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L 13120 P 405
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 9/17/2021 Number of Pages: 4 At: 8 :31 : 02 PM Receipt Number: 21-0164835 *ELECTRONICALLY RECORDED* Transfer Tax Number: 21-04990 LIBER: D00013120 PAGE: 405 District: Section: Block: Lot: 1000 114 .00 10 .00 030 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $386,250 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20 . 00 NO Handling $20 . 00 NO COE $5. 00 NO NYS SRCHG $15. 00 NO Notation $0 . 00 NO Cert.Copies $0 . 00 NO RPT $200 . 00 NO Mansion Tax $0 . 00 NO EA-CTY $5. 00 NO EA-STATE $125. 00 NO TP-584 $5. 00 NO Comm.Pres $4,725. 00 NO Transfer Tax $1,546. 00 NO Transfer Tax Number: 21-04990 Fees Paid $6, 666. 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County RECORDED Number of pages 4 9/17/2021 8:31:02 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013120 Social Security Numbers P 405 prior to recording. 21-04990 Deed 1 Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording 1 Filing Stamps 31 FEES Page 1 Filing Fee 20.00 Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 5.00 Sub Total Notation 0.00 Spec./Assit. or EA-52 17(County) 5.00 Sub Total 50.00 Spec./Add. EA-5217(State) 125.00 TOT.MTG.TAX 200.00 CIO., Dual Town Dual County — Held Held for Appointment Comm.of Ed. 5. 00 Transfer Tax 1,546.00 ' _� Mansion Tax 0.00 Affidavit 4�" The property covered by this mortgage is Certified Copy 0.00 or will be improved by a one or two NYS Surcharge 15. 00 345.00 family dwelling only. Sub Total YES or NO Other 395.00 Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund Real Property 27443206 1000-114.00-10.00-030.000 Consideration Amount $38 6,250.0 0 Tax Servicer s Agency �PCTF'27A CPF Tax Due $ 4.725.00 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Abstracts Incorporated TD 10 100 Garden City Plaza Ste_ 201 Garden City NY 11530 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Comwny Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# g Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD In the VILLAGE or HAMLET of BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0104..10MId, over -( 63— S - 1 ` l�/ j CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY -v THIS INDENTURE,made the 2 Iday of July 2021, BETWEEN �> HERBERT A. FISHER, JR.and SUSAN P.TYLER, as Co-Trustees of the FISHER FAMILY 2013 IRREVOCABLE TRUST,245 Youngs Avenue,Mattituck,NY 11952 party of the first part,and X0joIy&+4s\atrtf S,wl� r' k+ 0-r—SV ufVbrA1�7 JACY L.ORLOWSKI and JOSEPH A.ROSS,residing at a,$s IfJL&T V1Fw F.A 37, mA t l t�vt1G� v.A. �kR�a- arty of the second part, WITNESSETH,that the party of the first part,in consideration of Ten($10.00)Dollars and other lawful consideration, lawful money of the United State, 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 at SEE SCHEDULE'A'ATTACHED HERETO AND MADE A PART HEREOF The grantor(s)herein being the same party as the grantee(s)and the premises same as described in deed recorded in Liber 12728 page 671. -m-w— 1000-- (I q Do — 1(0 ,00— 030.00 TOGETHER with all right,title and interest,if any,of the party of the first part 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 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: I GL 14z- Co 7n uS - HERBERT A.FISHER,JR. IA,2=2 � f - SUSAN P.TYLER Standard N.Y.B.T.U.Farm 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment Form 3290 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of SUFFOLK State of New York,County of SUFFOLK ss: ' ss: 9j�` On the-Z-- .y of July in the year 2021 before me, the On the`r day of July in the year 2021 before me, the