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Home My WebLink AboutL 13120 P 106 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 09/16/2021 Number of Pages : 3 At: 11 :05:23 AM Receipt Number : 21-0163768 TRANSFER TAX NUMBER: 21-04746 LIBER: D00013120 PAGE : 106 District: Section: Block: Lot: 1000 066.00 02 . 00 055 . 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 $520 . 00 TRANSFER TAX NUMBER: 21-04746 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1 i21 Number ofpages RECORDED 2021 SoD 16 11:05:23 AM JUDITH A. PASCALE This document will be public CLERK OF record. Please remove all SUFFOLK COUNTY L D0001312FJ Social Security Numbers P 106 prior to recording. DT# 21-04746 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Spec./Assit. Notation or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) /p?'5'p — TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. `7`J Held forAppointment Comm.of Ed. 5. 00 Transfer Tax Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two arge 15. 00 family dwelling only. Sub Total YES orNO Other J�/1O Grand Total +�</1 a appropriate tax clause on age of of this instrument. 311 0 4 Dist.1 QQQ 210501441000 06600 0200 055000 5 unity Preservation Fund Real Property R RqK A CPF Consideration ax Due Amount$ Tax Service IIWIIHI Agency 16RAK Verification _ // pp Improved 6 Satisfactions/DischargRECORD&RETURNpe y Owners Mailing Address Vacant Land William C.Goggins, Esq. TDA Goggins&Associates / P.O. Box 65, 13235 Main Road \`// TD Mattituck, New York. 11952 TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffoikcountyny.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 HAMLETof 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 Corporalion(Single Sheet)(NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the _;O+ , 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 pari, 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 19 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. 1000-066.00-02.00-055.00 containing 3 acres Known as 585 Nickles Lane,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 pan 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 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 wi11 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: gz� i JOHN J,NICKL tr`� USEACKNOWIEIX.ME.VTFOBMBELOIYWITHfNNEW YORKSTATE ONLY: US6'ACKNOIVIEIX;MENTFORAfR6'LOW iviTMNNEIV YORKSTATEONLY: State of New York,Countyof Suffolk Iss.: State of New York,CountyofSuffolk Iss.: On the 30 qday ofQCtober Iin 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 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/they executed the same in his/her/their capacity(iec), and that by his/her/their the same in hislherhheir capacity(ics), and that by hislher/their signature(%)on the instrument, the individual(s),or the person upon signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted.executed the instrument. behalf of which the individual(s)acted,executed the instrument. rNOTARY J.JANNW21 Wo ,STATE OF NEW YORK n A10.02JA6052585 in Suffolk Countyires February 13. A CKNOWLEDG4ENT FORM FOR-b-i f99fffflf*"r1WR'RXTA TE ONLY: A CKNO VVI,EOGMENTFORtN FOR UYh'OUI nm*Ni,-,W YORK STATE ONLY: (Nese York Suh,vrribrog Wrure.ss At knmrtedpienl Certijiralel (Oul olSlate or FureiX6 Qrneral Aekwndedginew Cerrifrnuel State of New York,County of )Ss.- .............._..................................)Ss.: (calaplefe ve"I,e u'rrh Siare,CUllllm%hovinee ur Afun icilNdih') 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 1 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 tic/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 (ifthe place of residence is in a cin*,include the street mrd,street number, the same in his/her/their capacity(ies),that by his/her/their signature(s) ifany,thereon;that he/she/they 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 (Insert the cin,or other political subdivision and the stare or c•ourur),or his(her/their name(s)as a witness thereto, other place the acknowledgment was taken). BARGAIN&SALE DEED WITH C'IlVINAMN A(;A1N.