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Home My WebLink AboutL 13120 P 163 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 9/16/2021 Number of Pages: 4 At: 7 :07 : 17 PM Receipt Number: 21-0164001 *ELECTRONICALLY RECORDED* Transfer Tax Number: 21-04788 LIBER: D00013120 PAGE: 163 District: Section: Block: Lot: 1000 115 .00 17 .00 017 .012 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $0 . 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 $250 . 00 NO TP-584 $5. 00 NO Comm.Pres $0 . 00 NO Transfer Tax $0 . 00 NO Transfer Tax Number: 21-04788 Fees Paid $520 . 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 9/16/2021 7:07:17 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013120 Social Security Numbers P 163 prior to recording. 21-04788 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) 250.00 TOT.MTG.TAX 200.00 CIO., Dual Town Dual County — Held Held for Appointment Comm.of Ed. 5. 00 Transfer Tax 0.00 ' _� 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. 00 470.00 family dwelling only. Sub Total YES or NO Other 520.00 Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund 27442823 1000-115.00-17.00-017.012 0.0 0 Real Property Consideration Amount � Tax Service P r s Agency R81s72Q27A CPF Tax Due $ 0.00 Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land X Core Title Services TD 10 1 Hollow Lane Suite 309 Lake Success NY 11042 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 IW16g Standard N.Y.B.T.U.Form 8002 Bargain&Sale Deed with Covenant against Grantor's Acts Ind.or Corp.;Single Sheet CONSULT YOUR LAWYER BEFORE SIGNING-1-1-IIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made as of 2021, BETWEEN CATHERINE DONNELLY, having an address at c/o Cooperman Lester Miller Carus LLP, 1129 Northern Boulevard,Suite 402,Manhasset,New York 11030, party of the first part, and WILLIS CREEK LLC, having an address at 120 Wilson Street, Garden City,New York 11530, 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 "SEE SCHEDULE A ANNEXED HERETO" Premises known as 640 Willis Creels,Mattituck,New York 11952 District 1000,Section 115.00,Block 17.00,Lot 017.012 Being the same premises conveyed to the grantor(s)by deed recorded in Liber 13114 P 298 Recorded 08/02/2021 TOGETHER with all right,title and interest,ifany,ofthe 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 patty 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 pail,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 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 patty of the first part has duly executed this deed the day and year first above written. In presence of. Catherine Don elly STATE OF NEW YORK ) STATE OF ) :ss.: :ss.: COUNTY OF NASSAU ) COUNTY OF ) On the Z,day of April,in the year 2021,before me,the On the_day of ,in the year_,before undersigned, a Notary Public in and for said state, me,the undersigned personally appeared personally appeared CATHERINE DONNELLY, , personally known to me or personally known to be or proved to me on the basis of proved to me on the basis of satisfactory evidence to be satisfactory evidence to be the person(s)whose name(s) the individual(s)whose name(s)is(are)subscribed to the is(are) subscribed to the within instrument and within instrument and acknowledged to me that acknowledged to me that he/she/they executed the same he/she/they executed the same in his/her/their in his/her/their capacity(ies), and that by his/her/their capacity(ies), that by his/her/their signature(s) on the signature(s) on the instrument, the person(s), or the instrument,the individual(s)or the person upon behalf entity upon behalf of which the person(s) acted, of which the individual(s) acted, executed the execute trument• instrument, and that such individual make such appearance before the undersigned in the city of in the State of Notary PublicEM R.GROSSMAN Notary HO,State of New York No.02GR6320539 Notary Public Qualified in Nassau Coun Commission Expires March 9, 013 STATE OF NEW YORK ) STATE OF ) :ss.: :ss.: COUNTY OF ) COUNTY OF } On the_day of ,in the year before On the_day of in the year before me, the undersigned,a Notary Public in and for said me,the undersigned personally appeared state, personally appeared I personally known to me or personally known to be or proved to me on the basis of proved to me on the basis of satisfactory evidence to be satisfactory evidence to be the person(s)whose narne(s) the individual(s)whose name(s)is(are)subscribed to the is(are) subscribed to the within instrument and within instrument and acknowledged to me that acknowledged to me that he/she/they executed the same he/slhe/they executed the same in his/her/their in his/her/their