HomeMy WebLinkAboutL 12932 P 560 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 10/05/2017
Number of Pages : 4 At: 11 :36 : 12 AM
Receipt Number : 17-0175178
TRANSFER TAX NUMBER: 17-08096 LIBER: D00012932
PAGE : 560
District: Section: Block: Lot:
1000 044 . 01 01 . 00 011 .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 $400 . 00
TRANSFER TAX NUMBER: 17-08096
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
M 0
RECORDED
2017 Oct. 05 11:36.12 Ail
N �-� .JUDITH A. PASCALE
Number of pages
CLERK OF
SUFFOLK COUNTY
L D00012932
This document will be public P 560
record. Please remove all DT# 17-08096
Social Security Numbers
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee pv Mortgage Amt.
1.Basic Tax
Handling 20, 00
2. Additional Tax
TP-584 5 Sub Total
Notation Spec./Assit.
y�
or
EA-S2 17(County) J Sub Total I Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. Dual Town Dual County
Held forAppointment
Comm.of Ed. S. 00 Transfer Tax c7—
Affidavit + Mansion Tax
The property covered by this mortgage is
ertifiedCopy or will be improved by a one or two
NYS Surcharge 15. 00 � family dwelling only.
Sub Total YES orNO
Other (IPA
Grand Total l"" If NO, see appropriate tax clause on
`'1 page# of this instrument.
^�7
17032549 1000 04401 0100 011000 C�1I 1
4 Dist.1 100 5 Community Preservation Fund
Tax
RealSe
oc er (C26-SE
CW
I IIIA(III SII VIII IIII IIII III III•II i IIII Consideration Amount$
Agency CPF'Fax Due $
Verification---- -- - --
/ p Improved YIGA0
6
Satisfactions/Discharge Relea&RET RN Property Owners Mailing Address
Jennifer B. Gould, EEsq. T vacant Land
PO Box 988 (p(0 TD l
Southold, NY 11971
TD
�
V�+ TD
Mail to:Judith A.Pascale,Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Fidelity National Title Insurance Services LLC
www.suffolkcountyny.gov/clerk
Title# ZO ZQ
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Evelyn Goldberg The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Edward Goldberg&Evelyn goldberg,as Trustees In the VILLAGE
of the Edward Goldberg Revocable Trust Agree9ment dated March 24,1999 or HAMLET of Greenport
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
2v7�z0�Cv
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 111h day of September, 2017 BETWEEN
L+IVe—
EVELYN GOLDBERG, residing at 13118 L-ilfique Court, Palm Beach Gardens, FL 33410
party of the first part,
EDWARD GOLDBERG & EVELYN GOLDBERG, as Trustees of the Edward Goldberg Revocable Trust
Agreement dated March 24, 1999, both residing at 13118 Ie-Eourt, Palm Beach Gardens, FL 33410
party of the second part, LIgVe-
WITNESSETH, that the party of the first part, in consideration of ten dollars ($10.00) 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,
SEE SCHEDULE `A' ANNEXED HERETO
Being and intended to be the same premises as described in the deed made by Edward Goldberg &
Evelyn Goldberg, his wife, recorded 02-08-1993 in Liber 11617 Page 452.
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 tense 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:
VELY GOLDBERG
STATE OF NEW YORK: COUNTY OF SUFFOLK) ss:
On the I 1-r" day of C 2017, before me, the undersigned, personally appeared Evelyn
Goldberg, 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 executed the same in his/her capacity and that by his/her signature on the instrument, the
individual, or the person upon behalf of which the individual acted, executed the instrument.
jNaryPublic
JENNIFER B.COULD
Notary Public,State of New York
No.02G05024640-Suffolk County
Commission Expires March 14,20
'fa�yx
SCHEDULE A
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon
erected, situate, lying and being in the Town of Southold, County of Suffolk and State of New
York, more particularly and described as follows:
The Unit known as Unit No. 3C (hereinafter called the "Unit") as designated and
described in the Declaration establishing Sea Breeze Village Condominium (hereinafter called
the "property"), made by the Grantor under the Condominium Act of the State of New York
(Article 9-B of the Real Property Law of the State of New York), dated March 19, 1980, recorded
in the Office of the Clerk of Suffolk County, on the 21" day of March, 1980, in Liber 8795, at
Page 64 (hereinafter called the "Declaration"), and designated also as Tax Lot No. 3C on the
floor plans ("the Floor Plans") of the building in which the Unit is located (hereinafter called the
"building") certified by Kontokosta Associates, Architects, filed in the Suffolk County Clerk's
office as Map No. 68. The buildings are shown on a site plan as filed in the said County Clerk's
Office as Map No. 68.
