HomeMy WebLinkAboutL 13021 P 662 Illllllllllllllllllllllllllllllllfllf IIIIIIIIIIIIIIIiII
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 07/29/2019
Number of Pages : 4 At: 11 :28 :31 AM
Receipt Number : 19-0139626
TRANSFER TAX NUMBER: 18-39987 LIBER: D00013021
PAGE : 662
District: Section: Block: Lot:
1000 031 . 00 06. 00 023.000
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 $400 . 00
TRANSFER TAX NUMBER: 18-39987
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
J
1 2
J
REWORDED
Number of a es Y 201'9 Jul « 11:28:31 AM
JUDITH R. PASCALE
CLERK OF
SUFFOLK COUNTY
This document will be public L D00013021
record.Please remove all PF2
Social Security Numbers DT# 18-39987
priorto recording.
Deed/Mortgage Instrument Deed!Mortgage Tax Stamp Recording 1 Filing Stamps
3 FEES
Page/Filing Fee '�fl = Mortgage Amt.
1.Basic Tax _
Handling 20. 00
2.Additional Tax _
TP-584 -5- Sub Total
Notation Spec.JAssit.
EA-5217(County) -= Sub Total Spec./Add.
EA-522;7(State) S C4�?(Y�4 TOT.MTG.TAX
R.P.T.S.A. �WC). ()u � Dual Town Dual County
Held for Appointment
Comm.of Ed. q. oo
d1 J �a Transfer Tax
Affidavit — , ,..�° Mansion Tax
Certified Copy The property covered by this mortgage is
NYS Surcharge iS. oo Sub Total 350 - orwill be improved by a one ortwo
�i1-.�,,� family dwelling only.
Other _ Grand Total "rw— YES or NO
If NO,see appropriate tax clause on
a e# of this instrument.5.30-M
4 1 Dist. i000 19021812 s Community Preservation Fund
1000 03100 0600 023000
Real Property P T S 11111111IN11
Consideration Amount$
TaxSeiAgenyce X17 ULL1s I�I�I��I� CPF ax Due $ -�
Verification
6 Satisfactions/Disch arges�Releases DA Property Owners Mailing Address Improved
RECORD&RETURN TO:
Jennifer B.Gould,Esq: Vacant Land
O Box 988
outhold,NY 21971 TID
�' - D
D
Mail to: Judith A.Pascale,Suffolk County clerk 7 Title Company Information�t
azo Center Drive, Riverhead,NY119o1 Co.Name Fl ell National r I I e
www.suffolkcountyny.govlclerk Title# Co U t'-42s — 52
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Jacqueline A.McKee The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Jacqueline A.McKee,Trustee in the VILLAGE
of Jacqueline A.McKee Trust da*cl 9-2,C)-!ft Or HAMLET of East Marion
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
r cour�esr� -- X27
Bargain and Sale Deed with Covenants Against Grantor's Acts-Individual or Corporation
MNSULT YOUR LAWYER BEFORE SIGNING TIIIS INSTRUNIENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the -250th day of May 2019 BETWEEN
JACQUELINE A. McKEE, residing at 880 Old Orchard Lane, East Marion, NY 11939
party of the first part,
JACQUELINE A. McKEE, as Trustee of the Jacqueline A. McKee Trust Agreement dated Mav3), 2019,
residing at 880 Old Orchard Lane, East Marion, NY 11939
party of the second part,
WITNESSETH, that the party of the first part, in consideration of ten dollars ($10.00) 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,
SEE SCHEDULE 'A' ANNEXED HERETO
Being and intended to be the same premises as described in the deed made by Mary Ann Dzenkowski,
as surviving tenant by the entirety of Daniel M. Dzenkowski, deceased, recorded 11-29-2016 in liber
12889 page 842.
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:
JACQU INE EE
1 1
STATE OF NEW YORK: COUNTY OF SUFFOLK) ss:
On the ?:�V day of rybA. 2019, before me, the undersigned, personally appeared
Jacqueline A. McKee, personal) 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 executed the same in his/her capacity and that by his/her signature on the instrument, the
individual, or the person upon behalf of which the individual acted, executed the instrument.
_ J nwi B. Grru
Notary Public
JENNIFER B.GOULO
Notary Public,State of New York
No.O2GO5O2464O-Suffolk County
Commission Expires March 14,200-,
SCHEDULE A
All that certain plot, piece or parcel of land, 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 pm the westerly side of Old Orchard Lane distant 819.18 feet southerly
from the corner formed by the intersection of the southerly side of Main Road with the
westerly side of Old Orchard Lane;
RUN NIGN THENCE South 27 degrees 21 minutes 20 seconds East along the westerly side of Old
Orchard Lane 150.00 feet to land now or formerly of Map of Gardiners Bay Estates#5083;
THENCE South 57 degrees 33 minutes 40 seconds West along said Map and along other land
282.93 feet;
THENCE North 27 degrees 21 minutes 20 seconds West 150.00 feet to land now or formerly of
Scott;
THENCE north 57 degrees 33 minutes 40 seconds East along said land 282.93 feet to the
westerly side of Old Orchard Lane to the point or place of BEGINNING.
