HomeMy WebLinkAboutL 13125 P 640 I I I I I I I l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 10/22/2021
Number of Pages : 3 At: 11 : 38 :53 AM
Receipt Number : 21-0182754
TRANSFER TAX NUMBER: 21-09351 LIBER: D00013125
PAGE : 640
District: Section: Block: Lot:
1000 086 .00 01 . 00 014 . 001
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
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 NO
Cert.Copies $0 . 00 NO RPT $200 . 00 NO
Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO
Fees Paid $390 .00
TRANSFER TAX NUMBER: 21-09351
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
4
1 2
3RECORDED
Numberof a es 2021 Oct 22 11:-',e:53 AM
UDITIf R. PASCALE
CLERK OF
Si.IFFOLK COL HTV
This document will be public L D00013125
record.Please remove all P 640
Social Security Numbers DT# 21-09351
priorto recording.
Deed/Mortgage Instrument Deed 1 MortTax Stamp Recording/Filing Stamps
31 1 FES
Page/Filing Fee P �� Mortgage Amt.
i.Basic Tax _
Handling 200. �V 00 2.i.Additional Tax _
TP-584 5 vSub Total
Notation Spec./Assit.
or
EA-5217(County) 5 Sub Total "fQV
Spec././
Add.
EA-5217(State) �� �� TOT.MTG.TAX _
R.P.T.S.A. _
Dual Town_Dual County
Held for Appointment
Comm.of Ed. S. oo 0
e � Transfer Tax / _
Affidavit � Mansion Tax
Certified Copy — The property covered by this mortgage is
NYS 1S. oo Sub Total Surcharge !� or will be improved by a one or two
�I`"Y family dwelling only.
Other __ Grand Total 390 , oQ YES or NO
GL If NO,see appropriate tax clause on l /
page# of this instrument. `S/�1 Z4
4 1 Dist. l000 21050341 l000 o8600 oioo Ol40ol 5 Community Preservation Fund
Real Property P T S Consideration Amount$
Tax Seryice R DMI A I II��I VIII PFT Du $_.
Agency 17SEP-21 ��
Verification
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address improved IF
RECORD&RETURN TO:
Attn:Abigail A.Wickham,Esq. Vacant Land
Wickham,Bressler&Geasa,PC
D
P.O.Box 1424
attituck,NY 11952 D
D
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead,NY11go1 Co.Name \ l�
www.suffolkcountyny.gov/clerk Title#
B Suffolk County Recording & Endorsern ri_ Page
This page forms part of the attached Bargain and Sale Deed with Covenant made
by. (SPECIFY TYPE OF INSTRUMENT)
PATRICK MIZRAHI The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
PROVENCE CHEZ PATRICK LLC In the VILLAGE
OrHAMLETof Peconic
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
standprd N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
Form 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the �Ill day of May,2021
BETWEEN
PATRICK MIZRAHI,residing at 173 E. Broadway,Apt.#613, New York, New York 10002, party of the
first part;and
PROVENCE CHEZ PATRICK LLC,a New York Limited Liability Company with offices at 173 E.
Broadway,Apt.#613, New York, New York 10002, party of the second part,
WITNESSETH,that the party of the first part, in consideration of Ten and 00/100--($10.00)--Dollars, and
other good and 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-Town of Southold, at Peconic, County of Suffolk and State of New York,
know and designated as Lot 1 on a certain map entitled"Map of Land Division of the Estate of Skwara"
filed 2/17/2015 in the Office of the Clerk of the County of Suffolk as Map#11985, bounded and described
as follows:
BEGINNING at a point on the northeasterly side of Wells Road,said point being at the division between
Lots 1 and 2 as shown on the above described map where same intersects the northeasterly side of Wells
Road;
RUNNING THENCE along the northeasterly side of Wells Road, North 59 degrees 45 minutes 30 seconds
West,259.86 feet to land now or formerly of Peconic Land Trust;
RUNNING THENCE along the last mentioned lands the following three(3)courses and distances:
1. North 30 degrees 14 minutes 30 seconds East, 175 feet;
2. South 59 degrees 45 minutes 30 seconds East,74.93 feet;
3. North 65 degrees 47 minutes 40 seconds East,69.81 feet to the division between Lots 1 and 2;
THENCE the following two(2)courses and distances along the division between Lots 1 and 2 on the
above described map:
1. South 09 degrees 14 minutes 07 seconds East, 141.83 feet;
2. South 10 degrees 37 minutes 28 seconds West, 129.86 feet to the point or place of BEGINNING.
Being and intended to be the same premises conveyed to the party of the first part herein by deed dated
August 20,2019, recorded August 29,2019 in Liber 13026 at page 373.
Said premises being known as 3960 Wells Road, Peconic, New York 11958.
SCTM#: 1000-086.00-01.00-014.001
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 as my executed this deed the day and year first
above written.
IN PRESENCE OF: '� GCJ/(`J
Patri izrahi
(/deedMizrahitoLLC �.
j r
BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN New York STATE
State of New York,County of New York,ss: State of New York,County of Suffolk, ss:
On the�Ist-day of May, in the year 2021 On the day of ,in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
PATRICK MIZRAHI
personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s)whose name(s) is satisfactory evidence to be the individual(s)whose name(s) is
(are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to
me that helshe/they executed the same in his/her/their me 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
instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which
the individual(s)acted,executed the instrument. the individual(s)acted,executed the instrument.
