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L 13114 P 84
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 7/29/2021 Number of Pages: 4 At: 8 :53 :50 PM Receipt Number: 21-0137324 *ELECTRONICALLY RECORDED* Transfer Tax Number: 20-40039 LIBER: D00013114 PAGE: 084 District: Section: Block: Lot: 1000 084 .00 02 .00 001 .002 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $800,000 . 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 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 $13,000 . 00 NO Transfer Tax $3,200 . 00 NO Transfer Tax Number: 20-40039 Fees Paid $16,595. 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 4 7/29/2021 8:53:50 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013114 Social Security Numbers P 084 prior to recording. 20-40039 Deed 1 Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording 1 Filing Stamps 31 FEES Page 1 Filing Fee 20.00 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 50.00 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 3,200.00 ' _� 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 395.00 Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund 27436Q49 1000-084.00-02.00-001.002 8 0 0 0 0 0.0 0 Real Property Consideration Amount � Tax Service P r s Agency sR 3PK A CPF Tax Due $ 13.000.00 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land CityLine Abstract TD 10 9726 3rd Avenue Brooklyn NY 11209 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 StandC�-2/i3 ard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment Form 3290 /000 CONSULT YOUR LAWYER BEfRg SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,ma the the1-1tay of May,2021 BETWEEN l.D 0d CECILIA ANN KRUPSKI, residing at 70 Fawn Lane, Cutchogue, New York 11935, party of the first part; and THALIA DEBRA FEILEN AND WENDY HESSLINK,as tenants by the entirety, residing at 35 Bedford Street,Apt. 27, New York, New York 10014, party of the second part, WITNESSETH,that the party of the first part, in consideration of Ten and 00/100--($10.00)--Dollars, 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 at or near Peconic,Town of Southold, County of Suffolk and State of New York, more particularly bounded and described on Schedule"A"attached hereto and made a part hereof. (See attached Schedule"A") Being and intended to be the same premises conveyed to the grantor herein by deed dated June 8,2018 and recorded August 10, 2018 in Liber 12973 page 502. The grantors herein is the same person as the grantee in the deed dated June 8, 2018 and recorded August 10, 2018 in Liber 12973 page 502. Said premises being known as 7650 Bridge Lane,Cutchogue, New York 11935 SCTM#: 1000-084.00-02.00-001.002 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: Cecilia Ann Krupski f/deedKrupskiCeil 2021 BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN New York STATE State of New York,County of Suffolk,ss: State of New York,County of Suffolk, ss: On th-�J day of May, in the year 2021 On the day of ,in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared CECILIA ANN KRUPSKI personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is satisfactory evidence to be the individual(s)whose name(s) is (are) subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instrument,the.individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the individual(S)acted,executed the instrument. the individual(s)acted,executed the instrument. (signature a?d office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) Notary Public ABIGAILA.WICKHAM Notary Public Notary Public,State of New York No,52-4642871 Qualified in Suflolk County Commission Expires Sept.30,20 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of , County of ss: 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(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 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 in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgement) Notary Public BARGAIN AND SALE DEED pIS�VIc SECTION 084.004.00 WITH COVENANTGAINST GRANTOR'S ACTS BLOCK 02.00 Title No. L L LOT 001.002 DISTRICT 1000 CECILIA ANN KRUPSKI TO THALIA DEBRA FEILEN AND WENDY HESSLINK STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS -7-�a_&0- Jb tow 6 T h�lrt r m �� 4 � � 1C� CITYLINE ABSTRACT,LLC as Agent for WFG National Title Insurance Company SCHEDULE A DESCRIPTION Title Number: CL-2113 BLOCK:0200 LOT: 001.002 ALL that certain plot,piece or parcel of land,situate,lying and being at or near Peconic,Town of Southold,County of Suffolk, State of New York,bounded and described as follows: BEGINNING at a point on the easterly line of Bridge lane at the northwest corner of the premises herein described,and the southwest corner of land formerly of