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Home My WebLink AboutL 13120 P 107 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 09/16/2021 Number of Pages : 3 At: 11 : 12 :37 AM Receipt Number : 21-0163772 TRANSFER TAX NUMBER: 21-04747 LIBER: D00013120 PAGE : 107 District: Section: Block: Lot: 1000 066. 00 02 .00 052 .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 $520 . 00 TRANSFER TAX NUMBER: 21-04747 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County . c 1 2 , Number of pages RECORDED 2021 Seo 16 11.12:37 AM iIUDITH G. PAS.CALE This document will be public CLERK OF record. Please remove all SUFFOLK. COUNTY L D00013120 Social Security Numbers P 107 prior to recording. DT# 21-04747 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee _ Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Spec./Asslt. Notation or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) - TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held forAppointment Comm.of Ed. S. 00 � Transfer Tax Mansion Tax A�avi The property covered by this mortgage is Certified Copy S or will be improved by a one or two rcharge 15. 00 family dwelling only. Sub Total YES or NO Other O Grand Total see appropriate tax clause on pa of t0 instrument 0 _ 11// ZDD a 4 Dist.1000 21050145 1000 06600 0200 052000 5 munity Preservation Fund Real Property T ��IIII Consideration Amount$ Tax Agency e CPF Tax Due $ �� Verification Improved Satisfactions/DischargesReleases List Propperty Owners Mailing Address 6 R(CORD&RETURN TO: Vacant Land William C.Goggins, Esq. TD Goggins&Associates P.O. Box 65, 13235 Main Road ` r/ TD Mattituck, New York. 11952 \v/ 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# 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. 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 SOL 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 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 Southold,Town of Southold,County of Suffolk,State of New York,shown and designated as Lot 8 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.1000-066,00-02.00-052.00 containing.27 acres Known as 350 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 partof,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 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 the day and year first above written. IN PRESENCE OF! ! ! / 2—— JOH lY/JJ,,NIICKUES USEACKNOW[FIX;Mh'NTFORMBF,LOWWITHINNF.WYoRXSTATF.ONLY. USFACKNOWt13fX:Mir'NTFORMHEII)WWITuwNh'WYORKSTATF,ONLY: State offNNjew York,County of Suffolk I ss,: State of New York,County of Suffolk )ss.- On JiL:3 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 he the individual(s)whose name(s)is(am)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/sheithey executed the same in his/her/their capecity(ies), and that by his/hertlhcir lire 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 signalurc(s)on the instrument,the mdividual(s),or the person upon behall'ol'wh' n vidual(s)acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument. D,10 J..)ANNLf��M�YORK NOTARY Pl16LIC,STATE O Registration No,0'JAG052585 Qualified irl Suffolk County L Commission Expires February 13, A CKNOWLEnGMFN'T FORM FORvv ATF ONLY: ACKNOWIFIX;,W&VTFORV FOR USE 0Un11)E NEw YO RKSTA TE ONLY: thew,York Subscribing Wibms.s Arknonledgmem Crnifirure•t IOW ,/Slate nr Fnreign(jeQ•niJirare) State of New York,County of I ss.: .............................................I ss.: Woorptere Venue with Sure,Coirwu ,1'rovinre or Murd,ipalin') On the day of in the year before me,the undersigned,personally appeared On the day of in the year bcfon;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/she/they executed (ifrhe place ofresidence is in a city.include the street and streetnumber, the same in histher/their capaciiy(ies),that by his/her/their signature(s) if any,thereof);that he/she they know(s) on the instrument,the individual(s),or the person upon behalf'of which (tie individual(s)acted,executed the instrument,and that such individual to be die 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 (Insert the city or other political subdivision and the state or coman,or his/her/their name(s)as a witness thereto. Other place the acknowlec/grneru was taken). BARGAIN&SALE DEED W1 In COVKNANI S Al AINS'1(:KAN'111N'1 