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Home My WebLink AboutL 13120 P 108 I 111111 i111111111111111111111111111111111111111111111 111111111111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 09/16/2021 Number of Pages : 3 At: 11 : 18 : 09 AM Receipt Number : 21-0163777 TRANSFER TAX NUMBER: 21-04748 LIBER: D00013120 PAGE : 108 District: Section: Block: Lot: 1000 056 . 00 02 .00 019. 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $15 . 00 NO Handling $20 . 00 NO COE $5 . 00 NO NYS SRCHG $15 .00 NO EA-CTY $5 . 00 NO EA-STATE $250 .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 $520 . 00 TRANSFER TAX NUMBER: 21-04748 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1 ,! 2 ED Number of pages r RECORD2021 ,eo ih 11 1:.- 18:0'3 RM JUDITH A. PACALE This document will be public CLERK OF SUFFOLK COUNTY record. Pfease remove all L D00013120 Social Security Numbers P 109 prior to recording. DT# 21-04748 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sr Sub Total Spec./Assit. Notation or EA-52 17(County) SubTotal Spec../Add. EA-5217(State) TOT.MTG.TAX ( Dual Town Dual County R.P.T.S.A. wv Held forAppointment� Comm.of Ed. S. 00 Transfer Tax C1G/Y Mansion Tax Af' it The property covered by this mortgage is Certified Cop or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES orNO Other Grand Total I see appropriate tax clause on ge# of this instrument. �� D 3a dao 4 Dist.ipp{ 210301471000 05600 0200 0I9000 5 ommunityPreservationFund Consideration Real Property R RAII®I�l�®�®�� CPF Tax Due Amount$ K Tax Service Il IW.I Agency t(i�SE�,Z1 Verification _ / p Improved 6 Satisfactions/Oischarg RECORD e RETURNpe y Owners Mailing Address Vacant Land t/ William C.Goggins, Esq. TD Goggins&Associates P.O. Box 65, 13235 Main Road t/ TD Mattituck, New York. 11952 TO Mail to:Judith A.Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title tt 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Bargain and Sale Deed with Life Estate made by: (SPECIFY TYPE OF INSTRUMENT) John J. Nickles The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold In the VILLAGE Kathleen M. Goggins Nickles or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. aver NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 3CO, day or October in the year 2020 BETWEEN John J.Nickles,residing at 1605 Arshamomaque Avenue,Southold,New York.11971 party of the first part,and Kathleen M.Goggins Nickles,residing at 1605 Arshamomaque Avenue,Southold,New York 11971 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 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 Hamlet of Southold,Town of Southold,County of Suffolk,State of New York,shown and designated as Lot 4 on the"Map of Beixedon Estates,Town of Southold,Suffolk County,NY, Property of Grace R.Nickles,formerly Grace Rogers DeBeixedon,Made by Otto W.Van Tuyl, Licensed Surveyor,and filed in the Suffolk County Clerk's Office on March 16,1946,as Map No.1472. SCTM No.1000.056.00-02.00-019.000 containing.34 acres Known as 70 Arshamomaque Avenue,Southold,New York GRANTOR hereby retains a life estate in the within premises. 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 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 anyway 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: a} ,. V/ JOH J,NICKMES L_ `— USE ACKNOWLEIX;MENTFORMHELOWWfTHINNF•WYORKSTATEONLY: UtiF,ACKNO1 vt1:tX;.MF.NTFORMHELOWWITHINNEwVoRKSTATEONLY. _State afNewYork,County ofSuffolk )ss: stale of New York,County ofSuhfolk )ss: On thezoday of October in the year202O On the day of in the year before me,the undersigned,personally appeared before rite,the undersigned,personally appeared John J.Nickles personally known to me or proved to me on the basis of satisfactory 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 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 within instrument and acknowledged to me that he/she/lhey executed the same in his/her/their capacity(ies), and that by his/her/their the same in hislher/their capaciry(ies), and that by his/her/their signature(s)on the instrument,the mdividual(s),or the person upon signature(s)on the instrument, the individual(s),or the person upon behalf of which th- nd'vidual(s)acted,executed the instrument. Ixhalf of which the individual(s)acted.executed the instrument. AVID J.JANN Zl NOTARY PUBLIC,STATE OF NEW YORK Registration No.02JAG052G85 oualifled in Sufialk County�� Commission Expires Februaryl3,=j A CKNOWLFIX;MENT FORM FOR'H3— ATE ONLY: ACKNowi i-,/R;ME'A"rFORy FOR UsE OUTSwF.NEW YORK STA TF.ONLY: !Neer Y,rk S,,h.,-ihing Wimesc Acknau•ledg,—w Curr;(rcwel (0,,I,,/Stateur Foreign(Jem cal A,knuN•redgment Certificate! State of New York,County of )ss.: ..................................................)ss.: (Cungdofe Venue urith Stele,C ov.Proriuce ur Municiradity) On the day of in the year before me,the undersigned.personally appeared On the day of in the year before me,the undersigned,personally