Russel Drum,now Bokina; RUNNING THENCE along said land North 52°22'00" East,292.00 feet; THENCE along other land of the parties of the first part two courses and distances as follows: (1)South 44'00'30"East,300.00 feet;(2)South 52°22'00"West,292.20 feet to the easterly line of Bridge Lane; RUNNING THENCE along said line North 44°00'30"West,300.00 feet to the point or place of BEGINNING. Schedule A Description Page 1 of 1 FOR COUNTY USE ONLY Cl• SwIS Code -INS):www.ofps.state.ny.us 14 1 7 1 3 1 8 1 8 1 9 1 New York te D"art"na of C2• nate Deed Deoorded 1 7 / 29 20211 Taxation and Finance C3_ Book 11, Month Day Year Office of RaW Property Tax Services 3,1 ,1, 4 1 C4- Page 1 , 10 , S, 4 I RP- 5217-PDF Heal Property Transfer Report(8110) PROPERTY INFORMATIONI 1,Property 7650 Bridge Lane Location ocation •STREET Nl3M9ER 'STRsFT NAME Southold Cutchogue 11935 cirr ore TCWviJ---------------------------------------------------------------- vIac ........................... •xro toe 2.Breyer Feil en Thalia Debra Names •IAST NRMFfC[3MPAXY FIRST t1AtAE Hes s l±,a.k Wendy �NAM6 CM-ANY FIRST t3 U 3.Tax Ind€cafe where future Tax 8€11s are to Pae sent Billing If other than buyer addresr4at boftom of form] IAST—Mg!�Mph •-••••••-••••••l".........•••••• FIRST NAME Address SIREL'^ h IABIR AND AME CITY OR TCN STATE •••••z31'E:+?PE: 4.Indicate the number of Assessment ❑pari of a paw (Only If Part of a parcel)Check as they apply: RaiI parcels transferred on the dood Parcels OR 4A.M2nning Board with Subdivision Authority Fxists ❑ 5.Deed Xr djL 2.01_ 48.Subdivlslon Approval was Required for Transfer ED Property -1Ro rE-T •oEaTx •Re s._ Size 4C.Parcel Approved for Subdivision with Map Provided ❑ I{zupsk1 Cecilia .Ann Q.SBIIoF -LAKY 3JAaAE1C-UMPPSH' F ;!l,i3AME Name T IrAMCK�OTW'ANY —••FpiST Nahlii '7.Select the description which must accurately describes the Check the boxes€elow as theY apptY: use of the property at the time of sale: 8.Ownership Type is Condominiurn El A. One Family Residential S.New ConstfeactiaF on a Vacant Land 10A.Property Located vMhln an Agftultuml District 108.Buyer received a disek>sure nonce indicating that the property is in an ❑ Aocuifufal District SALE INFCSRIVIATtON IS.Chock one or more of these conditions as applicable to transfer: A.Sale Between Relatives or Former Re€ativea 11.Sale Contract Hate 03/22/2021 B.Safe between Related Connpaniea or Pormera€n Business. -.-.--.-.--..-..------� C.One of the Buyers is also a Seker 05/24/2021 D.Buyer or Seller is Gcvemment Agency or Lending Institution `12-Date of SalelTransfer E.Deed Type not Warranty or Mwqwn and Sale(Specify Below) F-Sate of Fractional or Less than Foe Interest(Specify Below) *13.Full Sale Price 800,000 ,00 -.. G.Sigrafscant Change in Property Between Taxable Status and Sale Dales F€_Sade of Business€s Included In Sate Price (Full 5a€e Price is the total amount paid for the property including personvl property- I. Other Unusual Factors Affecting Sale Pnou(Specify Below) This payment may be in the form of cash,other propetty o t goods,or the assurnptlort of J-None mortgages or other obligations,)Please round to the nearest whole dollar amount, Gwthrrserit[s)on Condition- 14.indicate the value of personal property Included in the sale .00 A7777ENT INFORMATION-Data Should ralleet the latest Final Assessment Roll and-Tax Bi 11 IC Year of Assessment Roll from which Information taken(YY) 21,0 '47.Total Assessed Value 5,600 '18.Property CUSS 210 '19.'19.School Diswct Name 12–Ma t�l,i t ac k .1.1.1.1........ ------- ............... "20.Tax Map Identifier(s)IRoll€dentifter(s)[if rnare than four,attach sheet With additional identiffer(s)) 1QC3Q--Q8�_dQ–Q2.C34–GC13..d]©2. CERTIFICATION €Certify that all of tate items of Information entered on this farm are true and correct(to the best of my knowksclgB and belief)and I understand that the making of any wilful false statement of material fact herekt subject me to theprox€slocis Qf ti ,pertal Ww tetany®to the making and filing of false Instnsments. SELLER SIGNATURE WYER CONTACT_I Q17�1A�N MrrW infw as on for the buyer.Note:If buyer is LLC,sodety.assaoiet€on,carpor tion.joint xtock company,estate ar entity that la not as individual agOnt of fidudaFY,tf�a nsdne and cantaCt.lfffom�atlon of an wldiY�uallr® ]rmxit7de 1 parry"o can answer questions regarding the transfer roust be entered Type or Pr€nt clearly.) ' t>r nCrr4. r sEt.I..en si .eE' _ VATS Feilerc 'Thalia TURX;. _ •e NAME eeissNAMF •A�pER LTJLa n}�w.••/•�•.••••.••••• -TELEEhsr r:w13MEWR yH+ R) q ��iYJ ^STRCLT NW.F9EP viRE.ET wnMf=. .. 10010 F 'CITY OR-nwx STAT9. •zlr c�E t BUYER'S ATTORNEY 1 1 Beat Jtastin r �A5T TIAM='••••••••••••• FIRST NAME i 1 [212) 2.23-7526 f AREA ZO; . TELEFIZO i wMemp[' :�,ZS 1 1