HomeMy WebLinkAboutL 13063 P 138 11111111111111111111111111111lI!ffffl lllfl llfl111111111
111111 IIIII 111111111 f111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 07/06/2020
Number of Pages : 4 At: 10 : 17 :26 AM
Receipt Number : 20-0097375
TRANSFER TAX NUMBER: 19-32919 LIBER: D00013063
PAGE : 138
District: Section: Block: Lot:
1000 078 . 00 02 . 00 014 . 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
EA-CTY $5 . 00 NO EA-STATE $125 . 00 NO
TP-584 $5 . 00 NO Notation $0 . 00 NO
Cert.Copies $0 . 00 NO RPT $200 . 00 NO
Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO
Fees Paid $395 . 00
TRANSFER TAX NUMBER: 19-32919
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
L
" MF21
Number of pages RECORDED
2020 .Jul 06 10:17:26 AN
JUDITH A. PF45CALE
CLERK, OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013063
Social Security Numbers P 138
prior to recording. DT# 19-32919
Deed/Mortgage Instrument Deed!Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee
IX Mortgage Amt.
1. Basic Tax _
Handling 20. 00 2. Additional Tax
TP-584 Sub Total _
Notation Spec./Assit.
�a
EA-52 17(County) Sub Total or
Spec./Add. _
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A.
Dual Town Dual County_
v I Vyyyyy
� � Held for Appointment
Comm.of Ed. 5. 00 � Transfer Tax
Affidavit
-Da* d Mansion Tax
Q`�� The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 3Y family dwelling only.
Sub Total I co YES or NO
Other
Grand Total If NO,see appropriate tax clause on
page# of this instrument.
4 Dist. 200231553 1000 07800 0200 014000 5 Community Preservation find
Real Property PTS 1111111111101111
RCYIIH A Co sideration Amount$
Tax Service 30-JUN-
Agency 6P-jdaxDue $
Verification —_ - ---- - -- Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Davidow Davidow Siegel & Stern, LLP TD 1�
Attn: Lawrence E. Davidow, Esq.
1050 Old Nichols Road, Suite 100 TD
Islandia, New York 11749
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Comany Information
310 Center Drive, Riverhead, NY 11901 o Name
www.suffolkcountyny.gov/clerk Title#
g Suffolk County Recordin & Endorsement Page
This page forms part of the attached deed made by:
(SPECIFY TYPE OF INSTRUMENT)
Robert K. Simon, The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Robert K. Simon and Janet Lowry, as co- In the VILLAGE
trustees of the Robert K. Simon Revocable
Trust dated aanua" 23, 2020 or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
1:-00ciorookk (over)
Warranty Deed
' •With-full'aoYenantq - Ind'. or Corp. single sheet
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 23 day of 7ur4�Y ,two thousand and twenty(2020)
BETWEEN
ROBERT K.SIMON,residing at 379 Wood Lane,Peconic,New York 11958,
party of the first part,and
ROBERT K.SIMON and JANET LOWRY,residing at 379 Wood Lane,Peconic,New York 11958,
or his successor(s)in trust,as Co-Trustees of the Robert K.Simon Revocable Trust dated January
23,2020
party of the second part,
WITNESSETH,that the party of the first part,in consideration of Ten Dollars 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 parry of the second part forever.
ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying
DIST: 1000 and being
SEC: 078.00
BLK: 02.00
LOT: 014.000 SEE SCHEDULE"A"ATTACHED HERETO AND MADE A PART THEREOF
SAID PREMISES known as 3715 Main Bayview Road,Southold,New York 11971
BEING AND INTENDED TO BE the same premises conveyed to the parry of the first part by deed dated the 2vd
day of July,2002 and recorded in the Suffolk County Clerk's Office on July 17,2002,in Liber D00012197,at Page
722.
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 fust 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,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.
