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Home My WebLink AboutL 13028 P 860 I I11111111111111111111111111111111111111111111111111111 1111111 IIIA lllll IIII illi SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 09/16/2019 Number of Pages : 4 At: 04 :49:29 PM Receipt Number : 19-0174137 TRANSFER TAX NUMBER: 19-05314 LIBER: D00013028 PAGE : 860 District: Section: Block: Lot: 1000 122 . 00 07 . 00 009. 004 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $3,213 . 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 $250 .00 NO TP-584 $5 . 00 NO Notation $0 .00 NO Cert.Copies $5 . 00 NO RPT $200 .00 NO Transfer tax $14 .00 NO Comm.Pres $0 .00 NO Fees Paid $539 . 00 TRANSFER TAX NUMBER: 19-05314 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of pages RECORDED 2019 Sep 16 04:49:29 PM This document will be public JUDITH A. PASCALE record.Please remove all CLERK OF SUFFOLK COUNTY Social Security Numbers L D00013028 prior to recording. P 860 DT# 19-05314 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) �_ Sub Total Spec./Add. EA-5217(State) TOT,MTG,TAX Dual Town Dual County R.P.T.S.A. oZCC� �`� Held for AppointmentComm.of Ed. 5. 00Transfer Tax Affidavit (P,�, Mansion Tax The property covered by this mortgage is U Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 r family dwelling only. Sub Total _ YES or NO Other Grand Total If NO, see appropriate tax clause on page# of this instrummeen . 4 1 Dist. 100 19029830 1000 12200 0700 009004 I: 5 Community Preservation Fund Real Property P T S Consideration Amount$ Tax Service R LpA q Agency 16-SEP-1 CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address / RECORD&RETURN TO: Vacant Landy Kimmarie Hammond Revocable Trust TD 252-16 60th Avenue TD Little Neck,NY 11362 V, TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title N 8 Suffolk County Recording & Endorsement Page This page forms part of the attached made by: (SPECIFY TYPE OF INSTRUMENT) 9300 Main Road,LLC The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Kimmarie Hammond Revocable Trust 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 Quitclaim Deed,with Covenants against Grantor's Acts_Individual or Corporation CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY, THIS INDENTURE, made the day offtftj 2019 BETWEEN `I, 9300 MAIN ROAD, LLC residing at 805 SW Broadway, Suite 2750, Portland, Oregon 97205, party of the first part, and KIMMARIE HAMMOND REVOCABLE TRUST, residing at 252-16 60th Avenue, Little Neck, NY 11362, party of the second part, WITNESSETH, that the party of the first part, in consideration of ten dollars and other valuable consideration paid by the party of the second part, does hereby remise, release and quitclaim 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 SEE SCHEDULE"A"ANNEXED HERETO'. SCTM#1000-122.00-07.00-p/o 009.000 Being and intended to be PART OF the same premises conveyed by 9300 Route 25, Inc.to 9300 Main Road, LLC by deed dated 1/15/2016 and recorded in the Office of the.Clerk of Suffolk County on 2/3/16 in Liber 12851 Page 318. 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, in compliance with Section 13 of the Lien Law, covenants that the party 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 Grantor(s): 9300 IN.ROAD, LLC rsh Family Revocable Trust, Member By Stephen D. Marsh,Trustee, Manager Acknowledgment Taken Within New York State(RPL 309(a)) State of New York ss.: County of On the day of � in the year 7 before me, the undersigned, personally appeared -5ZG7!E /g9, 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/she/they executed the 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 the individual(s) acted,executed the instrument. Q Notar bli t —6l'Et l!JdVsandx3 uoiss;m S � MOi✓� y D S.DES AOND AtunoO�io}{ng uc ga 0 GM�O v Nota Public,Rime o ew York OJ Pv6ue r>74rt ¢N Notary No.499Q549 6tr846F •tN N Q ] Qualified it Sut!oik County jJ%neeN}o -,S'oggnd AUe1oN S3n'S nIAdG Co mission Expires April 13,;aZOY' Acknowledgment Taken Outside New York State(RPL 309(6)) iylt3 , Jl+L i ?d3� State,District of Territory, Possession,or ss.: Foreign Country On the day of in the year before me, the undersigned, personally appeared , 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/she/they executed the 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 the individual(s) acted,executed the instrument. Notary Public QUITCLAIM DEED Title# Grantor: 9300 MAIN ROAD, LLC TO Grantee: KIMMARIE HAMMOND REVOCABLE TRUST ADDRESS: 9300 Main Road, Mattituck, NY SECTION: 122.00 BLOCK: 07.00 LOT: p/o 009.000 COUNTY: Suffolk Record and Return to: KIMMARIE HAMMOND REVOCABLE TRUST 252-16 60th Avenue Little Neck, NY 11362 SCHEDULE"A" ALL THAT CERTAIN PLOT,PIECE OR PARCEL OF LAND,SITUATE,LYING AND BEING IN LAUREL,TOWN OF SOUTHOLD,COUNTY OF SUFFOLK,STATE OF NEW YORK, BOUND AND DESIGNATED AS FOLLOWS: BEGINNING AT A POINT BEING THE