HomeMy WebLinkAboutL 13100 P 763 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 4/21/2021
Number of Pages: 4 At: 7 :13 :32 PM
Receipt Number: 21-0080116 *ELECTRONICALLY RECORDED*
Transfer Tax Number: 20-29338
LIBER: D00013100
PAGE: 763
District: Section: Block: Lot:
1000 088 .00 01 .00 010 .003
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount $0 . 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 $0 . 00 NO
Transfer Tax $0 . 00 NO
Transfer Tax Number: 20-29338 Fees Paid $395. 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 4/21/2021 7:13:32 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013100
Social Security Numbers P 763
prior to recording. 20-29338
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
21419M 1000-088.00-01.00-010.003 0.0 0
Real Property Consideration Amount $
Tax Service 6.T�
s
Agency2�n CPF Tax Due $
0.00
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
_ CC0r -S 12.42—
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment
Foran 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 19h day of March,2020
BETWEEN v
BETSEY DICKERSON, residing at 403 Jacobs Lane,Southold, NY 11971, party of the first part;and
BETSEY B. DICKERSON,as trustee of the Dickerson Living Trust dated March 9e,2020, residing at
403 Jacobs Lane, Southold, NY 11971, party of the second part;and
WITNESSETH,that the party of the first part, in consideration of Ten and 00!100--($10.00)--Dollars, 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,
SEE SCHEDULE"A"ATTACHED HERETO
Being and intended to be the same premises as conveyed by deed dated October 25,2005 and recorded
in the office of the Clerk of the County of Suffolk on January 26, 2006 in Liber 12432 Page 801.
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 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. �q
IN PRESENCE OF: L
Betsey Dickerson
f/deedDickerson2020
BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN New York STATE
State of New York,County of Suffolk,ss: State of New York,County of ss:
On the 181h day of March,in the year 2020 On the day of , in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
BETSEY DICKERSON
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/shelthey 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 individual(s) executed he i ument. the individual(s)acted,executed the instrument.
(signature an of.We of individual taki__n ackknowl_ __edgment) (signature and office of individual taking acknowledgment)
Nota Public AeR�1k ate ofNeW Nota Public
No.52-4642871 Notary No1ery PubYc,S[ffie d New111Mt
A Cil ►���Kh�>n
mitarn .M ISN Sept.3%! j
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of ,County of ss:
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 the
in
(insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken)
(signature and office of individual taking acknowledgement)
Notary Public
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS SECTION 088.00
Title No. BLOCK 01.00
BETSEY DICKERSON LOT 010.003
TO DISTRICT 1000
BETSEY B. DICKERSON, as Trustee of the
Dickerson Living Trust dated March t, 2020
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
St'HEDULi A
ALL that certain plot,piece or parcel of land,with the buildings and
impro,enw s erected.situs%lying and being in the Town of Southold,County of :l
Suffolk and State of New York+bounded and described sLana,a distance of 397.21
BEGINNING at a point on the eWedY sects of Jacob's Lane and the
feet northerly from the coiner formed by easterly
northerly side of Main Bayview Road;
RUNNING THENCE
along the eatttcrly,side of Jacob's Lane Nath 27 degrees 26
minutes 00 seconds EW.164.16 feet to land now or formerly of n��;followin three
RUNNING THENCE along land now or formerly of ZamF" 8
(3)courses and distances:
1. South 61 degrees 22 minutes 00 seconds Fast,138.65 feet;thence
2. North 27 degrees 26 minutes 00 seconds East+71'.00 feet;and thence
3. North 61 degtaa 22 minutes 00 seconds west.138.65 feet to the easterly
side of Jacob's Lane;
RUNNING THENCE al4rcg the easterly side of JaaWs Lane North 27 degrees 26 ..
minutes 00 seconds Fast,257.07 fectioiLot No.28 on land bW"at"Map of
Acres",Suf o&County,Map No.5599; 29 and 30 as shown on the
RUNNING THENCE along Lot Nos.28,
afoteme rationed map,South 59 degrees 53 minutes 10 seconds East.545.50 feet to a point
which is on the easterly side of Lot No.30 as shown on the aforementioned map;
RUNNING THENCE along the easterly side of Lot No.30 South 62 degrees 28 A
minutes 40 seconds Fant,36.16 feet to a point;
rth 34 degrees
RUNNING THENCE along the easterly side of said Lot alono.g OW�thcrl
side
47 minutes W seconds East,391.53 fed to a monument located along y
of Leeward Drive;
RUNNING THENCE along the southerly aide of Leeward Drive and area known
as"Park and Recreation",as shown on the aforementioned map.South 68 degrees 56
minutes 20 seconds East,180.19 fed to a monument and land now or formerly of Wolf;
RUNNING THENCE•slong'the land-noW or fonnerlyof Wolf,South-27 degrees
11 minutes 20 seconds West.982.35 ow of or fomformerlylY of Spates,Spates;
65 degrees
RUNNING THENCE aloag
13 minutes 50 seconds West,431.15 fact to a point;
RUNNING THENCE through lands of the party of the first part the following two
courses and distances:
1. North 26 degrees 58 minutes 40 seconds Ent,123.13 fee;thence
2. North 61 degrees 55 minutes 20 seconds West.382.78 feet to the point of
place of BEGINNING.
TOGETHER with a 25-foot right of way 25 fed in width which right of way is
being described as follovk:
BEGINNING at a point on the easterly
ofJacoWS Lane.aide of Jacobi a distance
sof 372.21
fed northerly from the comer formed by
he
northerly side of Main Bayview Road;
RUNNING THENCE along the easterly tide of Jacobs Lane,North 27 degrees 26
minutes 00 seconds East,25 feet to a point;
RUNNING THENCE along lands now or formerly of Dickerson the follow;ng
three(3)coarses and distances: 382.78 fed to a int;
I. South 61 degrees 55 minutes 20 seconds East, point
thence
2. South 26 degrees 58 minutes 40 seconds Feat,25 feet, more err less,to a
point;and thence
3. North 61 degrees.55 minutes 20 seconds West,382.78 Poet,more or leas,
through land now or formerly of Dickerson to the easterly side of Jacob's Lane to the
point or place of BEGINNING.
TOGETHER wM and SUBJECT TO all rights of ways,casements and
covenants of record.
ti
JVL
FDR COUNTY USE ONLY New York Stafio Departn wf►1 of
Taxation and Finance
Cl- SWIS Code 14 . 7 . 3 . 8 . 8 . 9 1
Office of Real Property'Tax Services Date heed Recorded 4 2120211
Month Day Year RP- 5277-PDF
Real Properly Transfer Report(8110)
C3_ Book 1,3,1 ,0, 0 1C4_ Page .7 , 6, 3
PROPERTY INFORMATIONI
1.Property 403 Jacobs Larie
Location
•STRUT NUMCeR •sTweeT HAMS
Southold Southold 11971
a try ca TO M F ur1E air coot
2.suyer Dickerson Living Trust
Name •a ST NAME oupP Y RJRSI TFAMF.
LAST NR1r1F_aCOMPAW FIRST NAME .....
3•Tax Indicate where future Tax 80€s are to be sent
13
11ung It other than buyer address(at bottom of form) s.nsT HAMF+C�MPAH�r EfRST rrna,�.
Address
STR"T Nkp'meR-rsT NAME OFTY c1R YOVYN STATE XIP cobE
4,Indicate the number of Asses$montPan of a Parcel (Only If Part of a Parcel)Check as they apply:
Rof€parcefp transferred on the dead #D[F'arcelS OR 4A.Planning Board with Subdiv€Sion Authority Exists 0
S.Reed X OR 1.34 48.Subdivision Approvitl was RequrrW for Transfer 0
Property FPET -vKf" •ACRes
Size 4C.Parcef Approved for Subdivision with Map Ptovitfed 0
D kerson Betsey
B.Seiler •.ABY NAMFJCbMPAM' F3FiST NAME
Name
LAST HAM&COMPANv irriST FfRME
Select the desctipflon which moat accurately describes the Check the boxes below as they apply:
Lyse of the property at the time of pale: S.Ownership Type is CondorniniuM
A. One Family Re5idendal 9.New Construction on a Vacant Land
10A.Property Located within an Agricultural Oistr€ct
409.Buyer Fecelved a disclosure notice indicating that the property Is in an
Agricu€€ural Distr€d
SALE INFORMATION 75.Check one or more&these conditions as applicable to transfer:
A.Sale Between Relatives or Former Reiativses
11.Safe Contract Date N/A S.Sale between Related Companies or Partners in Business.
C,One of the Buyers is also a Seller
'12.Hate of SalefTransfer 03/10/2020 0.Buyer or Seller is Government Agency or lending€nst€tution
E.Deed Type not.Warranty or Bargain and Sale(Specify Below)
F.Sale of Fractional or Less than Fels Interost(Speciy Below)
*13.Full Sale Price 0 ,00 G,Sigrrlficant Change in property Between Taxable Status and Sale Dates
H.Sale of Business is trwAuded in Sale Price
(Full Sale Price is the total amount paid for the property including persona!property, i. Other uriustial!"actors Affecting Safe Price(Specify Below)
m
This payment may be in the form of cash,other property or goads,or the assumpbon of
mortgages or other obligations.)Please rolinrf to the nearoe who7a dWlar amount. j,Monet
'Comment(s)on cood€tion:
14.Indicate the value of personal
property included In the Sate -00
ASSESSMENT INFORMATION-[Tata should refect the latest Final Assessment Roll and Tax bill
16.Year of Assessment Rot]from+which Information taken(YY) 19 '17,Total Assessed Value 8,200
'18.Property Cass 210 '19.School District Nome Sou+6 4
'20.Tex Flap IdentiRer(a)IRoAl Identifter(s)(€f more than four,attach shoot with additional marhttiur(s)) ''''1111
1000-099.00-01.30-010.003
CERTIFICATION
I CarWy that all of the items of information entered on this form are true,and correct Ito the best of my knowledge and belief)and i undomtend that the making of any willful
false statement of material fact herein sublect me to to the making Brod filing of false Instruments.
I.LER SIGNATURE OU ESR COHTAQL21.F.QC MAnQN
(Enlar"ormation€or the buyer.Note'It buyer is LLE sopsty,Assoc alion,corpormion,joint stops company.estate or
amity that i6 Ivo!an pr14ividual aganl or frduclary.than a naM%and CWV&Ct Infar ation of an i!atfirrdLsaflr®�prL jhfg
Party who can answer questions ragwiding the lransfer meal tae entered.Typo ar print ewarty.)
ELLErR SFGNAZ2fP OATS
WYMSIGNATtJfM D:Lckerson LIVIng Trust
•3 ST riAAW WIRST NAMe
(531) 765--2435
'AREA COOS •'r ELSPFsONE KWMaER iec 9998®99}
403 Jacr�fas lane
•GMEST F@UMeE^Fr •sr'rteET ti6aME
Southold NY 11971
'CrrY OR TOYM `STATE -ZIP CCOE
Wi;ckharm Abigall A_
CAST NAME nRET NAME
I 1631) 293-8353
Asegn c. TELEP*+oNE NUMBER=Ex:gow"9)