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L 13103 P 329
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 5/6/2021 Number of Pages: 6 At: 8 :46 :30 PM Receipt Number: 21-0090368 *ELECTRONICALLY RECORDED* Transfer Tax Number: 20-31423 LIBER: D00013103 PAGE: 329 District: Section: Block: Lot: 1000 053 .00 04 .00 010 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $30 . 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: 20-31423 Fees Paid $405. 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 6 5/6/2021 8:46:30 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013103 Social Security Numbers P 329 prior to recording. 20-31423 Deed 1 Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording 1 Filing Stamps 31 FEES Page 1 Filing Fee 30.00 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 60.00 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 405.00 Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund 21022850 1000-053.00-04.00-010.000 0.0 0 Real Property Consideration Amount $ Tax Service r s Agency a�i�sri�2A CPF Tax Due $ 0.00 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Standish Title Agency, Inc_ TD 10 9908 Metropolitan Ave Forest Bills NY 11375-6638 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 & SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS THIS INDENTURE,made the 7th day of December, 2020,between MARION K. BRANDVOLD,residing at 1425 Plandome Road, Manhasset,NY 11030 individually and as Executor of the Last Will&Testament of JOHN J. BRANDVOLD ("Grantor"), and ERIK BRANDVOLD,residing at 16 Colonial Road,Port Washington,NY 11050 as Trustee of the MARION K. BRANDVOLD IRREVOCABLE LIVING TRUST("Grantee"). WITNESSETH,that Grantor,to whom Certificates of Letters Testamentary were issued to the Grantor by the Surrogate's Court,Nassau County,New York, on December 7,2020, under Case No. 2020-522, and by virtue of the power and authority given by Article 11 of the Estates, Powers and Trusts Law, and in consideration of Ten and 00/100 ($10.00) Dollars paid by the second part, does hereby grant and release unto Grantee and the heirs,executors, administrators, legal representatives, successors and assigns of Grantee forever, ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate, lying and being in the Village of Greenport,Town of Southold, County of Suffolk and State of New York,being more particularly described in Exhibit A attached hereto and made a part hereof, TOGETHER with all right,title and interest,if any, of Grantor 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 Grantor in and to said premises, TO HAVE AND TO HOLD the premises herein granted unto Grantee and the heirs, executors,administrators, legal representatives, successors and assigns of Grantee forever. Grantor and her predeceased spouse acquired title to the subject premises by Deed dated December 15, 1998, and recorded in the Suffolk County Clerk's Office on December 31, 1998,under Liber 11937,page 227. Said premises is not located in an agricultural district. Grantor covenants that Grantor has not done or suffered anything whereby said premises have been encumbered in any way whatever,except as set forth herein. Grantor, in compliance with Section 13 of the Lien Law,covenants that Grantor 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 before using any part of the total of the same for any other purpose. Said premises is known as and by street address 1955 Bay Shore Road, Greenport,NY 11944 and on the Suffolk County Tax Map as District 1000, Section 053.00,Block 04.00, Lot 010.000. IN WITNESS WHEREOF Grantor has duly executed this deed on the date first above written. MARION K. B DVOLD Individually and as Executor 2 STATE OF NEW YORK ) ) ss.. COUNTY OF NASSAU ) On the 7th day of December in the year 2020, before me, the undersigned, personally appeared MARION K. BRANDVOLD, Individually and as Executor, personally known to me or proved to be on the basis of satisfactory evidence to 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, 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. LNO. =Ju19, INS tary Public of w York y commission expires nty 9, 2022 4 EXHIBIT A ALL that certain plot,piece or parcel of land, with the building 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 Number 32 on a certain map entitled, "Map of Peconic Bay Estate, Amended Map "A" filed in the Suffolk County Clerk's Office on May 19, 1933 as Map No. 1124 which said lot is more particularly bounded and described according to said map as follows: BEGINNING at a point on the northeasterly side of Bayshore Road, distant 2358.01 feet northwesterly from the corner formed by the intersection of the said road with the northwesterly side of Island View Lane; RUNNING THENCE North 44 degrees 12 minutes 40 seconds West along the northeasterly side of Bayshore Road, 50 feet; THENCE North 45 degrees 47 minutes 20 seconds East, 308.00 feet to the ordinary high water mark of Peconic Bay; THENCE South 51 degrees 03 minutes 10 seconds East along