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L 13110 P 799
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 6/30/2021 Number of Pages: 5 At: 9:14 :32 PM Receipt Number: 21-0120914 *ELECTRONICALLY RECORDED* Transfer Tax Number: 20-37396 LIBER: D00013110 PAGE: 799 District: Section: Block: Lot: 1000 063 .01 01 .00 007 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25. 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: 20-37396 Fees Paid $400 . 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 5 6/30/2021 9:14:32 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013110 Social Security Numbers P 799 prior to recording. 20-37396 Deed 1 Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording 1 Filing Stamps 31 FEES Page 1 Filing Fee 25.00 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 55.00 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 400.00 Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund 21031900 '#000-063.01-01.00-007.000 0.0 0 Real Property Consideration Amount $ Tax Service r s Agency s��i�2�i�A CPF Tax Due $ 0.00 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land First International Title - Riverhead TD 10 633 E ]AIIF ST STE 3 R.IVEREEAD NY 11901 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 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. THIS INDENTURE,made the 24'day of May,2021, between Anne E.Hawkins,2555 Youngs Avenue, Southold,New York 11971, party of the first part,and Benjamin Earl Hawkins,Trustee of the tonne E.Hawkins Irrevocable Trust,dated March 30,2021, 169 Horton Avenue,Mattituck,New York 11952, party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and No Cents ($10.00)and other valuable consideration paid by the party of the second part,does hereby remise, release and quitclaim 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 See Schedule"A"attached. BEING AND INTENDED TO BE the premises commonly known as 2555 Youngs Avenue,Apt. 213, Southold,New York 11971,with the unit being particularly identified for the purposes of RPL 339-0 as follows: Southold,Suffolk County,recorded in Liber/Reel 12875,page 931 on August 18,2016,as Unit 213,with the intended use of the unit as residential,and the common interest appertaining to the unit being 1/45 undivided interest; 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 fust 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. District: 1000,Section:063.01,Block:01.00,Lot:007.000 \YSBA's Residential Real Estate Forms(9/2000) -1- 0 2021 Matthew Bender&Company,Inc.,a member of LexisNexis. By:Anne E.Hawkins IN PRESENCE OF. District: 1000,Section:063.01,Block:01.00,Lot:007.000 NYSBXs Residential Real Estate Forms(9/2000) -2- 0 2021 Matthew Bender&Company,Inc.,a member of LexisNexis. SCHEDULE A-1 (Description) ALL that certain plot, piece or parcel of land,situate, lying and being in the Town of Southold,at Southold,County of Suffolk and State of New York, being a part of a condominium known as unit 2B together with a 1/45 undivided interest in the common elements of the Condominium hereinafter described as the same is defined in the Declaration of Condominium hereinafter referred to. The real property above described is a Unit known as Unit no.2B as designated and described in the Declaration establishing Founders Village Condominium I made by the Grantor under the Condominium Act of the State of New York,Article 9B of the Real Property Law) dated 5/20/85,recorded in the Office of the Clerk of Suffolk County on the 3rd day of June, 1985 in Liber 9801 cp 369 and designated as tax lot no.7,on the floor plans of the building in which the unit is located,filed in the Suffolk County Clerk's Office as map no. 115.The buildings are shown on a site plan as filed in the said County Clerk's Office as map no. 115 Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK ) ss.. COUNTY OF SUFFOLK ` ) On the �'�"' day of in the yeari;k�k ,before me,the undersigned,personally appeared Anne E.0awkins,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 she executed the same in her capacity(ies), and that by her signature(s)on the instrument,the individual(s),or the person upon behalf of which tho individual(s)acted,executed the instrument. t (signature and off ice W ndividual t�.il�ing acknowledgment) KASEY J.COSGROVE NOTARY PUBLIC.S 8683 WO Of New York No.ojcQualified in Suffolk county Commission Expires February 03,20 District: 1000,Section:063.01,Block:01.00,Lot:007.000 NYSBA's Residential Real Estate Forms(9/2000) -3- 0 2021 Matthew Bender&Company,Inc.,a membei of LexisNexis. FDR COUNTY USE ONLY Cl- sw>s Cade 14 . 7 . 3 . 8 . 8 . 9 1 ©F-INS):rAvw_args.state_rty_tls C2_ Date Deed Recorded 6 / 30 20211 Month Dap Year � ��� . C3_ Soot I1,3,1 ,�, 0 I C4_ Page I , ,7 , 9, 9 arme.1dirReal '3WVk" RP- 52.17-PDF PROPERTY INFORMATION I Real Progeny Transfer Report(81io) PROPERTY INFORMATION 1.Property 25555 _ Youncia Avenue Location ............................................................................................................. ........................................................................