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L 13079 P 971
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 11/27/2020 Number of Pages: 5 At: 8 :35 :58 PM Receipt Number: 20-0193899 *ELECTRONICALLY RECORDED* Transfer Tax Number: 20-11916 LIBER: D00013079 PAGE: 971 District: Section: Block: Lot: 1000 078 .00 09.00 010 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $400,000 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25. 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 $5,000 . 00 NO Transfer Tax $1, 600 . 00 NO Transfer Tax Number: 20-11916 Fees Paid $7,000 . 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 5 11/27/2020 8:35:58 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013079 Social Security Numbers P 971 prior to recording. 20-11916 Deed 1 Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording 1 Filing Stamps 31 FEES Page 1 Filing Fee 25.00 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 55.00 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 ],600.00 ' _� 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 400.00 Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund 2004577 5 1000-078.00-09.00-010.000 4 0 0,0 0 0.0 0 Real Property Consideration Amount � Tax Service P r s Agency €t vG[ n CPF Tax Due $ 5,000.00 g }' Verification 7717Q72020 Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Eminent Abstract, Inc TD 10 3 Carol Ln East Maricbes NY 11940 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 NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY ACTtro �-1)P, c- t T 01z�r,\rt iP*"'ce Dc)— THIS CLTHIS INDENTURE,made the day of October 7 in the year 2020 BETWEEN Peter Chapman and Amanda Chapman,husband and wife,having an address at 155 Summer Lane,Southold,NY 11971 party of the first part,and Jonathan Poiistena and Tara E.Polistena,having an adIkess at 1597 Main Road,Jamesport, NY 11947 ✓A 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 HERETO AND MADE A PART HEREOF Being and intended to be the same premises as conveyed to the party of the first part by Deed in Liber 12645 page 618. 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 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: .p 1 Peteerr Cuhaa_ M Amanda Chapman Schedule A Description Revised: 07/24/2020 Title Number EA2609-S Page 1 ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk and State of New York, known and designated as and by the Lot Number 16 on a certain map entitled, "Map of Bayside Terrace" and filed in the Office of the Clerk of the County of Suffolk on March 11, 1953, as Map # 2034, bounded and described as follows: BEGINNING at a point on the northwesterly side of Summer Lane distant 100.00 feet northeasterly as measured along the northwesterly side of Summer Lane from the corner formed by the intersection of the northwesterly side of Summer Lane and the northeasterly side of Summit Road, said point also being where the division line between Lot 16 and Lot 17 intersects the northwesterly side of Summer Lane; RUNNING THENCE from said point of beginning, along said division line, North 64 degrees 54 minutes 30 seconds West, 120.00 feet to a point; THENCE along the division line between Lot 16 and Lot 7, North 25 degrees 05 minutes 30 seconds East, 100.00 feet to a point; THENCE along the division line between Lot 16 and Lot 15, South 64 degrees 54 minutes 30 seconds East, 120.00 feet to a point on the northwesterly side of Summer Lane; THENCE South 25 degrees 05 minutes 30 seconds West along the northwesterly side of Summer Lane, 100.00 feet to the point or place of BEGINNING. ACKNOWLEDGMENT FORMFOR USE OUTSIDE NEW YORK STATE ONLY: (Out of State or Foreign General Acknowledgment Cori'F tel )' ' Gvt I . I . (Complete Venue with State,Country,Province or Municipality) On the —I day of October in the year 2020 before me,the undersigned,personally appeared Amanda Chapman, 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),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 ITp-+-i (Insert the city or other political subdivision and the state or country or other place the ack o Iedgment was taken). t 1rg p '••. JENNIFER SHICK Notary Public-State of Florida y' • A_- Commission Ji GG 276152 N tary4PIViCoerti ` My Comm.Expires Nov 13,2022 Bonded through National Notary Assn, USEACKNOWLEDGMENTFORMBELOWW/TH/NNEWYORKSTATEONLY.• USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLY : State of New York,County of }ss.: 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 me,the undersigned,personally appeared personally known to me or proved to me on the basis of satisfactory 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 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 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 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 signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument. ACKNOWLEDGMENT FORM FOR USE WITHINNEW YORK STATE ONLY: ACKNOWLEDGMENT FORMFOR USEOm&DE NEW YDRKSTATE ONLY: [New York Subscribing Witness Acknowledgment Certificate! jDa!qj. tc'or Foreign ene+zrl Ae-awtcdgny�ut Cer(Ific•del State of New York,County of }SS.: � �.Q f.? (k.).., n J.lt tt� WonijyWe Venae with.State.Cmaury.Province or lfun 'itatlrry) On the day of in the year before me,the undersigned,personally appeared On theay of October in the year 2020 before Irk,the undersigned,personally appeared the subscribing witness to the foregoing instrument,with whom I am Peter Chapman personally acquainted,who,being by me duly sworn,did depose and personally known to me or proved to me on the basis of satisfactory say that he/she/they reside(s)in 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 (if the place of residence is in a city,include the street and street number, the same in his/her/their capacity(ies),that by his/her/their signature(s) if any,thereat);that he/she/they know(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 to be the individual described in and who executed the foregoing made such appearance before the undersigned in the instrument;that said subscribing witness was present and saw said e 4 elf%' '4- execute the same;and that said witness at the same time subscribed (Insert the city or other political subdivision and the state or country or his/her/their name(s)as a witness thereto. other place the acknowledgment was taken). Ct JENNIFEr- • ': Notary Public-State of Florida Commission k GG 216152 4� ors} My Comm.Expires Nov 13,2022 BARGAIN&SALE DEED Bonded through National Notary Assn. WITH COVENANTS AGAINST GRANTOR'S ACTS TITLE NO. EA2609-S DISTRICT 1000 SECTION 78 BLOCK 9 Peter Chapman and Amanda Chapman LOT 10 TO COUNTY OR TOWN Suffolk County Jonathan Polistena and Tara E.Polistena RECORDED AT•REQUEST OF Fidelity National Title Insurance Company RETURNBYMAILTO FIDELITY NATIONAL TITLE Chrysa Pasqualone,P.C. INSURANCE COMPANY 35 Bank Street livconpoRAreo 1928 Center Moriches,NY 11934 ,Fidelity rrx✓" Member New York Si-Lend Tine Associmloq W U LL 0 C1 0 Z O ccO U W 0 O W N O LL W U Q a N D F W W W N W FDR COUNTY USE ONLY Cl- swis Code 14 . 7 . 3 . 8 . 8 . 9 1 il=-INS}:www.prP3-st�3te.ny.us C2- Date Deed Recorded 1 2 7 20201 tl ow York State Department of Finance Taxation and Month Day rear Finance y r� y Office of Real property Tax Services C3_ Dook Ill 310 I•]I 9 I C4_ Page I I 19 I 71 1 I RP- 5217-PDF PROPERTY INFDRMATIDN I Real Property Transfer Report(8110) f.Property 155 Summer Lari.c3 Location w._._._._._._._._._._._._._._. 'sMF F.T HAEAF, Southold 1197:1 6'Fv i'rcw.c+ 2,Suysr POIA.:;te'na 0,p Fn:zthan .'tame ._._. .._.