HomeMy WebLinkAboutL 12986 P 322 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/07/2018
Number of Pages : 4 At: 10 : 30 :25 AM
Receipt Number : 18-0208713
TRANSFER TAX NUMBER: 18-11570 LIBER: D00012986
PAGE : 322
District: Section: Block: Lot:
1000 031 . 00 04 . 00 030 . 003
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 $5 . 00 NO RPT $200 . 00 NO
Transfer tax. $0 . 00 NO Comm.Pres $0 . 00 NO
Fees Paid $400 . 00
TRANSFER TAX NUMBER: 18-11570
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 2
Number of pages RECORDED
201$ Nov 07 10:30:25 At-1
JUDITH R. PASCALE
.This document will be public {:LERK OF
SUFFOLK COUNTY
record.Please remove all L D00012986
Social Security Numbers P 327
prior to recording. DT# 18-11570
Deed/Mortgage Instrument
Deed/Mortgage Tax Stamp. Recording/Filing Stamps
3 FEES
Page/Filing Fee r Mortgage Amt.
Handling 20. 00 1.Bask Tax
2. Additional Tax '
TP-584 SubTotal
Notation Spec/Assit
EA-52 17(County) or
SubTotal Spec /Add.
EA-5217(State) � -TOT.MTG.TAX
R.P.T.S.A. Dual Town Dual County
Held forAppointment
Comm.of Ed. S. 00 Transfer Tax D
Affidavit • • Mansion Tax
CertifledCo The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 4 15. 00 Sub Total family dwelling only.
Other YES orNO
�/
Grand Total L O l�. _ If NO,see appropriate tax clause on
page q of this Instrument.
a Dist. 18038330 1000 03100 0400 030003 "3 5 Community Preservation Fund
Real Prope
Tax Se RP T S Ilmppllmnlllp�pp�llpl Cons' tion Amount$
,agencycy LPA A 1'i'IW'I IWIIII IWI11ll1(1111111 IWIIII IIIJI�I'
Verlficatlo 05 auov-1 CPF Tax Due $
6 Satisfactions/Discharges/p eas�s Vy�Pro��eertYOwners Mailing Address Improved ✓
REC RD&RETURNTO:
Vacant Land
TID
z., TI)
TD.
Mail to:Judith A.Pascale,Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901
www.sufPolkcountynY.gov/clerk Name FIRST INTERNATIONAL TITLE AGENCY
Title M _
g Suffolk County Recording -& Endorsement Page
This page forms part of the attached C`1
`
by: ISPECIFYTYPE OFINSTRUME" made
The premises herein Is situated in
SUFFOLK COUNTY,NEW YORK.
f TO In the TOWN of �y �1,�[16A
('n* A L`�L.fa,�„� In the VILLAGE
l ry C`”"o or HAMLET of
BOXES 6 THRUi 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the I5-'-day of A,cD.,q� mor$
BETWEEN
LUCINE KIRCHHOFF,surviving joint tenant with right of survivorship,residing at 11115 Main Road,East
Marion,New York 11939
party of the first part,and
LISA LOWENSTEIN,as trustee of the LUCINE KIRCHHOFF IRREVOCABLE TRUST,dated August 10,
2018,residing at 10 Hamilton Avenue,Barrington,Rhode Island,02806,
party of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten Dollars and no cents($10.00)
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
SEE SCHEDULE"A"ATTACHED AND MADE A PART HEREOF
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 d 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:
Ltd INE KIRCHHJbFF
Standard N.Y.B.T.U.Form 8004—Quitclaim Deed—Uniform Acknowledgment(single sheet)
Form 2216
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York,County of Ten Dollars and no cents(S6,ss: State of New York,County of Suffolk ss:
On the day of in the year On the f 5"—day of A ,5�s4 in the year got6 ,
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
LUCINE KIRCHOFF
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 he 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 (are) subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/their
capacity(ics), and that by his/her/their signature(s) on the capacity(ies), and that. by his/her/their signature(s) on the
instrument,the individual(s),or the person upon behalf cf which instrument,the individual(s),or the person upon behalf of which
the individual(s)acted,executed the instrument. the irid'vidual cted,execu d the' strcrplent.
