HomeMy WebLinkAboutL 13123 P 623 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 10/08/2021
Number of Pages: 4 At: 04 :19:24 PM
Receipt Number : 21-0176375
TRANSFER TAX NUMBER: 21-07604 LIBER: D00013123
PAGE : 623
District: Section: Block: Lot:
1000 126 . 00 09 . 00 025 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $425, 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
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 $5,500 .00 NO
Fees Paid $5, 895 .00
TRANSFER TAX NUMBER: 21-07604
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 , f 1 2� I _ f
u
1
Number of pages
RECORDED
2021 Oct CIS 04,19: :4 PN
This document will be public JUDITH G. PNSCRLE
record. Please remove all CLERK OF
SUFFOLK: COUNTY
Social Security Numbers L LD00013127,
prior to recording. P E:23
CST# 21-07604
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES a/D
Page/Filing Fee
lo,00 Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
EA-52 17(County) S,pc� SubTotal 5o r 00 or
7 Spec./Add.
EA-5217(State) °f 5 106 TOT.MTG.TAX
R.P.T.S.A. Dual Town Dual County
Held forAppointment
Comm.of Ed. 5. 00 Transfer Tax �JLQ OCLL�-�
n
Affidavit + + Mansion Tax N
CertifieclCopy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 345,60 family dwelling only.
Sub Total YES orNO
Other 60
Grand Total If NO, see appropriate tax clause on
page# ofthis instrument.
4 Dist. • 21041589 1000 12600 0900 025000 100 5 Community Preservation Fund
Real Proper T Consideration Amount�
Tax Agency 30-JULY III0IIIlI�I�II®I��I�III�fI� CPF Tax Due $ 0 QQ
� � 5,5 v
Verificatioi
.LT n Improved
Satisfactions/Discharges Releases List ProppertyOwners Mailing Address (�
6 R CORD&RETURNTO: Vacant Land
William C. Goggins, Esq. /O
13235 Main Street TO
PO Box 65
Mattituck NY 11952 TD
TD
Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Hamlet Title Agency,Inc.
www.suffolkcountyny.gov/clerk
Title# HTA-7435-S
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
Sofa ft / by: (SPECIFY TYPE OF INSTRUMENT)
Susan Lopez The premises herein is situated in
SUFFOLK COUNTY,NEW YORK. II
TO In the TOWN of _� SoLA-ko l�
Kim Ann Ulmet In the VILLAGE
or HAMLET of 6f894 '
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIORTO RECORDING OR FILING.
over
i
BARGAIN AND SALE DEED with Covenant against Grantor's Acts
THIS INDENTURE, made the 141h day of July, 2021 BETWEEN
SUSAN FOV (formerly known as SUSAN LOPEZ), residing at 2961 Chinook
Trail, Wonalancet, N11 03891, party of the first part and
KIM . ULMET , residing at A.J. Masters Road, Laurel,
NY 11948, 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 attached schedule "A")
Being the same premises described in the deed to the parties of the first part herein
dated 11/08/2013 recorded 12/2/2013 in Liber 12754 Page 590 in the Office of the
County Clerk, County of Suffolk, State of New York.
Suffolk County Tax 91000-126.00-09.00-025.000
TOGETHER with all right, title and interest, if any, of the party of the first part
of, 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
whatsoever, 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 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.
Old Republic Title jnsurance Company
Title Number: HTA-7435-S
Page 1
SCHEDULE A DESCRIPTION
ALL that certain plot, piece or parcel of land, situate, lying and being at Laurel, Town of
Southold, County of Suffolk, State of New York, known and described as Lot#3 and the
Easterly one-half of Lot #2 on "Map of property of Dan J. Stack at Laurel, L.I., New York,
made by Daniel R. Young, P.E. & L.S., dated July 2"d, 1926, duly filed in the Office of the
Clerk of Suffolk County as Map No. 815 on July 301h, 1926".
TOGETHER with Right of Way's as set forth in Liber 2422 page 189, Liber 1127 page 173,
Liber 1184 page 576 and in Liber 11716 page 738.
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IN WITNESS WHEREOF, the party of the first part has duly executed this deed
the day and year first above written.
IN PRESENCE OF:
SJ-0 U j
74N FOY (former knowns USAN LOPEZ
STATE OF NEW YORK )
): 55
COUNTY OF SUFFOLK )
On the�t day of July, 021 before me, the undersigned, personally appeared
SUSAN FOY, rsonalry 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), that by his/her/their signature(s) on the instrument, the individual(s), or the
person upon behalf of hich the individual acted, executed the instrument.
Notary Public
MICHAEL HARRISON
(VOTARY PUBLIC,STATE OF NEW YORK
Registration No. 01 KA5025220
C�ualifred in Suffolk County
Commission Expires March 21,20'Z Z
INSTRUCTIONS(FiP-5217-PDF-INS):www.orps.statemy.us
FOR COUNTY USE ONLY �� New York State Department of
Ci.SWIS Code � Taxation and Finance
C2.Date Dead Recorded �� Office of Reel Property Tax Services
Lq
M ft ••- RP-5217-PDF
C9.gook 1 C4.Pago Real Property Transfer Report(8110)
PROPERTY INFORMATION
1.Property 8175 yr ` A �•3,5C� Great i'ecor,ic Way Blvd.
