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Home My WebLink AboutL 13120 P 91 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 09/16/2021 Number of Pages : 3 At: 10 : 39:24 AM Receipt Number : 21-0163754 TRANSFER TAX NUMBER: 21-04733 LIBER: D00013120 PAGE : 091 District: Section: Block: Lot: 1000 066 .00 02 .00 050 . 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 $520 .00 TRANSFER TAX NUMBER: 21-04733 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 12 ' U1 i Number of pages RECORDED 2021 Seo 16 10:39:24 *1 JUDITH A. PASCALE This document will be public CLERK OF record.Please remove all 51IFFOLK COUNTY L D00013120 Social Security Numbers P 091 prior to recording. EST# 21-04733 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee 11:5 Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Spec./Assit. Notation or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) 2F5 TOT.MTG.TAX ')n Dual Town Dual County R.P.T.S.A. dd Held forAppointment. Comm.of Ed. S. 00 (j�*Ra Transfer Tax Mansion Tax Affidavit The property covered by this mortgage is rtlfledCopy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other 05,20Grand Total If NO, see appropriate tax clause on I page# of this instrument. . < <al� 2o�v 4 1 Dist.1000, 21049476 1000 06600 0200 050000 5 Community Preservation F Real Property R T S Consideration Amount$'rte TaxService � RAK A CPFTax Due $ 3 Verification l // Property - -� improved 6 Satisfactions/DischargRECORD&RET OwnersMailingAddress Gand William C. Goggins, Esq. TD 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.suffolkcountyny.gov/clerk Title g 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Bargain and Sale Deed with Life Estate made by: (SPECIFYTYPE 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. 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 301—1— 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 6 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.1000-066.00-02.00-050.00 containing.28 acres Known as 210 Arshamomaque Avenue,Southold,New York GRANTOR hereby retains a life estate in the within premises. V TOGETHER with all right,title and interest,if any,of the party of the first pan 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 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 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(he /day and year first above written. IN PRESENCE OF: (// 1 JOHNJ,NICKL S !�`�_ USEACKNOWLEDGMENTFORMBELOW WITHINNEWYORXSTATEONLY: USFACKVOWIJiIX:MENTFORMREf1JWW1THlNNEWYORXSTATEONLY. State of New York,County of Suffolk )ss.: State of New York,County of Suffolk )Ss.: On they day of October in the ycar2020 On the day of in the year More 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 hi me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(arc)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/sheAhey executed within instrument and acknowledged to me that helshe/they executed the same in his/her/their capacity(ies), and that by his/her/their the same in his/her/their capacity(ies), and that by his/her/their signature(s)on the instrument,the individual(s),or the person upon signature(s)on the instrument, the individual(s),or the person upon behalf of wh' h in ividual(s)acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument. A,io J,JANNU711 NOTARY PUBLIC,STATE OF NSW YORK Regist:alion No.02JAGO52585 ouallfled in Suffolk County Commission Expires February 13, ACKNOWIEDGJWNT FORM FOR• ATE ONLY: A CKNO WLF.IXiHENT FORiy FOR USE 0Il7SD)F,NEW YORK STATE ONLY: 1New York Subscribing Witness Acknowledgment Cenifrrarel tOw 1 J Scare ur Fnrrign.tfeaeral Arbowledgnlenr Ceniffiemel Stale of New York,County of )ss.; .................................................. I ss.: (Cirinplele Verrue wirb Srarre,Counui',P-Onee or Muniritwliny) 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 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 he the individual(s)whose name(s)is(are)subscribed to the within instnlment and acknowledged to me that he/she/they executed (ifthe pl(teeof residence is in a city,include the street and streernumber, the same in his/her/their capaciry(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 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 (huert the city or ether pntitica!s'abdini.rinry and the stale orcountry or