HomeMy WebLinkAboutL 13104 P 451 11111111 I I I I VIII VIII VIII Illl1 lull hill VIII I I I I IIII
111111 VIII VIII IIII Ilil
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 05/14/2021
Number of Pages: 4 At: 01: 08 : 55 PM
Receipt Number : 21-0094788
TRANSFER TAX NUMBER: 20-32283 LIBER: D0001.3104
PAGE: 451
District: Section: Block: Lot:
1000 086 . 00 01. 00 006. 002
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
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 $395.00
TRANSFER TAX NUMBER: 20-32283
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
RP❑2
Number of pages a es I i ' -, TI 1��`` �1C1 'JE, RECORDED
t(.� : f,. , rl,
- -----r.�._ -.._ ... -- -— -•- 21121 Mau 14 01:08:55 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record.Please remove all L COOM3104
_
Social Security` UfTll)'ers , . '�`_�.` " bo�,ij7 4.''� . . .. o,
i'''4`1
prior to recording.
DT# 20-322,q3
Deed/Mortgage Instrument Deed/M rtgage Tax"Sta 'Recording/Filing Stampsl
3 FEES
Page/Filing Fee _: �: -Mortgage Amt.
�.. n 11.Basic Tax ,_ u
Handling 20. 00
_ 2. Additional Tax
TP-584 Sub Total r
Notation SpecJAssit.
EA-5217(County) a ;Sub Total Spec./Add. - "'
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. (.SCJ_ Duai Town Dual Cauny_
Held.for Appointment
Comm.of Ed. 5. 00Transfer Tax
Affidavit
017w Mansion TazCertified Copy The property covered by this mortgage is
or.will be,impr9ve4!by a one,or two
NYS Surcharge 15. 00 C family dwelling only.
Sub Total YES orNO,
Other
Grand Total If NO, see appropriate tax clause on
page# of this instrument.
4 Dist. 21025197 1000 08600 0100 006002 ]6.002 5 Community Pireservation Fund
Consi
R o;AY 2 IIIIIIIIIIIII�IIIIIIIIQIIIIIIII�IIIIIIIIDlllll CPF Taxration Dueot$. '
Tax Servoc R pTY
Agency A
Verificath
�— - ------ - --- -- Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Scott DeSimone,Esq. TD d v J
P.O.Box 233,
Peconic,NY.11958 ,- :, TD
TD
s
Mail to:Judith A.Pascale, Suffolk County Clerk 7 Title Company Information i
310 Center Drive, Riverhead, NY 11901 Co.Name Bridge Abstract LLC
www.suffolkcountyny.gov/clerk Title# BALA983S
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Confirmatory Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Ann Marie Staples as Trustee of The premises herein is situated in
The Westerlund Family Irrevocable Trust SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Ann Marie Staples as Trustee of In the VILLAGE
The Wester] nd Family Irrevocable Tn,ct or HAMLET of Peconic
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
° Al LAW
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
day of December,Two Thousand Twenty,between
ANN MARIE STAPLES,as Trustee of THE WESTERLUND FAMILY IRREVOCABLE TRUST,
205 Apple Court
Southold,New York 11971
party of the first part,and
ANN MARIE STAPLES,as Trustee of THE WESTERLUND FAMILY IRREVOCABLE TRUST,
205 Apple Court
Southold,New York 11971
party of the second part,
WITNESSETH,that the party of the first part,in consideration of NO($00.00)DOLLARS,and other good and
valuable 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
CONFIRMATORY DEED
SEE SCHEDULE A ATTACHED HERETO
The premises also known as SCTM No.:1000—86—1—lw 6.A
BEING AND INTENDED TO BE A PORTION OF THE SAME PREMISES conveyed to the party
of the first part as this a confirmatory deed given to confirm the corrected description set forth on the
survey prepared by Twin Forks Land Surveying last dated 12/18/2020.
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.
