HomeMy WebLinkAboutL 12949 P 686 1 1 1 1 1 1 II flfl IIIII IIIII IIIII Ill(l ll 1 1 1 1 1 1 II lllll IIII
111111 IIIII IIIII IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 02/08/2018
Number of Pages: 3 At: 04 : 48 : 01 PM
Receipt Number : 18-0025919
TRANSFER TAX NUMBER: 17-21760 LIBER: D00012949
PAGE : 686
District: Section: Block: Lot:
1000 030 . 00 02 . 00 055 . 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 $390 .00
TRANSFER TAX NUMBER: 17-21760
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALS !
County Clerk, Suffolk County
/ RECORDED
Number of pages ✓✓ 2018 Feb OS 04:48:01 PM
JUDITH R. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00012949
Social Security Numbers P 686
prior to recording. DT# 17-21760
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee 75 / Mortgage Amt.
1.Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Tota I
Notation Spec./Assit.
\1� or
EA-52 17(County) Sub Total J Spec./Add.
EA-5217(State) [/J� TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held forAppointment
Comm.of Ed. 5. 00 Transfer Tax
�Pp Mansion Tax
Affidavit
The property covered by this mortgage is
Certified Copy
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES aZ_orNO
Other
Grand Total If NO, see appropriate tax clause on
page# �fthis instrument.
to
1/
4 Dist. 180000366111 1000 03000 0200 055000 5 Community Preservation Fund
Real Proper r P ' I11111111i11Iilll lllil lltllllillllllltlttl111,1111 i Consideration Amount$
Tax Service, 12 SMI A I III II VIII IIII illll VIII 11111111 I III IIII III
Agency 02-FEB-1 CPF Tax Due $
Verification
�� - Improved
Satisfactions/Discharges/Releases List Property Owners Mailing Address
6 R CORD&RETURN TO: Vacant Land
Tina Bazzano TD�
Bleakley Platt&Schmidt, LLP TD
One North Lexington Avenue
White Plains, New York 10601 TD
Mail to:Judith A. Pascale,Suffolk County Clerk 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 OuRciaim Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
Miriam Klotz SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Miriam Klotz,Trustee of the Miriam Klotz Revocable Trust In the VILLAGE
or HAMLET of East Marion
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
Form 8004 —Quitclaim Deed—Individual or Corporation(single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE,made the 10'day of October in the year 2017
BETWEEN MIRIAM KLOTZ,residing at 16 Country Ridge Circle,Rye Brook,New York
10573, ,
party of the first part,and
MIRIAM KLOTZ,residing at 16 Country Ridge Circle,Rye Brook,New York 10573,as Trustee
of the MIRIAM.KLOTZ REVOCABLE TRUST U/A/D October 11,2017,
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 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 Town of Southold,County of Suffolk,and State of New York,known
and designated as Lot No. 113 as shown on a certain map entitled"Map of Pebble Beach Farms"
and filed in the Office of the Clerk of the County of Suffolk on June 11, 1975 as Map No.6266.
Also known as: 2010 The Strand,East Marion,New York 11939
Section: 30.
Block: 2
Lot: 55
AND BEING AND INTENDED to be the same premises conveyed by deed dated December 20,
1990, by Robert S. Klotz and Miriam Klotz, his wife, to Miriam Klotz, and recorded on May 9,
1991,in the Suffolk County Clerk's Office,Liber 11260,Page 041.
TOGETHER with all right,title and interest,if any,of the party of the first part of, 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,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.
/0
MIRIAM KLOT
STATE OF NEW YORK,Cqunty of,WESTCHESTER: STATE OF NEW YORK,County of WESTCHESTER:
On the 1 I' day of October in the year 2017, before me, the On the day of in the year 2014,before me,the
undersigned,personally appeared MARIAM KLOTZ personally undersigned, personally appeared , personally
known to me or proved to me on the basis of satisfactory evidence known to me or proved to me on the basis of satisfactory evidence
to be the individuals whose names are subscribed to the within to be the individual(s)whose name(s) is(are)subscribed to the
instrument and acknowledged to me that they executed the same in within instrument and acknowledged to me that he/she/they
their capacities,and that by their signatures on the instrument,the executed the same in his/her/their capacity(ics), and that by
individuals,or the person on behalf of which the individuals acted, his/her/their signature(s)on the instrument,the individual(s),or the
executed the instrument. /} person on behalf of which the individual(s)acted,executed the
� � instrument
NOTARY PUBLIC PRANCES M.PANTALEO'
NOTARY PUBLIC,STATE OF NEW YORK'
NOTARY N, 3UG STCES m.ATE OF NEEOW YORK tr QUALIFIED N WESTCHESTER COUNTY
NO.0�PA4710738 -COMMISSION EXPIRES 121311201$
QUAL TIED IN WESTCHESTER COUNTY
COMMISSIUN EXPfke`S 12/31/20
STATE OF NEW YORK,County of WESTCHESTER: STATE OF NEW YORK,County of WESTCHESTER:
On the day of in the year 2014,before me,the On the day of in the year 2014,before me,the
undersigned, personally appeared I undersigned,personally appeared
personally known to me or proved to me on the basis of satisfactory 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 evidence to be the individual(s)whose name(s)is(are)subscribed
to the within instrument and acknowledged to me that he/she/they to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their capacity(ies), and that by 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 his/her/their signature(s)on the instrument,the individual(s),or the
person on behalf of which the individual(s)acted,executed the person on behalf of which the individual(s)acted,executed the
instrument. instrument.
Quitclaim Deed
SECTION: 30.
