tlAn -_--
•B,Srtmahi9 •,hNFPTAhA•F
Southold
•cava Tawv v_w-,c •a.�
2.Buyer Shnibuck S3.mone
Nees
.LAST a4krr..IP11M FPaTUME
F.apopo z t Ad a
1A41 MrImTaln4iT =res'AWa
s.Tax Indiwm w•ym%tlza Tao Bib are b be serf
Billing d other than buyer addiess(d boson of treses) •�wI111N•L:OtPlrlr FAf wME
Address
erREEF%MEa AMp—h a•Y aP TaMM1 Rh:TF TaaOar
4.indicate tlla number at Aaessmnsm p Or Parcata OR Par of A Prose' (Only It Part of a Pared)Cheek as any apply:
Roll parch transferred on the dead LJ 4A.Plannirg Boats wan Snbruvaton Autnomy,Emu ❑
5.Mad X OR 0-22 413.Snbuvismi Approvd was Requital Ur Tra•Ider
Propwty •FWAT FEET •LS�rM - •Paas El
4C.Puma Approval Ya•Fkawliviwrn w In Mop PmvkW ❑
State Cf .'ehr Fc:-:er ONO Som lj �
lja � teR. Po��11n2r
t.Stller L:us•wrEea�vexv torr xert
Name
UST tM115001 a PAST MME
7.Select the description which most accurately describes the Cheek tla bozos balewl as they appy:
use
m
of the properly at the ala of tale: A.Ownemnp Condominium Type is Cominium ❑1--I
A.One Family Remdential 9.New Construction a1 a Va®m Land 1 1
16A.Propody L.oc7ed wliln an Agricultural Dsbkz ❑
• fee.Buyer ropnmhd M chmio as nedrm ridiculing Ihd the property a In on
Agr alluml Dbkc ❑
SALE INFORMATION 15.Check ores or mora of than conditions as applicable be transfer.
A.tide Between Relatives or Furman Reabves
11.Sam Cecre d Date 03/23/2117 B.ado boheoon ROHM Compal as or Por9wro m Bushose.
C.Ow or the Buyers in Am a.Sugar
1L Data wSaWfransar_,e 0 '2 017 D.Buyer or Seser'a CovamnbM Agency or I rnding Institution
v�• ' ..Aad Typo not Weav egr or BagaiT amid Sae Capacity Bisow)
F Sdb d Fractional or Less than Fee Imerest(Specay nalvw)
'131.Full Sale Price b2%,Out['"U(1 O SlgrAcwd Change h PrapMy Roortem Tmatae Suois and Stu Data,
a t
(Full Seta Pros am marl amralm paid for nn mJuei N.Sam of Bud:nss Is Included to Sole Pines
• 4T persold prapedy. 1.Oleo Upuwel FaCps Altering Sala Pre(Sissy Below)
The paprrim may be.n the Imm ur rash.alba properly or goon.in the ma umpoon or X J.Nan
mortgages or Omer 0bWA10ns.)From raxhm the nxawd whpla dater amaunL
•Commengs)an Condition:
14.Indira n the value of personal
property Included In the,nla .00
ASSESSMENT INFORMATION-Data shautd rated tht:ales:Final Assessment RD11 and Tarr Bill
1s.Yesrof As,aasmanl Roll from which Information taken(YY) 1", - -17.1o1al AawexTed Vane 3, 5 D O
M&Property Claes n_ _ 99.School District Name South7I ri
'A.Tan Yup IdamMooloyRoll kh rallarle)(N mom then tour,anaafh shoot with eddiaond kiaatxpgall
10017- 4R-1-3
CERTIFICATION
I Gmfy mat x11 of the Imels at hdommtlon mlaned an thisform am true and cannot(m the best of my mawledge and bad"and 1 understand that the among of any willful
fame Statement of materiel lect heroin subject me to tMymyialmr6.o1.k=UUM Lrsletles to the making and(ding of false Instrument.
SCI r Fa aM. �� BUYER CONTACT INFORMATION
IFs• •nismadgn Tv Jia Aupd.Nmr tl MPF r le I I CAYJy.MLOaefau.awpwa'Jat P^la.t!—parr.GK..*w
Mab tlat■ml N mrlraa egad arCaaav,run a sure Iwd tram Peanwen of an L•wrdisomoonable
r ,Pwtywea on wroverWAs me mpad•:g he nodkr may be omrai Type a arird I.M.)
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