HomeMy WebLinkAboutL 13116 P 990 111111111111111111111111111111111111111111111111111111
111111 IIIII 111111111 Illi
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 08/23/2021
Number of Pages : 4 At: 03 :25 :21 PM
Receipt Number : 21--0150830
TRANSFER TAX NUMBER: 21-02190 LIBER: D00013116
PAGE : 990
District: Section: Block: Lot:
1000 106. 00 09. 00 007 . 009
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 . 00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $20 . 00 NO Handling $20 . 00 NO 4
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 $5 . 00 NO RPT $200 . 00 NO
Transfer tax $0 .00 NO Comm.Pres $0 . 00 NO
Fees Paid $400 . 00
TRANSFER TAX NUMBER: 21-02190
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1
Number of pages RECORDED
2021 Aug 23 0::25:21 PM
JUDITH R. PHSCRLE
This document will be public CLERK OF
record.Please remove all SUFFOLK COUHTY
Social Security Numbers L D00013116
P 990
prior to recording. DT# 21-02190
Dccd/Mlartgagc Instrument Dccd/h!ortgage Tax Stamp 11ecard9ng I F•.!ing Stamp;
3 FEES
Page/Filing Fee 00 Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation SpecJASslt.
Or
EA-5217(County) r7 Sub Total Spec./Add.
EA-5217(Stat ft TOT.MTG.TAX
20Dual Town Dual County
R.P.T.S.A. Held for Apaainir:ent
Comm.of Ed. S. 00 Transfer Tax
Affidaylt _
Mansion Tax
The property covered by this mortgage is
Certified Co or will be unproved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other � `
Grand Total "100 If NO, see appropriate tax clause on
n page tt of thinstru ent.
4 Dist. S( 210458281000 10600 O900 007004 S Community Preservation Fund
Real Property P T S Consideration Amount$
Tax Agency 20-1uc 2� ll�Il���I�®�II�IIII�III CPF Tax Due
Verification
-- ----------_ -- - Improved_P)� _
G Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD
ROBERT W.NELSON 510 BREAKWATER ROAD TD
MAT-FITLICK.NE.W YORK. 1)951
TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.stiffoikcokintyny.gov/Cierk Title It
8 Suffolk County Recording & Endorsement gage
This page forms part of the attached DEED TRANSFER made
by: (SPECIFY TYPE OF INSTRUMENT)
ROBERT W.NELSON The premises herein is situated in
510 RRE"AKWATER RD MATTITIICK NY SUFFOLK COUNTY,NEWYORK.
119,52
TO In the TOWN of MATTTTTICK
TRACY L.N SON T In the VILLAGE
510 BREAKWATER RD MATT1Tl1CK NY or HAMLET of
1 AWS 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
k''Y 014-Full Covenant&Warranty Deed Individual or Corporation(Single Sheet)(NYBTU 8003)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDETNTURE,made the 25 day of JULY,Ln the year 2021
BETWEEN
ROBERT W,NELSON OF 510 BREAKWATER ROAD MATTTTUCK NEW YORK 11952
party of the first part,and "TRACY L.NELSON OF 3410 STATE ROU'T'E 30 FULLONHAM NEW YORK
Party of the second Part,
WITNESSETH,that the party ofthe first pari,in consideration often dollars and other valuable consideration 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 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 ATTACHED DEED DESCRIPTION OF 510 BREAKWATER ROAD MATTITUCK NEW YORK
11952 AI.SO KNOWN AS HLOCK 106 SECTION 9 LOT T9
TOGO MER 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
parry 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 considetatiutt fur this coaveyimoe 3rld will hold tit right to receive such corisidefation 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.
AND the party of the first part covenants as follows:that said party of the first part is seized of the said premises in fee
simple,and has good right to convey the same;that the party of the second part shall quietly enjoy the said premises;that
the said premises are free from incumbrances,except as aforesaid;that the party of the first part will execute or procure
any further necessary assurance of the title to said premises;and that said party of the first part will forever warrant the
title to said premises. The word"party"shall be construed as if it read"parties'whenever the sense ofthis 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. STEVEN KLIEN
ROBERT NV,NECSZ
USc:4t+ih�7if'LFiliiSic'hTre7iilidl'Liiir'i{iTHi.YtYh'Ff`[(IRefST4IcaNLk': US"c4tTiNOii'LE3)iiriEN7'ivilriiFL•'iOirN'7TKI:Vi4EFr'}OR S7:4TEONZ.Y:.