__.. .ASI NA6 OMRANY F.nsT 3+ahu. 3A:.r rvnW:.rc;OMRA3JY +�.H 31'ISAFAE s,Tax tndicatc where future Tax aWs Sm to be.sant 8iiling if ether Irian buyer addm SG(at bottom of form) �n„�T rcnnA'`:K:L+MYAKY FtR:iT NAh5E Address S'ITii".r:'r NLW. tk.R ANDA el"r%TC)WN T TL T.ie CnpF 4,trod EcaAO the ou Enter of Assess my lit 1 OR - Pert of a l'an'cet (Cin ly R Part of a Parcel)Check as they apply: Roll parcels transforrad on the deed o€Parcels 4A.P€:a nninq Po:a rd wlm Su bd vslon Au Ehonty 1=xista F1 5,Reed OR �.2 7 4S.Subdivision Approval was Required for Tra YEsfer L Property ,Fgonr s E:s::r •vr Rr>t •bell=e....-,m............................... size 4C.Parnoi Approved Ior Subefivis€on with Map Provided ❑ 5.SCIIer •:A;'I'fvtAmEXOMPAN, -T N—. Name Chapman Iunanda. .............:........................ •••-------- ..nor rwnxn��c.cansnrcr Ki:zsz rcnnns 17.Select the deaonption which Mont acc toratuly des arEbea the Check the boxes below as they apply: use ofi trio propo rty at the ti of sale: 8,Own-ship Type=s ConQarn inium A.One F t arni)y Resitientiat S.New Construction on a Vacant Land ❑ IDA.Propatty Located w€:lin an Ag nculturaE©ls€ric€ Il I o5-l3.uyer received a d=,cloqu re notice Irld€esting that iho property is in an El Dislriot SALE 11415ORMATION 15,Chock one a mare of those coed itiorrs as applfca ble to transfer: A.Salo Szt�vaen Rela[hoes or Former lam iatives I f.Sale Contract t3afe 07/07/2020 e,Sai9 be€ween Relai-d C--panics or P-Ftne-in Ft—me-5, C.One of IhP.Buyers€s aEsn a Seiler -10/13/2020 D,Htlyer OF Seller is Govern mein€Agency or Lon ding in sl'Eu,Ion "12-Rate of Sa€erTf'annfer _ F.€eed Type not Warranty or sarga in and Sale(Specify Below) _ F.Sale of Fract onat or Less than 3-oe fnteres€(Specify goow) '93,f=ull Sala P600 4 i)C7, G()0,�(] Cr.Significant C:han ge m Pmpe rty setwoe rs Taxable Status and Sale Dates €1 Sale of€jus=Hess is Inciuded In Sate Price {Fu II Salo Pnco fs the t012 arruou nt patd for the property i;vcdudtng personal prepeny I Ooher Unusual factors Anachnrg Salo Pr€cm(Specify 03 iow) his pay men may be m the€oral of cash,omor propeoy or goods,or the assumption ofJ.None mortgages or other oblig atti on s.)Please rourrsd to the nearest whale dollar amaun r. --- Commant=s)on Condition: 14,Indicate the value of perannal {7 ()() property included in the sale . -.__....__-....-.-,..--__.._.._-____________________________-------------------------------------------------------------- ASSESSMENT INF0RMAT3ON-Data shauid reflect the iatest Final Assessment Roil and Tax Bill 18.Year of Assessment Roll from which information lakonjYY) 3_9 "17.Total Assessed Va€ue 3,200 "f 8-Property C€ass 210 "f S.Sohoo€District Name Southo.I.d 12{t_Tax Map Wool Mo r(s)IROI€Ideht ifie r(s)(€f more than four,attaoh sheet witri additional€d errtlfler(s)) 1070()-078.U4-09.(10--10.000 CERTIRCAT€ON E Certify that a€lof the items of information entered on this form are true and correct(to the best of my knowledge and bOunit and I understand that the snaking of any wll€ful false ntatament of material fact herein subject Rte to ttie.gfQy,(aiph.gofthe p_q al IAw rolative to the making and filing of false instromerite. SELLER SIGNATURE QVYER gL]jt€TACT(Ni"_DJtAAAD-QN (Fahey lea—atmn for the huyer.Note:€f buyer IR r..c,society,axsoelatlor,corporation,joW sicca company,-tslu yr :,.qy 1t'al Sa not an€L OiVid�]al 89-L or t'-dvcfary,1tLen s nein-nna gent--!�r--tion a.-i liV4ivpqus3lrag,>ti^reyi�]v J �•,, finny woo ua pnarwr quaat+orc moaniing sn.,tra.-sfnr mus€ba®maro3 lyp*ar print cleany y 1/1,1r...�::l.f.. - x:9 C .7 Wk I.Kn sIONATT, 411, onrE BUYER51GNATURE r paliStena Jonat:ha.n. and Trix'ia •I.nss r�n�.� FIaaT r�wtit� V4'vrA ' �.�""� 'AI3EA COF1E w •rEf_EF'I IIOrcE NLSMaER tEx:p�sSasV puV G OkAl�ric !r-�- 1' E 1597 Main Road, PO nox 1435 ------------ -_.............................._.m................................m................---........_......................................................... •sTn Fpr r.xu�!arr� •s++zEs.r un�nls S r r . 1 �' :3e'ixzzespor.t. PAY 1.1947 r 'C ITY OR TOWN •Sl'A'I'E '21P r ' € 4 Pasq.ual.one Ch:rySa roar NAME FHRs NAME, �,I1 7GS- 5900 lry}l �'I� V ,1Jr �{�1l'IrJ1/Jyy■�^� ,'I`` I '��r�11 Ea cont-. 1'[Li vtv[xvi*4Vh5esix[EK:Vuauvuui