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L 13108 P 49
1111111111111111111111111111111111111111111111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 06/10/2021 Number of Pages : 4 At: 10 :23 :09 AM Receipt Number : 21-0108749 TRANSFER TAX NUMBER: 20-35180 LIBER: D00013108 PAGE : 049 District: Section: Block: Lot: 1000 054 . 00 05 . 00 011 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $515, 000 . 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 $395 . 00 TRANSFER TAX NUMBER: 20-35180 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County i FIT: RECORDED 1021 Jun 10 10;13;09 AN Number of pages JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY This document will be public L 000013108 record. Please remove all F -35 I 6T# 20-351x0 Social Security Numbers prior to recording. Deed/Mortgage Instrument 3 Deed/Mortgage Tax Sta p Recording/Filing Stamps 3 FEES E Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 I! 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. I �1IDQ►�y� Dual Town Dual County w¢ Held forAppointment Comm.of Ed. 5. 00 I Transfer Tax Affidavit • Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. UO family dwelling only. Sub Total YES orNO Other --77 Grand Total �7�15, If NO, see appropriate tax clause on page p of this instrument. 4 Dist. 21030104 1000 05400 0500 O01j1OOO 5 Community Preservation Fund Real Property R SMtI� Consideration Amount$ a��J ,V� Tax Service l Agency 28-MAY CPF Tax Due $ ✓ � Verification Improved Satisfactions/Discharges/Releases List Property Owners Mailing Address 6 RECORD&RETURNTO: Vacant Land V� qk��-s-Dnw TD I 1 �J �IJ TD KJ 111 TD n,q11 � Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Nar6 www.suffolkcountyny.gov/clerk Titleff 8 Suffolk County Recording & Eno;rsement Page This page forms part of the attached - 11 made by: (SPECIFYTYPE OF INSTRUMENT) wS� The premises herein is situated in SUFFOLK COUNTY,NEW YORK. I , l p TO In the TOWN of In the VILLAGE or HAMLET' f BOXES BTHRU 8 MUST BE TYPED OR PRINTED IIN BLACK INK ONLY PRIOR To RECORDING OR FILING. I I over i � I i —Bargain and Sale Deed,with Covenant against Grantor's Acts—Individual or Cotpotation(Single Sheet) V 33 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE,made the 25th day of February,in the year 2021 BETWEEN Antonetta C.Ross,residing at 220 Rintin Street,Franklin Squrc,New York 11010 21 Elt.. FI HtA party of the first part,and 1130 Properties,LLC, Eimaeeti Drive,Dix Hills,New York L 1746 party of the second part, WITNESSETH,that the party of the first part,in consideration of 10.00 dollars paid by the parry of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the parry 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 County of Suffolk,Town of Southold,State of New York,as Section 054.,Block 05.and Lot 011.A metes and bounds description is annexed as Schedule A. The Premises herein described are and are intended to be the same as those desribed(or conveyed to the grantor herein)in deed dated 9/3/2019 recorded 10/8/2019 in Liber 13031 Page 811. 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 parry 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. bs, CD- D1/,coo IN PRESENCE OF: O`'�✓L� ANTONETTA C.ROSS SCHEDULE A DESCRIPTION METES AND BOUNDS DESCRIPTION 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, bounded and described as follows: BEGINNING at a point on the southerly side of North Sea Drive distant 1083.48 feet eastwardly from the corner formed by the intersection of said southerly side of North Sea Drive with the easterly side of Kenney's Road; RUNNING THENCE South 50 degrees 36 minutes 00 seconds East 362.97 feet; THENCE North 34 degrees 14 minutes 30 seconds East 26.28 feet to an iron bar; THENCE North 26 degrees 29 minutes 30 seconds East 75.74 feet; THENCE North 50 degrees 36 minutes 00 seconds West 343.68 feet to the southerly side of North Sea Drive; THENCE South 39 degrees 24 minutes 00 seconds West along said southerly side of North Sea Drive 100.00 feet to the point or place of BEGINNING. Being and intended to be the same premises in deed dated 9/3/2019 recorded 10/8/2019 in Liber 13031 Page 811. ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of Nassau,ss: State of New York,County of ss: On the 25 day of February in the year 2021, before me, the On the day of in the year before me, the undersigned,personally appeared Antonetta C.Ross,personally undersigned, personally appeared personally known to known to me or proved to me on the basis of satisfactory me or proved to me on the basis of satisfactory evidence to be evidence to be the individual(s) whose name(s) is (are) the individual(s)whose name(s)is(are)subscribed to the within subscribed to the within instrument and acknowledged to me instrument and acknowledged to me that he/she/they executed that he/she/they executed the same in his/her/their capacity(ies), the same in his/her/their capacity(ies),and that by his/her/their and that by his/her/their signature(s) on the instrument, the signature(s) on the instrument, the individual(s), or the person individual(s), orththe� person upon behalf of which the upon behalf of which the individual(s) acted, executed the individual(s)a fid,a tbcuted the instrument. instrument. NOTARY LIC NOTARY PUBLIC JESSIE JAMES BURKE Notory Public,State of New York No,02SU6045973 Qualified in Queens County Commission Expires 118/07/20 712— ACKNOWLEDGEMENT ZACKNOWLEDGEMENT BY SUBSCRIBING WITNESS ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK TAKEN IN NEW YORK STATE STATE State of New York,County of ss: State of County of ss: On the day of in the year before me,the On the day of in the year before me, undersigned,a Notary Public in and for said State, personally the undersigned personally appeared personally known to appeared , the subscribing witness to the foregoing me or proved to me on the basis of satisfactory evidence to be instrument,with whom I am personally acquainted,who,being the individual(s)whose name(s)is(are)subscribed to the within by me duly sworn,did depose and say that he/she/they reside(s) instrument and acknowledged to me that he/she/they executed in (if the place of residence is in a city,include the street the same in his/her/their capacity(ies), that by his/her/their and street number if any,thereof);that he/she/they know(s) signature(s) on the instrument, the individuals) or the person to be the individual described in and who executed the upon behalf of which the individual(s) acted, executed the foregoing instrument;that said subscribing witness was present instrument, and that such individual make such appearance and saw said execute the same; and that said witness at before the undersigned in the (add the city or political the same time subscribed his/her/their name(s) as a witness subdivision and the state or country or other place the thereto. acknowledgement was taken). NOTARY PUBLIC NOTARY PUBLIC Bargain & Sale Deed COUNTY:Suffolk With Covenants TOWN/CITY:Southold PROPERTY ADDRESS:1130 North Sea Drive,Southhold,NY Antonetta C.Ross TO SECTION:054 1130 Properties,LLC BLOCK:05 LOT:011 Title No.R-NYAS-7033-S RETURN BY MAIL TO: Mason&Mason,PLLC DISTRIBUTED BY 394 Old Country Road ^1^1^^ ^ Garden City,New York 11530 JUDICIALTITLE T:800-281-TITLE F:800-FAX-9396 INSTRUCTION S(RP-5217-PDF-INS):www.oTps.slale.ny.us FOR COUNTY USE ONLY -Now Yolk State.Departtnent of C1.awls coda Taxation and Finance office DT Reay Properly Tax Services C2.Date Dead Recorded RP-5217-PDF C3.Book Q �C4.Page © Real Property Transfer Report(8110) PROPERTY INFORMATION I 1.Property 113C North Sea give Location SiRFF•fl Wgya •araFF:N.VEI Scutha_c I 1_971 '':IT.OR ram Alu i •SP cccr 2.Buyer 1130 2_'I:L:•:t.CS, _LC Name 1 I.a:vWlrLl:yPaN• FRSTNYIE ' LAb•NWER.wPWr IPST MAUL ' ].Tax Indcate where figure Tax Bills era to be sant ' Billing if o1F.er than buyer addresaat botlol'1 el form) _.s•N.YEr_cr+.