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L 13041 P 686
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 12/26/2019 Number of Pages: 4 At: 7 :07 : 49 PM Receipt Number: 19-0241050 *ELECTRONICALLY RECORDED* Transfer Tax Number: 19-15676 LIBER: D00013041 PAGE: 686 District: Section: Block: Lot: 1000 106.00 08 .00 020 .002 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 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 $250 . 00 NO TP-584 $5. 00 NO Comm.Pres $0 . 00 NO Transfer Tax $0 . 00 NO Fees Paid $520 . 00 Transfer Tax Number: 19-15676 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County RECORDED Number of pages 4 12/26/2019 7:07:52 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013041 Social Security Numbers P 686 prior to recording. 19-15676 Deed 1 Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording 1 Filing Stamps 31 FEES Page 1 Filing Fee 20.00 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 50.00 Spec./Add. EA-5217(State) 250.00 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. 00 470.00 family dwelling only. Sub Total YES or NO Other 520.00 Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund 7 quo532 1000-106.00-08.00-020.002 0.0 0 Real Property Consideration Amount � Tax Service P r s Agency €t DTr n CPF Tax Due $ 0.00 g Y Verification z!� Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land X Abstracts Incorporated TD 10 100 Garden City Plaza Ste_ 201 Garden City NY 11530 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Comwny 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 DEED 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 r9fpoc BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS }� (INDIVIDUAL OR CORPORATION) FORM 8007 CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. a• THIS INDENTURE,made the V day of November,2019, etween Jacquelyn Garry,residing at 1285 Breakwater Road,Mattituck,NY 11952, party of the first part,and Jacquelyn D.Garry,residing at 1285 Breakwater Road,Mattituck,NY 11952,as Trustee of the Jacquelyn D. Garry Revocable Trust,dated November 21,2019, 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 See Schedule A attached BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated July 6,1995 and recorded in the Office of the Suffolk County Clerk on July 17,1995 in Liber 11733 Page 485. SAID premises known as and by 1355 Breakwater Road,Mattituck,NY 11952. 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"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party ofthe first part has duly executed this deed the day and year first above written. IN PRESENCE OF: Jacquelyn Garry NYSBA's Residential Real Estate Fonns(9100) O 2002 Matthew Bender&Co.,a member of the LexisNexis Group. Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK ) COUN'T'Y OF SUFFOLK )ss.: On the 21 S` day ofNovernber in the year 2019,before me,the undersigned,personally appeared Jacquelyn Garry,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity,and that by her signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument. Notary Public CHRISTINE R.SHIESLER Notary Public,State of New York No.02SH5028413 Qualified in Suffolk County Cornmission Expires May 31,?sL2 Bargain and Sale Deed DISTRICT 1000 With Covenant Against Grantor's Acts SECTION 106.00 TITLE NO, 77 BLOCK 08.00 �A Ili C,20 l t� <o LOT 020.002 COUNTY OR TOWN Suffolk County STREET ADDRESS 1355 Breakwater Road Mattituck,NY 11952 Jacquelyn Garry TO Jacquelyn D.Garry,as Trustee of the Jacquelyn D. Garry Revocable Trust,dated 11/21/2019 Return by Mail to: Grabie&Grabie,LLP 162 Terry Road Smithtown,NY 11787 NYSBA's Residential Real Estate Fonns(9/00) Q 2002 Matthew Bender&Co.,a member of the LexisNexis Group. -2- Premises: 1355 Breakwater Road, Mattituck, NY 11952 SCHEDULE A ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate, lyingandbeing at Mattituck, Town of Southold, County of Suffolk and i State of New York, more particularly beunded and described am followrat BEGINNING at a point on the westerly side of Luthers Raad, also known as Breakwater Road, which point or place of beginning liea the following six courses and diatancoa from the southerly and of the arc of a curve located at the intersection of the westerly aid* of Luthers Road, also known as Breakwater Road, and Stanley Road: 1 . South 19 degrees 48 minutea Wert 166.37 feet to a monument; 2 . South 22 degrees 14 minutes 20 seconds West 326.86 feet; 3. South 28 degrees 55 minutes West 232.76 feet to the Point or place f of beginning; 4. South 28 degtoea 55 minutes West 96.24 feet; 5. South 22 degrees 45 minutos West, 46.40 feet : 6. South 17 degrees 50 minutes West 377.34 feet to a monument and from said monument and said point or place of beginning; i RUNNING THENCE along the northerly line of lands now or formerly of Stephen W. Kistela South 87 degrees 39 minutes 20 seconds West, through A monument to a monument, 224.29 feet along lands now or formerly of Stanley and Helen Sledjeski ; RUNNING THENCE along said land now or formerly of Sledjeaki , North 11 degrees 11 minutes Weat 153. 