IN PRESENCE OF:
Ay �
Ann Marie Staples,as Trustee of
The Westerlund Family Irrevocable Trust
NYSBA PRACTICE FORMS 10/99 RE067.16
ALL that certain, plot, piece or parcel of real property, with the buildings and improvements thereon
contained, situate, lying and being at Peconic,Town of Southold,County of Suffolk and State of New
York described as follows:
BEGINNING at a point on the southeasterly side of Main (State) Road distant 967.67 feet easterly from
the intersection formed by the easterly side of Indian Neck Lane with the southeasterly side of Main
Road, as measured along the southeasterly side of Main Road and said point also being 1,748.91 feet
westerly from the intersection of the southwesterly side of Wells Road with the southeasterly side of
Main Road. Said beginning point also being where the westerly line of land now or formerly of Brush
intersects said southeasterly side of Main Road;
RUNNING THENCE South 36 degrees 16 minutes 30 seconds East,along said land,212.45 feet to the
northerly line of land now or formerly of Cummings;
RUNNING THENCE South 49 degrees 27 minutes 29 seconds West, along said lands,65.28 feet;
RUNNING THENCE North 40 degrees 59 minutes 00 seconds West, 191.86 feet to the southerly side of
Main Road;
RUNNING THENCE North 35 degrees 45 minutes 30 seconds East along the southeasterly side of Main
Road,84.49 feet to the point or place of BEGINNING.
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STATE OF NEW YORK )
COUNTY OF SUFFOLK
On the 1
Y. day of December in the year 2020 before me,the undersigned,personally appeared ANN
MARIE STAPLES personally known to me or proved to me on the basis of satisfactory evidence to be the
individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same
in her capacity,and that by her signature on the instrument,the individual(s),or the person upon behalf of which
the indivi ual(s)acted,executed the instrument.
(C HELEN E.BIELING
(signature and office of individual taki4 acknowledgment) Notary Public,State of New York
No.01 BI5058968.Suffolk CourltY
Acknowledgment taken outside New York State Term Expires 04/22/gZz—
STATE OF )
COUNTY OF
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 whose name is subscribed to the within instrument and acknowledged to
me that she executed the same in her capacity,and that by her signature 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 (add the city or political
subdivision and the state or country or other place the acknowledgement was taken).
(signature and office of individual taking acknowledgment)
BARGAIN and SALE DEED DISTRICT: 1000
WITH COVENANTS AGAINST SECTION: 086.00
GRANTOR's ACTS BLOCK: 01.00
LOT: 006.002
CONFIRMATORY DEED COUNTY of Suffolk and TOWN of Southold
Ann Marie Staples,as Trustee of STREET ADDRESS:
The Westerlund Family Irrevocable Trust 41700 Route 25, Peconic,New York 11958
To
Ann Marie Staples,as Trustee of
The Westerlunder Family Irrevocable Trust
RETURN BY MAIL TO:
Scott DeSimone,Esq.
PO Box 233
Peconic,New York 11958
RESERVE THIS SPACE FOR USE OF RECORDING OFFICE
RE067.16 \NYSBA PRACTICE FORMS 10/99
-2-
I
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.stale iry.us
FOR COUNTY USE ONLYNew York State Department of
C1.SWIS Cede { , I Taxation and Finance
C2.Data Deed Recorded I Q�j �/ I Office of Real Property Tax Services i
I / " '" Y°•' � (/ RP-5217-PDF
, �
C8.Book L�t v I C4.Page V• / Real Property Transfer Report(8110)
PROPERTY INFORMATION
I.Property 7:7-30 %,It Le 27
Location _.
