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Home My WebLink AboutL 13120 P 103 11111111 IIII 111111111111111 IIIII IIIII IIIII 111111111 IIII 111111111111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 09/16/2021 Number of Pages: 3 At: 10 :58 : 11 AM Receipt Number : 21-0163763 TRANSFER TAX NUMBER: 21-04743 LIBER: D00013120 PAGE : 103 District: Section: Block: Lot: 1000 066 . 00 02 . 00 048 . 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-CTX $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 $520 . 00 TRANSFER TAX NUMBER: 21-04743 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1 f 2 Number of pages RECORDED 2021 Seo 16 10:55:11 API JUDITH A. PASCALE This document will be public CLERK OF record. Please remove all SUFFOLK COUFITY L DOOO13120 Social Security Numbers p 103 prior to recording. DT# 21-04743 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Spec./Assit. Notation _ or EA-52 17(County) S Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. oCw Held forAppointment� Comm.of Ed. 5. 00Gal Transfer Tax Affidavit Mansion Tax The property covered by this mortgage is CertifiedCopy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES orNO Other Grand Total I ee appropriate tax clause on age>i of this instrument. 4 Dist.100( 210501421000 06600 0200 048000 5 munity Preservation Fund Real Property T Consideration Amount$ Tax Service R RAK A Agency II�ICPF Tax Due $ iBSEP� Verification // p_ _ J Improved 6 Satisfactions/DischargRECORD&RETURN TOtyOwners Mailing Address l� VacantLandd William C. Goggins, Esq. TDyUy Goggins&Associates P.O. Box 65, 13235 Main Road TD Mattituck, New York. 11952 TD Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcauntyny.gov/clerk Title k a 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 orHAMLETof Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over 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 3 Q��— day of 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 25 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.1000-066.00-02.00-048.00 containing.24 acres Known as 135 Nickles Lane,,Southold,New York GRANTOR hereby retains a life estate in the within premises. TOGETHER with all right,title and interest,i f any,of the party of the first part of,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 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 pan covenants that the party of the first part 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 pan 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: t I_ / 2� _ J/ JOHN J NII lCKKLES G(/L✓�— OSEACKNDWIF)X;MENTPoRMRF.t.OWW)THINNF.W YORKSTATEOVLY: USFACKVOB7F.DGMENTFom Bi,,'LOty wrrHINNE'W YORKSTATEONLY: Slate of New York,County of Suffolk )ss.. Stale ufNew York,County ofSuffolk i ss,: On thea day of October in the year202O On the day of in the year before me,the undersigned,personally appeared before me.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 names)is(are)subscribcd to the evidence to he the individual(s)whose name(s)is(ars)subscribed to the within instrument and acknowledged to me that he/she/they executed within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/herflhnir the same in his/her/their capacity(ics), and that by his/herltheir signature(s)on the 1 strument, the individual(s), or the person upon signature(s)ml the instrument,the individual(s),or the person upon behalf of w ' i dividual(s)acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument. NOTARY PUBLIC.STATE OF NEW YORK Registration No.0•ZJAG052585 Qualified in Suffotk County Commission Expires February t3, ACKNOWLFIX.AiENTFORM FOR-bl.m •ATF.ONLY.• ACYVOIVIli)X:MF+VT FORM FOR USE OUTS IDE NEW YORK STA TEONLr.• /N--V-4,Suh—ihing Wit-,,,A,kn—ledgmew Cerriru we! (Um o Stare nr Fumiga Gr1u•ad Arknuxledgv ew Certijicuirl State of New York,County of I ss.: ..................................................)ss.-. (Crr ipleie Venue will,Syme,Cuuunt P,"vin,,err Mon ieipn!!n') 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 appear-ed the subscribing witness to the foregoing instrument,with whom 1 am personally acquainted,who,being by me duly sworn,did depose and personally knnwn to me or proved to me on the basis of satisfactory say that helshelthey reside(s)in evidence to he the individual(s)whose name(s)is(aro)subscribed to the within instrument and acknowledged to me that helshelthey executed (if the place of residence is in a city,include the street and street number, the same in his/her/their capacity(ies),that by his/her/their signature(s) if any,,thereof):that he/shelthey know(s) on the instrument,the individual(s),or the person upon behalf of which