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L 13132 P 184
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 12/01/2021 Number of Pages : 4 At: 04 : 02 : 42 PM- Receipt Number : 21-0204773 TRANSFER TAX NUMBER: 21-14970 LIBER: D00013132 PAGE : 184 District: Section: Block: Lot: 1000 025. 00 03 . 00 008 . 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 r :4 NO ` EA-CTY $5 . 00 NO EA--STATE $125 . 00 ` �.NO TP-584 $5 . 00 NO Notation $0 . 00 '"'-NO Cert.Copies $5 . 00 NO RPT $200 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO Fees Paid $400 . 00 TRANSFER TAX NUMBER: 21-14970 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE i County Clerk, Suffolk County T [:1]CZE Number of pages RECORDED 2021 Dec 01 04:02:42 R-1 This document-will be public UDITH A. PASCALE record. Please remove all CLERK OF Socia) Security Numbers SUFFOLK COUNTY L D00013132 prior to recording. P 184 nTH I-Iao Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee 7 Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation spec./Assit. or EA-52 17(County) � SubTotal Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. Dual Town Dual County C� Held forAppointment Comm.of Ed. S. 00 Transfer Tax 7 Affidavit + • Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES orNO Other Grand Total If NO, see appropriate tax clause on page# of this instrument. L 2-1 [01 { 4 Dist.1000 210616" 1000 I0+0I0n022I15000 rp03nI00I]008000 5 Community Preservation Fund TaxlSe veProperty R-NOVA II�III�I���lllf�llll�I���I�IJI�iif 11 Consideration Amount$ Agency I II 1 IIIIIII VIII it 1 JII I CPF Tax Due $ Verification — -- --- / p Improved 6 Satisfactions/Discharg RECORD&RETURNpe y Owners Mailing Address Vacant Land Jennifer B. Gould, Esq. PO Box 988 TD Southold, NY 11971 TD TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Fidelity National Title Insurance Services www.suffo[kcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached life estate deed made by: (SPECIFY TYPE OF INSTRUMENT) Kathleen E. Smith reserving a life estate The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Craig E. Smith and Keith J. Smith In the VILLAGE or HAMLET of Orient BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. Over Bargain and Sate Deed with Covenants Against Grantor's Acts-Individual or Corporation CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 22°d day of October, 2021 BETWEEN KATHLEEN E. SMITH, residing at 1725 Village Lane, Orient, NY 11957 party of the first part, CRAIG E. SMITH, residing at 119 Hawkins Street, Port Jefferson, NY 11777, and KEITH J. SMITH, residing at 9 Summit Ridge Road, New Canaan, CT 06840, as tenants in common, each with an undivided fifty percent (50%) interest party of the second part, WITNESSETH, that the party of the first part, in consideration of TEN ($10.00) dollars, 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 SEE SCHEDULE A ATTACHED HERETO BEING AND INTENDED TO BE THE same premises described in the deed made by Tazewell A. Smith and Kathleen E. Smith, recorded 04-11-2006 in Liber 12444 page 810. I THE GRANTOR HEREIN RESERVES A LEGAL LIFE ESTATE IN THE PREMISES FOR THE TERM OF " THE GRANTOR's LIFE. 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 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: KA EN H STATE OF NEW YORK, COUNTY OF SUFFOLK ss: On the b�0iay of October, 2021, before me, the undersigned, personally appeared Kathleen E. Smith, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose names is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her capacity, and that by his/her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. Notary Public JENNIFER B.GOUL© Notary Public, State of New York No. 02G05024640-Suffolk County Commission Expires March 14, 20 a� SCHEDULE A ALL that certain plot, piece, or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Orient,Town of Southold, County of f Suffolk, and State of New York, bounded, and described as follows: BEGINNING AT A POINT ON THE EASTERLY SIDE OF MAIN STREET DISTANT 63.20 FEET NORTHERLY FROM THE CORNER FORMED BYTHE INTERSECTION OF FLETCHER STREET WITH THE EASTERLY SIDE OF MAIN STREET,WHICH POINT OF BEGINNING IS WHERE THE NORTHERLY SIDE OF LAND NOW OR FORMERLY OF D.TUTHILL INTERSECTS THE EASTERLY SIDE OF MAIN STREET; THENCE ALONG THE EASTERLY SIDE OF MAIN STREET, NORTH 31 DEGREES 46 MINUTES EAST, 84.00 FEET TO THE SOUTHERLY