HomeMy WebLinkAboutL 12972 P 859 1 1 1 1 1 1{I I I I I I I I
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 08/07/2018
Number of Pages : 3 At: 01 : 14 :28 PM
Receipt Number : 18-0145676
TRANSFER TAX NUMBER: 18--00670 LIBER: D00012972
PAGE : 859
District: Section: Block: Lot:
1000 110 . 00 03 . 00 007 . 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 $250 . 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 $515 . 00
TRANSFER TAX NUMBER: 18-00670
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
❑❑z
NREGORGED
Number of pages
2018 Aua 07 01:14:28 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record.Please remove all L D00012972
Social Security Numbers P 811;9
prior to recording. DT# 18-00670.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00
_ 2. Additional Tax
TP-584 " Sub Total
Notation Spec./Assit.
or
EA-52 17(County)�� Sub Total _ Spec./Add.
EA-5217(State) TOT.MTG.TAX
= Dual Town Dual County
R.P.T.S.A. —�dJ-z Held for Appointment
Comm:of Ed. 5. 00 Transfer Tax
Affidavit • Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NY5 Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other �.
Grand Total If , ee appropriate tax clause on
# of this instrument.
�lJ
_LLD 18026128 1000 11000 0300 007000 000 5 unity Preservation Fund
Real Pn Due
R LPA R II� I�I�I�II@I�I�II�I�II� Tax Amount$
Tax Ser
Agen 07-AUG-1 CPF $ der
Verifies
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD
Burner Law Group,P.C.
12 Research Way TO
East Setauket,NY 11733 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#
B Suffolk County Recording & Endorsement Page
This page forms part of the attached Bargain and Sale Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Petra Robinson* SQryl'J"nG The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of . Southold
Petra Robinson 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)
FORM 8002(short version),FORM 8007(long version)
CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
PURCHASER BEFORE SIGNING.
THIS INDENTURE,made the I Ith day of January,2018,
r-- SuoI nq
BETWEEN Petra Robinson as•Joint Tenants with Right of Survivorship,of
1 10 Roosevelt Avenue, Port Jefferson,NY 11777,
party of the first part,and
Petra Robinson of l 10 Roosevelt Avenue,Port Jefferson,New York 11777,
party of the second part;
WITNESSETH,that the party of the first part,in consideration of No Dollars and No Cents
($0.00)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 that certain plot,piece or parcel of land,with the buildings and improvements thereon
erected,situate, lying and being in the Town of Southhold,County of Suffolk and State of New York,
bound and described as follows:
BEGINNING at a monument on the easterly line of Pinewood Road 200.36 feet northerly along said
easterly line from South Cross Road;and from said point of beginning;running along said easterly line of
Pinewood Road,North 35 degrees 43 minutes 50 seconds West 100.18 feet to a monument and land of
Shaw;then along said land of Shaw,North 57 degrees 42 minutes 00 seconds East 178.0 feet to a
monument and lot 3 as shown on"Map of Eastwood Estates",and filed in the Suffolk County Clerk's
Office as Map No.3683;thence along said lot 3 and along lot 2 as shown on said map,South 32 degrees
18 minutes 00 seconds East 100.0 feet to a monument;thence South 57 degrees 42 minutes 00 seconds
West 172.00 feet to the point or place of BEGINNING.
BEING the same premises conveyed to PETRA ROBINSON and BRENDA FLOYD by Deed dated
January 28, 1993 and recorded on 9/17/1996 under Liber D0001 1792 and Page 942 in the County Clerk's
Office of Suffolk County.
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.
Petra Robinson
NYSBA's Residential Real Estate Forms(9/2000) -1- 0 2018 Matthew Bender&Company,Inc.,a member of LexisNexis.
Acknowledgment by a Person Within New York State(RPL§309-a)
STATE OF NEW YORK )
COUNTY OF SUFFOLK )ss.:
On the 1 1 th day of January in the year 2018,before me,the undersigned,personally appeared
Petra Robinson,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 ThT the individual acted,executed the instrument.
(signature aheolXof individual taking acknowledgment) LJO�tme�Nom,
N,S
eens C-0
Wntnwslon�" 1S,2oZ1
District 1000
Section 110
Petra Robinson and Brenda Floyd, Block 03.00
Deceased,as Joint Tenants with Rights Lot 007.000
of Survivorship County or Town Suffolk County
Street Address
To
Petra Robinson
Return By Mail To:
Maria Johnson,Esq.
Burner Law Group,P.C.
12 Research Way
East Setauket,New York 11733
Reserve This Space For Use Of Recording Office
NYS[lA's Residential Real Estate Forms(9/2000) -2- 0 2018 Matthew[lender&Company,Inc.,a member of t.exisNexis.
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.statemy.us
FOR COUP{TY USE ONLY New York State Department of
C1.4WIS GodoI�1 (�,�13 I� t�G:�1 I Taxation and Finance
C2.Date Deed Recorded LU (.•)/d7 /�U Office of Real Property Tax Services
DY". - RP-5217-PDF
C3.Book J ,�4 I C4.P"age Real Property Transfer Report(8110)
PROPERTY INFORMATION
1,Property 655 Pinewood Road
Location
'STREET N:a.10ER •STREETNAAC
Southhold Cutchogue 11936
CITY OR TOWN VILLAGE
'ZIP CGDE
2.Buyer Robinson Petra
Name
•LAsr rrAMExxrwav nns:NAME
LAST RAMECOLPAh RRST mmi:
3.Tax Indicate whom future Tax Bills are to be sent
Billing If other than buyer addrese(at bottom of form) LASTNAME COWAw
Address FIRST NAME
'rMEET NLUDER AND MMC C^TOR TOWV S:AIE IP CODE
4.Indicate the number of Assessment Part of a Parcel (Only If Part of a Parcel)Check as they apply:
Roll parcels transferred on the deed 1 is of Parcels OR SubdivisionSubdivision174A.Planning Board with Subdivision Authority Exists
S Deed XOft .04 4B.Subdivision Approval was Required far Transfer
Property 'FHOINT FEET 'GEFn• •ACRES
8i=a
El
4C.Penal Approved for Subdivision with Map Pwvldod ❑
Robinson Petra
S.Seller •LASt NAMEMWPANY
rest wuE
Name
LASTAIAME10DAPANY - rins.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: a.Ownership Type is Condominium ❑
rn
A. Residential 9.New Construction on a Vacant Land
�ly ❑
1 CA.Property Located within an Agricultural District
108.Buyer received a disclosure notice Indicating that the property is in an ❑
Agricultural District
SALE INFORMATION 15.Chock one or mora of them conditions as applicable to transfer:
A.Sale Between Relatives or Former Relatives
11.Sala Contract Data S.Sale between Related Companies or Partners in Business.
C.One of the Buyers Is also a Seller
12.Data of Sale/Transfer January 11,2018 D.Buyer or Sailor is Government Agency or Lending Institution
E.Deed Type not Warranty or Bargain and Sale(Specify Below)
F.Sale of Fractional or Leser Men Fee Interest(Specify Below)
113.Full Selo Price $0.00 G.Significant Change in Property Between Taxable Status and Salo Dates
(Fug Sale Price Is theamount pard for the property including personal properly. H.Sale of Business is Included in Sale Price
.
This payment may be inn Me form Of C8611. rgo,other property or goods,or the assumption of I. Other Unusual FackxsAffecting Sale Price(Specify Below)J.Nano
mortgages or other obligations.)Pieria mond to the nearest whole dollar amount.
Comments)on Condition:
14.Indicate the value of personal Propery passed by operation of law on Brenda Floyd's
property included In the sale $0.00 death.
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from which Information taken(YY) 19 '17.Total Assemed Value $700.00
•16.Property Class .311 _ '19.School District Name MattitUCk-4CUt:C OgL1e USM
•20.Tax Map Identifier(sNRoll Identifier(s)(If more then four,attach shoot with additional Identifier(s))
1000 110 03/00 007.000
CERTIFICATION
1 Certify that all of the Remo of Information entered on this form are true and correct(to the beet of my knowledge and belief)and I understand that the making of any willful
hiss statement of material fact herein subject me to the-roil tdgn"f the urinal law-mintive to the making and filing of false Instruments.
SELLER SIGNATURE BUYER CONTACT INFORMATION
1
? (Enter InM :ha mmh
madon for yar.Note:If buyw LLC,sodely,assodeEun,corporation,join:skRit Lxxnpany, 'Igo,
r•/� onlay lot is not an mdndual agent or fitiLciary•Vier.a name and ftirftc!irllon atlon at an InVra
dlvlduaspoeslde
�./��1• /11 `^ Oi wry wM can ar WMR(vasEara ragurdrp;Fra
o' nsfer must be emorod.Typo or print clammy.)
SELLER SIGI ATTL�RII N✓ r l W.C
BUYER 1 NAT LR RObirmn Petra
•LA5NAME FIRSTNAME
ahq".--1-ZJ/0 !� r»I it � 631 473-0374
'ARCACME 'ICLEPHONENUM RIES.aaMM)
a1rrER 3.'GNA.GRE A. WE
110 Roosevelt Avenue
'STREEMMaER 'ATREE-NAAE
h f
, L Port Jefferson NY 11777
1 'CIT--R TOft -STATE •ZP CDOE
' + BUYER-6 ATTORNEY
1
,� My Johnson Maria
I r LASTYAME AIRST NAME
(631) 941-3434
1 o AREA CODE -.ELEPHOrEMMFR(Er 91IM err