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HomeMy WebLinkAboutL 13127 P 536 11111111 IIII 11111 IIIII Illll IIIII IIIII IIIII IIIII IIII IIII I I I I I I I I I I I I I I I I I I I I I I I I I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 11/03/2021 Number of Pages : 4 At: 10 : 08 : 45 AM Receipt Number : 21-0188853 TRANSFER TAX NUMBER: 21-10950 LIBER: D00013127 PAGE : 536 District: Section: Block: Lot: 1000 090 . 00 01 .00 022 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 . 00 Received the Following Fees For Above Instrument Exempt r 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' `"R" NO Cert.Copies $0 .00 NO RPT $400 . 00 NO Transfer tax $0 .00 NO Comm.Pres $0 . 00 NO Fees Paid $595 . 00 TRANSFER TAX NUMBER: 21-10950 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ,g �� RECORDED Number ofa es 2C+21 14,1Y CE= 10:0805 All P g MriITW P. PPSCALE CLEPK L+F SUFFOLK COUNTY This document will be public L D00013127 record. Please remove all P 536 DT# 21-10950 Social Security Numbers prior to recording. +uut; 27 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording jjf4ling Stamps i.�i� moi- U95U 3 FEES Page/Filing Fee' Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Spec./Assit. Notation or EA-52 17(County) Sub Total Spec./Add. EA-5217 (State) TOT.MTG.TAX Dual Town Dual County— R.P.T.S.A. �� Held for Appointment Comm.of Ed. 5, 00 Transfer Tax Affidavit 'Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other ' Grand Total ✓ �s G/l7 If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. 21058857 5 Community Preservation Fund Real Property. P T S I loll nIII Consideration AmountTax Service R sMl A ,IIIIAgency o��uov 2 WWWIIIIII CPF Tax Due $ Verification - --- --- - --- — - - Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD& RETURN TO: Vacant Land TD C� TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Cordpany Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached F� made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK. &S / TO In the TOWN of �/�-./ tjS/C� �'Q � In the VILLAGE I or HAMLET of 1 BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12--0104.30108kk OVerinw. � P T _S. Doc ID: 21058857,#'l •R SMI A 1-N OV-21 Tax Maps District Secton Block Lot School District Sub Division Name 1000 09000 0100 022000 1000 09000 0100 023000 SOUTHOLD rh f r� .r. I;�x �ay y j 14 f }f r; g:. <Y•, y�. i NY 025-Executor's Deed—Individual or Corporation(Single Sheet)(NYBTU 8005) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the f day of At ,in the year 2021 BETWEEN ELIZABETH B.HOLLIS,residing at 96 Golden Spruce Drive,Calvenon,New York 11933 as executors(executrix )of the last will and testament of,ROBERT L.HOLLIS,late of SUFFOLK County, deceased, party of the first part,and KAREN M.HOBBS,residing at 512 Southcott Lane,Sterlacoom,WA 98388 and TERESA HOLLIS SAJEWSKI,residing at I Walden Court,Lloyd Harbor,NY 11743 and LISA HOLLIS CAPONE,residing at 420 Burns Street,Forest Hills,NY 11375, AS TENANTS IN COMMON party of the second part, WITNESSETH,that the party of the first part,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 PLEASE SEE ATTACHED SCHEDULE A,DESCRIPTION OF PREMISES BEING AND INTENDED TO BE the same premises descdribed in a deed recorded in Liber 4934 cp 533 in the Office of the Clerk of the County of Suffolk This conveyance is being made to transfer the ff twenty-five percent(25%)interest of Grantor herein. 