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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/26/2019
Number of Pages : 4 At: 03 : 12 :57 PM
Receipt Number : 19-0222987
TRANSFER TAX NUMBER: 19-12338 LIBER: D00013037
PAGE : 642
District: Section: Block: Lot:
1000 142 . 00 01 . 00 006. 001
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 $400 . 00
TRANSFER TAX NUMBER: 19-12338
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
; u u
Number of pages RECORDED
2019 NO,, 25 03:12:57 PRl
JUDITH G. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L DO00i3037
Social Security Numbers F 641
prior to recording. DT# 19-123.38
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Spec./Assit.
Notation
or
EA-52 17(County) Sub Total Spec./Add-
EA-5217(State)
pec./Add.EA-5217(State)
TOT.MTG.TAX
r1 Dual Town Dual County
R.P.T.S.A. Held forAppointment
Comm.of Ed. 5. 00 Transfer Tax
Mansion Tax
y{® The property covered by this mortgage is
Certified Co or will be improved by a one or two
NYS Surcharge '15. 00• family dwelling only.
'Sub Total YES or NO
Other
Grand Total If NO, see appropriate tax clause on
gea.fthi,in7,ur!"
4 Dist.1' 19037932 1000 14200 0100 006001 '1 S Community Preservation and
rPTS Consideration Amount$
Tax S
Tax Service
F2 LFA A II
Agency 26a1iOV 1 CPP Tax Due $
Verification
11 Improved
6 Satisfactions/Discharges/Releases List Pro erty Owners Mailing Address
ERIK J. MCKENIN ,SQ�D&RETURN�O: Vacant land
BOX 912 TD
CU
CUTCHOGUE, NY 11935
TO
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#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached EXECUTOR'S DEED made
by: (SPECIFYTYPE OF INSTRUMENT)
Jean Rivera,As Successor Executrix The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Jean Rivera In the VILLAGE
or HAMLET of Mattituck
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
' —Exwutor's Deed—Individual or Corporation(single shat) ,
THIS INDENTURE,made the day of October, in the year 2019
BETWEEN
JEAN RIVERA,residing at 5625 Aldrich Lane,Mattituck,NY 11952
as Successor Executrix of the last will and testament of SHIRLEY ANNE FENDERSON,deceeased January 24,2019,
and filed as Suffolk Probate#2019-1303/A,and also Executrix of the last will and testament of PHILIP H.
FENDERSON,deceased June 7,2019,and filed as Suffolk Probate#2019-3456,
party of the first part,and
JEAN RIVERA,residing at 5625 Aldrich Lane,Mattituck,NY 11952,
party of the second part,
WITNESSETH, that the party of the first part, to whom successor letters testamentary were issued by the
Surrogate's Court of the State of New York for the County of Suffolk on August 1,2019, and by virtue of the power
and authority given in and by said last will and testament,and in consideration of ten dollars,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 at Mattituck,Town of Southold,County of Suffolk, State of New York,being bounded and described as
follows:
See Schedule A attached hereto and a part hereof
BEING AND INTENDED TO BE the same premises conveyed to the decedent,SHIRLEY ANN FENDERSON,herein
by deed dated June 25,2003,recorded 12/22/2004 in Liber D00012361 Page 754.
TOGETHER with all right, title and interest, if any, of the party of the first part of, in and to any streets and
roads abutting the above-described premises to the center lines thereof;
TOGETHER with the appurtenances,and also all the estate which the said decedent had at the time of decedent's death
in said premises,and also the estate therein,which the party of the first part has or has power to convey or dispose of,
whether individually,or by virtue of said will or otherwise;
TO HAVE AND TO HOLD the premises herein granted unto the party of the second pan,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 incumbered 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:
1
AN RIVERA,EXECUTRIX
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN.NEW YORK STATE
State of New York,County of SUFFOLK ,ss: State of New York,County of ss:
On the ill day of Ocotber in the year 2019, before me, the On the day of in the year ,
undersigned,personally appeared JEAN RIVERA personally known before me,the undersigned,personally appeared
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 personally known to me or proved to me on the
basis of satisfactory evidence to he the individual(s)whose name(s)is
instrument and acknowledged to me that he/she/they executed the (are)subscribed to the within instrument and acknowledged to me
same in his/her/their capacity(ies), and that by his/her/their that he/she/they executed the same in his/her/their capacity(ies),and
signature(s)on the instrument,the individual(s),or the person upon that by his/her/their signature(s)on the instrument,the individual(s),
w"'„yt iaa ,;Jr or the person upon behalf of which the individual(s)acted,executed
behalf of whicl i L ccuted the instrument. the instrument.