ACC TITLE ND. Dl STRICT' SECTION' BLOCK LOT COUNTY OR TOWN Suffolk TO REC0RDEDATREQULV0F Fidelity National Title insurance Company RLTURN BY MAIL TO FIDELITY NATIONAL TITLE William C.Goggins,Esq. 0 INSURANCE COMPANY P.O.Box 65 JNOA X711,rvlg r Mattituck,New York 11948 "r�yr�,r�44,Fidelity-0�O—P /' Mr her Vn)ortsf,lle J rut 17111e A—iulim W U LL LL O O Z O O U W ¢ LL W y ¢ O LL W U a to to D) w ¢ LU U) w INSTRUCTIONS(RP-5217-PDF-INS)'www.orps state.ny.us F•Oli COUNTY USEONLY New York Stab DepattrrtaM of C1.SMS Cuda Taxation and Finance C2.Date Geed Recorded Office of Real Property Tax Services +++/may •-WL RP-5217-PDF C9.Book ,l_31 raC4• J Real Property Transfer Report(8110) PROPERTY INFORMATION 1.Property 353 A_shainontaque AvclnuL Location •ararrr Mavrsr w •scan T YML Scul-hold Southold '1952 'CITY OR TOM —•— YSIAW -71-CODE 2.Buyer Goggirs Nickles MathlEtca M. Name •IAsr W1MFjCYMPWY I Fal NAME IAS:NYIrA:i1YM\r -bT..AVA s.Tax Indicate whom future Tax Bis am to be sent Billing y other then buyer aMmmiat bottom of form) IAar eAxEa:aFPAev -• r r sT-me -- Address sTIwF-euYarr+Aea Yat CTY OR rPw+ 514Ih AP tdtiF. 4.Indknb the number of AseeeemeAS ) Pan of a Parcel (Onty It Part of a Paroal)Check as they apply: Roll parcels transferred on The deed 0 of ParoMs OR ❑ 4A•Planning Board vnth Subdivision Authority Exists ❑ S.Deed OR 0.27 48.Subdivision Approval was Required for Transfer ❑ property •1lamx•ah1 •DEPT. -ACRES Sia 4C.Parcel Approved for Subdivision wilh Map Provided Nickles John J. 6.Salter •.Asx eArY:x:xtnAer exasTew? -- Name IASI nsw.axwr•Aar FwST IFAPE '7.Select We description which most accurately describes the Chace the boxes Glow on they apply: we of the property at the time of sale: s.Ovmelslup Type is Conclornlnmm C.Residential Vacant I.And a.Now Construction on a Vamnt Lmld I&A.Property Located within an Agricultural District I__I 100.Buyer received a disclosure notice Indicating that the plopeny 1s 1n an ❑ Agricullund Dlsma SALE INFORMATION 15.Check one or more of thea condmons as applicable to transfer. A Sale Between Relatives or I•armor Relatives 11.Sate Contract Orate B Salo hP.lwoon Related Complexes or Partnere in Business. •-- C One at the Buyers is also a Satter 12.Dab of SaleRronaler 10/30/2020 0.Buyer or Seuat Is Government Agency or Lending lntdutiml E Dead type not warcanty,or Bargain and Sale ISpecdy,Below) F.Salo of Frexkonal or I ass than Fee Interest(Specify Below) •12.Full Sale Price D-(k) G.Significant Change 1n Prop"Between Taxable Slwus and Sala Dates -- H.Sola of Business 1s Included in Sale Fvka (FulSala Peas Is me told amount paid tot mo property mduding personal property I.Other UnusualFaGas Affecting Sale Rax(Specify Below) Tris payment may G In me tam a rash career property or goods,or the assumption of1.Norm mortgages or other obligations.)Please round to the nearest whole dollar amount • Commonq on Conal 14.Mtlkab tG vakle l .(1(i property Included eludetl In thehe main tale ASSESSMENT INFORMATION-Data should reeled the latest Final Assessment Roll and Tax&II 15.Year of Assessment ROTI from which Information tekan(YY) 20 •17.Total Assessed Value •1s.PropertyClaes 311 _ •10.School District Name Scu Lhaid 120.Tax Map Identmer(syRolt Identitar(s)(if more than four.Branch shoat with additional Identifier(s)) :000-066.00-02.0C-057.000 CERTIFICATION 1 Cgdlfy that all s1 the Rama 01 Information entered an this form are we and correct(to the Gat of my knowledge and belleQ and I understand that the making of any willful hies Statement of motorist fact heroin subject me to the_provislons of the psnal.low-lalatre to the making Breed filing of false Instruments. SELLER SIGNATURE BUY.I;R g0NT4CT INFORMATION IEnor nlarmewx for rot auger Nara•N swine in LLC.aaawry.uaaee.on.mxponoon,lent aw4 carnmy.ewer or (� O eMly van a Sol an MdnWu l aper for fiaxthanm1eFR lry,than a own,as w'waeam or an wevtlSell uall ewone ewh Ptio ran water quneme xegamng for uwxmer Slum be emend Type or print Clearly I SRLEa TIarE BATE Karhieer: BUYER-SLGNaTURE — •CASs asME PSI'Alm • -/ I ��-r7, —CACOVE •:I ll x^iYL•.WaCn:E.aPwaFix A/ xJ,EO bP L TURE DATE trrJ�` 166+ A:s::arlamaque hveewe 'BTPeE'�.MBaP 'STREETMW+E I I Southold NT 1197- r iqY[r TCSMr 'Sue 'MCmx BUYER'S ATTORNEY. 1AST xAxa •••sot•tiw� 9xEA:.T:+E 1C_POSE..aaea xE.eF141N� I