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Home My WebLink AboutL 13119 P 914 1111111 I I I I I I I I I I I I I I I I I I I I I I I I EEE111EIIE VII 11111 111111 IIIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 09/15/2022 Number of Pages : 3 At: 09 :56 : 37 AM Receipt Number : 21-0162867 TRANSFER TAX NUMBER: 21-04570 LIBER: D00013119 PAGE : 914 District: Section: Block: Lot: 1000 066. 00 03. 00 010 . 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 $125 . 00 NO TP-584 $5 . 00 NO Notation $0 . 00 NO Cert.Copies $0 . 00 NO RPT $200 . 00 NO Transfer tax $0 . 00 NO Comm. Pres $0 .00 NO Fees Paid $390 . 00 TRANSFER TAX NUMBER: 21-04570 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL . JUDITH A. PASCALE County Clerk, Suffolk County ` 1 2 Number of pages RECORDED 2CI21 Seo 15 09:56:37 AM JUDITH N. PASCALE This document will be public CLERK OF record. Please remove all SUFFOLK COUNTY L D00013119 Social Security Numbers P 914 prior to recording. DT# 21-04570 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 . 'FEES '} Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Spec./Assit. Notation or EA-52 17(County) Sub Total 1 Spec./Add. EA-5217(State) I TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held forAppointment Comm.of Ed. 5. 00 Transfer Tax � _ Mansion Tax Affidavit ' The property covered by this mortgage is 54CertifiedCopy or will be improved by a one or two NYS Surcharge 15. 00family dwelling only. Sub Total YES orNO Other (y _ Grand Total ( If NO, see appropriate tax clause on page ri of this instrument. 4 Distil 21049255 1000 06600 0300 010000 5 Community Preservation Fund opert PTS I��IIII�II�I��IIIIII�III[�Ill�llllll�illl�I� Consideration Amount$ Tax Se _ Tax Service R APO A li I li Agency CP Tax Due S Verification 10-SEP-21 _ Improved Satisfactions/Discharges Releases List Property Owners Mailing Address 6 Satisfactions/.Discharges RETURN TO. Vacant Land William C.Goggins, Esq. TD P.O. Box 65, 13235 Main Road Mattituck, New York 11952 TD 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 ft OWAL 8 Suffolk County Recording & Endorsement age 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 Kathleen M. Goggins-Nickles In the VILLAGE or HAMLET of Southold BOXES 6 THRU S MUST BE TYPED OR PRINTED 1N 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 30+k\ 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 20 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 riled in the Suffolk County Clerk's Office on March 16,1946,as Map No.1472. SCTM No. 1000-066.00-03.00-010.00 containing.53acres Known as 1605 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 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 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 executtee��d this deed the day and year first above written. W PRESENCE OF: — L�a JOHNJ,NICKLES USE ACKNOWLEDGMENTFORMBEU)WWITH1NNEwYoRKSTATEONLY. USEACKYOWLEMMENTFORMBELOW WITNINNEWYORKSTATF.ONLY: State of New York,County of Suffolk I ss.: Stale of Newyork,County of Suffolk )ss.: On the day ofOetober 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 In 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 he 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 hdshdthey 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/her/their signature(s)on the instrument, the mdividual(s),or the person upon signature(s)on the instrument, the individual(s),or the person upon hchalf of which the individual(s)acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument. tmid T Totnnuzzi VLA� ol\vfoJ.JANNUZZl NO�u Fu61;et $�ofXeu) �O(K NOTARY PUDLIC,STATE OF NEW YORK Qp t OZ TA(oDS25 B 5 R oualoGen Suffolk COURtY QW111—-ed In ,Sul W-cOl1r1T QualtSed in Sut[�Ik Gounry Commission Expires February l3,Ze Z� 6"M exp. 2113123 ACKNOWLEDGMENTFORM FoR-bWT ATE ONLY: ACKNOWLh,a)GMENT FORv FOR Usk.