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Home My WebLink AboutL 13097 P 474 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 3/30/2021 Number of Pages: 4 At: 7 :13 : 42 PM Receipt Number: 21-0062328 *ELECTRONICALLY RECORDED* Transfer Tax Number: 20-26614 LIBER: D00013097 PAGE: 474 District: Section: Block: Lot: 1000 040 .00 03.00 004 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $530,000 . 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 $7, 600 . 00 NO Transfer Tax $0 . 00 NO Transfer Tax Number: 20-26614 Fees Paid $7, 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 3/30/2021 7:13:42 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013097 Social Security Numbers P 474 prior to recording. 20-26614 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 2707 5329 1000-040.00-03.00-004.000 Consideration Amount $530,0 0 0.0 0 Tax Service P r s Agency R7P�2A CPF Tax Due $ 7.600.00 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Fidelity National Title Riverhead - 24 0 mmikerc 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 alz ; SZ oN I.aouw>n( - ao�` aca�z� -�y01-"7-fi Standard N.Y.B.T.U.Forth 8005—Executor's Deed—Uniform Acknowledgment CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 10*day of November 2020 BETWEEN Jean Jerome,as Trustee of the Susan Ellsworth Living Trust dated November 6,2003,residing at 372 Main Street,#303,Port Washington,NY 11050,party of the first part and HNF Resorts LI,LLC,having an address at 690 Queen Street, P.O. Box 89, Greenport, NY 11944 party of the second part, WITNESSETH,that the party of the first part,in consideration of Five Hundred Thirty Thousand and 00/100--($530,000.00)---Dollars,and to effect the distribution of the decedent's estate,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 Greenport,Town of Southold,County of Suffolk and State of New York,being bounded and described on Schedule"A"annexed hereto and made a part hereof. (SEE ATTACHED SCHEDULE"A") Being and intended to be of the same premises described in a deed made by Susan Ellsworth,as surviving tenant by the entirety of Micheal Quealy and recorded November 19,2003 in Liber 12284 page 663. 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 Darty 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"when ever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the da year first above written. IN PRESENCE OF: Jean er e, s Trustee tan ��n e f/deedexEllsworth I/�/ FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO.7404-009779 SCHEDULE A-1 (Description of the Land) For Tax Map ID(s): 1000-040.00-03.00-004.000 All that certain plot,piece or parcel of land,situate,lying and being at Greenport,Town of Southold,County of Suffolk and State of New York,bounded and described according to survey dated 10/23/01 made by Stanley H.Isaksen,Jr.as follows: BEGINNING at a point on the southerly side of North Road(C.R.48)distant 206.14 feet southwesterly from the corner formed by the intersection of the southerly side of North Road and the westerly side of Queen Street; RUNNING THENCE South 11 degrees 17 minutes 10 seconds East,a distance of 295.20 feet; THENCE South 50 degrees 52 minutes 10 seconds West,a distance of 186.86 feet; THENCE North 10 degrees 07 minutes 20 seconds West,a distance of 298.46 feet; THENCE North 50 degrees 52 minutes 10 seconds West,180.00 feet to 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: 11.03.20 @ 03:22 PM Schedule A-1 Description NY-FT-FRVH-01030.431004-SPS-1-20-7404.009779 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of SUFFOLK as: State of New York,County of as: On the j 6 may of November,in the year 2020 On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared Jean Jerome 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 instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the indiviO4 )acted,executed 7 Instrument. the individual(s)acted,executed the instrument. (signature a office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) err 'L s tarn'of Now** * SsPL 31116 6Z No.52-4642MTO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of , County of as: 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/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,and that such individual made such appearance before the undersigned in in the State of (insert the City or other political subdivision) (signature and office of individual taking acknowledgment) EXECUTOR'S DEED SECTION 040.00 BLOCK 03.00 LOT 004.000 Title No. DISTRICT 1000 JEAN JEROME,as Trustee of the SUSAN ELLSWORTH LIVING TRUST DATED NOVEMBER 6,2003 TO HNF Resorts LI,LLC STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by rc FDR COUNTY USE ONLY Cl- Swis Cade 14 F 7 F 3 F 8 F 8 F 9 I -INS)!www.orps.statemy.us New York sta!