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Home My WebLink AboutL 13122 P 836 IIIIIIIIIIIIVIIIVIIIIIIIIVIIIVIIIVIIIVIIIIIIIIIII - _ I I I I I I I I I I I I I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 10/05/2021 Number of Pages: 3 At: 02 :56:26 PM Receipt Number : 21-0173815 TRANSFER TAX NUMBER: 21-06994 LIBER: D00013122 PAGE : 836 District: Section: Block: Lot: 1000 064 . 00 05 . 00 016 .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-i 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 t ` NO Cert.Copies $5. 00 NO RPT $200 . 00 NO Transfer tax $0 .00 NO Comm.Pres $0 . 00 NO Fees Paid $395 .00 TRANSFER TAX NUMBER: 21-06994 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County �r '4 in❑2 .Number of pages RECORDED 2021 Oct 05 02:56:26 PN JUDITH A. PASCALE This document will be OF be public SUFFOLK COUNTY record.Please remove all L D00013.122 Social Security Numbers P 836 prior to recording. D74 21-06494 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation SpecJAssit. or EA-5217(County) S Sub Total Spec./Add. EA-5217(State) 195- TOT.MTG.TAX R.P.T.S.A. dC( Dual Town Dual County Held for Appointment Comm.of Ed. S. 00 Pal TransferTax -G9- Affidavit + Mansion Tax The property covered by this mortgage is IN ertified_Cop or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other �.a n Grand Total If NO, see appropriate tax clause on page# of this instrumeA C S 21 11 2,D 4 1 Dist. l 29051321 1000 06400 0500 016000 '90 5 Community Preservation Fund Real Property PT S Consideration Amount$ _p Tax Service R LPA Ad— Agency 222-SEP-21CPF ax Due Verification — _ -_— Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Aaaress RECORD&RETURN TO: Vacant Land Kenneth P.Mahon,Esq. TD 10 Mahon Mahon Kerins&O'Brien TD 254 Nassau Boulevard,S. Garden City South,NY 11530 TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name ti{ www.suffolkcountyny.gov/clerk Title# S Suffolk County Recording & Endorsement Page This page forms part of the attached Deed \&r S{-r_-Kq made by: (SPECIFY TYPE OF INSTRUMENT) Robert J.Rountty,WilliamRountrv,Robert S.Rountry The premises herein is situated in Kathleen Rountr•y nka Kathleen Fisk SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold William Rounia,Kathleen Fisk,Robert S.Rountry In the VILLAGE Life Estate for the Benefit of Robert J.Rountry or HAMLET of Southold BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 22nd day of October,2020 BETWEEN Robert J. Rountry residing at 31 Casino Street, #4C, Freeport, New York, who is added as Grantor solely to confirm the retention by him of a Life Estate since 1993 which was omitted from a Deed dated 0111 811 9 9 3 William Rountry residing at 35 Lawrence Avenue,Sleepy Hollow, New York; Kathleen Rountry n/k/a Kathleen Fisk residing at 614 Lakeview Avenue, Rockville Centre, New York; - Robert S. Rountry residing at 400 Roosevelt Avenue, Freeport, New York; /30Y h party of the.first art;and�1;8 valr'•f�ls0„dA«r2rwoff ,416yL+ 9pY ,9A ,r F” ptrJu4'Y.b'UYI C ry �7!turJ:?UG?arw,rli William Rountry'residing.at 35 Lawrence Avenue,S`&Py-Hollow,* ew-York;'--� r,athle`eh'Fisk,residing at 614 Lakeview Avenue, Rockville Centre,New York; IRA S.Rountry residing at 400 Roosevelt Avenue, Freeport, New York; WITNESSETH,that the party of the first part, in consideration of TEN($10.00)dollars 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 Town of Southold,County of Suffolk and State of New York, known and designated at Lot No. 101 on a certain map entitled, "Subdivision Map of Founders Estates, situate at Southold, Suffolk County, New York, made by Otto W.Van Tuyl, Engineer and Surveyor dated March 18, 1927 and filed in the Office of the Clerk of the County of Suffolk on May 10, 1927, as Map No. 834. / Subject to a Life Estate for the benefit of Robert J. Rountry J SAID PREMISES known as 515 Old Shipyard Lane, Southold, New York D: 610 S: 64 B: 5 L: 16 Being and intended