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Home My WebLink AboutL 12999 P 709 11111111 1111 11111 11111 11111 11111 11111 11111 11111 1111 1111 . 1111111 11111 dill 1111 1111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 02/05/2019 Number of Pages: 4 At: 04 : 16: 19 PM Receipt Number : 19-0025695 TRANSFER TAX NUMBER: 18-22468 LIBER: D00012999 PAGE : 709 District: Section: Block: Lot: 1000 063 .00 07 .00 024 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $510,000 .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 $0 .00 NO RPT $200 . 00 NO Transfer tax $0. 00 NO Comm.Pres $7 ,200 . 00 NO Fees Paid $7,595 . 00 .TRANSFER TAX NUMBER: 18-22468 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County �a: RECORDED Number of pages 2019 Fete 05 04:16:19 PM JUDITH R. POSCALE CLERK OF This document will be public SUFFOLK D00 12999 t L pCiG01299? record. Please remove all P 7D9 Social Security Numbers Di# 18-22468 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 /J FEES Page/Filing Fee - //y Mortgage Amt. Handling 20. 00 1. Basic Tax TF-584 2. Additional Tax �j � Sub Total _ Notation SpecJAssit. EA-52 17(County) or Sub Total Spec./Add. _ EA-5217(State) TOT.MTG.TAX _ R1'.T.S.A. y '� *;; Dual Town Dual County_ Comm.of Ed. 5. 00il Held forAppointment Transfer TX//,AfSdavitMansionY Certified Copy The property covered by this mortgage is r- or will'be improved by a one or two NYS Surcharge 15, 00 Sub Total family dwelling only. / Otherf YES_ or NO Grand Total ✓ G If NO,see appropriate tax clause on Page# of this ins en lac�o 4 Dist, 19003713 1000 0e300 000 024000 5 Community Preservation Fund Real Property PTS il��f��1111�W��IW®KIWI Tax Service R cwH A lill[I IIIII�IIlllllll I fWlf Consideration Amount$ — Agency 01-FES-1 Verification CPF Tac Due $ 6 Satisfactions/Dischuges/ReleasesList Property Owners Mailing Address Improved 1r/J RECORD &RETURN TO: Vacant band TD IL TD TD Mail to; Judith A. Pascale, Suffolk County Clerk 7 Title COMDany Information 310 Center Drive, Riverhead, NY 11901 a FNT/CT www.suffoikcountyny.gov/clerk . Title# -7 9 Oy- Doc�. 9 8 Suffolk. County Recording & Endorsement PaLre This page forms part of the attached (SPECIFY TYPE OF INSTRUMENT) made by: u s�6£ o �J F 3I- ^ The premises herein is situated in I J L'• v s- d(,9 rru SUFFOLK COUNTY NEW YORK, . TO In the TOWN of L3 L/ -7 LLL In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED 0R PRINTED IN$LACK INK O 12-0104-10108kk NLY 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 14th day of January 2019 BETWEEN DANIEL A.KAELIN,III,as Trustee of the Jenny E.Carlsen Living Trust dated August 5,2009,as Amended and Restated,being the successor trustee to Tom Hogle,with an address of 475 Midfarm Road,Southold,New York 11971, party of the first part,and 475 MIDFARM,LLC,a limited liability company,having an office at 4 Peter Cooper Road,Apt.9F,New York,New York 10010, party of the second part, WITNESSETH,that the party of the first part,in consideration of Five Hundred Ten Thousand Dollars and no cents($510,000.00) dollars 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 t SEE SCHEDULE"A"ATTACHED HERETO AND MADE A PART HEREOF BEING AND INTENDED TO BE the same premises described in a deed made by DANIEL A.KAELIN,111,as Trustee of the Jenny E.Carlsen Living Trust dated August 5,2009,as Amended and Restated,being successor trustee to Tom Hogle,and recorded on January 4,2016,in-the Office of the Suffolk County Clerk in Liber 12847 Page 163. BEING AND INTENDED TO BE the premises more commonly known as 475 Midfarm Road,Southold,New York 11971. 