€a Department of C2_ nate need Recorded 1 3 / 30 20211 Taxation and Finance Month nay rear ci-41 C3rsce of Fieri Property"tax Servioes C3_ Book 11,3,0 ,9, 7 1 C4_ Page 1 , 141 7, 41 RP- 5217-PDF Real Property Transfer Report(8110) PROPERTY INFORMATIONI 1.Property 54380 County Rcad 48 Location 'STgg��NFJr.�E;tx 'STREET NAME Southold Greenport 11944 crrr ora Toww "n 58 •zw coo€ 2.Shyer HNF LLC Name •LABr wAME+COMPANV FIF61 NAME LAST TWMEICaOAF`nKY FIRST NA S.Tax hadicaw where future Tax Sills are to be sent Frilling if other than buyer address(at bottom of form) i T NAMEMO FPANY rFRST NAME....... ..m Address 37 REET NUMBER AND NAME CITY OR TO STATk zw COOE 4.Indtcate the number of AssessmentPf aarce P € forty 0 Part of a Parcel)Check as they apply'. Rall parcols transferred on the deed #of Parcels OR ❑ art o4A.Planning Board with Subdivision Authority Ensts El S.Deed OR 1.09 46.Subdivision Approval was Required for Transfer ❑ Property FRorar s-' r •oEs'tM •ACREs Size 4C.Parcel Approved for Subdivision with Map Provided ❑ .Tears Jerome, 'Trustee of the Susan Ellsworth LIVI ng Trust a.Haller •LAST�ECOUF— FIRST F -E Name L48T NAMEfCO>,�AtiY Ftl&T NAME, •7.sleet the description which most accurately describes the Check the boxes below as they apply: ❑ use of the property at the time of Sale: a.Ownership Type is Condorninium A. One Family Residential S.Now Construction on a Vacam Land 10A.Property Loonte d within an Agricultural District ❑ 100.Buyer received a disclosure notice indicating that the property is in an El District ALE INFORMATION 15.Check ona or more of these conditlons as applicable to transfer: A.Sale Between Relatives or Fortier Relatives 'I1,Sate Contract Data 10/28/2020 8.Sale between Related Companies or Partners in Business. 0.One of the Buyers is also a Salter 12.Date of SalelTransfer 11/20/2020 C.Buyer or Sailor is Government Agency w Landing Institution E.Deed Type not Warranty or Bargain and Safe(Specify Below) F.Sele of Fractional or lase than Fee Interest(specify Below) `13,Full sari Price 5 30,000 .00 G-Significant Change In Property Between Taxable Status and Sale Dates H.Salm of Business is€nciuded in Sale Price (Full Saw Price is the total amount paid for the property intruding personal property. I, Other tlnusuim�Factors Affecting Sale Price(Specify Below) This payment may be In the form of cash,other property or goods,or the assumption of 3-None mortgages or other of alfons-)Please round to the nearest whole dodrar amount "Commsnt(s)on Condmon: f 4.Indlcate the value of personal 0 .QO property included in the sate ASSESSMENT tNFORMATtON-Data should reflect the latest Final Assessment Rol$and Tax Sill 98.Year of Assessment Rol[from which information taken(YY) 19 '17.'total Assessed Vahta 4,900 "18.Property Class 21.0 T '19.School District Name 473810 Greenpott "20,Tax Map Identifior(s)tRoll Identifier(s)tlf more than four,attaeh sheat with addittonal ide"fier(s)) r...... 1000-04000-0300-004-000 CEgTWICATION €Certify titot all of the Rams of information entered on this form are bus and Correct(to the hest of arty knowledge and belief)and I understand that the making of any willful false Statekx1011t of Fttatarla$fatin subject me to the, raVisiSp¢s..af�law relative to the making and filing of falser Instrument*. BUYER CiONTACT INE.90WATLONN (Enter iradrmatlw]for Me Iauyea.Note:if twyer Is l_LC.society,aeaoclerion,corp—lbn,point Mock cornpany.aetwo or amity Met is not an irH73rlduaF agent or fidudil.3y.Inert a name n.d W Incl mfo—s ion of an m&i idusilrasponsiblo 14.1'E pany who can anawsr questions r gArdmin u5 t(. ver awst tw entered.Type or print clearly.) S E,3-ulo a BUYER SIGHATUItE .r.J:r+"1 �J-^ r• �"7ks b CX" - •LgsT xAME rIRST NAME •Ali EACOUE ¢� 'ri.LEP.� NUM@ER[Z.:9999999; STREET NU aEft 'STREET NAME S f••G�€t„!te ftn� y I L l I •OF—DR TOx •STATEE 'z3P CODE MYER'S AX ,RWY a Goggins W-tl.liarI C- -&r NAME —ST NE . 3 F %631} 298-4818 F AREA**M TELEP3�E N MBER(EX.9999998; F 3 )l F