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Home My WebLink AboutL 12947 P 668 [I I I I[[11111111111111111111111111111111111111111 Illlllllllllllllll[III[II SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 01/25/2018 Number of Pages : 4 At: 04 : 11 : 37 PM Receipt Number : 18-0015821 TRANSFER TAX NUMBER: 17-20171 LIBER: D00012947 PAGE : 668 District: Section: Block: Lot: 1000 079 . 00 04 . 00 040 . 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 Cert.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: 17-20171 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of pages RECORDED 2018 San 25 04:11:37 Ptl UDITH A. PASCRLE This document will be public CLERK'OF SUFFOLK COUNTY record.Please remove all L D00012947 Social Security Numbers P 668 prior to recording. DT# 17-20171 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee U Mortgage Amt. 1.Basic lax Handling 20. 00 2. Additional Tax TP-584 _ Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total ,U Spec./Add. EA-5217(State) rad_ TOT.MTG.TAX R.P.T.S.A. � Dual Town Dual County Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit _ * �+ Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00t/ family dwelling only. Sub Total YES or NO Other _ Grand Total m If NO, see appropriate tax clause on page# of this instrument. 4 1 Dist. 180025$1 1000 07900 0400 040000 )•000 5 Community Preservation Fund R Agency, 2-AN 1 CPF Tax Due Amount$ Tax Service R CWH A Verificatio Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: �� Vacant Land a� TD—� Allen M. Smith,Esq. TD 737 Roanoke Avenue Riverhead,NY 11901 TD Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Bridge Abstract LLC www.suffolkcountyny.gov/clerk Title# BRG#17-1314 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed LI 7 C �5 �t° made by: (SPECIFY TYPE OF INSTRUMENT) GregryRose and Deborah Rose,as to a Life Est. The premises herein is situated in and Dina Rose SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Dina Rose In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8007 CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE,made the'I day of yP�o,KyaR, TWO THOUSAND SEVENTEEN,between GREGORY ROSE AND DEBORAH ROSE,AS TO A LIFE ESTATE residing at 68 Lighthouse Road, Uniot 907,Lake Ozark,MO 65049 And DINA ROSE,residing at 355 Windjammer Drive,Southaold,NY 11971 party of the first part,and DINA ROSE,residing at 355 Windjammer Drive,Southaold,NY 11971 party of the second part, WITNESSETH,that the party of the first part,in consideration of TEN dollars,lawful money of the United States,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 in the ATTACHED HERETO SEE SCHEDULE"A" BEING AND INTENDED TO BE the same premises conveyed to the Grantors herein by deed dated 12110/1013, and recorded in lire Suffolk County Clerk's Office on 11612014 in Liber12759 at Page 139. 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 RAVEAND 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 dul ecuted this deed the day and year first above written. INPRESENCE OF: GREGORY ROSE A� 4, .A, BORAH ROSE DINA ROSE NYSBA PRACTICE FORMS 10199 RE067.16 Schedule A Description 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, known and designated as Lot No. 29 as shown on a certain map entitled,"Map of Harbor Lights Estates, Section One Bayview,Town of Southold, Suffolk County, N.Y."made by Otto W. Van Tuyl& Son, Licensed Land Surveyors,Greenport, N.Y.,and filed in the Office of the Clerk of the County of Suffolk on June 6,1965 as Map#4362. I�� Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF' ) SS.: COUNTY OF yy, 4s On the/� day oAJ4 fi the year 2017 before me,the undersigned,personally appeared GREGORY ROSE and DEBORAH ROSE.personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacity,and that by their signatures on the instrument,the individuals,or the person upon behalf of which the individuas acted,executed the instrument. BETH MOTSCHENBACHER NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 MO6235472 (signature and office of individual taking acknowledgment) mm ssion E pines Suffolk County Commission Expires STATE OF NEW YORK) COUNTY OF SUFFOLK) On On the'At day of the year 2017 before me,the undersigned,personally appeared DINA ROSE, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacity, and that by their signatures on the instrument,the individuals,or the person upon behalf of which the individuas acted,executed the instrument. CAITLIN RENEE JONES NOTARY PUBLIC-STATE OF NEW YORK (signature