SM?_e'Tf IN---iv-_'y Cor r-of SUFFOLK)ss.: � SrMre„fNevw York—County of }ss.:
`-)n the 25 day of JULY it,the year 2021 On the day of in dw year
wtore me. the undersigned,, personally appeared ROBERT W. before me,the undersigned,personally appeared ,personally
:YELSON,personally known to me or proved to me on the basis of known to me or proved to me on the basis of satisfactory evidence to
satisfactory evidence to be the individual(s)whose name(s)is(are) be the individual(s)whose name(s)is(are)subscribed to the within
subscribed to the within instrument and acknowledged to me that instrument and acknowledged to me that he/she/they executed the
he/she./the"executed the same in his/her/their ca PaCi res and that same in his.lher/their capacit 'ies and that by his/henitheir
by hisibi- ihCar slgnanurc(S)on,the rnstrimm-at,the.mdlvSi+3irli(C},Or Cignn irf:c}M, tl}c-}n"",im—cnt,Tbr,,in"I' idi M(s),or-11"n P.rson upon
the person upon behalf of which the individual(s)acted,executed the behalf of which the individual(s)acted,executed the,instrument.
instrument. kENNERiS pELSINGER
Id01ARY pllBUC-=TATE OF NEW YORK
i`��uMy d County
ACKA1041LEDGM1TFOR5I rORUSEOUTSlDENErVYORI.STATEOA'LY:
ACKNOWLEDGMENTFORMFORMIFIrmiNNEWYORKSTATEONLY, JOutofStateorFweignGeneral AcAnowledgineniCeriifkaie)
(New York Subscribing Witness Acknowledgment Certificate] ------- }ss.:
T4f;1WP7WW Pl;�W of New York,County of }33.: (Complete Venice with State,Country,Province or Municipality)
On the day of in the year On the day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
the subscribing witness to the foregoing instrument,with whom I am personally known to me or proved to me on the basis of satisfactory
personally icquaintcd,who,being by me duly sworn,did depose and evidence to be the individual(s)mivse name(s)is(are)subscribed to
say that he/shelthey reside(s)in the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their capacity(ies),that by his/her/their
(if the place of residence is in a city,include the street and street number,if signature(s)on the instrument,the individual(s),or the person upon
any,thereqi);that he/shelthey know(s)to be the individual described behalf of which the individual(s)acted,executed the instrument
in and who executed the foregoing instrument;that said subscribing
witness was present and saw said
execute the same;and that said witness at the same time subscribed
his/herltheir name(s)as a witness thereto.
NV.�'tR.RIMN3 Y SEED
(WITH FULL COVENANTS)
DIS HUCI'
TITLE NO. SECTION 9
ROBERT W.NELSON BLOCK I06
LOT 7,9
COUNTYORTOWN SUFFOLK
'l O
TRACY L.NGLSON P.Ec ORDER ATREL7vE51 OF
Fidelity National Title Insurance Company
RE1 URN BY MAIL 70
PmELITY NATIONAL TITLE ROBERT W.NELSON 510 BREAKWATER ROAD
INSURANCE COMPANY MATIT11XX NEW YORK 119.52
INCVR AA?VD 1928
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INSTRUCTIONS(RP-6217-Pnr-1145)•wiew.orps.sfalo.ny-us
FOR COUNTY USE ONLY Now Yar6 State Dtlparlenent of
c+.SMS nada7Q /� Taxation and Finance
C2.Date tweed Recordedy/�ypi�/ 1 Olt=a Rea(Property Tax Se nes
n- RP-5217-PDF
Cs eachI Page D Read Property Tremlar Report ISMO)
PROPERTY INFORMATION
1.PrOpery 510 i Li"cA1,YtR ROAD
Location
•a:a:r-r:.nranne •setts r:••
F�TI:LLZf 11:52
-i—e.u.Ws w.Ya• .7Pccw
L NBuyer
maw 7RAGY
•
LAST Nalaa0011~ �N1BIC
I AM N\IFXZMMV 1T Feat"PRE
!.Tax brd,ca%where Moro Tal Mile am to be sent WT," 'DiA+Y
Willing deti,lydanbuyr add�.(a:hottrn,ar an01J —L•tiir n,q{aSYrH! _ - - FA2fkA
Address _IE
510 9F7hitHIM TOO 141TP1TXK IN 119!112
mRLti Nrlam:R BBa,IaC an OR rain erATE Weem
4.lei 1 ' tiro number of Aaaessimem 1 Pad d a Prod (Only N Part of a Parcel)Cheek m Vary appy:
Noll parcels tre udemad on the deed A d Parents OR 4A.Plamhg Board with Sobdieldon Aulhmpy Estate
I
S.Dwd 40
X + OR (I 46.%:W.mrinrm AppTw-i wns Mr.1a ed for•fmnstm
PraPerty •NsnwrFert •r�r.s -aaa•n
Situ
4G P.vrnl Ayarnvnd for$rrhCht~Ini wlpr lA.•rp Prprhlep
1 F[S1f1+ ]�f
0.Boller 'LW HAIFJLLIPAW MET Mae
Non
usT Naenaararn Finn RVA
h.Select tld doseriptlon which most accurately describes the Cheri an Loses below as they appy:
use of the property al em it=of salsa S.Ownership Type is Condam iril m
A. 0-F'rBn;1y Flyerittw.r.iai. %Now Construction an o Varam Lard
1101,FTaperly Loaned within an Agrkvlboat 06UM
1911.Buyer ieeelwed a diackism notion Indke"20 the property Is In an
AWbulbad Dkili t
SALE INFORMATION 1S Cbm*oro ormon of thaw amdM=m appllable to trawror.
