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L 13086 P 980 (2)
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 1/14/2021 Number of Pages: 4 At: 8 :26 : 18 PM Receipt Number: 21-0008031 *ELECTRONICALLY RECORDED* Transfer Tax Number: 20-17905 LIBER: D00013086 PAGE: 980 District: Section: Block: Lot: 1000 031 .00 07 .00 013 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $282,000 . 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 $2, 640 . 00 NO Transfer Tax $1,128 . 00 NO Transfer Tax Number: 20-17905 Fees Paid $4,163. 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 1/14/2021 8:26:18 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013086 Social Security Numbers P 980 prior to recording. 20-17905 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 1,128.00 ' _� 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 21W1185 1000-031.00-07.00-013.000 Consideration Amount $2 82,0 0 0.0 0 Tax Service P r s Agency RD A CPF Tax Due $ 2.640.00 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Landstar Title Agency Inc TD 10 55 Cherry Lane Carle Place NY 11514 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Comwny Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcounVny.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 L rT°©g3' —Executor's Deed—Individual or Corporation(single sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the,. day of June,in the year 2020 BETWEEN Joel Hempel a residing at 235 Valley Road,Media PA 19063, as executor of the last will and testament of Martha E.Hempel aka Martha Ehlers Hempel,late of Rensselaer County, deceased,parry of the first part,and William G.Hempel,IV and Tracy Hempel,his wife residing at 133 Dunham Road, East Nassau,NY 12062 party of the second part, WITNESSETH,that the party of the first part, to whom letters testamentary were issued by the Surrogate's Court of the State of New York for the County of Rensselaer on May 28,2019, and by virtue of the power and authority given in and by said last will and testament,and in consideration of two-hundred and eighty-two thousand($282,000.00)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 "SEE ATTACHED SCHEDULE A" 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 also all the estate which the said decedent had at the time of decedent's death in said premises, and also the estate therein, which the party of the fust part has or has power to convey or dispose of, whether individually,or by virtue of said will or otherwise; 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 incumbered in any way whatever,except as aforesaid. AND the parry 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 fust 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: / JOEL HEMPEL,EXECUTOR SCHEDULE A Description ALL that certain plot, piece or parcel of land, situate, lying and being at East Marion on the Town of Southold, County of Suffolk and State of New York, known and designates as Lot No. 186, on a certain map entitled, "Map of Gardiner's Bay Estates, Section Three." And files in the Office of the.Glerk of the County of Suffolk on April 24, 1968 as Map No. 5083. ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of ,ss: State of New York,County of ,ss: On the day of in the year before me, the On the day of in the year before me, the undersigned,personally appeared undersigned,personally appeared ,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(are) satisfactory evidence to be the individual(s)whose name(s)is(are) subscribed to the within instrument and acknowledged to me that subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),and 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 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 the person upon behalf of which the individual(s)acted,executed the instrument. instrument. ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK TAKEN IN NEW YORK STATE STATE State of New York,County of ss: *State of P/� ,County of irss: On the day of in the year before me, the *(Or insert District of Columbia, Territory, Possession or Foreign undersigned, a Notary Public in and for said State, personally County) // appeared ,the '0AA" 1eMI1J subscribing witness to the foregoing instrument, with whom I am On the/p day of� in the year,242;�0//,,,�"before me the personally acquainted,who,being by me duly sworn,did depose and undersigned personally appeared-,j-,>--/49,01'0 say that he/she/they reside(s)in Personally known to me or proved to me on the basis of satisfactory (if the place of residence is in a city,include the street and street number if any,thereof); evidence to be the individual(s)whose name(s)is(are)subscribed to that he/she/they know(s) 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 to be the individual described in and who executed the foregoing signature(s)on the instrument,the individual(s)or the person upon instrument;that said subscribing witness was present and saw said behalf of which the individual(s)acted,executed the instrument,and that such individual make such appearance befor the undersigned in execute the same;and that said witness at the same time subscribed the Lbl���/,OF G�3 4Ye�X11 of yfw-i-&f his/her/their name(s)as a witness thereto "' (add the city or political subdivision and the state or country or other place the ackjwledgement w r akIi). Executors Deed i s 0 M� '1111ftrypowc IiitrCWj"on Erp":08*11A qr 211,2023 CarrwNorr hart hM i3Ci2A�9 SECTION:031.00 BLOCK:07.00 Title No.LT70043 LOT:013.000 The Estate of Martha E.Hempel COUNTY OR TOWN:Southhold TO William G.Hempel IV,&Tracey Hempel RETURN BY MAIL TO: DISTRIBUTED BY William G.Hempel IV&Tracey Hempel 45 North Lane YOUR TITLE EXPERTS East Marion,NY 11939 The Judicial Title Insurance Agency LLC 800-281-TITLE(8485) FAX:800-FAX-9398 FDR COUNTY USE ONLY Cl- swis Code 14 r 7 r 3 r S r S r 9 I )FANS):www- ite•hy.us flow York Slate Departsttrant.of C2_ Date Deed Recorded 1 I 14 / 20211 Tax�ttifael menti Finance Month Day Year � .....