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L 13076 P 928
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 11/4/2020 Number of Pages: 4 At: 8 :46 :58 PM Receipt Number: 20-0176761 *ELECTRONICALLY RECORDED* Transfer Tax Number: 20-09318 LIBER: D00013076 PAGE: 928 District: Section: Block: Lot: 1000 122 .00 06.00 032 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $330,000 . 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 $3, 600 . 00 NO Transfer Tax $0 . 00 NO Transfer Tax Number: 20-09318 Fees Paid $3, 995. 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 11/4/2020 8:46:58 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013076 Social Security Numbers P 928 prior to recording. 20-09318 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 0.00 ' _� 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 Real Property 2DO429TB 1000-122.00-06.00-032.000 Consideration Amount $330,0 0 0.0 0 Tax Service P r s Agency €t PAK n CPF Tax Due $ 3,600.00 g }' 74729f2[72[7 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Fidelity National Title - Riverhead, NY TD 10 24 Ccomerce Drive Riverhead NY 11901 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 DL® 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 -'Standard N.Y.B.T.U,Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment YO 1—("999-3 V—3 Form 3290 CONSULT YOL)R LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 1011h day of September,2020 BETWEEN WILLIAM O.KONKEL,JR.,as Trustee of the Jean Marie Konkel Trust dated August 21,2010, residing at 5 Chasso Court, Dix Hills, NY 11746, party of the first part;and MATT MED, LLC,a New York Limited Liability Company,having an undivided 97%interest, CHARLES V.SALICE, having an undivided 2%interest, and GARY J.SALICE, having an undivided 1%interest, all having an address of 2315 Pine Tree Road, P.O. Box 1295, Cutchogue, New York 11935, as tenants in common, party of the second part, WITNESSETH,that the party of the first part, in consideration of Three Hundred Thirty Thousand and 001100--($330,000.00)--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,with the buildings and improvements thereon erected, situate, lying and being at Laurel,Town of Southold,County of Suffolk and State of New York, being more particularly bounded and described on Schedule"A" attached hereto and made a part hereof. (See attached Schedule"A") Being and intended to be the same premises described in a deed made by Jean Marie Konkel,surviving tenant by the entirety of William Konkel,who died a resident of Suffolk County on July 16, 1992,dated August 21,2010, recorded October 20,2010, in Liber 12640 page 770. ' -pre `74/05 "y 6LIn (��,� 7?)a�i t/��lj4�Z 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: William O. Konkel)Jr.,Trustee �{ Jl4n Re/fhvselice/KonkellDeed 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: On the JDA day of September,in the year 2020 On the day of ,in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared WILLIAM O.KONKEL,JR. 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/her/their capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the trument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the'ndividual ed,executed the instrument. the individual(s)acted,executed the instrument. (sig ature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) Not ry P_yblic ` �u� Notary Public Ch�u1 "*yRMSm>e�fN.*tr S Ade ok r1�wKoiLK ��i t -9-2 -11 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/shelthey executed the same in his/her/their capacity(ies),and that by hislher/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 BARGAIN AND SALE DEED SECTION 122.00 WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 06.00 Title No. LOT 032.000 William O. Konkel,Jr.,Trustee of the Jean DISTRICT 1000 Marie Konkel Trust dated August 21,2010 TO Mat Med, LLC,as to an undivided 97% interest,Charles V.Salice,as to an undivided 2%interest,and Gary J. Salice,as to an undivided 1%interest STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS A FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO.7404-008883 SCHEDULE A-1 (Description of the Land) For Tax Map ID(s): 1000-122.00-06.00-032.000 ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in Mattituck,Town of Southold, County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a point on the northerly side of Main Road distant 2,498.00 feet more or les southwesterly from the corner formed by the intersection of the northerly side of Main Road and the westerly side of Factory Avenue; RUNNING THENCE South 52 degrees 11 minutes 00 seconds West,along the northerly side of Main Road 61.07 feet to a monument and land(now or formerly)of 7355 Main Road Corp.; THENCE North 22 degrees 58 minutes 10 seconds West along said land 151.10 feet to land(now or formerly)of MATT MED LLC; THENCE along said land the following 2 courses and distances: 