HomeMy WebLinkAboutL 13131 P 450 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/26/2021
Number of Pages: 4 At: 7 :41 :32 PM
Receipt Number: 21-0203130 *ELECTRONICALLY RECORDED*
Transfer Tax Number: 21-14337
LIBER: D00013131
PAGE: 450
District: Section: Block: Lot:
1000 079.00 04 .00 017 .019
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount $535,000 . 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 $250 . 00 NO
TP-584 $5. 00 NO Comm.Pres $9,200 . 00 NO
Transfer Tax $2,140 . 00 NO
Transfer Tax Number: 21-14337 Fees Paid $11,860 . 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 11/25/2021 7:41:32 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013131
Social Security Numbers P 450
prior to recording. 21-14337
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) 250.00 TOT.MTG.TAX
200.00 CIO., Dual Town Dual County
—
Held Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax 2,140.00
' _� 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. 00 470.00 family dwelling only.
Sub Total YES or NO
Other 520.00
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
2105TB21 1000-079.00-04.00-017.019 Consideration Amount $535.0 0 0.0 0
Tax Service P r s
Agency €t DTr n CPF Tax Due $ 9,200.00
g }'
Verification 7Q727f2[727
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land X
Advantage Title TD 10
201 Old Country Rd Ste 200
Melville NY 11747-2731 TD
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Comwny Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcounVny.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
V
BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS(INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8007
CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
PURCHASER BEFORE SIGNING.
-}.»
THIS INDENTURE,made the I-$ "'day of October, 2021
between
DAVID OLSEN and JENNIFER OLSEN,his wife,
residing at 3400 Wells Avenue,Southold,NY 11971
party of the first part,and
150 Deer Run LLC
having an office at 337 Merrick Road,Lynbrook,NY 11563
party of the second part,
WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other lawful
consideration,lawful money of the United States,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 Bayview,Town of Southold,County of Suffolk and State of New York.
SEE SCHEDULE`A'ATTACHED HERETO AND MADE A PART HEREOF
Being the same premises described in the deed to the parties of the first part herein from Freeform Building
Partners,LLC,dated October 28,2014 and recorded on November 13,2014 in Liber 12795 Page 726. Said
premises are known and designated as District 1000,Section 079.00,Block 04.00 and Lot 017.019.
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 executed this deed the day and year first
above written.
v�
DAVID OLSENhNVAV06v r
JE IFER SEN
NYSBA esidential Real Estate Forts on HotDocs(9/00) Copyright Capsoft®Development
-1-
STATE OF NEW YORK )
ss.:
COUNTY OF SUFFOLK )
13
On the 1 day of n r in the year 2021,before me,the undersigned personally appeared David
Olsen and Jennifer Olsen,personally known to me or proved to me on the basis of satisfactory evidence to be
the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed
the same in their capacity,that by their signature on the instrument,the individual,or the person upon behalf of
which the individual acted,executed the instrument.
NOTARY PUBLIC
MARY KOLAKOWSKI
NOTARY PUBLIC-STATE OF NEW YORK
No.01K04870006
Qualified in Suffolk County
My Commission Expires 09-02-2022
DEED
District 1000
Title No. Section 079.00
Block 04.00
OLSEN Lot 017.019
County or Town SUFFOLK
To
150 Deer Run LLC
Return By Mail To:
Rachael C.Davey,Esq.
Davey Law P.C.
220 Main Street
Center Moriches,NY 11934
Reserve This Space For Use Of Recording Office
NYSBA Residential Real Estate Forms on HotDocs®(9/00) Copyright Capsoft"Development
-2-
sir SCHEDULEA
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, known and designated as Lot No. 2 on a certain map
entitled,"Map of Zoumas Contracting Corp., situated at Bayview, Town of Southold, Suffolk County,
NY," and filed in the Office of the Clerk of Suffolk County on October 1, 2004 as Map No. 11166,
which Lot is bounded and described as follows:
BEGINNING at a point on the Easterly side of Deer Run, distant 280.89 feet Northerly from the
Northerly end of the curve, which connects the Easterly side of Deer Run with the Northerly side of
North Bayview Road;
RUNNING THENCE Northerly along the Easterly side of Deer Run, along the arc of a curve bearing to
the left, having a radius of 85.00 feet, a distance of 106.05 feet;
THENCE North 51 degrees 29 minutes 13 seconds East, 299.56 feet;
THENCE South 46 degrees 52 minutes 47 seconds East, 150.78 feet;
THENCE South 17 degrees 01 minute 50 seconds West, 351.61 feet;
THENCE North 57 degrees 01 minute 40 seconds West, 282.11 feet to the Easterly side of Deer
Run at the point or place of BEGINNING.
The policy to be issued under this report will insure the title to such buildings and improvements erected on
FOR the premises which by law constitute real property.
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.
TITLE# 21-AS-58123
FOR COUNTY USE ONLY
Cl- SWIS Cade 14 F 7 F 3 F S F S F 9 I DF-INS):www,orps.State.ny.vs
New York State Department of
C2_ Date Deed Recorded 11 1 26 2021 Taxation and Finance
Month Day Year
Cltfice of Real Property Tax Services
C3_ Book 11,3,1 ,3, 1 C4_ Page , ,4 , 5, 01 RP- 52'17-PDF
PROPERTY INFORMATION I Real Property Transfer Report(8110)
1.Property 150 Beer Run
STREET NUMBER .............. ...................
