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Home My WebLink AboutL 12940 P 628 1111111 IIII IIIII 11111 IIIII IIIII 11111111111111111111111 1111111 IIIII IIIII Illi IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 12/04/2017 Number of Pages : 4 At: 11 : 46 :55 AM Receipt Number : 17-0214626 TRANSFER TAX NUMBER: 17-14569 LIBER: D00012940 PAGE : 628 District: Section: Block: Lot: 1000 114 . 00 12 .00 ,018 . 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 Cext.Copies $0 . 00 NO RPT $200 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO Fees Paid $395 . 00 TRANSFER TAX NUMBER: 17-14569 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County . Number of pages "f RECORDED 2,017 Dec 04 11:46:55 AM JUDITH A. PASCALE This document will be public CLERK OF record.Please remove all SUFFOLK COUNTY Social Security Numbers L DCi001940 P 623 prior to recording. DT## 17_14569 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee �U Mortgage Amt. 1.Basic Tax Handling 20.00 2. Additional Tax TP-584 S Sub Total Notation Spec./Assit. or EA-52 17(County) �_ Sub Total �� Spec./Add. EA-5217(State) TOT,MTG.TAX Dual Town Dual County R.P.T.5.A, �D Held for Appointment Comm.of Ed. S. 00 TransferTax '? Mansion Tax Affidavit +�. ,�°� Certified Copy The property covered by this mortgage is or will be Improved by a one or two NYS Surcharge 15, 00 3 Y family dwelling only. Sub Tota! [ YES or NO Other q Grand Total 1 7 If NO, see appropriate tax clause on page# of this Instrument. Jh 6•-I 4 Dist, 17036643 1000 11400 1200 018000 5 Community Preservation Fund Real Property Tax Agency 30-OCT-1 IIIIIIIIII IDI IIIIIIIIIIIIIIIIIIII ILII III III! 1gd CPFsI ax Due Amo$nt$ � Verification TJ - — Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land S Uso"Vl 1. 6 hs TD __! C Q TD TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead; NY 11901 Co.Name z CA www,suffoikcountyny,gov/clerk Title# `Y _ 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Q made by: { (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK, VS H O S O In the TOWN of In the VILLAGE M \ or HAMLET of pc�� BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING, ^� over Form 2216 Standard N.Y.B.T.U.8004 Quitclaim Deed—Individual or Corporation(single sheet) File#:1805839980 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYER ONLY. THIS INDENTURE,made October 12,2017 BETWEEN Susan L Olson,residing at 1340 New Suffolk Avenue,Mattitick,NY 11952 party ofthe first part,and Susan I.Olson and Arthur W.Olson,Jr.as joint tenants with rights of survivorship, residing at 1340 New Suffolk Avenue,Mattitick,NY 11952 party ofthe second part, W ITNESSTIi,that the party ofthe first part,in consideration of Ten Dollars and other valuable consideration,paid by the party ofthe- second fthesecond part,does hereby remise,release and quitclaim 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 Being the same premises as was conveyed by deed dated 5/01/2017 recorded 6/01/2017 in Liber 12914 Page 872 See Schedule A annexed hereto and made a part hereof. Sec: 114.00 Blk: 12-00 Lot:018.000 TOGETHER with ail right.title and interest,if any,ofthe party ofthe first part in and to any streets and roads abutting the above described premises to the center lines thereof,TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns ofthe party ofthe second part forever. AND the party of the first part,in compliance with Section 13 ofthe Lien Law,covenants that the party ofthe first part wi 11 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 saying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part ofthe total ofthe same for any other purpose. The word"party"shall