said high water mark, 50.36 feet; THENCE South 45 degrees 47 minutes 20 seconds West, 314.00 feet to the northeasterly side of Bayshore Road to the point or place of BEGINNING. ------------------- BARGAIN & SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS Dated: December 7,2020 from MARION K. BRANDVOLD, Individually and as Executor, Grantor to ERIK BRANDVOLD, as Trustee of the MARION K. BRANDVOLD IRREV. TRUST, Grantee District: 1000 Section: '053:00 Block: 04.00 Lot: 010.000 County: Suffolk Please record and return to: TERENCE M. HIGGINS, ESQ. 57 Manhasset Avenue Manhasset,NY 11030 5 FDR COUNTY USE ONLY }F-INS):www.orps.state.ny.us Cl- swis Cade 14 F 7 F 3 F S F S F 9 I New York State Department of Taxation and Finance C2- nate need marded 15 6 2021 Minch nay Year Offine of Zeal Property Tax Services C3_ Book 11,3,1 ,0, 3J C4_ Page 1 , ,3 , 2, 9 1 RP- 5217..P©F Real Property Transfer Report(W10) PROPERTY INFORMATIONI 1.property LaLocationLocation -� -Bay Shore Road '6TF,RF.F.T NlJMHc.R '5TR�ET .{NPM[ ray�{ Southold Greenport F 1944 fry OR TOWN �VEL-FAGF •2aP CODE 2.Buyer BRANDVOLD MARION Name .... ..._ F3aS-T—; ME FAST AaAMEICGMPANY ERIK BRANDVOLE) Trustee LASTNAMEFAMPANY "Wa TNAME See Attachment 3.Tax Indicate where future Tax Bills are to be sent Bfatldyoid Marion Billing it other than buyer address(at bottom of foam) LAST NAME)•.{]MPrtl Y � �-�f�f�f�f l F3nSr VAMC Address 1425 Plandome Road Manhasset IVY 11030 87 RE ET NuMBRR ATO RAM F. CITY OR Tnevx STATE aFP cgpE 4.Indicate the number of Assessment D Part of a Parcel (Only If Part of a Parcel)Check as they apply: Holl parcels transferred on the deed #F of Parcels OR 4A.Planning Board with Subdivision Authority E=xists S.Creed X C)R 0,47 4F3,5t7"vision Approval was Required for'rransfer Property •Vaaor.-t vrtT •DEPTH •ACR�:S Size 4C.Parcel Approved for Subdivision with Map Provided BRANE)VOLR MARION K. 6.Seller •LAsTNAM-_rcc ANY F iRsT NAME Name Estate of John J. Brandvold IAS'T NAMrJC-Od+VE V FIRST NAME;. "T.Select the description which most accurately describes the Check the boxes below as they apply= to se of the property at the time of Sale: B.Ownership Type Es Cond minkFm 9,NewConstruction on a Vacant Land A. One Family Residential 10A,Property Located within an Agricultural District 10B.Guyer received a disc€osure notice indicating that the properly Is in an Agricultural District SALE INFORMATION 15-Check one or more of these conditions as appticable to transfer- .. A.Sale Between Relatives or Forover Relatives 11.Sale Contract Date 0ecefrlber 2020 S-Sale between Related Companies or Partners Business- --- — C. niin One of the Buyers is also a Seller ❑.Buyer or Sel€er is Government Agency or Lending Institu E€on 12-Date of SalraTrranster DQCeI'1'tI7eE•7, 2020„ E,Deed Type not Warranty or Bargain and Sale(Specify Bekow) F-Sale of Fractional or Less than Fee Interest(Specify Bek ) "13.Full Safe Price $0,00 G.Signfficarit Ch&age in Property Between Taxrable Status and Sale Dates H.Sale of Business is Included in Sale Price (Full Saler Pricks is the total amount paid for the property Including personal property. X €. Other Unusual Factors Affecting Sale Price(Specify Below) This payment may be in the form a(cash,other property or goods,or the assumption of None mortgages or other obligationS.)Please rourxI to the nearest whole dollar amount. Comment(s)on Condition: 14.Indicate the value of personal property included In the scale $0.00 Gift to Trust ASSESSMENT INFORMAT tON-Data should reflect the latest Final Assessment Roll and Tax Bill 16,Year of Assessment RolI from which Information taken(YY) 20 17.Total Assessed Value '18.Property Class 2 0 1 `1$.School District Name Southold "20.Tax Map Identlflerts)1Roll Identifiers)(if more than four,attach sheet with additional Identifier(s)) L)IStr€CL z4Z42.0 Sectiones CA!;'A.A7> Block dom' dab Lot alp.!]4p6 CERTIFICATION E Certlfy that all of the Items of information entered on this form are true and correct(to the best of my knowledge and belief)and I undersIanti that the making of any wfilful false statement of material fact herein subject me to the provisions o€the csenal faw reiatIve to the rrraking and filing of false instruments_ (Enter inf¢rrnatipn for The buyer.)Vote:If buyer Es uc.-QgJwy,assoFGalipn,{.grpgralien,Ipknl stock F:ompany,est¢sae Or e tity that is» t c n individS l 0gcrn3 or sdvciary,Shen A ora Fne anti contact En[cxr.Fatlon oT an irWEvkSualrr�sponsitrlm 0 L party wato ctln answer gFne ssitlns regarding tFsa transfer mus'Fie ensered.Type or print c3aur9y_} 1/ S�LLEri SFGNSTaSFZ> / ETA,� [Sztt ATt tCaIW Bra ndvold Erik L ST NAME FER5:NAME:. 91t 'gax �s� s21�A CODE •Ttrl.Er'3-fOr.F9 xiwBER Etwx'.9993fxJ9) ER Sto OFF DATE 16 Colonial Road rr.ww y •$TREETNUMHER 'STArrT-NAMr Port Washington IVY 11050 �3TY CN2 TCJWN '6'TATE 'Z11,f—con g...._......_ E;.u..Y..ER....'.S.._ATT.[..7F2.n.[..E..`f I .t 'y H ici ci i n s Terence .E i MRST NAM LAST NANAMEi ' lr ] r • • •............•••1.f'p 365-6414 7� "• TEL CY!•l03FE NiJM9EFi Sin:Ei939E-93}