� CPP—of Real Property Tax SeMces c3_ Book 111 310 1 8, 61 c4_ Page 11 19 1 81 0 1 RP- 5217-PDF PROPERTY INFORMATION I Real Property Trensfier Re(ron(W18) 1,PFOPOVLY Location ation 4.5..................................... North T.,ane 'SYHEE'r P1VTi6Eli --- "sFRFrlAhtsr SPllt;hC7ld —. .................................... ...._ _.-. ............ •CSTT'Q9 FgWN •••VOA Ar ... 2.Buyer Hempel WIlli.am G_ IV Name LAETHpwyEiCillpvnHY FTir'n n...R•..... Hempel l I rdC Gtr ... .....fir NAmIENd]NIPARI` F3R8T NAME ... ..---- ................................ 3.Tann Indloate where Hippo Tax 131lls are to be sent imlkrg .......... -------------------- ---------- -------------- .. Address if other than buyer addwsB(at bottom of form) SJaeT NA#!ElC91iF+AHY FIR8r NAIW ........iFNiET WMDiM Aritl HAMS...._.__-...-. CnY on TOWN .........._._.................. g AIE .....zv COM 4_indicate the number of Attaosament ❑I Part of a Pascal (Qly R Part ref ra ro Peel)Chaek AmOoey alppir: Rat[Parcels trea anaForred an the dd :r of Peraalb OR IA.Plonning Rased with MubdMslen Authortty rats ❑ S.deed C3R C3.4 proms - Aft.SubcWMon Approval was Requlaeq for Transfor E) 0--F-714 'ACRES 4C.Pamel APptnved Tor Subtlivialon vvM AQP Pmvidad ❑ The Estate of Martha E. Hempel. S.Salter �..___..................._._.__ •Leat HAanElc�nraxr r RST NWE ^......................... .- . ° Hempel a0el, E3cectxtnr 'T.SeMct the description whWh moot accurately describes the Check fres boxes below as they apply. use of ale property at the than of anla= R.owrnersrRp Typo is Condorninilars ❑ A+One Farsttly Residential a Now Construction cn a Vacant Land ❑ ... ....... .. ... 14A.Property Located vM Nn an Agripdturet Dwrist ❑ ttM.S Wr rercohmd a disclosure nofte indices tient the property is In on Agr&xNklrat visgtct ❑ [SALE INFORMATION IS.Check ora or mora of these conditions as ow rcafne to transfer: A.Sale Betwgen Re#eltives or Former Ref woo 11.Sete Contract Deft IB.Ssle toohw on Related Companies or Partners In Business. -- C.One of 1e BLP is also a Seger 1 .Date of tladeiTFaridler Z�l �'��... €7,Buyer or Sellar is Goiromrneilt Agency or Lending inAJOAon ' - E•Teed Type not warranty orSargeM and Sale(Spaoify Sal w) F.Sale of Fraollonut or Legs than Fee Interest(Specify Bcrltnw) '13.Full Sale Price 282,000.00 G.Significant Chen"In Property Sehveen Taxable statue and Salt Claws {Full sale Pstcs is tree rads amount paw far the Pyo ty Including personal property. H.sale of sbsklesis is Included M Stria PriceL Other Unusual Pavicrs Affect�ng Rale price(Specify Salcw) This payment may be In the form of cash,otter property or goads.or the assumption of Ortgagtata sir othar ob%gatlom)Piously round to the nearest vvhoto doper art ount J.Nonem 'Comemne(s)an Contntlons 14.Indicate the value of paraetnl Property Included In the owe •00 Exec 3tong..Deed - ................................ ASSESSMENT INFORMATION-Data ehmW reflect the latest Fel Assessment Roll anal Tax Bal 36.Year of Aesaesmmnt Roll from which Information taker4M 2 0 `17.Total Assessed Value 118.Property Class 210... ....................................... •18.School LHstrtct mama ©yet e� Ponds S(--hool "70.Tax Map Mertlflar(s)lRoR tdenttr€ar(sj(lifraom than four.attach sheat arith addllronel hffentlelsr(s)) -----------------------------------..... . 1 O00-031-00-07.00-DJ3.00 .................................--"'--------- --------------- T RTIFICATION 1 Certify that all of the itarns of lnforakolon entered on this farm are trine and correct(to the best of my knowledge and bollen and 1 understand 111M the making of easy yaFIlfW lance statement of mstarlal t ]rerein subject run tot7re A[[tR. kPrts_faf t[1e perrilE.law relaNv9 to the msdltng and filing of safte Inotmmenfta Sri.FR sLM-dA ru ZW-YF-1R-CCW--TAGXAMEQRMATKM T 1(17nMr arrorrRason For the tarys•,nate-Kbuyer is LLCAOdiny,a>soando>L cwpwwlan.Joint stack avxa pony,estate a 1 entity 1hpf is trot sn€ndwkl sial agent or"Ic;ary,H,en a name and corateat waansoon of an kl�rldaa!hasoanalhl® � Pony vwho Gan aae5xYee'q-mft:B regaft" ttansfor must be emoted.Type m prInt ck,*V y.) oA:`F ._... _..L�.1.. .+ ]. 9E1-G, &QaVAT E �-- _...................... pp''ee pp Flt-rupeel. William. G. IV ]Gruel. IL`. - ,..._ _ _ _ _ __ yP • . rnBT HadAE FIpyT ftlARrE= ------------ �.�� L� f�g (993} 999-3999 •AREA OC]DE �3EFl pxE HU�A9ER Ems= BUYER 91GNA .AZE 45 rrarth Lane c ..- _ ........................................... ...................................... - "STREgT DRAOH9g7 HAMS East Marlon NY 11939 'I ....�civ^r tiu�Yoireii.. ...�.. -srnrs •an caF�E � I ••••••••••••3 bpi•3lAH1E F3R$F riAM@ T L nne�coos MjmaE [r oaxwoa) 1 n it F r