HomeMy WebLinkAboutL 12940 P 524 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/05/2017
Number of Pages: 4 At: 09 :58 : 33 AM
Receipt Number : 17-0215358
TRANSFER TAX NUMBER: 17-14485 LIBER: D00012940
PAGE : 524
District: Section: Block: Lot:
1000 063 .00 03 .00 005 . 003
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 $400 .00
TRANSFER TAX NUMBER: 17-14485
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
❑1 ❑2
Number of pages
RECORDED
i 2017 Der 135 09:58:33 AM
JUDITH A. PASCALE
This document will be public CLERK OF
record. Please remove all SUFFOLK COUNT'
Social Security Numbers L.DOOO12940
P 5'24
prior to recording. DT#. 17_14485.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20, 00 2. Additional Tax
TP-584 h� Sub Total
Notation Spec./Assit.
or
EA-52 17(County) SubTotal �� Spec./Add.
EA-5217(State) /�✓ TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held forAppointment�
Comm.of Ed. 5. 00 Transfer Tax
Affidavit + • Mansion Tax
The property covered by this mortgage is
ertifiedCopy or will be improved by a one or two
NYS Surcharge 15, 00 �Sub Total family dwelling only.
YES orNO
Other J�
Grand Total 7 bru w If NO, see appropriate tax clause on
page# of this i strum n
C ff� t.
ID I
4 1 Dist.1C 003 S Community Preservation knd
17038599 1000 06300 0300 005003
Real Property T Ill�llll�llluhll�II�IIIII�III1����I�I�IIIIIIII Consideration Amount$
Tax Service PCWtj A li 11{ 11! it
Agency CPF Tax Due $
Verification 15 NNOV-1 JD
Improved
Satisfactions/DischargReleases List Property Owners Mailing Address
es
6 R CORD&RETURN TO: Vacant Land
Jennifer B. Gould, Esq.
PO BOX 988 TD/4"__
Southold, NY 11971
TD
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
www.suffolkcountyny.gov/clerk
Title# 2, 0 _ Z
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Patrick Cullen The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Patrick Cullen as Trustee of the Patrick In the VILLAGE
Cullen Trust Agreement dated 10-x-7-tib 17 or HAMLET of Southold
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
2-97509-27
Bargaand Sale Deed with Covenants Against Grantor's Acts-Individual or Corporation
CONSin :f YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the 2711 day of October, 2017 BETWEEN
PATRICK CULLEN, residing at 300 Boisseau Avenue, Southold, NY 11971
party of the first part,
PATRICK CULLEN, as Trustee of the PATRICK CULLEN TRUST AGREEMENT dated 10-27-2017, residing at
300 Boisseau Avenue, Southold, NY 11971
party of the second part,
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 Harry P. Sheppard and
Veronica Sheppard, his wife, recorded 04-20-1995 liber 11722 Page 511.
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.
IN PRESENCE OF:
PATRICK CULLEN
,STATE OF NEW YORK: COUNTY OF SUFFOLK) ss:
On the day of October, 2017, before me, the undersigned, personally appeared Patrick Cullen,
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.
1::�� "41-) 9—!&A
ary Public 7cllfil V P . C7 U�d
JENNIFER S.CONED
Notary Public,State of New York = .f
No.02GO5024640-Suffolk County
Commission Expires March 14,20
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, bounded and described as follows:
BEGINNING at a point on the easterly side of Boisseau Avenue distant 115 feet southerly
from the point or intersection of the southerly side of land of the L.I.R.R. with the
easterly side of Boisseau Avenue, said point or place of beginning being the southerly
side of land now or formerly of Colonial Village;
THENCE North 71 degrees 26 minutes 00 seconds East along last mentioned land,
299.50 feet to land now or formerly of Thompson;
THENCE South 01 degrees 03 minutes 00 seconds West along last mentioned land,
202.23 feet to land now or formerly of Cochran;
THENCE South 70 degrees 31 minutes 40 seconds West along last mentioned land,
238.00 feet to the easterly side of Boisseau Avenue;
THENCE North 16 degrees 41 minutes 00 seconds West along the easterly side of
Boisseau Avenue, 194.36 feet to the point or place of BEGINNING.
