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Home My WebLink AboutL 13120 P 92 11111111 IIII IIIII IIIA VIII VIII VIII VIII VIII IIII 1111 1111111 !IIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 09/16/2021 Number of Pages : 3 At: 10 : 46 : 12 AM Receipt Number : 21-0163756 TRANSFER TAX NUMBER: 21-04734 LIBER: D00013120 PAGE : 092 District: Section: Block: Lot: 1000 066. 00 02 .00 057 . 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 $520 . 00 TRANSFER TAX NUMBER: 21-04734 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of pages3 RECORDED 20'21 Sep 16 10:46:12 RM TI_iDITH R. PP CRLE This document will be public CLERK OF record.Please remove all SUFFOLK COUNTY L D00013120 Social Security Numbers P 092 prior to recording. DT# 21-04734 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee 1175 Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 P7-) SubTotal Notation Spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) 750 TOT.MTG.TAX 1:1fr Town Dual County Held R.P.T.S.A. W Held forAppoinnt Comm.of Ed. S. 00 K. Transfer Tax Affidavit Mansion Tax � The property covered by this mortgage is ertifiedCopy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES orNO Other t:? r Grand Total -•J V 1 If NO, see appropriate tax clause on page# of this instru ent. U311 �o . 1202-0 4 Dist.100021049475 1000 06600 0200 057000 5 Community Preservation Fund Real Property RAK Ip►1Consideration Amount$ Tax service R 11'I�ilefll�■■111, IIIYry.IUII Agency BSEP 2 CPF Tax Due $ _ Verification Improved Satisfactions/Discharges Releases List Propperty Owners Mailing Address 6 R�CORD&RETURN TO: V cant Land William C. Goggins, Esq. TO Goggins&Associates f P.O. Box 65, 13235 Main Road �\/J TO 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#! 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 U h.- 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 12 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.1000-066.00-02.00-057.00 containing.23 acres Known as 640 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 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 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 pan has not done or suffered anything whereby the said premises have been encumbered 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: � r JO J,NIC ES USEACIZNOW►EDGMFNTFORMRFwwwITHINNEWYORXSTATF,Omr. USF.ACXV0IVI�IX;MF,NTFORMOEIAIVWITHINN6'WYORKSTATF.ONLY: State of New York,County of Suffolk )ss.: State of New York,County ofSUM 1k }ss.: On the day ofQctober in the year2020 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 nue on the basis of satisfactory evidence to he the individual(s)whose namc(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/shc1they executed the same in his/her/their capacity(ies), and that by his/her/their the same in his/her/their capacity(ics), and that by his/herltheir 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 which thV individual(s)acted.executed the instrument. behalf of which the individual(s)acted,executed the instrument. rDN7-jiD J.,JANNUZZI BLIC,STATE OF NEW YORKration Mo.(MAG052585 lified in Suffolk Countyn Expires February 13,29 Z3 ACKNOWLEDGMENTFORM FOR-U.TEiW7MtM7VrWiWMffTATF ONLY: ACKYOWIEDGMENTFORPFOR USEOMSIDENEW YORKSTATEONLY' lNew York Suhtrrihi ig Witrlee.r Aeknowtedgrnenr Certificate/ (Ow al Scare ar Foreige Genera!Arknowledgmew Cenifirutel State of New York,County of ]ss.: .................................................. (Complete Venae with State.Cranny.Province or Muniriia hl.0 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 sworn,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/she/they executed (iftheplaceofresidenceisinacih4includethesrreerandstreertuunber, the same inhi.Acr/theircapaeily(ies),Chat byhis/her/their signature(s) if rely,rhereof)t that he/shc/they know(s) on the instrument,the fndividual(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 cite or other political subdivision and the state orcounrn'or his/her/their name(s)as a witness thereto. other place rite acknawlee ginenr was rakeir). BARGAIN&SALE DEED WITH 0IVRNANI:s Al IA1Nti r nNANI'I IR'S AC I;S 