HomeMy WebLinkAboutL 13128 P 46 l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l
I I I I I I I I I I I I I I I I I I(I(III I
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/05/2021
Number of Pages : 4 At: 11 :05 :53 AM
Receipt Number : 21-0190470
TRANSFER TAX NUMBER: 21-11381 LIBER: D00013128
PAGE : 046
District: Section: Block: Lot:
1000 139 .00 03 . 00 029.000
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
EA-CTY $5 .00 NO EA-STATE $125 . 00 NO
TP-584 $5 .00 NO Notation $0 . 00 NO
Ceart.Copies $0. 00 NO RPT $200 . 00 NO
Transfer tax $0 . 00 NO Comm.Pres $0 .00 NO
Fees Paid $395 .00
TRANSFER TAX NUMBER: 21-11381
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE r
County Clerk, Suffolk County
❑1 �
Number of pages
RECORDED
2021 Nov 05 11:05:53 AN
This document will be public JUDITH A. PASCALECLERK OF
record. Please remove all SUFFOLK COUNTY
Social Security Numbers L 900013128
prior to recording. 46
97# 21011381
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
EA-52 17(County) Sub Total �--�= Spec/Add.
EA-5217(State) TOT.MTG.TAX
Q00 Dual Town Dual County
R.P.T.S.A. ���ppp Held forAppointment�
Comm.of Ed. 5. 00 Transfer Tax
Affidavit • . Mansion Tax
Ft
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total J YES orNO
Other 11�
Grand Total If NO, see appropnat tax clause on
age# of tfsire2t/
4 Dist.100� 21059309 1000 13900 0300 029000 1 5 Community Preservation Fund
Real Property PTS Ill�lll�l���ulul�l ��ll� Consideration Amount$
lax Service
R DMI A
Agency 03-NOV-2 CPF Tax Due $
Verification
— —//-- -- -- -pp - — -- -- - Improved
6 Satisfactions/Discharg RECORD&RETURNpe yOwners Mail IngAddress
Vacant Land
JIUN YI GIO A/K/A JUSTIN GUO
415 CENTRAL PARK WEST,APT 76 D ID
NEW YORK, NY 10025
7D
TD
Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Spano Abstract Service Corp.
www.suffolkcountyny.gov/clerk
Title#AC 19766-S
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFY TYPE OF INSTRUMENT)
JIUN Y GUO The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of SOUTHOLD
JIUN YI GUO A/K/A JUSTIN GUO,AS TRUSTEE In the VILLAGE
JIUN Yl GUO 2021 REVOCABLE TRUST or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
74
Form 6063 —Quitclaim 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 91h day of September in the year 2021
BETWEEN
JIUN Yl GUO,residing at 415 Central Park West,Apt,78,New York,NY 10025,
party of the first pan,and
JIUN YI GUO a/k/a JUSTIN GUO,as Trustee of the JIUN YI GUO 2021 REVOCABLE TRUST dated August
19',2021,residing at 415 Central Park West,Apt.7B,New York,NY 10025,
party of the second part,
WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration
paid by the party of the second part,does hereby remise,release and quitclaim unto the party of the part,the heirs
or successors and assigns of the party of the second part forever,
hALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
1000
lying and being in the
Town of Southold, County of Suffolk, and State of New York, more particularly bounded and described in
Schedule"A"attached hereto and made a part hereof.
/39,60
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated December
9'h,2016 and recorded February 71h,2017 in Liber 12899 Page 755 in the office of the Clerk of the County of Suffolk.
6
®ADD.
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
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 con-
sideration 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 pan has duly executed this deed the day and year first above written.
