HomeMy WebLinkAboutL 12941 P 231 l l l l i i l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l 11 I l l l l l l l l l l l l
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/05/2017
Number of Pages : 3 At: 05 :24 :53 PM
Receipt Number : 17--0217437
TRANSFER TAX NUMBER: 17-15037 LIBER: D00012941
PAGE : 231
District: Section: Block: Lot:
1000 097 . 00 05 . 00 004 . 002
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 $250 . 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 $520 . 00
TRANSFER TAX NUMBER: 17-15037
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
RECORDED
Number of pages 2017 Dec 06 05:24:53 P11
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record.Please remove all L D00012941
Social Security Numbers P 231
prior to recording. DT# 17-15037
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Feehi� Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation
SpecJAssit.
/
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County _
R.P,T.S.A, Held for Appointment
Comm.of Ed. 5, 00 Transfer Tax
Affidavit ' + Mansion Tax
Of 4i®� The property covered by this mortgage is
rtified Cop or will be improved by a one or two
NY Surcharge 15. 00 ' family dwelling only.
Sub Total YES or NO
Other p�
Grand Total <e, f NO, see appropriate tax clause on
page# of this' tru ent.
-/
4 1 Dist. I C 17040130 1000 09700 0500 004002 5 Community Preservation Fund
Real Property p T I IIIIIIIIII�llllll IIII IIIIIIIIIIIIII IIII lIl Consideration Amount$ _
Tax Service
R POL A
Agency 29-NOV_1 CPF Tax Due $
Verification
Imred�q
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address MMe l EGGL��CC
RECORD&RETURN TO: Vacant Land
TD
Wickham,Bressler&Geasa,P.C.
P.O.Box 1424 TD
Mattituck,New York 11952 TD
Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name e
www.suffotkcountyny.gov/clerk Title# — 10
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Executor's Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Daniel A.Kaelin 11 as Executor of the Estate of The premises herein is situated in
Patricia F.Kaelin SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Trust U/W of Patricia F.Kaelin.a Credit ShelterIn the VILLAGE
Trust FBO Daniel A. Kaelin.11 or HAMLET of Cutcho ue
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
1s�1 -10
Standard N.Y.B.T.U.Form 8005—Executor's Deed—Uniform Acknowledgment
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the#911 day of August,2017
BETWEEN
DANIEL A. KAELIN, II,Executor of the Estate of Patricia F. Kaolin,who died a resident of Suffolk
County, New York on September 16, 2016(Surrogate's Court of the State of New York File#2017-
636), residing at 54 Tuthills Lane, Riverhead, New York 11901; and
DANIEL A.KAELIN,II and GREGORY A.KAELIN,as Trustees of the Trust U1W of Patricia F.Kaolin,
a Credit Shelter Trust FBO Daniel A.Kaolin II,having an address of 54 Tuthill Lane, Riverhead, New
York, 11901, party of the second part,
WITNESSETH,that the party of the first part, in consideration of TEN---($10.00)--Dollars,and to effect the
distribution of the decedent's estate, and other good and 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 the undivided Fifty(50%)percent interest of Patricia F.
Kaelin in,
ALL that certain plot, piece or parcel of land, situate, lying and being at Cutchogue, Town of Southold,
County of Suffolk and State of New York being bounded and described as follows:
BEGINNING at a point on the southwesterly line of Cox's Lane, 100.02 feet northwesterly along said
southwesterly line from the Main Road,said point of beginning being the easterly corner of the premises
herein described and the northerly corner of land of Kaelin;from said point of beginning, running along
said land of Kaelin, South 46 degrees 10 minutes 10 seconds West,87.53 feet;
THENCE along land now or formerly of Miesner North 42 degrees 35 minutes 20 seconds West,249.58
feet to land nor or formerly of Glover;
THENCE along said land nor or formerly of Glover North 51 degrees 09 minutes 40 seconds East, 87.70
feet to said southwesterly line of Cox's Lane;
THENCE along said southwesterly line of Cox's Lane, South 42 degrees 35 minutes 20 seconds East,
241.94 feet to the point or place of BEGINNING.
BEING.AND INTENDED TO BE the same premises as conveyed to Daniel A. Kaelin, II and Patricia F.
Kaelin be deed dated December 5, 2002 and recorded in the Office of the Suffolk County Clerk in LIber
12226 Page 727.
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"when ever 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:
Daniel A. Kaelin, II, Executor
E2/Kaelin/RE/deedex265CoxLane20i7
BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN New York STATE
State of New York,County of Suffolk,ss: State of New York,County of ss:
On the day of August, in the year 2017 On the day of in the year 2017
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
Daniel A.Kaelin,II
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 (are)subscribed to the within instrument and acknowledged to
me that he/shelthey executed the same in his/her/their me that helshelthey executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the
instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which
the individu I acted,ex cuted the ins ument. the individual(s)acted,executed the instrument.
f
Ts-ignat.ra,pfid office of individM+&"tqka0V*;Wment) (signature and office of individual taking acknowledgment)
Notary Public Notary Public State of New York Notary Public
AbptoM! A. No.52-4642871
Qualified in Suffolk County
W�GCommission Expires Sept.30,200
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of ,County of ss:
On the day of , in the year before me,the undersigned,personally appeared
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
in
(insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken)
(signature and office of individual taking acknowledgement)
Notary Public
BARGAIN AND SALE DEED SECTION 097.00
WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 05.00
Title No. LOT 004.002
Daniel A. Kaelin, II,as Executor of the Estate DISTRICT 1000
of Benjamin J.Jones,Deceased,
TO
DANIEL A. KAELIN,II and GREGORY A.
