HomeMy WebLinkAboutL 13075 P 271 11111111 IIII 111111111111111 IIIII IIIII IIIII IIIII IIII IIII .
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 10/22/2020
Number of Pages : 4 At: 11 : 39 :52 AM
Receipt Number : 20-0168228
TRANSFER TAX NUMBER: 20-07910 LIBER: D00013075
PAGE : 271
District: Section: Block: Lot:
1000 053 . 00 04 . 00 023.001
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $584,000 .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 $2 , 336 . 00 NO Comm.Pres $8, 680 .00 NO
Fees Paid $11 , 411 . 00
TRANSFER TAX NUMBER: 20-07910
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
❑1 ❑2
s
RECORDED
Number of-pages 2020 Oct 22 11:39:52 AN
JUDITH A. PASCPLE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013075
P 2271
Social Security Numbers DT# 20-07910
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee
Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Tota l
Notation Spec./Assit.
�J� or
EA-52 17(County) SubTotal(/ Spec./Add.
EA-5217(State) O TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held forAppointment
Comm.of Ed. 5. 00 Transfer Tax a?
AffidavitQ�%-j Mansion Tax
Certified Copy 110 EDO The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES orNO
Other
Grand Total i ` If NO, see appropriate tax clause on
page if oftfTfDinsjrum�t�
20039801 1000 05300 0400 023001 lyly
4 Dist.1 C 11 5 Community Preservation Fund
PTs 0111111®illi
Real Property R SIHIII '� Consideration Amount$ 4�]R
Tax Service 17-0CT
Agency _-- _ CPF Tax Due $ �—
Verification - --
Improved
Satisfactions/Discharges Releases List Property Owners Mailing Address
6 RECORD&RETURNTO: Vacant Land
GARY JOHN DMOCH&ASSOCIATES TD 10
171-22 NORTHERN BOULEVARD TD
FLUSHING, NY 11358
TD
Mail to:Judith A.Pascale,Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name LANDSTAR TITLE AGENCY
www.suffolkcountyny.gov/clerk Title q
AA70498
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFY TYPE OF INSTRUMENT)
ANNETTE SIQUENZA The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of SOUTHOLD
KAITLIN S CAMPBELL In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIORTO RECORDING OR FILING.
over
1 PW fgt170��d7
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 1111 day of September 2020
BETWEEN
ANNETTE SIQUENZA, individually and as sole surviving spouse of Frank Siquenza, M.D,
residing at 2540 Bay Shore Road,Greenport, NY 11944
party of the first part and
KAITLIN CAMPBELL, residing at 408 East 65th Street, New York, NY 10065
party of the second part,
WITNESSETH,that the party of the first part,in consideration of TEN ($10.00) 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 or parcel of land,with the buildings and improvements thereon erected,situate,lying and
being in the Town of Southold,County of Suffolk and more particularly described herein
"SEE ATTACHED SCHEDULE A"
Premises known as:2540 Bay Shore Road, Greenport, NY 11944
District 918@ SectionA7#e&BlockQ2-.60-Lot4%''5-6@4'
,pooOS3.00 0W•00 05.3.00
Said premises being the same as conveyed by Deed Dated 11/29/1996 and Recorded 12/23/1996 in Liber 11807
Page 499
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 parry 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.
Th
IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written.
IN PRESENCE OF: %41"�,44
ANNETTE SIQUEIN U
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
Fidelity National Title Insurance Company
SCHEDULE A
DESCRIPTION OF PREMISES
Title No. AA70498
Policy No. 2730732-220712236
ALL that certain plot piece or parcel of land,with the buildings and improvements thereon erected,
situate,lying and being in Arshamomaque, in the Town of Southold,County of Suffolk and State of New York,
shown and designated on a certain map entitled"Amended Map A, Peconic Bay Estates"which said map was
filed in the Office of the Clerk of County of Suffolk on the 191 day of May, 1933,as Map No. 1124 as Lot
Numbers 117, 118 and 119 and a described parcel adjoining the above lots on the southwest which described
parcel and lots when taken together are bounded and described as follows:
BEGINNING at a point on the southwesterly side of Bayshore Road where the division line between Lots 116
and 117 intersects the southwesterly side of Bayshore Road;
RUNNING THENCE along the southwesterly side of Bayshore Road,South 61 degrees 11 minutes 30
seconds East, 174.56 feet to land of Town of Southold;
THENCE along land of the Town of Southold in a southerly direction on an irregular curve bearing to the right,
30 feet,more or less;
THENCE still along land of the Town of Southold and land of Posillico,South 60 degrees 00 minutes West,
221.00 feet;
THENCE along the northeasterly line of land of Posillico,North 44 degrees 19 minutes 30 seconds West,
139.74 feet to land of La Porta,
THENCE North 45 degrees 47 minutes 20 seconds East, 169.70 feet to the point or place of BEGINNING.
FOR CONVEYANCING ONLY:TOGETHER with all right,title and interest, if any,of the party of the first part,
of in and to the 30 foot strip of land between Tax Map District 1000,Section 53, Block 4,Lot 21 and Tax Map
District 1000,Section 53,Block 6,Lot 1 and together with water rights,if any.
SCHEDULE A
A.L.T.A 2006 LOAN POLICY
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of Nassau ss: State of New York,County of Ss:
On the 13r day of September in the year On the day of in the year
before me,the undersigned,personally appeared ap,W before me,the undersigned,personally appeared
ANNETTE SIQUENZA personally known 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 instrument and acknowledged to
personally known to me or proved to me on the basis of me that he/she/they executed the same in his/her/their
satisfactory evidence to be the individual(s)whose name(s)is capacity(ies), and that by his/her/their signature(s) on the
(are)subscribed to the within instrument and acknowledged to instrument,the individual(s),or the person upon behalf of which
me that helshe/they executed the same in his/her/their the individual(s)acted,executed the instrument.
capacity(ies), and that by histher/their signature(s) on the
instrument,the individual(s),or the person upon behalf of which and office of individual taking acknowledgment)
the individual(s)acted executed the ins nt. (signature g g
(signature and office of individual taking acknowledgment)
KEVIN J.ROTHSTEIN
Notary Public-State of New York
No.01 R05017958
Oualified in Nassau County
Commission Expires September 13,2021
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of as:
On the day of in the year before me,the undersigned,personally appeared
personally known 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 instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),and
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 the instrument,and that such individual made such appearance before the undersigned in the
in
(insert the City or other political subdivision) (and insert the Slate or Country or other place the acknowledgment was taken)
(signature and office of individual taking acknowledgment)
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
Title No. AA70498
DISTRICT 1000
SECTION 053.00
BLOCK 04.00
LOT 023.001
COUNTY OR TOWN SUFFOLK
STREET ADDRESS 2540 BAY SHORE ROAD,GREENPORT,NY 11944
Recorded at Request of:
Gary John Dmoch&Associates
Attorneys&Counselors At Law
171-22 Northern Boulevard
Flushing, New York 11358
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by
a
INSTRUCTIONS(RP-5217-PDF-INS):www.crps.state.ny.us
FOR COUNTY USE ONLY New York Slate Departnnrd of
C1.SWIS cod. Taxation and Finance
C2.Data Deet(Recorded L_10/ 2 Z'/ 20 1 owme or Real Property Tax Services
• ; 0" — Ll RP-5217-PDF
C3.Book 7 C4.Pape , , 7, Li Real Properly Transfer Report(8110)
PROPERTY INFORMATION
1-PrOPNW 2540 BAY SHORE ROAD
Location •F MEET M;MSER •STREET NAME.
GREENPORT 11944
-an OR TOWN VILLAGE -OF DOGE
2.Buyer CAMPBELL KAITLIN S
Name •LAST MWEA]C,PAMT FIRST MAUS
LMT NMw4 m"w FIRST WWF
3.Tann indicate where future Tax Bib are to be nam
Bill" if other than Geyer addinuccat bortem of form) LAST MAMF.COMFANT rIRST MIME
Address
STREETMxeERAND NAME C,TTORTORM STATE ZIP core
4.Indicate the manbw at Aeaeeanaal1 sol Percale OR ❑Part Of a Parcel Rfy H 10Part of a Parcala)Cheek they appy:
Roll perpts tran,shea
rred on the dud 4A.PtsrmlTq Bouts with Suhdhriabn Authority Exit ❑
G.Dead X OR 0.73 41L Subd'Msion Approval was Required for Transfer ❑
Property .PROM FEET •OEPTN 'AMES
Btet 4C.Parcel Approved for Subdivision with Map Provided ❑
SIQUENZA TETTE
e.Bell r •LAST,ywwuapma I IRST MWE.
Name
M SrMWE
WTNAMIUCOMPMO'
7,Select the description whirl meal—uratahy d—rl—the Cheek tin bases below as they appy:
ret oftM property at the erste of air. 8.Ownership Type Is COredomiaum ❑
A.One Family Residential e.New Coatructlon on a vacant Land ❑
10A.Properly Located wehln an Agricultural DIaWd ❑
10L Buyar Iece1wd■d!wJn a nolics Irdkagng dart tin PMPsrly b b m ❑
AgrkvlWml District
SALE INFORMATION 15.Check One or mesa of 11mse conditions a applMable to transfer.
•1 A.Sats Between Ralstlws or Fomes Relalhles
11.nae Contract Dalt 1 J ( � `' 2-0 B.Eek between Related Companies or Partners In Business.
C.one Or ere Bayes Is also a Sessr
D.
r or Seler Is carwarrenard
Institution
•12.Dae of BtWTmmfr 09/01/2020 E.clad Type no armrdy or Bargain M Sale(Specify Below)
F.Sets of FmeMnal or Less than Few ITareal(Spo*Baba)
113.Full Bels Pries 5 84,0 00•00 G.Slgnincenl Change In Property Between Taxable State and Sas Dates
H.Sale of Business Is Inrdu' In Sats Pries
(FUN Sale Prim Is im total amount paid for In property Including personal Property. 1.Odw Umtantat Factors Albctaeg Sale PACs(Specify BebR4
This payment may be in dee form or Dash.eery property or goods.or the SMmpsDn oftirJ.Nona
mortgages or other obligations.)Phase round to the neared wfwkr der amount. Commamlel on CordNon:
14.mdkm the value of personal .00
pmpaFly Included In tin sal
ASSESSMENT INFORMATION-Data should refied the latest Final Assessment Roll and Tax B21
10.Yat of Ammu mm Roll from which hdmmaeon tdmn(M 20 117.Tatd Assessed Value 4,650
111.IS.ops Cee 210 _ 110.School D' Name GREENPORT
•20.Ta Map Matlaer(s)IRon moons 9)(e mom filen four,atladn sheet with addkbnel mmo tde))
1000-053.00-04.00-023.001
CERTIFICATION
I CanOy dM all of eta Banc of IMmmeeon arftM on tlW tome ore true and entrant ho tin bat of my knwdtdpt and hot"and 1 undersh nd fiat ma makkq ofay vAWUI
fatst ttdmnmd of Sa Md flet beacon subject mw to to the making and filing of fame MOM wnta.
eF RSI NATO F BUYER CONTACT INFORMATION
(ElwrxdwNREW br re,boyar.Few:Ir bur«IN LLCaamty.MooabM.m,pwedwe,qm sleds Romprry,eat«
rap tlwT w eeelen RdNAa1W NMRaleudPlY,ares,•nrlM ape aon,tcl YamnILllm d M a16VIeYwmpeRMILla
is_ _ ...1r_ pary wRe Ixm alsWw Wneen+raardnp Ew o-amrw mal Ds amwad.7YPR«aAM rJawM1
SELLER SATMATURE W
CAMPBELL KAITLIN
IONATURIE •LAST NAME FIRST NMIE
(718) 939-4444
L •AREA CaOE •fEIEPrION5 MlMBFA W.SrwrRRl
Anti RUTERaONATURE
408 EAST 65TH STREET
.STREET NUMBER '$TREE.T NAME
e NEW YORK NY 10065
-VW OR TCwM 'STATE 'ZPCOM
RLWER'S ATTORNEY
DMOCH GARY
LAST NAME REST NAML
(718) 939-4444
ILREjLCa«. TELEPHONE NVMBER,EA RrOrrON
Oil 1;1
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