•6:PEEi K M9Fri • ---F=--H nYr
Southold I'el:+s:.i:: _1958
2.Buyer Staoies, as Trlls`ee Ann Vac:ie
Name
•1R:>,AYLSdYFer 'Fe'YYP_•
:rrevocable Triis:. The ries:criu j L'art_ly
LAST rAVSClMPMIT -I-S-N•VF
3.Tax Indicate where future Tax Bills are to be sem
Billing if other than buyer address(at bottom of form) LAST YAwrdvl•AW FIRSTFAW
Address
STRCCT NLM3kR A+o NAMF T.7 M-rVM STAIF .'1P r.fx;E
4.Indicate the number of AssessmentPanxl {Only If Part of a Parcel)Cheek as they apply:
Roll parcels transferred an the dead - N of Pis OR ❑Pert d a
4A.Planing Beam with Subdivision ArrJnmy Eads ❑
L Dead (i..i
7\ U R 4B.Subdivision Approval was Required for Transfer E]Property •FaaNT FFF- •]EPTY ..,PC*
Slap 4C.Period
a Approved for Subdivision with Map Provided I J
Staples, as Trustee Ann Maria
a.Seiler ••AS-NWIX.r:—W
11api RAW.
Name
I-revr..:a1:_e ':'rusL "tic nestcrlcrd x_a>rily
:AS-NAMFxn.Y'SY• -PsT iws
'7.Select the description which most accurately describes the Check the boxes below as they appy:
use of the property at the tmo of sale: S.Ownemlip Type is Condocvnlum
A.One Family RI•Adt-mial 9.New Construction on a Vacant Land ❑
IDA.P;epety Located within an Agricultural District
u
101111.Buyer received a disclosure notice Intlica;Inp that the properly is In on r-t
Agricultural District LJ
SALE INFORMATION IS.Chock one or more of them conditions as applicable to transfer:
A Sala Be-awn Rela9ves or Fortner Relatives
11.Sale Contract Dap _ B Sale between Related Compariae or Partners In Business.
C One of IN a Buyers is also a Seiler
•12.Dap Of SelorrrenafM Z ;0'-'VD Buyer or SNler is Government Agency or Lending Institution
E.Deed Type not Werra-.:y or Bargain and Sale(Speoy Below)
F.Sale of F-n&.onol or Less then Fee Interest(Specify Below)
113.Full Selo Price I m _ G.Significant Change in Proceny Between Taxable Status and Sao Dates
H.51e of Busmess is Included m Sae Prix
I Full Sae Prix is the told amount pad for the prop r y including persona property I Other Unusual Factors Affecting Sale Prix(Speedy Beiow)
This payment may be In the form of cash.other properly or goods.or the assumption d• J.None
mortgages or other obligations)Please round to the nearest who*dollar amount.
'CommeM(a)on Condition:
I
14.Indicate the value of personal u ,()()
property Included In the sale C:5r.!i r ratyry deed
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from which information tskmn(YY) () '17.Total Assessed Value 3150
•18.Properly Class 210 I _ •19.School District Name ::CU t F.O!
120.Tax Map kiesWror(syRoll kientlMr(s)(if more than four.attach shoot with additional idemlfler(sl)
CERTIFICATION
I Cordy that ell of tho toms of information entered on this form aro true and correct Ito the best of my knowledge and belief)and I understand that the making of any willful
false statement of material fact heroin subject me to the provisions of the ponal.lavrrelative to the making and filing of false instruments.
SELLER SIGNA]rt RE B CONTACT INFORMATION
(Elia•r orrur.on For the la.W.Nota 1 hlw.r IS I 1 L wcle;r.aeaow.=.colporaaNL to rt local mlrpony earM or
y arNp Wvt Is W on re vxk:sr sawn:cr Lduos•y,:nen a naso and cantor.I:darnalWn of a•l sidirdinift po'uele
G.lv wv can N aa4na Na banak•rust be alneled.Type or print clearly 1
/1°F�.IrFwRIiSIFGWURRE/IIi!/lv!(I( �'r . U-:L
BUYERSIGNATURE iStaplesf as Trustan Aert Marie
•IMI NAw •RST Wye
Jlg� .L3I rlOtS'-lI-F3
I •wLA-;;xi "FIFP10YE RJNBEi(E•29S25111114l.
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1 I CI-Y.w 1.+Y.Y •8:A-E 'JN GCX
' JIUYEWS ATTORNEY
I , De Simonc Scott
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LAS.
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t•;31) 755-3535
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