the individuals)acted,executed the instrument,and that such individual to Iw the individual described in and who executed the foregoing made quell 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 (hisert the cit,or other politica!suhdivi.rinn and the state or country or his/her/their name(s)as a witness thereto. other place rite acknowledgment it-as taken). BARGAIN&SALE DEED Van]COVINANINA 1AIN,S1a1N91OR'.ti AC1'x TITLE NO. DISTRICT' _ SECTION BLOCK LUT COUNTY OR TOWN Suffolk TO RECORDED AT REQ OFVT OF Fidelity National Title Insurance Company HE TURN RV MAIL TO FIDELITY NATIONAL TITLE William C.Goggins,Esq. 0 INSURANCE COMPANY P.O.Box 65 INCoHNIHATri 11192H Mattituck,New York 11948 Fidelity Ae--," Mrr+Jxr Nrx link 56ar I—J Tr11,A—H11id+ W U LL LL O tS Z tL O O ccW LL O W to 7 O LL W O Q a N_ W Q W N W Q • INSTRUCTIONS(RP-5217-PDF-INS)www.orps statemy.us FOR COUNTY USE ONLY �i Now York Side DoWneent of Cl.Swls Code b Taxation and Finance Office of Real Property Tax Services C2 Deter Dated Recorded Z, T"• RP-5217-PDF C&Book C4.Page Reel Property Transfer Report(8110) PROPERTY INFORMATION 1.Property 135 1" ckles _ane Location — •8TpEEr kWeR •SIR!L;SAYE SOULhold Southold 11 952 -ci—c yam. v.-Aer •necrnr 2.Buyer Goggins Nickles Kathleen M. Nome11v5T NAM •tA4i WIEmCgYPllti. .ASI%-EROMI Mn 1 Nml NUE ._ 3.Tao Indole where future Tax Bills am to be santoiling _ AtltlresAddivi s d ogler Nan bu"r addmsslat bottom Of film) LMIT mumuco..., Pwar N`"a STREET RL4aERAhO AMIE err OR 00A 51.1E tl Xif 4.hall ate the number or Assessment Pen d o Prwl (Only 11 Part of a Parcel)Check me they apply: Rall pucels transferred an the dead - e of Parcels OR 4A,Planning Board rem Subdivision Authority Ensto 6.OssaX U R -0.24 48.Subdivision Approval was Required for fenafar Property •FRM,7 Er •9Pylx 'C.En Size 4C.Parcel Approved fix Subdivision with Map Provided Nirkles John J. 6.Seller mL-T wur:ccrmwF• F:+s'1-11 — Name I"I k—li C—fie r N+srWNE •• - _ •7.Select the description which most accurately describes the Check the bases below as they apply: Ino of the progeny at the Uma of ads: 5.Ownemhip Type Is Condominium ❑ C'.Line Oflkebitlrhe p l Yat•a at Land 1.Now CYnshuctlon on a Vacant Land ❑ IDA.Property Located within an Agricultural D1otilct 1109.Buyer received a disclosure notice Indicating that the propery,Is In an ❑ AgndrlWml Dlslllcd SALE INFORMATION 115.Check one or mom of thew candMOns as applicable to Important A'Sale Between Relatnes or renter Rdmaes 11.sale Contract Dab B.Salo between Related Companion at Partners in Business. C.One of the Buyers Is also a Seller 10/30/2020 D.Buyer or Seller is Government Agency or Lending Institution •f 2.Den d SateRnrrdar E Dead Type not Ukeranly or Bergen and Sale(Specify Below) F.Sale of F18Ceahal or Less that Fee Internal(Seedy Below) 1112 Full Sale Price C LK) G.Significant Change 1n Property Between Taxable Status end Sala Doles H.Sale of Business is Included in Sale Price (Full Sale Plica Is the total amount paid for the property Including personal propMy, I Other Unusual factors Affecting Salo Ponce(Spec"Be'") This payment may be In the farm or cash.other property or goods,or the assumption at J.pie mortgages or other obligations.)Pkese round to rhe newest whab doasromoant Commem(a on Condition: 14.Indican the value of psmonal AX) L/ V Property Included in the mals ASSESSMENT INFORMATION-Data should reflect Cts latest Fina(A62essmerit Rail and Tax Bill 16.Yw d AssosemoM Roll from whlch Informatian token(YY) 20 'IT.Total Assessed Value •118.Property Close =311 _ •ll.School District Nome Sou Lhold •20.Tax Map Identifier(eylloll IdemnleF(e)IN mom than four•attach sheat with eddltonol ldantif erlall 1000-CG5.00-02.00-048.000 CERTIFICATION I Carty that dl of the Sams of Information enteral on this farm am true and correct(to the best of my knowledge and belief)and I undersand that the making of any wlllfal false aMement of material fact handlesubject me n the p�le(oaa attho pgnaLlNut.lelative to fire making and filing of false Inebumems. SELLER_$LONATURE 13UYER CONTACT INEMNAT10N L _ IEme,rlMamm lorlhe brgr e Nm.lrbrga•a LLC.—ty e.mnxdoon.mrpaaw^pn1 aboA W rpw y,eeerwa cony rhe a not an and-dun agent oto IEr.dag.own a name and eerie nowmmeen of an edmdOL"mponseM pray Rha man mraxareuneam regaana the vms4.r mud be wKed TypeorprlateNadyl L� Sh.um 8111WURS WIa BUYCUIGNATURE Goggins Nickles KaLhicon r�r j.i[I •LVn WUE FFST NMe -ARL.—0= •TELE-WW.N.VaR:L,FAMI .rat 9lr�YerY+E �J •J1-E 1G0& Arshamoin&sue Ammo 'STTx.L'mrW:E 'mlwaraUr[ SOUL'hold NY 119,11_ -C Tyne 10MI -- - •STA"r -zrlo E 13ll.YER'S ATSQRNEY .UI"Y1Yi •mx'YMIE 4+EA aOOE TE-EP-11.NIWW-0182419111 r 1 (