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Home My WebLink AboutL 13117 P 403 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/25/2021 Number of Pages : 4 At: 11 : 45 : 11 AM Receipt Number : 21-0152448 TRANSFER TAX NUMBER: 21-02535 LIBER: D00013117 PAGE : 403 District: Section: Block: Lot: 1000 107 . 00 08 . 00 021 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $450 ,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 $1,800 . 00 NO Comm.Pres $6, 000 . 00 NO Fees Paid $81195 . 00 TRANSFER TAX NUMBER: 21-02535 THIS PAGE IS A PART OF THE' INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ❑1 RECORDED 2021 Gug 25 11:45:11 qhl JUDITH G. PGSCALE CLERK OF Number of pages 1., SUFFOLK COUNTS' L D00013117 P 403 This document will be public DT# 21-02535 record. Please remove all Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 5 SubTotal Notation Spec./Assit. or EA-52 17(County) 5 Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held forAppointment A Comm.of Ed. 5. 00 Transfer TaxAffidavit (Dal Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total If NO, see appropriate tax clause on page k of this instrument. 4 Dist.1000 21040272 1000 10700 0800 021000 5 Community Preservation Fund ,,ll Rea TaxlService R RAK A CPF Consideration Amount 0 nt$� QLial UV Agency 23RAK21 Verification - --- -22- --- - Improved 6 Satisfactions/Disc harg s0eleases a e RETURN TO y Owners Mailing Address Vacant Land Mr. G. Integrity, Inc. 24 Neil Drive TD 1600 Farmingville, NY 11738 TD TD Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name LANDS END ABSTRACT www.suffolkcountyny.gov/clerk Title p LE-7989 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFYTYPE OF INSTRUMENT) Diane E.Lessard The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Mr.G Integrity,Inc. In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over COnlreye� d+� rJ'�nl. 9, Z-o�- LE-1agC) NY 005-Bargain and Sale I)ecd with Covenant against Grantor's Acts Individual or Corporaion(Single Sheet)(NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-PHIS INSTRUBIENT SHOUTA)BE USED BY LAWYERS ONLY THIS INDENTURE,made the 4Vth day of June in the year 2021 BETWEEN DIANE E.LESSARD,residing at 4505 Main Road,Laurel,New York 11948 party of the first part,and f-F.,"Vilk MR.G INTEGRITY,INC.,doing business at 24.4-1 Drive, ,New York 11738 party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration paid by the party of the second part.does hereby grant and release unto the party of the second pan,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 Hamlet of Mattituck Town of Southold,County of Suffolk,State of New York and further described at Schedule A attached hereto and made a part hereof. Being and intended to be the same premises conveyed to the party of the first part by deed dated July 2,1992 and recorded in the Office of the Clerk of the County of Suffolk on My 2, 1992 under Liber 11494 of deeds at page 319. TOGETHER with all right,title and interest,if any,of the party of the first part of.in and to any streets and roads abutting the above-described premises to the centerlines thereof;TOGETHER with the appurtenances and all the estate and rights of the party of this first pan 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 pan has not done or suffered anything whereby the said premises have been incumbered 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 he 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 decd the day and year first above written. �J IN PRESENCE 0F: 1� h„ /0 Diane E.Lessard USE ACKNOWUDGMENTFORMBELOW WITHINNF.WYORKSTATEONLY: USEACKNOWIk'L)CMF.N7'Fl1RMRELOWWI'1'HINNEWYORKSTATEONLY. State of New York,County of Suffolk )ss.: Slate of New York,County of5uffolk On they of JItne in the ycar2021 On the day of in the year before me,the undersigned.personally appeared before me,the undersigned,personally appeared Diane