be construed as ifto read"parties"whenever the sense of this indenture so requires. ON WITNESS WHEREOF,the party ofthe first part has duly executed this deed the day and year first above written. IN PRESENCE OF: 1-2- san I.Olson First American Title Insurance Company Title Number:HTA-4608-S Page 1 SCHEDULE A DESCRIPTION AMENDED ALL that certain plot,piece or parcel of land,situate,lying and being at Mattituck, in the Town of Southold,County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a monument at the intersection of the Southerly line of New Suffolk Avenue with the Westerly line of Ole Jule Lane from said point of beginning along said Westerly line of Ole Jule Lane South 07 degrees 32 minutes 40 seconds West 242.82 feet; THENCE along land now or formerly of King,South 88 degrees 29 minutes West 60.09 feet to a monument at the Southeasterly corner of land now or formerly of Conrad Todrick, now or formerly of Catherine A.Colon; THENCE along said land North 00 degrees 34 minutes 30 seconds East 239.97 feet to a monument on the Southerly line of New Suffolk Avenue; and THENCE along said Southerly line of New Suffolk Avenue, North 88 degrees 29 minutes East 89.58 feet to the Westerly side of Ole Jule Lane,the point of BEGINNING. 1 State of New York,County of Nassau)ss: State of New York,County of )ss: On October 12,2017 On before me,the undersigned personally appeared before me,the undersigned,personally appeared Susan 1.Olson personally known to me or proved to me on the personally known to me or proved to me on the basis of satisfactory evidence to be the basis of satisfactory evidence to be the individual(s)whose names(s)is(are) individual(s)whose names(s)is(are) Subscribed to the within instrument and subscribed to the within instrument and acknowledged to me that he/she/they acknowledged to me that he/she/they executed the same in his/her/their capacity(ies) executed the same in his/her/their capacity(ies) and that by his/her/their signatures(s)on the and that by his/her/their signatures(s)on the instrument,the individual(s),.or the person upon instrument,the individual(s),or the person upon behalf of which t ie individual(s)acted, behalf of which the individual(s)acted, executed the i t ment. executed the instrument. MICHAEL HARRISON MMn blic,state of New York Notary Publ No.o1HA5025220 Notary Public Qualified in Suffolk County Commission Expires March 21,20� State of New York,County of Nassau)ss: State of New York,County of )ss: On On before me personally came before me personally came to me known,who,being by me duly sworn and the subscribing witness to the foregoing instrument,with say that he resides at whom I am personally acquainted,who,being by me duly sworn,did depose and say that he resides at that he is the ;that he knows of to be the individual the corporation described in and who executed the foregoing instrument; described in and which executed the foregoing that he ,said subscribing witness,was present and saw instrument;that he knows the seal of said corporation;that the seal affixed to said executed the same;and that he ,said witness, 'instrument is such corporate seal;that it was at the same time subscribed h name as witness thereto, affixed by order of the board of directors of said corporation,and the he signed h name thereto by like order. Quitclaim Deed Title No. Hamlet Title Agency,Inc HTA-4608-S. DISTRICT: 1000 SECTION: 114.00 BLOCK: 12.00 LOT: 018.000 COUNTY OR TOWN: Suffolk RECORD RETURN BY MAIL TO: Susan L Olson and Arthur W.Olson 1340 New Suffolk Avenue Mattitick,NY 11952 e , INSTRUCTIONSIRP-5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLYNew York State Department