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Illllllllllllllllllllllllllllllllllllllllllllllllllllll ` r. 1111111111111111111111111 � f SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 05/03/2021 • . _, Number of Pages : 6 At: 04 : 12 : 14 PMW Receipt Number : 21-0086977 TRANSFER TAX NUMBER: 20-30845 LIBER: D00013102 PAGE : 616 District: Section: Block: Lot: 1000 078 .00 07 . 00 032 . 011 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $850,000 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $30 . 00 NO Handling $20 . 00 NO 14'" COE $5 . 00 NO NYS SRCHG $15.00 NO EA-CTY $5 .00 NO EA-STATE $125 .00 NO TP-584 $5. 00 NO Notation $0 . 00 NO Cert.Copies $0 . 00 NO RPT $200 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO Fees Paid $405 . 00 TRANSFER TAX NUMBER: 20-30845 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County r f' 0 ] Number of pages RECORDED 2021 hlau 03 04.12:14 Phi TUDITH R. PASCALE This document will be public CLERK OF record. Please remove all SUFFOLK L GCS©o1?1Cr1710TV : Social Security Numbers P hip prior to recording. CET# 20-710345 Deed/Mortgage Instrument Deed/Mortgage Tax Sta p I Recording/Filing Stamps 3 FEES I Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) SubTotai Spec./Add. EA-5217(State) TOT,MTG.TAX XXJDual Town Dual County R.P.T.S.A. Held forAppointment Comm.of Ed. S. 00 Transfer Tax Affidavit • �� Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwe{ling only. Sub Total YE5 or NO Other �)L',�i Grand Total L "/ �h7!/ If NO, see appropriate tax clause on � __,,,ttV77777 y / page# of this instrument. (p 6 - - L 2 - Z r 4 Dist. 1000 21016511 1000 07800 0700 032011 5-Community Preservation Fund Real axS Property t �� 11111111111111�I��11111111111111111 Consideration Amount$ 1 Tax ServicAgee R SMI A CPF Tax Due $ r Verification Improved (i Satisfactions/Discharges/Releases List Propperty Owners Mailing Address REtCORD&RETURN TO: Vacant Land National Granite Title TO Insurance Agency Inc. TD 155 North Main Street New City, NY 10956 TO Mail to:Judith A.Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name National Granite Title Insurance www.suffolkcountyny.gov/clerk Title# GR2020-35041W 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) SCOTT R. TREBILCO and CHLOE K. TREBILCO The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of GnttTTanT.n ARNAUD GOUACHON and MARINE SOUSSAN- In the VILLAGE GOUACHON or HAMLET of SA0�t1ALD � BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 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 PURCHASER BEFORE SIGNING. THIS INDENTURE,made the Al day of C/61Y at ry , 2021 between / SCOTT R.TREBILCO and CHLOE K.TREBILCO,husband and wife, residing at 401 DOTH Street,Manhattan Beach,CA 90266 party of the first part,and ARNAUD GOUACHON and MARINE SOUSSAN-GOUACHON, residing at 95 Lexington Ave.#113,Brooklyn,NY 11238 party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other lawful consideration,lawful money of the United States,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. SEE SCHEDULE`A'ATTACHED HERETO AND MADE A PART HEREOF Being and intended to be the same premises described in a deed made by Jeffrey Bolettieri and Dorene Bolettieri, his wife,dated May 18,2015 and recorded June 5,2015 in Liber 12819,Page 378. 