HomeMy WebLinkAboutL 13135 P 597 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/27/2021
Number of Pages: 4 At: 7 :28 :26 PM
Receipt Number: 21-0218718 *ELECTRONICALLY RECORDED*
Transfer Tax Number: 21-17746
LIBER: D00013135
PAGE: 597
District: Section: Block: Lot:
1000 075 .00 04 .00 016.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount $303,000 . 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 $4,560 . 00 NO
Transfer Tax $1,212 . 00 NO
Transfer Tax Number: 21-17746 Fees Paid $6,292 . 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 12/27/2021 7:28:26 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013135
Social Security Numbers P 597
prior to recording. 21-17746
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 1,212.00
' _� 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
27062726 1000-075.00-04.00-016.000 Consideration Amount $303,0 0 0.0 0
Tax Service P r s
Agency €t cvvttn CPF Tax Due $ 4,560.00
g }'
Verification 77179!2127
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land X
Pro National Title Agency LLC TD 10
6901 Jericho Turnpike, Suite 210
Syosset NY 11791 TD
TD
!Nail 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
��;3yilaS
j)#7t- e avcY
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE made the a('l day of ItNf,2021
BETWEEN Nancy E.deConciliis a/k/a Nancy E.de Conciliis a/k/a Nancy Elizabet de Conciliis
a/k/a Nancy Elisabet de Conciliis
Address:415 Grange Road,Southold,NY 11971
party of the first part,
AND Todd F.Siemers and Sarah M.Siemers,as husband and wife
Address: 31 James Lane, Levittown,NY 11756
party of the second part,
WITNESSETH,that the party of the first part,in consideration of ten($10.00)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,situate,lying and being at Southold,Town of Southold,County of
Suffolk and State of New York,more particularly bounded and described on:
0 1000
Q?5 W SCHEDULE A ATTACHED HERETO
OC4 OD Premises: 515 Grange Road, Southold, NY 11971 (vacant land)
Olb.oCO
SCTM#: District: 1000 Section:075.00 Block: 04.00 Lot: 016.000
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed
recorded in Liber 9211 at page 430.
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.
IN THE PRESENCE OF:
&tiatiA �
hot ;o.f}
* by Marina .de
Conciliis,her agent,by power of attorney dated
January 6,2000
*Nancy E. deConciliis a/k/a Nancy E. de
Conciliis a/k/a Nancy Elizabet de Conciliis
a/k/a Nancy Elisabet de Conciliis
State of New York,County of Suffolk ss: State of New York,County of Suffolk ss:
On the g� day of June in the year 2021 On the day of in the year 20
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
Marina E.de Conciliis
personally known to me or proved to me on the basis of
satisfactory evidence to be the individual whose name is personally known to me or proved to me on the basis of
subscribed to the within instrument and acknowledged to me that satisfactory evidence to be the individual whose name is
she execu the same in her capacity,and that by her signature subscribed to the within instrument and acknowledged to me that
on the i ent,the individual, or the person upon behalf of he executed the same in his capacity,and that by his signature
which t indi id a x d t instrument. on the instrument,the individual,or the person upon behalf of
which the individual acted,executed the instrument.
(signature and office of individual taking acknowledgment) Q(signature and office of individual taking acknowledgment)
I
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PLEASE RETURN RECORDED DEED TO:
Q. S4FL04tr 4,-b I(oD'p S1frr,t{zs
228- 36th—&set 31 .TA-M rS Lr}.utr
A0en VWr,-PFCTS104
Title Resources Guaranty Company
SCHEDULE A
DESCRIPTION OF PREMISES
Title No. PNT34112S I
PARCELI:
ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon
erected,situate,lying and being at Southold,in the Town of Southold,County of Suffolk,State of
new York, known as part of Lot No. 16 on Map of South Harbor Homes,said map being filed in
the Office of the Clerk of the County of Suffolk on the 14th day of July, 1964,as Map No.4096,
more particularly bounded and described as follows:
I
BEGINNING at a monument set at the northwest corner of Lot No. 17 as shown on a certain
realty subdivision map entitled,"South Harbor Homes",at Southold,Town of Southold,Suffolk
County, New York,filed in the Office of the Clerk of the County of Suffolk as Map No.4096
on July 14, 1964,which said monument is South 85 degrees 09 minutes 50 seconds West
434.10 feet from a monument set at the westerly terminus of an arc of a curve connecting the
southerly line of Grange Road with the westerly line of Bayview Road;and
RUNNING THENCE from said point of beginning South 4 degrees 50 minutes 10 seconds East
along said Lot No. 17, 179.21 feet to land now or formerly of Reno Gendron:
THENCE westerly along the land of Rene Gendron South 85 degrees 03 minutes 50 seconds
West 100 feet to the easterly line of Lot No. 15 as shown on aforesaid map;
THENCE North 4 degrees 50 minutes 10 seconds West along i
g g sa d Lot No. 15, 179.39 feet to a
monument set on the southerly line of Grange Road;
THENCE North 85 degrees 09 minutes 50 seconds East along the southerly line of Grange Road
100.00 feet to the point or place of BEGINNING.
