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L 13097 P 962
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 4/1/2021 Number of Pages: 4 At: 7 :26 : 49 PM Receipt Number: 21-0064735 *ELECTRONICALLY RECORDED* Transfer Tax Number: 20-27027 LIBER: D00013097 PAGE: 962 District: Section: Block: Lot: 1000 015 .00 03.00 029.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $1,200,000 . 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 $12,000 . 00 NO EA-CTY $5. 00 NO EA-STATE $125. 00 NO TP-584 $5. 00 NO Comm.Pres $21,000 . 00 NO Transfer Tax $4,800 . 00 NO Transfer Tax Number: 20-27027 Fees Paid $38,195. 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 4/1/2021 7:26:49 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013097 Social Security Numbers P 962 prior to recording. 20-27027 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 4,800.00 Mansion Tax 12,000.00 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 27075977 1000-015.00-03.00-029.000 Consideration Amount $1,200,000.00 Tax Service /P`-Ts Agency R 7 POA CPF Tax Due $ 21,000.00 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Abstracts Incorporated TD 10 100 Garden City Plaza Ste_ 201 Garden City NY 11530 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 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 ATTORNEYS FOR SELLER AND Q!� 6 f1 PURCHASER BEFORE SIGNING. THIS INDENTURE,made the /\ n' day of r¢.bry-o rt 2021 between Sara Bellesheim,residing at 1 Rivermere 1C,Bronxville,New York 10708 party of the first part,and Mitchell Burd and Candice Bard,as husband and wife,residing at%Durand Road,Maplewood,New Jersey 07040 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) The grantor(s)herein being the same party as the grantee(s)and the premises same as described in deed recorded in Liber 12149 Page 250. b1�a� 00 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, og235 o 1� 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.• Sara Bellesheim NYSBA Residential Real Estate Fomes on HotDocs'(9/00) Copyright Capsoft Development -1- State of New York ) ss: County of Suffolk ) 2� �c 4[ On this 3 day of � d)' 2021,before me,the undersigned,personally appeared Sara Bellesheim,personally known to me or proved to me on the basis of satisfactory evidence to the be individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacities,and that by their signatures on the instrument,the individuals,or the person upon behalf of which the individuals acted,executed the instrument. 6e L C�iC�l otary Publ' BETSYA.PERKINS Notary Public,State of New Ybrk No.01PE6130636 Qualified in Suffolk Count* Commission ExpiresJuiy 18 av NYSBA Residential Real Estate Forms on HotDocs°(9/00) Copyright Capsofl Development -2- ' ABSTRACTS, I"0QRP©RATE©—' Residential G.Commercial-Fmla Insurance since 'I S84 as agent for First American Title Insurance Company SCHEDULE A DESCRIPTION Title Number: 563-S-15083 Page: 1 ALL that certain plot piece or parcel of land, situate, lying and being at Orient Point Town of Southold, County of Suffolk and State of New York, known as Lot 70 on "Map of Orient-By-The- Sea, Section Two, situate at Orient Point,Town of Southold, Suffolk County, New York, owned and developed by Woodhollow Properties, Inc., #3 Glen Lane, Glenwood Landing, New York, Otto W. Van Tuyl and Son, Surveyors, Greenport, New York", filed October 26, 1961 as Map No. 3444, Abs. No. 3840,said Lot being bounded and described as follows: BEGINNING at a point on the southerly side of Sound View Road distant 584.99 feet easterly from the corner formed by the intersection of the easterly side of Ryder Farm Lane with the southerly side of Sound View Road; RUNNING THENCE along the southerly side of Sound View Road North 77 degrees 30 minutes 00 seconds East, 145.00 feet; THENCE South 12 degrees 30 minutes 30 seconds East, 146.26 feet; THENCE South 79 degrees 58 minutes 20 seconds West, 145.13 feet; THENCE North 12 degrees 30 minutes West 140.00 feet to the southerly side of Sound View Road and the point or place of BEGINNING. FOR COUNTY USE ONLY Cl- swis Cade 14 . 