38 feet; RUNNING THENCE along other lands now or formerly of Dria and the southerly side of Lot i3 on a certain minor subdivision plan dated December 22, 1982, North 87 degrees 39 minutes 20 seconds East 303,55 feet to the westerly aide of Luthers Road , also known as Breakwater Road; RUNNING THENCE along the westerly sidv of Luthers Road , also known as Breakwater Road, Sout`t 17 degrees 50 minutes West 161 .47 feet to the point or place of BEGINNING. FDR COUNTY USE ONLY Cl- SWIS Cade 14 F 7 F 3 F S F S F 9 1 'F-IMS).www.orps.state,ny_us New York State Department of C2_ nate need Recorded 112 / 26 20191 Taxation and Finance c3_ Soak 111 Mouth nay year Office of ileal Property Tax Services 310 1 41 11 c4_ Page I 1 16 1 SIC) I RP- 5217-P©F PROPERTY INFDRlfATIDNI Real Property Transfer Report(Sfi©) property 1•Location 1355 Breakwater Road SERLEr I'E1 MMaR •BEREFT NAASt: Southold Mattttuck 11952 CITY aft ToVN v tLACeE •2)P CODE x.Name Garry._as Ttee of the Jacquelyn D.Garry Rev Trust Jaggluelyn D. LAST NAMr1COMPANY FIRST NAME ... IA.ST NAW,coMPANv OAST mMu 3'"rax lndica le where fu 13"Tax gills Etre to be sent Billing if other than buyer addrewat bollom of form) I %T i•!.\ ,CC AHV FIRST NAM Address STRt.eT NV.18C.IINo N.M.E CITY OR TO STATF OR COPE 4.Indicate the number of Assessment 1 9 of Parcels CiF2 part of a parte; (Only if Part of a Parcel)Check as they apply: Rolf parcels transferred on the deed AA.Planning Scard with Subdivision Authority Exists S.need X OR "".""""_______________ 4B,Sub divis&OA Approval was Regt4red for Transfer Property 'FRONT FEET •oc"IFI 'ACn" Size 4C.Parcel Apprpved dor Svhdivlsivn with Map Arovidcd Setter Garry, Jacquelyn •LAST NAMUCOWAW ...... FQ&T NAME Tidale iAS i teAML:lCaR�'Ari'Y..........••••••••••••••••••••••••••••••• nR5T NAME '7.Select the description whlc€v most accurately describes the Check the boxes below as they apply: use of thea property at the time of sale: 8.ownership Type is Condominium C. Residential Vacant Land S.New constnralion onaVacant€_and -- ICA,Property Located within an Agricultural Curio[ 706.Buyer received a d;sdosum notice indicaling that the property is in an AgricutwmI it sWct SALE INFORMATION 15.Check one or more of these conditions as applicable to transfer: © A,Sale Between Relatives or Former Relatives 11.Sale Contract Date � Qt B.Sale bntwoen Related Companies or Partners In Business C.oree of The Boyers is also a Sellar ..�112112019 T7.Buyer or Seller is Government Agency or Lendimj tnslitution "72.Delta of SdfsfT'ransfer E.Peed Type not Warranty or Bargain and Sale(Specify Below) F.Stele of Fractlonal or Less than Fern€nlemsi(Specify Below) '13.Full Sale Price G.Significant Change In Property Between Taxable Slaws and Sale Pates Ft.Sale of aminess is rnciuded in Sale Price (Full Sale ASce Is The total amount paid for the prop"Ind L ding personale property. � 1. Other Unusual patters Affecting Safe Price(Specify Below] This payment may ho in the form of cash,other property or goods,or the as&uImptinn of L © None or other obl€galions')Pfpase round to the nearest whola"tar amnont, Carmnent(s=on Cotrdition: 74.Ind{cate the value of personal Property included in the safe •00 no consideration - transfer into trust ASSESSMENT INFORMATION-Data should lefk3Ct the latest F€not Assessment Rot]and Tax Sii{ 16.Year of Assessment Rall from which information taken(YY} 17Total Assessed Value 1,200 '1 S.Proparty Crass 311 _ •g 3.School District Name Mattituck School '2ff.Tax Map€demif'L4%)1R.olt Idemifier(s)(If mare than four,attach sheet with additional Tdentif€er(s)) 1000-106.00-08.00-020.002 N-R-Pil=KATION I Cart lfy that all of the items of Information entered on this farm are true and correct(to the best of my knowtedga and belief)and I understand that the mak€ng of any wriR full false statement of material fact herein subject me to the €.Lqv 43LS9SShe ocna L.Lrelative to the making and fling of false instruments. ZELIRE_5197NMU k.U.YEJ8_C_Q.N_TAC MEQF3MATL0N (Color Inrnrmalfon For e11n buyer.Now;F buyer is LLC.—dety,essacfolion,carporadpn,point SIM;;company,estate Ur antfty Fh1 l is rite an indmdum ager[ar Rduclary,teen a name and Conn t&erprni goon of an CldMduat?r oO=nbic party who Cal answer gUeSIloer5 regarding tkre t+ar fer must be enf*Mg.Type ar emelt ClHdrryJ "LFR SFOtSAtririE OAT[ � BUYER SIGNATURE Garry, as Trustee Jacquelyn D. •I.A5T NAVE FIRST Nnf s� �j� - t•[ y� 6ii 298-4627 'ARCA COOL �ELEP!tCi_NIJMB£RtFa a6Er V) au VVIR SIGNATURE PATf: 1285 Breakwater Road ''5ySt Et NuiwIER 'STREET NAME M_attituck NY 11952 OR IL]WH 'UTATE •21P CODE BlGyEW ^aE^orX 3 3 F 3 i Grabie Jeanette [ 1 LAST NAk� rMST NAME f r (63 1) 360-5600 I RRFA COPE N:IAP' Cmv NuMMR IFS[!es 9B 9e t d 1 I IE L I t11