to be the same premises as conveyed to the grantor by Deed dated 01/18/1993, recorded in Liber: 11791, Page: 902 TOGETHER with all right,title and interest, if any,of the party of the first part jn 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 F: r" Robw J. William R.9untry Kat leen ' k R.A.S. Rountry I TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of Nassau ss: State of New York,County of Nassau ss: NC _ On the 22 day of October in the year 2020 On the '22 W4day of October in the year 2020 before me,the undersigned,personally appeared before me,the undersigned,personally appeared Robert J.Rountry personally know90 me or proved to me ori Kathleen Fisk personally known to me or proved to me on the the basis of satisfactory evidenc o be the individual whose basis of satisfactory evidence to be the individual whose name name is subscribed to the wit instrument and acknowledged is subscribed to the within instrument and acknowledged to me to me that he execut the me in his capacity,and that by his that she executed the same in her capacity, and that by her signature on the i tru nt,the individual,or the person upon signature on the instrument, a individual,or the person upon behalf of which individual acted,executed the instrument. behalf of which the indi ' acted,executed the instrument. ( re and office of individual tak g acknowledgment) alure and office of individual taking acknowledgment) KEN14EV P MAr1O� Notary Public State of New York KENNETH f?MAHON No.Qualified in Nas 87346 Notary Public,State of New York issio I Expires Fe ruarY%2029 No.02MA4887346 �grtmission Exp Qualified in Nassau County Commission Expires February 23,2023 State of New York,County of Nassau as: State of New York,County of Nassau ss: ,.,L On the Z2liz day of October in the year 2020 On the 12 day of October in the year 2020 before me,the undersigned,personally appeared before me,the undersigned,personally appeared Robert S.Rountry personally known to me or proved to me on William Rountry personally known to me or proved to me the basis of satisfactory evidence to be the individual whose on the basis of satisfactory evidence to be the individual name is subscribed to the within instrument and whose name is subscribed to the within instrument and acknowledged to m� a e executed the same in acknowledged to me that he executed the same in his capacity,and that b is signature on the instrument, his capacity,and that by his . lure on the instrument, the individual,or rson upon behalf of which the the individual,or the p rson on behalf of which the the individual a ,executed the instrument. individual acted,ex to a instrument. 7N@4F1N e ice of individual taking acknowledgment) (sign re a office of individual taking acknowledgment) NRTH R MAHONKENNETH P.MAHON L�bil@ @int®At New York Notary Public,State of New York PI 0.2�(1�,49®Y348 ExNo.02MA4887346 F�1 N �t3� 2023 u Caunty Qualified in Nassau County +Garnrn�ssion y�lri@ �4 23. Commission Expires February 23,2023 BARGAIN AND SALE DEED DISTRICT: 610 WITH COVENANT AGAINST GRANTOR'S ACTS SECTION: BLOCK: 5 5 Title No. LOT: 16 COUNTY: Suffolk Robert J.Rountry; Kathleen Rountry nikla Kathleen STREET ADDRESS 515 Old Shipyard Lane Fisk; Robert S.Rountry;William Rountry TO Southold,New York William Rountry,Kathleen Fisk;Robert S.Rountry RETURN BY MAIL TO: Kenneth R Mahon,Esq. Mahon Mahon Kerins&O'Brien 254 Nassau Boulevard,S. Garden City South,NY 11530 an arFormBargain and Sale Deed,with Covenan agams Grantor's Acts—uniform c now a gmen Form 3290 INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY r/ Now York State Department of t:,.tails code � � Taxation and Finance g /� D`j Office of Real Property Tax Services C2.Dare Deed Recorded I / / RP-5217-PDF C3.Book 3 /��J C4.Page a- Real Properly Transfer Report(WO) PROPERTY INFORMATION I.Property bl O:d Shipyard Banc Location •s-Reer 4aveerl •S1.L!I N.YL Sc.L:!1,0!Ci 11971 ••:nt OR IOM