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L 13077 P 364
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 11/9/2020 Number of Pages: 4 At: 7 :34 : 00 PM Receipt Number: 20-0179868 *ELECTRONICALLY RECORDED* Transfer Tax Number: 20-09681 LIBER: D00013077 PAGE: 364 District: Section: Block: Lot: 1000 048 .00 02 .00 029.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $729,000 . 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 Notation $0 . 00 NO Cert.Copies $0 . 00 NO RPT $200 . 00 NO Mansion Tax $0 . 00 NO EA-CTY $5. 00 NO EA-STATE $125. 00 NO TP-584 $5. 00 NO Comm.Pres $11,580 . 00 NO Transfer Tax $2, 916. 00 NO Transfer Tax Number: 20-09681 Fees Paid $14,891 . 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County RECORDED Number of pages 4 11/9/2020 7:34:00 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013077 Social Security Numbers P 364 prior to recording. 20-09681 Deed 1 Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording 1 Filing Stamps 31 FEES Page 1 Filing Fee 20.00 Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 5.00 Sub Total Notation 0.00 Spec./Assit. or EA-52 17(County) 5.00 Sub Total 50.00 Spec./Add. EA-5217(State) 125.00 TOT.MTG.TAX 200.00 CIO., Dual Town Dual County — Held Held for Appointment Comm.of Ed. 5. 00 Transfer Tax 2,916.00 ' _� Mansion Tax 0.00 Affidavit 4�" The property covered by this mortgage is Certified Copy 0.00 or will be improved by a one or two NYS Surcharge 15. 00 345.00 family dwelling only. Sub Total YES or NO Other 395.00 Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund 2rDO41831 1000-048.00-02.00-029.000 $72 9,0 0 0.0 0 Real Property Consideration Amount � Tax Service P r s Agency €t vG[ n CPF Tax Due $ 11.580.00 g }' 7Q7Z£72[72[7 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Hamlet Title Agency Inc TD 10 601 Portion Rd Ste 207 Lake Ronkonkoma NY 11779 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Comwny Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# g Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD In the VILLAGE or HAMLET of BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0104..10MId, over BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS(INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8007 CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND `� PURCHASER BEFORE SIGNING. THIS MDENTVRP e e 13 tti' da of 01_- bQ r, 20217 between 905 9th Street LLC,a New York Limited Liability Company,located at 1580 Soundview Avenue, Peconic,New York 11958 party of the first part,and Chanet Tisdel,residing at 379 Peninsula Boulevard,Lynbrook,New York 11563 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 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 SEE SCHEDULE A ATTACHED(DESCRIPTION OF PREMISES) BEING AND INTENDED TO BE the same premises conveyed by deed dated 04/07/2017 in Liber 12910 Page 30.22-2 EJ14" /000 62.90 L,64 , W&O 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.• 905 9th r t LLC r By:Fr vits hg uy) membe,- NYSBA Residential Real Estate Forms on HotDocs'(9/00) Copyright Capsoft'Development _I_ Old Republic Title Insurance Company Title Number: HTA-6635-S Page 1 SCHEDULE A DESCRIPTION ALL that certain plot, piece or parcel of land,situate, lying and being in the Village of Greenport,Town of Southold,County of Suffolk and State of New York,known and designated as Lots 9 and 10 as shown on a certain map entitled,"Map of Greenport Driving Park"and filed in the Office of the Clerk of the County of Suffolk on December 1, 1909 as Map Number 369. 1 a State of New York ) ss: County of Suffolk ) On this V'r day of Sg5t Q-m\zLt' 2020,before me,the undersigned,personally appeared -V--r n 1C_ so-v;-1'S ,personally known to me or proved to me on the basis of satisfactory evidence to the be individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacities,and that by their signatures on the instrument,the individuals,or the person upon behalf of which the individuals acted,executed the instrument. A, a, i N&ary Fub' BETSYA.PERKINS Notary Public,State of New York No.01PE6130636 4 Qualified in Suffolk coun>y, commission Expires July 9 S, NYSBA Residential Real Estate Forms on HotDocs(9/00) Copyright Capsofr Development -2- FDR COUNTY USE ONLY Ci_ swis Cade 14 ! 7 ! 3 ! S ! S ! 