HomeMy WebLinkAboutL 12943 P 108 1111111 Illl 11111 IIIII Illll IIIII IIIII Illll VIII IIII IIII
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/20/2017
Number of Pages: 3 At: 02 :27 :57 PM
Receipt Number : 17-0226167
TRANSFER TAX NUMBER: 17-16574 LIBER: D00012943
PAGE : 108
District: Section: Block: Lot:
1000 050 . 00 02 .00 016.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 . 00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $15 . 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 $400 . 00 NO
Transfer tax $0 .00 NO Comm.Pres $0 . 00 NO
Fees Paid $590 .00
TRANSFER TAX NUMBER: 17-16574
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
rl]❑2
a 20RECORDED2:
Number of pages '2F117 Dec rJ 02.c7;57 PM
JUDITH A. PASCRLE
CLERK OF
This document will be public
SUFFOLK COUNT,'
iC18
record. Please remove all L UOCIC
2943 F'
Social Security Numbers UT# 17-16574
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee 1117 Mortgage Amt.
( 1.Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 � Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
Wo(7
Held forAppointment
Comm.of Ed. S. 00 Transfer Tax
Affidavit Mansion Tax
Certified Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00family dwelling only.
Sub Total YES orNO
Other
Grand Total 0 If NO, see appropriate tax clause on
page# ofthis instrument.
4 Dist.1 p,T )0 5 Community Preservation Fund
17043067 �e cC�{.��
R xService R LWC 17 IIIIIIIIIIDVIIIVIIIIIIIVIIIIIIIIIIIIIIIIIIIII '� CPFConSTax Du Pn Amount$
Agency 20 DE 7
Verification
�— J Improved
Satisfactions/Discharges/Releases List Property Owners Mailing Address
6 RECORD&RETURN TO: Vacant Land
PHYLLISANN POLIZZI KALENKA, ESQ.
SPELLMAN RICE GIBBONS POLIZZI&TRUNCALE LLP TO 0
229 SEVENTH STREET TD
SUITE 100 �rj
GARDEN CITY, NY 11530 TO
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Blackstone
www.suffolkcountyny.gov/clerk
Title# 6221
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFY TYPE OF INSTRUMENT)
JANE A.PETRIE The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In theTOWN of SOUTHOLD
ROBERT SCOTT PETRIE AS TRUSTEE OF THE JANE In the VILLAGE
A.PETRIE NOVEMBER 16,2017 REVOCABLE TRUST or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
pT S
Doc ID: 17043067 R LWI A
0-DEC-17
Tax Maps
District Secton Block Lot School District Sub Division Name
1000 05000 0200 014000
1000 05000 0200 016000
n....,,ti..I)n InII
r ,
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the In day of November,2017,
BETWEEN
JANE A. PETRIE,residing at 1301 Millsboro Road,Apt. 124,Mansfield,Ohio 44906,
party of the first part,and
ROBERT SCOTT PETRIE as Trustee of the JANE A. PETRIE NOVEMBER _LL_, 2017 REVOCABLE TRUST,
residing at 709 Hollow Road, Radnor,Pennsylvania 19087,
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 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 at Southold, Southold, Town of Southold. County of Suffolk and State of New York, being and described as
follows:
BEGINNING at a point on the northeasterly side of Sound View Avenue distant 300 feet southeasterly when measured
along the northeasterly side of Sound View Avenue from the southeasterly corner of land conveyed to Sarah Loomis
Campbell by deed recorded in Liber 6683 cp 137;running thence along land now or formerly of the Estate of Edna C.
Salmon North 28 degrees 44 minutes 50 seconds East 241.59 feet,North 23 degrees 22.00 minutes East 207.48 feet
and North 16 degrees 39 minutes 10 seconds West 160.46 feet to Long Island Sound;running thence easterly along the
same,the tie line of which bears South 73 degrees 09 minutes 50 seconds East 123.44 feet to land now or formerly of
Edward C.Booth;running thence along said land South 10 degrees 13 minutes 50 seconds East 163.07 feet and South
27 degrees 42 minutes 30 seconds West 477.96 feet to the northeasterly side of Sound View Avenue;running thence
along the northeasterly side of Sound View Avenue;North 50 degrees 41 minutes 30 seconds West 100 feet to the point
or place of beginning.