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" when ever 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: DANIEL A.KAELIN,III,as Trustee The JeA O E. CAA8M ] v;N(�VS ' G� 8-5-09 Standard N.Y.B.T.U,Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts-Uniform Acknowledgment Form 3290 ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of Suffolk ss: State of New York,County of Suffolk ss: On the 14th day of January in the year 2019 On the day of in the year before me,the undersigned,personally appeared before me.the undersigned,personally appeared DANIEL A.KAELIN,III 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 (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their me that helshe/they executed the same in his/her/their capacity(ies), 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 ofwhich instrument,the individual(s),or the person upon behalf of which the indivi ual(s)acte ,executed the instrument. the individual(s)acted,executed the instrument. NOTARY PUBLIC NOTARY PUBLIC MARY KOLAKOWSKI NOTARY PUBLIC-STATE OF NEW YORK No.01K04870006 Qualified in Suffolk County My Commission Expires 09.02-2022 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 swom,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);that 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 Bargain and Sale Deed With Covenants COUNTY, SUFFOLK / TOWN/CITY: SOUTHOLD JENNY E.CARLSEN LIVING TRUST PROPERTY ADDRESS: 475 MIDFARM ROAD 'ro 475 MIDFARM, LLC SECTION: 063.00 HLOCK: 07.00 Title No. 7404-002009 LOT: 024,000 RETURN BY MAIL TO: DISTRIBUTED BY DANIEL C.ROSS,ESQ. KEEGAN,KEEGAN,ROSS&ROSNER,LLP 1 315 WESTPHEL1A AVENUE P.O.BOX 146 JUDICIAL TITLE MATTITUCK,NEW YORK 11952 T:800-281-TITLE F:800-FAX-9396 FIDELITY NATIONAL'TITLE INSURANCE COMPANY TITLE NO.7404-002009 SCHEDULE A-'I (Description of the Land) For Tax Map ID(s)_ 1000-063.00-07.00-024.000 ALL that certain plot,piece or parcel of land,situate,Eying and being in the Town of Southold,County of Suffolk and State of New York,being bounded and described as follows: BEGINNING at the southeasterly corner hereof at a point on the northerly side of Midfarm Road where northerly side of Midfarm Road is intersected by the westerly line of land now or formerly of Barnes,and from said point of beginning; RUNNING THENCE along with northerly side of Midfarm Road the following two courses and distances: 1.South 68 degrees 44 minutes 30 seconds West 118.20 feet; 2.Westerly along the arc of a curve bearing to the right and having a radius of 200 feet,a distance of 91.35 feet to land now or formerly of Ahless and Rubin; THENCE North 17 degrees 12 minutes 10 seconds East along the said last mentioned land 178.57 feet to land now or formerly of Bartlett; THENCE South 73 degrees 36 minutes 50 seconds East along said last mentioned land 190 feet to land now or formerly of Barnes; THENCE South 12 degrees 01 minute 00 seconds West along said last mentioned land 135.96 feet to the northerly side of Midfarm Road to the point or place of BEGINNING. THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which by law constitute real property. FOR CONVEYANCING ONLY: Together with all the right,title and interest of the party of the first part,of in and to the land lying in the street in front of and adjoining said premises. END OF SCHEDULE A Commitment for Title Insurance Printed:0905.18 @ 02:28 PM Schedule A-1 Description NY-FT-FRVH-01030.431004-SPS-1.18-7404-002009 _ INSTRUCTIONS(RP-5217-PDF-INS):www orps.slate.ny us FOR COUNTY USE ONLY Now York Stab DepiflRlSllt of C1.SWIS Cede I'1-'� �jTaxation and Finance C2.Date Deed Recorded � L(� Once o1 Real Property Tax SeMces QLq ..� RP-5217-PDF C3.Book l 1 zL_1 IN :G.Page RMI Property Transfer Report(8110) PROPERTY INFORMATION 1.Property e'f:? MiciLarm Road Location - - - -- - •IFTaEL•-IUNJLN •SI-IV I NAW SOI_hole: None 1157' - - •cr •vu + ltnAx vaCL •a•a.IF 2.Buyer 47 . Mrli.