TOGETHER with an undivided 1/16 interest appurtenant to the Unit in the common
elements of the property(hereinafter called the "common elements").
•' INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY New York State Department of
C1.SMS Code ILI, Taxation and Finance
C2.Date Dead Recorded iLd v iD S /`7 i . Li i1 Once o1 Real Property Tax Services
1 '0 '•• RP-5217-PDF
C7.Book po__,�,_��C4.Page G Real Property Tranofor Report(8110)
PROPERTY INFORMATION
1.Property 60125 NO.CL:: RI-Nd, Brit 3C
Location
•stpet:T rawD[a -s1YLta N•.E
So�t:hol.i Greer-port 11944
-r.lr¢i TOM! M ASI. •71r•W:,I•
2.Buyer Goldberg, 3dward, Trustee
Name
.IAST NAMIRJLIPM'• FISiT NME
Goldberg, ..ve_yn,
I A1'NWFAJYI•AhY F 4ST%AW
3.Tam I:.dcme where f.tum Tax Bills are to be sem
Billing if other than buyer address(at bottom of form) IAST 41MIS.cue AY" FIRST NAME --
Address
S:9EE-K%MBER ANDNAVE _-.-.T-uu'owN SWE -PapD_
4.Indicate the number of Assessment 1 .--1 Pan of a Parcel (Only If Part of a Parcel)Cheek as they appy:
Roll parcels transferred on the dead n of Parcels OR -
4A.Planting Board with 5',Ibdlvi91011 Authority Exists
5.Dead \ OR :,.6,!
40.Subdivision Approval was Req•Trod for Transfer
Property •IOGvn cv •Ar:erx
Sim 4C.Parcel Approved for Subdivision with Map Provided
Goldberg Evelyn
6.SNIor •1ti:YnYFKr.Y+.wr '-- - ....- -
'RST NWC
Name
IA51 YiYI I.Y.Y+ANf INe-NM'L •- -- -'•-
'7.Select the description which most accurately describes ft Check the boxes below as they apply:
use
e of the properly at the timof Salo: S.Ownership Type is Condominium
A.One Fannin Rosidrni ial 9.New Construction on a VwArd Land
.-•-- 16A.Properly located within an Agricultural DIs'rict
19B.Buyer received a disclosure notice indicating that the properly is in an ❑
Agndulluml District
SALE INFORMATION 15.Check one or more of those conditions as applicable to transfer:
R A.Sale Between Relatives or Former Relatives
11.Selo Contrast Data B.Sa:e between Related Companies or Partners in Business.
E-:1 C.One of Its,Buyers is also a Sailor
•12.eau of Saleffranster 09/11./2017 _t D.Buyer or Seller is Gnw riment Agency or Lending Institution
'E.Dead Type r1M Warranty or Bargain and Sale(Specify Below)
F.Sale d Fractional or Less than Fac Interest(Specify Below)
113.Full Sale Price 0.UD G.Significant Change In Property Between Taxable Status and Sale Dates
(PILI Sale Price is the local orient paid for the property including personal n H.Selo of Business Is Included In Sale Price
g properly 1 Other Unusual Pallors Affeeang Sak Price(Specify Below)
This
payment may be in de tam of cash•other property or goods.or the assumption of J.None
mortgages or Geer obligations)Resse round to the nearest nfTde dollar amount
Cla mmerd(s)on Condalon:
14.Indicate the value of personal U tI(I
property Included in the salt _
ASSESSMENT INFORMATION-Data should refect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from which Information tsken(YY) 16 17.Total Assessed Value 3,363
'18.Property Class 4 , _ C 119.School District Name t;+•fie-,D�,r
'29.Tax Map Idor100er(myRoll Identiaels)In more than four,attach shoot with additional Identifier(s))
iC00-09.1.::_-01.00-0::.00
CERTIFICATION
I Certify that all of the Items of Information entered an this form aro true and correct(u the best of my knowledge and bellery and I understand that the making of any willful
false statement of material fact heroin subject me to the•pMWWgn6 of(rye ponal.la6Lrolanve to the making and Sling of false Instruments.
MLER SIGNATUREQ .. BUYER CONTACT INFORMATION
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