HomeMy WebLinkAboutL 13132 P 391 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/02/2021
Number of Pages: 4 At: 01 :52 :22 PM
Receipt Number : 21-0205219
TRANSFER TAX NUMBER: 21-15134 LIBER: D00013132
PAGE : 391
District: Section: Block: Lot:
1000 115 . 00 16. 00 012 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $684 ,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
EA-CTY $5.00 NO EA-STATE $125. 00 NO
TP-584 $5 .00 NO Notation $0 . 00 NO
Cert.Copies $0 .00 NO RPT $200 . 00 NO
Transfer tax $2 , 736 . 00 NO Comm.Pres $10, 680 .00 NO
Fees Paid $13,811 .00
TRANSFER TAX NUMBER: 21-15134
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
❑Z
Number of pages RECORDEb
2021 Dec 02 01:52:22 Phi
.JUDITH R. PRSCRLE
This document will be public CLERK OF
record. Please remove all SUFFOLK COUNTY
L 0000131:32
Social Security Numbers P 391
prior to recording. DT# 21-15134
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Spec./Assit.
Notation
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State)
TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held forAppointment
Comm.of Ed. 5. 00 Transfer Tax �L-7Y.
Affidavit Mansion Tax
The property covered by this mortgage is
CertlfleclCopy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES orNO
Other
Grand Total If NO, see appropriate tax clause on
page# of this instrument.
jJ .a.k
4 1 Dist.1000 -21061926 ' S Community Preservation Fund
1_aoo 11-goo oz2000
Real Property P T S i Consideration Amount$ LOS4i op
Tax Service R DMI A II�I�I�®�I�i11�W14118111�
Agency ` Il��llllllllllll PF Tax Due $ (U,6'86
Verification 18avov 2
Improved X
Satisfactions/Discharges/Releases List Property Owners Mailing Address
Vacant Land
Andrew Flanagan, Esq. TD
Kiley, Kiley& Kiley, PC
3000 Marcus Avenue TD 1 O
Suite 3W07
Lake Success, NY 11042 TD
Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Trinity Abstract
www.suffolkcountyny.gov/clerk
Title# TA082621013R
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by. (SPECIFY TYPE OF INSTRUMENT)
Michael Kelly The premises herein is situated in
Mary A.Kelly SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
John Urbank In the VILLAGE
Mary Urbank or HAMLET of Mattituck
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 26th day of October 2021,
BETWEEN
Michael Kelly and Mary A.Kelly,residing at 1255 Donna Drive, Mattituck,NY 11952
party of the first part,and
John Urbank and Mary Urbank,as husband and wife,residing at 177 Ferncroft Road,Mineola,NY 11501
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 grant and release unto the party of the second part,the heirs
or successors and assigns of the party of the second part forever,
fiat certain lot ie my f
Suffolk and State of New York, known and designated as Lot Numbered 62 on a certain map entitled" p of
Deep Hole Creek Estates", said map having been filed in the Suffolk County Clerk's Office o nuary 28,
1965 as Map Number 4256 being more particularly bounded and described as follows:
Q BEGINNING at a point on the easterly side of Donna Drive distant 312. et northerly from the corner
formed by the intersection of the northerly side of Theresa Drive and t asterly side of Donna Drive;
RUNNING THENCE North 2 degrees 40 minutes 0 s ds East, 110.00 feet along the easterly side of
Donna drive;
RUNNING THENCE South 87 degre minutes 20 seconds East, 182.00 feet along the division line of Lots
62 and 63;
RUNNING THEN outh 2 degrees 40 minutes 40 seconds West, 110.00 feet;
RUNN THENCE North 87 degrees 19 minutes 20 seconds West, 182.00 feet along the division line of Lots
DISTRICT: 1000 SECTION:115.00 BLOCK:016.00 LOT:012.00
Premises commonly known as 1255 Donna Drive, Mattituck,New York 11952
Being and intended to be the same premises conveyed to Michael Kelly and Mary A. Kelly by deed from
Mohring Enterprises, Inc., date 10/19/1990 and recorded 10124/1990 in the Suffolk County Clerk's Office in
Liber 11158 page 543.
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'when ever the sense of this indenture so
requires.
IN WITNESS WHEREOF,the parry of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF:
c
J
MICHAEL K
MARY A. KELLY
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
Form 3290
Olaf Republic National Title ln!§urance Company
OWNER'S POLICY OF TITLE INSURANCE
SCHEDULE A (Continued)
LEGAL DESCRIPTION
Title No.: TA082621013R Policy No.: OX-13947643
AMENDED 9/17/2021
ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk
and State of New York, known and designated as Lot Numbered 62 on a certain map entitled, "Map of Deep
Hole Creek Estates", said map having been filed in the Suffolk County Clerk's Office on January 28, 1965 as
Map Number 4256 being more particularly bounded and described as follows:
BEGINNING at a point on the easterly side of Donna Drive distant 312.67 feet northerly from the corner formed
by the intersection of the northerly side of Theresa Drive and the easterly side of Donna Drive;
RUNNING THENCE North 2 degrees 40 minutes 0 seconds (deed, 40 seconds survey) East, 110.00 feet
along the easterly side of Donna Drive;
RUNNING THENCE South 87 degrees 19 minutes 20 seconds East, 182.00 feet along the division line of Lots
62 and 63;
RUNNING THENCE South 2 degrees 40 minutes 40 seconds West, 110.00 feet;
RUNNING THENCE North 87 degrees 19 minutes 20 seconds West, 182.00 feet along the division line of Lots
61 and 62 on a point on the easterly side of Donna Drive or the point or place of BEGINNING.
For Information Only:
Said Premise being known as 1255 Donna Drive, Mattituck, NY.
