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Home My WebLink AboutL 13050 P 581 1111111 I I I 111111111111111111111 I I I I 11111111111 I I I I1111 11111111111!1111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 03/04/2020 Number of Pages: 4 At: 01:42 :25 PM Receipt Number : 20-0041100 TRANSFER TAX NUMBER: 19-22789 LIBER: D00011050 PAGE : 581 District: Section: Block: Lot: 1000 031. 00 04 .00 016. 010 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 $400 . 00 TRANSFER TAX NUMBER: 19-22789 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County . LTJ u RECORDED Number of pages 2020 Mar Oto 01:42:25 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNT,° L D00013050 record. Please remove all P 581 Social Security Numbers DT# 19-22789 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee 20 Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation 9 Spec./Assit. or EA-52 17(County) S Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. Dual Town Dual County Held forAppointment Comm.of Ed. 5. 00 Transfer Tax _ ffidavit + • Mansion Tax The property covered by this mortgage is ( , qifiedCopy V - or will be improved by a one or two NYS Surcharge family dwelling only. Sub Total YES orNO Other Grand Total I-A00 If NO, see appropriate tax clause on CC page# of this instrument. 20004559 1000 03100 0400 016010 J ` 4 Dist.100( I 5 Community Preservation Fund S Il�lllllllll��ll®��I�I� Real Property R SMI A Consideration Amount$ Tax Service 11fEE1 Agency F Tax Due $ Verification _ Improved_ Satisfactions/Discharges Releases List Property Owners Mailing Address 6 R CORD&RETURN TO: Vacant Land Jennifer B Gould, Esq. TD1� PO Box 988 Southold, NY 11971 To TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Fidelity National Title Ins Services www.suffolkcountyny.gov/clerk Titlep rQUIQf!S 1190 g Suffolk County Recording & Endorserfient Page This page forms part of the attached deed made by: (SPECIFY TYPE OF INSTRUMENT) Shirley Sieverman, surviving spouse of The premises herein is situated in Bruce F.Sieverman,deceased 12.12.2018 SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Shirley Sieverman,Trustee of the Shirley In the VILLAGE Sieverman Trust Agreement or HAMLET of East Marion BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 70—ver Bargain and Sale Deed with Covenants Against Grantor's Acts-Individual or Corporation CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUNIEN I'SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 27t' day of January 2020, BETWEEN SHIRLEY SIEVERMAN, surviving spouse of BRUCE F. SIEVERMAN, deceased 12/12/2018, late of Suffolk County, New York, residing at 655 Kayleighs Court, East Marion, NY 11939 party of the first part, SHIRLEY SIEVERMAN, as Trustee of the Shirley Sieverman Trust Agreement dated January 27, 2020, residing at 655 Kayleighs Court, East Marion, NY 11939 party of the second part, WITNESSETH, that the party of the first part, in consideration of ten dollars ($7.0.00) and other valuable consideration 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, SEE SCHEDULE 'A'ANNEXED HERETO Being and intended to be the same premises as described in the deed made by Marion Woods Associates recorded 09-25-1997 in fiber 11853 page 794. 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: SHI LEY SIEVERMAN jSWIVrn 6r aufe 0 �ry( I F. Si eve rwi C4#1 c� w Idl t �� JLdl 8' SCHEDULE A All that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at East Marion, in the Town of Southold, County of Suffolk and State of New York known and designated as Lot No. 4 on a certain map entitled, "Map of Highpoint Woods" and filed in the Office of the clerk of the County of Suffolk on 7/23/97 as Map No. 10035; said lot being bounded and described as follows: BEGINNING at a stake on the westerly side of Kayleigh's Court distant northerly 639.01 feet from the corner formed by the intersection of the northerly side of Main Road (N.Y.S. Rte. 25) and the westerly side of Kayleigh's Court; RUNNIGN THENCE South 78 degrees 09 minutes 40 seconds West, 294.37 feet to a stake; THENCE North 10 degrees 38 minutes 20 seconds West, 149.03 to a stake; THENCE North 78 degrees 09 minutes 40 seconds East 291.25 feet to a state set on the westerly side of Kayleigh's Court; THENCE South 11 degrees 50 minutes 20 seconds East along said westerly side of Kayleigh's Court and the point or place of BEGINNING. STATE OF NEW YORK: COUNTY OF SUFFOLK) ss: On the -11*�Iday of kJ— r1UA r 2020, before me, the undersigned, personally appeared Shirley Sieverman, personally known to a 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 executed the same in his/her capacity and that by his/her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. r Nota Public TQC�,t.FQIZ g . G uIj JENNIFER B.GOULD Notary Public, State of New York /)o G DG 05,0) No.02GO5024640-Suffolk County Commission Expires Larch 14,202,;L, • INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLYv Now Yolk State Depattinent of C1.SMAS Code ,R Taxation and Finance C2.Date bead Recorded• I S�al o Office of Real Property Tax Services I V- a• Lq RP-5217-PDF C3.Book 1 1 I�•Page 5, Real Property Transfer Report(8110) PROPERTY INFORMATION 1.Property 6 5 Kay'eighs CourL L«etlOn •STRFFT hJVbLV •51 PF.FT MYL Sot:!Jnoid Easy. Marian -LI I T Gi YNm VLLF4S 'A-=,A: 2.Buyer Sjeve:r an, As ':_uf3:-ee S., ey -- Noma -- F asi nuC . ShiL_cy S-evorrtsr. '"rust. J Jed JbR.r%ry J 11 d)ua0 ,art-NAVW=YP.MY F FRET hAVL - 3.Tax Indicate where future Tax Bills are to be sent Billing II other then buyer addressim bottom of form) Lft'' FCCw+.yp _ .._ Farrar IN": Address g'4L'.:MInRF.I Mb WYI LM1eN'fTN. "- bTA-E aV'Xwf 4.Indicate the number of Assesammit - Pmt d o Parcel (Only A Part of a Parcall Cheek as they appy: Roll=la la transferred on th deed_..6 d Parcels OR 4A.Planning Board with Subdivision Authomy Exists IJ 6.Dead \ _OR 1.O O_ 41L Subdivision Approval was Required far Transfer Property -am,i[' ocpi. SaEs sat 4C.Parcel Approved for Subdivision with Map Proirided L Siever.%Rn hir.ley )rtl1 I v Of &Vee I.SI NP/AWN 6.Sollw '-ie-Nwe..-si •r as ,N.Y.: - Name • I ASI NAWJCMPMY 'i151•.A'F •7.Select thedowIption which most accuratey,describes the Cheek the hoses below as dray apply: r use of tho property m the time of sent: L Ownership Type 1s Car-minium I, A.r)r,f=amily It.-Mdentnal 9.Now Construction on a Vacom Land -- 10A.Property Located wipvn an Agficutund District G 108.Buyer reined a disclosure notice indicating that the property is in an Agriculture!District ' SALE INFORMATION 16.Check one or more of thew conditions to applicable to tmnsfer. A.Sale Between Relatives or Forcer Relatives 11.Sale Contract Date S.Sala between Related Campania or Partners in Business. C.One dee Buyers is also a Seller �1 rf D.Buyer or Sell&is Government Agency or Lending msdttdion 12 Date of Salelfmmsfer �.',7i /'12 D Z,� E Dant Type not Warranty or Bargain end Sade i5peoly Below) I F.Sale of FractiorW or lass than Fee Interest(Spoay Below) •13.Full sale Price (% G.significant Charge m Property Between Tawble Status and Sale Duty H.Sale of Business Is Included in Sale Price 1 Fhd Sale Price is the toll amours pad for the property including personal property. I.Other Unusual Factors Affamrq Sale Price tSpec y Below) This payment may be in the farm d cash.other property or goods,or the assumpllon of l None mortgages mr other obtgelene.)P✓Miso round to the nearest whole dollar amount Canmesys)on Condition: 14 Indicate the value of personal 0.00 Property Included In Vie sole trarlscur :o ::rust ASSESSMENT INFORMAT N-Data should retied the latest Final Assessment Roll and Tax Bill 16.Year d Asswurom Roll from whish Information token(YY) 18 117.'Total AwwoW Value 1 C r 8 C O '18.Property Clews 210 _ 19.School District Name O m ie n. '20.Tax Map Ideetfier(syRdl IderdNiMe)pf more than four,etmch shoat whh additional MonUftle)) -- t r.nr._o,1.aa-n•t.nr,-D1r�.o�� CERTIFICATION I Cariiy that all of the bars of Information entered on this form are true and correct Ito the best of my knowledge and balk#)end I understand that the making of any willful (also statement of material fact horsin asb)ed me to tw provlsk)N."D penal law.relatve to the making and filing of hilae Intro rome. ,5kLLER-$)6NATURE BUYER CONTACT INFORMATIIDN (Einer raxRabon fs'e'e buybr•NOW It buyer is LLC,eooery,9-61111in.mreerW-1.put Yuri.erwP„Y•05M 01 order dus a not an aidvdul again or bduc wy.r1w1 a remit a-a cosect erarmebun M an reewdinwro motile earty who ran emwrd regwdelp eve varaw mea bb wqm ed.Type or prim weartyl SF-.LE OAT. E;'_evorrt2r. Sh c r.I ey RUYERSIGNAil1f3E I d./►--31-?AZO n ... - •aNL•Lvr_ • F>t�crs Y5vuLa In de-+�a•i 655 Kayleigt_u Cart: -9-4Err .q •51.L0 WYE 1 ' East. Marion NY 11934 Yrr dri l4YN •eT.-C •:11Sbuh tfSlT 3 ATTORNgI ' :cued Jcnn:.'er 3 1 _ IAS• •re5-N.vr - - 1 � (L'✓t) 765-UX/ IPe.rmp, . TI FP•GN-e MlYSEN dJ�Rr.aRi 1 r