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L 13096 P 896
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 3/25/2021 Number of Pages: 4 At: 7 :09 :35 PM Receipt Number: 21-0059036 *ELECTRONICALLY RECORDED* Transfer Tax Number: 20-26124 LIBER: D00013096 PAGE: 896 District: Section: Block: Lot: 1000 078 .00 07 .00 033 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $440,000 . 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 $5,800 . 00 NO Transfer Tax $0 . 00 NO Transfer Tax Number: 20-26124 Fees Paid $6,195. 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 3/25/2021 7:09:35 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013096 Social Security Numbers P 896 prior to recording. 20-26124 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 210142r4 1000-078.00-07.00-033.000 Consideration Amount $440,000.00 Tax Service P r s Agency RD A CPF Tax Due $ 5.800.00 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 ¢7thq-JO1� 1 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 A rrORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE,made the 1k-0— day of December,2020 Between LINDA S.CARLSON,residing ag 1600 Waterview Drive,Southold,New York 11971 party of the first part,and 1600 WATERVIEW,INC.,located at 2390 Crownland Lane,Cutchogue,New York 11935 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 described in a deed made by Brett A.Carlson and Linda S.Carlson and recorded January 30,2004,in Liber 12298 page 348. 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 fust 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., 62A S.CARLSON NYSBA Residential Real Estate Forms on HotDocs®(9/00) Copyright Capsoft®Development -1- FIDELITY NATIONAL TITLE INSURANCE COMPANY POLICY NO.7404-010151 SCHEDULE A (continued) 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,and described as follows: BEGINNING at a point on the Southerly side of Waterview Drive,distant 265.00 feet Westerly from the intersection of the Southerly line of Waterview Drive and the Westerly line of Cedar Lane; RUNNING THENCE from said point of beginning running the following three courses and distances: 1 South 25 degrees 05 minutes 30 seconds West 150.00 feet to a point; 2.North 64 degrees 54 minutes 30 seconds West 100.00 feet to a point; 3.North 26 degrees 09 minutes 20 seconds East 160.96 feet to a point on the Southerly line of Waterview Drive; THENCE along the Southerly line of Waterview Drive the following two courses and distances: 1.South 38 degrees 37 minutes 50 seconds East 28.71 feet; 2.South 66 degrees 20 minutes 00 seconds East 71.29 feet to the point or place of BEGINNING. END OF SCHEDULE A Copyright American Land Title Association. All rights reserved. The use of this Form(or any derivative thereof)is restricted to ALTA licensees and ALTA members in good standing as of the date of use. Alk other uses are prohibited. Reprinted under license from the American Land Title Association. ALTA Owners Policy(06117/2906) Printed: 12.09.20 a 06:52 Ply NY-FT-FRV H-01030.431004-SPS-27306-1-20-7404-010151 State of New York) ss: County of Suffolk On this '"1 day of December, 2020, before,the undersigned, personally appeared, LINDA S.CARLSON personally known to me or proved to me on the basis of satisfactory evidence to the be 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. otary Pub be W")� .n" BETSYA.PERKINS Notary Public,State of Now York No.01PE6130636 Qualified in Suffolk County, l Commission Expires July 18, a Qa.1 NYSBA Residential Real Estate Forms on HotDocs®(9/00) Copyright Capsoe Development -2- FDR COUNTY USE ONLY Cl- SWIS Cade 14 17 I 3 I S I S I 9 I 4NS)'www_arps'state'rfy.us Now York State Daparttrialrlt of C2_ Date Deed Recorded 1 3 / 25 20211 Taxation and Finance Month Day Year L-q C3Rlce of Real Property Tax Services c3_ Soak 11i 