undersigned, personally appeared Herbert A. Fisher, Jr. undersigned, personally appeared Susan P.Tyler personally personally known to me or proved to me on the basis of known to me or proved to me on the basis of satisfactory satisfactory evidence to be the individual(s)whose name(s)is evidence to be the individual(s) whose name(s) is (are) (are)subscribed to the within instrument and acknowledged to subscribed to the within instrument and acknowledged to me me that he/she/they executed the same in his/her/their that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instru the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the ndiv" u I(s)acted,executed the instrument. the indiv' ual cted,executed the instrument. nature and office of individual taking acknowledgment) (si re and office of individual taking acknowledgment) I(ARALYN KENNY KARALYN KENNY N6"rY Public,State of New York WAN Public,State of New York Reg.No.OIKE5018342 Rag.No,01KE5018342 Qualified in Suffolk County Qualified In Suffolk County Commission Expires March 25,2022 i 6?nhiissinn Expires March 25.2M TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of ss: On the day of May in the year 2019 before me,the undersigned,personally appeared, 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 within instrument and acknowledged to me that helshe/they executed the same in his/her/their capacity(ies),and that by his/herltheir signature(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 made such appearance before the undersigned in the in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) BARGAIN AND SALE DEED SECTION 114.00 WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 10.00 LOT 030.000; Title No.563-S-14619 COUNTY OR TOWN: SUFFOLK HERBERT A.FISHER,JR.and SUSAN P.TYLER,AS TRUSTEES STREET ADDRESS 245 Youngs Avenue, TO Mattituck,NY 11952 JACY L.ORLOWSKI and JOSEPH A.ROSS Recorded at Request of Abstracts,Incorporated RETURN BY MAIL TO: Samuel J.DiMeglio,Esq. 141 East Main Street Huntington,NY 11743 ABSTRACTS, Ir-JGORPORATECI Residential 6.CorTmarC�al Title Incura nce sinoe 9 9B4 as agent for - Fifst Amefican Title Insurance Company SCHEDULE A DESCRIPTION Title Number:563-5-14619 Page: 1 ALL that certain plot piece or parcel of land, situate, lying and being at Mattituck,Town of Southold, Suffolk County, New York, bounded and described as follows: BEGINNING at a concrete monument set on the northwesterly line of Youngs Avenue at the northwesterly corner of land of Harry Tuthill, RUNNING THENCE along said land of Tuthill, north 50 degrees 30 minutes 40 seconds west, 180.15 feet to a concrete monument and land of the S.H.Tuthill Estate; THENCE along said land of the S.H.Tuthill Estate north 45 degrees 05 minutes 20 seconds east 100.48 feet to an iron pipe and land now or formerly of Edith M.Young; THENCE along said land on a line at right angles to said northwesterly fine, south 50 degrees 30 minutes 40 seconds east, 170.34 feet to a concrete monument set on a said northwesterly line of Youngs Avenue; THENCE along said northwesterly line, south 39 degrees 29 minutes 20 seconds west, 100.00 feet to the point or place of BEGINNING. FOR COUNTY USE ONLY ••INS):wwwr orps.stale.tiy.us Cl- SWIS Code 14 F 7 F 3 F S F S F 9 1 Now York yolk State Department of Taxation and Finance C2- Date Deed Recorded 1 9 / 17 20211 Mouth Day year Office of Beal Property'Tax Services C3- Book I L,3, ,2, OJ C4- Page I €4 € 01 5 I Reef Property21 7-PDF r Report(8110) PROPERTY INFORMATIONI 1.property 245 YOUNGS AVENUE Low tion 'SI{nE-r NFJllgER •'✓z{3iEET W MATTI SUCK 11952 c rraRTvwNi�t r s d "��f lG+�d t/ p�'>r► ce.Lnc� ZIPCOIIL 2.Buyer ❑RLGL'7SKT "n -r 