AND the party of the first part covenants as follows:that said party of the first part is seized of the said premises in
fee simple,and has good right to convey the same;that the party of the second part shall quietly enjoy the said
premises;that the said premises are free from encumbrances,except as aforesaid;that the parry of the first part will
execute or procure any further necessary assurance of the title to said premises;and the said party of the first part
will forever warrant the title to said premises. 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:
ROBERT K.SIMON
STATE OF NEW YORK,COUNTY OF SUFFOLK ss: STATE OF NEW YORK,COUNTY OF ss:
On the Z>day cfJjr_—Com.- Q ,in the year 2020,before me, On the day of in the year 2019,before me,
the undersigned,a Notary Public in and for said State,personally the undersigned,a Notary Public in and for said State,personally
appeared ROBERT K. SIMON, personally known to me or appeared ,personally known to me or'
proved to me on the basis of satisfactory evidence to be the proved to me on the basis of satisfactory evidence to be the
individual whose name is subscribed to the within instrument and. individual whose name is subscribed to the within instrument and-
acknowledged to me that he executed the same in his capacity,and acknowledged to me that he executed the same in his capacity,and
that by his signature on the instrument, the individual, or the that by his signature on the instrument, the individual, or the
person(s)upon behalf of which the individual acted,executed the person upon behalf of which the individual acted,executed the
instrument. instrument.
`` t�tttinrrtri�,.
0 AR - --1 NOTARY PUBLIC
� STATE
OF NEW YORK
NOTRRBLIC
�1 q,e�eaFNass�+�7 t
� oz�cnszeazsa �n,
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Warranty Deed
With covenants
DISTRICT 1000
Title No. SECTION 078.00
ROBERT K.SIMON BLOCK 02.00
TO LOT 014.000
COUNTY OF SUFFOLK
ROBERT K.SIMON,or his successor(s)-in-trust,as
Trustee of the Robert K.Simon Revocable Trust
dated January 23,2020
RETURN BY MAIL TO:
Lawrence E.Davidow,Esq.
Davidow Davidow Siegel&Stem LLP
1050 Old Nichols Road,Suite 100
Islandia,NY 11749
(AH)
Reserve this apace for use of Recording Office.
1
SCHEDULE "A"
District: 1000 Section: 078.00 Block: 02.00 Lot: 014.000
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon
erected, situate, lying and being near the Village of Southold, in the Town of Southold, County of
Suffolk and State of New York, bounded and described as follows:
BEGINNING at a point on the northerly side of Main Bayview Road, distant 623.14 feet westerly
from the corner formed by the intersection of the westerly side of Bayberry Road with the
northerly side of Main Bayview Road;
RUNNING THENCE along the northerly side of Main Bayview Road,North 50 degrees 06
minutes 40 seconds West 126.67 feet;
THENCE North 18 degrees 31 minutes 00 seconds East 372.01 feet;
THENCE South 62 degrees 45 minutes 50 seconds East 89.22 feet;
THENCE South 14 degrees 18 minutes 30 seconds West 405.74 feet along land now or formerly
of foster to the northerly side of Main Bayview Road and the point or place of BEGINNING.
PREMISES known as 3715 Main Bayview Road, Southold,New York l l 971.
INSTRUCTIONS(RP-5217-PDF7INS):vwrlw.orps.slate.ny.us
FOR COUNTY USE ONLY New York State Department of
C1.SVWS Cods I 'y� I Taxation and Finance
C2.Dete'Deed Recorded lice of Real Property Tax SwAce5
MNr, u" Tom• RP-5217-PDF
C3.Book �����I C4.Page Real Property Transfer Report(8110)
PROPERTY INFORMATION
11-Property 3715 Main Bayview Road
Location --
'STPE-ATNUMacP •57PFF-1AME
Southold 11971
CITY OF mim ----'—'—'- a.uuL •ZIP COME
2.Buyer Robert K. Simon, Trustee Robert K. Simon Rev Trus
Name
'LAS!MYL•'M•PA4r FIPRT NnLa:
Janet Lowry, Trustee Reobert: K. Simon Rev Trus
I"I SAYI,CONPAN• --PiST%;- ------
3.Tax Indicate whore f dem Tax Bills aro to be sent
Billing y other than buyer addless(al bottom of form) -Ac;Nn4E:JpMPaNy rylST NAME
Address
Slow tiUutICPAwmam Clly OR'twM1 STAT[ .PcocC
4.Indicate the number of Ase mi 10 Pan of s Percel (Only a Part at a Parcel(Check a they apply:
Roll Parcels transitional on the deed a d PanLCb (M 4A.Planning Board with Subdivision Authority Exists 0
5.Deed \ OR 0.75 4B.Subdiv"n
Property 'rnQtiT.-FT •n1FPTN •Al;RU Approval was Regaled for Transfer 0
Sipa 4C.Panel Approved for Subdivision with Map Provided 0
Simon Robert K.
