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L 13041 P 552
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 12/24/2019 Number of Pages: 4 At: 7 :35 : 14 PM Receipt Number: 19-0240484 *ELECTRONICALLY RECORDED* Transfer Tax Number: 19-15564 LIBER: D00013041 PAGE: 552 District: Section: Block: Lot: 1000 106.00 08 .00 048 .000 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 $125. 00 NO TP-584 $5. 00 NO Comm.Pres $0 . 00 NO Transfer Tax $0 . 00 NO Fees Paid $395. 00 Transfer Tax Number: 19-15564 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 12/24/2019 7:35:16 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013041 Social Security Numbers P 552 prior to recording. 19-15564 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) 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 395.00 Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund 9o4gr49 1000-106.00-08.00-048.000 0.0 0 Real Property Consideration Amount $ Tax Service P r s Agency €t DTr n CPF Tax Due $ 0.00 g Y Verification 72179f2p75 Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land 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 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. '!t THIS INDENTURE,made the Zi day of November,2019, between Jacquelyn D.Garry,residing at 1285 Breakwater Road,Mattituck,NY 11952,individually and as surviving tenant by the entirety with John F.Garry, 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 June 2,1986 and recorded in the Office of the Suffolk County Clerk on June 19, 1986 in Liber 10061 Page 583. SAID premises known as and by 1285 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 of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF. Jacquelyn D.Garry NYSBA's Residential Real Estate Fonns(9/00) 0 2002 Matthew Bender&Co.,a memberof the LexisNexis Group. Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK ) COUNTY OF SUFFOLK )ss.: On the Zi sr clay ofNoveniber in the year 2019,before me,the undersigned,personally appeared Jacquelyn D.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.SHIEBLER Notary Public,State of New York No.02SH5028413 Qualified in Suffolk Cou Commission Expires may 31,12 Bargain and Sale Deed DISTRICT 1000 With Covenant Against Grantor's Acts SECTION 106.00 TITLE NO. ^ C ��I^`r� r BLOCK 08.00 V +� / J LOT 048.000 COUNTY OR TOWN Suffolk County STREET ADDRESS 1285 Breakwater Road Mattituck,NY 11952 Jacquelyn D.Garry TO Jacquelyn D.Garry,as Trustee of the Jacquelyn D. Garry Revocable Trust,dated 11/2112019 Return by Mail to: Grabie&Grabie,LLP 162 Terry Road Smithtown,NY 11787 NYSBA's Residential Real Estate Forms(9/00) O 2002 Matthew Bender&Co.,a member of the LexisNexis Group. -2- Premises: 9285 Breakwater Road, Mattituck, NY 11952 SCHEDULE A ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate, lying and being at. Mat t:ituck"' Town of-SouthQld, County of Suffolk aitd •Strafe of New York, bounded and described as follows: BEGINNING at a point on the westerly side of Breakwater 'Road at the northeast corner of land now or formerly of Sledzieski the following threr (3) courses and distances: 1. Worth 71 degrees 33 minutes West, 17.05 feet; 1. Horth 17 degrees 42 minutes 00 seconds West, 226.55 feet; 3. Horth 11 degrees: It minutes 00 sc-conds West, 121.25 feet) THENCE along the southerly side of land now or formerly of Charles S. Xlr,inschaidt North 87 degree: 39 minutes 20 seconds East, 224.29 feet to Lhe v*ssteriy side of Breakwater Road; Fh9MCS along the westerly side of Breakwater Hoad the following two (2) courses acrd distances: 1. South 17 degrez!s 50 minutes 00 seconds West, 88.65 feet= 2. South 18 degrees 27 minutes 00 seconds west, 279.29 feet to the point or place of BEGINNING. FDR COUNTY USE ONLY INS}:+xww_vrl3S.siEa[E3.ny.us CI• Swis Cade 14 . 7 . 3 . 8 . 8 . 