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Home My WebLink AboutL 13021 P 161 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 07/24/2019 Number of Pages : 4 At: 02 : 57 :29 PM Receipt Number : 19-0137259 TRANSFER TAX NUMBER: 18-39585 LIBER: D00013021 PAGE : 161 District: Section: Block: Lot: 1000 123 . 00 02 . 00 019 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $640, 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 $9,800 .00 NO Fees Paid $10, 195 . 00 TRANSFER TAX NUMBER: 18-39585 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County h.yJ❑2 . f RECORDED Number of pages' f 2019 Jul 24 02:57:29 Fit JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY This document will be public L D00013021 record. Please remove all P 161 Social Security Numbers DT# 18-39585 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee I Mortgage Amt. Handling 20, 00 1.Basic Tax 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 R.P.T.S.A, Dual Town Dual County Held forAppointment Comm,of Ed. S. 00 Transfer Tax ML---u Affidavit + �. Mansion Tax Certified Copy �� The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total Other YES orNO Grand Total_ If NO, see appropriate tax clause on page 4-of this Instrument. 4 Dist. 101 19021039 1000 12300 0200 019000 0 5 Community Preservation Fund Real Property P T S ff Gonsideration Amount$6-4a opo Tax Service 10 UL-19 I�®IPF Tax Due $ Agency Verification ,- Improved _ 6 Satisfactions/Discharges/Releases List Propperty Owners Mailing Address RECORD&RETURN T0: .// (� Vacant Land /V6tnC�/ Qy c,fvt �C ' kM d� TD S00 ctNv-�[ sjvr l TD 10 TO Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 www.suffolkcountyny,gov/clerk Co.Name Title q 3 8 Suffolk County Recording & Endorsement Page This page forms part of the attached made by. (SPECT TYPE OF INSTRUMENT) The premises herein is situated In SUFFOLK COUNTY,NEW YORK, TO in the TOWN of In the VILLAGE �( ( I/ or HAMLET of pi(�t 1 I BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over CONSULT YOUR LAWYER BEFORE SIGNNG THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 13th day of June 2019 BETWEEN HSA HOLDINGS III LLC 108 Remington Road, Manhasset,NY 11030 party of the first part,and NANCY RYAN MCDONALD 8 Sunnyside Place, Irvington,NY 10533 party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars($10.00) paid by the party of the second part, does hereby grant and release unto the party of the second part,the nears 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, r` lying and being in the I J O0 SEE SCHEDULE"A"ANNEXED HERETO AND MADE A PART HEREOF 123.00 02,C�C) Being and intended to be the same premises conveyed to grantor herein by deed dated C, .c�c�o March 2,2017 and recorded March 28,2017 in Liber 12906 page 290. o � Said premises are known and designated as: 500 Center Street,Mattituck,Southold,New York District 1000,Section 123.00,Block 02.00 and Lot(s)019.000 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. C IN PRESENCE OF: HSA HO G B Y. Name: obe I Otte Title: Authorize Signatory Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment Form 3290 Old Republic Title Insurance Company Title Number: HTA-5793-S Page 1 SCHEDULE A DESCRIPTION ALL that certain plot,piece or parcel of land, situate,lying and being at Mattituck,Town of Southold,County of Suffolk and State of New York,being more particularly bounded and described as follows: BEGINNING at a point on the Southerly line of Center Street distant 254.60 feet Westerly from the corner formed by the intersection of the Southerly line of Center Street and the Westerly line of Bungalow Lane; RUNNING THENCE South 04 degrees 18 minutes 10 seconds East along the Westerly line of lands now or formerly of Peter Scholl a distance of 233.00 feet; RUNNING THENCE South 85 degrees 41 minutes 50 seconds West, 100.00 feet; RUNNING THENCE North 04 degrees 18 minutes 10 seconds West,a distance of 233.00 feet to the Southerly line Of Center Street; RUNNING THENCE North 85 degrees 41 minutes 50 seconds East along the Southerly line of Center Street a distance of 100.00 feet to the point or place of BEGINNING. 1 ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of S U$VAIL ,ss: State of New York,County of ,ss: On the 13th day of June in the year Y019 On the_day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared ROBERT M.FISCHETTE personally known to me or proved to me on the basis of satisfactory 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 evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/shelthoy executed the within instrument and acknowledged to me that he/shelthey executed the same in hisAtedtheir capacity(ies),and that by his/her/their signature(s) same in his/her/their capacity(ies),and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which on the instrument,the individual(s),or the person upon behalf of which the ividual(s)acted,executed the instrument. the individual(s)acted,executed the instrument. MICHAEL HARRISON tOTARY PUBLIC,STATE OF NEW YORK Registration No. 01 HA5025220 Qualified in Suffolk County Commissipon Expires March 21,20 ZZ ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK IN NEW YORK STATE STATE State of New York,County of ss: *State of County of ss: •(Or it District of