TITLE No. BLOCK: 2
LOT: 55
COUNTY: SUFFOLK
MIRIAM KLOTZ ADDRESS: 2010 THE STRAND
EAST MARION,NEW YORK 11939
TO
MIRIAM KLOTZ,AS TRUSTEE OF THE
MIRIAM KLOTZ REVOCABLE TRUST U/A/D
OCTOBER 11,2017
RETURN BY MAIL TO:
FRANCES M.PANTALEO,ESQ.
BLEAKLEY PLATT&SCHMIDT,LLP
ONE NORTH LEXINGTON AVENUE
WHITE PLAINS,NY 10601
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.Statemy.L s
FOR COUNTY USE ONLY New York State Department of
C1.SVVIS code Taxation and Finance
C2.Date Deed Recorded I®�/ / I Office of Real Property Tax Services
Tow [ RP-5217-PDF
C9.Book C4 Page aI Real Property Transfer Report(SMO)
PROPERTY INFORMATION
1.Property 2010 The Strand
Location
'Sin'nFi YIYaFR •6TRFET NAME
Soalt:old Bast Marion "1939
.CITY OP TO MM VAlAtift •jp{DDE
2.Buyer The Miriam Klotz Revocable Trust
memo
•LAST NAu[/CayPAw flraf hArae
(See Attached Addendum)
Uwl NMRI[oePAw FIRST NAME —
].Tax Indicate where future Tax Bills are to be sere
Billing Bother[hen buyer addresstat bottom or fare) LAST hA1GeCYPAJW FPSTNAMF
Address
STREET NJMAFM AIR)"MI. C.I.fill laW --- STATE IPCCOE •\
4.Indicate the number of As"wens ct M ofParcels OR ❑Pan of a Parcel (Only N Pan d a Parcel)Cheek as they apply: ,
Rall parcels transferred on Me dead 4A.Planning Board with Subdivision Authority Exists ❑
5.Deed }( OR 0.54 41L subdivision
Property •FROW FEET •DFP- 'ACRES
Approve!was ttegYlredfa Tfenalw ❑
size 4C.Parcel Approved for Subdivision with Map Provided ❑
KlotL Miriam
6.Salter •LASr ANSIXOMPANY 14181 HOWL
Name
LAST r.AIEICOMPA FPST hAhw •_ —.—.
'7.Select the description which meat accurately describes the Cheek the boon below as they apply:
umo dthe property at the tiros of sale: 9.Ownership Type is Condominium U
A.One Family RmidUTllial 9.Now Construction on a Vacant Land ❑
10A.Properly Located wilhn an Agricultural DRdrld ❑
10111.Buyer recawed a clack aure notice indicating Oct the property is In an ❑
Agricultural District
SALE INFORMATION 18.Check one or mom atthows conditions as applicable to transfer:
A.Sale Batsman Reledves or Former Relolives
11.Sob Contact Deft B.Sale between Related Companies or Partners in Business.
C.One of the Buyers is also a Seller
I 2 Data of salon'ronsfor 10/11/2017 D.Buyer or Saxer is Government Agency or Lending Insbtutlm
E Deed Type not Warranty or Bargain and Sale tSpecfy Below)
_ F.Sale of Fractional or Laos than FEE Irderest[Specify Se1w)
'113.Full Sale Price 0,OD G.Significant Change In Property Between Taxable Status onf Sale Dates
H.Sale of Business is Included in Sale Price
(Fug Sale Price Is the told amould paid for the property including personal lxopeny L Other Unusual Factors ATlecting Sale Price(Specify Below)
This payment may be In tie form of cash,other properly,or goods,or the assumption of J.None
mortgages or other obligations.)Rasos round to the neareaf whole dolaramoura.
'Comments)an Condition:
14.Indicate the value of personal
property lnclwledInthe sale •00 oui.C1aim --eed
ASSESSMENT INFORMATION-Data should refect the latest Final Assessment Roll and Tax Bill
16.Year of Aaansment Rail from which Information teken(YY) 11 '17.Total Avensed Value
Property Class 211; _ •19.School District Name Oy'sLar Ponds
•20.Tax Map Idantfisr(spRoll Identifier(s)(If mom than four•atlaeh shoat with additional kimuflfer(s)) -
f
030,
CERTIFICATION
I Carty dmt sig d the fbms d IrdamwM=oidmod an this form aro ave and correct pot the best of my knowledge end bellaQ and I undosetend that the making of any vdlltel
false stsisman of material fact hemin subfsct me to the pleypleEs d the peneLlaw.mlativa to the making and filing of false Instruments.
SELh L tip fe)r.uMR11 BUYER CONTACT.INFORMATIM
` (Erewrtarmmbw for esu tNyer.Now If Myo is LLC.wdey naodabcn,corpwmhon.joint mock cappmy.pure a
entf an E not n Pdatmua saw m tawary•awn a rumor she reread Imwmmon of an hdYmumresparam
ke-o10/11/2017 wqvft can answer quar"s repvdrq we erlMar must be PRPed.Typs or print Clearly
5E1,CR 6`7miZ�RF pAl E
Mir?]^I
RtJ]f.ER SIGNATURE .
•LAST NAYC I IRS?r,"E
10/11/2017 914 9397810
_ -ML-CON •TL_EF-rX._IF.YEER;F.YNS s'.:
ER InW1 DATE
tri Country Ridge Circle _
•87iE.NUMW- 'STRFF.NAME
-lye Brook NY 10573
-cm C9 roVmr -61A1L •rPCaxi
BUYER'S ATTORNEY.
I
I PafltalCO Frances
I --I,.WN., FIRST N RA
914 _ 9492700
4NEAC03E TELEPIANENI.MaER(E,Swrawl
1
RP-5217 Addendum jo
ProWrty Information—Section 2.—Buyer Name(continued)
Miriam Klotz,as Trustee of'I'hc Mariam Klotz Revocable Trust
I