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Home My WebLink AboutL 13109 P 755 1111111 IIII IIIII IIIII IIIII II11111111111111111111111111 l 111111 I I I I I I I I I I I I I I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 06/23/2021 Number of Pages: 4 At: 11: 32 : 14 AM Receipt Number : 21-0116451 TRANSFER TAX NUMBER: 20-36557 LIBER: D00013109 PAGE: 755 District: Section: Block: Lot: 1000 038 . 00 01. 00 006. 000 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 $395 . 00 TRANSFER TAX NUMBER: 20-36557 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of pages RECORDED 2021 Jun 23 11:332:14 AM JUDITH A. PASCALE This document will be public CLERK OF record. Please remove all SUFFOLK COUNTY L D00013109 Social Security Numbers P 755 prior to recording. DT# 20-36557 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee .20 Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. i or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) oZ TOT.MTG.TAX R.P.T.S.A. 'loo,� Dual Town Dual County Held forAppointment Comm.of Ed. S. 00 Transfer Tax Affidavit �} �� Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two i NYS Surcharge15. 00 3 family dwelling only. Sub Total YES orNO Other s�Q Grand Total J_! � If NO, see appropriate tax clause on page# of this instrument. ---To-DSS -I 4 Dist.-I( 5 Community Preservation Fund 21033543 1000 03800 0100 006000 19 Real Property. PTS { F/ConstAmount$ Tax Service I c�R q II CPax Due Agency 16CLA Verification mproved Satisfactions/Discharges/Releases List Property Owners Mailing Address ECORD&RETURNTO: Vacant Land Shivers Law Group TD_1_ 140 Lakeland Avenue Sayville, NY 11782 TD TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached deed made by: (SPECIFY TYPE OF INSTRUMENT) Dorothy M.Thilberg The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Dorothy Thilberg and Harold Thilberg In the VILLAGE 2019 Irrevocable Trust or HAMLET of East Marion BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over 1 ` QUITCLAIM DEED (INDIVIDUAL OR CORPORATION) FORM 8004 (short version),FORM 8009 (long version) CAUTION: THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING.Q THIS INDENTURE, made as of the U day of QC40Ie—( , 2019, between DOROTHY M. THILBERG, residing at 149 Matthews Road, Oakdale,New York 11769, party of the first part, and MARY ELLEN RUSSELL and RONALD F. THILBERG, as Co-Trustees of the DOROTHY THILBERG AND HAROLD THILBERG 2019 IRREVOCABLE TRUST, dated Woky { 4� presiding at 149 Matthews Road, Oakdale,New York 11769, party of the second part, WITNESSETH, that the party of the first part, in consideration of ten dollars($10.00), 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 in the Town of Southold, County of Suffolk and State of New York, more particularly described in Schedule A attached hereto. 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, 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 costs 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. NYSBA's Residential Real Estate Forms(9100) C 2008 Matthew Bender&Co.,a member of the LexisNexis Group. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. DOROTHY . THILBERG IN PRESENCE OF. Acknowledgment by a Person Within New York State(RPL § 309-a) STATE OF NEW YORK ) ss.: COUNTY OF SUFFOLK ) On the b day of W 6) r in the year 2019 before me, the undersigned, personally appeared DOROTHY M. THILBERG, 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 instrupent, the di ual(s), or the person upon behalf of which the individual(s)acted, executed the instrument. �' fl J4� (si nature and o ice of individual taking acknowledgment) Valerie A. Shivers Valerie A. Shivers Notary Public, State of New York Notary P""':^ Stata o€ rk No. 02SH6177579 o. Q2S d Qualified in Suffolk County Deed QualiiE _ olk Coin.. Commission Expires Nov. 13 j �0 a3 Commiss' Expires Nov. 13 12 TittLe No• District 1000 Section 038.00 DOROTHY M. THILBERG Block 01.00 To Lot(s) 006.000 DOROTHY THILBERG AND County or Town Suffolk HAROLD THILBERG 2019 IRREVOCABLE TRUST Return By Mail To: Valerie A. Shivers, P.C. 140 Lakeland Avenue Sayville,New York 11782 NYSBA's Residential Real Estate Forms(9100) 0 2008 Matthew Bender&Co.,a member of the LexisNexis Group. Schedule A All that certain piece, parcel or tract of land, situate, lying and being at East Marion, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a concrete monument set on the easterly line of Shipyard Lane at the northwesterly corner of lands heretofore conveyed by the parties which point lies 225 feet northerly of said easterly line of Shipyard Lane from the northwest corner of land now or formerly of Albert R. Fish Estate and being 695.28 feet southerly measured along said easterly line of Shipyard Lane from its intersection with the southerly line of Main Road; running thence northerly along said easterly line of Shipyard Lane 75.0 feet to a point; thence, as follows: easterly on a line at right angles to said easterly line of Shipyard Lane 150.0 feet to a point; thence southerly on a line parallel to said easterly line of Shipyard Lane 75.0 feet to a concrete monument set at the northeasterly corner of said lands now or formerly of Donald Boerum; thence westerly along the northerly line of said lands now or formerly of Donald Boerum 150 feet to said easterly line of Shipyard Lane at the point of beginning. • ' INSTRUCtTIONS(RP-5217-PDF-It4S):www.orps.state.ny.6n; ' FOR COUNTY UqE ONLY• /]� I Naw Yolk State Department of Ci.dMIS Code. Lli 13-/ en�UY Taxation and Finance C2.Dab Deed Recorded I a CQ 149131 I Once of Real Property Tax Services �)M, L* *ate S/ RP-5217-PDF C3.Book 3 (/ C4.Page �J Real Property Transfer Report(SM0) PROPERTY INFORMATION I.Property C55- :::e1?yItP i; Location •6TNLLI RIMeR •STREET HALE EAST MAR_01•: 1:539 2.Buyer DOROTHY 7y;LHE:;RG ANn HAROLD THTT•P.ERG Name •IAsrxAUE.mwArrr lea•xAv[ 2.019 IRREVOCA.P.T.= ^-2U S'" .AS-NAVECOMPAN Ileer• eL 9.Tax indicate where future Tax&IIs am to be owl Billing if other then buyer address(al bottom of form) LANI NAME"APANY res-NAR- Address aIREF.T RIrRFRy`ahl Y' Cr'rCe T,7M SIA-L &'Cr A:F 4.1red tests the number of Assessment 1 Part of a Parcel (Only N Part of a Parcel)Check as they apply: Rall parcels transferred on the dyad a of Parcels OR 4A.Planning Board with Subdivision Authority Exists L_I 0.Dead OR 0.7.5 4B.Subdivision Approval was Required for Transfer Property •FRCY FFF- •L&P''• •ACQFS Ske 4C.Parcel Approved for Subdivision with Map Provided T111L3ER'a VORUTHY Yi. 6.Seller •I ft'W%000MPAh• F RS-ra1ME Name IASI xA VJCf'V.AY' Fon NAVA '7.Select the description whit most accurately describes the Check the boxes below as they apply: use of the property at the time of main: 8.Ownership Type is Condominium A.One Farnily Residential 0.New Construction on a Vacant Land 10A.Property Located within on Agricultural District ❑ 10B.Buyer received a disdasure notice Indicating that the property is in an ❑ Agneulturat David SALE INFORMATION 10.Chock one or mom of memo conditions as applicable to transfer. A Sale Between Re:atives or Former Relatives 11.Sale Contract Date B Sale between Related ComparAs or Partners In Business /n� b C.One of the Buyers Is also a Seller 12.Date of SakYiYansfor i V l fl jg D. Baer or Sellor is Government or B Agency d Landing city Below)s� E.Coed Types ate Warranty or Bargain and Sale(Soetly Betow) F.Sale of Fractional or Less than Fee Interest tSpeory Below) •17.Full Sale Price D,00 G Significant Change in Property Between Taxable Status and Sale Dates H Sate o1 Business is Included in Sale Price (Full Sob Price is the total amount paid for the property Including Personal property. I.Other Unusual Fat2ors Affecting Selo Price(Specify Below) The payment may be In the form of cash.other property or goods.or the assumption ce J.None mortgages or other obligation.)Please round to the nearest w)tale dolor amount 'Commends)on Condition: 14.Indicate the value of personal Property Included In the sale •U0 �.)T7CLAIM ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Rall and Tax Bill 10.Year of Assessment Roll from which Information taken(YY) 13 '17.Total Assessed Value 3r G00 v10.Properly Clens 210 - •1e.School District Name OYSTER P:N D '20.Tax Nap Wardlfior(syRoll IdentiMr(s)(If more than four.attach shoot with additional Idemifrer(a)) _030-1339.03-01.00-006.000 CERTIFICATION I Certify that all of the Meme of Information entered on this form are true and correct(to the beet of my knowledge and bollen and 1 understand that the making of any willful false statement of material het herein subject me to tho.lagyWane of the penal low.relative to the making and filing of false Instruments. aMLER SIGNATURE BUYER CONTACT INFORMATION (Friar ell-Asa fa'L1e buyer hob r buyer•s U C sway.asaadeann.pari estim.Jent sad)company.arms a- er.Lb awt is•sal or-nd vduw now.fir sducia-y.:•em a rams aria Oa ire rdnrma:on of an lsdwduaylespascbte io eery wf:a rx areweral.estkne•giemlrp Ns esnem•ml.0 a ernroa type ar palm clearly) 13E1Er SIC7; :M.1 RLiSSFT.:: MARY ...,:,EN BUYER SIGNAILBE ':A5-NAME. Flxei hAYF ?/// :153.) "99-1591 101 119 •AR:A W 1 -TP-EP,K NIIMULP LL--99DW=a I A SfNVATIFE ]ATE 159 NATT]IBINS KOAD -9:ML:V M]J{ •9T4Ee'NAVL I r r I OA.Ki)A1.F. VY 11765 a •Ce lle icaN STar PCom BUYER'S ATTORNEY II VA!ECI3 I I AST NAYp I ea'NArI, I I I � r551) :io9-=.335 1 I Mew GiCE TF-F'PONE 1,11.109181s.E•'99e99e91 I I I I l