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L 13122 P 342
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 9/30/2021 Number of Pages: 4 At: 7 :23 : 05 PM Receipt Number: 21-0171717 *ELECTRONICALLY RECORDED* Transfer Tax Number: 21-06581 LIBER: D00013122 PAGE: 342 District: Section: Block: Lot: 1001 005 .00 02 .00 023 .000 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 $125. 00 NO TP-584 $5. 00 NO Comm.Pres $0 . 00 NO Transfer Tax $0 . 00 NO Transfer Tax Number: 21-06581 Fees Paid $395. 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 9/30/2021 7:23:05 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013122 Social Security Numbers P 342 prior to recording. 21-06581 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 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. 00 345.00 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 21045280 1001-005.00-02.00-023.000 0.0 0 Real Property Consideration Amount $ Tax Service P r s Agency ,TY A CPF Tax Due $ 0.00 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land First International Title — Riverhead TD 10 633 E ]AIIF ST STE 3 R.IVEREEAD NY 11901 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 EXECUTOR'S DEED (INDIVIDUAL OR CORPORATION) FORM 8005-A(short version),FORM 8010 (long version) CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE, made'theao209 J , between Cheryl L.Halpin,as Executor of the Estate of Bruce H.Rackett,late of 35 Patrick Street, Carteret,New Jersey 07008,who died on March 24,2009, party of the first part, and Cheryl L.Halpin,Executor of the Estate of Audrey H.Rackett of 30 Dogwood Court,Cliffwood,New Jersey 07721, party of the second part; WITNESSETH,that the party of the first part,to whom ancillary letters testamentary were issued by the Surrogate's Court, Suffolk County,New York on February 14,2020, and by virtue of the power and authority given in and by said last will and testament, and/or by Article 11 of the Estates,Powers and Trusts Law, and in consideration of Ten Dollars and No Cents($10.00)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 distributees 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 Village of Greenport,Town of Southold,County of Suffolk and State of New York,bounded and described as follows: BEGINNING at the northwest corner thereof adjoining land now or formerly of Elias P.Jennings and running thence easterly partly by land formerly of Oliver H.Bishop and partly by land now or formerly of Joseph Lipman forty-one feet and two inches(41 ft 2 inches)to land formerly owned by H. Fletcher Fordham and Elias P.Jennings running thence southerly by land last mentioned one hundred fourteen feet and six inches (114 ft 6 inches)to a point thence southwesterly by land last mentioned twenty-five(25)feet to a point on the northerly side of Bay Avenue distant twenty-five feet(25 ft) easterly from land now or formerly of Elias P.Jennings thence westerly along the northerly side of Bay Avenue twenty-five(25)feet to land now or formerly of Elias P.Jennings and thence northerly along land last mentioned to the point or place of beginning. SUBJECT TO covenant and restriction in deed from Ann E. Fordham to Eunice P.Howell dated January 1, 1892 and recorded in the Suffolk County Clerks Office on January 21, 1892 at Liber 363 page 331. BEING AND INTENDED TO BE the premises conveyed to Bruce Rackett by deed dated August 18, 1999 and recorded in the Suffolk County Clerk's Office on September 10, 1999 in Liber 11988 at Page 342. BEING AND INTENDED TO BE the premises commonly known as 102 Bay Avenue,Greenport, New York 11944. District: 1001,Section: 005.00,Block: 02.00,Lot: 023.000 NYSBA's Residential Real Estate Forms(9/2000) -1- C9 2020 Matthew Bender&Company,Inc.,a meinbcr of LexisNexis. 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 also all the estate which the said decedent had at the time of decedent's death in said premises,and also the estate therein,which the party of the first part has or has power to convey or dispose of,whether individually,or by virtue of said will or otherwise; 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 costs 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. By: Cheryl L.Balp' , Executor IN PRESENCE OF. District: 1001,Section:005.00,Block: 02.00,Lot: 023.000 NYSBA's Residential Real Estate Forms(92000) -2- 0 2020 Matthew Bender&Company,Inc.,a member of LexisNexis. Acknowledgment by a Person Without New York State (RPL § 309-b) STATE OF NEW JERSEY ) ) ss.: COUNTY OF MW41 ) On the day of J u in the year I , before me, the undersigned, personally appeared Cheryl L. Halpin, as Executor of the Estate of Bruce H. Rackett ,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 she executed the same in her capacity(ies), and that by her signature(s)on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. (signature and office of individual taking acknowledgment) ANNA L USK t RY PUBIS OF NEW JERSEI► �n0 My District: 1001,Section:005.00,Block:02.00,Lot: 023.000 NYSBA's Residential Real Estate Forms(9/2000) -3- 0 2020 Matthew Bender&Company,Inc.,a member of L.exisNexis. FDR COUNTY USE ONLY p y Cl- SWIS Cade 0 1 !'7 1 3 1 8 1 0 1 1 I --INS):www-orps-state-ny-Lm C2- nate need marded 19 / 30 20211 Yo*stow • .