E.Lessard personally known to me or proved to me on the basis of satisfactory personally known to me or proved to me on the basic of satislactory evidence to he the individual(s)whose name(s)is(arc)subscribcrd to the evidence to he the individual(s)whose name(s)is(ane)subscribed to the within instrument and acknowledged to me that he/she/they executed within instrument and acknowledged to me that he/sheAhey executed the same in his/her/their capacky(ics), and that by his/her/their the same in Iris/hed(hcir eapacity(ics), and that by his/her/their signaturv(s)on the instrument. the individual(s).or the person upon signaturc(s)on the instrument, the individual(s).or the person upon behalf of which the individual(s)acted,exccutcd the instrument. half of which the individual(s)acted,executed the instrument. DAVID J.JANNUZZI NOTARY PUBLIC,STATE OF NEW YO Regtstralion ND.02JA605260 Qualified in Suffolk County Commission Expires February 13,U13 ACKNOWIBI)GMF.NTFORM FOR US['WITHIN NEW YORK STA TF.ONLY: ACKNOWIF.IX;MENT FORM FOR Usk,Omsum,Nfov YORKS7A TF ONLY; (Nein York Sub,rrribieg Wilnel.1,AekmnNedgrnem Ceriifieutei i(ha r f Stare or Foreign Genera!Arknnu•ledgrnew Certifirarel state orNew York,County of )ss.: ................................................ (Campterr Vrrwe n'idr Straws Creamy,P-,,w r or Manicipalilr) On the day of in the year More me,the undersigned,personally appeared On the day of in the year belore me,the undersigned,personally appeared the subscribing witness to the foregoing instrument,with whom I am personally acquainted,who,being by me duly swum,did depose and personally known to me or proved to me on the basis of satisfactory say that he/she/they reside(s)in evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/shettlicy executed (iftliei)ftt(.,et)fresitietice is in a cirv,include the street and streernumber, the same inhiss/her/theircapacity(ies),that by his/her/theirsignature(s) ifarn',thereof):that heAlielthey know(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 to be the individual described in and who executed the foregoing made such appearance before the undersigned in the instrument'that said subscribing witness was present and saw said execute the same:and that said witness at the same time subscribed (Lrsert the citrorother potitical subdivision and the state Or cowar)'or his/her/their name(s)as,a witness thereto. other place the acknrrodedgnlent wets taken). BARGAIN&SALE DEED WII'll COeVINAN'IS AUAINS I'1 RANI'[IN'\ACIS TM-ENo. '�Q�7 DISTRtcr SFCfION BLOCK LOT COUNTY OR TOWN TO RECORDED AT REQUEST OF Fidelity National Title Insurance Company RE'WRN RYMAft.TO FIDELITY NATIONAL TrrLE M R' G' Ln f ecprl r�� INSURANCE COMPANY nU ^r e It t lvnnrwrx.,n:n lU?N P • I_ "`_'R• "c��1,6,Fide lily rtd" Ihi�►9 Vi1(ta #t Y )1738 .a. );"k A-r, d w U LL LL O t7 2 oQ W LL W to Q O LL W U a en en N_ W LU W N W 2 Westcor Land Title Insurance Company Title Number: LE-7989 Page 1 SCHEDULE A DESCRIPTION ALL that certain plot piece or parcel of land, situate, lying and being at Mattituck in the Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described as follows: BEGINNING at a point on the Westerly line of Mayflower Road, 400.00 feet Northerly along the said Westerly line from Brower Road and said point of beginning being the Northeasterly corner of land now or formerly of V. Alesi from said point of beginning; RUNNING THENCE along the said land now or formerly of Alesi, South 71 degrees 42 minutes 40 seconds West, 150.0 feet to the land now or formerly of James Klein; RUNNING THENCE along the said land now or formerly of Klein and along the land now or formerly of Stanley Zaveski, North 11 degrees 17 minutes 20 seconds West, 105.0 feet; RUNNING THENCE along the land now or formerly of E. Raffee, North 71 degrees 42 minutes 40 seconds East, 150.0 feet to the said Westerly line of Mayflower Road; RUNNING THENCE along the said Westerly line of Mayflower Road, South 11 degrees 17 minutes 20 seconds East, 105.0 feet to the point or place of BEGINNING. I INSTRUCTIONS(RP-5217-PDF-INS):womorps.state.ny.us FOR COUNTY USE ONLY New York State Department of C1.still ccdo Taxation and Finance C2.Date Deed Recorded i GIrac7/M;15/ Office of Real F'Werty Tax Services Dir "" RP-6217-PDF C9.Book , C4.Pago.l Real Properly Transfer Report(8110) PROPERTY INFORMATION 1.Property 405 Mayf-ower Road Location .STREET wjMBER •IITRLI.T NAME Ma l.t:i tuck 11957. .CITT OR TOWN vIN.AGS •aP caoE 2.Buyer .M!:'. G. intogrit:y, inc. None 'LASTNe.IEDOMPANY FlRSTnAnc IA67"IWEICOLPAW FAST NMB 3.Tax Indlcafe whomfuture Tax Bills are to be sent Billing If other than buyer address(at bottom of form) LAST NAMECOMPANr FAST NAME Address eTRCCTNAABERANDKMM CITU OR TOM STATE ZIP Cam. 4.Indicate the number of Assessment 1 f Part ol e Parcel (Only N Part at a Parcel)Check as they appy: #oParcels Roll parcels transferred on the deed OR 4A.Planning Board with Subdivision Authority Exists S Deed 0.4 Property •FRONR FEr:r , OR 4B.Subdivision Approval was Required for Transfer Size 'DEPTH 'ACRES 4C.Parcel Approved for Subdivision with Map Provided I,Dssard Diane E. 6.Seller LAST NAMECOWV T FIRST NAME Name LASTNAMEICOMPµY FIRST MUM h.Select the description which most accurately describes the Cheek the boxes below as they apply: Mae of the property at the time of sale: a.Ownership Type is Condominium A.One Family Residential 9.Now Construction an a Vacant Land VIA.Property Locum whin an Agricultural District 10B.Buyer received a disclosure notice indicating that the property is in an Agricultural District SALE INFORMATION 16.Cheek one or mora of these conditions an applicable to transfer. 05/05/21 A•Sale Between Relatives or Former Relatives 11.gale Contract Data B.Sale between Related Companies or Partnere in Business 06/09/21 D.Buyeror sellers.IGovem.mm I Sailor Agency or Lending institution 12.Date d SalMnnsfer E Deed Type not Warranty or Bargain and Sale(Specify Below) 450,000 F.lisle or Fractional or Leas than Fee Interest(SP- KY(Spify Bdow) •13.Full Sala Price .00 G.Significant Change in Property Between Taxable Status and Sale Dates H.Sale of 8usness is Included in Sale Price (Full Sale Price a the total amount paid for the property Including personal properly. 1.Other Unusual Factors Affecting Sale Price(Specify Below) This payment may be in the farm of cash.other property or goods.or the assumption of mortgages or other obligabons.)Pfoaso round fe rhe nearosl whole dollar amount. x J.Nona Comments)on Condition: 14.Indicate the value of personal property Included In the tale ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which Information taken(YY) 21 •17.Total Assessed Value •1a.Property Clare =1 0 _ .19.School District Name Matt i L'uc k •20.Tax Map Idenlif ensyRoll Ids tI ar(e)IN more than four,seMah sheat trlth additional idanUftls)) fO64-1014(11, 060 04-W U CERTIFICATION I Certify that all of the Nems of Information entered on this form are true and corset(to time beat of my knowledgo and 11a11e1)and 1 understand that the making of any willful false statement of material fact herein subject me to them loloDo-aL&b.g6naf.lmLmintive to the making and filing of false Instruments. R SIGNATUjtE BUYER CONTACT INFORMATION (EMB Irrrormaim Tor In dryer Not..If bM/er is LLC!weir,oseoorron•avocation,lord sod,eompmy asuas or s n_ MUTT The:is no[M na.IIdYN Beale ar etlydery.TIM a name and mM.G r.A,mr—of an,mviau i eworwoo, Arty who un answer Ward ons,eg.rde g file emaw TTWI be emood Type w prim eNery.l GELLER N-TMRIC aA NJ&X 5IGNATL1$I- I=.& InsmRiN, Inc. 'IAai NAME FFSTMAUL 'MLA CODE 'TELEPHONE NUMBER a:.areeew, .IrFA 91DW1T1RE DA A - 'STREET NMSIBLR 'STREET hAAE Faw I1�3� 'CI:'/OR TOM R.AlIE -ZIP CODE BUYEB�pTTORNEY LASTNTMIE FIRST NAME 5 r 1 MFA f` TCLCPNONF NUMBER TE.erersmr I N 1