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ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK
TAKEN IN NEW YORK STATE STATE
State of New York,County of ss: *State of County of ss:
On the day of in the year '(Or insert District of Columbia, Territory, Possession or Foreign
before me,the undersigned,a Notary Public in and for said State, County)
personally appeared
the On the day of in the year
subscribing witness to the foregoing instrument,with whom I am ,before me the undersigned personally appeared
personally acquainted,who,being by me duly swam,did depose and
say that he/she/they reside(s)in 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
(if the place of residence is in a dry,include the street and street number if any,therwf): the within instrument and acknowledged to me that he/she/they
that he/shelthey know(s) executed the same in his/herhheir capacity(ies), that by his/her/their
signature(s)on the instrument,the individual(s)or the person upon
to be the individual described in and who executed the foregoing behalf of which the individual(s)acted,executed the instrument,and
instrument;that said subscribing witness was present and saw said that such individual make such appearance before the undersigned in
the
execute the same;and that said witness at the same time subscribed
his/her/their name(s)as a witness thereto
(add the city or political subdivision and the state or country or other
place the acknowledgement was taken).
Executor's Deed
SECTION 142.00
BLOCK 01.00
LOT 006.001
COUNTY OR TOWN SOUTHOLD
Title No, 1380 Factory Avenue,Matutuck,NY 11952
JEAN RIVERA,as EXECUTRIX
TO
JEAN RIVERA
RETURN BY MAIL TO:
ERIK J.MCKENNA
TRACTS. 320 DEPOT LANE,PO BOX 912
CORPORATEI� CUTCHOGUE,NY 11935
5B5 Stewart Avenue-Garelfan City,NY 1 1530
516.6831000
SCHEDULE A
PARCELI
ALL that tract or parcel of land situate in the Village of Mattituck,County of Suffolk,State of
New York,bounded and described as follows:
On the East 50 feet by Walnut Place;
On the South 284 feet by property of Albert Miller and Peter Berdinka;
On the West by 50 feet by Factory Avenue;
On the North 284 feet by property of Joel S.Williams,deceased.
WITH A RIGHT OF WAY to Main North Road by way of Walnut Avenue and to Factory Avenue by
way of Maple Avenue.
BEING AND INTENDED TO be the same premises conveyed to Wilfred B.Corwin and Anna J.
Corwin,both deceased,by deed dated May 10,1941 recorded in the Office of the Clerk of the
County of Suffolk on March 21,1946 in Liber 2540 page 537.
PARCEL 11
ALL THAT CERTAIN PLOT,piece or parcel of land with the buildings and improvements thereon
erected lying and being at Mattituck,in the Town of Southold,County of Suffolk and State of
New York,bounded and described as follows:
BEGINNING at a point on the easterly side of Factory Avenue distant 200.00 feet southerly
found the corner formed by the intersection of the easterly side of Factory Avenue with the
Southerly side of Sound Avenue;
RUNNING THENCE North 74 degrees 14 minutes 30 seconds East and along the southerly side
of land now or formerly of Letitis Yarusso a distance of 130.70 feet to land now or formerly of
Ada Wirth Williams;
THENCE South 17 degrees 18 minutes 20 seconds east and along the westerly side of said last
mentioned land a distance of 45.46 feet to land now or formerly of Wilfred B.Corwin and Anna
J.Corwinj
THENCE South 73 degrees 40 minutes 30 seconds West and along the northerly side of said last
mentioned land a distance of 130.67 feet the easterly side of Factory Avenue;
THENCE RUNNING North 17 degrees 18 minutes 20 seconds West and along the easterly side of
Factory Avenue a distance of 46.75 feet to the point or place of BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed to Wilfred B.Corwin and Ann J.
Corwin,both deceased,by deed dated October 15,1975 recorded in the Office of the Clerk of
the County of Suffolk on October 31,1975,in Liber 7935 page 544.