77TLE NO. DI$TRICT SECTION' BLOCK LOT CouNTY OR TOWN Suffolk TO RECORDED A'T REQUEST OF Fidelity National Title Insurance Company RETURN RY MAIL TO FIDELITY NATIONAL TITLE William C.Goggins,Esq. INSURANCE COMPANY P.Q.BOX 65 rNrau,r„un.,.rnzx ' Mattituck,New York 11948 "cam d,Fidelity-003�./_ Afr.uMrNm'liv4 S,nre Gnuf ode A++,x+nrl,w w U LL LL 0 t9 z 0 ¢ O U LU ¢ LL 0 LU y 7 ¢ O LL W U a a y N_ LU LU a oC LU vl LU INSTRUCTIONS(RP-5217-PDF-INS):www.orps.stme.ny.us FOR COUNTY USE ONLY e-JQ Now York State Depailtruent of ci.SWIS code A 713024L,r! Taxation and Finance C2 Datie Dead Recorded 141, Office of Real Property Tax Services Kim- RP-5217-PDF CILBook 0--01C4.Page L__L__,6134�4 Real Property Transfer Report(111111 D) rPROPERTY INFORMATION 1.Properly 640 A:shamorcaquc Avenue Location .67mi TM�R siurrT�i SOULhold SOULhold 11952 .011ORTOWN VIL"51, .—— -.11-GO1.17 2.Buyer GogginB Nickles KaLIleon M. Name lJls'"VUC�, rOST NAAAE FP�T NAME 3.Tax llling indicate where future Tom Bills am to be sent if other than buyer addlast(Ht bottom of forill) Address LAST NALUMC.-Wi. F1487�r W1611'�Wli R-M HOME cl,I M TQw1i %TA;E zpc..�E 4.Indicate the number of Assessment 0 of Parcels OR n per,or.Pa., (On IV N Part of a Pa rcoll Check as they spipfir: Roll parcels transferred on the dead 4A.Planning Hoard with Subdivision Authority Exists El LDEed X OR 0.23 40.Subdivision Approval was Floquined for Transfer :Mporty El IzI1 41C.Parcel Approved for Subdivision mlh Map Provided Nick'es N I John J. a.Salbr LASI NAMUCCUPAllf FL�Si Iles Name LAST 1AMITACCUPMW He T%w= 17.Select the description which most accurately describes the Check the boxes below as they apply: use all Via property at the time of sale: S.Ownership rypo is Condominium Rendential Varani land a.New Construclion an a Vacant Land I OA.Property LocalL d winun an Agricultural District F-1 I OB.Buyer roxxilved a disclosure notice indicating that the property is in an Agricultural Distinan ISALE INFORMATION 15.Check orm or more of these conditions as applicable to transfer. A So*Between Relieves or Fanner Reliallives It.841.Contract Date I B.Sale between Related Companies or Penn&$in Business. C One of the Buyers-a also a Sells 12.Date of salarrmnsfer 10/30/2020 D.Buysi or S list is Government Agency or Lending Institution E.Dead Typse;:Mminly,at Beogain and Sale(Speary Below) F.Sale of Fractional or Less than Felt Interest(Specify Below) *13.Full Sale Price 0-I)o G.191gralicant Change in Property Between Taxable Status and Sale(Intel 11.Sale of Business In Incluided in Sale Prim Full Sale Price Is ihe total amount pAid for The property including personal property. 1.Othei Unusual Factors Allotting Sale Price(Specify Below) This payment may be In the form of cash.other property or goods.or the assumption of mortgages or other obligations)Platime mund to the raromst whole dollor amount z J None 14.Indicate the value at personal Commentle)an Condition: property Included In the sale M ASSESSMENT INFORMATION-Data Should reflect the latest Final AssesSment Roll and Tax Bill led Yeaurof Ameassiment Roll from which Information takon(yyl 20 '17.Total Assessed Value '18.Property Close 371 *19.School District Narrop SOULhol -20.Tax Map ldondftftsyRoll ldonflfler(s)(If mom then four,sthich shoetwith additional lillandflar(a)) 1000-066.00-02.00-057.000 rNRTIFICATION I Certify that all of the Item of information entered an this form an true and correct(to the beat at my knowledge and belief)and I understand that the making of any willful false statement of matedii I fact herein subject me to the prolds lomijaLlITILRentil.1me.mliallett,to the making and filing of false In alruments. SELLER-91.014MRE BUYIERiCONTACT INFORMATION rEnierinlannalonkrUmbuym Md,ffhuw.I_LC.mxu&,y.vmwolm enbr,mat a nd an ininmimil mirall o,M..=q.Own.name and cimald-rhn�vanri of an Plot who can munear questions regard no dw%eakir rawi be overed Type or forint deadir i Wf�%%E BUYER SIPN&n= WE 3-1 KIT L I i I een F-1... -'Ell iftli-i,1.113Eff1E-VAMI su:R SrIAWbRE -&Tr 1603 Arsna-itomaque Averue -Niff-C.il�.ella S-RE:7 HWE Southold NY Jjq7j BLI.YEWS ATTORNEY LVITIAME F.bi Nxill ir.5-mm INN I mill