Location 1 -
'SINXFT hIIABFe •e1NEE1 1dMC
Na_tituck '.:952
•p1Y Olt 7arlY VrJADL •i-Cour
2.Buyer _.
memo •LAST ljawjcw-aM Hk$T NAME
I
Ulrnet Kim Ann
IAST NANmJCa11pAYT FwtST AAw
S.Tet Indcala where future Tax Bills are to be sem
Billing It other than buyer address(st bottom of form) L"I HAMCICOAWAN'r tnST hAur
Address — —
STRCL I MAeEa AND NAME o"m lo— STATr AprAw..
4.Indices the number of Assessment 1 Pan of a Parcel IOny M Part of a Parcel)Cheok se they appy:
Roll parents transferred an We dead _9 of Pauls OR 4A,panning Board with Subdivision Authority Exists
5.Dead X Olt 0.22 46.Subdivision Approval was Required for Transfer
Property 'FNOAT w. 'DE-IH 'ACRES
( Sim 4C.Parcel Approved for Subdivision with Map Provided
I
LoP—Z ' � Susan
• 6.Seller LAgT l%WFA OMT'ANT I IlesI AJuW=
mems _
rimer NAME
MST HALOCCAPANV
•7.Select the dmwAption which most accurately describes the Check the boxes below■e they appy:
use of the property at the them of maim: a.Ownership Type Is Condominium
L New Construction on a Vacant Land
A.One Fancily Kesidential
I 100.Property Located xnlhln on Agricultural District
10B.Buyer mceived a dlsclesure notice indlrating that the propedy is in an
Agdculturel District
SALE INFORMATION 15.Check one or mom of them rwndklone as applicable to transfer.
A.Selo Between Relatives or Forma Ratalvas
11.Sale Contract aero
6/4/2021 B.Sale between Related Companies or Partners In Business.
— C One of the Buyers is also a Seller
7/14/2021 D.Buyer or Sailor Is Government Agency or Lending Institution
12.Date of SdertYansfer E.Dead Type not Wanunty or Bargain and Sale ISpeoy,Below)
F.Sale of Fractionalor Less than FEES Irstim I(SpecifyBebw)
•1S.Full Sob Price 42.5000 .00 G Significant Change in Property Between Taxable Status and Sale Dates
H.Sale of Business Is Included in Sale Priya
(Fut Sale Price Is the total amount paid for the property including personal property. I Olhar Unuied Factors Affecting Sale Price(Specify Below)
The payment may be in ger form of cash,other property or goods.or the assumption of X•t Nona
mortgages ordher obligations.)Plaasa round fo the namosf whole doaeramount
• Comment(s)on Condition,
14.Indicate the value of personal 0 ,00
property Included In the Sale
ASSESSMENT INFORMATION-Data should reflod the latest Final Assessment Rall and Tax Bill
fe.Year of Assessment Roll from which Information taken(YY) 20 M7.Total Assessed Value 3500
`t 9.Propery Clew 2:0 _ 019.School District Name MaLL.ti LUCk–Cutchogue
120.Tat Mop ldentiRer(myRoll Idmdlflm(a)IN more than fair,anach shad wNh additional Idantlfier(s))
imU 'OCA Oct-oce - -- (-��6• 000
CERTIFICATION
I Catty that all of the Mems of t me entered on this form are true and correct(to the best of my knowledge and belle()and I understand that the making of any willful
false■tete r of material last u s )M me to the.arAKhelons of the.penaUser relative to the making and filing at false Instruments.
S lGNATURE BUYER CONTACT INFORMATION
(Lnta Ildolmsllan ter the buysa lusoc
.Nate yw Is LLC. mymwT
. soriston, ps elan.Tonal ll.wy awe a
rill SRI k hal not an eMameat orn
NdudAry.than■rmm and caNad INIarm ton of an IntlMw
Dimly duraemsGre iry mero who n sewer ques➢ereganang fano sunder mud be anamd Type a prim clearly.)--
iJinl2t
�U1(E GN
L--,o-if
LAsTMIWL NEW NAME
,7 I •AVArAaE 'TCLe•..MLMMKv car eSWrTe)
btlYEt SIDYAI UNE :MTI
$TwrrT wMeaw 'RTm'rTMla-
_ ,M, Lk- t 1 53.
Yarvnn TONE: 'STATE 'rW OWL
EU-YER'S ATTORNEY.
Coggins Wi.Iiam C.
'As'
NAME f1e$T NA11E
6:i. 7.9858:8
ARG 0001 111E-XONE WMM:w a.••erAeeeel •.. .
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