HomeMy WebLinkAboutL 12934 P 938 11111111 IIII IIIII IIIII IIIII IIIII IIIA 11111111111111 IN
111111 IIIII IIIII IIII 1111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED WITH LIFE ESTATE Recorded: 10/24/2017
Number of Pages : 4 At: 11 :39: 12 AM
Receipt Number : 17-0187277
TRANSFER TAX NUMBER: 17-10016 LIBER: D00012934
PAGE : 938
District: Section: Block: Lot:
1000 054 . 00 06. 00 006 .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 $0 .00 NO RPT $200 .00 NO
Transfer tax $0 .00 NO Comm.Pres $0 . 00 NO
Fees Paid $395.00
TRANSFER TAX NUMBER: 17-10016
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
J (� RECCIRDED
Numberof pages JJJ 2017 Oct 24 11:39:12 Ali
JUDITH R. PASCALE
This document will be public CLERK OF
SUFFOLY. COIII.IT1
record.Please remove all L D00012934
Social Security Numbers P 938
prior to recording. DT# 17-10016
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee J Mortgage Amt.
1.Basic Tax
Handling 20. 00
_ 2. Additional Tax
TP-584 ' Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
I y� TOT.MTG.TAX
EA-5217(State) —tom
R.P.T.S.A. Dual Town Dual County
Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit (�a*paMansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total � l � . If N0, see appropriate tax clause on
page# of this instr ment.
ag
4 Dist. 17035086 1000 05400 0600 006000 1.000 5 Community Preservation Fund
Real
Agency 16-OCT-1 7 I IlI��11u11111111�1�llllll�IIIIIIIIIIIIIIIIIIIIII CPF Tax Due Amount$
Tax Service R DTY A
Verificatio,
-- - -- - — Improved
b Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD
Nancy Burner&Associates,P.C.
12 Research Way TD
East Setauket,NY 11733 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)
Richard Rabatin The premises herein is situated in
SUFFOLK COUNTY,NEW YORK,
TO In the TOWN of Southold
Mary Emerson In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
WARRANTY DEED WITH FULL COVENANTS
(INDIVIDUAL AND CORPORATION)
FORM 8003(short version),FORM 8008(long version)
CAUTION:'riiIS AGREEMENTS I IOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
PURCHASER BEFORE SIGNING.
THIS INDENTURE,made the 1k day of jµ17 2017 between
RICHARD RABATIN, 155 NORWOOD AVENUE,PORT JEFFERSON STATION,NEW YORK
11776,party of the first part,and
MARY EMERSON,155 NORWOOD AVENUE,PORT JEFFERSON STATION,NEW YORK
11776,party of the second part,
WITNESSETH,that the party of the first part,in consideration of No Dollars and No Cents
($0.00)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,
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 AND MADE A PART HEREOF;
Reserving to the Grantor herein,Richard Rabatin aka Richard P.Rabatin,a life estate in the above
described premises.
THE PREMISES KNOWN AS 790 Hickory Road,Southold,NY.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed
dated February 23,2004 and recorded on March 8,2004 at the Office of the Clerk of Suffolk County at
Liber 12305,page 838.
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,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 costs 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:
FIRST.—That said party of the first part is seized of the said premises in fee simple,and has
good right to convey the salve;
SECOND.That the party of the second part shall quietly enjoy the said premises;
THIRD.-----That the said premises are free from encumbrances,except as aforesaid;
FOURTH.—That the party of the first part will execute or procure any further necessary
assurance of the title to said premises;
FIFTH.—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.
R,•e�1ai� rVaSkh'n eLa �-.ehnr� � �0..5.�+%e 1'1 � GC ���rt�, -r n-�ae.f
RICHARD RABATIN aka RICHARD P.RABATIN by MARY EMUSON as attorney in-fact
NYSBA's Residential Real Estate Forms(9/00) 0 2017 Matthew Bender&Company,Inc.,a member of LexisNexis.