_ s'rrrrMWtlXrWW �'lr1 'rNAArE Southold None 1197'1 �`. .._ _..._ _............................................................ m_ •'CfrY OR TQWIph VILIA6C •Zip aDaf_ 2.Buyer 6erl�arrsin„Earl Hawkins Trustee of the Antra E. Hawkins Irrevocable Trust,dtd 3/30/2021 Noma ........... ...._.............__............._................................................................................... _... .. ........................................._...__...............�........... •ha 5'r e"rner�moarwvry �>=�sT"ice .......................................... ................ ......... ..... - tAST PiMtFJZrr1MPANr F3RaF NRME S.Tax Indicate where future Tax BE ase€o be sent Hawkins Anne E. Address�Oif other than buyer addrew(at€aotWm of form) ...........�%-r r�waeeycoM¢%wyr....... ...-... ..",....................................... rm ur� 2555 Youn€as Avenue.Apt:2E3--------- ---------- Southold _ _ NY 11977 STfir;ET NLCN3]ErE Afll1 NAME CFTT OR TAV�RY STATE ,TEP CanC 4.indicate the number of Assessownt Part of a Paraal (only if Part of a Parce€)Chack as they apply, Roll parcels transferred on the dead # Parcels Ott AA.Planning Snarl with Sutuf ivEsioR Authority E7dsis Jr.Dead _ X OR Q. 8 46.subdivision Approval was Required for Transfer Property ...�.i'i�ic er wep=t................... .-r0.F. ......._ .......;RCRES..._ - EJ Sixe 40.Parcel Approved for Subdivision with Map Provided �- Hawkins Anne • B.;..tk€ler ......._..............._.....,............_._.........� .................._.._.........................._............„,„.„,..... .... ^inr;r NNMFICOH[PANY savaT xnnerE Name veer kAN47C�rPANY FFRST NRM� 7.ScICCt the[tescrlptlon wfrich mast acctrrale[y rtascrfiMsa oraPKI ��€ Check the boxes below a s they apply: use of the property at the time of gotta: S.Ownership Type is Condornirdurn Lh l 9.€ow Construction on a:Vacant Land ❑ A. One Fr'7I7t1Residential 'IDA.PmpeFty Located within an Agricultural DWWict 1116.Buyer recaivad a disclosure no€ice Imboating that#Te properly is in an Agricultural District SALE INFORMATION 15.Check one or more of trrese conditions am applicable to transfer: A_Sale Batween Relatives or Fortner Relatives 11.Sale Contract fiats B.Sates between Related Companies or Pantoate in Business, 571 _ C.One of the suyers is al ea a Seller 12.Data of SafaiTransfer D-Buyer or Soffer is Government Agency ort ending Insti ution ..w.. .._. -'--------�--------------- x, I`Deed Tyne not watrarxty or Bargain and Sri(SPAY Below) F.Sale of Fractional or Lose than Fee interest(Specify Below) •13.Fun Sale Price $0-00 G.Signifiioant Change in Pivperty Between TaxabNe Status and Sags t7aIns Fl.Sala of Business is included in Sale Price [rut Sato Pride is the tobaE anxx nt paid for the property include to Personal prop". 1- other t€nusua€Factors Affecting Sale Price(Spacity Uetaw) This payment may be in the form of cash,other property or goods,or the aNw4mPtion of I.€,ions rnarryagns ar sober abiigationx-)Plavw g round to Oye noomst whofc dinar amount- •. Commentts)on Condition: 1R.€ndtcafo the val run of personal property included in the sales $0.00 Quitclaim Deed ASSESSMENT INFORMKriON-[rata sYhaukl reflect the tatest F'irrail Assessment Roll and Tax 13i 11 16.Year of Assessment Rolt froth which Wfutniation faken(M 20 •17.Total Assessed Volvo 2 520 -------------------------- ��._. •1$.Property class 4 1 1 _ "S.Schaal Distriaf Maras Southold School Distr€ct "20_Tax.Map hiontiHar(syRotl tdant€fierts)(B ntore than four,attaloh sheet vAth atdditional Iden ifforjftj) -�„'W”W"W".'.'.'.'.."..............�.. 1000-06..3.01.01.00-007.000 I Certify that aft of the items of iv fatmation entered on this form ata true and correct.(to the best of my knowledge and bal€ef)and I understand that the making:of any wtNfui Was statement of matartal fact herain subject me to the amvlsiares fit the saesilaw.felative to the making and filing of false instruments. BUYER CONTACT IMFORMAMQN lF.xer il'ldnTlaffon far trio brrypr:Plots:It buyer 18€W.Woety,A%SgSfwl 'aorpurada'n,Mar sutra oonva y-a.hd.w r enfltY that€a not an krcti cWeE agent or lidudary,thm m r.rnne arra 4rt irheovmWon of an intlividtadAs� party w7eo can a-r War ql—tisr a re-QW-king the MW.V.r MUM be antW tel-Type nr print 019tlrly-1 --- '..................................._.._......................_. - `?r_/ _1— 3�FJ=R 31fbPULTi/RE FMTE YEPUMGMATURE Hawkins ................................. Benjamin 'LASTNAME "ROT - r eaten eacr� rktKPrlrnur hvcrMeeu ic-v.-saauaea�l - - - etii'f..R i]ATti 169 Horton Avenue _ •e;Tr€�-r ranene�x •sTr�rnsart� MattituckNY 11952 ..........._... ............................ ................. /�. •CiTY QR TPYai 'SATAT% 'L1P OfHfE r 1, NONE r u �E ....................._.............. FkMT wwet» .................. ., r1s y'} ----------- Fi:aces�..__-____ ........................._........... r �❑`F-iowc r�eiiiiiirre.�c.. .....................