HomeMy WebLinkAboutL 12967 P 601 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 06/29/2018
Number of Pages : 3 At: 11 : 36: 43 AM
Receipt Number : 18-0119564
TRANSFER TAX NUMBER: 17-36026 LIBER: D00012967
PAGE : 601
District: Section: Block: Lot:
1000 103 . 00 02 . 00 001 .002
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 $250 . 00 NO
TP-584 $5.00 NO Notation $0 . 00 NO
Cert.Copies $5 . 00 NO RPT $200 . 00 NO
Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO
Fees Paid $520 .00
TRANSFER TAX NUMBER: 17-36026
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
❑2 RECORDED
6 1.;2 ? h k—
Number of pages Judith A. Pascale
CLERK OF
SUFFOLK COUNTY
This document will be public L. D Od s )L2 E 7
record.Please remove all P d i
Social Security Numbers
prior to recording. b,T - i-7 ' 6 O0+16
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 S i Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State)
O`J L/ TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Od Held forAppointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit Mansion Tax
_.,L —�-- r The property covered by this mortgage is
• or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other SIM—-
Grand Total If NO, see appropriate tax clause on
� 1
age of this instrument.
4 Dist. 1000 Se 5 Community Preservation Fund
18020034 1000 10300 0200 001002
Tax ServReal ice Rp T S Consideration Amount$
Verification on 28�lOUN,A 11111111111111111111111111111111111111111111Illi CPF Tax Due
s �-
/ pp Improved
6 Satisfactions/Discharg RECORD e RList Pro O Owners Mailing Address
Vacant Land
Michael Strauss, Esq.
907 Main Street TD�
Suite 2 TD
Poli Jefferson, NY 11777
TD
Mail to:Judith A. Pascale, Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name SAFE HARBOR TITLE AGENCY,LTD.
www.suffolkcountyny.gov/clerk
Title#may S %%7i.l SS
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFYTYPE OF INSTRUMENT)
David Hazard and Barbara Hazard The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Barbara Hazard 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
Standard N.Y.B.T.U.Farm 8002-Bargain and Sale Deed with Covenants against Grantor's Acts-Uniform Acknowledgment
Form$290
CONSULT YOUR LAWYER BEFORE SIGNING THIS DOCUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made this 21st day of May in the year 2018
BETWEEN
David Hazard and Barbara Hazard,his wife
1465 Harbor Lane
Cutchogue,New York 11935
party of the first part,and
Barbara Hazard
1465 Harbor Lane
Cutchogue,New York 11935
party of the second part,
WITNESSETH,that the party of the first part, in consideration of Ten($10.00)Dollars
paid by the party of the second part, does hereby grant and release unto the parry 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
SEE
SCTM: 1000-103-2-
ALL that certain plot, piece or parcel of land,situate,lying and being at Cutchogue,Town of Southold,County of
Suffolk and State of New York known as Lot 2 on the Map of Final Plat of East Creek Estates fled May 16,2018 in
the Office of the County Clerk as Map#12120.
Being and intended to be the same premises as described in deed dated and recorded In
Liber page q OC�U��(aJ,��y
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 line 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 to 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.
i
IN PRESENCE OF
DAVID HAZARD
BARBARA HAZARD
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of Nevf York,County of SUFFOLK ss.: State of New York,County of ss.:
S.
On t4/day of May in the year 2018 On the day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
DAV[D HAZARD AND BARBARA HAZARD
personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s) whose name(s) is satisfactory evidence to be the individual(s)whose name(s)is
(are)subscribed to the within instrument and acknowledged to me (are)subscribed to the within instrument and acknowledged to
that he/shelthey executed the same in his/her/their capacity(ies), me that he/she/they executed the same in his/her/their
and that by his/her/their signature(s) on the instrument, the capacity(ies), and that by his/her/their signature(s) on the
individual(s)or theperso ybehalf of which the individual(s) instrument,the individual(s)or the person upon behalf of which
acted,executed the' rum . the individual(s)acted,executed the instrument.
(signature and office of individual taking the acknowledgment) (signature and office of individual taking the acknowledgment
MICHAEL,R:STRAUSS
NOTARY KWC SPATE OF NEW YORK
NO.43459K St1F M COUNTY
MW E7MIS MARCH 30,20L?
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of
On the day of in the year before me,the undersigned,
personally appeared
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 person upon behalf of which
the individual(s)acted,executed the instrument,and that such individual made such appearance before the undersigned
in the
in
(insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken)
(signature and office of individual taking acknowledgment)
BARGAIN AND SALE DEED
WITH COVENANTS AGAINST SECTION
GRANTOR'S ACTS BLOCK
LOT
COUNTY OR TOWN
Title No. STREET ADDRESS
TO
RETURN BY MAIL TO:
Michael Strauss,Esq.