1
C1.ams coda 'L.�,1,�,� , D,� I Taxation and Finance
C2.Dais Deed Recorded I 1 /210/ k`1 I Office of Real Property Tex Services
rresn
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C2.Book J C4.Pa9e I n L0 i`�l 14I Real Properly Transfer Report J11110)
PROPERTY INFORMATION
1.Property I3 Factory Avenue
Location
•S:pEET hJuoU •BTnEET a.VE
Matti:L:ct 11952
.OTT OR TOW`+ vLLV-E •S PCOGE
2.Buyer Rt vera jean
NKlla •.MThRrsEr-o— FRST-VE
LAST ti,y,�;oryPk maT N E
2.Tax. Indicate where future Tec Bills ars to be ssm
Billing if other than buyer addrose(at bottom of fcrmV LAW 10JALAW—AW arHST h E
Address
eTR=T hJVBEa AW W* CIT,OR TOM. STK'L IP cxvx
4.Indicate the number of Assessmam 1 Part of a Parcel (Only If Part of a Pared)Cheek as they apply:
ROTI parcels transferred on the dead a of Parcels OR
4A.Planning Beare with Subdivision Authority firrats
L Deed X OR 45 40.subdivision Approval was Required for Transfer
Proper •1 RON'FFPT -DEPT.- •M9NE6
Sin 4C.Partial Approved for Subdivexe oath Map Provided
RIVERA 11r.AN, AS SUCCESSOR =XECOT
s.Sellar •LKIMatt.cup.hr FRAT.—F.
Nemo
LRA:WIECO P&W rsts-NWr
7.Select the descripflon which most accurately describes the Check the boxes below n they appy:
use fi
of the property at the ns of sale: a.Ownership Type is Condomimum
A.One Family Residential e.New Coretn,alonanaVacant Land
10A.Property Located within an Agricultural District
10B.Buyer received a disclosure notice Indicating that the property is in an
Agricultural District
SALE INFORMATION 15.Check one or more of these conditions as applicable to transfer:
A.Sale Between Relatives or Former Relatives
11.8alecorlboo Dam S.Sae between Related Companies or Panners in Business
C.One of the Buyers Is also a Sailer
10/30/2019 D.Buyer or Sailer is Government Agency or Lending Institution
•12.Data of selarrmnsfer E.Dead Type not Warranty or Bargain and Sob(Spedly Below)
F.Sde of Frec9ond m Less than Fee Interest(Specify Below)
112.Full Sam Price C .00 G.Significant Change in Property Between Taxable Status and Sam Dubs
N Sala or Business is Included in Sale Price
(Full Side Price is the total amount ped for the property including Personal property. I Other Unusual FactorsAFecting Sale Price(Specify Below)
This paymentmay be in the farm or cash,other Prop"or goods,or the sssumption of J None
mortgages or other obligations 1 Presse round to tie rreamsf wWb doflar amount.
Commamts)on Condition:
14.Indicate the value of personal O •Ip
property Included in the sate
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
15.Year ofAsaesament Rail from which information token(YY) 1 9 17.Total Assessed Value Jct !
'10,Property Class 210 _ •12.School District Name Ma:Lj Wck-Cut.Chcgue
•20.Tex Nap IdentamrtspRoll Idemifbhs)Of mon Nan four.&each shad with additional Idemlfilms))
_lm- 141-pl.ap-oc6.10
CERTIFICATION
I Cortlfy that all of the acme of Information ardsrod on this farm aro we and correct(m the best of my knowledge and b*IM and I understand tiet the making of any willful
blse stammwa of etabriat fact Immin subject on to tlua ereddoes of Ne ospN jsw relative to the making and filing of febe Instruments.
SELLER SIGNATUJM BUYER CONTACT INFORMATION
Ikmv Faamahon N Uw buyer Note If bqw m LLG wavy,asarlCa:On,M(POW .IWA seri ao•rio".eaters Of
A snuy Uel 11 not an Madura agent ar tlawary,urn a ram art contact urarmsson of x.T Ira nd,®orrsda
�O fTJ� l party who wn ans—RI•nlau:agerdap eia:•ardbr W&61 bo Moved TW*WprintcwulyJ
r SiNiIRIE W. I
MI
R 1 V'r:RA JEAN
@lIYER.SIGIIIAIUBE
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!"FR S GI*TURE WE
'6:5 Aldrich Lase
.e"Ni 1 1 huV— •4TREV NMIE
Ma L:cuck 11952
•PTT OR-GWN •A:-TE 2PDXX
BUYER'S ATTORNEY
McKerin a E r_i
LARTK F riRSi haat
631 73-0-804
IWV WX TELEPHONE`LRMA:Er 99DK l
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