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Home My WebLink AboutL 13032 P 622 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 10/15/2019 Number of Pages: 5 At: 8 :38 : 00 PM Receipt Number: 19-0194767 *ELECTRONICALLY RECORDED* Transfer Tax Number: 19-08334 LIBER: D00013032 PAGE: 622 District: Section: Block: Lot: 1000 121 .00 04 .00 002 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $1 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25. 00 NO Handling $20 . 00 NO COE $5. 00 NO NYS SRCHG $15. 00 NO Notation $0 . 00 NO Cert.Copies $0 . 00 NO RPT $200 . 00 NO Mansion Tax $0 . 00 NO EA-CTY $5. 00 NO EA-STATE $125. 00 NO TP-584 $5. 00 NO Comm.Pres $0 . 00 NO Transfer Tax $0 . 00 NO Fees Paid $400 . 00 Transfer Tax Number: 19-08334 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County RECORDED Number of pages 5 10/15/2019 8:38:01 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013032 Social Security Numbers P 622 prior to recording. 19-08334 Deed 1 Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording 1 Filing Stamps 31 FEES Page 1 Filing Fee 25.00 Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 5.00 Sub Total Notation 0.00 Spec./Assit. or EA-52 17(County) 5.00 Sub Total 55.00 Spec./Add. EA-5217(State) 125.00 TOT.MTG.TAX 200.00 CIO., Dual Town Dual County — Held Held for Appointment Comm.of Ed. 5. 00 Transfer Tax 0.00 ' _� Mansion Tax 0.00 Affidavit 4�" The property covered by this mortgage is Certified Copy 0.00 or will be improved by a one or two NYS Surcharge 15. 00 345.00 family dwelling only. Sub Total YES or NO Other 400.00 Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund 19032493 1000-121.00-04.00-002.000 1.0 0 Real Property Consideration Amount $ Tax Service P r s Agency TY A CPF Tax Due $ 0.00 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Bay National Title Company TD 10 13577 Feather Sound Drive, Suite 250 Clearwater FL 33762 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Commny Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# g Suffolk County Recording & Endorsement Page This page forms part of the attached DL® made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD In the VILLAGE or HAMLET of BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0104..10MId, over AFTER RECORDING RETURN TO: Bay National Title Co. 13577 Feather Sound Drive,Ste.250 Clearwater,FL 33762 File No.HYP-57502 THIS DOCUMENT PREPARED BY: Frank P.Dec,Esq. 8940 Main St. Clarence,NY 14031 866-333-3081 Tax ID No.: 1000-121.00-04.00-002.000 QUIT CLAIM DEED THIS DEED made and entered into on this_p-AAday oC CMI; �20 ,by and between Jeffrey Carlson A/K/A Jeffrey E.Carlson,an unmarried man and Dawn E.Carlson,an unmarried woman,who acquired title as husband and wife,a mailing address of 5660 Sound Avenue,Mattituck, NY 11952,hereinafter referred to as Grantor(s)and Jeffrey Carlson,an unmarried man,a mailing address of 5660 Sound Avenue,Mattituck,NY 11952,hereinafter referred to as Grantee(s). WITNESSETH:That the said Grantor(s),for and in consideration of the sum of One($1.00)and no more Dollars and other good and valuable consideration,the receipt of which is hereby acknowledged,do this day remise,release and quitclaim to the said Grantee(s)the following described real estate located in Suffolk County,New York: SEE ATTACHED EXHIBIT"A"FOR LEGAL DESCRIPTION Also known as:5660 Sound Avenue,Mattituck,NY 11952 SUBJECT TO EASEMENTS,COVENANTS,CONDITIONS,RESTRICTIONS,RESERVATIONS, AND LIMITATIONS OF RECORD,IF ANY. Prior instrument reference:Book 11969,Page 