HomeMy WebLinkAboutL 12941 P 196 11111111 IIII Illll VIII VIII IIIA VIII(IIII VIII IIII IIII
1111111 VIII Illll IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/06/2017
Number of Pages : 3 At: 03: 47 : 36 PM
Receipt Number : 17-0217308
TRANSFER TAX NUMBER: 17-15007 LIBER: D00012941
PAGE : 196
District: Section: Block: Lot:
1000 125 . 00 04 . 00 009 . 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 $200 . 00 NO
Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO
Fees Paid $390 . 00
TRANSFER TAX NUMBER: 17-15007
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
.Submi '6y-E-mail j Print Form -
RECORDED
Number of pages 2017 Dec GE 03:47:36 PM
JUDITH A. PASCALE
CLERK. OF
This document will be public SUFFOLK COUNTY
record.Please remove all L D00012941
Social SecurityNumbers 115
QT# 1 17-15007
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Mortgage Amt.
Page/Filing Fee
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 _
R.P.T.S.A. zz: Held for Appointmens
Comm.of Ed. S. 00 Transfer Tax p
Affidavit
tQn'
Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
15. 00
NYS Surcharge Sub Total family dwelling only.
YES or NO
Other Grand Total If NO, see appropriate tax clause on
page# oft ' instru ent.
4 Dist 009.000 5 Community Preservation Fund
17040711 iooa 12500 oaoo 009000
Real Prop. T S Consideration Amount 5
Tax Servic
Agency
F2P CPF Tax Due $
Agency DTY A`
Verificatic o4-DEC-17
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Laura I.Dunathan,Esq. TO
Twomey,Latham,Shea,Kelley,Dubin&Quartararo,LLP TD
33 West Second Street,P.O.Box 9398
Riverhead,New York 11901 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 Quitclaim Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Georke H. Westhall and Patricia K.Westhall The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Patricia K. Westhall In the VILLAGE
or HAMLET of Laurel
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
NO CONSIDERATION
Quitclaim Deed
This Indenture,made the 064� 'day of August,Two Thousand and Seventeen
BETWEEN
GEORGE H. WESTHALL and PATRICIA K. WESTHALL,as husband and wife,
both residing at 2915 Delmar Drive(P.O.Box 95)Laurel,New York 11948,
party of the first part,and
PATRICIA K. WESTHALL,residing at 2915 Delmar Drive(P.O.Box 95),Laurel,
New York 11948
party of the second part,
WITNESSETH,that the party of the first part,in consideration of Ten Dollars and
TAX MAP other valuable consideration paid by the party of the second part,does hereby grant
DESIGNATION and release unto the party of the second part,the heirs or successors and assigns of
the party of the second part forever,all of the party of the first part's interest in
Dist.: 1000
Sec.: 125.00 ALL that certain plot,piece or parcel of land,with the buildings and improvements
Bok.: :4.00
009. thereon erected,situate,lying and being at Laurel,in the Town of Southold,Count
Lot(s):oa9.000 y g g y
of Suffolk, and State of New York,known and designated as Lot#21 on a certain
map entitled, "Map of Laurel Country Estates," and filed in the Suffolk County
Clerk's Office on June 22,1970 as Map Number 5486.
SUBJECT to covenants and restrictions of record affecting said premises.
BEING AND INTENDED TO BE the same premises conveyed to the party of the
first part by deed dated October 5, 1973 and recorded in the Suffolk County Clerk's
office at Liber 7505 page 531.
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 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:
GEORGt H.WESTHALL
L.S.
PATRICIA K.WESTHALL
STATE OF NEW YORK)
COUNTY OF SUFFOLK)ss.:
On theday ofirn the year 2017 before me,the undersigned,personally appeared
GEORGE H. WESTHALL personally known to me or proved to me on the basis of satisfactory
evidence to be the individual whose name is subscribed to the within instrument and acknowledged
to me that he executed the same in his capacity, and that by his signature on the instrument, the
individual,or the person upon behalf of which the individual acted,executed the instrument.
Notary Public Laura L Dunathan
STATE OF NEW YORK) Notary Public,State of New York
COUNTY OF SUFFOLK)ss.: No.OIDU5089167
Ouallfied in Suffolk County
Commission Exp.12/08!0M+7
On theeday of in the year 2017 before me,the undersigned,personally appeared
PATRICIA K.WESTHALL personally known to me or proved to me on the basis of satisfactory
evidence to be the individual whose name is subscribed to the within instrument and acknowledged
to me that she executed the same in her capacity, and that by her signature on the instrument,the
individual,or the person upon behalf of which the individual acted,executed the instrument.
Notary is Laura L Dunathan
Notary Public,State of New York
No,01DU5089167
QUITCLAIM DEED DISTRICT: 1000 auaiified In Suffolk County
Commission Exp.12/08/,7&11
SECTION: 125.00
GEORGE H.WESTHALL and BLOCK: 04.00
PATRICIA K.WESTHALL,
as husband and wife LOT: 009.000
COUNTY of Suffolk and TOWN of Southold
TO
TAX BILLING ADDRESS:
PATRICIA K.WESTHALL
RETURN BY MAIL TO:
LAURA I.DUNATHAN,Esq.
