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Home My WebLink AboutL 13117 P 11 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 8/23/2021 Number of Pages: 4 At: 7 :15 : 01 PM Receipt Number: 21-0150927 *ELECTRONICALLY RECORDED* Transfer Tax Number: 21-02209 LIBER: D00013117 PAGE: 011 District: Section: Block: Lot: 1000 106.00 08 .00 077 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $175,000 . 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 $250 . 00 NO TP-584 $5. 00 NO Comm.Pres $2,000 . 00 NO Transfer Tax $700 . 00 NO Transfer Tax Number: 21-02209 Fees Paid $3,220 . 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 8/23/2021 7:15:01 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013117 Social Security Numbers P 011 prior to recording. 21-02209 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) 250.00 TOT.MTG.TAX 200.00 CIO., Dual Town Dual County — Held Held for Appointment Comm.of Ed. 5. 00 Transfer Tax 700.00 ' _� 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. 00 470.00 family dwelling only. Sub Total YES or NO Other 520.00 Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund Real Property 27039235 1000-106.00-08.00-077.000 Consideration Amount $17 5,0 0 0.0 0 Tax Service P r s Agency €t DTr n CPF Tax Due $ g Y 7179!2[727 2,000.00 Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land X 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 BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS THIS BARGAIN AND SALE DEED(this"Deed"),made the t y of December, 2020, between Signature Five Loan Trust, Delaware statutory trust, whose address is 1430 Broadway, Suite 503,New York,NY 10018, party of the first part(herein,"Grantor'),and Johanna Richard 2012 Trust;whose address is c/o Patricia C.Moore,51020 Main Road,Southold,NY 11971,party of the second part(herein,"Grantee'):WITNESSETH,that that Grantor in consideration of Ten and 00/100 Dollars($10.00)paid by Grantee,does hereby grant and release unto Grantee,the heirs or successors and assigns of Grantee forever, ALL that certain plot,piece of parcel of land,with the buildings and improvements thereon erected,situate,lying and being as described in the attached Exhibit_A(the"Premises"). SUBJECT TO all taxes, assessments, liens, easements, encumbrances and restrictions of record and all matters which an accurate survey or physical inspection of the Premises would disclose(herein,"Permitted Exceptions"). TOGETHER with all right, title and interest, if any, of Grantor in and to any streets and roads abutting the Premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of Grantor in and to said Premises; TO HAVE AND TO HOLD the Premises herein granted unto Grantee the heirs or successors and assigns of Grantee forever subject to the Permitted Exceptions. AND GRANTOR covenants that has not done or suffered anything whereby the Premises has been encumbered in any way whatever,except as aforesaid;AND Grantor,in compliance with Section 13 of the Lien Law, covenants that Grantor 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. [EXECUTION PAGE FOLLOWS] 4826-6206-1848.1 In witness whereof,the party of the first part had caused these presents to be signed by its duly authorized office the day and year first written above. SIGNATURE FIVE LOAN TRUST By: Signature Five Trust Administrator, its Administrator By: Signature Group Investments, LLC, its Sole Member By. Name:- Title: ACKNOWLEDGEMENT STATE OF NEW YORK ) ss. COUNTY OF X/I e'l On the Z`f day of November in the year 2020 before me, the undersigned,personally appeared 1111eh-1Gs _t.(,,51, , p 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 he/she executed the same in his/her capacity, and that by his/lwp signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. try Public JOHNATHAN URUGQMA NDVM PUBLIC SME OF NEW VOFK Na 01 UR638M1 QMWW in the Crrwty of New ftk CWVnk8Wn E*ffee C?c'abw 1.2= 4826-62064848-1 First International Title Agency File# NY4178-01 SCHEDULE A-1 (Description) ALL that certain plot,piece or parcel of land,situate,lying and being at Mattituck,Town of Southold, County of Suffolk and State of New York,known and designated as Lot 23 on a certain map entitled, "Map of Fields at Mattituck",filed in the Office of the Clerk of Suffolk County on the 31st day of March, 2006 as Map#11370 Abstract#15719. FDR COUNTY USE ONLY New York St2W Departn"B1titp p Taxation andFinance Cl- s♦�Is Code 14 1 7 1 3 1 U I U 1 9 1 y CW or Real Pmp"Tax Services C2- nam need Recorded i s 23 20211 RP— 5217-PDF Month Day Year I Real Property Transfer Report(8110) C3- Book I�, "]j, , , 7 I C4_ Page I , ,o , ]_, 1 PROPERTY INFORMATIONI - 1-Property 4500 Stanley Road Location ......