NOTARY PUBLIC NO" UNI: '
JAY P.SHERYLL
NobvyPubliq State of New York
No-01SH6236320
Qualified In Suffolk County
Commission Expires April 22,204
ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK
TAKEN IN NEW YORK STATE STATE
State of New York,County of ss; State of County of ss:
On the day of in the year On the day of in the year'
before me, the undersigned, a Notary Public in and for said before me,the undersigned personally appeared
State,personally appeared
the subscribing witness to the foregoing instrument,with whom personally known to me or proved to me on the basis of
am personally acquainted, who,being by me duly sworn,did satisfactory evidence to be the individual(s) whose name(s) is
depose and say that he/she/they reside(s)in (if the place (are)subscribed to the within instrument and acknowledged to
of residence is in a city,include the street and street number if me that he/she/they executed the same in his/her/their
any,thereof);Ihat he/she/they know(s) capacity(ies), that by his/her/their signature(s) on the
instrument,the individual(s)or the person upon behalf of which
to be the individual described in and who executed the the individual(s) acted, executed the instrument, and that such
foregoing instrument;that said subscribing witness was present individual make such appearance before the undersigned in the
and saw said
execute the same; and that said witness at the same time (add the city or political subdivision and the state or country or
subscribed his/her/their name(s)as a witness thereto. other place the acknowledgement was taken).
NOTARY PUBLIC NOTARY PUBLIC
Quitclaim Deed
COUNTY; SUFFOLK
TOWNICITY: SOUTHOLD
PROPERTY ADDRESS: 1 11 l5 Main Road,East Marion,New
TO York 11939
SECTION: 031
BLOCK: 04
Title No.
LUT: 030.003
RETURN BY MAIL TO:
DISTRIBUTED BY
JUDICIAL TITLE
T:800-281-TITLE F:B00-FAX-9396
SCHEDULE A
ALL that certain plot,piece or parcel of land,situate,with the buildings and improvements thereon
erected, situate, lying and being at East Marion, in the Town of Southold, County of Suffolk and
State of New York, bounded and described as follows:
BEGINNING at a point on the northerly side of Main Road where same is intersected by
the division line of the easterly side of lands now or formerly of Mazuroski with the
northerly side of Main Road;
THENCE along said division line and continuing land now or formerly of Rock,North 00
degrees 28 minutes 30 seconds East, 390.96 feed to land now or formerly of Novick;
THENCE along said land-now or formerly of Novick, North 87 degrees 37 minutes 20
seconds East, 68.00 feet to land now or formerly of Eden;
THENCE along said land now or formerly of Eden, South 00 degrees 34 minutes 11
seconds West, 404.44 feet to the northerly side of Main Road;
THENCE along the northerly side of Main Road,North 80 degrees 59 minutes 30 seconds
West, 68.00 feet to the first above mentioned division line and the point or place of
BEGINNING.
BEING AND INTENDED TO BE the premises commonly known as l 1115 Main Road, East
Marion,New York 11792;
BEING AND INTENDED TO BE the premises conveyed to the party of the first part by deed
dated December 9, 2008 and recorded on December 23, 2008, in the Office of the Clerk of the
County of Suffolk in Liber D00012575, Page 715.
INS I RUCTIONS(RP-5217-PF)F.INS):www arps state.ny.us
FOR COUNT Y USF ONLY New York SIWA Depturtraverd of
C1.SWIS Code Taxation and Finance
Ofte of Real Property Tax ServicesC2.Date Deed Recorded L /L7:MQVL7y RP-5217-PDF
C3.Book CA.Page Real Property Transfer Report(61110)
PROPERTY INFORMATION
1 Property Main Road
Location _. • FF.mmus% -Adikw-FT hIWE
Easy Marlon
rroplcm _770W
2.Buyer LOWL.-I S Loin I is:a, as TrUsi.Cu
Name
FiQ%7-IF
.Ab'NMIJ4=M--Mr rPiT i,wa
3.Tax inctoate,*ham lu:.m I an axis are to be sen!
