HomeMy WebLinkAboutL 12934 P 633 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
D p�•
Type of Instrument: DEED Recorded: 10/20/2017
Number of Pages : .2 cr�5 At: 10 :51 : 37 AM
Receipt Number : 17-0184977
TRANSFER TAX NUMBER: 17-09770 LIBER: D00012934
PAGE : 633
District: Section: Block: Lot:
1000 044 . 00 01 . 00 021 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $405, 000 . 00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $35 . 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 $5,100 . 00 NO
Fees Paid $5,510 . 00
TRANSFER TAX NUMBER: 17-09770
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 -z 1
RECORDED
2017 Oct 20 10:51:37 Ali
Numbenofpages 8 JUDITH A. PASCALE
CLERK OF
OUN
This document will be public _ L—DoOO12934v —--J
record.Please remove all P 633
Social Security Numbers DT# 17-09770
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee _ Mortgage Amt. .
Handling 20. 00 1.Basic Tax
2. Additional Tax
TP 584 Sub Total
Notation Spec./Assit.
EA-52 17(County) Sub Total or(G� Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. ���p1}y, Dual Town Dual County _
�A• V Held for Appointment
Comm,of Ed. S. 00
3 Transfer Tax19 7�)i :[1
Affidavit �+� Mansion Tax
Certified Copy The property covered by this mortgage Is
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total 77 YES or NO
Other
Grand Total If NO, see appropriate tax clause on
page# of this 4instrunt.
4 Dist. - 5 Community Preservation Fund
17031712 1000 04400 0100 021000
Real Propert
Tax Service PTS I�III�lI�IIII�I��III!I�Ill�lll�ll�ull��lllll CPF Tax Due Consideration Anio$nt$ j(J
Agency � DTY A If 1 II JI lu'
Verification 20 EP-17
6 Satisfacrnonsiuiscnarges/Releases List-Proferty Owners Mailing Address Improved
RECORD&RETURN TO:
Vacant land
Tru , �14 eao��t
TD
"�G �5 gut q? TD
TD
Mail to:Judith A.Pascale,Suffolk Couri.ty Clerk ;7.
Title Company Information
310 Center Drive, Riverhead, NY 11901
www.suffoIkcountyny.gov/clerk Name e,M t
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached
by:1 (SPECIFY TYPE OF INSTRUMENT) made
n�P The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
� I
TO In the TOWN of
Q In the VILLAGE (�
or HAMLET of Gr4tyLN
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
I
Stewart title
Bargain and Sale Deed,with Covenants against Grantor's Acts—Individual or Corporation.
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, made the day of & A 2011
BETWEEN
Benjamin C. Thorn, III and Brenda J.Thorn tee's of the Benjamin C.Thorn III and Brenda J.Thorn
Joint Revocable Trust ula/d May 12,2 and avid L.Thorn and Stuart W.Thorn as-o Oo/a interest, MSS
Judith W. Romero, Marilla W. Pivonk �,Jilliann..Seaton and Marilla W. Pivonka and„lilliary .Seaton
as Co-Trustee;s under the Russell R. Waesche,4`h Amendment dated 9/25/1997, as to /o interest
residing at c/o 13235 Main Road, Mattituck, New York 11952 party of the first part,a<
Santosha After 50, LLC residing at 3966 David Place,Seaford, New York 11783, party of the second
part,
WITNESSETH, that the party of the first part, in consideration of$405,000.00 (four hundred and five
Woo thousand 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,
oLt�Lno
ALL that certain plot, piece or parcel of land,with the buildings and improvements thereon erected,
.ao situate, lying and being in the
pD t d cr)See attached Schedule A description
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
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
Grantor:
r F
Be5Krqn C.Thorn III as trustee of the Benjamin C.
orn I I and Brenda J.Thorn Joint Revocable
rust d/a May 12,2016
Grantor:
Brenda J. h tru tee o the Benjamin C.