�..._.......................... .._.... ..... __ -- 'STilEE-f-1p1Ml�R ^53RGEI'WAME Southold 11952 ` _ .....- .............. `---- ... CITY 01E tPWH y1LLRC3F ................._._._ ........—.._.._ '2rP Ct"67�. 2.13uyer me — � 'L,d � 'ILµ^� blame ...- ?. .. __. . ...... ...._ - ' -- LAST NA�IOON[AANY �+ ■FH24r NAIUFE j�L�y ta'V$'4raQ�-..... �. 1 5ifi "'f rJJi. ............. .."" - '.. ... r....*. ,..,r—............`.........................1.1.-...—.,.,.,.,.,.,.-.-.-....—.-I....-....---. ..-................ LRsr svAnee3c[ibrpnarr .-. ....... .._ - ..FMST UAa 3."Calc hate where future Tax Bills ars to be sent Camino it ether than r addrB at bottom of _._._._... ......................... ...._._.. .__-- ....._._... . Address b1rYe # ) Los`ASMR{-YCANT F�isT r+Aak STrli=F-r 1VLaJ1i3ER Ariy7 rfA1FrE CITY OdiTDWN 8TR-rE i�+CooG 4.Indicate ate number of Assessment 1 u Part or a Parcel ( a Part of a Parcel)Cheek as they apply: (toll parcels has st'erred on the deed ..-.��Pamela +DH i—I 4A.Planning Board with Samdivision Authorsy Exists �-1 mod X OR -0.78 P'41fl ar€Y ....._"1=Rt1DIT 1%EEt..................... •t7[P'rFt •ncl s .......... ... 4M Subdivision Appravai was Required rar Transfer Blas 4C.Parcel approved for Saaddhris>cm with}Nap Provided SzgnaturE. Five Loan Trust G.Sailer �...:................... -_...----.._-... -----........._....-..... --........._-..--.. .... ..... •LAST NAME�CIXNPRWf' i3RBT fiA3�rE Imine ................... ,,,...................r............... �...... -. --"--- ..—............ ...........................— LASF NA AKY i' ST '7.Select the dwwripkon which most accurately describes the Check the boxes below as they apply- use of the prop"at the time of sate- S.C rwnemhiP Type is Condominium ❑ C.Residential Vacant:Lwid 9.New Construction on a Vacant Land .. ....---- ---- ----.....---------- -•---------- 'I*A-.P Located within an rpperty Agricultural District 106.Buyer received a disctosum notice indicating that trig property is in an AgwxAtural District SALE INFORMATION 15.Chock one or more of these conciftions as applicable to transfer_ A-Sale Between Reta%ws or Farmer RalaUves 11.Sale Contract Ante 09/03/2020B...._. Sale between Related Companies or partners in business_ .................... ................._...............- C.One of the Buyers is also a Seer s ] 1 D.Buyer or Seller is Govermnent Agency or Lending Institution 12_[late of Sa36:ITraers€er • �� f' - ,.... E_CAead Type not Warranty or Rwgatn and Sale(Specify Setow) i F.Sale of Frac tk nal or Less than Fee Interest(Specffy Be33ow) "13.Full Salo Price 1-75,000 .flo G-sigrdflcant Change in property Between Taxable Status and Sate Oata% ............----._-.-- H_Sala,of Business is kH*K ed in Sale price [Frei Sale Prig is the thtal mount Paid for"property including peal pnVerty, I- OUTer Lkutsual Factors Affer;Wq Sate Price(Specify Below) This payment may be in the tome of cash,other Property or goods,or the assumption nf 4-None mortgages or other obligatkxrs.)Please rowed to the neatest vAoie AaffararrxwA. H C[xnreeoart(s)on Candifrorr_ 14.Indicate tete value of persorml property irtcl[rded in tho sate fl .00 _ . ASSESSMENT INFORMATION-Data should reflect the IatHst Final Assessment Roll and Tax Biil 18.Yew of Assessment Roll fron. which information taken(YYY 7-9 "17.Total Assessed Vakre �`Itb. a .. .. '18.Property Class 31.7. � � "19.School District Name mat't-:i..tuck ............�._.........._.. ._.......� 4' '..,� .....-------------- --------------------------------.....--......... ------..-..-_..............._. -.. '20.Tax Map Identifier(syRoll Identifier(s)Of more than four,attach street with additional identilier(a)) 1C.'rtx► -\rata..•t!%•..L'� `1.. CERTIFICATION I Certify that all of the items of Information entered on this form am true MW correct(to the boat of my knowledge and beNef)and I understand that the making of any willful false staternerd of rna ndat fact herelrr subject rete to tha provialpns.of the..pen al.law rsaia€Irie to the making and tiling of false irrsinrrrtents. SELum SIGNATURE BUYER CONTACT.[NFORMAT lIGN µ--�_-y.., .• (raw infamxoan for Ilia buyer.Nota:h—r ix S.t. a pant +`dation. k—KWon lain sivdc o ny essanm or .,,._ �.• �itiry g�is r3or acs aMrvidual agevet ar Cdurds .tion a Hama and vvntad iMomEEation o!•an er4dividua � ...�`..•• ... naw rare a3'ww4ar a�esbs raesrdirg�tranrSor must ba entarec€-r ) Psrly Typo or w'iext oraa�ity- ER S[_Ere � •-' " nA�3t .... s SMNIQi1T�tlgE W.ei3 - rIR8F ru1ME ••- r FJs..T riAh� L > f 1'.t'� _ ......- .:.:...:.....— ..lp IAC WOOM O) DATE MIT=NURA F,R •ernETr xniae E • Er � ^Rrr OR TVbMr y p y-TO •STATE "LP CCAS EA6T - !"11Y.`YT-DblIV� 1 I F l ll AREA 00E7E TF,I.Ef'7tC]NE 1#NY1f3F.R F£f[99643899} t S