IN PRESENCE OF:
JIUN YI GOO 2021 REVOCABLETRUST DTD 08/19/2021
Y:JI O ARUA JUSTIN GUO,TRUSTEE
0 Fidelity National Title Insurance Company
Policy No:NY-FRVH-SAM-2730632-2-16-103073 Title No.:F16-7404-103073-SUFF
SCHEDULE A-1
Description
Amended 11/20016
ALL that certain plot,piece or parcel of land,situate,lying and being at Mattituck,in the Town of Southold,County of
Suffolk and State of New York,being bounded and described as follows:
BEGINNING at a monument,set in the southerly line of Lot No.64,as shown on a certain map entitled,"Amended Map
of Mattituck Heights,Property of Gistav Bayer,at Mattituck,Suffolk County,New York surveyed by Otto W.Van Tuyl,
Greenport,New York,on July 10th 1935",and filed in the Office of the Clerk ofthe County of Suffolk on July 24,1935,
as Map No.1184 where said southerly line of Lot No:64 on said map is intersected by the division line between Plot"C"
and Plot"D",as shown on the aforesaid map;
RUNNING THENCE North 31 degrees 04 minutes 30 seconds east along the southerly line of Lot Nos.64,63,62 and 61,
as shown on said map 123.52 feet to Lot 69;
THENCE along Lot 69 North 75 degrees 57 minutes 10 seconds East,35 feet to land now or formerly of Linda Pasca;
THENCE along land now or formerly of Linda Pasca South 19 degrees 32 minutes 50 seconds East crossing Farm Road
303.40 feet to land now or formerly of County of Suffolk; '
RUNNING THENCE along said land now or formerly of County of Suffolk along the center line of gutter having a tie
line south 59 degrees 38 minutes 22 seconds West,130.60 feet,to land now or formerly of Susan Skrezec a' peter
Orlowski;
THENCE along land now or formerly of Susan
West,and again crossing Fain Road and througSkrezec and Peter Orlowski North 20 degrees 00 minutes 30 seconds
place of BEGINNING. h a monument a distance of 252.90 feet to the monument at the point or
owner's policy
STATE OF NEW YORK,COUNTY OF SUFFOLK STATE OF
On the 9'day of September in the year 2021 before me,the On the day of in the year
undersigned,personally appeared before me,the undersigned,personally appeared
JIUN YI GUO A/K/A JUSTIN GUO
personally known to me or proved to me on the basis of personally known to me or proved to me
satisfactory evidence to be the individual(s)whose name(s)is on the basis of satisfactory evidence to be the individual(s)whose
(are)subscribed to the within instrument and acknowledged to me name(s)is(are)subscribed to the within instrument and
that he/she/they executed the same in his/herltheir capacily(ies), acknowledged to me that hefshe/they executed the same in
and that by hislher/their signature(s)on the instrument,the his/her/their capacity(ies),and that by his/her/their signature(s)on
individual(s),or the person on behalf of which the individual(s) the instrument,the individual(s),or the person on behalf of which
acteAexecuted.the[nstru nt
the individual(s)acted,executed the instrument
[add the following if the acknowledgment is taken outside NY State]
SCHWEITZER ANNAIISE and that said individual made such appearance before the
NOTARY PUBLIC•STATE OF NEW YORK undersigned in the(insert the city or other political subdivision and the
NO01SC64f' State or country or other place the acknowledgment was taken).
QUALIFIED IN SUFFOLK COLUM
MY=USM E>0'MiE9 SEP 28.20 ai
t
STATE OF COUNTY OF
On the day of in the year STATE OF COUNTY OF
before me,the undersigned,a Notary Public in and for said State. On the day of in the year
personally appeared before me personally came
,the
subscribing witness to the foregoing instrument,with whom 1 am to me known,who,being by me duly sworn,did depose and say
personally acquainted,who,being by me duly sworn,did depose that he resides at
and say that he/she/they reside(s)in that he is the
of
(if the place of residence is in a city,include the street and street number if any, the corporation described in and which executed the foregoing
the—O;that he/she/they know(s) instrument;that he knows the sea]of said corporation; that the
seal affixed to said instrument is such corporate sea];that it was
to be the individual described in and who executed the foregoing so affixed by order of the board of directors of said corporation,
instrument;that said subscribing witness was present and saw and that he signed h name thereto by like order.
said
execute the same; and that said witness at the same time
subscribed his/her/their name(s)as a witness thereto
[add the following if the acknowledgment is taken outside NY States
and that said subscribing witness made such appearance before
the undersigned in the (insert the city or other political subdivision
and the State or country or other place the proof was taken).
Quitclaimeed DISTRICT 1000
TITLE NO. eel ,9 7�� J SEC ION/39A0
BLOCK 03.00
LOT029.000
JIUN YI GUO COUNTY OR TOWN SOUTHOLD
TO
JIUN Yl GUO 2021 REVOCABLE TRUST DATED
AUGUST 19,2021
Recorded at Request of Spano Abstract Service Corp.