B.Sailor •L48T NAMECCNPANT 1 IP51%AML
Name
LAsl NAeuco-r— «S•NAMF
•7.Select the description which most accurately describes the Check the bora below an they apply:
use of the property at the time of ale: L Ownership Type is Condominium 0
A.rine I anli1v 11C>IdPntlal S.Now Consimcdon an B Vacant Land 0
10A.Property Located within an Agricultural District 0
108.Buyer received a disclosure notom irldieallg that fill property Is in an 0
Agricultural District
SALE INFORMATION 1 S.Check one or move of thea coWidom an applicable to transfer.
0 A.Sob Beeveen Rebbves Or Fompr Relatives
11.SW Contract Dab 0 B.Sale between Related Companies or Partners In Business.
0 C.One of the Buyers a also a Sailer
•
12 000 of eatefrrenefsr 01/23 '/2020 0 D.Buyer or Seller is Government Agency or Landing Institution
0 E.Dela Type not warranty or Bargain and Sob(Specify Below)
0 F.Sale of Fractional or Lase Own Fee Interest(Specify Below)
'13.FWI Sala Price 0.0(1 0 G.Significant Change in Property Between Taxable Sleb1s and Sale Dole$
0 N Salo of Business Is Included In Sale Prim
1 FuTI Sale Prim is es total amount paid lor the pmpeny including personal properly. 0 I.Other Unusual Factor$Affecting Sole Price(Specify Below)
This payment may be in the forth of Cash,other property or goats.or We assumption of 1 J.None
mortgages or other obligations.)Planes round to The neamal whob ddfor amdurd.
Comment(s)on Condxbn:
14.Indicate the value of personal
property included In the win 0_(x) ':'ranxfcr to Trust
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
15.Year of Aaeeamant Roll from which Information taken(YY) -19 •17.Total Assessed Value 2,200
•18.Property Class 210 _ •19.School District Name Southold
120.Ta Mop Identifler(s)IRelI Wentiflehe)(a more than four,attach&heat With additional NemObr(s))
1000-078.00-02.00-014.000
CERTIFICATION
I Codify that ail of Use Rams of Information entered on this form are true and correct(to the best of my knowledge and balled and I understand that the making of any willful
fabs statement of material fact twain sub)ect me to Use provisions of the penal law mlallve to the making and tiling of false Instruments.
SELLER ER 91r.NATURE BUYER CQNIACT INFORMATION
-- — (Enter Idurnaban for ale buyer.Not.If buyers LLC.sedegf.aNaoaabtn,mrpeeam.pha Neck mnpmy,eslrb e
eery:het N not an ndlrlduol aped or fduclary,awn a rem&and torted ado..raon d on ndw;dusailmo Wtle
perry who can Bower euessans rmordna the vamfer mnI be elated.Type ar p lra wrry.I
•EUEP 63YLATN+E — UAIL
Simon Robert K.
11111U.YER-SIGNALUBE
•LAST xAu: •PST xev=_
R j_:_ -V S7�rt 11y 1631) - 234-3030
J L+LY •A9EA f};cE •TFLFP••TMF NIYXFR rI•WNNNNeI
Stn - TURE
TR 5 TCe- CAT
379 wood Lane
•STRI L1 N•.Y11L4 •STGFFTNANF
' Peconic NY 11958
••Jr OR TC*" •51-IE •aPcol:
BUYER'S ATTORNEY
Davidow Lawrence E.
LAST SAVE F148T MAML
(531) 234-3030
ARFA COW --_— IELCF1QNL NIMa.44•ewNlerl
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