3€0 €9€ 6 1 c4_ Page I € €S € 9€ 6 I RP- 5277-PDF PROPERTY INFDRltATIDNI Real Property Transfer Report(me) 1.Property 7.600 WATERVIEW DRIVE t aeatierr •STREET M3MBER '87REI �•••--•••••••• SOUTHOLD SOUTHOLD 119'7-1 -CnY afi TaiNN VaAAGE •2�Car>E P.Buyer 1600 WATERVIEWr INC. Name •3 T WW1I1i UWAW FIRST NOME LAST NAMFJOOMPANY ••••_ FIR37?WkW 3.Tax Indicate whew future Tax Bills bete to be sent Billing if other than buyer addras xrt Address ${at bottom of forLAST HPA�CCMIP WY F'lRSY NAME STALE-C i4LPMO A W Nodi cnI OR loy'F S7RTE. 2W cooe 4.Indicate the number of Aaseeorrwnt 1 Parcels OS ❑Part of a Parcel J0nly If Part of a Parcaf)Check ars they apply: Roll parcels,transferred on the dead # [ [ 4A.PWnitirog 19aarcl with SutxS€Hsiost Authority Exdafy a"tTaacf C]R 0.33 Prop48.SubdivWori Approval was Required for Transfer ❑ size rLy 'PROW PEET -aFFTFS •ACW$w alae 4C.Parcel Approved for Subdivision with Map Provided ❑ CARLSON LINDA S. 6.Seiler .1pyT fir, . FIRST MrwE Hecate inaT wre&revhet=nNr FMT kAME '1.Select the description which moat accurately describes the Check the bones below ars they apply_ use of the Property at the three of sale: S.Ownership Type is Condominium ❑ A.C7ne.Family Residential S.New Conslroclion on a VOI Land ❑ 10A.Ptapeftyr Located within an Agricuhural District ❑ IOB.Buyer received a disclosure notice indicaling onil Ines property is in an Agricultural 01 ❑ .SALIE- IINFORMATION1 75.Check ons,or Ynom of theca conditions as applicable to rtsfer: A-Sale Between Relatives or Former Reladvas 11.Sala Contract note 11/16/2020 B.Sala between Related Comparrlea or banners in Business- C.One of the Buyers is also a Seiler 12/11/2020 p-Buyer or Seller Is Government Agency or Lendiro(1€nstltutlon 12,i7ate of salalTtiranafer 9-Deed Tyke not Warranty or Bargain:and Sale 13 pacify Below) F-Sate of Fractiona€or Less than Fele interest(Specify Below) "13.Full Sale Price 440,©00 .()o G.Significent Change in Property Ewgwoart Toomble Statue and Sao pates {Fu€€Sale Pnca is the tate}amount pard for the property inCilaGtifa real H,�e 0 Business is included in Sale Price This payment a b®in w form Cath,other g Parte prop"- I- Other Unustias Faictors ANBsting Sale Prion(Speoify,Below) Pay may property or goods,or the assumption of 3.None nwrtgagas or other obligations-)Please awed to the nearest wtiate"arammnt- C:ofrsrwntI on Condition: f4.hw1cato the value of personal .�Q property Included in the sola ASSESmSrAENT INFORMATION-Data s outd Oect Ge lakst FinI Asses,4rinent Roll and ax 111 16.Year of Asseeamunt Roll from which brfortnation takerM) 2 O '17.Total Asaeeseti Value 4,600 "16.Property Class 210 Is.School OhrtrfatNarme SOUTHOLD `20.Tax Map Identlfler(a)IRoli ldentifter(e)Of More than liour.attach sheet with additional klentiSerial) IDDO-7$.t3Q—D7.DQ-433.QDQ 7,MFICATION I Cattily that aD of the sterns of Infoirna on entered on this form arm true cured Correct(td the best of tray knowledge and ballet;and I understand that the retaking of any Willful false efaternent i etertal fact herein subject me tottia�TCgvislcnr�i tat tie xasnal Iswr reIaliva m the making and filing of false Instruments_ 6UYE$CONTACT INEQRIVF& Q (Eftt r InlarTaasloh for the buyer.Nola-If pwyer is E.r.C,sadetY,aswocitaRav,corporation,joint aback campany.estsie or w9fty that ie not are individual Agent or fturWry.than a thine WMA contact h4annartan of an lndivkkwVmapgrtaI Ply who can answer queatiorla regard"tree tranvW rra.twt be a nwrod.type ar Print alrivly-) 6ELf.>;n T1,MilE tL17E 1 r� �(LYtLSt7t1 Martilotta. Evan BUYER SIGNATl43f •t,s7+aw8 P'IHSr'NAttt: DATE PO B4DX 23 ""dor) •-•wI�OW, 'STNEE.1 NlIM[3Eif "STREET TWAE ' L'utchoc u� NY 11935 -Cary OR TO p p��y 'STATE •2JP 000E .i R MS-Ane)II.R11 Y GEAS7 JANET l.Ae'r NAME rMy"MME (631) 298-8353 AHEM1 Ctl[]E' TEL>£MfonL HUR�R fEfc:asasaael € t