Y>f'\ti
(signature ande gm nt) (signature and office of individual taking acknowledgment)
o i e f'
Notary Public sAjmA NANEEF Notary Public
Notary Public-State of New York
N0.01NA11101"
w York Count 2023
qualified in Ne fres May 16,
Ny Comm ssion Lxp
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of , County 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 he/she/they executed the same in his/her/their capacity(ies),and
that by his/her/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 acknowledgement)
Notary Public
BARGAIN AND SALE DEED SECTION 086.00
WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 01.00
Title No. LOT 014.001
PATRICK MIZRAHI DISTRICT 1000
TO
PROVENCE CHEZ PATRICK LLC
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
INSTRUCTIOi:S(RP5217-PDF-INS}:www.orps.statemy.us
rOR COUNTY USE ONLY New Yank State DepaRtnertt of
C1.sets code �Z22,yO lS Taxation and Finance
C2.Date Dead Recorded d'J • a/ I Office of Real Property Tax Services
Y°"° Dsr T"' RP—5217-PDF
CS.BookC4.Page Real Properly Transfer Report(8110)
PROPERTY INFORMATION :
1.Property 3960 wells Read
Location
•SIN9_I NUYNLN •AI4Esi NAYF
Southold Peconic 119 8
•Cllr Crt'oLTn VILFOL •ae GOCG
2•Buyer Provence Chez Patrick LLC t
Noma •Lhy.N/,YE1cuYFMH F NST YALE
WThA1E1Ga/PANY 'aa:NWF
3.Tax Indicate where Mum Tau Bills are to be sem _
Billing 0 other than buyer addresM,m oomin of farm) LAMhAYF:.crrWr i FFJ:NATE
Address
STREET IFUMI E5 Aho NAYS CITY OR Tom GTA:e rF CODE
1.Indkah the number at Assessment 1Pan Of e Penal (Only H Pmt of a Parcel)Check as they apply:
Roll parole transferred on the dead e d Paraals OR [:] ❑
IRA.Planning Board with Subdivision Authority ciders
5.Deed \ OR 0.92 sa.Subdivision Approval was Required for Transfer ❑
Properly •FRONT FEET 'DFTH 'A^AES
Stra sC.Parcel Approved for Subdivision with Mop Provided ❑
Mizrah1' Patrick
6.seller .WNAYERdFAW FIRST NAS
Name
W:NWFJL17YUMIT F W YANF
•7.Select the description which most accurately describes the Check the boxes below se they,apply
on of the property at On time of sale: 8.Ownership Type is Condor inium ❑
A,One ram ily Residential e.Now Consbucactt on a vacant Land ❑
10A.Property Located within an Agricultural District ❑
100.Buyer received a disclosure notice indicating that the properly is in an ❑
Agricultural District
SALE INFORMATION 16.Check one or mote of clues conditions u oppticolde to transfer:
A.Sale Between Relatives or Folmar Relatives
11.Sale Contract Dow ------------- B.Sale between Related Compania or Partners in Business
C.One of the Buyers Is also a Sailer
12.Data of Salerrransfer 05121/2021 D.Buyer or Seller is Govemmsrtt Agency or Lancing Institution
P
vE.Deed Type not Warrmdy or Bargain and Said(Specify Bebe)
F.Sale of Fractional or Lass then.Fee Interest(Speafy Below)
Full Sale Price U.(IU .bgnfiaa: Change ir,Property eanYee
.I Taxable Stanus and tole Dates
H.Sale or Business 1s Included In Sale Price
r Fun Sole Price is the total amount paid for the property including personal property. X I.Other Unusual Factors AOacting Selo Price(Specify Below)
This payment may be in the form or cash,other properly,or goods,or am assumption or J.None
mortgages or other obligations)Pkwy round to the newast whole dollar amount.
CemmeM(o)on CondNlon:
16.Indicate evalwoipe�
properal
(H) Transfer to Seller's LLC
Properly Included In Use side
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessm erd Rall and Tax Bill
16.You of Assessmand Roll from which Information temn(YY) 2C '17.Total Assessed Value 10,200
I
'18.IS openy Class 210 _ •It.School District Name Southold
•20.Tax Map ldmdf dsyRog MentiRMs)protons than four,attach sleet with addafoml ldeMMe4611 i
1000-086.00-01.00-014.001
CERTIFICATION
1 Csrtfly thatall of the lowis of l he ation enured on this form am trim and correct(to the best of my knowledge and bod"and I understand that the making of any willful
false o mels of material fact herein subject me to theiteldslone of this nihil Is reletiva to the making and f llno of false Instruments.
r
BUYER CONTACT INFORMATION
IE er itythi Isnot fatlmtiyl sgenlr. tikicivya LLC.a AN"aeraWad.comoaioan tons awGk dM&M11pq=8MSold.or
away man h INN an 5dmdual apaN aaAdry,alert a name sat ldl'Jltl Maimatlun Of an nerviawwsepenabw
Pilo'VAw on woner emotions egamtirr e6 tramfo must be aeNed.Two Partin FlaaAr.)
Y �L �l zra i EM-E 1
Y_zrahi PaLrdck.
BUYER SIGNATURE
.W'NWF -11151 hWE
Pr v hez ric' G ,/
B J O�24 WE,Co. 'rELEPrICV.Y1rYD:HIFr 5569791
Pa i1'CT M7zrahi, M b o 173 E. Broadway Apr. 63
'STREETWAINFR •STRFET NAE
' New York NY 10002
'CnYoP'aaY 'STA•E •JP 0"
BUYER'S ATTORNEY
Wickham Abigail A.
.AST NAVE FIN51 YAMS
i (631) 298-8353
AREAC7a. IFLEPIANEr JYNERILa WMM:
1
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