9 1 New York State Department tat` C2• nate need Recorded 1 12 / 24 20191 Taxation and Finance Moath nay rear Office of Flea[Property Tax Services C3- Book 11,3,0 ,4, 1 1 C4• Page 1 ,5 , 5, 2 1 RP- 5217-PDF PROPERTY INFDRlfATIDNI Real Property Transfer Report{8140] t. LocProperty 1285 Breakwater Rodd acian •STREET Ti[3biet[R •SrREET HFrrAE Southold M_a_ttituck 11952 CITY OR TpWN ••••••••••••••••••••••••. ••••••VuLAor •�1P�LeT: 2.Buyer Nameaarr "Glee of the-Jacquelyn f3. Garry_f2e�Trust Jacg1jel n D. •4VSY rsaA0.etgMf'ANY FIRST laR lY: EAST NA�A FrRST F is 3.Tax Indicate where future,Tax Hills are to be sent Billing if other than buyer addrass(at bottom of form Address ) s..asr xAF.rs.�orANY :"ensr rsAF.w_ STREET MUMMER AND N VE 01FY OR TOWN C062 4.Indicate the number of Assessrnant -1 OR fart of a Parcel lonlp if Part of a Pamet)Check as they apply: Roll parcels transferred an the deed t€of€�arceis 4A.Plarinin Beard with St+bciivision Authanty Exmsts 5.Dead X OR 1.01 49.Su@dlAsion Property •i'"ONr Et;6.�r •DEPT14 •AQ-t.S Af7pravnt pups Requiruad far Transfer Seize 4C.Pa rine]Approved for Subdivision wish Map Proyfded Garry, Jacquelyn D. B.Seiler 'LA5T NAui0GV-F'ANY FIRS RAMC Harm LAST NA/heODmPAW FlR5T MAW, '7.Select the desertption which most accurately describes the Check the boxes below as they apply- use of the property at the tame of Sate: S.ownersNp Type is Cortdornin€urn Q A. One Family Residential 9.New Cartstnacfion on a Vacant Land ED 4OA,Property Located within an Agriculturtaf District 0 SUS.Buyer received a disclosure rmfice indicattrig that the property is in an Agricullu"District 0 SALE INFORMATION 15.Chock one or more of these conditions as applicable to transfer. © A.Sale Between Relat ves or Former Relatives 14,Sale Contract Date c" g.Sa€e between Related Companies or Partners in Business. G.One of the 6tyers IS also a Seiler 0.auysr or Sailer is apirernment Agency or Lending 72.©ate of 3a€ef3'ransfrrr 11/21/2019 insU€inion © E,O"d Type not Warranty or Bargain and Sale(Specify Below) © F,sate of Fraelional ar Less than f=ee interest(Specify Setow) '1 A.rut]Sale Pricey .QQ © G.Significant Change in Property Set-een TaxRble Slaver prof Saki Dates [ ecs Full Safer Price is the total amount paid for Site Property includingpersona€Property. © fi.Safe e r n s sass IS Included tlr Safe a Price ! I, other Llriusua!Fsclars Affecting Sate f'nce[Spicily below} This Payment maybe in the form of cash,other property or goods.or tiro assumption of J.Norte mortgages or other obligations.]Please round to the nearest whota db1for arre nt. Comment(&)on Condition: id.indicatethe value:of personal property included In the sale 0 .00 no consideration - transfer into trust prdV ASSES9€v5MT€€VFORMATION-Data should refl%?C(the latest HnW Assessment Roll and Tax 8i€I 18.Year of Assessment Fief I from which information takenM) 19 "17.Total Assessed Valua 7,800 '18.Property Class 210 _ '19.School 172strict Fame ]'Matt€tuck School '20.Tax Mag Identif€er(s)iRoll Ident€f€er(s)(€f more than four,attach sheet with add[€conal identifter(s)) 1000-106.00-M00-048-000 CFRTIFICAT10N I Certify that all of the hams of lnformation entered oft t1'r7s form are true and correct(to the best of my knowledge and belief)and€understand that the malting of any wi[€ l false statomorit of materia[fact herein subject me to the�gy_3,•'...IQI'€S.Skt-.#:hv prsnai taw reiativer to the making and fill n8 of false lnstrumenls. St tt .f.. .f nsnTtJf7E i L� CQNTA-GT_IN-FO RNATJ0K It-ricer lritormatGt for the buyer,New tl Buyer€8 LLC,SCecMy,AS=C€hUG",CtlYj1tlr21GL#1,joint SIOk a)Vatiy.*State Or entity Thai is not are individual agent or fidueiaey,then n nam®and candf- iect ir --live vi an dlrrduallrospvnsihie €€j [ pony who can arwwer gves>icros regaeding rhe v Mfr muSE be errtom¢d.Tyro or print oearly.f EELEFSe['wRTtiRE LW'3'E I.Y.ER-SIGNAIURE Garry, as Trustee Jacquelyn D. 'NST NAME geFeST t3AF, (631)Inco 298-46271. re rrro ENunasm(8.> rK?s am &L*ER 00NATUNE 1 DATE 7285 Breakwater Roast ?SYRF�'T TiUM6ER •�TRFf=i'riAMF 1 1 1 t Mattituck NY 11952 �CFTY OR 7DWN pp����yy pp A�L �r--yypp����Eyy 'STATE. •Zir.=Df f i € Grable Jeanette + 3 r CAST NAME FIRST NAMF t i J 1,6371 360-51500 i 1 f l! m ARU C`n:]L TEe.EPFlDe+E Ne3MFIErr[>:x:vaBvaaB3