Twomey, Latham, Shea, Kelley, Dubin &
Quartararo,LLP
33 West Second Street
P.O.Box 9398
Riverhead,New York 11901-9398
Page 2 of 2 Pages
FOK CUUN 1 Y USE ONLY New York State Department of
C1.WAS code $� Taxation and Finance
C2.Date Deed Recorded / ��O /� Office of Real Property Tax Services
RP-5217-PDF
C3.Book - C4.Page O Real Property Transfer Report(8/10)
PROPERTY INFORMATION
I.Property 2915 Delmar Drive
Location
•eTREEr MIYEER •STIrEETNAYE
Southold Laurel 11948
.CITY OR TOWN 'AL AGI
'rIP CODE
2.Buyer Westhall ?atricia K.
Name
•IABTNAMECOSPl1M' FIRST NAPE
LASTNAYEROAewwY FIRST NAME
].Tax Indicate where future Tax Bels are to be sent
Billing if other than buyer address(at bodorn of form) Iasi KmaocoiepmT FIRST NATE
Address
BrREWNUMBERANDNAME CRY OA TOM/ STATE MPCODE
4.Indicate the number of Assessment 1a rd Paluds OR ❑Pan of a Panel (Only If Part of a Parch)Check as they apply:
Roll parcels transferred on the deed
4A.Planning Board with Subdivision Authority Exlalf ❑
6.Dead 0.50
Property 'raoNr Feer X OR 4B.Subdivision Approval was Required for7renalsr ❑
size DEPTH 'ACRES
4C.Parcel Approved for Subdivision with Map Provided ❑
Westhall George H.
6.Seller .MST N MEICCF~ F RST NAAE
Name Westhall Patricia K.
LAST NALW-COAPANY FIRST NAME
'7.Select the description which most accurately describes the Check the boxes below as they apply:
use of the property at the time of sale. S.Ownership Typo is Condominium ❑
A.One Family Residential 9.New Constsucson on a Vacant Land ❑
10A.Property Located within an Agricultural District ❑
108.Buyer received a disclosure notice indicating that the property is In an ❑
Agricultural District
SALE INFORMATION 15.Check one or mala of these conditions as applicable to transfer.
A.Sale Between Relatives or Former Relatives
11.Sale Contract Date B.Sake between Related Companies or Partners In Business.
C.One of the Buyers is also a Seller
!Y
12.Data of$aleRrennfer Z s i�1 D Buyer or Seller is Government Agency or Lending Institution
$ 1
E.Deed Type not Vytrranry or Bargain and Sale(Specify Below)
F.Sale of Fractional or Less than Fee Interest(Specify Below)
117.Full Selo Price 0.00 G.Significant Change in Property Between Taxable Status and Sale Dates
H.Sale of Business is Included in Sale Prix
(Full Sale Prix Is the total amount paid for the property Including personal property. I.Other Unusual Factors=ing Sale Price(Specify Below)
This payment may be In the"of Cash.other property or goods,or the assumption of J.None
mortgages or other obligations)Please round to Me nearest whole dosaramount.
'Comment's)on Condition:
14.Indicate the value of personal Quitclaim - Lran to Trpars to R:PTA O in of Couns Tr
Op
in
Included In the sale 0 .00 retains Grantor's tax exemption in the property
ASSESSMENT INFORMATION-Date should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Rol(from which Information taken(YY) 16 '17.Total Assessed Value 5,000
'18.Property Close 210 _ •19.School District Name Mattituck - 473612-99
Tax Map tdentOter(syRoll Idenaaegs)(e more than four,attach sheet with additional identiner(e))
1000-125.00-04.00-009.000
CERTIFICATION
I Certify that all of the I(ems of information entered on this form aro tree and correct(to the best of my knowledge and balls"and I understand that the making of any willful
false statement of materiel fact herein subject me to thgjan1L)QOe Df the Dene I1W iWative to the making and filing of false Instruments.
SELLER SIGNATURE BUYER MIATACT INFORMATIQjy
o �1 tEnler wftmMm far the sayer.Nota IF n layer is LLC society.ansomalkin,cerperalm.lnsock rampant'.adeu or
i 25 I) 1 On*cut a not an raWkei esem ar twu¢ry.teem a name and contact iMarnatkn Oran igbiduehaepo sbb
0-5 I party Ww con armsr quesions regarding the MAIN mse
must be omr .Type cur print eleeay.)
E ER$r.NATURE sAir
BUYERSIGNA7NBE Westhall PaL'ricia K.
'LAS}NAME FIRai NAYS
p (631) 298-9650
IP
f •= I n -ecce 'fELEPYONE hLIaIER tar.eseYeWi
BUYER S1=ATURE •-`IDAA I�-
P.O. Box 95
•ARLET4 WRrr •STREET NAME
Laurel NY 11958
TRYGRTCMr1 , STATE 're COME
BUYER'S ATTORNEY
1
r Duriazhar, Laura I.
i IAST NAME FIRST NAME
` ;631) 127-2180
AREA CCOE TEU7HONE N6%0.ER(Ex oauwal
4� I I