vi-LADE •rJe zom 2.Buyer Rountry Wi:14arr. Nemo 'I I1ET'NNEKArpW+ 4P51 NAW_ Fa 011 IFn Ei s k XT 4.YEZNPA4r Fr:5r R.Nx •-••---- 3.Tax Indiraewhom future Tax Bills are tobesent Wi11 iam Billing if other than buyer addreastal bottom of rorml ,lg'NA4nO sPA.W =rtE7 NWE Address 35 7.awrence ALrerui a Sleepy ro_low y5' _ 1 1!51.1 s'RLLi mvam V.7N.uL C:`Od'r:WN sTATE M.car.F. e.lndleaa the number ofAssassmant (Only If Part of a Palxol)Cheek as they appy: Rall parcels transferred an the dead 1 A IK ParCBls OR ❑Part of a Parcel aA Planning Board with SubcW.sim Authority Exists In_I 6'Deed X OR 0-36 40.Subdivision Approval was Required for Transfer E]Property 'i,ird:r FEE' •CLP:I• '°CgLa Size M;.Parcel Approved for Subdivlson with Map Provided ❑ Rountry Robert J. 6.Seller •u67 h.s=/:orpm,, n-sr h.vL --- Name Rount:y Wiliam LASThtwx..W/Pa.T -_--- -ear WuF 7.Soloat the description which most accurately describes the Check the boxes below as they apply: use of the property at the time of sale: B.Ownership Type is Co-dominium ❑I_ A.One rr mlly Resilient int S.New construction on a Varam Land 0 --•^• --- 10A.Property Located vritlxn an Agricultural Dtsfdct ❑ 168.Buyer received a disclosure notice indicating that the properly is in an ❑ Agricultural District SALE INFORMATION1 15.Check one or more of these conditions as applicable to transfer. A.Sale Between Re:akves or Farmer Relatives 111.361e Contact Dste B.Sale between Role'ad Companies or Partners in Business. C One of the Buyers Is also a Sailer 10/22/2020 0 Buyer or Sailor Is Government Agency or Lending Instiltraon 12.Dols of SelartYanafat E.Deed Type not Warranty of Bargain and So%(Specify Below) F Sale of Frao3onar or Less than Fee Interest(Specify Below) i 43.Full Sale Price 0.00 G Slgnlicent Change in Property Between Tallage Status and Sale Dales I H.Sea of Business Is Included in Sale Prim I FJI Sole Price.s the total amount pall for the propeay Including personal properly. I Other Unusual Factors Affecting Sale Price(Specify Berow) This payment may be in the form of cash,other property or goods,or the assumpWn of J.Wris mortgages or other ebtigalans 1 Please round to the nearest shore dollar amount "-• Comment(s)an Condition: 14.Indicate the value of personal property Included in the sale _ _ _O .DO Subject to Life Estate ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Rol(and Tax Bill 16.Year of Assa ismer Roll from which Information takeri(YY) 23 '17.Total Assessed Value 4,200 `ie.Property Class 210 — `12.School District Nemo Spr_thn 1 d '20.Tax Map ldsetieelsyRoll Identifier(s)(If mom than four,attach sheet with additional Ide rdfieds)) G:J10 S:64 5:5 L:16 CERTIFICATION I Certify that all of the Irma of Information entered an this form am true and correct(Eo the best of my knowledge and belleq and I understand that the making of any willful raise statement of material fact heroin subject me to the provisions of the panel law relative to the making and filing of false Instruments. SELLER SIGNATURE BUYER CONTACT INFORMATION Iger idcrmaeF'ar Ire aye•.Ncle:f buyer Is LLC eoc egr euaeatim wparaaut .rr e'adl axnplr y Worm e: airy this Is rot an I•mwdaal aged or'euaa•y.:nen a nese aid grao rkerva on of an end vidra'haeannsd.Ie rorty vilm can amrwe-q.msaars regard ng the lanslo•num be weer Type In prim clearly 1 aELI:E O:NTLIIE DATE(D UYERSIGNATURE Rountry _— William � •LAsrh•":: — x5:%rime .. t ---- 1�7�•f262d (51 F) 53E-1.11 I �r.+� •IL:L'.-:la WY:Y.411..YRNew: 1 %rI7Fe BIGtiA;.:� :Int: Lawr,�nco Avenue •S'R_r:rtinsa-a 'ETgLE-N.VE r I fl mr r �S:c•_:••% Ito].1ow 14y _()b41 1 I 00YEWS ATTORNEY 1 I 1 I!a:ton Konnoth P. I I IAS-NEVE Ing%1 hAYL I 1 1 I f[`yer�I I ( 1n') 535-bili + I I11 f I �I I ARJ E :^O -LF-k lLNLYPJ+I_r NWWH If 1 �o�oSla1- C- C3Q--2- RP-5217 Addendum(Section 6-Seller Name) Rountry n/k/a Fisk,Kathleen Rountry,Robert S. ra AA 4 '.J P 83 b RP-5217 Addendum(Section 2—Buyer Name) Rountry,Robert S. MW S a Y