9 I -INS}:rolww.a,ps.state.ny.us Now York Sbm 0*ptArt rm bnt of C2_ nate need Recorded 111 / 9 / 20201 Taxation and Finance Month Day Year ' C7ffloo of Real Property Tax ServIo" C3_ Book L 11 310 17 1 7 J C4_ Page 1 13 1 61 4 RP- 5277-PDF PROPERTY INFORMATION I Root Property Transfer Report(W10) 1 1 1.Property 9035 Ninth Street Location ... W'=sti'ei��r-wins¢-'- -sree�T w.aaE Greenport 11944 'CrFY Oft F[]Yf93 MLA F •• �••••�•••••�•••�•••••�•••�••••• "2�robe 2.Buyer ",I'j. C.l@. Chane t Nannie - ............... •�qSr Ngrppnrj•,grry FIRST PbIACE ------------------------------------- EAST NAT.�A Fa ST NAME 3.,rax lradtcats where future Tax Sills are to be sent Billing if other than buyer address(at bottom of form) LAAT rigpac../pnf q�AHw •••••^^...........,.,..........__..........__..........m.,. Fa HAME Addy srra Fr atut. rR AND w 5 carr ort Tov-N .,..svti1€... z ciiiiE.,.,.,_ 4.Indicate the number of Assessment 1 �Part�a Pane {only if Part of a Parcel)Check as limey apply: Roil parcels transferred on the deed of Parcels OR 4A.Plarin€ng Board with Subdivision Authority exists ❑ G.Dead X 011 0.29 48.Subdivision Approval was Reco red for Transfer Property •FRONT MErt •aEP _ACF s ❑ aim 4C.Parcel Approved fm Subdi Asiwm with Map Provided 905 9th Street LTC" 6•sonar .i0.5T lJAiAE1CLL NIPAtFY FORST i E- Marhe r r NHMr."WA44r FIRST 11A[ •7.Select the descrlptlon which most accurately desor4bes the Check the boxes below as 41spy apply: use of the property at the time of sale: 8.Ownerslap Type is Condominium A. fine Family Residential 9.New Construction on a Vacant Land -------------------------------- .- IDA.Properly Located within an Agrvcultural Diattiot 1©6.Buyer received a disclosure Holme indicating that the Property 3s in an ❑ Agricultural District SALE INFORMATION 1S.Check one or more of these canch=as applicable to trap=., A.Sale Between Relatives or Farmer Relatives 11.Sale Contract Dato 07/30/2020 f3-Sale between Related Companies or Partners in Business. C-One of the Buyers is also a Seller 12.Date of sakuTranster © I-a I Z,.C32_0 D,Buyer or Seller is Cwwwnrrent Agency or Lending€nstKulion ............. ........ ......................._ E.Deed Type not Warranty or Bargain and Sale(moody Belo w> F.Sate of Fractional or Lass than Fee lmorest(SpeaKy Below) •1$.Full Sale Price 7 2 9,00(3 ,Go G-significant Change in Property Between Taxable Status and Sale Dates _-_-_-_-_-_-_-_-_-_-_-_-._......-_......................._. H.Sale of Business is Included in Sale Price (Full Sale Price is the total amount.paid for the property iml uding personel property- L Other Unusual Factors Affecting Sale Price(SpeDity Below) Tr;s payment may be in the form of cash,other property or goods.or the assumption of 3.None or other obligations-)Please round to the nearest whale daliar arnuunt. Canuttent(s)on CondMon: 14.I"cate the vakre of personal property included in the sale .00 ASSESSMENT"INFORMATION-Oata should retfect the latest Final Assessment Roll and'tax£sill 16•Year of Assessment Roll from which information taken" R '17.Total Assessed Vague 3,8 0 iJ "18.Property Class 21.0 •1g_school District Name Greerpnrt '20.Tax Map identlfier(sylnoli hlentflner(a)(if more than four,attach sheet with addHiahal kterdifler(s)) ............................................................. IOnu-o�a.o0-�Z.�o-ca�_no� 1=9 I=110NI I Cerf ly that all of time items of information entered on this form are true and correct(to the best of my knowledge and balief)and:I understand that the making of any wilMd false statement of material fact herein subject me tot1me..l Y.i 1.4.5m. .ut,:S.(1lg,.RgS1€4S,.l ly..re[ative to the mak"and filing of false irtstrnatlertfa. SELLER SIONATtfitE � 4?t17C1l5r dl! K 7A It)N [3=1it�r infonfation for the twyar-tante:if buyer is 1Tc,society.asaaclafiwi,corporat0n,joint stock corryany,estate or entIty that is Hoa an individual gent ar fid-jary,then a Hama and coni t oto ration otan€ndivtdaal_SP�aible parry cube can answer questions r9gard'g3g H1a te-araarer must h0 Bmerea Type ar print clearly-) - J1F.R 9iSa[�IP.TLIfif @��y�©p.1 w e 1p� AR .RU J..`.I;Y�.iIGNAT�Er.'ek+ ' ............. .f: ......... W:A�I:t�'.�.. [ABT mAMk.,. FIRST NAkm •� 'J f-w/ r.�.J "AREA CL1aE 'TELEPFY HE NtN.�ER[Fx:s968%3J yam sltl R DAT 379 Peninsula Boulevard ------------- ------------------------ 'STREEFrdi3M9E3i 'STREiVr NAM5 1 r t 1 11 + 1! Lynbrook NY 11563 ! C4Ty 61A TO%1N -aTATe •21r+CODE 1 r 1 1 1 1 1 Jarinazzi Dav3.d 1 ••_.•.ail NAME fRLSF HAMS ! 1 1 (632 298-8065 l AR£u.GONE TP1EYlanNE MJ1.N3E%i[fie-9994994] i1 ✓' 11 f I N 1