Columbia,Territory,Possesionor Forcipt County) On the day of in the year before me,the undersigned,a Notary Public in and for said State, On the day of in the year personally appeared I before me,the undersigned personally appeared the subscribing witness to the foregoing instrument,with whom I am personally acquainted who,being by me duly sworn,did depose and say Personally known to me or proved to me on the basis of satisfactory that he/shelthey reside(s)in evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), that by his/her/their signature(s)on (if the place of residence is in a city,include the strutwd street numl>er ifmy,thereot); the instrument,the individual(s)or the person upon behalf of which the that helshe/they know(s) individual(s)acted,executed the instrument,and that such individual make such appearance before the undersigned in the to be the individual described in and who executed the foregoing instrument that said subscribing witness was present and saw said (add the city or political subdivision and the state orcountry or other execute the same;and that said witness at the same time subscribed place the acknowledgement was taken). his/her/their name(s)as a witness thereto Title No. SECTION: 123.00 BLOCK: 02.00 HSA HOLDINGS III LLC LOT: 019.1100 COUNTYORTOWN: Suffolk County TO Southold Town NANCY RYAN MCDONALD RETURN BY MAIL TO: David J.Januzzi, Esq. PO Box 1672 13235 Main Road Mattituck, NY 11952 INSTRUCTIONS(RP5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY New York State Department of 'Cl.awls cod. l�,•�—�13,E�40 I Taxation and Finance C2.Deb Deed Recorded 1 1/24/19 1 Office of Real Property Tax Services Car '" RP-5217-PDF C3.Book 2 c L Page ([/ Real Property Transfer Repoli(Bl10) PROPERTY INFORMATION I.property 500 CenLer Street Location •S74LL1 NULwEa •BiRLL NAPE SOltt'nolO 11971 •C1I.OR TOM VIlArs •:.PCox. 2.Buyer McDonald Nancy Ryan Name •IAST NAMLA:dIPAh FP$-NPUL LAV NANIACAIPAW F N81 YAYE 3.Tax Indicate where Mure Tax Bills are to be sem Blip" n olhor than buyer addroWel bottom Cilium) ,ART NAVILMSIPAN. Address ,14614 WF RTR1 Ll K-Uw RANmh"L C.I1 OR'&Aa eTATF rr Ltia a'Roll foicaft tnnalloaced on the dead ] ❑Pan d a Parost (only If Part of a Parent)Check n they appy: Indicate the number OF A�snmnt a d Parcels ❑ . M.Planning Board with Subdivision Adhctily EttlNs 0.Orad \ UR . P•-MMY •FRf1hT ILhT •r1LP1h 'AC-Es 49.Subdivision Approval was Required for transfer shin 4C.Pow Approved for Summation with Map Plowded ❑ HSA HOLDTUGS IIT LLC 5.Setkr •t/gTWYECOM-Am Name rPRT WFE LAW'MWrIC.— -MST NAra_ 17.Baled the description which most&Murat*dncribn tin Check go boxes below as they appy: use of the property at Mn time of sale: L Ownership Type is Condominium A.One Family Residential L Now Construction on a Vaunt Land ❑ ICA.Property Located whtmn an Agricultural Dismd ❑ 108.Buyer recovad a disclosure notice Indicating that the property,is in an Agricultural District ❑ SALE INFORMATION 16,Check one or mon of theme cendWom an applicable to transfer. A Sola Between Relabws or Former Relatives 11.sate Contract Dow 04/16/2019 B.Sok belwaan Related Companies or Partners in Business. C One of the Buyers Is olse a Sellar •1z Dau of SaWrm dbr 06/13/2019 D.Buyer or Seller Is Government Agency or Lending Institution E.Deed Type not warranty,or Bargain and Sale ISpediV Bokwl F Sale d F.me net or Lau than Fos Interest(Speory Bdow) "17.Frill Bob Price 64 0,000.00 G Slgndrram Change in Property Between Taxable Status and Sole Dates H.Sale or Business is Included m Sok Pnm (Full Sale Pries is the telel&mount paid kr the property including personal prop". I.Other Unusual Factors Aaecbn Sola Price S Tits payment may be In the form d cash.other property or geode. e assumption of g ( PecttY Below) Of th J.hbrr matpages a other obligations.)Flown mundto pia ng"ot whoa do w mound ConlntnngeIan Condition: 14.Indiana a the value of personal 0.(I(1 property Included In the axle ASSESSMENT INFORMATION--Data should reflect the(stest Final Assessment Roll and Tax Bill 16.Year of Assessment Ras from which Ir tom So on tsken(YY) 18 '17.Total Assessed Value 4,9('0 •18.Property Class 21C _ •12.school District 111=e Mat.tituck-C:utchOyue •20.Ta Nap IdenBBer(syRoll ldentlsar(s)(If more Man four,arch sheet with additional Idery aflar(s)) 1000-1.^.3.00-02.00-019.000 CERTIFICATION 1 CNtly Mat all of the Ifeme of InfontsOm e.do on this form are sus and taunt(m the beat of my knowk dpe and bollM and I understand that dire moktrtg of any willful tyke WMb mem of material rice hister subject mem to theymvklOnLOLlha.ptrg LIM Lrolaew to the making and filing of blas lose curds. 32LI.ER SI NATURE BUYER CONTACT INFORMATION (Crdarrdolmamn Por Iw svrw.Now.II lacer in LLC.eaCYy.aseodabn,Corporal=.pyre SWA cdmpwty,esus,a warn art s nal an rwNlala agar ear hoixory.ern a ra,Ta,am mrdad Inlam room a an namdu."moo able hNA Party armcan a Cnnhm-mWrdrq Law Ranter wanbe ager d Type aprlmewdy.tSFIILR6 IL r BUYS@.SIGNATURE McDonald Nancy Ryan /P •UST NMP. x1491 hAYE +S •AREACCIM •TF..LYg1611JMBL4Ra&haawt &1dER RIRW E WIC 8 Sunnyside Place _ •a•REF1 MwF_a •87rEET NAML frvingLon NY 10bi3 •CT+ON-OWN 97A11 •7:PCXX BUYER'S ATTORNEY I Januzzi David J. 1 UST WY. F,M6r NWC (631) 298-8065 PRA CODE 298-811,15 IOhE raIYREN lu aNlaarR,