of C1.SWIS Coda 14,7 :3,'3,0o,9 I Taxation and Finance C2.Date Dead Recorded I 1 d/ OT/ 1-7 7 1 Office of Real Property Tax Services q (� Mal, N' Tom° Q RP-5217-PDF CS.Book (�1 I 14 Q I C4.Pago Lv I Road Property Transfer Report(8110) PROPERTY INFORMATION t.Property 1:.40 New SU:fel: FIvS:. Location •ST•:EEi tiJw1+ 'S:RNLI r:aa_ So4-_hol d 1=9-2 2.Buyer 01 sor. Name 'LAaI h.aF'r.CIM1"'NIT 11�5i IMYL Olsc-n, Jr. Arthur W. VST VaMZrCV-M. 1 1-•-1'AWL 3.Tax :meets whale'lure Tax Bills arc:o be sent Btltlress tiling .f drew than buyer addressral bottom of form) 1.&T wFK.dvF•N• AWN-% A e1F1' er.Marn A.')--F GI'r G'11-7A'f 5'•:F :I"i0!�F 4.Indicate the number of Assessment - Pal GI a Pa•cel (Only If Part of a Parcol)Check as they appy: Roll parcels transferred on the deed a a'Parcels OR 4A.Plan-ng Board with Subdlws on A,.lhori:y Exels 5.Dud C C1 R 10-1 4B.Subc vision Approva was Required for Trarsfor Properly •rNVVIFPO •L'9F'F WPFS ' Sim 4C.Pa'cel Approved for Subdivision with Map Provided G.Sellar •V6T =PVIIwE Name 'ASI Wwrax:waMY r+SI.-VL •7.Select the description which most accurately describes the Check the boxes below as they appy: use of the property at the time of sate: 8.Cer-ership Type is Condominium A.l my I d111115 Re'lrll•rrl I'll 9.New Construct on on a Vacant Land 10A.loropeny Located within an Agricuftung Dlstne ❑ 10S.Buyer recesved a disclosure no:lco Indlcaling:-at the orope.^.y is In an El Dislncl SALE INFORMATION 15.Check one or more of these conditions as applicable to transfer: A Sale Between Relatives or Fo•mer Relabvas 11.Salo Contract Data B.Sale betwee Rclo:ea Companies or Poi^em:n 969 now. C One of the Buyers Is also a Sellar 12.Data of Selon'ransfer 10/12/2017 D Buyer or Seeer.s Govemn•dnt Agency or Lending Institution E.Deed Type not Warra^:y at Bargain and Sale(Specify Below) F Sale of Fismonal or Less than Fee Imeres(Spera'y Below) •13.Full Sala Price .11(I G.Srgnilcont Change In Propery Between TaLwble Status and Sale Dares H.Sale of Business a Included it Sale Price t Full Sa'e Pnce is the fetal amount paid for UV property including personal propely. I.Other Urusuel Facto;Allering Sale Price cSpeby BC.aw) Ths payment may be:n the form o'cash,other properly or goods,or the assumption of d•None mortgages or other ocllga:lons 1 Abase round to the nearest whole dbaer amount Comments)on Condition: 14.Indicate the value of personal property Included In the sale ASSESSMENT INFORMATION-Data should renect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which information takon(YY) 1 ij 't 7.Total Assessed Value q,�-II j '19.Property Class 2 1 r' _ '19.School District Name Ma 1...!'.is C-.3 r-=.'loq ue 120.Tax Map IdentiaarlspRoll Identiflar(s)(If morethan four,attach sheatwith addhional IdeMlfiels)) :n:),)-1:1.00-:2.:;n-,)1I;,n:l•) CERTIFICATION I Cortiy that all of ten 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 at material fact heroin subject me to the•prgvisions of the penal law relative to the making and filing of false instruments. SELLER SIGNATURE BUYER CONTACT INFORMATION IEI'N:1 PIC'rlalgll'of e'e Wine.1171,11:1tl.,•rs L_C Napa,2T.81"woorelNr jor l T T4,mn,,aware rr .,ly roe etre)an I'Icff.?,.il e�e'r.C•'CIIGary,:nen a re'IrY a'w Cd'lirl ntdnahpv o!an nd.ner.a 1.04.'ntle Per,y who car anewe-quema•s mga'd ng eta lremelC•ml•91 as w'wrel.Type or pant clearly i 7nrL 114x1: Sur_n I / BU.Y.ER.SIGNATURE q1 'VST N•ME 'I+S'M1.wE • y C •.'ll a'J.-i W/Rfi. 1�•: ');n SuLfoik Ave. •E:'EE'•A.wgFt 'S-PFFT•.AVF 5 r r Ela-r._::.'::k `1•i :1'!J2 @U.Y.F.R'S ATTORNEY I t , I LK'N.ML F•i4I,'wf r Srf I �I' �lgn1{ I I yLNrt � 4:EA^dU.: 11E•IeJr4 ww,FN:••.�.vMi: I �r l ■1 I !I � r I 11 I •