AcknowIedgment by a Person Within New York State(RPL§309-a)
STATE OF NEW YORK )
COUNTY OF SUFFOLK )ss.:
On the C e day of 1 in the yearc9011 ,before me,the
undersigned,personally appearid—MARVAMERSON as attorney in-fact for RICHARD RABATIN,
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 executed the
same in his capacity(ies),and that by his signature(s)on the instrument,the individual(s),or the person
upon behalf of which the individual(s)acted,executed the instrument.
NICOLEASCHIRMER
(signature and office ofindividual taking acknowledgment) NOTARY PUBLIC-STATE OF NEW YORK
No.o1SC6339616
County
WARRANTYDEED Qua issilnExpire 04-04-
MyCommission Expires 04-04-2020
Title No• District 1000
Section 054.00
RICHARD RABATIN Block 06.00
To Lot 006.000
MARY EMERSON County or Town SUFFOLK
Street Address 790 HICKORY ROAD, SOUTHOLD,
NY 11971
Return By Mail To:
Nancy Burner
Nancy Burner&Associates,P.C.
12 Research Way
East Setauket,New York 11733
Reserve This Space For Use Of Recording Office
NYSBA's Residential Real Estate Forms(9/00) 3 20 t 7 Matthew Bender&Company,Inc.,a member of LexisNexis.
-2-
• - . AQUEBOGUE ABSTRACT I CORP.
SCHEDULE A
TITLE NO: 632-S-7816
i
piece or of land,' lying and being in the Town of
All that certain plat pl Peel '
SOZTTHOI�D, at SOCJTHOLD, �� of Su I olk d State of New York being bowed
and described as
follows:
BEGINNING at a point on the northeasterly l' 'e af: 'ckory Road a distance of 133.45 feet
southeasterly along said nortbeasterlY line fro its
n a line at
tersection with the south oea.terly lin
of Sound View Avenue; and THENCE along , land of Arthur Halm, 15 minutes 40
right angles to said northeasterly line of Hic„�Y E along said lannorth 42 d off F�sche�, south 44
seeands east, 145.00 feet to land of Fischer, g
12 minutes 00 seconds east, 100.19 feet; WCE along other lands of Broach on
as line at right angles to said northeasterly linea Hickory Road, south 42 degrees 15
west, l 38.8 feet to said n6lx heasterlY line of Hickory Road; 'THENCE
minutes 40 seconds x$11 n 47 degrees 44 minutes 20 seconds
along said northeasterly side of Hickory
west, 100.00 feet to the point or place of BEG i G.
• � I 10.8
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1NSTRUCTIONS(RP-5217-PDF-INS):www.orps.stato.ny.us
FOR COUNTY USE ONLY �� New York State Department of
�/
C1.S1$IS Code I 52,
7`� I Taxation and Finance
A
C2.Dtlte DeodRocorded I/ 0/ ///?I Office of Real Property Tax Services
31 t 9 T RP-5217-PDF
C3.Book C4.Page I , , , ,, Real Property Transfer Report(8110)
PROPERTY INFORMATION
1.Property
Location 790 HICKORY ROAD
-STREET Nlln[R •5 i N[LI NNAC
SOUTHOLD 11971
,Cr1Y OR,om VILLAGE •rJY�]pL
2.Buyer EMERSON MARY
Name
LAST NANUXWANY nnaT NAME
LART NANG.'OIiAANY PAST NMP_
3.Tax Indicate whale future Tex Bills are to be sent
Billing it other than buyer addross(at bottom of form) LAST NAMILAAWPANY FIRSTNAME.