907 Main Street
Port Jefferson,NY 11777
(Reserve this space for recording office)
INSTRUCTIONS(RP-417-PDF-INS):www.orps.statemy.us
FOR COUNTY,USE ONLY • J n Now York State Department of
CI.,SVA Code /CL, I ,,�/ry+, OY,� I Taxation and Finance
CZ.Date Deed Recalded �V /`ter / I 01rice of Real Property Tax Services
seat Ow YM RP-5217-PDF
C9.Book I /,07, , 171 C4,Page I , ((/,D r ! I Real Property Transfer Report(8110)
PROPERTY INFORMATION
1.ProprtyO Harbor Lane
Loon .STREETNAMM
STREET NUMBER
Cutchogue 11935
.CRY OR TOM YIUAGE •ZP cc"
2.Buyer Hazard Barbara
Nagle MWS ECOWWT FAST NAME
rASTNA1F.mCOMPANT FRSTMANE
a Tax Inacele where Mum Tax Alls are to bo Sart -
ogling it other than buyer address(alballOndfonn) LASTNAMERMPANY FRsraAME
Address
I
FrRCETNUISERANDNAIC CITYOR Tar STATE ZPCUUE
0.Indicate the number d A n the n ed 1 q d WICEIe pie ❑Part of a Parcel
(Only 9 Part o1 a Pascal)Chscit s they apply: l
Roll parole Lanstkrrd on the deatl 4A.Plerrurg Board with StcdvalGn A14rronly Eltels ❑
SDed X OR 0.00 4&Stbdvl=nAoprovalwosReWFedforTrander ❑
Property 'FRONT FEET •DEPnm 'ACRES
las 4C.Placid Appi lot Subd„slal with Map Provided ❑
Hazard David
d Geller •IAFTNANECOMPANY FRSE NAME
Hanle Hazard Barbara
PIRSTMAME
LAW NAMMMPANY
'7.Select the description which most accurately describes the It Om ers boas a Is G nd shay aPPIY•
ffn
use of the property at the Cma of sella. a Ow,Cons Type b n a osnk La ❑
C.Residential Vat-ant Land Q.New Gasbudcn on a vBcact Lend ❑
BCA.Ftapedy Located wWm an Agricultural Dahrct ❑
Joe.Buyer received a declosure notice Irldcabng that Lha property is In an ❑
Agricultural DBttct
SALE INFORM ONI IL Cheek ors or more of time conditions as applicable to transfer:
A Sale BeMw Relatives or Fourier Relatives
11.Sole C=drod Days 05/21/2018 B.Sale boWeen Related Comperw s Or Partners in Business
C One of the Buyers a also a Soler
05/21/2018 D Byer m Seger a Guirwricd Agency or Lendirg Ir al a lion
'12 Dale d BaleRr®neTer E Deed Type not Warranty or Bargain and Sala(Spa*Below)
F.Sale d Fractional or I-esa than Fee Irte m, (Spedy Below)
'13.Pull Selo Prim 0 -(x) G.SignMaitt Change in Property Between Taxable Status and Sale Deras
H Sete or Business a Included In Selo Paw
(Fra Sate Price is the total amourt paid for the property inducing personal property. '
Other Me Unusual Factors sting Sale Rice(Sp wq Below)
This payrers may be r the farm d cash,Other prop"or goods or the assumption d �Mara
mortgages or doer obligations)Rom rand 10 fro nearest w icie dalar amount
I:orrerrrtgs)on Conemm:
14.1Mkate the valve of personal 011
Property included In the Selo
ASSESSMENT INFORMATION-De a should reflect the latest Final Assessment Roll and Tax Bill r
1S Year of Awasstrrrd Roll from which l lot in on takrl(M 17 '17.Total Assessad Value 9,800
.
'IL Property Chm •1111.8choolD' ',-Nmta Mattituck-Cutchogue
'z0.Tax sAsp Idstlrtar(syRdl OMtkte(s)(N mon tion four,attach sheet rdan additlwd Idendflsgs))
10Cr';;05.00;:::.30;F!/r.2
CERTIFICATION
I ewtily Bid ell or Bre Ars of Irlromaamm rrMd an grin farm am true and correct Po the beer of my kru sledge and hellel)and I understand that the msNng of ryrvduful
falsestatenant of into ad fact herein subject mete tint prpykklrm.gL1M pinigi Jiggyraldlve to the making w l filing dfalse Bstrunrds.
SFLLr-R SIGMAJURE /CBUYER CONTACT INFORMAIlOflI
"r Irramlelan for as Aper.NOR It erryer■LLC,eoarty.aexCaaorL corporation.grog mock coniin 7.eraor or
/f
wary t o h ars r not an imwduw*gr1AIl'ry,piens rapine ab Carw efamAen of N nWmaReepRaao
perry who un arwrwr411RAURm nardn0 as Owner MUM be gonna Type w pram eRarty.)
SELIER SIBMTURE` �sl ��f. - ��.'[1 Hazard Barbara
\\ LIL1 •�T�E FIRSTNANE
tIoTaE W'5-,4 •ARGG➢DE 11RERiONE NUMBER(E.erre/
rrrrllllfff���f� t F Harbor Lane
•etRCETN1N1Fr •FTRECTMME
Cuthogue NY 11935
•aryGRTOM 'DATE -ZIP CODE
BUYER'S ATTORNEY
Strauss Michael
IASTNINE FIRerINlr
(631) 331-5300
AREACOpE TELEPIIOIIEWISERICs:r l
1
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