INSTRUCTIONS(RP-5217-PDF-INS):www orps.state.ny.us
FOR COUNTY USE ONLY New York State Department of
C1.3WS code 1 I Taxation and Finance
C2.DatcSDood Recorded �Z/ / '- Office of Real Property Tax Services
�7
owl a., Tea RP—5217—PDF
C3.Book 1, C,�,I'f;Vj C4.Page �Z Real Proporty Transfer Report 18110)
PROPERTY INFORMATION
1.Property 3300 Roissea;: Avenue
Location
•S'REET`w'
•S:eC_road:
Sou-zholc Southold
.C.Tr aR TOM V I I AGF •:PCOcE
x.Buyer Culler. Patrick, as Trustee
Name —
•IAaI NAe'e,cCIpA.YY F.R;T M1A1E
Patrick Cul_on Trus= dtd IQ'.1 - Z(A(Z
48T MlEK�11PMY r ash M1Aw
S.Tex indicate where future Tax Bile ms are To be se
Billing if ctner than buyer atltllPsslat bosom atform) LAsT%wPx:curu.r IIRs•Wwh
Address
a:BEET MIMBER AM MME cn:T ort Tovmei�•F _cox
4.indicate the number of Assessment s or parcels OR ❑Pad of a Pointe, (Only B Part of a Parcel)Check as they apply:
Roil parcels transferred on the dead 4A.Planning Board with Subdivision Authority Exists
S'Dead \ OR -•15 4B.Subdivision Approval was Required for Transfer
Property •FRONT=JET 'DEPW 'AGREE
stro 4C.Parcel Approved for Sublivivon with Map Provided ❑
Culler _ ? trick
G.Boller .LAST M1AYE,COYPMy SRT NAPE
Name
IKI MNPC�LIPMY "" 11451 M1•vE
7.Select the description which most accurately describos the Check the bons below as they appy:
use of the property at the time of sale: $.Ownership Type is Condominium
B.:herr S Family liexidrtttial 9.New Construction on a Vacant Land
ICA.Properly Located within on Agricultural Distrix
100.Buyer received a disclosure notice indicating that the property in in an ❑
Agncwtural District
SALE INFORMATION 16.Chock one or mora of throe candidons as applicable to transfer:
A.Sale Between Relatives or Former Relatives
11.Sale Contract Data Rrl(R B.Sale between Related Companies or Partners In Business.
C.One or time Buyers is also a Seller
'12.Data of SafoRronsfor �I_��'�']-](��^] D.Buyer or Seger Is Government Agency or Lending inset utlon
E.Deed Type not Warranty or Bargain and Sale(Specify Below)
F.Sale of Fractional or Lou then Fee Interest(Specify Below)
•13.Full Sale Price 0.U() O.Significant Change in Properly Between Taxable Status and Saga Dates
H'Sale of Business is Induced In Sale Price
I Full Sale Price is the fatal amount pad for the property Indud.rlg personal property. I Other Unusual Factor;Affecting Sole Price(Specify Below)
This payment may be in The form of rash.other property or goods.or the assumption of J.No1e
mortgages or other obligations.)Aess round to aro naamsf whole da0ar amount.
CGrltmem(s)an Condition:
14.Indicate tho value of personal
property Included in the sale .00
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessmont Roll from which Information faken(YYI -_6 '17.Total Assessed Value s'900
'18.Properly Class 220 _ 99.School District Name 3authold
'20.Tax Map Identtfiar(s)IRoll IdomlOar(s)(if more than four,atlach shoot with additional ksnnlJfl (e))
-GC0-063.00-C3.0U-CC5.003
CERTIFICATION
I Corgfy that all of the Items of Information entered on this form aro true and comet(to the best of my knowledge end boliatl and I understand Blit the making of any willful
false statement of motorial fact heroin subject me to the lamilslons of the penal.lownflativo to the making and filing of false Instruments.
.W ER G[rp.N TM BUYER CONTACT INF9BMATION
[Enmoity ietis acomnot
a•clsmalm.meant
o:.1buyr. el2-e 11 naoorm la nation Artmock ca anise eaatoa
Rub rot h nor an rwxeua eaenl a!eusry.sect■name ion mnua v+ramesa:d ea Alaxaueylesxneoa
iaM wro ran rmRer ever m roga51 np esu rnrYr nwa tee enlelee Type r pint clearly 1
1ER MATURE W'i
BUYPR SIGNATURE Cu_len, Trustee Pa=rick
'.A5r NAME -RS-NAME
•11EACOCE •ILS•I.CrE 4JMEFn IF,memee.
BLT SGMTJM ort"E
3o_sseau Avenue
MEET WUNA •TREET NAME
I+ I S0Uti:O_.: NY 1197_
•rfTrall: •6-ATC •aacolw
r I BUYER'S ATTORNEy
Gould, Esq Connifer 3
I K7 M1AMl, Cps'NNIF
(6:i') 765-6375
I 1{I AREACOUL _.ELFPtML 14.10OJr 1F1 e11010Er
) ' I I 1 1 f ■■ I I I