HomeMy WebLinkAboutL 13124 P 492 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 10/15/2021
Number of Pages: 4 At: 8 :45 : 15 PM
Receipt Number: 21-0179959 *ELECTRONICALLY RECORDED*
Transfer Tax Number: 21-08358
LIBER: D00013124
PAGE: 492
District: Section: Block: Lot:
1000 078 .00 05.00 006.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount $800,000 . 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 $13,000 . 00 NO
Transfer Tax $0 . 00 NO
Transfer Tax Number: 21-08358 Fees Paid $13,395. 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 10/15/2021 8:45:15 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013124
Social Security Numbers P 492
prior to recording. 21-08358
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
Real Property
27447724 1000-078.00-05.00-006.000 Consideration Amount $8 0 0,0 0 0.0 0
Tax Service r s
Agency �s 7i�2�i7A CPF Tax Due $
13,000.00
Verification
Improved X
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Fidelity National Title - Riverhead, NY TD 10
24 Ccomerce Drive
Riverhead 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 DL® 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
Ilasy
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 18th day of June 2021
BETWEEN
Scott Kay 2001 Irrevocable Family Trust, Regina Heyward, trustee, (f/k/a Reginia Kay); 95 Elizabeth Lane
a/k/a 6280 Main Bayview Road,Southold,NY 11971
Party of the first part and
��wrFE•1445614160Shelia H Fay and Lawrence D.Fay,�both residing at 265 Riverside Drive,Apt. 11 D New York,NY 10025
party of the second part,
WITNESSETH, that the party of the first part, in consideration of Eight Hundred Thousand dollars
($800,000.00)and other 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 at Town of Southold,County of Suffolk and state of New York,more particularly bounded and
described in the annexed Schedule A.
Being and intended to be the same premises conveyed to the parties of the first part
herein by deed made by Joyce E. Nilsen, A Trustee of the Nelson Southold Residence
Trust dated March 10, 2012 as to a 2/3 undivided interest and Joyce E. Nilsen as
Trustee of the Joyce E. Nilsen Revocable trust dated May 26, 2011, as to a 1/3
undivided interest dated June 13, 2017 recorded August 10, 2017 in Suffolk County
Clerk's Office in Liber 12924 page 337.
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 ex is d the d and year first above
written.
IN PRESENCE OF:
Regina H rd;T
Sca Yam i Lruaoenh�. Fes' '�
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment
FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO.7404.011284
SCHEDULE A-1
(Description of the Land)
For Tax Map ID{sl: 1000-078.00-05.00-006.000
ALL that certain plot,piece or parcel of land,situate,lying and being at Bayview,Town of Southold,County of Suffolk and
State of New York,bounded and described as follows:
BEGINNING at a point on the southwesterly side of Main Bayview Road where the same is intersected by the
southeasterly side of land now or formerly of William Zukas;
RUNNING THENCE from said point of beginning along the southwesterly side of Main Bayview Road,South 59 degrees
01 minutes 00 seconds East,63.68 feet;
RUNNING THENCE South 25 degrees 16 minutes 10 seconds West,233.23 feet;
RUNNING THENCE North 43 degrees 21 minutes 10 seconds West,146.33 feet to land now or formerly of William Zukas;
RUNNING THENCE along last mentioned land, North 46 degrees 38 minutes 50 seconds East, 200.00 feet to the
southwesterly side of Main Bayview Road,at the point or place of BEGINNING.
THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the
premises which by law constitute real property.
FOR CONVEYANCING ONLY: Together with all the right,title and interest of the party of the first part, of in and to the
land lying in the street in front of and adjoining said premises.
END OF SCHEDULE A
commitment for Title Insurance Pnntetl:04.30.21®04:15 PM
Schedule A-1 Description NY-FT-FRVH-01030.431004•SPS-1.21-7404-011284
TO BE USED ONLY WHEN TH&ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County ofO I as: State of New York,County of ss:
On the(qday of J*%the year Z o,Ll On the day of in the year
before me the undersigned,personally appeared I'tV1111 before me,the undersigned,personally appeared
Reiwrrd fi personally known to me or proved to me on the
r basis of satisfactory evidence to be the individual(s) whose personally known to me or proved to me on the basis of
name(s) is (are) subscribed to the within instrument and satisfactory evidence to be the individual(s)whose name(s)is
acknowledged to me that he/she/they executed the same in (are)subscribed to the within instrument and acknowledged to
his/Wr/their capacity(ies),and that by his/her/their signature(s) me that he/she/they executed the same in his/her/their
on the instrument,the individual(s),or the person upon behalf of capacty(ies), and that by his/her/their signature(s) on the
which the individual( acted,a eked the instrument. instrument,the individual(s),or the person upon behalf of which
G/�/ r(U)XCJ aJ the individual(s)acted,executed the instrument.
(signature and office of individual taking admowl@dgmer�t)
ERIC LLOYD DANTES -f1 t�� 0 (signature and office of individual taking acknowledgment)
No"Publkk State of New York
No.02DA6242352
awlifled In 8uRolk County
-40MMM ion Bob"Dina 20.1)
TO BE USED ONLYWHEN THE DGM T 15 MADE OUTSIDE NEW YORKAT
State(or District of Columbia,Territory,or Foreign Country)of as:
On the day of in the year 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/herAheir capacity(ies),and
that by hiwber/their 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)
State and County Notary Public Oualfied in
Date Commission Expires
Notary Public Number
BARGAIN AND SALE DEED SECTION 78
NTH COVENANT AGAINST GRANTOR'S ACTS BLOCK 5
LOT 6
Title No. COUNTY OR TOWN Suffolk Country/Southold
STREET ADDRESS 6280 Main Bayview Road
TO
RETURN BY MAIL TO:
Daniel Ross Esq.