X A.SW Bok a RdaOvw or Farmer Reldhws
11.sale Cushing Dain U!%ES%IYG7 D Sala between Related CompaNas or Par:els in Busmen:.
C.One d the Buyers Is also a Gulls
fit';�lriJ�+'le7 O.fryer a Sdirj is Guminnand llyura;r ur Lpnleq hw6h+liun
'12 Date 4A tlsislf,br.fr' E.Desi Type not Warranty or eagu'n and Sala(Epedy ltdar)
F.San at Fradlatd or lam lean Fara hlleest(Spectly Below)
•1!.Full Bale Price 0 .W G.Sgidfratx Grape in Property Between Teenable Man and Selo Dates
H.Sets of Business Is Included In Sats Pdee
(Fun Sale Pitta ls the rola,amaaa paid for tie prepay indefing Pe+ea+nel gimpay 1.OMW Urwwei Fames A MMV Sent Rtaa MMM Bales)
This paymeni maybe let the lam d ads.Other pmpaly a pooch,arthe ass m pboo of
J.Nonemorpagesor other atflgauany Adsaw mind 0 obs reaves whole doW O unr.
Cournent(s)an Condition:
I 14.hrdieeta the value of personal
proper y included In On sale 0 .ou 1WJ114R7Y'1RWj1•7aT1 AS PS
ASSESSMENT INFORMATION-Daft should reflect the latest Final Assessment Rol and Tax BILI
IL Ym d Awaaaniafd Roll fiam arhkh Inknoo sn taken" y M7.TOM Assewad Velem , 12�. n .
`10.Pmpdty Gess
!�: �}'.� _ •119.Dehool Disefet Nana f-1"3'f:L911C7:
'7(1 Tv-ars••h+rr�0r(rJas•'r FSr•d:rlrcls}411:--K-P p•r•4s-.rdlx•6-q-K4 wit.rtir khr-rf irtr+.lN.n(a}}
CERTIFICATION
I Certify 69 tip of On flow of Ililarinarleli emend an tide form are area and coned IM On haat of any IarawI mw bdWQ ale 1 ramarat nM Biot tiro lmkig af=W wMkd
hie ehealriel'of material had herein subject:was to the provisions-ot0pjDDidliaLreldlw to ties mdlkg and ming at Mw kdtnarteeb.
5fiLLr;R.$IG%ATUR.g BUYER CONTACT INFQJAIAT(QN
lYO:er Yihnrran torso arya.nrm:a G+Msr s lil:aaaQl.aasorm•JORcorpWanon.)me Bases comp".arm a
a"•vlf d•_+. rM-!„-a A. 9ate!!S',".•a—,- "rCr 7 n0 V 0On!vd_••+a:^.-- .alar-div.i'rJr-1pWr_'h
r early Who Gan aWWa gwnaas rgprmrp as worm ram be erase.rues wprbd c nde.)
aaLLrniaM7aE DAIL
BUYER uE NL90M 77vm
. •nAeT W WE F1Rai INIE
516 7845225
1•J'J!i/%I1'Ti ArVACarr —^nncEea¢na.•wrcecl
510 W-t,T-11liC Im
wintiiiiaaiii s:miirii -- -
t94TPP1[1n1 NY 33M2
vnalram •arsre vsaaaa
BUYERS ATt171RNEV
mM a wawa mipeaa N LMER Itr rmwl