+• I ST NWE Addnn I STREET MJVRER AN]ruYE •.^.IIYCa•LTI'ai I STALE :la ca]C 4.Indicate the number of Assessment 1 Pad of a Parcel (Only If Pert of a Parcel)Check as they apply: Roll parcefa 4A.transferred on the deed d el Parcels OR F-1Pfenning Board with t)ubdviolan Authority Exists a.DeedI 11U It 0•E O 4B.15ubelNolon Approval sues Required by TransferProperty •iRohf'ETI •�,rII v_aE5 Sura 4C.IParoel Approved for Subdivision with Map Provided El RCss I Antonetta C. ' a.Sailer .L•,IA ECOMPM- Filar NWE Name I AST AWF,cnwP F.RST MWE •7.Select the description which most accurately describes the Cheek Ship boxes below■a they apply: un of the property at the time of sale: t:Olin,reh,p Type Is Condominium A.One family Rebidelltial e:NIIew Construction on a vacant Lead ICA.Property Located withal an Agricultural District SOB.Buyer received a disclosure notice indicating that the property is in an El DiWcl SALE INFORMATION fa•Check one or more of these conditions as applicable td tinter. h A.Sale Between Relatives Or FOrmer Relatives It.Sale Convect Date 1-2/26/2020 B.Sale botwean Related Companies or Partners In Business. ' C.One of The Buyers is also a Seiler 02/25/2021 D.Buyer or Sailer Is Govemmem Agency or Lending InSOUlon '12.Dau of SRIeRrenafer E.Deed Type not warranty or Bargain and Sale(Specify Below) F.Sale of Fractional or Less tun Foe Interest(Specify Belowl •7 S.Full Sole Price 5:!"C00 mu G.Significant Change In Property Between Tavable Status and Sala Dares H.Salo of Busness Is Included in Sole Pnco I Full Sole Price is the total amount paid for the property including motional properly II.,Other Unusual Factors Affecting Sola Pines(Speofy Below) That payment may be In the lob,G'Cash,other properly m goods•or'he asal.mpl;RI of I.None r mortgages Other Obligations.)Pmaae round to me nearest wr ham darter amsunr Comment(g)on Condition. 14.Indicate the value of personal property Included In the sale •Still I ASSESSMENT INFORMATION-Data snculd reflect the latest Final Assessment Roll and Tax BILI 1E.Year of Assessment Roll from which Information taken(YY) 21 '17.Total Aseesied Value 33,4 00 •1 B.Property Class ;(0 •1 s.Schon District Name_ Southold Tax Map Identlilar(allRoll IdentMer(e)(il more than four,attach sheet with addklonel Identlffer(sll 1000-054.00-05.00-011.000 CERTIFICATION I, 1 Cemly,that all of the items of Information enured on this form■m we and correct(to the beat 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•Sha•ponal.inKralative to the making and Mine of false Instruments. SELLER SI.GNAT)JRS i BUYER e.1'1IACT INFORMATION ,Eder krrm non foreve Inner,Note'If dryer a I.I.C.-clety,ae d hon.kslPehasor%pit nock xw14.:y,sears Or r aty diet s Pa an indrewd surd w educary even IT Acre and corwd r lemic on if aP kdYnuk,emonacla con anYirgwWma regarding IIY transfer nihil he ardand.Tyne x Ildm clearly.)A' SELLER eMiNRTuRE BUYER SIGNATURE 113C ?-cperties, L7-C -LAST FRET\AIR . I Z r (51 f,1 995-9999 'MEA L;bE -TE'iPIIfINENWEER;E.WCw; R�TN bar NI' :A-E n, / 2: �kigh_ield Csive •S1rEE�RWriR •BTSEGT+WG r� r� r:K :li..s I v� I.746 •CITf cin ram , I •S;.IC rC04 BUYER'S ATTORNEY Ma=z)n Wi11ian IAST%AYr I FIRRTNaff I r '139-3090 I l lI I APIA flpE TEL?MO%EN'u1BER.E.wwFF•e, 11 1 r I 1 Ir i �I 11 ' I I r•