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Home My WebLink AboutL 13077 P 507 1111111 I f l l l l f 11 f 11 I I I I I I I I I I I I I I I I I I I I I I I I I l l 1111 1111111111111111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 11/10/2020 Number of Pages : 4 At: 04: 14 : 44 PM Receipt Number : 20-0180627 TRANSFER TAX NUMBER: 20-09790 LIBER: D00013077 PAGE : 507 District: Section: Block: Lot: 1000 015. 00 06. 00 028 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $248 ,500 . 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 $994 . 00 NO Comm.Pres $3,470 . 00 NO Fees Paid $4, 984 . 00 TRANSFER TAX NUMBER: 20-09790 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ❑1 ❑2 RECORDED 2020 Nov 10 04:14:44 PM Number of pages JUDITH R. PRSCRLE CLERK OF SUFFOLK COUNTY This document will be public L D00013077 record. Please remove all P 507 Social Security Numbers DT# 20-09790 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Z Mortgage Amt. 1.Basic Tax Handling 20, 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. /�ll or EA-52 17(County) SubTotal �v Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. y��ar Held forAppointment Comm.of Ed. 5. 00 Transfer Tax Affidavit + Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15,00 efamily dwelling only. Sub Total YES or NO Other �} Grand Total Saes If NO, see appropriate tax clause on page h of this'nstr neent.t.. !� f OE V 4 1 Dist.j000 "- - " - ^ , do 5 Community Preservation Fund Real Property 200977 1000 01500 0600 028000 Tax Service P T c�, 1, sideration Amount$ Verification 02-Nov-2 �I�I�I�I��II��IIII�IIII"I��I�I��III��I�I��I�I� CPF T Due $ / p _ Im roved 6 Satisfactions/DischargRE OR>)&RE7URNTOtyOwnersMailingAddress Vacant Lan 14r-m RFU" ' ' C� ' Sq, TD I la V( .S`I kV 6. (f0- TD (IJ 1w kf _ / n 1 1 I ciO l TD Mail to: Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.NamehG Si�1G G#- :To C www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attachedrand made by:: (�, (SPECIFYTYPE OF INSTRUMENT) ->i1SQn D(i VOl/I�GI The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of �� I CM Inc, 0 O In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE PED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment Form 3290 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the-4 day of October,2020 cWtVawA pcfv6e#- Zi'ZoZc> BETWEEN SUSAN A.DuBOURG,residing at 200 Three Waters Lane,Orient, New York 11957, party of the first part; and JANE GOLDEN,as to an undivided 99%interest and VERONICA GOLDEN,as to an undivided 1% nterest,residing at 140 Claremont Avenue,Apt.513, New York, New York, New York 10027, party of the second part,`as ^^ IN cemrnor qt WITNESSETH,that the party of the first part, in consideration of Ten and 001100--($10.00)--Dollars, and other good and 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, ALL that certain plot, piece or parcel of land,situate, lying and being at Orient, in Town of Southold, County of Suffolk and State of New York, known and designated as Plot 7, on Map of Section One, Orient-By-The-Sea,at Orient,Town of Southold, Suffolk County, New York, by Otto W.Van Tuyl, and Sons, Licensed Land Surveyors,Greenport, New York,filed in the Office of the County Clerk of Suffolk, New York,on November 21, 1957 as File#2777,Abs#2997. Being and Intended to be the same premises conveyed to the party of the first part herein by deed dated April 24,2012 and recorded May 8,2012 in Liber 12692 at Page 808 in the Suffolk County Clerk's Office. 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: X1/11 vim` 11w B�2.t / Susan A. DuBourg f/deedDuBourg2020 ,t BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN New York STATE State of New York,County of Suffolk,ss: State of New York,County of ss: nn S0 On the d I day of October,in the year 2020 On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared SUSAN A.DuBOURG personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is satisfactory evidence to be the individual(s)whose name(s) is (are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their me that he/she/they executed the same in his/herltheir capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the individu cted,executed thie instrument. the individual(s)acted,executed the instrument. (signature an office of individualtlakkinp acknowledgment) (signature and office of individual taking acknowledgment) Notary Pub Nntary Public,State of NMYa! Notary Public No.52-4642871 Gualilled in Suffolk CC" Cwnmisslwt F—sept 3o,—2 0_0 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of ,County of ss: 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 the State of (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgement) Notary Public SECTION 015.00 BARGAIN AND SALE DEED BLOCK 06.00 WITH Title No.VENANT AGAIN$CG, I