1on1)1V0ff> 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 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 pan has not done or suffered anything whereby the said premises have been incumbered 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: &4dw //�JJ,5 ELIZABETH B.HOLLIS SCHEDULE A ALL that tract or parcel of land situate in the Town of Southold, County of Suffolk,and State of New York, known as Lot No. 121 as shown on a certain map entitled, "Subdivision map of Cedar Beach Park,situate at Bay View,Town of Southold,N.Y." surveyed and certified by Otto W. Van Tuyl,Engineer and Surveyor,and filed in the Office of the Clerk of the County of Suffolk as Map No.90 on the 19th day of December, 1927. TOGETHER with an easement for ingress and egress over all streets, roads,drives and lanes as laid down on said map;and also the right of ingress and egress in and to any of the Inlets, Basins or Harbors on said map and to moor a boat or boats in Cedar Beach Harbor. TOGETHER with all right,title and interest of the party of the first part, if any,in and to land in front of said premises under water in the Peconic Bay and all seller's riparian rights thereto. TOGETHER with the right,to run with the land,to use and enjoy in common with others enjoying similar rights and privileges,those portions of Cedar Beach Park,which may be set aside for Community purposes,subject to any rights, reservations, rules and regulations made by Cedar Beach Park Community Association,or its successors. The use and enjoyment of the Community Property at Cedar Beach Park shall be limited to those persons, who are the members in good standing of the Cedar Beach Community Association,the authorized guests thereof or of the Cedar Beach Park Inn. USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATF.ONLY: USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLY. State of New York,County of SUFFOLK )ss.: State of New York,County of }ss.: On the' ]I day of AUGUST in the year 2021 ��1ZL l.�e f{1© On the day of in the year before me,the undersigned,personally appeared Hohpersonally before me,the undersigned,personally appeared personally known to me or proved to me on the basis of satisfactory evidence 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 to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they within instrument and acknowledged to me that he/shelthey executed the same in his/her/their capacity(ies), and that by 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 his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf —whic t the i ' idual(s) acted,executed the person upon behalf of which the individual(s)acted,executed the instrument. �MRE instrument. Registration No.CIM04861WO Qualified in Suffoik County myc«Njur* ACKNOWLEDGMENTFORMFORUSEWITHINNEWYORKSTATF.ONLY: ACKNOWLEDGMENTFORMFORUSEODTSIDENEWYORKSTATEONLY: (New York Subscribing Witness Acknowledgment Certificate) fOut of Stale or Foreign General Acknowledgment Certificate/ State of New York,County of }ss.: ------------vW3LT------------------------------ Qn the day of 1n the year (Complete Venue with Slate,Country,Province or Municipality) before me,the undersigned,personally appeared On the day of in the year the subscribing witness to the foregoing instrument, with whom I before me,the undersigned,personally appeared , am personally acquainted, who, being by me duly sworn, did personally known to me or proved to me on the basis of satisfactory depose and say that he/she/they reside(s)in evidence to be the individual(s)whose name(s) is(are)subscribed to the within instrument and acknowledged to me that he/she/they (if the place of residence is in a city,include the street and street number,if executed the same in his/her/their capacity(ies), that by his/her/ any,thereof);that he/she/they know(s)to be the individual described their signature(s)on the instrument,the individual(s),or the person in and who executed the foregoing instrument;that said subscribing upon behalf of which the individual(s) acted, executed the witness was present and saw said instrument. execute the same;and that said witness at the same time subscribed his/her/their name(s)as a witness thereto. EXECUTOR's DEED INDIVIDUAL OR CORPORATION DISTRICT 1000 T1 TLE NO. SECTION ESTATE OF ROBERT L.HOLLIS,BY ELIZABETH B.HOLLIS, BLOCK EXECUTRIX LOT COUNTYORTOWN SUFFOLK COUNTY TOWN OFSOUTHOLD TO KAREN M.HOBBS,TERESA HOLLIS WEWSK1 AND RECORDED A TREQUESTOF LISA HOLLIS CAPONE Fidelity National Title Insurance Company RETURNBYAWL TO FIDELITY NATIONAL TITLE PATRICIA C.MOORE INSURANCE COMPANY 51020 