HomeMy WebLinkAboutL 12950 P 338 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 02/15/2018
Number of Pages : 5 At: 11 : 45 : 42 AM
Receipt Number : 18-0029139
TRANSFER TAX NUMBER: 17-22265 LIBER: D00012950
PAGE : 338
District: Section: Block: Lot:
1000 025 . 00 01 . 00 027 . 002
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 . 00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $25 . 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 $400 . 00
TRANSFER TAX NUMBER: 17-22265
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
RECORDED
Number of pages 2018 Feb 15 11:45;42 AM
JUDITH R. PAISCALE
CLERK OF
This document will be public SUFFOLK COUNTY
950
record.Please remove all L DOf_�018
P a38
Social Security Numbers DT# 17-22265
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Mortgage Amt.
Page/Filing Fee 1.Basic Tax
Handling 20. 00 2. Additional Tax
Sub Total
TP-584 --
Spec./Assit.
Notation _— or
EA-52 17(County) j Sub Total Spec./Add.
EA-5717(State) i ?/ r TOT.MTG.TAX
Dual Town Dual County —
R.P.T.S.A. 1— �b� Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
+ Mansion Tax
Affidavit vas The property covered by this mortgage is
Certified Copy or will be improved by a one or two
_ family dwelling nly.
NYS Surcharge 15. 00 Sub Total
YES IZ or NO
OtherGrand Total o If NO, see appropriate tax clause on
page# of this instrumen.(c
Z-170 12't -L,
4 Dist. �$aQ33 -"-002 5 Community Preservation Fund
1000 02500 0100 027002
Real Propert PTS 1111111111111111111111111111111111111111111111
Consideration Amount$Tax Service RDHO A I CPFTax Due $
Agency 12 FEB-1
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing-Aaaress
RECORD&RETURN T0: Vacant Land
TD
William H.Price,Jr.,Esq. TD
P.O.Box 149
Greenport,New York 11944 .,ter TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffo[kcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Bargain and Sale Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
ROSEMARY LEBAILLY The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
�
TgO g pg In the TOWN of Southold
JOfiNELE$AILZYORPD" i05EFIZABYEOEILL KENT In the VILLAGE .
A1aD�ESTA'1'EDMTI)MCHH 28US'LO1/S AMENDE oOrdent
r HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
Form 8002---Bargain and Sale Deed.with Covenant against Grantor's Acts--Individual or Corporation.(single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS
ONLY,
THIS INDENTURE, made the 19th day of December, Two Thousand Seventeen
BETWEEN
ROSEMARY LEBAILLY, residing at 5131 Tamarind Ridge Drive,Naples, Florida 34119,
party of the first part, and
DANIEL THOMPSON, AS TRUSTEE OF THE KENT JOHN LEBAILLY AND ROSEMARY
MCNEILL LEBAILLY JOINT REVOCABLE TRUST, AS AMENDED AND RESTATED,
DATED JUNE 28, 2017, whose address is 303 Burnt Pine Drive,Naples, Florida 34119,
party of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten Dollars 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, all of
her right, title, and interest in and to
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon
erected, situate, lying and being in the Village of Orient, County of Suffolk and State of New
York, bounded and described as follows:
BEGINNING on the point of the westerly line of Village Lane, said point being 175.33 feet from
the intersection of the said westerly line of Village Lane and the intersection thereof with the
southerly line of Skippers Lane, and from said point of beginning
RUNNING THENCE along the westerly line of Village Lane the following two (2) courses and
distances:
1. South 26 degrees 20 minutes 20 seconds West, 45.47 feet;
2. South 32 degrees 48 minutes West, 57.21 feet to a monument in the westerly line of
Village Lane;
RUNNING THENCE along lands now or formerly of Peyser and Black the following two (2)
courses and distances:
1. North 60 degrees 04 minutes West 153.40 feet;
2. North 29 degrees 56 minutes East, 79.48 feet;
RUNNING THENCE along the above-described property of McNeill and Caffery the following
three (3) courses and distances:
1. South 60 degrees 04 minutes East 39.63 feet;
n ,
2. North 26 degrees 20 minutes 20 seconds East, 15.0 feet;
3. South 64 degrees 04 minutes 50 seconds East, 115.0 feet to the point or place of
BEGINNING.
TOGETHER with a right-of-way and easement for the purpose of ingress and egress over the
following described property located in Orient, Town of Southold, County of Suffolk, and State
of New York:
BEGINNING at a monument set in the westerly line of Village Lane at the southeasterly corner
of lands of the party of the second part, and
RUNNING from said point of beginning North 60 degrees 04 minutes West, 153.40 feet;
RUNNING THENCE South 29 degrees 56 minutes East 16.02 feet to lands now or formerly of
Oyster Ponds Historical Society;
RUNNING THENCE South 60 degrees 4 minutes East 153.40 feet, more or less, to the westerly
line of Village Lane;
RUNNING THENCE along the westerly line of Village Lane North 32 degrees 48 minutes East,
16.02 feet, to the point or place of BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by
deed dated December 3, 2002, and recorded February 15, 2003 in the Office of the Suffolk
County Clerk in Liber 12235, Page 659.
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:
C3=
ROSPUMEE AILLY
STATE OF FLORIDA )
COUNTY OF COLLIER)
On the J q A day of December, 2017, before me, the undersigned, personally appeared
Rosemary LeBailly, 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 said individual made such appearance
before the undersigned in the City of Naples, State of Florida.
