HomeMy WebLinkAboutL 13128 P 584 IIIII[lilllilllllllllllllllllllllllllllllllllllllllllll .
I I I I I I I I I I I I
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/09/2021
Number of Pages : 3 At: 09 : 16 :56 AM
Receipt Number : 21-0192137
TRANSFER TAX NUMBER: 21-11835 LIBER: D00013128
PAGE : 584
District: Section: Block: Lot:
1000 069 . 00 03 . 00 009 . 002
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: 21-11835
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
❑1 ❑2
Number of pages RECORDED
021 Nov 09 09:16:56 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D000117128
Social Security Numbers P 5F4
prior to recording. DTn 21-1185
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee 1,500 Mortgage Amt.
1. Basic Tax
Handling X20.0. 00 2. Additional Tax
TP-584 LJ oo Sub Total
Notation Spec./Assit.
C or
EA-52 17(County) 5 U0 Sub Total aQ Spec./Add.
EA-5217(State) Za TOT.MTG.TAX
Dual Town Dual County_
R.P.T.S.A.
Held for Appointment
Comm.of Ed. 5• 00 Transfer Tax
' Mansion Tax
Affidavit '' ���'
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 Sub Total (NJ,as family dwelling only.
YES or NO
Other Q
Grand Total l6, If NO,see appropriate tax clause on
page# of this instrument.
Rio -a-a/
4 1 Dist. 21059734 1000 06900 0300 009002 5 Community Preservation Fund
Real Property p T S Consideration Amount $
Tax Service R LpA A
Agency 04-Nov-2 ��IHHI CPF T Due $
Verification
Improved ��GS
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
// RECORD&RETURN TO: c� Vacant Land
(N/GL/f1✓1 ,�DO�.�� 5 / TD
TD
`1j / ����� TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Compariv Information
310 Center Drive, Riverhead, NY 11901 Co.Name fiJOC�7ES 35ie�9Ci .t/C.
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recordint. 68!�
Endorsement Page
This page forms part of the attached 1� made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of
/LLEnI In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
I2•010/..10/03kk
(over)
—Excwtor's Deed—Individual or Corporation(single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 2nd day of September,in the year 2021
BETWEEN PATRICIA C.MOORE(as to the two-thirds(2/3)interest of Ann Hemblo)
residing at 850 RUCH LANE,SOUTHOLD,NEW YORK
as executor of the last will and testament of ANN HEMBLO,late of Southold,New York,deceased,party of the first
part,and KATHLEEN HEALY GILLEN residing at 44 CIRCLE DRIVE,GLEN COVE,NEW YORK
party of the second part,
WITNESSETH,that the party of the first part,to whom letters testamentary were issued by the Surrogate's Court of the
State of New York for the County of SUFFOLK on MAY 12,2021 File#2020-3291,
and by virtue of the power and authority given in and by said last will and testament,and in consideration of
TEN 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 in the hamlet of SouthoVTown of Southold,County of Suffolk and State of New York,bounded and described as
follows:
BEGINNING at a point on the easterly side of Ackerly Pond Road at the southwest comer of the premises herein desribed
adjoinig land now or formerly of J.&.T.Wickham on the South;
RUNNING THENCE along said easterly side of Ackerly Pond Road,North 40 degrees 32 mins 10 secs West 260.02 feet to
the southwest corner of land now or formerly of East Coast Residential L.C.
RUNNING THENCE along said land the following two(2)courses and distances:
1. North 43 degrees 27 mins 50 secs East 225.00 feet;thence
2.South 40 degrees 32 mins 10 secs East 487.89 feet to land now or formerly of J.&T.Wickham;
RUNNING THENCE along said land North 88 degrees 07 mins 50 secs West 303.05 feet to a monument and the point or
place of BEGINNING.
Being and intended to be a portion of the real property inherited by the deceased Ann Hemblo upon the death of her mother
Jane$.Hemblo[Jan. 16,19761 under the Last Will and Testament dated March 8, 1968 and filed with the Surrogate's Court
of Suffolk County on February 13, 1976 File#279P 1976 and upon the deaeof her brother Thomas E.Hemblo under the
Last Will and Testament dated December 4, 1975 and filed with the Surrogate's Court of Suffolk County June 4, 1991 File#
972P 91.