INTERSECTION OF THE WESTERLY R.O.W. LINE OF SIGBEE ROAD AND THE SOUTHERNLY R.O.W.LINE OF MAIN ROAD(NYS ROUTE 25)THENCE ALONG THE SOUTHERLY SIDE OF MAIN ROAD A DISTANCE OF 141.34 FEETTHENCE South 20 degrees 29 minutes 00 seconds East for a distance of 1,502.84 feet; TO THE PARCEL POINT OR PLACE OF BEGINNING,THENCE THE FOLLOWING FOUR(4) COURSES AND DISTANCES THENCE South 20 degrees 29 minutes 00 seconds East for a distance of 50.00 feet,- THENCE eet;THENCE South 69 degrees 22 minutes 00 seconds West for a distance of 40.00 feet; THENCE North 20 degrees 29 minutes 00 seconds West for a distance of 50.00 feet; THENCE North 69 degrees 22 minutes 00 seconds East for a distance of 40.00 feet; TO THE POINT OR PLACE OF BEGINNING; Together with and subject to.'covenants,easements,and restrictions of record. SCTM#:1000-122-07-P/0 9 AREA: 2,000.00 SF+ 0.0459 AC+more or less INSTRUCTIONS(RP-5217-PDF-INS):www.orps.slelemy.us FOR COUNTY USE ONLY Now York State Department of C1.WAS Coda Q /(0/ F, 8� I Taxation and Finance C2.Date Deed Recorded L -I / ((0/ 19 Office of Real Property Tax Services "Q"" RP-5217-PDF W.Book I_t, t(/J C4.Pati. 1 U 1 1 Rest Property Transfer Roport(8110) PROPERTY INFORMATION 1 1.Property 93LO MAIN ROAD Location '411ux:Mawah `— —'SIIE:Fi xArF _._ _ MATTITUCK 11952 ••GIIT09 TOM •NILAOL •— •ZIP(NICE 2.Buyer HAMMOND K1'MMARIF REVOCABLE TRUST Name 'WTNIWFJCpaNAY — FIRSINAME Uwr WiLicompWr - FIRSTAAW a.Tex Ind4ste where future Tax Blas are to be sant ' Billing it other Ihan buyer addresa(ar bottom Of form) Rsr x uer NsuLwu,-vw. FKWAddress STREETNusteRANO R CITY OR TOWN .. '— !'ATE ancaCE 4.Indicate the number of Assessment ®Pan of a Palcer (Only 11 Part of a Parcal)Check as they apply: Roll parcels transferred on the dead a or Parrs,-! OR F-14A.Planning Board Will Subdivision Authority Exists S.Deed 4 OR 0-0459 _ 40.Subdivision Approval was Required for Investor El Property Size ,FAaRT FEET I)EM -ACRES• 4C.Parcel Approved for Subdivision with Map Provided ❑ 9300 MATH ROAD, LLC !,Beller •1 As NAAECONANIT Name FIRS!NAPE �EAlT NNSwCdarM1Y � SN9I NAPE '7.Select the description which most accurately describes the Check the boxes below as they apply: use of the property at the fima of sale: S.Ownership Type is Condominium C.Residential Vacant Land 8.New Construction an a Vacant Land 10A.Property Located within an Agricultural Otstw L I 188.Buyer received a disclosure notice indicating that the prop"is in an Agriculturel District ❑ SALE INFORMATION 1S.Check one or more of these conditions as■ppticable to transfer. H A.BahtBetween Relativesor Former ReWlvas 71.Sols Contract Date B.Sole between Related Companies or Partners in Business. C One of the Buyers Is also a Seer 12.Date of SeleRransfer j f D.Buyer or Boiler Is Government Agency or Lending Institution E'Deed Type not Warranty or Bargain and Sala(Speafy Relow) F.Sale of Fractional or Less than Fee Interest(Speciry Baked '19.Full Bah Price 3,211•0() G Significant Change in Property Between Taxable Status and Sale Dates I Fug Sara Price Is total amours pant for the property including personal property H.Sala of Business Is Included In Sere Price I Other Unusual Factors Affecting Sale Price(Speedy Below) This payment they be ha in this form of rash.Other property or geode,or the alsranption of mJ None 0fteges or other obligations.)urease round fa Me nearest whole do94r amount. 'Comments)on Condition: 14,Indicate the value of personal property Included In the sale 0.00 ODI•"CLAIM n3ED ASSESSMENT INFORMATION-Data should reflect the latent Final Assessment Roll and Tax&II 16.Year of Assessment Roll from which Information takon(YY) 28 '17.Total Assessed Value 10,400 '78.Property Class 3 i], — .18.School District Name MATT ITUCK-CU TCHOGUE; '20.Tax Map Idendfiar(syltoll Identifiers)(If more than four,attach sheet with additional IdmtlRor(a)) —'—-- 1000-122.00-O7.00•'pc 0094 jV�— CERTIFICATION -— —— — i certify that 411 of the Items of Information entered an this loam are true and correct(tin the best of my knowledge and belles and I understand that the making of any willful farm statement of material fact heroin subject me to the proylaloas 0MI,pgn"w relative to the making and filing of rslm Instruments. $ELLEIiSICaNAn= l3UYE&CD XTAQ11KFQf A1W {iYar xranmdm roc eine hlrrel.Nero If WWII LLGsaaety,es••••,•••,•,,carpoMklr4 rate eloC'tdmpalry seam or R:xty he is rix etl Ieawaud ager a Salaay,ans a red end rerlldd Type oMw:of an 111airL'LaReiparwia'e 'I1e13'llle can answer 4T,mhom raps rig Va ea•Isler+raalMer'hared Type Orpdnt xlMdy) I LRINGWuRE HAMMOND KIMMARTE REVOCAB:1E TRUST' B!lYRB.AgIGHAI3fRk —. • —• — •LAST hms -� F5ROT NMW�/.�7 B:Irllr TIrF ��'r�— I 1ir- • 'T'-LLRIaf A %W F• E GIPWAI WE 252-16 _ 60T- AVENUE -51REEr AMMER —•Man River LI-TLE N2CK_ NY._ _11362 I¢ 'C:YGi-.C— YTATE FY uqE BUYE&GAI MMY uxf Nlwlc--.-•-- FIRST IPL1E -••-• I MU W7E TF1ERICMN11NacR{Er$MOM1 --— 1