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L 13023 P 192
11111111 111111111 IIIII IIIII IIIII IIIII III111111111111111 111111 IIIII lull IIII Illi SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/07/2019 Number of Pages: 4 At: 02 :23 :49 PM Receipt Number : 19-0147009 TRANSFER TAX NUMBER: 19-00684 LIBER: D00013023 PAGE : 192 District: Section: Block: Lot: 1000 064 . 00 02 . 00 045 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $10 . 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 $0 .00 NO Fees Paid $395 .00 TRANSFER TAX NUMBER: 19-00684 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ❑1 2❑ Number of pages RECORDED 2L119 Rug 07 02:23:49 PPi JUDITH R. PASCALE This document will be public CLERK OF record. Please remove all SUFFOLK COUNTY Social Security Numbers L D00013023 prior to recording. P 192 DT# 19-00684 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES g Page/FilinFee Ro Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Tota I Notation Spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) / TOT.MTG.TAX R.P.T.S.A. D Dual Town Dual County Held forAppointment Comm.of Ed. 5, 00 Transfer Tax Affidavit • �� Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two 15. 00 NYS Surcharge Sub Total family dwelling only. YES orNO Other T" Grand Total J If NO, see appropriate tax clause on page q of this instrument. —7 - i GI-—r 4 1 Dist. 19022649 1000 06400 0200 045000 5 Community Preservation Fund Real Property P 111111111111IN11 CPF Tax Due Consideration Amo5nt$ " Tax Service R T A Agency 24-JUL-19 Verification --J improved ,/ Satisfaction s/DischargR// ORD&RETRNppyOwnersMailingAddress6 RECORD Vacant Land EUGENIA M.VECCHIO, ESQ. Eugenia M.Vecchio&Associates PLLC TD 550 Mamaroneck Avenue, Suite 210 Harrison, New York 10528 TD TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title p 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) STEPHANIE KELLER The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Revocable Trust of Stephanie A. Keller In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) FORM 8002 (short version), FORM 8007 (long version) CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE, made the/jL day of July, 2019, BETWEEN STEPHANIE KELLER, residing at 57 South Bay Avenue, Islip,New York 11751 party of the first part,and Revocable Trust of Stephanie A. Keller dated June 27, 2019, and any amendments thereto, Stephanie A. Keller,Trustee, or her successor of 57 South Bay Avenue, Islip,New York 11751 party of the second part; WITNESSETH, that the party of the first part, in consideration of Ten Dollars and No Cents ($10.00), lawful money of the United States, 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 by Lot Number 79 on a map entitled, "Subdivision Map of Founders Estates, situate at Southold, Suffolk County, NY" made by Otto W. Van Tuyl, Engineer and Surveyor, dated March 18, 1927 and filed in the Office of the Clerk of Suffolk County on May 10, 1927 as Map No 834, and on said Map bounded Northerly by Lot No. 78, Easterly by Old Shipyard Road, Southerly by Lot No. 80, Westerly by Lot No. 69, being 75.00 feet on the Easterly and Westerly boundaries and 150 feet on the Northerly and Southerly boundaries being more particularly bounded and described as follows: BEGINNING at a point on the Westerly side of Old Shipyard Road, distant 75.00 feet Northerly from the corner formed by the by the intersection of the Westerly side of Old Shipyard Road and the Northerly side of Landon Lane; running thence South 64 degrees 05' West 150.00 feet; thence North 25 degrees 55' West 75.00 feet; thence North 64 degrees 05' East 150.00 feet to the Westerly side of Old Shipyard Road; thence South 25 degrees 55' East 75.00 feet along the Westerly side of Old Shipyard Road to the point or place of BEGINNING. Being the same premises conveyed to the Grantor by deed dated September 17, 2010 and recorded in the Office of the Suffolk County Clerk on October 13, 2010 in Liber 12640 at Page 36. 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. NYSBA's Residential Real Estate Forms(9/00) 0 2005 Matthew Bender&Co.,a member of the LexisNexis Group. AND the parry 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. ST PHANIE KELLER IN PRESENCE OF. Acknowledgment by a Person Within New York State(RPL § 309-a) STATE OF NEW YORK ) )ss.: COUNTY OF WESTCHESTER ) On the lo�, day of July in the year 2019, before me, the undersigned, personally appeared STEPHANIE KELLER, personally known to me or proved to me on the basis of satisfactory evidence to be the indiv' s) w ose name(s) is (are) subscribed to a within instrument and acknowledged to me that she,41xecute a same in her capacity(ies), a t her signature(s) on the instrument, the individ al(s) the person tjpon behalf of whic t indiv ual(s) ed, executed the instrument. �— (signature all/Off ice of individual taking acknowledgment) EUGEHlA M. VECCHIO Notary 0York 2VE4996440 Qualified in Westchester County fount 2 Comb-mission Expires May 022 NYSBA's Residential Real Estate Forms(9100) ®2005 Matthew Bender&Co.,a member of the LexisNexis Group. -2- DEED Stephanie Keller Section 64 Block 2 To Lot 45 County or Town Southold Revocable Trust of Street Address 580 Old Shipyard Lane Stephanie A. Keller Southold,New York 11971 Return By Mail To: Eugenia M. Vecchio, Esq. Eugenia M. Vecchio & Associates PLLC 550 Mamaroneck Avenue Suite 210 Harrison, New York 10528 Reserve This Space For Use Of Recording Office NYSBA's Residential Real Estate Forms(9100) ©2005 Matthew Bender&Co.,a member of the LexisNexis Group. -3- INSTRUCTIONS(RP-5217-PDF-INS):www.orps.statemy.us FOR COUNTY USE ONLY Now York$fate DepeArnant of SMS Code �� I Taxation and Finance C2.Date Deed Recorded 10 v Office of Real Property Tax Services °" "°" RP- 5217-PDF C3.Book t/d C4.Page Real Property Transfer Report(8110) PROPERTY INFORMATION I 1.I'oaepertyatlon 580 Old Shipyard Lane 'STREET WINNER •STREET RAISE. Southold 11971 'CI'Y OR TOM Y.UAGk 'ZIP[apE z.Buyer Nemo Stephanie A.Keller Revocable Trust ' LAST NAMElCOApANY FAST NAPE LASMANIEFCOYPANY FIRST IWOM 9.Tax ling Indicate where future Tax Bas are to be sent Keller Stephanie Addiess S Omer than buyer address(at bottom Of form) LAST NAEECOWPAM' nRbi NAtE Address 11 Moffitt Blvd Bay Shore NY 11706 STREET NUMBER AND AAeE CRY OR TOWN STATE 2FuRE a.Indicate the number of Assessment 1 t of Parcels ®R ❑Part of a Parcel (Only If Part Of a Parcaq Check n they appy: Roll parcels transferred on the dead 4A.Planning Board with Subdivision Authority Exists ❑ Pro \ OR 0.25 4B.Subdivision Approval was Required for Transfer ICY 'PROM FEET • SIH DEFTH 'ACRES 4C.Parcel Approved for Subdivision with Mop Provided n KELLER STEPHANIE N 6. aIASTRAMECOMPANT Nammee FrIST"W LAST WaE,COIIPAAV FIRSThALC 7.Select the description which must accurately describes the Check is bons below as they appy: use of the property at the tare of sale: a.Ownership Type is Condominium El A.One Family Residential 9.New Construction on a Vacant Land 10A.Proper Located within an Agricultural DisUin 10B.Buyer received a disclosure notice indicating that the property Is in on E]Agriculksol District SALE INFORMATION 11.Check one or more of Owe condtlons as applicable to transfer: A.Sale Between Relatives or Farmer Relatives 11.Safe Contract Daae 8 Sale between Related Companies or Partners in Business n C One or the Buyers is also a Seller •12.Dale of SeldTrensfor D Buyer or Seller is Government Agency or Lending lnsvluaon E.Dad Type not Warranty or Bargain and Sale(Spea(y Below) F.Sala of Fractional or Less than Fee Interest(Specify,Below) `13.Fell Sale Price $1000 G.Significant Change in Property Between Taxable Status and Sale Dales H.Sale of Business is Included in Sole Price (Ful Sale Price is The total amount paid for the property including personal property. I. Osler Unusual Factors Affecting Salo Price(Specify Beloar) TMs payment may be In the farm of bash.other property or goods.Of the assumption of X J.Nona mortgages or other obligations.)Please round so the nearest whofe dollaremowd. Comment(s)on Condition: 14.Indicate the value of personal prop"included in the sale $000 Aya Aamf,e PC O&AxA Sig,gjkv ASSESSMENT INFORMATION-Data should retied the latest Final Assessment Roll and Tax Bill 16.Year o1 Assess.an. Roll ham which Information taken(YY) 19 -17.Total Assessed Value $4,000.00 -18.Property Class 2 1 0 — '19.School District Name Southold School 120.Tax Mop IdsmlMr(syRoll Identifier($)(if mon than four,attach sheet with additional identiler(s)l 1 06400-0200-045000 CERTIFICATI N I Carlify that at of the Rema of Information entered on this form are true end conwt(to the best of my knowledge and WWI and I understand Chet the making of arty willful false statement of material fact h In subJact ms to they[orrLloee al the M11 lq¢rale We tothe making and filing of Klee Instruments. RUYER CONTACT INFORMATION(r-mrNam , atgn for we buyer NOW If 04111' m is I.LC.woey.81=mm rporatan pim t xk cynpenW arp. a rr.y San is nig an inalrA,a Spent or fiwr�ary,than a rune ea ewid tSprnmon Of an MwdlNaarpdw WS perry who un answer queswms r pRinhg se VOM-or mull be meed Type r prim ataarly I GE-ER Sr^ rlaL W BUYER SIGNATURE Keller Stephanie ' •IA$T-M RRSI NAME 516 398-5699 'MFA COOE 'TELEPIIOM:1 UMBER IEP:aaessR MNLR S 7TIPE -" 57 S.Bay Avenue 'SR UNLOA ER •STR--ETNANE Islip NY 11751 1 * Ynw OR Tom •STATE •SPcom + BUYER'S ATTORNEY a 'I ' + I EUGENIA M.VECCHIO ESQ. r 1 LAST-m RI I RAISE I (914) 835-1818 AAEACODE TELEPIIOIENIMKRIEr nelahah