Thorn III andda J.Thorn Joint Revocable
Trust u/d/a May 12, 2016
Grantor:
David L.Thorn - 17
Wkft (. Cors ,c tt1
Grantor:
Stuart W. Thorn
Wdl1t]n� C. Co�i�S rtiq�
Grantor:
Judith W. Romero �J,11V�rvY
Grantor:
SEEATTACHED Kwl
POACALIFORNIA -� 4Y
ALL-PURPOSE ACKNOWLEDGEMENT Maril W. Pivonka, individually and as C)Y\
Co-Trustee under the Russell R. Waesche
4'"Amendment dated 9/25/1997
Grantor:
illian T. Seaton individually and as
Co-Trustee under the Russell R. Waesche
4"Amendment dated 9/25/1997
ST-�ff E OF NEW YORK
:ss.:
COUNTY OF Suffolk
On the day of , 20 before me,the undersigned, perso y appeared
_Benjamin C. Thorn, III personally known to me or proved to me on the ba ' of satisfactory
evidence to be the individual(s) whose name(s) is(are) subscribed to wi - instrument and
acknowledged to me that helshe/they executed the same in his/her/their c city(ies), and that by
his/her/their signature(s) on the instrument, the individual(s), or the perso upon behalf of which the
individual(s)acted executed the instrument.
Notary Public
STATE OF NEW YORK
ss.:
COUNTY OF Suffolk :
On the d of 20_before me, the undersigned, personally appeared
Brenda J. Thorn_, per nally known to me or proved to me on the basis of satisfactory evidence to
be the individual(s) w se name(s) is(are) subscribed to within instrument and acknowledged to me
that he/she/they a cuted the same in his/her/their capacity(ies), and that by his/her/their signature(s)
on the instrum the individual(s), or the person upon behalf of which the individual(s)acted executed
the instrum
Stewart Me
David L.Thorn
Grantor:
Stuart W.Thorn
Grantor
Judith W. Romero
Grantor:
Marilla W. Pivonka, individually and as
Co-Trustee under the Russell R. Waesche
41"Amendment dated 9/25/1997
Grantor:
Jillian T. Seaton individually and as
Co-Trustee under the Russell R.Waesche
4"'Amendment dated 9/25/1997
STATE OF l3EiTZE
Ss.:
COUNTY OF C-5d.fr"ttk--
On the ; day of Ju 20 1}before me, the undersigned, personally appeared
_Benjamin C. Thorn, III_, persoIly 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 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) on the instrument, the individual(s), or the person upon behalf of which the
individual(s)acted executed the instrument.
Notary Public -
STATE OF
ss.:
COUNTY'OF 6k"& I
TM
On the day of � 20_1}before me, the undersigned, personally appeared
J
Brenda J. Thorn_, personally known to me or proved to me on the basis of satisfactory evidence to
be the individuals) whose name(s) is(are) subscribed to 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)
on the instrument, the individual(s), or the person upon behalf of which the individual(s)acted executed
the instrument.
No ary Public
tM1�tYLfrv*hn Lace• l 1412-1
stewart title
STATE OF KANSAS---
ss.:
COUNTY OF RILEY:
On the -1 day of u
201_1 before me, the undersigned, p rsonally af-,
appeared Jillian [V�Seaton, 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 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) on the instrument,
the individual(s), or the person upon behalf of
which the individual(s) acted executed the
instrument.
Ndfary Public
CYNDA L.FELLS
BtaW KWAN
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL.CODE§ 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document.
State of Califomia )
County of Mdf I i�
On V C. 70e before me, I&Yi1 C-
Date Here Insert Name and Title of the Officer
personally appeared C® ) I\/O 4K WA-r- t'f
Name(s)of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/am.
subscribed to the within instrument and acknowledged to me that 4ie/she/the -executed the same in
.14s er/theh-authorized capacity(ies),and that by hWher/theirsignature(s)on the instrument the person(s),
or the entity upon behalf of which the person(s)acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of Califomia that the foregoing paragraph
is true and correct.
FAATI MAROOFI WITNESS my hand and official seal.