\'r(!i Wl)Rf:SACrs TITLENO. DISTRICT' SECTION BLOCK LOT COUNTY OR TOWN Suffolk TO HFC'ORDF.D AT REQUEST OF Fidelity National Title Insurance Company RETURN 13 MAIL TO FIDELITY NATIONAL TITLE William C.Goggins,Esq. INSUIIANCE COMPANY P.O.Box GS INcueW)rrnrrn/Y2R Mattituck,New York 11948 "e�.14 Fidelity Aof—l- 41-d rM.Y-h S1,-Llnd PIlr A.,— 1— W O LL LL O C7 2 O O U W Q LL 0 W fn O LL W 0 Q a m rn FE W a Ul W N W R INSTRUCTIONS(RP-5217-PDF-INS):www.orps.slate.rly.us FOR COUNTY USE ONLY Now York Stab Department of C1.SMS Code Taxation and Finance C2.Data Deed Recorded Q / Office of Real Property Tax Services 0. Li - C3.Book Q C4.Page p Real Proroperty Transfer Report(8110) PROPERTY INFORMATION 1.Property 5195 Wcklos :.ane Location _ — •STREET fT WCR '9:REEr WE Souzhold SOI ahold, lr952 -Ci I.Oft rrrllh VXLWA --'A 2.Buyer Gocic:ns N_ckles Nathleer N. Nems - rRE'hmm •uar wREx:ehpANr WETNWEK WWNr =AS-vW-- S.T■x Indicate wkere future Tax Bills am b be amt Billing it other than buyer addron(al bodom at form) War Nauru-ew+Axr •'� rlmr"Vi Address SrREEI NUN HARD kWE C l r rX1 I CYN e'ATC res•Vxx: a.indkate the number atAmmomen! (Daly If Part of a Parcel)Chock as they appy: Roll porcab transferred on the dead 1 i tel Paeels pp [7 Part oI a Parcel 4A Planning Board wim Subdivision Authority Exists ❑ e•Deed _\ OR 0.31] 40.Subdivision Approval was Required fix Transfer ❑ Proparty •-PON l FEFI •erpH 'ACRES --Size 4C.Parcol Approves for Sutalividon wlth Mop Provided ❑ Nick'.es John. J. a.Sailor .w•w•yvrpArr• FesrnwE Name ILEI NWF6tlw'eWY -.no-•r WE 9.Select the description which most accurately dacAhea the Chock the boxes below no they Apply: use of the property at the time of sale: s.Ownership Type Is Condominium ❑ C.Residential Vacant Land 9.Now Condnrchon on a Vacant Land ❑ 10A.Properly Located within an Agricultural Dlsthl:l ❑ 108.RuyRer rxeived a disclosure noes indicating that the property is in an ❑ Agrluatural District SALE INFORMATION tie.Check one or mom,nt there eondltlona as applicable to transfer: A Sale Between Relatives or Framer RideMe 11.SAIe Contract Dab B.Sale between Related Companies or Partners n Business. C.One of the Buyers is also a Seller 10/30/2020 t o Ruyer or Seller is Government Agency or Lending Insiduk n •72.Data at Selartranabr E.Deed Type not Warmly or Bargain and Sale.(Specify Below) F.Sala o1 Fractional or Less than Fes Interest(Specify Below) '13.Full SAB Price 0.f II I G.Signllednt Change In Properly Between Taxable Status and Salo Dates i H.Sale of Business is Included In Sale Price 1 Ful Salo Price is the total amount paid for the properly Ineludmg Personal property f t I.Omar Unusual Faaore Affacdng Sale Price(Specily Below) This payment may be in the lam of cash,other property or goods.err the asaumPIMn of J.None mortgages a other obtgaeona.)Fbeae round to tea nearest wank doetr amount. 'r Commangs))In Con'tion: 74.Indicate rtIn the value dr personal nn 1 L �V property Included the sale ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 19.Yew el Aesonment Rol loom which Information bkon(YY) 20 117.Tonal Amassed Value -18.Property Class 3.] _ •19.School District Noms Southold •20.Tax Map Idextaer(e)IRoll Ith ntleags)(t more then four,atbch sheat wish additional Identlter(e)) - ---- 1000-065.00-V.nn-055.000 CERTIFICATION I Certify that all of tin Items of Information entered on this form are true and correct(to the best of my knowledge and bellef)anti I Understand that the making of any Island false statement of material fact heroin subject me to the,provislogs of the papa1,14W reloNes to the making and riling of labs Instruments. 3ELLER.5LGd47URE SUYr;P-Q9HM9T INFORMA13014 IEuaerrrvm•wbon for lin sryw.Nehe Il buirW SLLC.rodaly.as ccumn meorsn)rah asci smeary.mum er /t r� Farly who n na me mdwwr apem rrfitluawy rh+.m ri ant tiered rro'muwn i le rly.) swaelar•wtw IlA1r�//A)�—�. \V/�%/• �a.3d^I.a WRO'wln on enexx escrow's n9wdre tlw9malarrM be anwratl Type orprlm pleady.) SE-f mrL 311 Kathleen BUM-SIGNATURE ////�} ] •hAar+AaE FIRST NaY. 2 1 Its .Rr.[a7' IfrrRYxl.N.4fililF.iwMr aUrFA Sa7CMIrRE ;w-E 1405 Arshamcmaal:e Avenue 'S7EETWIQR — 'ErFbE-LARNE 11 SOULI101d NY _ 1197, C:Ilr IxITWM •S'AF_ •lprrcE BUYI:B_SATTORNEY Wb'Ver[ -•.— ,46.ties[ - •• AREIhGdx RERCtiE+,.Y2W a•sTKpei _•— it 1