"ling I
..mher treat buyer addreSsel DWOM at to=) 1.41 IIAV#XO-- 10.11 NMI
Billing
MIME;16MML _-F,MOR I_MN r F
4.Indicate the number of Assessment 1
0 cl Pacels on Part of a Darcal (Only if Part of a Parcel)Check as they apply:
Rail parcels transferred an the dew 4A.Planiing Board with Subdrins an Authar4y Exists
6.Dead X JR 0.61 48.Subd-mBiOAApproval was Requm(l:or l-ans-er
Property ..Cp=s
Size 4C.Patual Approved to,Subchvision with Map Prondod
Luciaa
Kil.ChILOI
5.Sailor '..fi-NAWJCQW-AN7--- -TRS I_N"L
Name
As'KANLroWAN-
-RS'.ML
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.Ow-e-ship I you is Cordarrinium El
9.Now Constructio-an a Vace-t Lane
C LJ
1111%.Property I WAted wilivit an AgnCulural DUC-4 01
10113.Buyer received a c6sclosure notice ridiculing trial the Pmperly is.n an
Agricultural District L
ISALE INFORMATION 15.Check one or mom of these conditions as applicable to transfer:
ASale Between Relatives or Former Relatives
11.Salo Contract Dote- 1 1 B.
Sulu between Related Companies or Partners in Business
i C One d the Buyers in also a Sailor
12.Date of SolelTmomfor 08/15/20 .8 1 D.Buyer or Saw is GDVGFnrFierd Aguircy or Lano.ng Vist-lution
E Dow Type not Warranty or Bargain and Saks(Spocily Below)
r.Sale at Froctonal or I ass than Fee Interest(Specity Below)
'13.Full Sale Price 0 mo G Signitcant Change in Prope-:y Between 7axwle Status and Sulu Dam*
11.Sale or Business is Induced in Sale Price
I Full Sale Price.9 the WAI:amour.:.paid for the Property ind�o.ng pe-sonall property. I-1 1.Other Unusual Factors Atlecong Sale Price(Specify Below)
r its Dayme-Intuy Du in i-a farm of cash.other propenf or goes or he assumption of F-
mortgages or Enercabligut one)Films raum to rho nearest who*diallaramount Li J Nano
'Commentiol on Condition:
14.Indicate the value of personal
property Included In the sale -oo 'litsDeed
ASSESSMENT INFORMATION Data should i0ect tne latest Final Assessment Rolland Tax Bill
16.Year of Assessment Roll from which Information token(YY) 18 •17Total Assessed Value H.,400
'18.Property Class nio - '19.School District Name Uysl:or Ponds SD
Tex Map Idendliolellitoll ldondflor(Q(If more than four,attach ahw with additional idardifien(s))
WOU 03' UU-04 X-0-030.'303
CERT IFJCATION
I Certify that all of the items of information entered an this form are true and correct Ito the boat of my knowledge and bellef)and I understand that the making of any willful
false statement of material fact heroin subject me to the provisions of the panel low relative to the making and filing of false Instrurrossile.
Of"ER SIGNATURE BUYER CONTACT INFORMATION
,E-,Irvnatian Ice Rea boyar,IVa.JIM"15I.I.0000sty @stoma-
20t.3'wl an ea Mai all "I
,A-ty wto ouI mr qu-:uta 6*mMali,In&coramM Siim�d Type Print slatyJ
SFAFRSIGN^MW� IL L I
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:Lowen.steic. Lisa
BU ER NATURE I
RASIF
.339-1748
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Hami I I.ar, Avenue
I N.mu.-. '81FIFF1 vM.-
Barrington RT 0 UE
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BUYER'S ATTORNEY
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