*0M-at,,NEW YORKSTATE ONLY: IN—York Subscribing Wimess A,knnwledgnrenr Certifier rel (0w ul'Siar ar Fnreigmgeneml A(knnw ledgmew Crniticur,j State of New York,County of ]ss: ..................................................)ss: (Cou plea,Venue'0111 Smle,COIflan.,P-Oure or Afriniviinrlito 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 he/she/they reside(s)in evidence to he the individual(s)whose name(s)is(arc)subscribed to the within instrument and acknowledged to me that helshdthey executed (ifthe place ofreridence is in a cant include the street anal street number, the same in his/her/their capacity(ies)•that by his/her/their signature(s) if any,thereof:that he/sheithey 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 (firsertthecin,orotherpolitical subdivision and the state orcotuar,or his/her/their name(s)as a witness thereto. other place the acknowledgmenr was taken). BARGAIN&SALF DEFD W1111 COVI'NANI'v AGAINti'I G"N'IOWS ACI'ti TITLE NO. DISTRICT' SECTION BLOCK LOT COUNTY OR TOWN Suffolk TO RECORDED AT REQUnT OF Fidelity National Title Insurance Company RETURN BY MAIL TO FIDELITY NATIONAL TITLE William C.Goggins,Esq. INSURANCE COMPANY P.O.SOX 65 INcoerr,xAn:,,,9:x Mattituck,New York 11948 "e c.Fidelity-7509-.ml" Mnnl rr New Yn.k S—fond Tin,A,y,n inriex, W U LL 0 O 0 Z O ¢ O U cc w 0 O W 0 7 ¢ O et, LLA U a a rn Lu ¢ LU rn W ¢ r F INSTRUCTIONWRP-5217-PDF-INS)'www orps.state ny.us FOR COUNTY USE ONLY I New York Stab Da of C1.Ism Cods 7 Wk J Department Taxation and Finance C2.Date Deed Recorded Me of Real Property Tax Services Q.Book �3 ca P erg RP-5217-PDF Real Property Transfer Report(8110) PROPERTY INFORMATION 1.Properly 1605 LocationAr.9harlr,:naalle Avenue •SIREE'Y-1NeP •—Eel Mks .-- --• Southold Southold 1'9`.,2 -[ITP OR IwM F. .•PCIxA 2.Buyer Co.fgins Nickles Nems Kathleen M. •lAai W11lAOYPA\r "RST Nw- L*AT NAWC%avP fl -R•Nwl s.Tex Indicate where fusers Tax Bias are to be sent Bilng Adoredotherlhal buyeraddress(ot bottom at form) ;ssr„F,E,c ,------ r .— Addmes STm I T MnR N AND NFAE rR•.Yr:pwti —� AnATE SWC- 4.In licais the number of Amusement 1 Pari at e Parcel (Only IfParlors Persil)Cheek es they apply: Roll Parcels transferred on the deed 0 of Parcels OR a.Gad aA.Plareang Baud with Subdivision Authority Casts Property •rW.'NT FFtr ` .b,r, OR 0.53 eB.Subdivision Approval was Required for Tnensrer SUN •%FES eC.Parcel Approved ror Subdivision with Map Provided Ni^k'-ea Johr- .T. 0.Sager •um wur+ua.w.r — Name FAST hAW uer NAvuoww+r -----r RRT NrY�•-- 'T.Select the description which angstaccuremy describes the Check the boxes belowu they apply; use of the Property at is time of sale: a.Ownership Type Is Condomnlum C.Restdt•ntial`ands:,ked.. .I a.NOW CbnNruction on a Vacant Land Q 10A.Properly Located within an Agricultural[)We, ❑ 100.Buyer received a nhsdowre notice Indicating that the prapariy is an an ❑ AgIlalltury DIWAct SALE INFORMATION IS.Check one or more of theme conditions an appllcebM to tmmb, A.Sala Between reen Reladvu or Former Relativ It.Salo Contract Data S Bale between Related Co[Manlos orPartners m eusines& C Ona Of the Buyers s also a Sugar •12.Date of 9alsrrrsnalsr 10/30/2020 D'Buyer or Seser is Government Agency or Lending Institution E.Dead Type not Womanly or Bargain and Sale(Spoay Selo.) '12.Full Sale Pries F Sale of Fractional or Less dion Fee Interest(Spedly Below) 0-UO G Significant Change In Property Between TaPape Statue esti Bald Dales I Full Sale Pnso Is the total anuric paid for the PmWty including personalN.Salo at Business Is Included in Sala Pico This Payment may be In the form of cash.other pmP"or goods or the assumption of I.Omer Unusual Factors Afiecbng Sale Price(Specify Below) mortgSgu or anter obigatlons.i.Pkreae mend to tae Reareaf whole doper amwnt J.None Comment(&)on Condition: 11.Indicate the value of personal Propmty Included In the sale __ .00 ASSESSMENT INFORMATION•Data stc ild reflect the latest Final Atrsessment Roll and Tax Bill 10.Year of Assessment Roll from which Information taken(YY) 20 '17.Total Assessed Value — •+a.Property Clue 210 _ _ •10•School Dlatrkt Nome South's--d •20.Tax Map ItlsMBlsr(syRoll Idengaer(e)(Imam dun four,strath•hest with additional IdenWier(s)) -- i0C0-06f..00-03.00-Ol0.000 CERTIFICATION I Certify 001811 Of Ihs home of Information ordered on this form em true end comet(to the Mat of my knowledge and beaeq and 1 understand that the making Warty willful talse staHment Of matedal fact herein subject me to thikgrovisjim s qMg ga ls{I,w miative to the making and filing of false instruments. SELLER SIGNATURE QUYER�ONT/1CT jjdFORiNATION IEmPr Pir nNdis aPannfar 1 buuwr%FNmabo•eIrdudsrryiPaLwLC aFanaimry■. dCmolntact%reemad.n Roleonn way ben unawci..wms W0111 VW e90%n61 b. llInfdbr(!idrnaNnaarmpmY•ee%kyam a entree Typ■or pried elyRy) 9 4aFJbIWE ran BUYER SIGNATURE r-oy:)ins W c;kl es K;Lh i cen '�T Nnr■. r%AT NerA '•S�I`r ••F14a'Rea N'.Na RCE•wxaeal .lEaS n1V! WIC '605 ArshamomFque Avenue •FTNEEI N.bL4 •s'Nr ETNW h Souchclo NY _ 1'_971 rrtv:n Naw —— •eTAnl' QUVF,R'S ALTTORNEY + L TMMI =.Rion tiM1E — I ARM COar 111EFn mvern 1E.&rrtaa: