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L 13098 P 903
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 4/8/2021 Number of Pages: 3 At: 8 :22 : 43 PM Receipt Number: 21-0070160 *ELECTRONICALLY RECORDED* Transfer Tax Number: 20-27810 LIBER: D00013098 PAGE: 903 District: Section: Block: Lot: 1000 111 .00 04 .00 020 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $15. 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: 20-27810 Fees Paid $390 . 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 3 4/8/2021 8:22:43 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013098 Social Security Numbers P 903 prior to recording. 20-27810 Deed 1 Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording 1 Filing Stamps 31 FEES Page 1 Filing Fee 15.00 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 45.00 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 390.00 Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund 2101T420 1000-111.00-04.00-020.000 0.0 0 Real Property Consideration Amount $ Tax Service P r s Agency €t cvvttn CPF Tax Due $ g Y 3f23f2p27 0.00 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 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY HIS INDENTURE, made the 1 day of March, 2021 BETWEEN DORIS W. STAUFFER 550 Old Menhaden Road Cutchogue, NY 11935 party of the first part, and DORIS W. STAUFFER and RICHARD T. STAUFFER as Tenants by the Entirety 550 Old Menhaden Road Cutchogue, NY 11935 party of the second part, WITNESSETH,that the party of the first part, in consideration of Ten ($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, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Nassau Point, Town of Southold, County of Suffolk and State of New York, shown on map entitled "Map if Section D, Nassau Point Club Properties, Inc, situated on Nassau Point, Suffolk County, N.Y.", surveyed March 24, 1926 by Otto W. Van Tuyl, C.E. and Surveyor, Greenport, N.Y. and filed in the Office of the Clerk of the County of Suffolk, New York, under File No. 806,and known and designated on said map as lots numbered three hundred forty- four(344)and three hundred forty-five(345). remises-conveyed-to-the-grantor-herein-by-de-ed-dated-May-201 o — gp 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"when ever 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: DORIS W. STAUFFER Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment Form 3290 TO 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: n On the 14 day of March in the year 2021 On the day of in the year before me, the undersigned, personally appeared DORIS W. before me,the undersigned, personally appeared STAUFFER personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is personally known to me or proved to me on the basis of (are) subscribed to the within instrument and acknowledged to satisfactory evidence to be the individual(s) whose name($) is me that he/she/they executed the same in his/her/their (are) subscribed to the within instrument and acknowledged to capacity(ies), and that by his/her/their signature(s) on the me that he/she/they executed the same in his/her/their ins ment, the individual(s),or the person upon behalf of which capacity(ies), and that by his/her/their signature(s) on the th i dividual(s) �ted,executed the instrument. instrument,the individual(s), or the person upon behalf of which the individual(s)acted,executed the instrument. uk" (signature and owfflce of individual 00g g acknowledgment) (signature and office of individual taking acknowledgment) RICHARD W. VANDENBURGH I1V019Iy F�'U611C,&Ilrof NOW York ' County No.a VA5 o z-7cn 2q DIwnleeton Q;97�WAY 1e,.-2c7Z TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)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 acknowledgment) BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS SECTION 111.00 Title No. BLOCK 04.00 LOT 020.000 DORIS W. STAUFFER CUTCHOGUE, NY TO 550 Old Manhaden Road DORIS W.STAUFFER&RICHARD T.STAUFFER Recorded at Request of Abstracts, Incorporated RETURN BY MAIL TO: NBSTRACTS. ,� Rdttard W.Vandenburgh,Esq. NCORPCRATED 1405 Oak Drive 565 Stewart Avenue.Garden City,NY 1 1530 Souftld,New York 11971 518.683.1000 FDR COUNTY USE ONLY 14 r 7 r 3 r S r S r 9 1 4NS):www.nrps.statel.ny.us Cl_ swis Code - New York S#SLa Department of C2- nate need Recorded 14 / S 2021 Taxation and Finance Month Day Year C7flire of Ft$aI Property Tax Services C3_ Book 11,3,0 ,9,.8j C4_ Page 1 1 19 , 0131 RP-6217-PDF PROPERTY INFDRlfATIDNI Herat Property Transfer Report(aF10) 1.Progeny 550 OLD MENHADEN ROAD Location •Sm�'NEILA�R •S'IRFfiT NAAIC CUTCHOGUE -- SOUTHOLD 13,935 -crrr SIR roww va.e.A[ak •ztt�cope: 'L Buyer STA-UF'FV-R DORIS W. Name ^LRST NAaIEfCpe.RRii]' FlR9T NAM STAUFFER RICnAT. S.. LAST FN y NAME 3.Tax hdicale,where far€um Tax Bills are to be sent Wiling if other than buyer address(al bottom of form) t AST NANW+cslzer rinsr NAME Address 6rR r eR33.��3¢AN�lLiM@ OfTy OR TOOM STATK XWc0br 4.Indicate the munher of Ausessmant Part of a Parcal (Only N Pas[of a ParaCe€)check as they apply= flog parcels transferred on the dead #of F'escsls OR dA.Planning Roerd with subdhfisdon Authority ExIsfs EJ S.Dead _ � X OR 0-00 4B.Subdiv€sian Approval was Required for TransfRr C[ Property FRc Feer •crplu •ACRES Sb* 4C.Parva€Approved for Subdivision with Map Provided ST'7>UFFER DORXS W. 8_$aper •r.nPrs �TconLr=nNr �tRST NA�6t= Name t.ssr arAnLracarnvnrsr p'[R'd'f NAl.� '7.Select the doaer7gtton which most accurately describes the Check the boxes;below as they apply- use of the proparty at the time of sale. B.O nermhlp Type is Gcr4on€niurn A3 One Family Residential 9.t3uw construction on a Vacant Oared 1t1A.PropBrty Lcoate(t within an Agricultural 01strRA 9©B.Buyer received a disclosure no€dce lndWAd t{)that the property to In an Agricupura€District El SALE. [WORMATiON Check one or more of these conrhflona as applicable to transfer- A.Stile Between Relatives or Former Relafivm 11.Snte COntract Data 03/12/2021 S.Sege between Related Companies or Partners in Bushes. -r---- C,0.of the Buyers in also a Senor *72.pow of of1'rarsffifFer 1 D.Buyer or Seiler is Government Agency or Leung lnsl3tution E.Deed Type not Warranty or Bargain and Sale(SpeoVy Below) F.Sate of Fractional or Less thaw Fee Interest(Specify Betwv) -13.Full Sale pr€ce 0-0() G.StgrAcant Change in Property Satween Taxable Status and sate Dales l't.Ssle t7f I�usi!'i�S.i5€nC€fi�8d€n&ate P,". (Fun Sate Price Is the tota€amount paid for the property inclu ding personas property. d. tither Unusual Foators Affecting Sala Price(^apecRy Below) This payment may to In€tae form of cast,other property orgoods:or the assurnplion of J.None mortgages or other obligations.)Please round to 1ha naarasa whole d ramounL ' Cornmoot(s)on Coodidow 14.Ind€cabo the value of personal property Included In the sale ASSESSMENT fNF5RMATi5N_5ata should r"ect the tatest Final Assns n-kertt Ra[[and Tax Bill IS-Year of Assessment Roll from which drtfornwtion taken(YY) 21 147.Total Assessed Value 2,500 -18.Property Glass 210 •19.Snhoot District Name CUTCHOGUE •20.Tax Map ddenttffer(s)FRoll Tdedt[per(9)t€f more than tame attach sheat with additional[d®ntwer(s)t 1000-111.00-04.00-020,000 CERTIFICATION [Cadffy that air of the items of information entered on this form are trim and correct(to the best of my knowledge acrd hello and t understand that the making of any wiliht[ false statement of material fact herala subject me to the.DYrtvtTL3stxa;r of the penal Favr_relathro*0 the roMfog and filing of false hsstruments. S NATURE BUYER tFlFl��[/�1t7N {Enter knf-mel lar the buyer.Moth:tf bkr5wr 3s LLC.sodet)r.aasodalwn.amps;niap.Mm stock*Mpany.otters or flflflfl TTTT entry that is not an kukvWuat 0"Ot"fWLWe aly.Map a nsaac and wrHact uunrrnation of an€MAVICIU@I xpons3Wa ' Z u patsy was c ansarer quea*ws mqw.n6 Me uanefer must be entered-Type or prrm cWmdy.) SELLER 919WATURe .pA j STAUFE"ER RICHARD T. BUYEH,S.IGNAMEM -LLA5r M11MC FTH KAME �r�y.•..r/ti�'��'�-'�� � {�� �jOL 99PLy ��� `TELE�� [fix:9948988] 55#7 OLD MENHADEN ROAD •aTRlE�T itlIAGBEH 'SFHEEr iJAf[C ••• CUTCHOGUE NY 11935 •d.Qrx zetwea `STATE •xa•cas. . BUXER LAF,f MAW �rPaaa E 1 j 4Y 11 -- Ct fE TOL6P31 NUMSOR(FX. OM) F 3 1