capacity(ies), and that by his/her/their capacity(ies), that by his/her/their signature(s) on the signature(s) on the instrument, the person(s), or the instrument,the individual(s)or the person upon behalf entity upon behalf of which the person(s) acted, of which the individual(s) acted, executed the executed the instrument. instrument, and that such individual make such appearance before the undersigned in the city of in the State of Notary Public Notary Public Bargain and Sale Deed District: 1000 With Covenant Against Grantor's Acts Section: 115.00 Block: 17.00 Title No Lot: 017.012 CATI-IERINE DONNELLY County: Suffolk TO WILLIS CREEK LLC Return bX Mail to: Cooperman Lester Miller Carus LLP 1129 Northern Boulevard,Suite 402 Manhasset,New York 11030 Attn:Emily R.Ivanoff,Esq. Reserve This S ace For Use ofRecording Office Stewart Title Insurance Company Title Number: CORE26024 Page 1 SCHEDULE A DESCRIPTION ALL that certain plot, piece or parcel of land, situate, lying and being at Mattituck, Town of Southold, County of Suffolk, State of New York, known and designated as Lot No. 12 on map entitled, "Map of Harbor View at Mattituck"filed in the Office of the Clerk of the County of Suffolk on August 21, 1987 as map number 8377. For Information only: Premises is known as 640 Willis Creek, Mattituck, NY 1 FDR COUNTY USE ONLY Cl- SWIS Cade 14 1 7 1 3 1 8 1 8 1 9 1 •INSy.www.orps.state.ny_us New York Stats Department ofC2_ Date Deed Recorded 19 16 20211 Taxation and Finance Month Day Year Office of Real Property Tax Services C3_ Book I�,3, 1210J, 0 I C4_ Page I , ,1 , 6, 3 I RP 5217-P1:3F PROPERTY INFORMATION I ReaI Propsrty Tranafer Report(ell 0) 1.Property 640 Willis Creek i.ocatlan •STREET WItue8R •ehrxg@T NA>RE Mattituck 11952 •GTv aR Ta W+4 v43.Aat •x>A Cates NaBuyer Wi11is Creek LLC •tAsT NA55$R)a1WANr Flrl97 itAlhlf �T r+AAWiZOMP err PIRs=NAME 3'TaxBillinIndicate where future Tax Bills are to be sent Address mg If other than or address(at bottom or form) AddrI.Axi�UIOPtAP#7r FFR$T NAME STAarT uauam AND"'we: CITY OR TOWN SrAIa 23PfntlYe 4.indicate the number of Assessment �. Parcels opZ ❑Part ata Parcel (only if Part of a Parcel)Check as they apply. Roll parcels transferred an the stead 4A.Planning Board with Subdivisktn Authority Exists ❑ 8.L7aed Prop "FRpi/T Fear ,d6vrN OR 1.R0 0 49.Subdivision Approval was required for Transfer ❑ SEW 4c,Parcel Approved for Subdivision with Map Provided ❑ C]on:iu llY Catherine a.Setter -w$r t+AahErconanrrvr Name FIaIIT MA*iE LAW NAMRICnhrPA FA5,rtr g -7.$016ct the deaCrl}Sten which most ovoutately describes the, Check the boxes below as they apply: vso of'he property at the time of sate_ S.Ownership Type Is CondornIntum C. Resideratlat Vacant Land 9.New Conatrudion on a Vacant Land ❑ 19A.Property Located within an Aocu€tural ofstrhx ❑ 108.Buyer received a disclosure notice Indicalirfg that the properly is in an ❑ Agricultural District SALE INFORMATION1 INFORMATIONIS.Chock one or more of these conditions as appllcabte to transfar: A.Sale Between Relativos or Former Relalfves 11.Sale Contract Date / S.Sala between Related Companies or Partners in Business. C.One of the Buyers is also a Sonar 12.[late of Salerrransfer 04/30/2021 0.Buyer or Setter is Govemment Agency or Lending Institulion E.Deed Type not Warranty or Bargain and Sale(Spectly blow) F.Sala of Fractional or Less Than Fee Interest(Specify Be4ow) •13.Full Sale Pr€ce Q ,00 G.SignIticant Changer in Property Between Taxable Status and Sale Miss H.Safe of Business is Included in Sale price (Full Sale relics Is lea inial amount o!paid for he property or goods, persona!property, 1. Other Unusual Factors Affecting Safe Price(Specify Selow) Ttsifr payment rosy tea in tlh0 form of dash,otter property or gentle,w the assumpf-ran a! 3.Nene mortgagas or other Obligations.)Mase round to the nearsar whore doNar amount. td Commont(s)an Condition_ 14.Indicate the Value of personal .� property Included In the sate ASSESS MY INFORMA Clt]N-[Tata should reflect the latest Final Assessment RON and Tax 73IR 18.Year of Assessnsant Roil Tram which information tsken[YYJ •„2} 117.Total Assessed Vacua 2,500 -18.Property Claw- 311 .. � "19.School olstetat Home ma t tr l tuck *20,Tax Map tdontfter(s)IRoll ktentfier(s)fit mora than four,attach aheat with adclitionat MardiNer(s)) 1000-115-00-17.00-017.012 CERTIFICATION I Certify that all of the items of lnformetlim entered an dfia farm are true and correct(to the best of my knowledge and belfel)and i understand that the making of any WHIM] false stasensant of materlat fact heroin subject me to Hie rlalativa to the making and filing of false instruments. 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