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 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 first part has or has power to convey or dispose of,whether
individually,or by virtue of said will or otherwise;
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 OF:
PATRICIA C.MOORE
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York,County of Suffolk,ss: State of New York,County of ss:
On the 2ndj day of Sept. in the year 2021, before me, the On the day of in the year before me,the
undersigned, personally appeared PATRICIA C. MOORE, undersigned, personally appeared personally known to
personally known to me or proved to me on the basis of me or proved to me on the basis of satisfactory evidence to be
satisfactory evidence to be the individual(s) whose name(s) is the individual(s)whose name(s)is(are)subscribed to the within
(are)subscribed to the within instrument and acknowledged to instrument and acknowledged to me that he/she/they executed
me that he/she/they executed the same in his/her/their the same in his/her/their capacity(ies), and that by his/her/their
capacity(ies), and that by his/her/their signature(s) on the signature(s) on the instrument, the individual(s), or the person
instrument,the individual(s),or the person upon behalf ofwhich upon behalf of which the individual(s) acted, executed the
he individual(s)acted,executed the instrument. instrument.
TARY PUBLIC NOTARY PUBLIC
(7
JULIA RAE SPANBURGH
NOTARY PUBLIC,Sf{17E OF NEW YORK
Replatratlon No.OISM19169
puallfled In 8uflolk County
Commission ExOres dune 28,2026
ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK
TAKEN IN NEW YORK STATE STATE
State of New York,County of ss: State of County of ss:
On the day of in the year before me, the On the day of in the year before me,
undersigned, a Notary Public in and for said State, personally the undersigned personally appeared personally known to
appeared , the subscribing witness to the foregoing me or proved to me on the basis of satisfactory evidence to be
instrument,with whom I am personally acquainted,who,being the individual(s)whose name(s)is(are)subscribed to the within
by me duly sworn,did depose and say that he/she/they reside(s) instrument and acknowledged to me that he/she/they executed
in (if the place of residence is in a city,include the street the same in his/her/their capacity(ies), that by his/her/their
and street number if any,thereof);that he/she/they know(s) signature(s) on the instrument, the individual(s) or the person
to be the individual described in and who executed the upon behalf of which the individual(s) acted, executed the
foregoing instrument;that said subscribing witness was present instrument, and that such individual make such appearance
and saw said execute the same;and that said witness at before the undersigned in the (add the city or political
the same time subscribed his/her/their name(s) as a witness subdivision and the state or country or other place the
thereto. acknowledgement was taken).
NOTARY PUBLIC NOTARY PUBLIC
Executor's Deed COUNTY:SUFFOLK
TOWN/CITY:SOUTHOLD
PATRICIA C.MOORE,EXECUTOR
TO PROPERTY ADDRESS:ACKERLY POND ROAD
KATHY HEALY GILLERN SECTION:69
BLOCK:3
Title NO. LOT:9.2
RETURN BY MAIL TO:
DISTRIBUTED BY
JUDICIAL TITLE
T:800-281-TITLE F:800-FAX-9396
r INSTRUCTIONS(RP-5247-PDF-INS):hdanhr.orps.staM.ny.us
FOR COUNTY USE ONLY Now York ligate DepauMmnt of
C1.SVAS Code �/���(Qf I Taxation and Finance
C2.Date Deed Recorded I I / 'I F / Z-1 I Office Of Real Property Tax Services
a-- a" res RP-5217-PDF
C3.Book I ), ,5 1 .ZZ IC4•Page Real Property Tronefor Report(Oil 0)
PROPERTY INFORMATION
1.P 22to R(Ii Key Patio Tzar
Location •STREET NUMBER •STEET NAME
.5 IT�
•Girl on raw
2.Buyer 1�.(.�ry 4�JYrs Y K A-FR-
Name FRST NAME
•LASTrLAlInC01PARY
LAST HAMCI WIPAW FNWAINE
LTU Indicate where future Tax Els are to be said
BONDS If ot1er amu buyer address(al bottorn of form) LAST NAAE)CORerm Fwsrw m
Address
STREET NLWAgR AND NAME CRY CR TOM STATE ZP CODE
4.Indkab the menbor of Awasmsnt (Only if Part d a Parcel)Cheri as they apply:
Roll paresN transferred on the dead , a of Peseta O [-]Part d a Parcel 1R 4A.Planning Board with Subdivision AWtarity Edsto ❑
6,Used \ 011 It•� aB.Subdivision Approral wait Required for Trander ❑
Properly 'FnwNr FEET •nLPTH 'ACRES
abs 4C.Parcel Approved for Subdrvidon with Map Rovitlad ❑
MooK� aw 4 c
6.Seller
mom FIRST a ;?/,5
Int�rGa•�
WT NALENWMpmy
17.ialeek the description which most accurately describes the
Check the boxes below as they apply
use of the properly d the Gime or wk: 6.Ownership Type is Conclominiun ❑
A.One Family Residential 2.New Construction an a Vocam Land ❑
1gA.Property Located wllhln an Agdcaud District ❑
Ion.Buyer received a disclosure notice Indicating that On property is in an ❑
Agricultural Distract
[SALE INFORMATION1 16.Cheek one or more ofthere conditions as applicable totranshr.