`.arm, LLC i A A-- r.. Name _ _ -__- • F RST rr.eL LA}1 r.Ay,.3wP.W FRE-HViVE ••• -•- 3.Tax indicate where-.lure lax fills uTtl w be sent ' Billing d a^61 than wyer add•ess(el bottom d form) LIST NAN[KC- •• . 'IRS-xAAr- Address S•aL'14U%JLa 4.0 WWF C-1,AT0wb •-• b-AIL 2PC:x:C 4.Indicate the numbor of Assessment , Part of a Pa-cal lOnly 11 Part of a Parcel)Check as they apply: Roll parcels transferred on the dead__ sof Parva a OR 4A.Plenn-g Board vrlln Suldmaon Au;hmty Fflsle 5.Deed A l)li U•V C 48.Subdlvis an Approval was Relf.lred for Tranele• Property •FROW-011 •r1F.PTX .CRS Size 4C.Parcel Approved for Subdivision with Map Provided Tia., ,:en.^.•; F. Car.S0;: Living 1'rusc, d=d 8/5/04 S.Boller Name V, +R 1�1 _ ... , -FRu6ke_ VCT N.w AY:WI•AN. 1+SI War •7.Select the doscdpeon which most accurately describes the Check the boxes below as they apply: use of the properly at the time of sale: S.Ownership Type is Concomrinium L A.One Family 11,n-identlal a.New Construction on a WWII Land r - - 10A.Property Located wit"T^an Agncu".ural District 189.Buyer received a disclosure notice Indicating that the property is.n an Agricultural District C SALE INFORMATION 15.Check and or more of those conditions as applicable to transfer: I A Sale Between Relatives or Former Relatives 11.Sale Contract Dam 08/30/2010 B.Sale between Related Companies or Partners In Burmese • r'C.One of the Buyers is also a Se'•er 01/14/2019 !D.Buyer or Seiler is Government.Agency or Lending'nal.lution.. '72.Date of SslaRroestbr E.Dead 1 ype not Wariamy or Bagam and Sae(Specify Below) LjF.Sus al Frocl onal or Less that roe me-est(Specify Below) •13.Full Sale Pries 510,'100 t)() G SgnlScent CFange In Property Between Taxeele Status and Sae Dalen • Sole of Business is Ind,ced in Sera Price (FIJI Sale P•N:a is the lord amount on d for Ito property ndudi-g penxcr ed property. �.Otho,Unus.al Factors A9ectiN Sole Price(Specify Below) This payment may ale In the form of cash txNr prcpe•;y or goods,or the assummon of ,1 Narre mortgages or othe,obllgu ions)Please round to the nearest whols dollar amount Commo11gs1 on Condition: 14.Indicate the value of personal kill properly Included in the sale ASSrSSMENT INFORMATION-Data should rexdct lila latest Final Assessment Ras and Tax Bill 18.Year of Assessment Roll from which information taken(YY) 18 '97.Total Assessed Value y,1 v;; 118.Property Class 210 _ •18.School District Name Soul L ho 1 d •20.Tax Map li entiSor(sNRoll Idendfloo)III more than four•attach shoal with additional Ideldlflelisl) 1030-063.00-07.01C 024.U00 CERTIFICA)ION I Certify that all of the Items of Information entered on this form are Wd and correct(to the best or my knowledge and bellol)and 1 understand that the making of any willful false statement of material fact herein sub)oct me to the provlslons.ef.thd psnal.lew roladvs to the making and riling of false Instruments. SELLER SIGNATURE BUYER CONTACT INFORMATION IE7arnfom:aban1larthet,,)w%Nola II xryer,e_LG,lacary,eaeoOelPn m�cY.lm,Plrr.ebG mmperry,aelale or 1 mLe mm s net r red w:_m'aaem c•fcuoary 17n a rot's arq Larum elfmrs:m el sn acxmuasnaponae e ]q 1 _LL L L-�'^ pary wIN ran cower c,mrprle Iepa•d na dell vavr rruel be mune type or print clearly 1 W-Ml lyra-aYti~x••lirAl'.rA KCta.�y� 1 ce_E y 475 Mt d'a rm, I.I,C 6 ER.SIGNAIUHE •IAeI NWL I N51 NWL _ / /I f� 1 '11REA6YL •rlt°FI-0rE wee.=.s le.eeeYiefrl IlJ•.II .NAIN- 1 IL 4 aLer Cooper haad,ApL. 9L•' .STpfEFTNUMMIT 'STMET NATE l 1 I t NOw York ---._... ._._ Nr TV TOP TOM WAIL -er 007E - 1 ) BUYER'S ATTORNEY 1 1 I ROSS !yan:el C. NS:xAVE FIRS'xWL ;531) 298-17.02 I`rt/.�Jtl l APL.CG7C •--••- -111.04Ah11MIAFRIE,xY1wYw._ i If ,