NOT PUBLIC•CALIFORNIA
3 COMM18SION M 2149183
MAAIN COUNTY
• My COfim.Exp.µjkY 13,2020 Signature
Signature of NoPublic
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachme f of this form to an unintende do um
Description of Attached Document mee�I^) -+ s
Title or Type of Document: Document Date:
Number of Pages: Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s):
❑Partner — ❑ Limited ❑General ❑ Partner — ❑Limited ❑General
❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact
❑Trustee ❑Guardian'or Conservator ❑Trustee ❑Guardian or Conservator
❑Other: ❑ Other:
Signer Is Representing: Signer Is Representing:
02014 National Notary Association• www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907
stewart title
STATE OF NEW YORK
ss.:
COUNTY OF Suffolk :
111 On the_ A day of 20t],before me, the undersigned, personally appeared
t)tll,c,41�•&%e Y° S , personally known 16 me or proved to me on the basis of satisfactory evidence to be
the individuaikti/ whose name(s) is(are) subscribed to 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) on
the instrument,the individual(s), or the person upon behalf of which the individual(s) acted executed the
instrument.
Notary Public MICHAEL HARRISON
ary Public,state of New York
No,01 HA5025220
Ouallfled in Suffolk County
Commisslon Expires March 21,20if-
STATE OF NEW YORK
ss.:
COUNTY OF Suffolk :
On the day of , 20_before me, the undersigned, personally appeared
_Stuart W. Thorn, 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 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) on
the instrument,the individual(s),or the person upon behalf of which the individual(s) acted executed the
instrument.
Notary Public
STATE OF NEW YORK
ss.:
COUNTY OF Suffolk :
On the day of , 20_before me, the undersigned, personally appeared
Judith W. Romero_, 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 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)
on the instrument,the individual(s), or the person upon behalf of which the individual(s)acted executed
the instrument.
Notary Public
_1 NEWYORK
ss.:
COUNTY OF Su
On the day o 20_before me, the undersigned, personally appeared
Marilla W. Pivonka_, personally known to r proved to me on the basis of satisfactory evidence to
be the individual(s) whose name(s) is(are) subsc i to within instrument and acknowledged to me
that he/she/they executed the same in his/her/their capac ' s , and that by his/her/their signature(s)
on the instrument,the individual(s), or the person upon behalf of w ' the individual(s) acted executed
the instrument.
-Notwy Public
i
Old Republic Title Insurance Company
Title Number: HTA-4542-S
Page 1
SCHEDULE A DESCRIPTION
ALL that certain plot, piece or parcel of land, situate, lying and being near Arshamomoque,
Town of Southold, County of Suffolk and State of New York, bounded and described as
follows:
BEGINNING at a point on the Northerly side of North Road (C.R. 48), at the Southwest
corner of premises herein described where lands now or formerly of Evron Ozkul intersect
the said Northerly side of North Road (C.R. 48);
RUNNING THENCE along said lands North 13 degrees 56 minutes 40 seconds West
108.53 feet to the Long Island Sound;
RUNNING THENCE along the tie line along highwater of said Long Island Sound the
following two courses and distances:
1.) North 69 degrees 40 minutes 43 seconds East 27.88 feet;
2.) North 60 degrees 25 minutes 08 seconds East 49.11 feet to land now or formerly of
Carmella Citaron Revocable Trust;
RUNNNING THENCE along said lands South 13 degrees 56 minutes 40 seconds East
124.88 feet to the Northerly side of North Road (C.R. 48);
RUNNING THENCE along Northerly side of North Road (C.R. 48) South 76 degrees 03
minutes 20 seconds West 75.00 feet to the point or place of BEGINNING.
1
• . : ; INSTRUCTIONS(RP-5217-PDF-INS):wirmorps.statemy.us
FOR COUNTY USE ONLY , -7 ��� New York State Department of
C1.SMS Codo i[ /I I / Taxation and Finance
02.Date Deed Recorded I 119 0,-%, 7 J Office of Real Property Tax Services
J Y LVr re RP-5217-PDF
C3.9ook Lt 'C4.Page i-L_ 3J Real Property Transfer Roport(all a)
PROPERTY INFORMATION
1.Property 561j5 Route A,o,
Location ,
'614LE-a1.YaFn -- 1:aLt-Y.YE•
;3:ce..onrt So:ILhol d
_ 1_9 4a
2.Buyer Santoshn At'Ler 50, f_iC
Name _
Lis rf ia:;iCbvrim,, MIT 4AVL• - - -
.L'-R•pFR:YuaM• -- ._ - eg5'YW;
S.Tom Indlra:e whom future Tax&IIs are to be sant
Billing if Other then buyer addresslat bottom of form) vsrh•vr.-:aF.6r .qs-R•Yr
Address
STmEm'HIMLaA 73 v-U- ry cR-om. " s'�IL' .'r L•raE
4.Indicate the number of Assessment 1 0 m paces OR _I Pad of a Parcel (Only B Part of a Percel)Cheek as they appy:
pools trensterrod on the dead-._ 4A.Florin ng Board with Subdivision Alaho-ny Exists I-1
s.Dead \ 0R 0.02
Property •real-tL.; 4B.Subdviswn Aoomval was Rerlumd for Transfer
Size •ota-r •.:;aLs
4C.Parcel Approved for Subdivision with Map Provided ❑
TF.Drr. David L.