1.North 52 degrees 02 minutes 10 seconds East,61.22 feet to a point; 2. South 22 degrees 55 minutes 50 seconds East, 151.29 feet to the northerly side of Main Road, the point or place of BEGINNING. THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which by law constitute real property. FOR CONVEYANCING ONLY: Together with all the right, title and interest of the party of the first part, of in and to the land lying in the street in front of and adjoining said premises. END OF SCHEDULE A Commitment for Title Insurance Printed: 09.10.20(off 12:39 PM Schedule A-1 Description NY-FT-FRVH-01030.431004-SPS-1-20-7404-008883 FDR COUNTY USE ONLY Cl_ SwIS Code ]FANS):www.cirps.state.ny.tis 14 1 7 1 3 1 8 1 8 1 9 1 Now Yorst stele T]epatxment of C2_ Date Deed Recorded 11 1 4 2020 Taxation and Finance LL, -7 Month Day Year C;L�l Office off Real Prop"Tax Services C3_ Dock Ill 3 1 0 1 l 1 6 C4_ Page I 1 1 9 1 2 1 8 1 R P" 5217-PDF Real Property Transfer Report(8110) PROPERTY INFORMATIONI 1.Property 7405 Mair- Road Location 'SSiH;r:'r ri:fM;yyA •SF3RFET NnM� ;o -1 hold T,aurel 1.1952 •C-:!'r Usx ipFYN v:LLFG� 'Z!r'r:UF]t 2.Buyer Mutt Med, LLC & Sa?a.Ge Char Ze,3 V. a-id Gary J. Name ^•F.�•EAf 1'l:AML•'�')4tl�1�^n F•R6T NRMF. LAST NAMEnOMP— -R,- Nh E 3.Tax indicate where future Tax Bills arra to be sent M-L t Med LL.C. Billing i1 other lhan buyer addle Address y �s(at bohnm W fam31 I,qsr N.weiconranHv rlRsr cAMP P.O. Box 1.295 'Cutchogue NY 11935 srRLL I kUMMR AN0 NAM': m ClYv C Tor 3YATF ]:t1 CODE 4.Indicate the number of Assessment © (Only if Part of a Parce€)Check as they apply: Rol€parcels tmoaferrod on the dead 1 YR of Parcels pg Par[of®F'arcp3 ❑ 4A.Planning Filart€vitt"Subd€visian Aulhanty;=xIgSB 6.Deed X OR 0.1.2 property 'EriOYT FLET .4B.Subdivision Approval was Rsquin0d for Transfer !'gt] •l,�Ef+exe "ACRE": $bite 4C.€'ercel Approved for Stjtx Msiori wrth map,Provided Jeri Marie Ka:1kt� - Tr-ust dated 8/21/2€)10, Willlam D. Ronkel, Jr. , Trustee 6.Seller LAST wnMFroms•nNr '"" wrxsr wnM Nam* eaaT N~f?CanrPArrr riasr"M£ •7.Select the description which most accurately describes the Check the boxes below as they apply: use of the pmperty at the time of sate: S.Ownership Type i3 CpndnlTtifTiuFfe A. One Family Residential S,stow Construcitan an a Vararn"nd 10A.Properly Located wittim an Agricultural District 106.Buyer received a disclosure n atice indicatirig that the property is in an ❑ Agr4oUPtuta€QistnCt SALE INFORMATION 115,Check one or more of"less condition;as Applicable to transfer: A.Sele Between Relatives or Farmer Relatives 11.Sate Contract Bate 0-7/29/2020 a-Sale between RalaTeH Companies or Partners in Susiness- "" C-One of the sayers is a€sot a Seller 'Y8.Date of Salottransfer 09/10/2020 A.Buyer or Soifer is GovernmerrE Agency or Lending Institution E.Beed Type not Wwrartiy or Bargain and Safe(Spealy Beiow) F.Sale of Fractional or Less than Fee{n€emst(Specify Hefow) '13.Futl Sale Price 330,000 ,()o G.5igrpflcanf Change in Property Between Taxable Slatus and Sate nateo t Full Sale F'hCe is the iotat alrraurt€pakl For the property including partxrnaJ property. Salo of Business is lncluded€n Sale Priceetty. i. t]thaT Unusual Factors AffectingSa€e Price S This payment may be in the form of Cash,other property or goods,or the assumption of (Specify Below) J.Nonemortgages or other ptliipgtiprt9.j Please rl7urrta to the nearest cvnole dlaNar amount. Or"mentis)on Condition: 14.Indicate the value of personal property inCJuded In the sale .00 ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment tial€from which irrformaUorl tRkOnfM 20 '17.Total Assessed Value 2,200 '18.Property Class 21.0 .._ '19.SchoolDistrictName 7381? Mat tl.tucIc--Cu'ccticaga[: "201 Tax Map Identif€or(SpRoll Identifierfs)i(If more than four,attach shoot with additional Identifier(s)) OJU-122.DO,--06.00-032.000 CERTIFICATION €Certify that all of the items of information entered on this farm aro true and correct(to the best of my knoxrledge end belief)and I understand that the making of any vAllfu€ false statement at materWi tact herein subject me to the p-mvipi -ttrt_[l#t!f 1;1W relative to the making and Ming of false Instruments. (Cnter irltwrnation for"bu)ler.Nate:It huyor is LLC,socleiy,"woatlon,corpora jp ,joint aleck company-&s}Ie or rnl ity that is root An irxdrAdusl agent or Rdccisry,man a name and cams-t inrormauan of an ina3vl[fuayr®spnnaiosa tD7 � Percy who can ar+awer auestiona r 40rdrng fnn lranyeter muss be tnoered.type or print ccesgy.y. SC[�t-FR ai[.:tiAFJRl /DAS•F •••••�••••�� li"n"t► U. nn YC 1,3� _ rvx� c Sa.I.1'.Ce, Ckaa.rwes v. 1323) 333-3404 W •B.RFH C:[s[3L m "CIF. T MHER M€ 9W-`Jab] OAT F. rn P.Q) Box 1295 :,=DEFT Ni%ref3F:R S[ri(=[1^�Atie= E It Ci-ttchogue NY 11-935 J � 'Ci rY d!1 TdeMJ pU ry.A 1 out 1 1 'eq ickha€,, Ab.i i-i A 1 LAsr nnM� 1-:ns r*FAstc F 29€3-8353 1�1 I 1 1 An EA d:pl]�. .m 1 F.l.EhHalr[taiMHER.Er:9999AA9S 1 ! # l t '