SIDE OF LAND OF OYSTERPONDS HISTORICAL SOCIETY; THENCE ALONG SAID LAND, SOUTH 70 DEGREES 56 MINUTES EAST, 137.83 FEET; THENCE SOUTH 31 DEGREES 46 MINUTES WEST, 102.21 FEET TO LAND OF D.TUTHILL; THENCE ALONG THE LAND OF TUTHILL, NORTH 63 DEGREES 22 MINUTES WEST, 135.00 FEET TO THE EASTERLY SIDE OF MAIN STREET,THE POINT OR PLACE OF BEGINNING. INSTRUCTIONS(RP-5217-PDF-INS) www.orps.statemy.us FOR COUNTY USE ONLY I New York State Department of C1.OMS Cede Alt-7. $, cif, I Taxation and Finance C2.Date Deed Placarded { 12-1 1 Office of Real Property Tax Services a, T•Y RP-5277-PDF C3.Book / 3, ,3 ZJ C4.Page Real Property Transfer Report(8110) PROPERTY INFORMATION t•ProWrty 1725 Village Lane Location •!'RL::NIIYIEP 'SiaFFi 4t41F Southold Osiers 11957 • CAT'OR TOM v.•Wz •.a CODE 2.Buyer Sin:::7 Craig Name •hwsT NAh[rcoarAhr Fns:xAwF Smith Keith J LAlI hAwJC.'WPAI,T FnB:NMIE /s 3.Tax Ind tole where future Tax Bills are to be sem SVW r t N! IGA-ia ee AE Billing y other than buyer address(at bottom of form) Ips'N.YuccM•'.x. FIRS?nwE Address _�. n . 60)L 358 �rr•Fdl-t � &ST-9 S.REF NL IMR 441 NUIE e',CR TCNm STATE as CODE 4.Indicate the number of Assessment 1 E]Pan of a Parcel (Ory 11 Part of a Parcell Check as they appy: RolPl arcels transferred on the deed fl or Parcels OR F14A.Planning Bova with Subdivision Authority Exists S.Deed \ OR 0.29 40.Subdwomn Approval wait Required for Transfer Property •rRONT FEET •eLPL. 'ACRES Sim 4C.Pamd Approved for Subdivision with Map Provided Slrith KaLhleen F B.Boller •:AS;NAMF,Ya:Lra/wY 1 NSI WYL Name LAST NAaFICOMPwiy rub-NwC 1 •7.Select the description which most accuratelydeacdbea the Cheek the boxes below as they apply: use of the prop"at the too at sale: 8.Ownership Type Is Condomimum ❑ :1.One Family Resitlerltial s.New Construction on aVerardLand ❑ 110A.Property Located within an Agricultural Dialect r1 168.Buyer received a disclosure notice Irldlraerhg that the property Is in an ❑ Agricultural District SALE INFORMATION 15.Cheek one or more of these conditions as applicable totransfor: A SWILL Between Relatives or Former Resolves 11.sale Contract Dab ,B.Sale between Related Companies or Partners In Business I C.One d the buyers is also a Seller fat r� _ r�7 D.Buyer or Seiler is Government Agency Cr Lending InSuLdion Date 12.Daof SalolTransfer 1 ®lel eL 1 E Deed Type not Warranty or Bargain and Sale(Spsciy Salovr) l F.Sale of Fractonal or Less than Foe imelaal(Spodfy BWuwl •13.Full Sok Price 0.(N) 'G.Slgmerarn Change in Property Between Taxable Status and Sok Dais N.Sale of Business is Included in Sale Prim ' (Full Sale Price is Lhe total amount pad for the property Irxiud.ng personal property I.Other Unusuo Factors Affecting Sale Prim(Specify Below) Two payment may be In the form of ash,other properly or goods.or the assumption of — J.None mortgages or other obligations I,Please round to the nearest whole dollar somunf. Comment(s)on Cond6lon: 14.Indicate the value of personal prop"Included In the sale fl .0U _ ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year d Assmamem Roll from which Information taken(YY) 20 '17.Total Assessed Value 8,(;00 '18.Property Class 210 _ •10.School District Nome Orient '20.Tax Map Iderlt5arlayRoll Idettiflei(If more than four,attach shed with additional Wandfler(sll 1000-025.DO-03.00-009.00 r CERTIFICATION I Certify the all of the Rams of Information entered on this tarn are true and correct(to the bast of my knowledge and halkl)and I understand that the making of any willful false statement of material fact herein subject me to the pmvisiono.of.the.panaLkMLrektive to No making and sling of false Instruments. $IELLEP SIGNATURE BUYER CONTA¢T INFOJtMAT10N 1/f {.Er for vrsixtrun u rot Ns a,ysr"iae Ir pryer h LLC.eaaery,aseaas:an caroersecn your,sicca Cerllperly.gees a FTmiy:vt is not an er cl W:agent Ording to,and r rousse e R latedG xlrarror pri W are rdugDe'haapVaBl! nary who ran o'hswer q,.eSlms u,1W rte C!ew:ear mus a emserMl Tye w prlM eYerty) I Y�9Qli•TJri_ TATE 1 ;S.ith Croit; ? BUCERSIGNATURE i__-• +111/�r�'�\{��//] � •:A.,:Ilwei .::s:N+MC •AaF•fRxx •TEEPI.CM NYa1LN rL""•edEww%I W1LV GIGN4IJVE ]111: Orve j E.Sr99i*k— :1 n Hawkins Stroar !! 'ataccr—ML-LP S—ET hAW S h'h IV r ;Port Je--ferson NY 11177 +err On TOM - 3h+hE •aPeece BUYER'S Arr9E EY Gould 9sn Jennifer S L ,Ilei N.Y_ I*1ST MILE 1 .31) __ 765-8175 APSA CON :EI2PaNE r:_YIRN 11 1 Slew717i