PARCEL II:
ALL that certain plot, piece or parcel of land,situate, lying and being at Southold,Town of
Southold, known as the southerly part of Lot No. 16 on Map of South Harbor Homes;said map
being filed in the Office of the Clerk of Suffolk County on the 14'day of July, 1964 as Map
Number 4096,more particularly bounded and described as follows:
BEGINNING at the southwest corner of Lot No. 17,as shown on a certain realty subdivision map
entitled,"South Harbor Homes"at Southold,Town of Southold,Suffolk County, New York,filed in
the Office of the Clerk of Suffolk County as Map No.4096 on July 14, 1964;and
RUNNING THENCE from said point of beginning South 85 degrees 09 minutes 50 seconds West
along the land of B.W.Stepnowski 100.00 feet to the southeast corner of Lot No. 15 as shown
on aforesaid map;
THENCE North 4 degrees 50 minutes 10 seconds West along said Lot No. 16,0.74 feet;
THENCE easterly across Lot No. 16,as shown on aforesaid map, North 85 degrees 03 minutes
50 seconds East 100 feet to the westerly line of aforesaid Lot No. 17;
THENCE South 4 degrees 50 minutes 10 seconds East along the westerly line of Lot No. 17,
I
0.92 feet to the point or place of BEGINNING.
I
1
FDR COUNTY USE ONLY
Cl- swiS Cade 14 F 7 F 3 F S F S F 9 1 Ns) Ww-Arps-siate.ny.us
New York State Departrilent of
C2_ nate need Recorded 1 12 / 27 20211 Taxation and Finance
Month Day Year
Office of Real Property Tax Selviaes
C3_ Book 11t 3,1 ,3, _5j C4_ Page I , 1_51 9, 7 1 RP- 5217-PDF
PROPERTY INFORMATION I Real Property Transfer Report($If 0)
1.Property 5.15 C==.ra--'ge Rc as J
Location — _.,..,..,..,...,...........
3—Er NVMBI]R •STREET NAEP
Scta t:iV-I.c9 Scaul-ho'l.C,i J.1.1,a71
v-LA E _____..._._ •r:v eoDE
x_suyer Siemer..s Tc)o i3 IF.
Name ........ .....w... ._ _....................
LAST NAMEICC PANY Filo;"NAr .
S1E'TCiP Y'S Sarah
-f.Ij,.---.._.._._....._._._._._.... _._
LRS r NAME CCMPhN�' 1ig5 F NAME .......�.......... W'...................'''''''W'
3'Tax indicate where future Tax Bfis aro to be sent
Billing if other than by er address at bottom of Form ��..---.-...._._._._._............_...... -
Address y ( j,ASY N—FF QMz Y FIRST NAME
>;xWF.=.r m,fel3F:se ANp rvAML •••••••••••••••••••••••••••,•••••• C=Tr f�Fx 3nwrv•_�� �•"•••••••••'•'•'•• .�*'A rE••••• r:a Cf]s7i
4.indicate the num Ger of Assessment J, #o€Parco€s OR ���Pan of a Parcel (Only 9 Part of a Parcel)Check as they apply-
Roll parcels transferred on the deed ............... 4A.Planning Board with Subdivi5iEm Authority Exists 1 1
S.Deed
O it 0•4 1. 46.Subdivision Approval was Required for T'rarrsfer
Property 'FRo 6e ET •pETH 'ACRES '
Size
4C.Parol Approved for Subdivision wixn Map Provided
de°. Ctinciliis N PTl,!y �r_.
a-setter ..,......................... .