157,Recorded:06/14/1999 TO HAVE AND TO HOLD the lot or parcel above described together with all and singular the rights, privileges,tenements,hereditaments and appurtenances thereunto belonging or in anywise appertaining unto the said Grantee(s)and unto the heirs,administrators,successors or assigns of the Grantee(s)forever in FEE SIMPLE. And that said conveyance does not render the Grantor(s)insolvent nor is it for the purpose of defrauding any of the creditors of the Grantor{s). AND THIS CONVEYANCE IS IN COMPLIANCE WITH SECTION 13 OF THE LIEN LAW. Executed this day of ,20 0 8 A Carlson A A Jef re rlson STATE OF NEW YORK COUNTY OF f. On the day of Ip,., in the year ZO 18 before me,the undersigned, personally appeared Jeffrey Carlson A/K/A Jeffrey E.Carlson 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 capacitN(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. CVYL BAKER /t Notary Public.State of New York ollz ! No.01 BA5050531,Suffolk County Nota `ry Publia -- Term Expires October 10,201 Printed Name: T� My commission expires: K3—[D-Z..1 Executed this J day of 61A 20 1 Dawn E.Carlson t— /fi*10— � STATE OF NEW-V4NW� R-,5 COUNTY OF LOOP, On the /d day of in the year Z O t 8 before me,the undersigned, personally appeared Dawn E.Carlson personally known to e or pved to me on the basis of ry satisfactoevidence to be the individualKwhose names are) rosubscribed to the within instrument and owledged to me that he sh hey executed the same in his her heir capacity(L-S7,and that by his e)their signature(4on the instrument,the individualo,or the person upon behalf of which the individualKacted,executed the instrument. RANDOLPH A.SHERMAN No Public Notary Public.Maryland Y Worcester County My Commission Expires on Printed Name: 0 L f°1�P A, S��J1' A) October 12,2020 My commission expires: l ZOZ r� No title exam performed by the preparer.Legal description and party's names provided by the party. EXHIBIT A LEGAL DESCRIPTION ALL that certain plot,piece or parcel or land,with the buildings and improvements thereon erected, situate,lying and being at Mattituck,Town of Southold,County of Suffolk and State ofNew York,more particularly bounded and described as follows: BEGINNING at a point on the South side of North Road or Sound Avenue,said point being 565 feet (more or less)Easterly of a monument set in the Eastern boundary line of the land of the Estate of Victor Kirkup; RUNNING THENCE Easterl) a distance of 108.90 feet along the Southerly side of North Road or Sound Avenue. RUNNING THENCE in a Southerly direction at right angles to Sound Avenue a distance of 200 feet; RUNNING THENCE,Westerly along other lands formerly of Barbara Jazombek a distance of 108.9 feet; RUNNING THENCE Northerly 200 feet along other land formerly of Barbara Jazombek to the point or place of BEGINNING. Tax ID Number: 1000-121.00-04.00-002.000 Property commonly known as:5660 Sound Avenue,Mattituck,NY 11952 FOR COUNTY USE ONLY _IhiS}:www.asrps.8tate.ny.us Ci_ slits Cade 14 1 7 1 3 1 8 1 8 1 9 1 New York State Depattmrnt of Ca_ nate need necordea I 10 / 15 20191 Taxation and Finance Month nay year Office of Real Properly Tax Services c3_ nook 111 310 131 2j c4_ Page I I 16 1 21 2 1 RP- 5217-PDF Real Property Transfer Report(8/10) PROPERTY INFORMATIONI S.Property 5660 Sound Avenue Location •sh'rte�r I �x •sTl�er hJ.AME MaCCa t ruck 1952 •CrrroxRTOWN VILLAGE 2.Buyer Carlson* *AIKIAIeffery E Carlson Jeffrey ff LA4T 4A PR Y ..................... —TMST NAME LAST NAWBVC MWANY SNtSF HM.iE.......................... S'Tax Indicate where future Tax Bills are to be sent Bluing it other than buyer addresstat bottom of form) usrruvr c�icaa Arly snRST rurr Add", STNEE.T NUMBER AND NAME i�T-O€n Ttfe STATE ZPCOW 4.Indicate the number of Assessment (Only It fact of a parcel)Check as they apply, #❑f Parcels CiR part of a Parcel Roll parcels transferred on the deed � 4A.Planning Board with Subdivision Authar€ty Exists 9.need .