and office of i ividual taking acknowledgment) NO. OIJ06294433 Auallfied in Suffolk County My Commission Expires December 16,2011 BARGAIN and SALE DEED With Covenant Against Grantor's Acts TITLE NO DISTRICT : 1000 SECTION :079.00 Gregory Rose &Deborah Rose,as fee owners to BLOCK :04.00 Dina Rose Life Estate LOT :040.000 to COUNTY OR TOWN:Suffolk,Town of Southold RETURN BY MAIL TO: Dina Rose Allen M.Smith,Esq. 737 Roanoke Avenue Riverhead,New York 11901 RESERVE T141S SPACE FOR USE OF RECORDING OFFICE RE067.16 NYSBA PRACTICE FORMS 10/99 -2- INSTRUCTIONS(RP-5217-PDF-INS):www.orps.statemy.us FOR COUNTY USE ONLY — w New York State Department of Cl.SWIS CodeCDU (DDD�i_CpIJ I Taxation and Finance C2.Data Dodd Recorded 10 1 /1;?�/ /O I Office of Real PrOperty Tax Services 9 9 Bit, RP-5217-PDF C3.Book C4 Pape Real Property Trensfar Report(Oil 01 PROPERTY INFORMATION 11-Property 355 Windjammer Drive Location STREETNa •eTREETNAM Southold - 11971 'OTYa TONN VILLAGE •Z.comm 2.Buyer Rose Dina Name _ •LASTNWaWtPANY FeST NALE LAST N MEKxi~ FlRai NAM a.Tom Indtale where future Tax Bibs we lobe sent Rose Dina Bllling if other than buyer addresyat bottom of farm) LAW NAMECO.PAW FlRaTNMYE_- Address 355 Windjammer Drive Southold NY 11971 VREE7 LUMBER AND NNE CrY OR Term •_ •• STAT! mcomm 6.Indicate the number of Assosement 1Part of a Parcel (Only N Pert of a Parent)Check an they apply: Roll parcels transferred an the deed b of Perces OR I--1 4A.Planning Board with Subdivision Auawnty Exists L I �Dead _ OR 0.58 aB.Suhdtvieidm Approval was Required for TransferProperty 'FRamf FEET •mmPn1 •ACRp Size 4C.Prrcel Approved for Subdivision with Map Provided Rose,Gregory&Rose,Deborah as to a life estate &.Sailer —LAsr nifflamlcapuNTTasr NAIs - Namo Rose Dina LAef~4NXMpArM FNiTn11YE 27.Select the description which most accursh-y,describes Bre Check the boxes below an they apply: r.I use of the property at the time of min: S.Ownership Type Is Cordominium I__I A.One Family Residential 9.Now Construction anavarardLand F! -- 10A.Property Located within an Agricultural District I 100.Buyer received a disclosure notice indlaliq Mat the property's in an El District SALE INFORMATIORI 76.Check one or mors of dine conditions as applicable totrans kr. A.Sib Between Re-ativee a Fortner Relatives 11.SEN Contact Date B.Sale between Related Companies or Partners in Business. _ C.One of the Buyers is also a Seller JA--��'/ D.Buyer'ar saber Is Goverment Agency or Lending Institution 17.Doh of SalsRrsnsfer /i / E.Deed Type not Wrranq or Bargain ane Sale(Specify BekTw) F.Sale of Fntctlonal or Lau than Fee Interest(Specify Below) '13.Full Sale Price 0.00 G.IIIMW snt Change In Property Between Taxable Status and Sale Dohs H.Sale of Business is Included In Sale Price (Full Sok Price is the total mmourd paid for the properly WJudsq persona!property. I.Oster Unusual Factors Affecting Sala Price S This payment may be in Me farm of cash,other property or goods,or ns assumption or n^B (Specify Babsr) J None mongepas of other obligations.)Plea»round to the Merest a1rols debar emauM. Comment(s)On Condition: 14.Indicate the value of personal property Included In the sale .00 ASSESSMENT INFORMATION-Date should relled the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which Information taken(YY) 17 -17.Total Assessed Value 6,800 -18.Property Class 210 _ 119.School District Name Southold •20.Tax Map Identifier(syRoll ndendfier(s)(t more than four,ataeh sheet with additional Identifier(s)) �- 1000-079.00-04.00-040.000 CERTIFICATION -- t Certify that all W the Items of Information entered on this form aretrue and correct(to the lint of my knowledge and bellA and 1 understand that the making of any willful false statement of material fact hs;l bj-1 me to the provivions of the.penaUaw.relathe to The making and filing of false Instruments. $-¢NATURE BUYER CONTAST INFORMATION (Erns Inks elan or sebuyer.Nate bleryerls uGaodNy eafoowion Mporsnrr)oud Mork company.eMae or eresy sun Is not an krdNA;l agora orldumery.Im a rams W crud idmmsaxn dan rhdlxduelharpsute prey whom regarding reowder must be enered.Type or pad chodyI SELLFRxI UNEGregory• ose ats IU$E Rose Dina BUYERSIGNA 'IA1r NAAE FlRSTNAIE (631) 873-9731 rye, �" •AICAGGIE •rEnaararE haaeFxlmF.aorrawl •-- HUGR2lraU1TUNE Dina Mose a°m 355 Windjammer Drive •STREET NL l R •SMEETNW •••• Southold NY 11971 I 'Gr OR tT7rIN -VA-1 •DPf1OZ BUYE1!9 ATTORNEY Smith Allen I __ LASTNALE Feer NkM I (631) 727-3947 I AREA CODE TELEPHONE MMM ICE Sea I I I I I