17ACY L. Hunte ^'AST FRST UAW-_ ROSS rt"" 8f J-(A.CV t�a'"��.t� JOSEPH A. �unsre c epee rt"I wuee 3'Tax lndiaato whew future Tax Bills are to be rent Billing if OEher than buyer addross(at bo t m of form) LAST NN.SElGCH.BAM' FIRGT s3p.R1E Address STiiEkT fAWMR AW CfrY pri TpLVN 6VATE ZFP COAG 4.Indicate the number of Assessment S3f2°f P2�cela F-11Part of a Parcel (Only ff bort of a Parool)Chook as they apply: Ralt parceft transferred on the deed kA.Planning Board wkh Subdivision Authority Exists 0 S.Deed X OR 0 39 40.Subdivision Approval was Required for Transfer Property 'FAONFE'F�' •uEP3H 'nCREs size 4L`.ParC6]Approved for S1317d1vISIaF1 with leap Prwrldad •����� l:"ISHER HERBERT A. JR., TRUSTEE tri- re J�� G-s3 flex t fi $e€tar Harte TYLERLETYLER'F- E Rh1FR7r1h1PAPlY SUSAN P., TRUSTEE Of �•�``x1r•�'+'�Fr�+w=s l�'�.-O]� T \�'t'�V GCS t�".,�;t- I.ASTNAMWCOMPANY F UTNAABE '7,Select the description which most accurately describes the Check the boxes heloxr as they apply- use of the prop"at the time of sale: a.Ownership Type is Condoudn€urn A One Family Residential 9.New Construction on a Vacant Land ❑ Y GA.PropwW Located within an Agricultural DWrict 1©B.Buyer receh ed a disclosure police indicating that the property Is in an ❑ Agricultural District SALE INFORMATION1 15.Check ane or more of ttsese❑onditions as applicable to transfer: A.Sale Battwaitni Re€athears W Former Relatives 11.Sale Contract Bate 01/25/2018 8.Safe batwann RelaWd Companies or Palilnera in Businoss. C.Ons a€the Buyers at also a Sailor 07/27/2021 D.Buyer or Sal ler is Goverrunett Agency or Lending Insiltut€on "12 Date of SaieC!'raRsfer E.feed Type not Warrar"or Bargam and Sale(Specify Below) F.sale Of Fractional or Leas than Pea Interest(specify Below) *13-Full Sale Pricy 386,250.00 G.Sr$nifa:ant change in Property Between Taxable Status and Sala Batas �^••--• H-Sala of Business is kickaded in Safe Pries (Full Safe Price is the iota€amount paid for me property Including personal property. L Other t.iriusual Factors Affecting Sate Brice(Specify Below) This payrnart may be in the farm of cash.other property or goods.or the assumpifan or J.Norge rnortgages or othw obligations,)Ploasse mcmd to the nearest whole dollar amaurdt Comment(s)on CiHM1dit om 14_Indicate the value of personal Property included in the sale 0 .00 ASSESSMENT INFOR MA-RON-Data should rsflsot the latest FH1al Assessment ftWl and Tax Bill 16.Year of Assescmentt Roll from which information takan(YY) 27. "17.Totot Assessed value 4,900 •1B.Property Crass 214 019.SlChaaf District Hoene MATTTTUCK—CUTCHOGUE •20.Tax Map Identif€er(s)IRoll fdentifier(€n)(if more than four,attach short with addldonal identiffer(s)) I.f740:3.14.L?R:I.CI,Op;i33t)_i)f1n CERTIFICAT N I Cert€fy that all of the Items of iRforntation ontered on this farm are true and cormot(to the best of my knowledge and belief)and€understand that the rnaktng of any wihhrl false statement of material fact herein submit me W to the mak ft and 61MU of false Instruments. SELLER iIORAILLRE (Enter WonnalSW for slo 4vyer.WotW If b,"r Is LLC.sociafy-aaand aeion. �f+c" oerp �.Joint stack comparty.es€a€e or t7 d !flak is nal an€r 1wMUa€agent or Cdu ary,leen a name ane con=1 Ir1k( lion of ail i[Ni3viCua€hu8p[n1ui113W 2 ! perry—ho mar+aR�q e&„a,a®srdmg tlae t—n.N —a t be— .ryp.er pant ciewAy.y s axs€rsc�frATvzE DATE ROSS ITOSEPH A. �77��.. .LASTtt [; FzresT ran(/j)asE QLi € GOaIC � TAtrntt0l�NLFI.laQ2 iG+r-H9Etr13s9J vATk 245 YOUNGS AVENUE FarRFST HUtA[iER '8'1'F zzr'MME. MATTITUCK NY 11952 `Gn ORT -STATE ^-ZIP C@nE BUYEWS_ATEQRNJ Y r DIMEGLIO SAMUEL LAST PIAIAE F € (631) ___ 547-940:1 -.. AnIA 0013E TZLEPWME NUMUE R fF-99999®9) l