'STREET NAME ��•
Soul-hold Southold
•C3TY Fa61h4i va.E p, G.__ .....
2-auyer 150 Deer Run TALC
Name --
................._.. ------ �----
LA5T NAMEICOMPANY 1IR9T WME
........ ..W. ........ .........................
3J�ST knta��t�t.SPANY FIRST
3.Tax Indicate where future Tax Sills are to be sent
Iii€€€ ii ottTer than buyer addre at bottom of form ---------""�' '�-'
Address y � � LAST NRMElCAMI+AAf�' F'SiS1'HAMS
STRL•E1'NUM&ER A o NAa. �•_•M•�•~•M CITY OR TOVMi• aTATE Z,R CODE
k.€nd€Cafe Hie number of Assessment '[ Pert o€ Paru�e€ (Only if Part of B Parte€)Check as they apply:
Ro€€parte€s transferred on the dead 'V or Parcels OR a ❑
dA.Planning Board With Subdivision Aulhwily Exists
5.teed _1.9 8
.--_.K. T EFPT OR ... 48,Subdivision Approval was Required for Transfer
PruiOrlY
'rJEYrH 'AC!tF.9
Size 40.Farce!Approved for Subdivisions with Map Provided ❑
Olsen David
. . _._........ --
MS.Scar •LT
F1§SY RAM„
Name Olsen J.ernifer
LAST NA+a€1r_-oau ANY r"IRST NAane"�,
.......
-
'7.Select the description which meat act ura£ely desc rifles the Check the boxes below as they apply-.
use of the property at the time of sale: 8.Ownership Type is Condominium
C. Residential Vacant Land S.New Construction on a Vacant Land
-•................•••-•- I*A.Property Located within an Agricudlural District
108.Buyer received a disclosure notice indicating that the property i8€n ars €--•••1
Agricultura€District L€
SALE €NFORMATION 15.Cheok one or more of these conditions as app)€Gable to transfer:
A.Sa€e Between Relative$or Former Relatives
11.Sa€e Contract Date 09/10/2021 mm B.Sale between Rolalad Companies or Partners in Business_
C.One of the Buyers is a€so a SO[or
12.[fate of SaleCfransfer wwY
❑,Buyer or Seiler is Government Agency or Lend€ng€r€Stitk4ion
w 1" ? 1
.-�-....�... F,Raad'rypq not YYarrarNy or Bargain and Safe(Spec€ry£3q€Dw)
F.Sale of Fraotiona€or Less than Fee Interest($pocify"Dw)
"13-Full Sale Price 1-35, D 0 0 '00 G-Significant Change in Property Between Taxable Status and Sale Delos
H.Safe of Business Is€rpoluded€rt Safe Price
{Fu€€SaEe Price is the total amount paid for the property induding personal property. €. Other Unusual Factors Affecti no Sale Price(Specify Se€ow)
This payment may be in the form of cash,other property or goods,or the assuinp€€on of J.None
mortgages or c4her obligations.)Meese mond to the nearest whole lobi€er amount.
Comment(s)on Condition:
14.Indicate the value of personal ��
propertydnoluded in the sal®
ASSESSMENT INFORMATION-Data should reflect the Istest Final Assessment Roll and Tax 8tl€
18-Year of Assessment Roll from which€nformaUon taken(YY) 2]- 17.Tota€Assessed Value
'18.Property Class 3],�. ._ •19.School D€strict Name SC7tziw�a..l.C�.
"20.Tax Map ldenHfier(S)IRoI€€dentifler(s)(€f mora than four,attach sheet with additional identifier(s))
1€300-019.QO-0�€.Q❑--Q17.fl2�
I Certify that a of the items of Information entered on this form are true and correct(to the best of my knowledge and belief)and€uInderstand that the risking of any w€lfu€
false statement of material fact hareEti subject me to the nrov€s€9S€;nt„Td3fl.ftSS€!.pt,) ]D!re€atNe to the making and f€€€ng of false instruments.
SELLER Sig-RA k'�EfYER CONTACT dN'FORM []
(Enter€ntomr atior]for€no buyer-hFnto:if buy-,is LE_C,sodety,A48[11:latkitS,C'orpvf'aGo3f,joint Mock sorripany,¢state Or
nrrt€ty that la not an pidivrdual agent or fidueary,Own A name and contact IMwmarwn ef an ind€viduslrreap"n iyie
[ � party who Can answer ques€Wna ragarding the transfer musd by vM—d.Type ar pr€nt clearly.)
B .........___- QATFSe
B1.1Y 3 5lCaNAJ-tJ9 Hussain u A>grrxer
-� i■ .LAST NAhSE FWST NAME
....... ..............
-AREA CtW 'TEL[PFl NUMBER IEK:13
tit SI A 99 G3
DATE
337 Merrick- Road
- 'STREET
•STRLET NUMKL NAME
T yj2bE22k � NY 11.563
•Cts Y OR TOLVN 'SIATP. •Zip Coal
BUYER-$--ATT�RMEY
F
F Davey, E5t1. Rechae:l. C.
LAST NAME FLRFT NAM1 .-..,.........•••••••••••••••••••••••••••••••
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F ( € 16311 S3I?'-02'11D
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