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L 13064 P 173
1111111 f11f 11111 11f1f llllf 11111 11111 11111 11111 1111 1111 I f 11 f 1 f f l l l l l l l l l l l l l l l l l SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 07/15/2020 Number of Pages : 4 At: 09: 15 : 15 AM Receipt Number : 20-0102289 TRANSFER TAX NUMBER: 19-33794 LIBER: D00013064 PAGE : 173 District: Section: Block: Lot: 1000 123 . 00 02 . 00 024 . 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 $250 . 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 $520 . 00 TRANSFER TAX NUMBER: 19-33794 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ❑1 Z❑ * w RECORDED 2020 Jul 15 09:15:15 AM Number of pages L j JUDITH H. PASCALE CLERK OF SUFFOLK COUNTY This document will be public L D00013064 record. Please remove all P 173 DT# 19-33794 Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee �Q 3 Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) SubTotal. Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. Dual Town Dual County Held forAppointt Comm.of Ed. S. 00 Transfer Tax Affidavit + . Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total ��� YES orNO Other Grand Total '510 If NO, see appropriate tax clause on C page# of this instrument. U 4 Dist.1 OC 20024215 1000 12300 0200 024000 110 5Community Preservation Fund Real cY Consideration Amount$0- Tax � TaxServe R SMI A 11101111111 Agency 09-JU CPF Tax Due $ Verification Improved 6 Sat isfactions/Disc hargesIReleases List Property Owners Mailing Address Erik J. McKenna, ECORD&RETURNTO:' Vacant Land G— PO BOX 912 TD Cutchogue, NY 11935 TD 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 DEED made by: (SPECIFYTYPE OF INSTRUMENT) JEAN RIVERA, as 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 G THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over , —Enxutor's Decd—Individual or Corporation(singk sheep THIS INDENTURE,made the)tp/ SvwQ day of#ay, in the year 2020 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 ff 2019-1303/A,and also Executrix of the last will and testament of PHILIP H. FENDERSON,deceased June 7,2019,and filed as Suffolk Probatc N 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 Augsut 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,parcel or tract of land,with the buildings and improvements thereon erected,situate,lying and being at SEESCHEDULE"A" 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 753. 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 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 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: f1�1 v W�{:/uJl 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: M 'SUNS On the 16 day of I" in the year 2020, 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 be 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 capacily(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), or the person upon behalf of which the individual(s)acted,executed behalf of which the individual(s)acted,executed the instrument. the instrument. NMy P' Of�YO& ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK f4m OBA86256319 STATE Cuwmw In sum Go" commtsala► FWI--V 6.20 2 t *State of County of ss: ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS '(Or insert District of Columbia, Territory, Possession or Foreign TAKEN IN NEW YORK STATE County) State of New York,County of ss: On the day of in the year On the day of in the year ,before me the undersigned personally appeared before rte,the undersigned,a Notary Public in and for said State, personally appeared Personally known to me or proved to me on the basis of satisfactory ,the evidence to he the individual(s)whose name(s)is(are)subscribed to subscribing witness to the foregoing instrument, with whom I am the within instrument and acknowledged to me that helshelthey personally acquainted,who,being by me duty sworn,did depose and executed the same in his/her/their capacity(ies), that by his/her/their say that he/she/they reside(s)in signature(s)on the instrument,the individual(s)or the person upon behalf of which the individual(s)acted,executed the instrument,and (if the place of residence is in a city.intrude the street and street numb«if arty,th—f) that such individual make such appearance before the undersigned in that he/she/they know(s) the to be the individual described in and who executed the foregoing (add the city or political subdivision and the state or country or other instrument;that said subscribing witness was present and saw said place the acknowledgement was taken). execute the same;and that said witness at the same time subscribed his/her/their name(s)as a witness thereto Executor's Deed SECTION 123.00 BLOCK 02.00 LOT 024.000 COUNTY OR TOWN SOUTHOLD Title N0. 