SAID premises being more commonly known as 16215 Soundview Avenue,Southold,New York 11971;Section 050.00,
Block 02.00,Lot 014.000 on the Suffolk County Land and Tax Map.
BEING the same premises conveyed to the party of the first part by deed dated June 23,20'10 and recorded in the Office
of the Suffolk County Clerk on August 11,2010 in Liber D00012634, Page 247.
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 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.
JA A. PETRIE
INP SENCE OF:
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts.-Uniform Acknowledgment
Form 3290
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of SS: State of New York,County of SS:
On the day of in the year 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 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 me (are)subscribed to the within instrument and acknowledged to me
that he/she/they executed the same in his/her/their capacity(ies), that he/shelthey executed the same in his/her/their capacity(ies),
and that by his/her/their signature(s) on the instrument, the and that by his/her/their signature(s) on the instrument, the
individual(s),or the person upon behalf of which the individual(s) individual(s),or the person upon behalf of which the individual(s)
acted,executed the instrument. acted,executed the instrument.
(signature and office of individual taking acknowledgment) (signature and office 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)of OHIO ss:
On the %k-k' , day of November, in the year 2017, before me,the undersigned,personally appeared
JANE A.PETRIE,
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/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,and that such individual made such appearance before the undersigned in the
coII 111111/1111/M
1UInAl11 -f'() in 4IIt�
(insert the Cityt li i Ikon) (and insert the Siate oru76 � e
ntry or other pt the acknowledgment was taken)
l v
a r7 s
gAA
(signat re nd office of individual taking acknowledgment)
a`;yA17E/oN 111 ` SECTION 050.00
CXR ip_3{ �OZ� BLOCK 02.00
LOT 014.000
BARGAIN AND SALE DEED COUNTY OR TOWN
WITH(:OVENANT AGAINST GRANTOR'S ACTS Suffolk County
STREET ADDRESS
Title No. 16215 Soundview,Avenue
Southold, NY 11971
Recorded at Request of
BLACKSTONE LAND TITLE AGENCY,LLC
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS RETURN BY MAIL TO:
Distributed by Phyllisann Polizzi Kalenka,Esq,
Spellman Rice Gibbons Polizzi&Truncale,LLP
Commonwealth 229 Seventh Street,Suite 100
Garden City,NY 11530
COMMONWEALTH LAND TITLE INSURANCE COMPANY
RESERVE THIS SPACE FOR USE OF RECORDING OFFICE
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR MLINTY USE ONLY New York State Department bf
C1.Swls Code I y I y I Taxation and Finance
C2.Data Dead Recorded I / D�0/ I Office of Real Property Tax Services
MonT oey Tsu RP- 5217-PDF
A
C9.Book I !, �,y 13 I C4.Page �,�
Real Property Transfer Report(8110)
PROPERTY INFORMATION
I
1.Property 16215 Soundview Avenue
LOCoftea
'S'4FrT 1..1.104 •ATRf.0 I YAVL
Southold Southold 11971
'f.ITY OR TOWN NL LACE •'.P rxxE
2.Buyer
Name Petrie Robert Scott,as Trustee
'IAS'NLNC:OVI+ANr Flis:hAGL
I
LAS-fv%& &o PAYy FIST NAME -
9.Tax Ind Cate where IuLJre Tax Bills are to be sent Robert Scott Petrie,as Trustee
Billing
Address
f otter Chan buyor address(at bottom of fohn) tAST nAti{x.^jwPA nNaTNA E
709 Hollow Road Radnor PA 19087
11TRCrLf Y1,M:t AC NAY[ c-UFA im,% SMTE rP CAIDE
4.Indicate the number of Assessment Part of a Parcel (Only if Part of a Parcel)Check as they apply:
Roll parcels transferred on the deeds of Parcels OR ❑
4A.Rannmg Board with Subdivision Aulhar,ty,Exists
S.
