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L 13129 P 745
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 11/16/2021 Number of Pages: 4 At: 10 :25: 13 PM Receipt Number: 21-0196732 *ELECTRONICALLY RECORDED* Transfer Tax Number: 21-12842 LIBER: D00013129 PAGE: 745 District: Section: Block: Lot: 1000 107 .00 04 .00 002 .002 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $0 . 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 $0 . 00 NO Transfer Tax $0 . 00 NO Transfer Tax Number: 21-12842 Fees Paid $395. 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 11/16/2021 10:25:13 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013129 Social Security Numbers P 745 prior to recording. 21-12842 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 0.00 ' _� 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 21055111 1000-107.00-04.00-002.002 0.0 0 Real Property Consideration Amount � Tax Service P r s Agency €t DGRA CPF Tax Due $ 0.00 g }' Verification 70!73!2[727 Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land First International Title - Riverhead TD 10 633 E ]AIIF ST STE 3 R.IVEREEAD NY 11901 TD TD !Nail 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 QUITCLAIM DEED (INDIVIDUAL OR CORPORATION) FORM 8004(short version),FORM 8009(long version) CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEVI'ED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE, made the 7i1'of October,2021, between Laurie D. White,6105 Whickham Avenue,Mattituck,New York 11952, party of the first part,and Marci Lynn McDermott,as Trustee of the Laurie Denise White Irrevocable Trust,dated August 16,2021, 320 Wells Road,Laurel,New York 11948, party of the second part, WITNESSETH,that the party of the first part, in consideration of Ten Dollars and No Cents ($10.00)and other valuable consideration paid by the party of the second part,does hereby remise, release and quitclaim 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 Mattituck,Town of Southold,County of Suffolk and State of New York bounded and described as follows: BEGINNING at a monument set on the northerly side of Wickham Avenue(Old Road)distant 140.95 feet westerly as measured along the northerly side of Wickham Avenue(Old Road)from a monument set at the corner formed by the intersection of the westerly side of Mill Lane and the northerly side of Wickham Avenue(Old Road)and from said point or place of beginning; RUNNING THENCE westerly along the northerly side of Wickham Avenue(Old Road)the following 2 courses and distances; 1)South 53 degrees 28 minutes 30 seconds West 90.74 feet and 2)South 48 degrees 15 minutes West 60.20 feet to lands now or formerly of Dr. J M. Semer; "THENCE North 20 degrees 16 minutes 20 seconds West along lands now or formerly of Semer 302.17 feet to a monument and other lands of Semer; THENCE North 69 degrees 43 minutes 40 seconds East along said other lands of Semer 141.61 feet to a monument and lands now or formerly of Arthur M.and Mabel C. Fanning; THENCE South 21 degrees 50 seconds East along lands nor or formerly og Manning 262.41 feet to a monument set in the northerly side of Wickham Avenue(Old Road)and the point or place of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed to Laure D. White by deed dated April 3, 1997 and recorded in the Suffolk County Clerk's Office on April 22, 1997 in Liber 11826 at Page 780. District: 1000,Section: 107.00,Block:04.00,Lot:002.002 NYSBA's Residential Real Estate Forms(9/2000) -1- 0 2021 Matthew Bender&Company,Inc.,a member of LexisNexis. BEING AND INTENDED TO BE the premises commonly known as 6105 Wichkam Avenue, Mattituck,New York 1 l 952. 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,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 costs 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. A r: By:Laurie D.White IN PRESENCE OF.- District: F.District: 1000,Section: 107.00,Block:04.00,Lot:002.002 NYSBA's Residential Real Estate Pones(9/2000) -2- 0 2021 Matthew Bender&Company,Inc.,a member of LexisNexis. Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK ) )ss.. COUNTY OF SUFFOLK ) On the 7th day of October in the year 2021,before me,the undersigned,personally appeared Laurie D. White,personally known to me or proved to me on the basis of satisfactory evidence to be tiie individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledg,d to me that she executed the same in her capacity(ies),and that by her signature(s) on the instl tient,the individual(s), or the person upon behalf of which the individual(s)acted, executed,fhe instrument. r` JENNIFER SOPHIA RAGUSO Notary Public,State of New York (signdtuxe-stir / . ce of individual-taking acki .wledgment) No.01 RA6285437 Qualified in Suffolk Goan % Commission Expires 07/08/28 -y District: 1000,Section: 107.00,Block:04.00,Lot:002.002 NYSBA's Residential Real Estate Forms(9/2000) -3- 0 2021 Matthew Bender&Company,Inc.,a member of LexisNexis. FDR COUNTY USE ONLY -PDF-INS):vdww.orps.state.ny.us Cl- SWSCode 14 . 