► : Month Day year ^-3 n okwFum C3- Book 11,3,1 awilseas ,2, 2 I C4- Page I E E S E 4 E 2 I � Ira" RP- 5217-PDF PROPERTY INFORMATION I Real Property Transfer Report(AH R) PROPERTY IHF ATIf7M 1.Property Location 102 --- Bawl Avenue •alrl NUMBER "%r1iEErH E qr�9pqrt .. Greenport11944 cisr oR TONRi •nnitncar: 7EP ct7rrr z'Name Chel 1 L_ H71 0 as Executor of the Estate of A€fdre FI Rockett tvarereY._._..............'----------------------------------------------------------------------------------------------------------- ....Y......-................_.._._............................................... •€.4sT Nnrrracoes+aaarr ........................................................................................................................................................................................................... ............................................................................................................................................................................................. ��NpAx1�ANr t7��NJWIF a ail Indkote whew future Tax am to be sett Halpin Cheryl L_ ' if other then b addre at bottom of farm .--'..-.. ""'- Address fryer ( } iAsr E�Rlo�mor� sr .fSssr wmeE 30 Dogwood Court CliffwOod NJ 07721 Stmt a sERANtsruane a"aR t:WvN STATE'.... rrp cant: 4_indicate the numhar of Aasessrre t �9 of P ~Of a Parcel (Only if Part of a Parcel)Check as they apply: Roll parcels transferred on the dead ..................... arcels C€r3 4A.PlanrBng Hoard with 5utrdi?vlskan Atxthnrity Exists 5.Gleed X OR -.... 3--------------------- 48.Su Whision Approvai was Required for Transfer Property FRNF, T ------ - C Size 4C.Ps roal Approved for Subdivision with Map Proviciad Cheryl L. Halpir€ ww ______ as Executor of the Estate of Bruce H. Rackett G�SellerE144T HPV�EICCIRB+AhY 6N2Si K4eA¢ Nagle LAST ;PW.. .....-..-..-..-..-..-..-..-..-..-..-..-..........................................................................................„.......................................... `7.Select the description which most accurately describes the Chat*the boxes below as they apply: use of the property at the€me of sale- 8.Ownership Type is Condominium U a.New Construction on a Vacant Land 0 A. One Family Residential ............. 'IDA.Property Located within an Agrloultural District ❑ 1©F3.Buyer received a discls m notice indicating that the property is in an ❑ Agricultural Distract SALE INFORMATION 15.Check one or more of these conditions as applicable to transfer: A Sale Between Relatives or Former Relatives it.Sale Gantmet Onto B.Sae between Related Companies or Partners in Business- C,Cm.of the BFA]IC is zd9 a Sailer `12.nets of 5aleyTransfsr f.�r$ D.Buyer or r to Government ADency or Lending institution X E-Deed Type Trot Warranty or Bargain and Sale(Specify Hexiow) __ F-Sale of Fractional or Less than Fee interest(Specify Below) -13.Fust Saw Pride $0,()() G-Significant Changer In Property Between Taxabie Status and Sade Dates .......................................... H-Sala of llusaness is Included in Sale f Tics (FUN Sale prifm is the total amount pairs for the property including personal property- J L.Other unusual Factors Affecting Sale Price(Specify Helper) This payment may be in the lot m of cash.other propsrty or goods,or the assu€nptioan of .J..II mortgages or other obligntions-)Please round to the nearest rviaole dollar amount .i�1[rrle Com mant(ay art Conditkw- 14.Indicate the value of persona[ property inciuded in the sale $Q.00 Executor's Creed ................................ .__....__..........................._......._..................._.......................................................................................................................... ASSESS`ME��T INFORMA1 ICN-Data sshcnjkt reflect the latest F#nal Assessment Roll and Tax Bili IC Year of Aawmsment Roll from whlob trnformnatson taksn(YY) 20 '17.Total Am"mood Value $5.AMOO '18.property Claus School District Naos ?......fi....._ ..................... - -- Grpenpart............................................._ '213.Tax Map ldentifler(syRoN ldentifl")(if more than four,attach sheet with adddtlonal identifiar(s)) 1001-005,00-02-00-023-000 CER-rIt ICAll ON I Certify that ali of Hae Wmm of arformation entered oa this form are true and correct(to the treat of my l nc rNsdge and belief)and 1 understand that the making of any wlNful €Rise atonement of material fart herein subject n%to_the RfPKisi€7rts.of tha.POMI low relative to the making roti filing of false etsbnrments. $ LLER..$11QNA -FM 6IJYEFt._�52.f�TiAtr. -l .f`SNA3! 0--mer Inlormaticn for the€aryar.Note:it buyer f I.LC,%oGhWy.association.corporation,foau stoc*LfJ1e3[mny-esteta or // entity that is M#Ark IndWidrsft agaM ar ftlmisfy,then a name and corAact info nr&lon of an Ir%0iVIW&ih69pwfaibla y parry who can answer quabilans ragar6 p gee irsnsfa3r must he ardamd-Type w print clearttr.l r3tjrER.S.I.S��AIIiRF. Cheryl L. Hameln Executor _._._._. ................................... -nASr NAME Ft[4.T iVAk1E 631 506,-8440. .......-`�..........,.___- .. •TFIFPFSONE IAMf�R[Fs,89BBBB9r •---- ---- ------------ -_.-.--_-.--____--.-- -..-----...- -.-- S-__ FlCIYFR S1[LRRrURE L1R E 30Dogwood Court ^Sl`FrP.F.T 3d1ad�A '—fflEE'E'e&S�tEi •------ .^................................................................................. Cltffwood NJ 07721 7 -i:rF'l arr FOYVi ^STATE :klpcon E NONE�ONF 1 E / ' Fa6'r NAME �T NRM� J . ` • 1 ..�_ ............................. ------ ------ _..RrtERCOs[ i P&# (F—8999