Lf ACTS LOT DISTRICT 028.000 1000 SUSAN A.DuBOURG TO JANE GOLDEN,as to an undivided 99% interest and VERONICA GOLDEN, as to an undivided 1%interest STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Vw Ito V1 U 91VM1)(fa4' oy 11R0( Peconic Abstract, Inc. Title No. PEC-443 Schedule A Description ALL that certain plot, piece or parcel of land, situate, lying and being at Orient, in the Town of Southold, County of Suffolk and State of New York, known and designated as Plot 7, on Map of Section One, Orient-By-The-Sea, at Orient, Town of Southold, Suffolk County, New York, by Otto W. Van Tuyl, and Sons, Licensed Land Surveyors, Greenport, New York, filed in the Office of the County Clerk of Suffolk, New York, on November 21, 1957 as File#2777, Abs#2997. INSTRUCTIONS(RP-5217-PDF-INS)'www.orps.state.ly.us FOR COUNTY USE ONLY _ Now York State Departniarlt of Ct.awls Code ' _ 1/�- Taxation and Finance Cs.Date Deed Recorded I / �G I Office of Reel Property Tax Services M0e a„ G1vw Lq RP-5217-PDF C'.Book Cc Page U71 Real Property Transfer Report(SMD) PROPERTY INFORMATION I.Property 200 Three Waters Lane Location •SIREET M1enEP •61NLET NINE Southold Orient 11957 .CRY dT TOM vaaAm. •Re CODE 2.Buyer Golden Jane NMnf •LAST KAYJCOw•AM' I IR81 NATE Golden Veronica :ISI YAar AXlla•A8'Y FIRST NAIL ]'Tea Indicate where future Tax Bios we to be emit .-P��Gr� h�• ' Billing d other tthanbuyerr alddressi books.dform) LAST 4t, I*AAIY FmST NAME Address 0 Cil err f✓7 I1�� /1 Yc., STREET M.MBER AND N E C.1,061-01Ale Bi ZIPCGDE e.Indicate the number of Asaewment 1Pal Ora Feral (Only If Part arm Parcel)Cheek es they apply: Rail indicate transferred on the deed e d Parole OR ❑ ❑ W IA.Planning Board with Subdivision Authority Exists S.Deed \ OR 0.29 419,Subdivision Approval was Required for Tmnster ❑ Property •FRONT'LLI •DEPTy 'ACRES se. rC.Pared Approved far Subdivision with Map Provided ❑ DuBourq Susan+. A. 6.Seller .L441"WhICDMFMT FIRST y L Name LAS.44ty-CM!'"T FIRST NAIL 7.Select the description which most accurately describes the Check the boxes below as they apply: use of the property at the data of win: 8.Ownership Type is Condominium ❑ C.Residential Vacant Land 6.New Construction an a Vacant Land ❑ IDA.Property Located within an Agricultural District ❑ Joe.Buyer received a disclosure native indicating that the property,is in an ❑ Agnalluml District SALE INFORMATION 76.Check one or more of these Conditions as applicable to trs.sfm: A Sole Between Relatives or Former Relatives 11.Sale Contract Dau 09/10/2020 B.Sale between Related Companies or Partners in Business. C.One d the Buyers is also a Salim 10/27/2020 D.Buyer or Seiler is Government Agency or Lending Institution 72.Dau of SaleRnnsfar E Dead Type not warronly or Bargain and Sola fSpadty Below) F.Sale d Fractional or Less Ow Fee Interest(Specify Below) •79.Full Sale Price 2 4 8,50 0.00 G.Significant Charge in Property Between Taxable Status and Sale Dales H.Selo or Buaneas is Included in Sale Price (Fur Sale Price is the soul amount paid for the property including personal property. I.Other Unusual Factors Affecting Sale Price(Specify 9el0w1 This psyrrem may be In the form of cash,other propa.y or goads.or tlw assumption d Noce mortgages or other obligations)Presse mum to nal nferest whole cedar amount. •Commsgf)on Condition: 14.Indicate the value of personal .OD property Included In the sale , ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax BIII 16.Year d Assessment Roll from which Information fakm(YY) 20 •17.Total Assessed V@lue B C 0 •ter.Property close 311 _ 11e.School District Name 473802-Oys Lorponds Orient •20.Tax Map McWRer(syRoll IdemlMr(s)IF more than four,atlaeh sheet with addalmal Mempaf4gl I 1000-015.00-06.00-028.000 CERTIFICATION i I Certify that as of the Mums of Information entered an this form aro eve and correct(te the lint of my knowledge and boW and I understand that the making of any wlliful false maument of material fact herein @object me to thajgMdal=o.ef.Dle Renal Lew relaevs to the making and filing of false Instruments. BAYER CONTACT INFORMATIONce__ev mruss-e_ i IEnW Reon,,awn tet we pryer.Nato:If�A I is LLC Seamy.ass OW.corparse0n.PiAI ager an:peny,err"a n )red dIm a no:wl u.. Spent a fed.vio r a1Rn a nna e e mmam ype or ri of len rWRldMlllreapanreDe `r�/l/� l:_o�l-•'A-I"�_�I_f�n,.` pwlr+Rio an wmwar Wuparla rapamRlp pre xanehr mJe:be amend Type m qlm clearly 1 /Q ZI 07� SGLLEA I:WIATURE IM75 BUYER SIGNA72R Golden Jane •LAST WAS FABT NAIL _ o a+ �v � €�06- (/9� I •MM BU, AN.{'!: ,f .�S-•Ir-FF-Q&FN MSER((EE'OrMlaR/ii /��J��/� RSGNATURE —E '!yO P./a +Sic of �F w� -/ _■ _ i7 •%-RFET.UMer.+ 'BnMSTY E Ir f N'ew L IV y— r o2-�- VeroalpN. -STATE VPCock BUYER'S ATTORNEY (falter. Karen LASI I.AML F RST NAIFF I (516) 982-11:2 'PEA COE_ TFr F.P.IO•EM.SER,M.990 MI i1 n 1