his/her/their name(s)as a witness thereto, other place rhe acknowledgment was taken). BARGAIN&SALE DEED WITH ACIN TITLE NO, DISTRICT' _ SECTION BLOCK LOT COUNTY On TOWN Suffolk TO RECORDED AT REL)UFST OF Fidelity National Title Insurance Company RI-TURN BY MAIL TO FIDELITY NATIONAL TITLE William C.Goggins,Esq. INSURANCE COMPANY P.O,BOX 65 tncl,xr,,xnrcn,vlx Mattituck,New York 11948 d,Fidelity 909,_1 M-,-X-Yrk.Aiur!,0 rlo-A.r.rry irtrinrr W U LL LL 0 t7 z 0 cc0 U W X 0 0 W In 0 0 LL W U Q CL in rn W Lu W rn W Q INSTRUCTIONS(RP-5217-PDF-INS).www.orps statemy us [0R COUNTY USE ONLY �1 Now York Stets DepaAment of C1.SLABS Code I Taxation and Finance C2.Date Deed Recorded Office of Real Property Tax Services •!P �� RP-5217-PDF C9.BOON C4.Page Real Property Transfer Report(8f10) PROPERTY INFORMATION f.Property 210 At sharnomayue Avenue Location •STaCI T NLrar9 •$:IILLI WY: Southold :Southold 1195 •Cl;vee lom vLL3E --_---_ -a-C-ME 2.Buyer Goggins Nickles KaLhleen M. Name •LAST NlrE,C.yPYI, Fp$T A11fE IMT NYEa:f1Yv.Nr F.er Atte 7.Tax Indicate v I,we lutule Tex Bas aro to be sent Bluing if other man buyer amressral bottom of form) us:NW:rcarrPan. Mar We! sllurxulwn•novwF cr,ulnoiwl ..--- — suit rvr•+'E 4.Indleate me number of Assessment 1 n Pan 01 a Pw®I (Only N Pan of a Parent)Cheek tie they apply: Roll parcels trenshmd on me deed a o1 Percale OR ❑ 4A.Banning Board with Subdivision Nrmorlry Ends L Dead \ 0R 0.?E 48.SubeiwaKln Approval was Raqueed for Transfer El lAvperry 'Faer,T FFFT •_[Pal •KNLe at- 4C.Parcel Approved for Subdivision with Map Provided Nickles John J. a.Seller •LMT NM6CCMM, MAST WVr Name lAeI NNFCS01lWT .N$14WE ___. . 7.Select the description which meet aceummy describes the Check the boxes below as they apply: use of the property of the time of sale: a.Ownership Type Is CandORMIU a C.RI'sidential VaLanl Land a.New Construction on a Vacant t and 10A.Property Located wldm an Aglatlltural DeWL1 f00.Buyol received a disclosure notice Indicating that the properly is in art Agricultural District LJ SALE INFORMATION 15.Check one or more nt these eondltlons as applleabla to tmnalar., A.Sale Between Retrieves or Fonnnr Relativos 11.Sale Contract Dab R Sale between Related or or Partners In Business 0 C.One of the Buyers is also a Sailor 10/30/2020 I D.Buyar or Seller is Govemmenl Agency of Lending Instauaon `f a.Dab of SaleRnmfor E.Dead rype not Warranty or Bargain and Salo iSpedfv Below) F.Sale of Fractional or Less Ihml Fee Inkams!(SpeoW Belowl "13.Full Bab Price 0.00 G.Significant Change in Ploparly Between Taxable Straus and Sala Dates —'•••• 11.Sale at Business Is Included In Sala Price I Full Sale Firm Is the total amount paid for the properly including personar property I.Olhor unusual Factors Afepmg Sale Price(Speay Below) This payment mW be In the form of cash.other property or goods,or the assumption of J None mortgages or other obligations.)Plum found to ft nearest wank dollar amount Comment(s)on/Condition: 14.Indicate file value of personal properly,included In the sale .OD {► VVVLLL�� ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Rolland Tax Bill 16.Yaarof Assessment Roll from which Information teken(Yy) 20 '17.Total Assessed Value `16.PmpertyCleat 31*_ _ •10.School Olstdct Name Southold '20.Tax Map Menaaat(ayROII Idenaaer(a)III mora then four,attach aheetvMh addlgonel Iden ifler(s)) 1000-066.00-02.00-050.000 CERTIFICATION I Certify that art of the Items of Information entered on mis form am true and correct(to the best of my knowledge and began and 1 understand that the making of any valued false statement of mabrlal fact hemin subject me to the.pr0vktorls or the penal law•reladue to ate making and filing of false Instruments. SELLER-S1GBAIM BUYER CONTACT INFOI;MIION i;E:,W_F Nrr ler e,.h,Vw Now Ir mry.n LLC braxy!rl, =cogwsw n.tc wn.w m.peny,esrr rr II�� aMly and I!n.M FpNyW,sae i sir I.wr[a.y,el.n a arm rA c$rlle�saar.e:.l 01 cel YnrrduewrerPoas.N perry she tan eneew questions rega-ana;we urn.mal be winter Type or pmt clearly) sEUEe 'nnteE 'A-E �V �@///^//rK§GATRE Kathleen / H ' P$T P4 40L _/ ( •19f.frlaE • ._.. •II'l l F1•M=tilYma 1?,rawieil -- eU•EPil-Wl.NL 1 W1h _6JSArshart:ornau a Avenue •S'PEET nuLeaa •• 'STREET tiYF ' Southold NY 11971 •:I-•OR:pN -STAT •ioCab[ BUYER'S AT7DRNEY 1 •/11'grW� ,tial NW_ 1 Yil A l'AIIF 1TI FPIr:YE MawEF ren wvYsaa: