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Home My WebLink AboutL 13131 P 438 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 11/26/2021 Number of Pages: 4 At: 7 :36 :24 PM Receipt Number: 21-0203113 *ELECTRONICALLY RECORDED* Transfer Tax Number: 21-14325 LIBER: D00013131 PAGE: 438 District: Section: Block: Lot: 1000 054 .00 03.00 021 .002 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $925,000 . 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 $15,500 . 00 NO Transfer Tax $3,700 . 00 NO Transfer Tax Number: 21-14325 Fees Paid $19,595. 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 11/26/2021 7:36:24 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013131 Social Security Numbers P 438 prior to recording. 21-14325 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 3,700.00 ' _� 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 2105T542 1000-064.00-03.00-021.002 Consideration Amount $92 5,0 0 0.0 0 Tax Service P r s Agency €t PAK n CPF Tax Due $ 15,500.00 g }' Verification 74725f2[727 Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Hamlet Title Agency Inc TD 10 601 Portion Rd Ste 207 Lake Ronkonkoma NY 11779 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 ADMINISTRATOR'S DEED FORM 8005-B CAUTION:CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT.THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. T74 THIS INDENTURE,made the �.� day of June,2021,between Mariam Verveniotis, a/k/a Miriam Verveniotis, as administrator of the Estate of Eliseos C.Verveniotis, late of 4650 Hortons Lane, Southold, New York 11791 who died intestate on the Fifteenth day of October,Two Thousand Twelve, party of the first part,and AS Tfr1 Frnl'� /A) C"Ovnm o d Kim Randall and Kim Tetrault, ,of 4650 Hortons Lane,Southold,New York 11791, party of the second part, WITNESSETH,that whereas letters of administration were issued to the party of the first part by the Surrogate's Court, Suffolk County,New York on January 22,2013, and by virtue of the power and authority given by Article 11 of the Estates,Powers and Trusts Law,and in consideration of$925,000.00, 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 Town of Southold, County of Suffolk, State of New York,more particularly described in Schedule A attached hereto; SAID PREMISES BEING KNOWN AS AND BY 4650 Hortons Lane,Southold,New York 11791 BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated June 11,2020 and recorded on September 9,2020,at the Suffolk County Clerk's Office of the State St{.C"Jp of New York,Liber No. 13070,Page No.349. 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 th--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 fust part has or has power to convey or dispose of,whether individually,or otherwise, TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the distributes 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. Subject to the trust fund provisions of section thirteen of the Lien Law. 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. Estate of Elis}eros C.Verveniotis / Lig! !AV VP�f\IPniAs Q&lA Arl,U�IE�I leryeX)f,9- / 5 Mariam Verveniotis a/k/a Miriam Verveniotis,Administrator District: 1000,Section:054.00,Block:03.00,Lot:021.002 NYSBA's Residential Real Estate Fortes(9{2000) -1- 0 2021 Matthew Bender&Company,Inc.,a member of LexisNexis. First American Title Insurance Company SCHEDULE A DESCRIPTION OF PREMISES Title No. ' HTA-6987-S Policy No. 5011436-0242365e 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,bounded and described as follows: BEGINNING at a point on the Northeasterly side of Horton Lane distant 340.43 feet Northwesterly from the corner formed by the intersection of the Northeasterly side of Horton Lane with the Northwesterly side of Old North Road; RUNNING THENCE along the Northeasterly side of Horton Lane the following two(2)courses and distances: 1. North 37 degrees 02 minutes 10 seconds West, 143.76 feet; 2. North 42 degrees 22 minutes 00 seconds West, 161.24 feet; THENCE North 44 degrees 01 minute 10 seconds East,428.75; THENCE South 43 degrees 32 minutes 00 seconds East, 303.21 feet; THENCE South 44 degrees 01 minute 10 seconds West,448.32 feet to the Northeasterly side of Horton Lane at the point or place of BEGINNING. SCHEDULE A AAMA 2006 OWNERS POLICY Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK ) )ss.: COUNTY OF SUFFOLK ) On the �� day of ��/1C in the year �Z/ , before me,the undersigned, personally appeared Mariam Verveniotis a/k/a Miriam Verveniotis, 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 pets u o behalf of which the individual(s)acted,executed the instrument. (sign an office of individu9 taking acknowledgment) GEORGE—IM HERRMANN Notary Public,State of New York Reg.No.01F;E6298411 Qualrhed in Su'Vk County CAmrrkssi Ex,ir&s 117 Administrator's Deed Title No.HTA-6987-S District 1000 Section 054.00 Mariam Verveniotis,a/k/a Miriam Block 03.00 Verveniotis,as Administrator of the Lot 021.002 Estate of Eliseos C.Verveniotis County or Town Suffolk,Southold To Street Address 4650 Hortons Lane Kim Randall and Kim Tetrault, Southold,New York 11971 husband and wife Return By Mail To: David Jannuzzi,Esq. Law Office of David Jude Jannuzzi 13235 Main Road,P.O.Box 1672 Mattituck,New York 11952 Reserve This Space For Use Of Recording Office District:1000,Section:054.00,Block:03.00,Lot:021.002 NYSBA's Residential Real Estate Forms(9/2000) -2- 0 2021 Matthew Bender&Company,Inc.,a member of LexisNexis. FOR COUNTY USE ONLY C1- SWIS Cade 14 F 7 F 3 F 8 F 8 F 9 l F-INS):vvvvtv.orpg.