__- X COR 0.50 40.Sukxfivisiu n Approval was Required for Transfer 0 Property •SST e-m r.._ ,p�PTnt •Acmes size 4C.Parcel Approved for Subdivision with Map Provided ❑ Carlson* *AIKA Jeffery Carlson Jeffrey E. 8.Salo r •LAST FIRST NAM Home Carlsort lawn E LAST NANMrANWANY FIRST NAME •T.select the description which most accurately describes me Check the boxes Wow as"toy apply: use at the property at the time of sate: 8.Ownership Type is Condominium ED A.One Family Residential 9,New Construction on a Vacant Land 01 SOA.Property Located within an Agricultural District F] igia.Buyer received a disclosure notice Indicating that the property Is In an 13Agriwitural Oistrict SALE $NFORMATIONI MCheck one or more of twt__cotx€€f oro as applicable to trarsfar; A.Sale Between Retatives or Former Relatives 71.$ale Con&act Data 08/10/2018 H-Sale between Related Companies or Partners in Business- C.One of the Buyers Is also a Seller 1 2.Oat*of SatelTransW 09/15/2018 n-Buyer or Seller is Government Agency or Lending Inssitution E.Deed Type not Warranty or Bargain and Sate(Spectfy Below) F-Sale of Fractional or Less than Fee Interest(Specify Below) *13.Full Sate Price 1 .00 G.Significant Change in Property Between Taxable Status and Sale fates li.Sake of Business Is Included In Sale Price f Foal€Sale Price is the total amount paid for the property including personal property- H €. Other Unusual Factors Affecting Sale Price(Specify Below) This payment may he in the form of ca rh,aura,property or goods,or€tie assumption Of J-None ,mortgages or other ololigatiom.}Please round to the nearest whole dicNar affAx rat. Comment(s)on Cafa7€t€orn: 14.Indicate ifre Value of personal 0 .0D property Included In She sale Assr=ss ew-€A€FL.:rR?f'sfiTl£7N.€.saw should refttect tho€ot"t Hilal Assessment Roll and Tax B111 is.Year of Assessment Roll from which Information taken(YY) 18 117-Total Assessed Value 5,200 '19,property Class 210 '19.School District Name 1 11110 �C,1.. v C 120.Tax Map lder€HHer(s)7Rog Identifier(s)lit more than four.attach sheet with additional Identttler(s)) 1000-121.00-04.00-002.000 CERTIF€CATS[?£€ I Certify that all of Bre items of Information entered on this farm are true and correct(tis the hest of my knowledge and hprlef)and I understand that ttm making of any willful false statement of material fact herein subject me to She Xavlrt€wos 'rxmrsar€aw re€at4are to tiee making and fging of false Instruments. SF�LL EF 5!q"ATURE 8 UX x'".._[ZNTACe-TJNEQliMAJION . Mnw WJ."nat3wi far the buyer-Nate:If rwwt.LLC,—ci ky.aeeoctitv,4 ,joint slack c—xm wr ealata w ent€ty that ie not an irxkvWual ag"t or 11fuctary.than a frame and contact lnfo mat€on at an IndmduatlEssporesdbie '• Y puny who cast auiawar quea&ots re9arai»A the lra nster must be enue w.Type or print clearly.) rR 6 RE DATE Carlson Jeffrey R€!d'f t�.xlCIIATSE NAMr97srHone ii ('T27}) 449--8733 ` f 7 a 1 9 -AREAC C6 •YELEPHONE NUMBER fU] 89"M) 9LiYCHi SPGNATFIRE PATE 5660 Sound Avenue 'STREETNUMEK�R •STREET U41MIE ' t 1 Ma-.Ca.t"uck NY 11952 3 ......•CrF'Y OR TOWN 'STATE •2YP 0P I 1 Huy R's A PORHEY LASTNAME F+RSTN AME 1 = —A corse TELEPHONE NUMBER(Ea:990G999j f