TNotary Public
NoWry Public SLfe of Fkdit
Tammy Delgado
my Cornmiation GG 124610
��� Expiraa0�+1612021
09-16 -aoai
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.statemy.us
FOR COUNTY USE ONLY /� n
Now York State DepaMnant of
C1.SMS Cod. ��yq T 2S / Taxation and Finance
C2.Date Dead Recorded I4CR/ / /R I Office of Real Property Tax Services
0MT , RP-5217-PDF
C7.Book C4.Page Real Property Transfer Report(8170)
PROPERTY INFORMATION
1.Pmperly 1380 Village Lane
Locelon 'STREET NJaa? '6'REET 1.0611•
Southold Orient 11957
-cI'YcR Town HIAW 'LP ccwc
Lauver Daniel Thompson, as Trustee of the Kent John LeBailly and Rosemary McNeill LeBailly
Name FnST NHS.
Joint Revocable Trust, As Amended grid Restated, Dated June 28, 201.7
IAS:NAMIXOMMW 1 War WWF
3.To Indicate whom future Tax Mile any to be sad Donna Terry and
I &Ixrtg
if other then buyer address(ot bombs.d form) :A9'
Ni
1IRST Wer
Address 33 Depot Road Le6al� in cavi
GT— 06187_
2405
BTiEUNNe.RMDYerE
CII"Dfl 1(wrl STATE BP cOI1E
4.indk as the number of Assessment 1Pat of a Parcel (Only 0 Part of a Parcel)Check as they apply:
Rill parcels transferred on Use dead dead d Parcel OR 4A,Panning Board with Subdivision Audborky Esau
L Dead X OR 0.33 4B.Subdniaion Approval was Requital for Trander
Property -FRCNr FEW -OFPTH -ACREe
sin 4C.Peed Approved for Subdivision with Map ProAded
LeBailly Rosemary
S.Salley 'LAST MAMEr-CVPAVY FRET 1.AVE
Name
,/191 M061FA:DYPµT FRS'NNFF
7.Saled the description which most accurately domilbas tura Check the boxes below as they appy:
use of the property atthe time of sok: S.Ownership Type Is CondominiumElA.One Family Residential t.New Construction an a Vacant Land ❑
10A.Property Located within an Agricultural District El
10B.Buyer received a disclosure notice Indicating that the property is In an
Agricultural District
SALE INFORMATION
It Check ones mom oflMse conditions an applicable to intruder.
A.Sale Between Relabvas or Former Relatives
11.Same Contract Dab NIA B.Selo--'ween Retitled Companies or Partners in Business.
C One d the Buyers is also a Salim
D.Buyer or Beller is Government Agency or Landing Institution
•12.Dab of SdeRronsfer 17119117 E.Deed Type not Warreray or Bargain and Solo(Spealy Below)
F.Side o1 Fractional or Less ten Fee Interest(Spedly Sekw)
•13.Full Seto Price 0.00 G.Shgnticard Change In Property Between Taxable Status and Sale Dales
H,Selo d Buidness is Included In Sole PICS
!Full Sala Pnca Is the total amount paid for the property including persorhd properly. I.Other Unusual Factors Affecting Sale Price(Specify Below)
This poymaid may be in the form of rash.other property or goods,or the aswmptim d J Now
mortgages or other 01090dons.)Ream nxwld to rhe near"while ddWW&ff o N.. Cemmeld(s)On CondMen:
14.Indicate the value of personal 0 00
property Included In the nab _
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
If.Year of Aeseserseld Rol from which Irnformatbn taken(YY) 17
•17.Total Asessesd Value 3,700
I
•18.Property Claes 210 _ •19.Scholl 01mrlct Home Oyster Ponds
•20.Tax Map IdalllSat(spRoll Idedlfbds)Of mom than four,allKt$hest with addWonW WentMa ls))
3000-025.00-01.00-027.002
CERTIFICATION
I Car"that all of the iterno of lldormation entered on this form we&us and coned(b an best of my knowledge and bellef)and I underabnd dart the making of airy wlllNl
false statement d materiel fact homin subled Ile in the prevlNOta d dH eonwl f agI roIothye Hi do making and Sling of false Instruments.
AELL R SIGNATURE BUYER C9NTACT INFORMATION
IErtarhdhlmenm for err buyer.Nae.If buyer r.LLC.86c",arandow.corpmsemu.joint duk Ixmpeny,mom dN
Wary not u not w mdw ud$peri W aduwN.can a name and amlwd ueumabon d an n6viduWnymsble
perry who ran onswereullams ergaenq me Bander mum be entered Type a gam eeraey.)
S_LER a1aNH.x1E GTE
Rosemary LeBaillY_____$IGNATURE Thompson Daniel
BUYER 'LAST WWE - -_— _FRarNYIE—
(239) 450-0910
/e7 Wc1com - . R[.LHIc't wNaAd;wrara.l
WfER4rlUTIRF DATE.
Daniel Thompson, "Tfustee 303 Burnt Pine Drive
-SIM_-INLMWA 'STRLLT NANL
I Iv-aples FL 34119
'OTYORTO N -STATE -LPCDDE
I I BUYER'S ATTORNEY
I Price William H., Jr.
LAST NAE FIRST NAVF
I
(631) 477-1016
APEACOM -� TEIEPHLWE wherER M.aa.waI
r