appeared the subscribing witness to the foregoing instrument,with whom I am personally acquainted,who,being by me duly swom,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 he the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/shelthey executed (ifdre placeofrericlence is iti a cih•,include the street and street nunther, the sante in his/her/their capacity(ies),that by his/her/their signature(s) if arty,thereon;that helshelthey 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 beton: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 (Insert the cin•or other political subdivision and the state or counin-or his/her/their name(s)as a witness(hereto. other place the acktrnwledgtnenr tras taken). BARGAIN&SALE DEED W1 In t'1l V IiNAKI N AI iAINti'1'fKA1fI0X'N ACI:\ TITLE NO. D ISTR ICT' SFCTION BLOCK LOT COUNTY OR TOWN Suffolk TO RECORDED AT REQUEST OF Fidelity National Title Insurance Company RETURN HY MAIL TO FIDELITY NATIONAL TITLE William C.Goggins,Esq. INSLIRANCE COMPANY P.O.BOX 65 rNa,xNrtun:n rvzx ' Mattituck,New York 11948 Fidelity �1" W,,A-N.NA,Sl Lind nr,r Arinn W U LL LL O (7 X O W O U W IXLL 0 W N W O LL W U 4 CL rn W W W N W W INSTRUCT[ONSIRP•5217-PDF-INS).www.orps.MW Fly-LIS FOR COUNTY USE ONLY New York Stab Department of 'Cl.Stals Coda Taxation and Finance C2 Date Meed Recorded Q Once of Real Property Tax Services �• • r•r' Lq RP-5217-PDF C7.Book UC4.Page J � Real Property Transfer Repoli(8110) PROPERTY INFORMATION 1.Properly .10 Arshamomaeue Avenue Location •11NEE'�.tal[x •BTR-eE:coir Southold Southold 1195-1 -0-0-70M KLAW •:p ear. 2.Buyer Goggins Aick.es Y.a_h_een M. Name .wr,r„lyt x.:lYPNm •.Rkr mw- 3.Tax Indicate where future Tax BAs are to be sent Billing it other than buyer adtrcselal bottom of form) us-xwacualw.ti+ nasi icor Address kTeL[T raMaFa.tiO NnE 61.1 OR STRTE 7Pteb1. 4.Indicate the number of Assessmerd (Only If Pari of a Parcel)Check ka they appy: Roll parents transferred on the deed sot Parcels OR El Pan Ta a Parcel 4q Manning Board nth SubdMslon Authority Exists ❑ S.Dead Olt 0.34 48.Subdivision Approval was Required for Transfer U Property •F-0-11 L1 •ua/P• 'aOFSS Slur 4C.Parcel Approved lot Subdivision with Map Pruvlded Nickles John J. S.Seller —us W LCCF~ FIRST TIME. Name rest NmE h.Select the desedption which most eauratey describes the Check the boxes below as they appy: use of the properly at the ams of sale: B.Ownership type is Condominium ❑ C.Residential Vacant I And P.New Construction on a Vacent Land ❑ ICA.Properly Looaded within an Agricultural District ❑ Joe.Buyer received a disclosure notice indicating that the property is in an ❑ - Agricultural District SALE INFORMATION 15.Check one or mom of maw conditions n applicable to transfer. A Suit-Between Relatives or Farmer Relatives 11.Sale Contract DosB.Sain between Related Companies or Partners in Business. — C.One of me Buyer,is Take a Sellar 10/30/2020 D Buyer Of Seller in Government Agency or Lending Inat olon •12.Dow of SalaRransfer E.Dead Type not Warranty or Bargain and Sale(Spetly Below) F.Swe of Fiedional or Less man Foe Interest(Specify Below) •1 b.Full Bob Price 0.(10 G.Significant Change In Properly Bahram Taxable Status and Sale Dales H.Salo of Bus ness Is Included in Sale Price 1 Full Sea Price a the total amount paid for the propny including personal property. I Other unusual Factors A1loLtaig Sale Price(Specify Below) This payment may be In me form or cash,other property Of goods.or the ataumpt w of J.None m ri gages or other obligations.)Please round to the nearest ereob dolaramawnt CommanJJ�g`a)on oedhlon: 14.Indicate the value of pedie ,UU _ V� property Included In e sale _ ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 1 a.Ymr of Awesament Roll atm which Inrormagon takonlYY) 2.0 •17.Tocol Assessed Value •18.Properly Claes 3_: _ •19.School District Name 9out'tio d •20.Tax Map IdengRer(ayRoll Msntiflegs)(a more than four.M=ti shoetvdth additional Idonarlerls)) lova-nse.co-ca.co-c1�.onc CERTIFICATION I Cordy,that all of the Iwmo of Information amaret on this form are true and correct(to the best of my knowledge and hellan and 1 understand that the making of any willful tapes statement of material fact herein subject ria to tlwyrpvlelale.elJhe.psnsl law.ral■tive to the making and filing M lain Instruments. SELLEB SIGNATURE BUYER CONTACLjyFORMATION (Ener fflf—Perrin buyw.NOW Ir uuyar Ir LLC so aaty.a IFFICA re Ranera .Inch Mach aarr¢arl'r Sateta or amly awl ra nsl n rl*Aduml e;R,OF hyroary,rvn•+Pura Ind—Mtl Hl"-01 81 IaRNdIMNMtamaMa mM rte un aver TI dem raeara•a Sha ua•vrer nun bR emend.Type erprlx slurry) SELLF-erred aE rte• lrrMT=•�/ �r Kathleen @UYER.Slq"TURE Ye•WEW / MAI� •L•6-'MMP yd_N)' •aRlarApE 'lk-k'•{Kr MMeEa1L•e'•ta'rte) xYrER S•3'MI.Nk DAIL [605 Arshamor:aque Avenuo •Rr,rri xlwSEa •k-hrFT'AML SoL:�:told [iY :197: t•Ty OR lnwal :;T.—Tr •taCOOE BUYFR'S ATTQ(t(4EY r tar NINE FIRST Nana MEA CON 117:IP0•.1 wLYeei i_r Oyaaeler