MAIN ROAD rvcvRaovATiD1928 SOUTHOLDNY 11971 ,,,4 Fidelity J'" U—b-N—Pwk SW L—dnd#A,-4.d- 0 LL 0 ¢O� LL UW nH y 6 INSTRUCTIONS(RP-5217-PDF-INS):www.drps.stMe.ny.us FOR CLOUNTY USE ONLY Now York State Department of C1.SIMS Code Taxation and Finance C2 Date Deed Recorded Ofte of Real Property Tax Services Twr / RP-5217-PDF C3.Book C4.Page Real Property Transfer Report(8110) PROPERTY INFORMATION I.PmPwtr 400 W. LAKE DR_VE LOCROOh •1,141.1.1 NLVWR 'STIEFTNAYE SOUTHOLD SOUTHOLD 11971 •CITY W.IaaR. wLLAL:I' •0-CODE 2.Buyer HOBBS, KAREN M. SAJEWSK1, _'ERESA 'HOLLIS Hem •.A6T YAYL/Cr1eANy rI%T NAME CAPONE LISA "OT,T,TS LAST HA�an FIRST NAME. a.Tax Indlram where figure Tax Bills we m be sem ailing if Cthno(hon buyer mldrees(at bottom of form) I AS-NAYFICOIPANY NRSI N1W C Addles. 6T-EEr MJMDMANr NML CITY OR IOM, STAM ZPCG.IL 4.Indicate the number of AsseemwdPari dr a Parosi (Oey If Pert of a Parcel)Check as alley appy: Roll paresh tmnefrled on the dead !d Parcels OR El 4A.Plpnning Bard with Suhdiviaion Amhoriy Exists s.Dud \ OR 00.17 41L Subdivision Approval was Required for Transfer ❑ Propeugr .11MI1111 DE-T-1 -ACRES She 4C.Parcel Approved for Subdiw tion with Map Provided ❑ HOLLIS, BLI'LAHETH B. 4.Boller •LA6TNMEA'Aw4wT rrO6 VE NM's AS EXECUTRIX OF THE ESTATE RGBERT L. HOLLIS -LST NAYEK.OY- FIRST NAY? "7.Soled the description which most accurril"describes the - Check the boxes below an they appy: I of the property at the time of esk: S.Ownership Type is Condominium ❑ A.Onu Family Residential !.New Construction on a Varard Land ❑ 10A.Property LaOated within an Agricultural Distrix 100.Buyer mcoived a disclosure rotice indicating thatdm pmpwV lain an ❑ Agricultural Disfid SALE INFORMATION i. ' 16.Cheekm a or mon of thees candhtoes as applicable to he ME A.Sala Between Relatives or Former RoMves 11.Bale Contract Data 08/02/2021 B.Sale between RdwM Companies or Partners 1n Business. C.Oro of the Buyers is edea a Seller 0.Buyer or Sab Si oaa of SalsRrarobr 0 8/p$/2 0 21 E.Decd s Govemmord Agency or Lending Institution T not lwarranty or Belg.n' and Sala(Specify Belem F.Sale of Fractional or Lest than Fee Imer at(Specify Below) •13.Full Sale Price 0,UI) G Slgni5cont Change in Property Between Taxable Status and Sada Dales 1 H Selo of Business is Included in Sole Priam (Fail Sale Price is the total amours pod for the property including personal property. I.Ones Unusual Fsxars Affecting Sale Price(Spedy Blow) Thin payrtlam may be in the form of cash,other property or goods.or the assumption of J.hoes m ortgapes or other obligations)Planes round to foe nomW whole(bar amDunt. Conhmont(a)on Condition: 14.Indicate the value of personal 0 .OD propry Including in the sale ASSESSMENT INFORMATION-Data should reflect Bh9latest Final Aasesemard Roll and Tax Bill 10.Year ofAw wufft Rail from which Inblmalbn tWM(YY) 20 '17.Taal Assessed Value 3,800 •10.Property Close 220 _ '1!.School District Name SG;JITHCPLD •90.Tax Map IdentigegsyRo!Mentlllel(s)IN more then four,atach shod with additional Wenuk4e)) 1000-90.CO-01.00-022.030 40.13-006 CERTIFICATION 1 CaftVy tut all oe tat Items rd Ilrtrrlam on entered an this form aro true and comsat Iso the best of my klmadedge and bellst)and I undafstrW that fire nuking of any willful bins stdomard of meadal fact henln subject ins te theAmWiM .of too peest lawn Woe te the making=W flling of false Inshmmnts. SELLER ER SIGNATURE BUYER CONTACT INFORMATION (Ewariffromaaon for er buyer Note N eLgef r LLC.10dey,a adM.Mpare6e11 pn lora aerpany Witt ar i W �. _ Ijf I�I .motet Mwnor en IlgwAwl spam rfldgow t(wRa RamaandwrRec(wo,or pint anrly.) YMopona8ls J / r pry Ww eco ansAar rluamwn raymnp dr error atter as woad type r plat e W ry.l AFL.F ATIRE r1 BUYER SIGNATURE CAPONE LISA HOL:.IS •LAST'AWE -RST NwC -y/ (917) 539-2402 t4 •-EIEri104FhUI RIE.29MMI I RLI, T 420 BURNS STREET •STRLLI YJYICR '9IRLLI HAUL FOREST HILLS NY i1 3-/S Ral•Cr1 TOM! SIAIL •rP Ga1F BUYER'S ATTORNEY MOORF. PATRICIA C. LAST MILL r NST RAIFF I 611 MFA LODE TE-E'IIDM.MIYJLP I=L w6WN1