7 . 3 . 8 . 8 . 9 fillowmwk Milo�€ TwoMan at C2- Date Deed Recorded 1 11 1 16 1 2021 1 - Month Day Year IR : -SWX40" C3_ Book 11,3,1 ,2, g I C4_ Page I ,7 , 4, 5 I RP- 6217-PDF Ileal Property Tmrrsfer Report(91`1 01 PROPERTY INFORMATIONI .Property Lacation 6105 Wickhafn Avenue -sTitw=pTNL3h®r�h •srr��sr hfgAh� Mattituck None 1195.2 -nm-oH haves va.iawcc� •ze rooms Name ,�1larci Lynn McDermott as Trusters of the Laurie Denise White lrrert Trust, dated 811612'1 _._._._........ .......------------------- -�..............._ . ..--..........._...._.........---------------------..... ErIET MAA�MNY FLRST MWE' iA4T NAt9rt�afAPA9w'F FirtlhT ILW>•= 3.Tax Indicate where future Tax Bills are to be.sent WhiteLaurie Denise Billing it other than buyer address(at bottom of forth) ir+uicioouanr+r-....""..._.." ......... ._._._._........_-- ..........P[RUTNAME..�...............— .............W-........ Address 10 Tuthill Lane Mattituck NY 11952 _.__....._.�.._..... — .--..... srhst=1 e�nemR ae�7 fJAiNE CrfY ort TOWN STATE xhra cone M lnddcate the number of Assessment at parcels OR Elpart Urfa warcel (Only if Part of a Parcel)Check as they apply- Roll Pamela transferred on the deed ..____......# 4A.Planning Board with Subdivision Authority Exists 6.Dead OR 0,94 Prapefty .....=.ixoxr fcai .- •aerTrs •r is -- d6.Sutft€irisi Approval was Required for Transfer O Size 4C.Parcel Approved for Subdivision with Map Provided n White Laurie D. B.Seller r... --. —""..............._.................`.........._......_............. I.ArhT HPMEM. wPANY FA01T NAA Name ._-..............�.w........ ........................ -.-'_. ----------------.�.__-.......--- -------------.�,"_..... S.AST h/Apt�H,x]ifNAtaY r3str;T N4 W. 11.Select the description which most accurately describes the Chock the boxes below as they apply: use of the property at the time of sale: &ownership Type is condominium 9.New Construction on a Vacant Land A. DRe 21rT3ify RAS1C C:C[tial_.....w......._.._ .. 10A.Property Located within an Agricultural District � 1013.Buyer received a disclosure notice Indicating tftat the property is in an Agoruirural District SAt_E lNFC1 thAATION 15.Chock one or more of mese conditionsaa applicable to transfer- A.Sale Between Relatives or Fornmw Relatives 11.Safe contract nate 10/0712021 .... B.Sof behveen Fre€aced Companies or Partners 1n Business. ............. C one of the Buyers I.s also a Seller '12.Date of SaletTransfar 10/07/2021 D.Buyer or Seller is Government Agency or Lending Institution ... ._....., HA`E.Fuad Type not Warranty or Bargain and Sate(Specify Below) F.Sale of Fractional or Less than Fee l terest(Specify Below) "13.Full Sale Price $0.00 G-Significant Change m Property Between Taxable Status and Sate Crates ......_......-.....---...- ------------- H-Sate of Blit 4mas is included in Sale Prk70 (Full Sala Price is the total amou rit paid for the property Including personal property. i. Other Unusual Factors Affecting sale Price(Specify eato wr) This payment may be in the farm of cash,other property or goads,or the assumption of J.Hone mortgages or other obligations-)Please round to the nearest whole dollar amount_ Comment(s)an Condition: 14.Indicate the value of personal property included in the sale $0.00 - Quitclaim Deed ......... q,_ ............ ASSESSMENT INF-CFIMA'TION-Data should refkmf the latest final Assessment Rall and'Tax Bill 1#.Year of Assessment Roll Worn which information takon(YY) 21 '17.Total Awed Value 5 800 ..............__.._ '18.Property Class. .• •.•.•... .........�._.._0...—."•"•"•. — "18.school District chance Mattituck School District _ _....... _..........................--. '20.Tax Map Identifler(sytRoll ldeatlfler(s)(If more than four.attach street with additional identiffer(s)l 1000-107-00-04,00-002,002 CERTIFICATION I Certify that all of the Items of information entered an this form are true and correct(to the best of my knowledge and bellon and I understand that the mak€rte of any willful false statement of material fact frerein subject rale to theynN(atq"-.e�.l.;leg. gpty _relat€ve to the making and Ming of false Instruments. SELLER`S..159,.C1_AuLiS [.7A. .T..IFS}kll� "I111- (Enter ir&wmatp for tta buyer.Note,If tuyff is TLC,—jaty,asmra3tian,onrporaiian.joint stack ,estate or eruity that is not an kvily daa l agent or&9 to sery.ltren a ne"and corvtr;K;t iMatrrrabiorw of an vk#mfhasgua�me kiwnxxt ons aegarskm km transfer M(PA be antare6-1we or Pmt cJeady.) 12,1 it 3133nE a -- wf' unr�r sx3 R1 MCDert ortW. .....Markt..Lynn ...._._...... ......................... g 531 5©6--844© �hE/w Ciao[ •T€:>-.L"V4iUNE NUMBER(E.SWB®80k) VA 320 wells Road 'sl MET 3VMAE.- ........... ........................�. r Laurel NY 11948 I ....._.... d YXT'r CN TkiVY'N 'STAB Z#'CQn[ NONE • 1 1. �........-•kASt NANIF• ----------------- -frvnreE ---------- Ali .... at # [Px. 06f... ... ........ ,............ ...._ S