Deed
PropertyF,O,R,-Er• XC OR 1.5 4B,Subdivision Approval was Required for Transfer
Slee 'OE-4 'A4NCS
4C.Parcel Approved for Suodivlslon wain Map Provided
Petrie Jane
6.Seller .LAg7 FAV:.COyPAY, FY7sTMMC
Name
LAV NAK.CON'+NIY r RST NAE
'7.Select the description which most accurately describes the Chock the boxes below as they appy:
use of the property at the time of sale: 8.Ownership Type Is Condominium F1
A.One Family Residential
9.New Construction on a Vaunt Land El❑
-- "•' 10A.Properly Located wi:nn an Agricultural District
106.Buyer received a disclosure notico indicating that the property is in an ❑
Agncultu-al D.stnct
SALE INFORMATION 15.Chock one or more of these conditions as applicable to transfer:
A.Sale Between Relatives or Former Relatives
11.Sale Contract Date N/A B.Sa:e between Related Companies or Partners in Business.
C.One of the Buyers is also a Seller
'12.Date of SolelTronsfer 1117 D.Buyer or Seller is Government Agency or Lending Institution
E Deed Type not Warranty or Bargain End Salo(Specify Below)
F.Sale of Fractional or Less than Fee Interest(Specify Below)
Full Sale Price 50.00 G.Significant Change in Property Between Taxable Status and Selo Dates
H.Sale of Business Is Included in Sala Price
(Furl Sale Price Is the total amount paid for the property'nc:uding personal property. I. O:hor Unusual Factors Affacbng Sale Price(Specify Below)
This payment may be In the form of cash.other property or goods.of the assumption of J Nene
'hortgagos or other obligations.)Masse round M ole nearest whole dollar amount LJ
Comment s)on Condition;
14.Indicate the value of personal9
ransfer to cantor trust in connection with estate
properly Included in the sale $0.00 planning '
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax BIII
16.Year of Assessment Roll from which Information takon(YY) 17 117.Total Assessed Value 7,700
'18.Property Class 2 1 0 _ 1 '19.School District Name SOutnold
120.Tax Map Identiffer(s)iRoll Identlner(Q(If more than four,attach sheat with additional Identifier(s))
1000 -050.100-02.1010-101a. ant 0%to.0017
CERTIFICATION
I Certify that all of the Items of Information entered on this form aro 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 herein subject me to the prgvlsloria.9f til Lpenol law relative to the making and filing of false Instruments.
fig"ER ER SIGNATURE 0MYEELCONTACT INFORMATION
IEIrrr mlorrriow lar Rc nulnrr NOW If buyer s L Ll:Loc elY.assaol"..un;oraw.pmt sracA wilpwry masa or
/�. enlbv eNf is not on IrL1YICL'it nrenl w fiduciary.9-An a remtl and dentistsIrformmior.M an rdmduatrcapnmlbW
pa y who ca+:answer-os:Ma nr,d'ng 9•a aanslrr cruel be ordered.Type w print elawly.)
auYER SIG ATUBE Petrie Robert Scott
•oat nous FRSE Nw[
'ALTA C=F 'I0.01toONE-11 Pa d,.S1a9eell
-•• asruLsw.A-JNE ,A,E
709 Hallow Road
lel 1 a I l I 1„) 1 1 al 'STRFFTNJVKR 'atrEa-M%W
' 1 Radnor PA' 19087
I t ' rrry ra Taro •s-ATR. •:F COLI:
l I ' 10FR'S ATTQBM
' Reitz Mark
1
l t 1 1 R lA1T NAGE nR51M4AE
' ' 1 ARF61c0pa- 462-5425 •LS-Ix'ALALHpEN IE,994WAI