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L 13100 P 146
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 4/16/2021 Number of Pages: 4 At: 10 :38:26 PM Receipt Number: 21-0077180 *ELECTRONICALLY RECORDED* Transfer Tax Number: 20-28841 LIBER: D00013100 PAGE: 146 District: Section: Block: Lot: 1000 056.00 07 .00 021 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $1,225,000 . 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 $21,500 . 00 NO Transfer Tax $0 . 00 NO Transfer Tax Number: 20-28841 Fees Paid $21,895. 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 4/16/2021 10:38:26 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013100 Social Security Numbers P 146 prior to recording. 20-28841 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 21019084 1000-056.00-07.00-021.000 1,225■000.00 Real Property Consideration Amount � Tax Service P r s Agency €t vG[ n CPF Tax Due $ g Y 3f37f2[727 21,500.00 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 -7q��-meg1 BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS(INDIVIDUAL OR CORPORATION) FORM 8002(short version),FORM 8007(long version) CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. P a THIS INDENTURE,+made le 29th day of January,2021, BETWEENNorth Fork Realty Group,LLC,of 2093 Bellmore Avenue,Bellmore,New York 11710, party of the first part,and The Carmela Lazio Revocable Trust dated 7/11/16&%d Carmela Lazio as Trustee,of 8 Farmers Lane,St. James,New York 11780, party of the second part; WITNESSETH,that the party of the first part,in consideration of Ten Dollars and No Cents ($10.00)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 Town of Southold,County of Suffolk and State of New York, known and designated as Lot No.3 as shown on a certain map entitled,"Map of Southold Shores at Arshamomaque,Town of Southold,Suffolk County,New York",made by Otto W.Van Tuyl and Son, Licensed Land Surveyors,Greenport,New York,dated July 1,1962 and filed in the Office of the Clerk of the County of Suffolk on August 29,1963 as Map No.3853. Being and intended to be the same premises described in a deed made by Howard F.Malone,Sr.and recorded August 5,2013,in Liber 12739,at Page 118; SCTM#:1000-056.00-07.00-021.000; 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 fust part,covenants that the party of the fust 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 fust 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 some 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 EREOF,the party of the first part has duly executed this deed the day and year first above writt By:Joseph De o,Manager Nam -�Or'V,J4 4A. ,, t rte►- f UL IN PRESENCE OF: NYSBA'a Residential Real Estate Forms(9/2000) -I- 0 2021 Mattbew Bender&Company,Inc..a member of I.exisNexis. FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO. 7404-009741 SCHEDULE A-1 (Description of the Land) For Tax Map ID(s): 1000-056.00-07.00-021.000 AMENDED 12/04/2020 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,known and designated as Lot No. 3 as shown on a certain map entitled,"Map of Southold Shores at Arshamomaque,Town of Southold, Suffolk County, New York", made by Otto W.Van Tuyl and Son, Licensed Land Surveyors, Greeport, New York, dated July 1, 1962 and filed in the Office of the Clerk of the County of Suffolk on August 29, 1963 as Map No.3853, being bounded and described as follows: BEGINNING at the northwesterly corner of the premises where the division line bewteen Lot 2 and Lot 3,on said map intesect with the southerly side of Blue Marlin Drive; said point also being South 33 degrees 14 minutes 31 seconds East 59.28 feet across Blue Marlin Drive from the comer formed by the intersection of the northerly side of Blue Marlin Drive with the westerly side of Dolphin Drive; RUNNING THENCE along the southerly side of Blue Marlin Drive, North 89 degrees 15 minutes 00 seconds East 100.00 feet to the division line between Lot 3 and Lot 4, on said map; THENCE along the division line between Lot 3 and Lot 4, on said map, South 13 degrees 15 minutes 00 seconds East 209.30 feet to the bulkhead and mean high water mark line of Shelter Island Sound; THENCE along the bulkhead and mean high water mark line of Shelter Island Sound, North 83 degrees 54 minutes 04 secodns West 103.47 feet to the division line between Lot 3 and Lot 2 on said map; THENCE along said division line, North 13 degrees 15 minutes 00 seconds West 196.60 feet to the southerly side of Blue Marlin Drive the point of 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 Printed: 12.04.20@10:10 AM commitment forT-due Insurance NY-FT-FRVH-01030.431004-SPS-1-20-7404-008741 Schedule A-1 Description Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK ) )ss.. COUNTY OF NASSAU ) On th day ofN/1(X.t� in the year 2021,before me,the undersigned, personally appeared Joseph DeFino,pertonally 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 fiat they executed the same in their capacity(ies),and that by their signature(s)on the instrument the individual(s),or the person upon behalf of which the individu s)acted,exec ut the i menu (signature and office of individ to ' g cknowledgment) NOTARY PUBLIC,State of New York n w ^ � No.6103054 LS�_.1 "uj 1 LZ�i No. in Nassau County Commission Expires December 15,20?3 DEED Title No.7404-009741 District 1000 Section 056.00 North Fork Realty Group,LLC Block 07.00 To Lot 021.000 The Carmela Lazio Revocable Trust County or Town Suffolk,Southold dated 7/11/16 Street Address 250 Blue Marlin Drive Southold,New York 11971 Return By Mail To: Brian J.Hughes,Esq. P.O.Box 866 Southold,NY 11971 Reserve This Space For Use Of Recording Office NYSBN's Residential Real Esme Forms(920Uo) -2- 0 2021 Matthew Bender&Company,Inc.,a member of LcdsNwds. FDR COUNTY USE ONLY Cl- SWIS Cade 14 e 7 e 3 e S e S e 9 I DF-INS):www.arPs.state.ny.tas C2- nate race i o>dee 14 16 20211 Now York Stag nepartxnent a! Mouth nay rear Taxation and Finance —�] — C3_ nook 11€3.1 .0€ 21 C4- Page I € € - € 41 6 I ca'as of Real Property Tax Services RP- 5217-PDF PROPERTY INFORMATION I Real Property TrahBfor Report(8110) #NROPERTY INFORWIA110N 1.Prop" 250 Bluer Marlin Drive Location 'STrt£ET NAMr •sTr�rx Wuena�a Southold 11971 'CrrV OR Ta VUAAGF 'by oomp x.Buyer The Carfnela Lazio Revocable'Trust dated 7111116 Name RRST NAS •LAST idAalEICtlMPAHiR' LF T 6"MCOMPAWY FtReT NAME S.Tax indicate where ruwre Tax Buts are to be serft alliirg tf other than buyer address(at bottom of form) LASTNAMEZOMPANT Puesr.'Alw Address STRE'r NUMBER AND NAMV arrr OR Tawu srATE z3P co©E 4.Indicate the number of Assessment Part ora Parcel (Only If Part of a Force])Ghat&as they apply: Roll parcels transferred on the deed par ParCe3s p12 4A-Pian ning Board with Subdivision Authority Exists ❑ s•Deed X OR 0.49 46.Subdivision Approval was Required for Transfer Property 'PAONr Fir •aasar>•s -ACRES sire 4C.Parcel Approved for Subdivision with Map Provided North Fork Realty Grou LLC 8•$allay 'LAST NAAWIO FA Fw9Y WAME tt€ame [ABT XSrilU;oo SPANY Fliq$T adnt.f[ '7."act the description which most accurately describes the Check the boxes below as they apply: use of the property at the time of sale: 8.Ownarablp Type Is Condominium El 9_New Construction an a Vacant land A.One Famil Residential SpA.properly Located within an Agrlouitural District 9 OB.Buyer received a disclosure noUoe Indicating that the property is In an ❑ Agricultural District [SALE IlV70F2MA NON is,check an or more of these conditions as applicable to transfer. A.Sale Between Relatives or Former Relatives 11.sate Contract Oats 00tOtler 16.2020 B.Sale between Related Companies or Partners in Business. C.One of the Buyers is also a Salter t7.Buyer or Salver is Govemmant Agency or Lending Institution 1a.Data rarsalelTranafer January 29, 2021 E.Deed Type not Warranty or Bargain arzd Sate(specify Below) F.Sala of Fractional or Less Shen Fee Interest(Specfiy Below) •13.Full Sala Price $1.225,000.00 G.Stgnifloant Change In Property Between Taxable Status and Sate Dates H.Sale of Business is Included In Sate Price ( Full Sale Price is the total amount paid for the property ince Ming personal property. i. Other Unusual Facicra Affecting Sale Price(Spocity Below) This payment may be in the form of cash,other pro party Or gamds,Or the assumption of x J.Nave mortgages or other obligationa.)P1"sar round to the nearest whole dtotlaramount. Comment(s)on Condtt€an: IC Ind€mate the value of personal property included In the sate $0.00 ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Rat€and Tax Bill 18.Year of Assessment Roll from which Information taken(YY) 20 •17.Total Assessed Valu@ •18.Property Cass 2 1 0 M •19.School District Name Greenpart '20.Tax flap identiflar(syRotl Identifier(s)(€f mare than four,attach aheat with additional€dere mer(s)) 10013-056.00-07.00-021.000 CERTIFICATION €Cortlfy that a€i of the flame of Information entered on this form are true and correct(to the best of my knorriadge and be lion and I understand that the making of any wi€Iful fates statement of matortaI fact herein subject me to ra€aUve to the creaking and filing of false Instruments. SELLER SIGNATURE AWR&QQNTAQ.T-1N DA1MAMQ (Ernar infarmatIon for the"w-Now if buyer is l.i.G,eDc%�ty.As*ooradon.carporallon,faint stook cornpany.estate Or entity that is not an]ruca%no Sal agent orfouoAary.than a mane®and contact int6nni on of an]gd1v1 ,'uV auaraxibie Part'who Can anvwar cpewt one regarding the bmnaler mv8t be erdwstt-Type ar print c€ai,dy j SE @NA GATE eu�ri"ax Stt3NAT[!RE Lazio Carrnela uar NAME SPST RAME 631 338»1546 / air 'AREA 0=12 "TR.E-PFlaA1 NtPM 72[>=x:999898@3 HAFI3RE6ATE 8 Farmers Lane g7RI�Hr NUMBER •STREET nwir r AL1 St. Jaynes NY 1'1780 'crTy aR Tama •cit vre: 'ZIP.coua r +i RUYEWS ATTORNEY Brian J. Hughes Esq. L40T li raasrr WE a' (631) 765-6911 f t 8 AREA COOS TQLEPPMd*NUMBER IM.;90mWm)