KAELIN, as Trustees lJ1W of Patricia F. Kaelin,
a Credit Shelter Trust FBO Daniel A. Kaelin II
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Wickham, Bressler&Geasa,P.C.
P.O. Box 1424
Mattituck, New York 11952
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INSTRUCTIONS(RP-5217-PDF-INS):ww .orps.statemy.us
: FOR COUNTY USE ONLY � �^ wNew Yale Stat OepaRrnent of
�
C1.SMAS Code /- 9 Taxation and Finance
C2.Date Deed Recorded 11 1.1:1 O ky ` I Office of Real Property Tax Services
w" RP-5217-PDF
W.Book �i C4.Page [ , p; I Real Property Transfer Report(anal
PROPERTY INFORMATION
1.Properly 265 Cox Lane
Locelton
S:RLLT RUMMR •STREET NAr!
Sou Lhold CuLchogue 1-935
•�TOM VS I AGE -.F CDM
2.Buyer Trust U/W oI: Patricia F. Kael_n
Name
'I MT NAYFJCOIFAM FAS}hAYF
FBO Daniel 3. Kaelin :I
LMT RAMMOMrAAI+ 11-91 r.M%
3.Tax Indicate where Mum Tax Bills we to he sem
mlling if altrerihan buyer address(st bottom of form MST M1A.0CmPA FIRST xA.e
Address
STREET'4JMOERMO HANE OFT OR-UM 57ATE ZPCOCE
4.IMleat@ the number of Aseeamem 1 R d Pareela OR n Pan d a Parcel (Only a Ped of s Parceq Check u they appy:
Roll els transferred on the deed 4A.planning Board with Subdivision Authonly Eruste ❑
6.Deed X OR 0.4 9 4&Subdlwsibn Approval was Required for Trander
Propel •rR7N115a1 •OF-M •ACRES El
sin 4C.Parch Approved For Subdivision with Map Provided
estate of Pat:_cia F. Kael-n
G.Seller •..ST iAVEXck~
Name FRET tYVE
LAS:i4mmOLF4W rNTil YAYL
'T.Select t ho description which most @mo ral*describes the Cheek the boxes below as they appy:
use of the properly at the time of Sale: 8.Ownership Type is Condominium
F.f'ntnmerria) a.New Construction an a Vacant Land El
10A.Property Located witlan an Agnwllural District ❑
1118.Buyer received o disclosure notice irldKatiM that the property Is in an ❑
Agriaalural District
SALE INFORMATION I Check one or more of these condltlone as applicable to transfer:
A Sale Between Relatives or Former Relaillm
11.Sale Contract Date B.Sele between Related Companies or Partners In Business.
C.One of so Buyers is Soon a Sailer
08/09/2017 D Buyer or Setter Is Oovemmem Agency or Lending lnstitdku+
•12.Date of Salelrromfar E.Deed Type not Warranty or Bargain and Sala(Speoy Below)
F.Sale of Fractional or Less than Fee Imersal(Speay Below)
•13.Full Sale Price 0.00 0.SigrafraM Change in Propel Between Taxable Status and Sale Dress
H.Sale or Business Is included In SW Price
t Full Sells Prion Is IM total amoum paid for The property including persona prllpwty I.Other Unusual Factors Allecilng Sale Price(Spedly Below)
Tim psymeM may be in the form d cash.other property of goods.or the assumption of J None
mortgages or other obligations.)Rewe round to the nearest mirage dollar artmu"t
Commentts)on CondNon:
14.Indicate the value of personal
property Included Indosale 0.00 d'stricut:or. rider will
ASSESSMENT INFORMATION-Data should reset the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Rail from which Intbrmailontaken(YY) 16 117.Told Assessed Value E,600
'16.Property Class 455 — •1a.School District Name Cutchoguc
'20.Tax Nap IdemMer(suRoll IderdMer(s)(if mon then bar,Reach sham with additional MardMegs)I
1000-097.00-05.00-004.CO2
CERTIFICATION
I Cordy that all ofths Ihms of Imarmabw erhtm on this Mum am We and correct(n the bast of my knowledge and bolleQ and I understand dud the making of any willful
robe statement of material but heroin subject me to the ororlalggle,gf VW.MMJM Lrobdm to the making and filing of false Instruments.
A____R SIGNATURP BUYER CONTACT INFORMATION
(Ener kysmebonl for core buyer Nola Ir buyers LLC.9odet y ereodeWn,-,l;R eban pyx 116M conPsiy.asisie er
�/(',(\),, Q �'wy 1 1 _ emky IM Is not m eldraua agYw or edigui y.corm a nems end wnm rmolmsSon w en ino duorroponsso,
Y"(A(iwt�9 14 r/K/la (/////_ wty.ro ow smeer ixime na regamina the tranwer no be emerw tyle er prim clurty.)
SELLER&MATINS DA-E
Kaelin Daniel A. it
BUYER SIONTA URE
'MSI nA1R FIRST hAYL
•J�t�J!/[�,//� 'ARLAIMA. '11.11+NY h.m'FR:F,sasaSSSI
BUYERS*, TUBE WE
54 Tuthil_s Lane
-STRFETNLMMW 'STREETNMIL
R'_verhead NY :1901
JTTORTOM 'STITF 'aP COW
BUYER'S ATTORNEY
r
Wirkhan Abigail A.
1 I .A51 NAPE FNS'NAML
(631) 298-8353
ANEAral7F TELEPrm.E111M',L•MOWAI
r