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 HAVEAND 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. J riaIt SCOT,T R.TREBILCO CHLOE K.TREBILCO NYSBA Residential Real Estate Forms on HotDocs"(9/00) Copyright Capsoft'c Development National Granite Title Insurance Agency, Inc. Title No.: GR2020-35041 W SCHEDULE A 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, shown and described as Lot 2 on Minor Subdivision prepared for John and Patricia McCarvill and filed in the Suffolk County Clerk's Office on October 1, 1998 as Map'No. 10 19 1, bounded and described as follows: BEGINNING at a point on the northerly side of Bayview Road (Main Bayview Road) distant 211.28 feet easterly as measured along the northerly side of Bayview Road from the corner formed by the intersection of the northerly side of Bayview Road and the easterly side of Waterview Drive; RUNNING THENCE North 32°30' 00" East, 189.97 feet; THENCE North 37° 58' 30"East, 100.70 feet; THENCE South 75°29' 00" East, 80.79 feet; THENCE South 13°46' 00"West, 232.83 feet; THENCE South 43° 19' 00"West, 100.10 feet to the northerly side of Bayview Road; THENCE North 52° 22' 10"West, along the northerly side of Bayview Road, 64.27 feet; THENCE North 591 01' 00 West, still along the northerly side of Bayview Road, 78.45 feet to the point or place of BEGINNING. STATE OF CALIFORNIA ) COUNTY OF ) On the day of in the year 2021,before me,the undersigned personally appeared Scott R.Trebilco and Chloe K.Trebilco,personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacity,that by their signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument,and that such individual made such appearance before the undersigned in the. red r�gtC SeC�C�w,��,ge NOTARY PUBLIC DEED District 1000 Title No. C'�2 3 J 0-1 1,w1 Section 078.00 Block 07.00 TREBILCO Lot 032.011 County or Town SUFFOLK To GOUACHON Return By Mail To: Jay B.Ringel,Esq. 24 Winslow Road White Plains,NY 10606 Reserve This Space For Use Of Recording Office National Granite Title 155 North Main Street New City, New York 10956 NYSBA Residential Real Estate Forms on HotDocs'(9/00) Copyright Capsoft`Development -2- CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of Los Angeles ) On A2 /Z0ZA before me, Eva Cone-Lombarte Notary Public Date Here Insert Name and Title of the Officer personally appeared Tib tkco 0-na Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(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 authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or-the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. �vaCDKE'- Notary v� 1es Coulnty1a � � Cpmm ss on a 225s�tV WITNESS my hand and official seal. .rm.eKa�esauat6.2o2�J Signatur zz�e_,� Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association • www.National Notary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 National Granite Title Insurance Agency, Inc. Title No.: GR2020-35041 W SCHEDULE A 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, shown and described as Lot 2 on Minor Subdivision prepared for John and Patricia McCarvili and filed in the Suffolk County Clerk's Office on October 1, 1998 as Map No. 10191, bounded and described as follows: BEGINNING at a point on the northerly side of Bayview Road (Main Bayview Road)distant 211.28 feet easterly as measured along the northerly side of Bayview Road from the corner formed by the intersection of the northerly side of Bayview Road and the easterly side of Waterview Drive; RUNNING THENCE North 32° 30' 00"East, 189.97 feet; THENCE North 37° 58' 30" East, 100.70 feet; THENCE South 75°29' 00" East, 80.79 feet; THENCE South 13°46' 00" West, 232.83 feet; THENCE South 43° 19' 00" West, 100.10 feet to the northerly side of Bayview Road; THENCE North 52"22' 10" West, along the northerly side of Bayview Road, 64.27 feet; THENCE North 59° 01' 00 West, still along the northerly side of Bayview Road, 78.45 feet to the point or place of BEGINNING. INSTRUCTIONS(RP-5217-PDF-INS):www.orps.statemy.us FOR COUNTY USE ONLY Now York State Department of Ct.stmt:Crave � Taxation and Finance C2.Date Dead Recorded ,D ,a.3� I Once of Real Property Tax Services Dir V RP-5217-PDF CS.Book 1 1,31J. C4.Papa Real Property Transfer Report(aM0) PROPERTY INFORMATION 1.Property 7105 Main Bayview Road Location '31-LL:NUMOLN .S:NLLI.1AML Southold 11971 Cmvae loses -- ve1ArEE -zrCom 2.Buyer Gouachon Arnaud Name 'W'NAVCICCWARY FSKT YAYL' Gouachon Ma r i r:o SUussan— W.NWGCCepi y •Na:NAMh - L Tax Indicate where future Tax Oils are to be Sero Billing d other then buyer addreselat bottom of form) l lav,•MaFula7iroMr 15191 hAML Address STREET WINVO IAtiehAVE CT'OR 70M STATE. zV CODE 4.Indlcdo W comber of Assessment 1Past of a Parcel (Only d Part are Forest)Check a they appy: Rall parcels transferred on the dead a d Parcels OR u 4A.Planning Boasd with Subdivision Authority Exists B'Dead XO R 0-92 4B.Subdivision Approval was Required for Transfer Property --ou,rcE• 'DEwIN 'ACxLs Slee 4C.Parcel Approved for Subdivision with Map Provided Trebi—co Scott R. 6.Seller •WT hA OMPILLY PRST NAME Name Trebiico Chloe K. IMT eANX.M1'AM• --• I11,11 IWWL' - 7.Select the description which most accurately describes the Cheek the boxes below as they appy: use of the property at the time or ala: a.Ownership Type is Condominium A.One Family Residential 11.New Construction an a vacant Land 10A.Property Located within an Agdcutlurel District 108.Buyer received a disclosure notice indicating that the property Is m an ❑ Agrialturel District SALE INFORMATION ta.Check ons or more d'these conditions as applicable to transfer. A.Sale Samoan Ralaaves or Fanner Relatives 77.eels Contract Date 12/02/2020 B.Sale between Related Companies or Partners in Business ---- C.one at the Buyers 1s also a Seller '72.Data of SeISRrahtshr D.Buyer or Seller Is Government Agency or Lw4ng Institution E.Deed Type net warranty or Bargain and Sale(Specify Balaw) _ F.Selo of Fractional or Loss than Fee Interest(Speay Below) '117.Full Sala Price 850,000.00 _ G.Significant Change in Property Between Taxable Status and Sale Dales N.Sale d Business 15 Included,n Sale Phar (Full Sale Price is the tool amount paid for the propedy Including personal Property. I.Other Unusual Factors Afiarong Sale Price(Specify Below) Thin payment may be in the form of cash,other property or goads,or th assumption d % J.None modgages or other obligations.)Pteeso mund to fire nearew waob dDW amount. Comment(s)on Condltbn: 14.Indicate On value of personal property Included In tho ale •(10 _ ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which bdormotion tellan(YY) 19 117•Taal Assessed value 6,400 116.Property Class 210 _ '1 G.Schaal Dtstrlct Name SOU Lhol d '20.Tax Map fdonO6enispRoll Idemlflor(s)(If more than fear,*tach shoot won additional Idents lor(s)) 1000-078.00-07.00-032.011 CERTIFLCATION 1 Certify that afi of the Items of Information a baad on this form are true and comet(to the best af my knowlecigo and bellet)and I understand that the making of any willful false statement d material fed heroin subject me to tho.omvletena of the venal law relative to On making and filing of false Instruments. 5��/ �•%�-J9LL:ER_3LGIHATURE VU 8_gQNTAGT,INFQRMATION i111t YQdy,(C (Emir mrmmnml ler Dr buyer Note a bxgerl5 LLGWC".aeeooaewL mlPwsaw,.PM dads mnpam.aaa or e11gm e,et I5 nal en rdNlBwl pent w eatioary,tl1w■none em mnlW a,lmnaam ter w uldMuawlepMNble f V . h4.f7.tJr1lJ• //a/ /e10L� �xno om mwxmm auna regarding uw,flurs m be en,ered.TYR a Mm ehea \d�D�C. kdy.) kNILERMONAT,aE ,LG ol:r chon Arnaud 0 ERIM I NAVI F RS'NAME (212) 3'IA-.1(10 C /t g + •MTEA CODE ',ILV+fOr,•:N4:MBENIFS 0aa1KY1 i •el•uNL R +7%� ` :MIL /�rA1t�+ {T 4y JG} b. Qv!�S4Q 9.5I.oxing on Ave., 3D •S:R'-F.T eIIWFa 'e'NLLr WVL 3rockiyn NY 11_238 -Cin OR Tom •a•A7F 4ACOOE 1 BUXER'$.A7i4j3tlEY 1 1 I(i:tgel, Esq, Jay 13. ' LAST NATE :NST NAME 1 (r.12) 374-1100 1 _ ---49C+r,Op[ 11111+1VT.WMBEa tL••a15v5ra{ 1 II