A Sale Between Reldves or Former Relatives
11.Bala Comrad gab B.Sale botwben Related Companlas or Partners in Business.
C One or the Buyers is also a Seller
Z ` D.Buyer or Seta Is Governawrd Agency or Lancing Institution
IL Data of SolsrrYanehr 7C E.Deed Type not warranty or Bargain and Sats(Specify Below)
F.Sale or Fractional or Less than Fee Interest(Specify Belay)
'ti.Full Bab Price ,00 G.Significant Cr~in Property Between Taxable Status and Sale Dotes
H.Seib d Business is IrdLided in Sob Pula
(Full Sala Price is the b1d amount paid for s property, rtel including personal property. I.Other UnusFactors Affecting Sale Pea(Spsdy Belva)
This payrrhsm rimy be In the form d ash,chef property or goods.or the assumption of J.Norm
marWagas or otlmr obligations.)Plesas round ro Ow rMerssf xemb nor reremounf
Cafrxrwrd(s)on Cordltlon:
14.Indicate The value of personal W v-00— !r '/F'o'[)
property Included In the say
ASSESSMENT INFORMATION-Data should reflect the latest Final Assesamenl Roll and Tax Bill
16.Year of As nm d Roll tram which Intarrrmdon taken(YY) l •17.Trial Assessed Value
-1A Propergr claa 20 0 1 f Am 90S— •19.School District Mann S OV 1140")
•20.Tu kap Iderdllbr(syRoll IdsolMer(s)(N more than four.attach shsdvdth additional Wardlfiar(s))
oba—o5— q-y X040- 4(4.1J0 -03.ora —ooq•Oate2
ERTIFICATION
1 Car"that all of the Itarrm of Irdarmrtlon snbnd an this form are true and correct(to thabast of my k and brief)and 1 understand that the making of say wlllrul
fabs sft1w k m of num edal Wherein sub)at me to this-fifavillkUfi.of the porgUi"Islive 10 the making and filing of 100 Indru trends.
SE aE11SIGNATINee BUYER CONTACT INFORMATION
__—__SIGNATURE___ (ErAw inMmeem for Eve Buyer Now t buyer Is LLC,eosegr.USOCob n.Lwserarwn.Pial rledt CWWM.MOMS or
p eddy rus is not in ehawdual spent araAdMy.den a nems and CSMeC1 rdenobon of an ntlNiduMhaspmaBN
1 1y 1�.1 Wry are uh answer Eumbms Running ave swn.Yr mud be anase type err wtm deerly.)
Qtr/�Y�Ga� l 1
eNaHArLSE
DATE r-` QP(j� r
HLIVER 816k1ATURE �1�'l'r,v �r tt dr h/
9 �r 'LAFF NAME FRSE NICE
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STMT NUMBER •3IREET NAME
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•raTvprora •srAr •rvWOE
BUYER'S ATTORNEY
LAST NAME FI STIMME
MhEA CODE 19apLONE NelER NPa.erra1r11
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