7 . 3 . S . S . 9 I ITI$)_v.%%rw.wps.Mate.ny.us Now York Scats Department of Ca_ nate need Recorder 14 1 20211 Taxafion and.Finance Month Day Year Ojt1C6 of R@e^il PfY3peff]r TRIC SAiYiCds C3_ Book 11 E 3 E 0 E 9 E 7 1 C4- Page 1 „9 , 612 1 RP.. 5'217—P[7F PROPERTY INFORMATION I Real Property Transfer Report(WIG) 1.Property 6513 Sound View Road Location •axMtr MWADVA Ls nota: Orient 11957 y�� Burd ,,•�,C�,ry oA TY]WN �h ^ZFP CACI 2. ell Narne •1.2kATKKWC, MPAW FFRSY NM1fti 33urd Candice r�sT�nrei FEnsrtaAaet� 3.Tax Indicate where fufure Tax tills we to be seuM Billing R other than buyer address(al botforn of Toms) FFM HAW Address ETRRE�'rajraa nAlto HRMS CITY on'rnwn" SPAT& XV0006 4.indicate the dumber of Assessment (Only If Part of a Parcel)Check as they apply: Roll parcels transhwred on the dead �' #�Paroers OR ❑part of a Parce€ 4A.Planning Sward with Subdivision Authority 1-ras4s t:.Creed X OR 0.47 46.5ubdMsion Approval was Raqulmd For Transfsr Ptvoiserly -F:RO tr air WARS Size ASC.Parcel Approved for Subdivision with Map Provided Bel la,she1m saS7a a.Setter •LAs M*AErcoau+AW FW1=MkME Name ialBF a�OMP Fr F3RSFMME •7.select the description which most accurately describes the Cb eck the boxes below as they apply: thtw of the property at the time ofaala: S.Ownership Type is Cwsdorrdrdi m El A.One Family Residential 9.Now Construction on a Vacant Land El TOA.Property Located within an Agdoultural i]taWO IOR.Swfer received a disclosure notice Indicating Stas the property Is In an Agricuikoat District El SALE INFORMAT10N IS.Check one or more of these conditions as applicable to transfer: A.Sate S"Veen Retatives or Pomw Re lalives 19.sate contract Erats 09/18/2020 B.Sale between Related Companies or Partners hi Susinase. C.One of the Buyers is also a seller "92.Daft of SateiTransfer m�..ii Oct C?'2--'� D.Buyer orrSSeiler is Government Agency or LendingInstitution 3 i=.Dead T not Warrantyor Bargain and Sala 9etow F.Sale of Fractional or Less than Fere interest(Specify Befoul) •IsL FUR sale Price 1,200,000,00 G.Sitiraficant Charas in Property Between Taxable Status add Sale Dales ti.Sale or B"ttess is Moluded In Sate Prion {Full Sale Price is the total amount paid for the property Includingpersorwl property. €. Other Unusual Factors Affecting Sale Brice(Specify Bulnw) This payment may he to tna form of cash,other property or goods,at the assumption o! .L None mortgages orofhw al ations.)Ptease round to the nearest whoJa uosar arncxmr. Cnxwtr3xetM(s)on condition- 14,Indicate the value of personal .Ga Property incxaded in the saw ASSESSMENT INFQ MATICNN-l3ala should reflect the latest Final Assessment Roti and Tax Bili IS-Year of Aaaesament Roll from which htfnrrdattad takonffy) 21 '17•Total Assessed value 6,200 "18"Property Class 210 ,„• '19_School District Name oy,terponds 120.Tan Map Identlfier(sjilioll€dedfiflar(s)(if nvDre than four,attach sheet wnh additional tdedtif er(sl) 1000-015.00-03.00-029.000 CERT CAT10N I Certify that all of the hems of Information entered cs3 thW form are true and correct(to the best of frry knowledge and belief)and i understand that the malting of any vMlfut false rstaternerd of rrrstertal fact herein subject rs9 to the nrov�€ons of the rxerrat.faw n■betivu to the ingidng and fi€krg of false Instruments. yyxg F2 Ctli3iTACT RiIF�� r �r1€L mnt6e inrnn9laifwi for the buyer NCts;if buyer is LCC-aodaty.assodatIon.cixporstlon,skit stock Company."rade ar �} Y eat Ky that is oar an BwA&ml m9ent or adudwy,"n a none and contact iMwmagon or an€nd"rvFduaNresVdnstbte 1 pee VVho cart answer quemm"a regarding the"Wer NAW be er"Md.Tme or""t etandy.) Burd Mitche3.1 MJYER..SiGNATIIRE ����� •cRsr rinsr wieW nIYrER SKafya,7i]RIE BATE 96 Durand Road •7TFiWT-r BER •sTsrer-.rrasaaa r Ma lewvod IIT 07040 i 3 •afFY OR'E'OIM1t! M "3FAT@ �^7lp aOrlE•• t4cKexxrz 9 Erik e 3.R%F 1V►A/A: VKST NAME 111311 734-8046 [ 3 AMAeaM 7XUM fgry@ret MPft ro'.9"Ma at E r E ■ I