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Home My WebLink AboutL 13012 P 563 r 11111111 IIII IIIII IIIII IIIII 11111 IIIA VIII VIII IIII 1111 111111111111 IIIII Illi Illi SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 05/17/2019 Number of Pages : 3 At: 04 : 42 : 01 PM Receipt Number : 19-0096516 TRANSFER TAX NUMBER: 18-32620 LIBER: D00013012 PAGE : 563 District: Section: Block: Lot: 1000 113. 00 04 . 00 005 . 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 $5.00 NO RPT $200 . 00 NO Transfer tax $0 .00 NO Comm.Pres $0 .00 NO Fees Paid $395 . 00 TRANSFER TAX NUMBER: 18-32620 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County I❑ RECORDED Number of pages 2019 May tr 04:42:01 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record.Please remove all L D00013012 Social Security Numbers P 56 prior to recording. DT# 18-32620 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Mortgage Amt. Page/Filing Fee 1.Basic Tax Handling 20. 00 2. Additional Fax TP-584 �� Sub Total Notation Spec./Assit. or EA-52 17(County) �_ Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX ` Dual Town Dual County R.P.T.S.A. _."AHeld for Appointment i Comm.of Ed. 5. 00 Transfer Tax Affidavit ` Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two Surcharge 15. 00 — family dwelli only. Sub Total YES lor NO Other - Grand Total / I i If NO, see appropriate tax clause on C page# of this in runt'�t CZ 4 Dist. 1( 19014385 3.000 11300 0400 005000 5 Community Preservation Fund Real Property R SMI A Consideration Amount$ Tax Service Agency �S�AAY-4 CPF Tax Due $ Verification _ � Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD D Wickham,Bressler&Geasa,P.C. P.O.Box 1424 TO Mattituck,New York 11952 TD Mail to:Judith A.Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Q www.suffolkcountyny.gov/clerk Title# CC)(A — 4 s Suffolk County Recording & Endorsement Pfke This page forms part of the attached Bargain and Sale Deed with Covenants \ made by: (SPECIFY TYPE OF INSTRUMENT) Jane A. Peterson The premises herein is situated in TT SUFFOLK COUNTY,NEW YORK. Steven R. Peterson, as lostee of the Steven IntheTOWNof Southold R. Peterson Revocable Trust (as to 1/2 interest)n the VILLAGE Jane A. Peterson, as Trustee of the the Jane A. Pete orHAMLETof Mattituck BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over Cour Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed with Covenant against Grantor's Acts—Uniform Acknowledgment Form 3290 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 27th day of December 201,.8-i;' BETWEEN JANE A. PETERSON,residing at 1124 Lamplighter Ct., Marco Island, Florida 34145,the party of the first part,and STEVEN R. PETERSON, as Trustee of the STEVEN R. PETERSON REVOCABLE TRUST, under Trust Agreement dated December-27,20,14 and as may be amended,having an address of 1124 Lamplighter Ct., Marco Island, Florida 34145, as to an undivided fifty(50%) interest-, and JANE A. PETERSON,as Trustee of the JANE A. PETERSON REVOCABLE TRUST, under Trust Agreement dated December 27,201,Band as maybe amended, having an address of 1124 Lamplighter Ct., Marco Island, Florida 34145, as to an undivided fifty(50%) interest,as tenants in common,the party of the second part, WITNESSETH,that the party of the first part, in consideration of Ten and 00/100—($10.00)--Dollars,and other good and 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 Southold, County of Suffolk and State of New York, known and designated as Lot No. 3 on a certain map entitled"Map of Jackson Landing", and filed in the office of the Clerk of the County of Suffolk on March 28, 1969 as Map No. 5280, BEING AND INTENDED TO THE BE the same premises conveyed to the party of the first part by deed dated June 18, 2012, recorded in Liber 12698 Page 463. 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. IN PRESENCE OF: JANE ERSON f/deedPetersonTrust2018 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of Suffolk,ss: State of New York,County of ss: On the day of in the year On the day of in the year, before me,the undersigned,personally appeared before me,the undersigned,personally appeared 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 (ire)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to MCI that he/she/they executed the same in his/her/their me that he/she/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 of which instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument. the individual(s)acted,executed the instrument. (signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) Notary Public Notary Public TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of n ,County of MLU.0v ss: On the24 day of 19W ,in the year W g before me,the undersigned,personally appeared JANE A. PETERSON 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/shelthey executed the same in his/her/their capacity(ies),and that by his/hedtheir signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted, executed the instrument,and that such individual made such appearance before the undersigned in the MIA'ttA K14"N19 in ftxMDq' (insert the City or other political subdivision) (an=ih or C try or otherndhce the ack ledgment was taken) waEWAme4 ' E ' TM (signature and ice of individual takM aowledgement) , . CcruNt�fon�OC'20T395 Notary Public Mn U.rte. Mare &n cp- /lmr-Srr jk DISTRICT 1000 SECTION 113.00 BARGAIN AND SALE DEED BLOCK 04.00 WITH COVENANT AGAINST GRANTOR'S ACTS LOT 005.000 COUNTY OR TOWN Southold Title No. JANE A. PETERSON TO Jane A.Peterson,as Trustee of the Jane A.Peterson ao�� Revocable Trust,under Trust Agreement dated Q�iCL�7 as amended,as to an undivided 50%interest and WICKHAM, BRESSLER &GEASA, P.C. Stet/bn R.Peterson,as Trustee of the Steven R. P.O. BOX 1424 Peterson Revocable Trust,under Trust Agreement MATTITUCK, NEW YORK 11952 dateda2i4ot,27,Jig`,as amended,as to an undivided 50%interest,as tenants in common INSTRUCT)0NS(RP-5217-PDF-INS):www.crps.state.ny.t s FOR COUNTY USE ONLY New Yak Stab Department of c1.SWIS Code I �-� ,�, 0I Taxation and Finance Cs.Date Dead Recorded I _� O��of Rwl Property Tax Services 1 3 v Uff r — Ll RP-5217-PDF C3.Book I /, , , T C4.Page Real Property Transfer Report(LIMO) PROPERTY INFORMATION 1.Property 300 Jackson Land ng Road Location 'BTPEe:NIIYaFR •8•aEF.T NAYE Southold Matcituck '_1952 .CI:•OR TOWN V:IAW •.-POWE 2.Buyer Steven R. Peterson Revocable Trust dated December 27, 2018 Name 'LAST NAAEICOVeA.W rINeT MIC Jane A. Peterson Revocable Trust dated December 27, 2018 LAST hA1E,COMPAm' nR8T NAME 7,Tax Indicate where figure Tax Bits are to be sem Willing if Other than buyer addresdd bottom Or form) I.W.NAIECOWPAAV r Iasi w14. Address STRFETI&WO aMONWF C•TV OR TOM STATE rP eccF 4.Indicate the number of Aasssemmd 1E]Part of a Perod (Only If Part of a Parcel)Check as they appy: Roll pascals transferred on ale dead a Ot Parcels OR 4A.Planning Board with Subdredon Authority Exists 6.Deed X OR 0• 1 41L Subdivision Approvdwar Required for Trander Property •I RANI i CC- •Ix•1•t 'ATRE8 she 40.Parcel Applouad for Subdivision With Map Prodded Fe�erscn Jane A. a.Baker •LAUNWICowuW FIRSTNAYE Name .ABT NAY'eICOYIPAN+ I Ne:NAYL '7.Select the description which most accurately describes the Cheek the boxes below as they appy: use of the property at the time of axis: L Ownership Type is Condominium A.One I=amih•Residential L Now Construction an a Vacad Land 111A.Property Iam within an Agdcatuid District 100.Buyer received a disclosure notice indicatng that the property is in an ❑ Agricultural DisInct SALE INFORMATION 16.Check one or more of ths"eonditioce as applkabla ro trwfar: A.Sate Between Relatives or Former Rele6ves 11.Sale Contreat Dab N/A B.Sale between Related Companies or Partners in Business C One OF the Buyers Is also a Seller 12.Date of salefTracehr 12/27/2018 D.Buyer or Seller Is Government Agency or Lending matlbaon E.Dead Type not Werreray or Bargain and Sate(Spa"Below) F.Sole or Fract=W or Lou then Fee Interest(Specify Below} •13.Full Sale Price D .00 G.Slgnl6cent Change In Property Between Taxable Status and Sale Dales H.Selo of Business is Included in Sale Price I Full Sale Price is the total amount paid for the property including personal property. 1.Other Unusual Factors Aftecling Sale Pdca(Spedry Bek*A This payment may be In the form of cash,other property or goods•or the assumption dJ.None mortgages or other obligations.)Plewa round to rhe nearest while War&mounf Comment(s)on Condtlon: 14.Indicate the value of personal 0 .� property Included In the sale ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessmsm Roll from which Information taken(YY) 17 •17.Total Assessed Value 7,700 -18.Property Chain 210 _ •if.School District Nome Matt-i Luck/Cutc'nogue '20.Tax Nap IdadYbdayRat Identilfor(s)pf noon than four,attach sheet with additional Idesttlorlel) !Ono-:13.00-09.00-00b.000 CERTIFICATION 1 Certtfy dust all of the Irma of Information entered on this form are hue and correct ffo the best of my knowledge and baaaq and I understand that the making of any willful false statement of material het heroin subject me to the provision ofthe most low relative to the making and filing of false instruments. S____ SIGNATURE BUYER CONTACT INFORMATION (Eigervnw•Iwuen war the surer.Now.a mear,a LLC WdW.erotlsaraam en.ralp .prig awry WRIPWY•MMU W amt,cwt Is rot an wriukol agem N flduciuy.awn a rnme end contact adomlabm o1 sn rTeWdaat sWM-ww r party elle fall aMArP•isams regarding to•ransrar m41 be woun.Type err prim aleadl•.h SF.•F T OA'C ane"A. Peterson; r Peterson. Steven R. BUYER$lGAMUBE J4T NAYk FIRST NAME , •AIRFACCOR 'TLa MICWrRH1R RIF.NNwNI evenDA" 1124 hamplighcer C:. ars sus 'S:REE•NUYOER 'STREET NMF ana. rerersoyi, rue Marco Island E'L 37145 YI'Y0a rOWN •S1gL •7u•MOE BUYER'S ATTORNEY Wickham Abigail A. LAST NAPE I I4ST NAML (631) 298-8353 APE-CODE -ELEPNp+E NU09CP,4'MNaRw7 I 1