&tara.ny.us 11 z 6 z O z l 1 lifers Y*M State q�nent of C2• nate need Recorded I Taxation and Finance Month Day Year Office of Real Property Tax Services C3_ Dock 1�,3, ,3, ]_1 C4_ Page 1 , ,4 , 3, S 1 FLP- 5217-PDF PROPERTY INFORMATION I Rear Property Transfer Report(W10) I PROPERTY INFORMATION 1.Property 4550 1- ortons Large Location STREET NUMER •STREET NAME Southold Southold 11971 ......._c ry rawv............... vFti�.a .-..._............................................ -xw Coos Z.Buyer Name Randall Kiln 'LAST PE4ATtctCg0.4PANY F3R3T r1RAaE Tetrault Kim FAST tt EXOMPA RAST NAME fffffffffffffffffffff 3.Tax €nd€eate where future Tax Gifts are to be sent Billing A other than d buyer adress at bottom oCiesFFRSF Address Y S( bf form) LA.a'r ttA1rlE,r_'Oi.IPAMr P&+hSE .,.W...................... aTRrcFT rWMlri ATFF]NAh1e CnY OR TOLVlf 8TATfi ZAP CODE 4.Indicate the number of Apsessme3nt 1 9 of Parcels OR F-1Partof a Parcel (Only if Part of a Parcel)Check as they apply- Roil pa mets transferred on tha dsed 4A.Planming Soarcl with Sutldi S-Eon Authority Exists S-need X OR 3.02 48.Subdivision Approval was Required for Transfer ]� Property •FRONT PPMT •❑EAFH 'ACfiF=.B Size 40.Parcel Approved for Subdivision with Map Provided Estate of Eliseos C.Veryenlotis Mariam Ver'yeniotis a/k/a Miriam Veryeniobs Administrator S.Seller .r ST NA COMPANY FF12ST 11RAlE Name LAST NA PjcOMAAdr'r FFFi3T a"o *T•Select the description which most accurately des does the Check the boxes below as they apply- use of the property at the tkne of sate: S.Ownership Type is Condominium ] A.One Family lir Residential S.New Construction on a vacant Land 1sA.Property Located wHhIn an Agricukural District 100( Buyer received a disclosure notice irsdicatlng that the property Is in an ❑ Agricultural District SALE INFORMATION 1S.Check one or more of these Gond kions as applicable to transfer. A Sale Between Relatives or Formes Relatives S-Sale between Related Companies or Partners in Business. 11.sale contract nate Decembery3./-��.f3zfl C-One or then Buyers is also a seller r7r t 12.Date of Sa lel7Ya nater �/j f -C, GVz � D-Buyer or Seiler is Government Agency or Lending Institution X E.Dead Type not Warranty or Bargain and Sale(Specify Below) F.Sale of Fractiona€or Less than Fee Interest(Specify Below) •13.Full$ate Price $925,_]()0)00 G_Significant C hanga in Property Between Taxable Status and Sale Elates . ........ ... H-Sale of Business is inctuded in Sale Price [ Full Sale Price is the tots€amount paid for the property inctudbrg personal property_ I. Other Onusual Factors Affecting Sale Price(Specify Below) This payment may be in the form of cash,other property or goods,or the nssumptlort of J.None mortgages or other obtigagons,)Please round to the nearest whale"lar amount. Commonl(s)on Condition: Td.1nd€cate the val ue of personal property included in the Sale X0.00 Administrator Deed _.�...- _-....-..._-_-......_.._._................._........_-------_---------------_-_-__-_-__-_-__-_-__-_-__-_----------------- ASSESSMENT INFORMATION-r]ata should reflect the latest Final Assessment Roil and Tax Bili 15.Year of Assessment Roll from which information takan(YY) 21 '17.Total Assessed Value 8,200 •18_Property Class ________-. ...... 1 0 — _m_._._..___-- •1s.School District Name 06-Southold'2i1.Tax Map Edentifrer(syRoll ide:ntiffer(s)(lf more than four,attach sheet w kh additional identiffer(m)) 1000-054.00-03,00-021.002 CER-TIFfCATIONJ E Certify that all of the sterna of information entered on this loan are true and correct(to the best of my knowledge and belief)and I understand that the making of any willful farse statement of material fact herein subject me tothe ytfj�ytgiq to tlf the�erSi law feiaiiVe to the making and filing of false instruments. $ELLEWWONADIEM BUYER CONTACT INFORMATIO (Enter kgosmabb for the buyer-Not.:K buyer is association, t corora@ pon,joint stok o —Re-ny,"tats W n entlty that is rwt an individual agent w fiduciary,then a narne and contact inforrnatlen of an lncmviduatlresponskdEe fry wise can answer meesuons reg ng the transfer must be crAeraa-Type or print clearly-) ,.`.�... rr'?c�rrY1 ftt'C.l.TI c.3'1 t I�f01,••fl'('i Clm F� �` SELLER WGNATifRE T GA eUYERz%GNATt RE � a L Kim Randall and Kim Tetrault •LAST NAME FIRST N E 631 298-8065 •ARECA O$]>; "FELEP1ti]NE Nt?lffiKrE SFr:9994593] .•SlFYE323iGNATF3RE � r� 7 PATE r r 4850 Hortons Lane 5 w i �y •sTFWQT OulmoeR "STREET N E r r� ; Southold IVY 11791 •CITY CR TO 'SPATE 'Zip CODE R1,l.YWaATTORN f 1 l E Jannuzzi David 1 S E r iACt't"4, FIRST NMAE E i i y y ...... AREA CODE 298•`806 7ELErr%]t lii�d6Fl2[Ex-9B9e4f�)