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FORCOUNTY USE ONLY New York State Department of
C1.SVVISCode I II ,3, �, 0 , 1 Taxation and Finance
C2.Date Dead Recorded L Q 17/ 9/ I Office of Real Property tax Services
Q "•'� al T~. /- RP-5217-PDF
C3.Book ,tJ, , , �I C4.Page i , �,V, I Real Property Transfer Report(8110)
PROPERTY INFORMATION
1.Property 3Old Orr-harc Lane
Location _
•AIM 1,1 N w1ILN •9"AEC'W W E
Southold East Marion 1:939
--:eITY i7R T'J-nh• V Luff •rne•Ax
2.Buyer McKee, Jacqueline A ^-ruszee Jacqueline A
Name
•LASTh.w+rswnw Flvgr hAIE
-McKee Trust Agrca:P.enr df4 5-3p-Iii
LAST AAYLMWIP"Y FIRST.NAIE
3.Tax Indlcele where future Tax Bills are to be sard
Billing d otherthan buyer addresslat bonem of form)
Address use AAY1..OYPArlY ncsT AAYk
SIREE!hJURRANCI VE CIrl OR TOrW 5-Aik z P C0CJCC
4.Indicate the number of Assessment 1 a d Partials OR ❑Panda Parcel (Only N Part of a Parcel)Cheek as they appy:
Roil parcels transferred on the deed 4A.Planning Board w'rh Subdivision Authority Exists.
&DeadX OR U•
Property 'FN.:4rr4! 49.Subdivision Approval was Required for Transfer
•xN'.• •KN-S ❑
Strs 4C.Parcel Approved for Subdivision with Map Provided ❑
Mz ac. Jacq=el_ne A
G.Seller
Name 'AS'NWL
.Aar NY•IJCSYaANY - FIRS!NANL •• -
'7.Select the description which most accurately describes the Check the boxes below as they appy:
use or the property at the time of sale: 8.Ownership Type Is Condominium ❑
A.One Family Rrsidential 0.New Construction on a Vacant Land
10A.Property Located within an Agricultural District 11
I
100.Buyer received a disclosure notice indicating that the property Is in an
!y)delReunl Dialect ❑
SALE INFORMATION 18.Chock one or more of these conditions we applicable to transfer.
A Selo Be:wmn Rdesves orFam im Raladvas
11.Sale Contract Date B.Sale between Related Companas or Partners in Business.
-• C.One of the Buyers is also a Seller
'12.Data of SaleRramfar 5 J7 p D Buyer or setrer is Government Agency of Lending Institution
E.Deed Type not Warranty or Bargain and!Side(Specify Below)
F.Side or Fractional or Less than Fee Interco(Spedly Below)
'13.Full Sale Price o,OD D Significant Change in Property Between Taxable Status and Sate Dates
1 Full Save Price is the total amount pad for the property mduai H Sala d Business is Included in sale Price
This ds p r the a��Lo' I.Other Unusual Factors Affecting Sais Pubo(Specify Below)
payment may be in,rte femn d cash.other ProPenY or paods,or the assuurjpLen d J.None
mortgages or doer obligations)MOM round to the merest whole ddl
lararran
Comment(s)on Condition:
14.Indicate the value of personal
property included in the sale •VU transfer LO grantor livi^g t:uat
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
18.Year of Assessment Roll from which Information taker(YY) 19 '17.Total Assignment Value 4,800
'18.Properly Class _^e 0 _ '18.School District Nome 47202 Crien--
'20.Tax Map IderdiBoris►IRdI Identot iflor(s)(If mom than four,attach shag with additional ldengflerys))
1.000-0x1.00 06.00-023.OUO
CERTIFICATION
I Certify that all of the Items or Information entered on this form are true and correct(m the best of my knowledge and belleQ end I understand that the making of any willful
false statement of materiel fact herein subloct me to the-pmylElaraiLq ite.perMl IaYlLroletive to the making and filing of false Instruments.
BELLE"IGNATURE aUYER CONTACT INFORMATION
1Ersar 1rd0na4m•for mre bunk Note:4 burr Is LLC.aooay,afeodroon,coiywr,Iwl,jars moa mmPanY.oasts or
Maar met 18 001 an k1aMa.Yl aE'SM or'am".man name era comas ldeTa18111 d a.9 SldwalahaipflnYb'e
PART w•q n -W queebore r"a'drla IN tram it rust be anal.Type or prior cteedy)
f *,F, 111E :ATF
//{ @�CEFiS1SaNAIURE Nci{cc JaL:gco_ine A
PAST•,AuE
FIIe�, ��7 L� � � I •MEA[:AC •:LIEFrgr.'_NLYBLR IIr 691F437i
w.r Ns.G Nr? WrC
?O Box 7
•STRCC!h,VBER •STRFE'IW.L
( ' 1 Sas_ K;rion NY 1t-939
•laT+rx+rovm •a:ArE •evt.caF
BUYERS AM NEY
1
Gould esc Jennifer B
1 LAST r.AYC FHAI hill=
I
r f (03') 7th-5375
r M3LOOf!? TFLER-CAE WJW&R:E.OMPAI
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