315 Westphalia,Avenue
Mattituck,NY 11952
FDR COUNTY USE ONLY f 4tir."LtV31 i CYi Im r I3 flint FL—W
Cl- SWIS Cade 14 . 7 . 3 . 8 . 8 . 9 I Office of Rea$Property Tax Services
C2_ Date heed Recorded 1 10 / 15 20211 RP- 5217-PDF
Mmth Day rear Real Property Transfer Report{817 0)
C3_ Book 11,3,1 ,2, 41 C4_ Page I r .4 . 9r 2 1
PROPERTY INFORMATION I Mehl Dayv.tew Roa C1
r"v.war.un
"sTrt�r ram •sTr♦e>wr xAMe
5ax..tGhaJ.d
•CrrYcR TOWN rxx.+oE i1p coma
2.Buyer Fay Shei±a
Name
•uar rilµW-MIZ�WA1v!' FWsT raw
Fay Lawrence 4
E.iGf 1YAA/E CAtlp.F1'E�' MkWr NARF.
3.Tax tndicate whore future Tax B€es are to be sent
Ruling ff other Man buyer addrees(al bottorn of four+) L&S-T AWWP nr >=nxs #"W
Address
STREET NE3MDM A D NAME env og TOS 9ThtE YfP COOS
A.Indk4ft the number of Assessment 1 Paroolls OR Part art a Parcel (lily If Part of a Parcel Chock ars they appy-.
Roll parcels tmmfw~oa the deed °f
iA.Planning 13paTd with SuldeNlr>?ion Authority F_xists
[7R
0.50
propertyYriga'r•war 46.Subdivision Approval was Required for Transter
• •e�artr -Acrahs
'alms
#C•C>arcgi Approved for SutxdlrlsWn wiUt lanae Yrarilfad
Heyward no, Ino,XOX4 Regina, Trx-isteP
S.Seller •LAST KOJAMPeOMPANY
Hama Psleer N►a,1s��
usr nuu�.r..orapurr .,erK"fl.]____ - _
"7.Select the dsacrlptkm which rnoert uril.1 deer w1bes the Check the tronas below as they appy.
use of the property et the time of sale: $,OwneraMp Type its CorWominiurn
A. One Family Residential I.Now Coostnrcbon on a Vacant rand
I(W Property Located within an Agricuilurai Msh-k-t
SGB.Buyer received a disclosure notice indlGsting that the property Is in an
Agnoulturai District
SALE INFORMATION1 78.Check an*or ox"of these condMons as applic0b"to UWMfer:
46/1.46/2021 A Sale Between Relatives or Former Re(eSves
71_Sale Contract Claw 8.Sale between Related Companies or Par&mm in ausiness.
Fi i 1 12 21 C.One of the Buyers is also a Seiler
112.Clayte of 8ataerTrasr►a#er ❑.Buyer or Seller is Gova movant Agency or Lending institution
E.Dead Type not Warnway or Bargain and Sale(Specady Bel)w)
c F.Sale of Fracbomar or loss than Fee kroereal.(Specify Below)
*M pull sate Price .(X) G.SignMeant Change in Property Between Taxable Status and Sale pates
.._..m._......_....._.._m__._ Ii,Sale of Business is Included In Sale"m
[Fu€l Sale Price is the total amount Paid W Via property ineWing fel properly, LOther Unusual Factors A Hng Sale Price(Specify Below)
Tl-"Tpa"10M may be in the form of casts,other Perry,or gocos,pr the asaun4y&m of x S.None
mortgages or other 0014 bins.)P round W,Sha naare®f wtmOa dogar mnraunt.
comffomnt(sl on Crfnd�Sare:
14.Indleate the raluo or personal .t3(3
property Included in the saki
ASSESSMENT INFORMATION- Vats should reflect the Latest Final Assessment Roll and Tax Bill
16.Year of Rssesernerd Roll from which Ikon takeen(YY).Q 0 177_Total Assessed Yslae
't$.Property Cissa Q_ " '78.Scftoef olebiat 01404 a
'20.Tax Map ldonpfder(s)lRoll ldentllfer(s)(if mom them four,attach sheet with addittonal idommee'(s))
102fo— —vi.J-5'—
CERTIF CA _
l Certify that of the Items n aretBred ort this foatrl ars true tend earreet{Lp the ifest my ienowled a and be0efrty)end I underetewd that the nsakbng of arr8ffsel
faelae utt wltheGt lade>d thle dllS'r►rhRldNiEtF.. perraf lasrr re3adsra W tits makutg and fllisdg of false insbmments.
i $SICiNATUFtE R DiITACT IIdF� �[
(EMw ii 9m ar;en nor the duyw.Nato:g buyw€a LLC,society,ao—Kx Hen,eapormui ,loitt swck ray p",®mole or
entky that m not an ind-i it at agaril a fxkaa�wry,then a nam&arlyd OmAam iroorumtion of an hdrvia�eaVr railvfe
P"who can answer yuaationa*eamd"V to tarmler mase be omkwob.Vy"er pom may.)
S6.ti-rc suaWAW no't'e
Fa y Lawr e n C,5
] •LAST raid- V?R$t WAW.
^AREAn xx •tFIL'FICf MANOW oz*WROW o)
R Sefgra4
265 Rive•=rsicle Dx-ive, Apt. 11D
PAT"
•$'r1aL•.B'F rr' Ft •STREET MATE
f 1 New York NY 103025
a 'Jry OR TOWN ' ATE -ZIP oom
r�
RUXERWAT-TORNME
R08S blamer
cweT rrAwep rum tNark
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