2625 Maratook Road,Manituck,NY JEAN RIVERA,as EXECUTRIX TO JEAN RIVERA RETURN BY MAIL TO: VaTRACTS, ERIK J.MCKENNA 320 DEPOT LANE,PO BOX 912 RP©RATED CUTCHOGUE,NY 11935 5EO Stewart;Avenue•Garden City,NY 1 1 530 51 aasa1000 SC- HEL) ULL V, / ALL that tract or pared of land situate,lying and being on the east side of Marratooka Road, in the Village of Mattituck,Town of Southold,County of Suffolk and State of New York,more fully described as follows: BEGINNING at a point on the easterly side of Marratooka Road,said point being 78.+9 feet southerly from the southeasterly intersection of Marratooka Road and Center Street; RUNNING THENCE in an easterly direction along other lands of the party of the-seconds part 15 1.1p feet to other lands of the patty of the first party; THENCE in a southerly direction 77,66 feet to other lands of the party of the first part; THENCE in a westerly direction 141,3 feet to the casterly side of Marmtooka Road; THENCE along the easterly side of Marratooka Road North 10 feet to the point or place of BEGINNING. dc9�� 19 minutes west n distance of 78.29 BEING AND INTENDED TO be the same premises conveyed to Wilfred B.Corwin and Ann J. Corwin,both deceased, by deed dated July 15, 1957 recorded in the Office of the Clerk of the County Of Suffolk on August 12, 1957 in Liber 4343 page 447. e INSTRUCTIONS(RP-5217-PDF-INSC www.orps.stiste.rty.us FOR COUNTY USE ONLY New York State Deparlthent of Ct.SWIS code Taxation and Finance C2.Dfib Deed Recorded /2n_I Office of Real Property Tax Services RP-5217-PDF C7.Book I , 14/�57�C4.Page Real Property Transfer Report(8110) PROPERTY INFORMATION 1.Property 2625 maratcr,ka Road Location — •4711LL'Y.YSEi 'S'X:.ff hA1E min,-'yuck 139:'7. -CAM aTOM. M-AC, 'iA C'.Q. 7.Buyer Rivera .:ear: Noma AMaI'LWF •LANs PAhr I Alli h.Ucru 1:MM F 041 NANF S.Taxindicate where future Tax BDs are to be Sant BNllno ■other than buyer address(at began of form) LAST hA%rJV arAN, nNlT K F Address E•NLE'WwtFPANDANF. - CI-r:a-Owh STATE rrCcaE 4.Indicate the number of Asessement 1 Pan Of a Parent (Only If Part of a Fiscal)Check n they apply: Roll pm als transferred on the dead a of Parcels OR 4A.Planting Board who Subdimslon Authority Exists III.Deed k OR 0.026 40.Subdivision Approval was Refund for Tranaer Property •FrChT FEE; 'LTM, •ACNES sin 4C.Parol Approved for Subdivision with Map Provided RIVERA JEAN, KXF.-UTR.X 8.Seller •)Awl F.AYECM—Aw• 1 FIC NAM= Nome I MS-4AME LA4-NAY1oe y Cheek the boxes below they aPPb 7.Select the description which most accurately describes the Use or the property m the nine dl sake 9.Ownership Type n Condominium C.Residential Vacant Land 9.New Construction on a VaCem Land toA.Property Located within an Agricultural District 100,Buyer received a disclosure notice indicating mat the property is it an Agricultural District SALE INFORMATION ts.Cheek one or mom of shat wndtuoes as applicable to transfer: A.Sale Between Reletives or Former Relatives i t Bale Contract Das B.Sale bewail Related Companies a Partners n Business. C.One or the Buyers 1s also a Seller D Buyer or Seller 1e Government Agency or Lending Institution •12.Oars of SsrslTmnafer Ot iz.-t. E.Deed Type not wammy or Bargain and Sark(Speedy Bekaa) F.Sale of Fractional or Less man Fee Interest(Specify Babes) •13.Full Selo Price 0 .00 G.Significant Change in Properly Between Taxable Status and Sib Dates H.Sib of Business is Included in Sole Price (Full Sate Price is the total amount pail for the prapany Including personal property. I. Other Unusual Factors Affecting Sale Price(Speedy Bartow) This payment may be in the form of rash,other property or goods.or the assumption of J None mortgages or other obligations.)Pldese round ro ria nearest while dollar enbunf. Comment(s)on Condition: 14.indicate the value of personal property included In tot eats ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and M-0-17 16.Year of Assessment Roll from which Information taken(YY) 20 '17.Total Assessed Val. 4600 '18.Property Close 011 _ _ •10.School District Nome Mat L I-i-.,ac k-0j L'Chague '20.Tax Yap IdentifiensyRoll ldemfneno)(N more than four,atsch shoot with additional ldentMer(s)) }gnu 2-2y CERTIFICATION I Certify that all of the hems of Information entered on this form are true and correct(to the beat of my knowledge and belief)and I undsmund mat the making of any willful false statement of material fat heroin subject me to the pr0yjaits t theAafiattayr mIMlve to the making and filing of false Instruments. SELLER t}(Gt1ATs)RE BUYER CONTAGUNFORAe OM 4EntM i9tx:eWon lir des buyer.Naw I:b:ryer Is LLC.200*asmoergr.ocrpwaean,111118100,GINTO y.ewals lir antsy But w mol n�rrivdJel sgsct t eddoay Nan a name and COMM+dQ1TWWn at M ewMdAY:wpw.din parry Who can alYwarlxwe.ane raganlnp lot.•andermat aro emeses Type erpdm clearly) JDA17% (04 11 Fa S rA-1 LRE `�' ??V[F1A JEAN jRE BUYER SIGtlATl '.AS-.A NAPE 'MST YAY_ ��{f/FI �)t/W-/cowl �IJIo IV✓�r_1L -AiI-AE]rL •1.IFrMEM:Y1-1E.99e7fm: JI:LY.YA71P° 1140-1 562% A-.J:ic.,h Lbne ."RFFTNJMDLN 'SINLI.I NAME MatziL-uck NY 11952 SI"f0"TCM •a.-AIC •n'CODL BUYER'S ATIDAW It.C,KanTIa .AST vAY_ -R61 NwF 631 7348046 ATFAIWE IF.FFr10hL A_Mn'a1F.wowAi --