RETURN BY MAIL TO:
Distributed By JIUN YI GUO AIKIA JUSTIN GUO
Chicago Title Insurance Company 415 CENTRAL PARK WEST,AFT.7B
NEW YORK,NY 10025
INSTRUCTIONS(RP-5217-PDF-INS):www.orps state.ny.us
FOR COUNTY USE ONLYNew York State Depertmant of
C1.SwIS CattleTaxation and Finance
C2•Date Dead Recorded Office of Real Property Tax Services
GOTT- RP-5217-PDF
C3.Book 104.Pager Real Properly Transfer Repla t(6110)
PROPERTY INFORMATION
f.Propww 465 FARMERS ROAD
Location
•91PEE r MLEER 'R:RFET 11111E
SOUTHOLD MATTITUCK 1196
Cm aR-on" YRI AGE •ne came
2.Buyer JIUN YI GUO 2021 REV TR
Name
•yrgrwwFjaeleMJyr FAST WrF
rAFr PIA1F1b11PMIT -R3-NAME
3.Tex Indxwto where have Tax Bills am to be sent
Billing it other then buyer address(M botbm of farm) rMT 16ALET.e1p Final--&
Address
.A
8INFF1%LeeEw AND NAIL 10:•a1q,oW STATE mcom
4.Indicate the number of Assessment I Part m a paw (Only N Part of a Parcel)Chock as they appy:
Roll percale trarahm an the dead a of Parcele OR l 1-1 J 4A,Planning Board wish Subdivision AWhony Exists
S.Deed X OR 0.90 48.Subd.,vainn Approval was Requlod for Transfer
Property •FRGTFE.. •DEPTH 'Ar FS
sin 4C.Parcel Approved far Subd.Y4ion wAth M8P Pmvdod ❑
GUO J:UN Y I
G.Beller •LAA:P-MCW— F RST YAaE
Name
-WM Pjcffi M" rag:VWE
7.Select the description which mat Accurately describes the Check the Ner[as below as they appy:
use of the property at the thus of sale. e.Ownership Typo b CondornlnHum
A.One Family Residential a.Now Construction on a Vacant Land
10A.Property Located within on Agricultural Dlvir ct IJ
IM.Buyer received a disdosrae notice Indxxlerlg that the property is in an El
District
SALE INFORMATION1 10.Cheek era or mora of theso eandhbns m appllc Wo totransfer:
/� A.Sob Between Relatives or Formor Rablives
11.Sob Contract Dau 0 9 I (J 9�w+P I B.SW bemoan Roland Companies or Partners In Busness.
C One or Iho Buyers is aha a SAW
•12.woe of satrrronst r 09/09/2021 D.Buyer or Sollor is Government Agency or Lending InRt.holon
E.wad Typo net Womanly or Bwpin and Sale(Specify Below)
F.Selo of Fractional or Lass then Foo Interest(8peoly Below)
•13.Full Bob Prim 0.00 G.Significant Change in Property Between Taxable Slaws and Salo Dabs
N.Sabo!Business m htrJuded n Sato Price
(Full Site Price is 01a ictal amount pad for lea property including amoral prepay. I.Other Unusual Factors Atbdng Salo Price(Spoely Bobw)
The payment may be.n the forth of cash,oinor property or goods,or the assumption of J.Now
mortgages or other oWgaaons.)Pbase mind m Me noomar whole doyarA7mLW.
•Cammenge)an l.andhbn:
14.Indicate the value of personal 0
Property,Included In as Lab .()() M.F:+ -.:IA GL OF -r1F•rTTTY
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Rail from which Information aken(Yy) 20 '17.Total Asseeud Value 4,300
•1&Property Class 210 - •19.School District Name MAT^.TUCK CU^.CHOGUR UFSC
120.Tax Map WemlBer(syRoll IdamNbr(s)IN mon than bur.attach shoat with addhiomi Wemleorfag
1COC-139.00-C3.03-025.007
CERTIFICATION
I Gerdy that all of due forme of Infomatlon ontered on this form en true end dmreai(to the best of Lay knowledge and batlan and I undersand that the making of any willful
false stmuent of material tact herein subject nue to tiujifily(ypn0•o10M Panel law.rela0va to 0a nodding and filing of fate hESYumena.
SELLER
— ER SIGN"T—roe BUYER CONTACT INFORMATION
/ (Einw ldonrhon lar Law bupr.Nuke:a bwpr in LLGAodu4.waooAsm.DDrPOWIMA.)Did sTW em'Vmy.uYR or
n !I sltly srw r not An hrd-kpml spent a eduowy.Then A rrwrw Anilmnlad ellenlletori dm udwdudhrparmek
VI �I pedw who an rues euahmr rseadne pro rormhr nm be emcee Type a Prim dndy)
rr.:rN G•E
GUO JIUN YI
BUYER SIGNATURE
•.Asn AAYF Fwar,MAE
(9-'1) 596-::130
•MFA CODE —ULRRxa.NIaRAH Or vAwwl
aYT R GTE
415 CENTRAL PARK WEST, APT ')S
•STREETaaYOER 'S'REST r1AAE
MillNEW YORK NY 11002;
'Cr-cine A -11WE -opco E
BUXIMIATTORNEY
F'7 NNEGAN' KAR.IV
.AST AANL PRSI NA1e
(631) 717-2180
MFACCDE 'L.LPNONL NUaLR Rx MMNM