Address
SrREEf N1aEERANDNAME Cry OP TOWN STATE 7powr
4.Indicate the number of Assessmord E]Part of a Parcel (Only If Part of a Parcel)Check as they apply:
Roll parcels transhlrod on the deed 1 4 of Parcels OR ❑
4A.Banning Board with Subdivision Authority Exists
5.Dead , OR 0.33 4B.Subdivision Approval was Required for Transfer
Property •FNaNr FEET 'ACRCe
Sim 4C.ParcolApproved for Subdivision with Map Provhdod El
by MARY EMERSON as attorney in-fact RICHARD RPfgRT1f�
e.Seller .LAST NUErCO PANY nRST NAME
Name
M9TNAMEA'010RWy FIRST WM.
h.Select the description which moat accurately describes the Check the boxes below as they apply:
use of the property at the time of sds: 6.Ownorship Type is CorNlominsum ❑
A.One Family Residential 0.Now Construction on a Vacant Land El
10A Property Located within an Agricultural Dlsbict
108.Buyer received a disclosure notice Indicating that the properly is in an ❑
Agricultural District
SALE INFORMATION 15.Check one or more of these conditions as applicable to transfer:
A Sale Between Relatives or Former Relatives
11.Sala Contract Date B.Sala between Related Companies or Partners in Business.
C.One of the Buyers is also a Sellor
D.Buyer or Seiler a Government Agency or Lending Institution
12.Dale of Sa(aRranslar July 28,2017 E.Deed Type not Warranty or Bargain and Sale(Specify Below)
F.Selo of Fractional or Less than Fee Interest(Specify Below)
Full Sale Price $0,00 G.Significant Change in Property Between Taxable Status and Solo Daws
H.Sale of Business is Included in Salo Price
(Full Sale Price Is the total amount pad for the property including personal property. 1. Other Unusual Factors Affecting Sale Price(Specify Below)
This payment may be n the form of cash•other property or goods,or the assumption or x J.None or other obligations.)Please round to the nearest whaki dollar amount.
Comment(s)on Condition:
14.property
the lulus of personal t�'( r, [ k �r
property Included In the sale $0.00 ,�V C.g�,EI:JV'
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
18.Year of Assessment Rall from which Information hken(YY) 17 '17.Total Assessed Value $4,200.00
'18.Property Class 2 1 0 - '19.School District Name
SOUTHOLD
'20.Tax Map Identiffer(syRoll Identif er(s)(If more then four,attach shoot with additional Identifier(s))
1000-054.00-06.OD-006.000
CERTIFICATION
I Cerft that all of the Nunn of Information entered on this form are true and correct(to the best of my knowledge and beller)and I understand that the making of any willful
Islas statement of material het heroin subject me to the provisions.Df.lhe.ponalJOW.rolative to the making and filing of false Instruments.
I et9fr< lz& ,.+cA SELLF.R.SIGNATU.RE 71agf f7 BUYER CONTACT INFORMATION
R 41C4 }L / tErxar xhnwnen for eco buy&.NuW If buyAN o LLt.satiety,tics Ntaror,Tal WIr'NSI•xwil ronA mmpinr.ns.M ui
army tat Is nm nn FdivdLil°gaol a Rumiary.Ihmr a nw mW mntx rlmmehun of an indmewlmosporslNu
4rCrT+{Q �4541V7 `f C1 L r party Who—wi—yuoviunss IaaaNing the ti—tff MLwba mcaud.Type w prtntcl my.I
SELER eR•J9AIA-r LM11.
BUYERSIGNAT.URE EMERSON MARY
•LAs r NAa- I eIS:4MRL
1��,T 7bI11 elE 631 828-6682
■ 'V(A `� ! 'AREAceDL -MEPH01,1-KW RIsrswsh
OIMR S TUR[ DAAF
155 NORWOOD AVENUE
'afRFFI h,Rfa'R 'STr4,cr NML
PORT JEFFERSON STATION NY 11776
II I ,I rIl Ory OR:eIM1H •FTA-F W-LZA)L
i
0UYER1911ORNEY
I ��
Burner
RAYL rIks;"n11YFf
A •�
(631) 941-3434
W-A GOnC TRGPI<04EM USER IE•9100tlwl