'LASI NM1MElCCMPAN'! �....�...m..m..m.... --
FSR`ST NAME,
Name L1eConci=tiffs
_ Nc37SC}7 E.
NAM£;K:r�MF•nNv ,•••••••�•'•• r•IHST NAME �1•••••••••••••• -
`7.Select the description which most acouralety describes the Check the boxes below as they apply:
use of the property at the time of sale' S.Ownership Type is Conch Yninium n
C', ReC,idendal Vacant Land. 9.New Construction on a Vacant Land
• -- IOA.l'mperty Located within an Agriculturai District n
10B.Buyer received a dtsd€osum notice indicating that the property is in an €•••••7
Agricultural District L�
SALE. INFORMATION1 15_Check one or more of these conditions as applicable to transfer!
A-Sa€e Between Roialives or Pormer Relatives.
11.Sale Contract Date 05/13/2021, B-Saks between Re€ated Cnmpanies or Partners in Sustness.
f C-ane of the Buyers is aiso a Soler
■ L-� 0,z)� 0-Buyer or Seiler is Goveownent Ayancy ar Lending Ins:notion
Hra
ate of SaWTrasfer !J..1E-Deed Type not Warranty or Bargain and Sale(Specify Below)
F.Saie of Fractional or Less than Fee interest(Specify Below)
'13.Full Safe Price 303,000 ,(}(] G.Significant Change in Property Between Taxable Status and Sale Data&
Il-Sale of Bun mess i5 included in Sale Price
(Fui€Sais Price is IIx total amount paid for the property inc€siding personal Property. €. Other Unusual Factors Affecting Sale Price(Specify Eelpw)
This payment may be in the farm of cash,other property or goods,or the ass,umplion of None
rnortgages or atheer ob€igatians-)Please round fo the nearest whole dol{ar amount.
Comment(s)on Conrittion-
14,Indic ata the value of personal (3 -p[3
property included In the sale _ _
ASMSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bili
16.Year of Assessment Roll from which information takan(YY) 21 117.Total Assessed Valve fi o 0
'16.Property Class 3 11. _ .^.^.....^.^�^.^.^.. "19.Schoo€District Name SO U1'11❑1 r3
..._........_............,,,..... -----------------------------------------
'x6.Tax Map ldentifber[s)IR01 ldwntifier(s)(If mons than four,attach sheat with additlonal fdamtffer(s))
-
CERTIFICATIC]N
t certify!fiat all of the items of Information entered on this form are true and correct(w the bast of my knowledge and belief)and l understand that the making of any wiltful
false staetemen of material fact herein subject me to the.pfQy_[giorm Q.►_tYz4-.nneal..ttiw.relative to the making and filing of false instruments.
SELLER S1GP4ATVRF JBUY-E.Ek--CQ—TA'C--C_CN.EORMATION
� y [Eater inrorm AV-f—tr.buyer.Nate:It b]yCr i.4 LLC. 5oripty,aSs*oa tipn,porporaiion,joint Slock company,estate or
entity that is nci an indMduat ag"I❑c r4i�.3ary.trier a i:ame and contact inform mm of an iradmduailraspons�fa
party who can answer questions Feagardirr3 Lie iFanrgr rr M be enE„rcd.'rypg OT Pr M 41eorly.)
.•'I.i.F'1 Sir+rvAT upE Ir DATE
Todd & Sarah
BUYER SIGNATURE
w.if{ __..--
•t,��.•• AMS Fla 53
&FJYEF St a TRC ••••••••••••• flex ry
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•STREET Nilxr9F.R .�.�.�W �•�•ST rvf F1'Ne-ti¢F ���
aF i[ 1 r I i Levittown _________ NY 11755
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BUY F;6,A.TTQJ9NA.Y.
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f Lynch Thomas
F a € r l 1 (2 0 3) 205-31144
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