6.Sellervxr1 -• .
Name _,tlA'f1 Stuart W.
[As:h.vLM1F`Aar '- F-ST-W -
'7.Select the description which most accurately de6cribes the Check the boxes below as they appy:
uss of the property at the time of sale: S.Ownership Type is Condor inmm I I
A.Qnl•Family Residential 9.New Construction on aVaceil.Land
- - -' 10A.Pronely Loralod within an Agricultural District
10B.Buyer received a disclosure notice ind•cating that tae proper.1s•n an l
Agricuftral Dislnct
SALE INFORMATION 19.Cheek one or mon of these eoodklons as applicable to transfer.
rr� / A.Sale Between Rolativea or Former Relatives
11.Sale Contract Date 0 U / m b B,Sole between Re'ated Companies or Perners 1n Business
C One of the Buyers is also a Sailer
c a a 2 c i D.Buyer or Seller is Government Agency or Lar 'ng tulion
12.Date of Salelhansfor _ dE.Deed Type not Wa^ardy or Bargain and Sale(Specify Bdow)
F.Sale of Fractional or Less then Fee I-Meretrt(SDmly Below)
'17.Full Sale Price •:00 5,000.(H) ,�G.Sign•ica^t Change in Propeny Between Taxable Status and Sale Dates
I FLB Sale Pace 1s the n!al amount pad for the property Including personal prone H.Sale r Business is I m Alf d In Sale Price
This mem tee be in the form of cash other ro mY• I fitter Unusual FaclD7 AHadirg Salo Price(Sped'.Below)
Pay y p party or goods,a the asw:rrpson of J None
mortgages or W-ar obligations)Please round to the nearest wfrok dollar amount
Comment(s)on Condition:
14.Indican the value of personal 00
property Included In the sola
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
19.Year of Assessmord Roll from which Information takenlYY) 17 '17.Total Assessed Value 2,200
•16.Property Class 261) _ •79.School District Name G r•Scnuorii
•20.Tax Map Identl8er(syRoll Identifierls)(If more than four,attach shawl with additional Idemlflerts))
CERTIFICATION
I Certify that all of the Items of Information entered on this form an true and correct(to the best of my knowledge and belief)and I understand that the making of any willful
false statement of material fact heroin subject me to the proviSlon5_oEth0,p0nel law relative to the making and filing of false Instruments.
;SELLER SIGNATURE BUYER CONTACT INFORMATION
I�'w11 rdernaae•rdr IRs Rryer YYa I'bJyar 1s LLC.r Gety.assoDandL ralponc mcant
.Pro stock ewnwary, le cr
�/ L en:9 Ina!.e rel ar YWM7r.Y eaLr:a hdsvry elan a ante and ccnkrct In!ornation of an Lie vio"" orissrle
..-.y--1-•I.para who car answer 0.oslinn-raynerp?e trw•ekv mLY w be tared Type or prim clearly.)
NA ia-ttosha After 50 �Lw
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x6155 Route S?
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iGre•:report NY 11-944
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. ADDENDUM TO RP-5217 L J A9 3
ADDITIONAL GRANTORS:
Benjamin C.Thorn III,as trustee
Brenda J.Thorn,as trustee
Judith W. Romero
Marilla W. Pivonka, individually and as trustee
Jillian T.Seaton, individually and as trustee