District: 1000, Section: 115.00, Tax Block: 016.00, Lot: 012.000
AT 11-19.13 Page 2 of 3 ALTA Owner's Policy of Title Insurance(6-17-06)
New York--Schedules
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of Suffolk ss: Slate of New York,County of ss:
On the/01^ day of October in the year 2021 On the day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
Michael Kelly
personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s)whose name(s) is satisfactory evidence to be the individual(s)whose name(s) is
(are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their me that he/she/they executed the same in hislher/their
capacity(ies), and that by hislher/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the
t ment,the individual(s),or a person upon behalf of which instrument,the individual(s),or the person upon behalf of which
the dividual s) ed, xecut he instrument. the individual(s)acted,executed the instrument.
(signature a d offc of individual taking acknowledgment) (signature and office of individual taking acknowledgment)
CATHERINE KLEY MCMIRE
NOTARY PUBLIC STATE OF NEW YORK
NASSAU COUNTY
UC.#02M 3
COMM.EXP. '
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of N -ttk QC-40V r\ci ss:
On the al day of October in the year 2021 before me,the undersigned,personally appeared Mary A.Kelly
personally 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 within instrument and acknowledged to me that he/shelthey 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 person upon behalf of which the individual(s)acted,
executed the instrument,and that such individual made such appearance before the undersignedin the
)L5"'Qa A in pe-- (f% A-N ooiAAN ec-4'01\r.
(insert the City 6r other political subdivision) (and insert thState or Country orother place the acknowledgment was taken)
CINDY DECKARD {
NOTARY PUBLIC ( ignalure and office of individual taking acknowledgment)
Ponder County
North Carolina
My Commission Expires'03 7cz
BARGAIN AND SALE DEED SECTION 115.00
WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 016.00
LOT 012.00
Title No. TA082621013R COUNTY OR TOWN Southold Town
STREET ADDRESS 1255 Donna Drive
Mattituck,NY 11952
Kelly TO Urbank Recorded at Request of
RETURN BY MAI
Andrew Flanagan,Esq.
Kiley,Kiley&Kiley, P.C.
300 Marcus Ave.,Suite 3WO7
Lake Success,NY 11042
INSTRUCTIONS(RPZ217-PDF-INS):www.orps.statemy.us
FPR COUNTY USE ONLY New York State Department of
C1.SMS Cede AJ—7-A Taxation and Finance
/
C2.Date Deed Recorded L Z/ 2/ Z� ORice of Real Property Tax Services
"qMDIR w- Q RP- 5217-PDF
Q.Book /,��, 1,3,?=A C4.Page , l 3 r i I Real Property Transfer Report(8110)
PROPERTY INFORMATION
f.Property 1255 Donna Drive
Location
•TTRirrMINN •wninTar
Mattituc-r. 11952
•rlTVINITIATv 1111 va •/R Hae
2.Buyer Urbank John
Name
•LAST NAYEKOYFANY FRIT MAI!
Urbank Mary
LAST NMIEAMUPANV FIRST NAME
3.Tax Indicate whore future Tax Bills are to be ser Urban I: John
Billing N other than buyer addraea(at bottom of for EAST NAMEICOYPANY FIRST NAYS
Address
1255 Donna Drive Matti-tuck NY 11952
STREET NUnER AND MANE CRY OR TOWN STATE ea cow
4.Indicate the number of Assessment 1 Part of a Parcel (Only B Part of a Parcel)Check n they apply:
Roll parcels transferred on the dead 8 of Parcels OR 4A.Planning Board with Subdivision Authority Exists
S.Deed0.4 6
X Oil 4B.Subdivision Approval was Required for Transfer
Property 'FRaHr FFFT •DCPih 'ACRES
Size
dC.PArDAI Approved fol Subdivision With Map Provided
Kelly Michael
S.Sailor •u.r.THLr^eT•: :no- :.u.
Name Belly Mary A.
pl .....ara%y �lfi•:nvt
'T.Select the description which most accurately describes the Check the boxes below as they apply:
use of tho proporty at the time of sato: 8.Ownership Type is Condominium
A.nttt'Family Ri-siar-nlial � 9.Now Construction an aVocantLand
ICA.Property Located within an Agricultural District
1013.Buyer received a disclosure notice indicating that the properly is in an
Agricultural District
SALE INFORMATION 15.Check one or more of Om"conditions as applicable to transfer:
A.Sale Between Relatives or Former Relatives
11.Sale Contract Date 8/24/2021 B.Sale between Related CIpantes or Partners in Business.
C One of the Buyers is also a Seller
10/26/2021 D.Buyer or Sailor Agency r is Government Agenor Lending Institution
12.Dery of Salalfrenater E.Deed Type not Warranty,or Bargain and Sale(Specify Below)
F.Sale of Fractional or Less than Fee Interest(Specify Below)
'19.Full Sale Price 684,000 .00 G.Significant Change in Property Between Taxable Status and Sale Dates
H.Sale or Business is Included in Sale Plica
(
Full Sale Price is the total amount paid for the properly including personal properly. 1.Other Unusual Factors Affecting Sale Price(Specify Below)
This payment may be in the form of cash.other property or goods.or the assumption of X J.None
mortgages or other obligations.)Please rmpW to Her,nenrost whL*dabr amount
Comment(s)on Condition:
14.Indicate Me value of personal 0 .Qn
property included In the sale
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tall
16.Year of Assessment Roll from which Information taken(YY) 21 'IT.Total Assessed Value 5.400
'18.Property Clow 210 _ •is.School District Name 12—Mattituck
•20.Tax Map Iderrtiaer(syRoll Identifier(s)(If more than four.attach sheat with additional IdentMer(sy
t7- 1000S- 11S uo Qlu-CIC, L-0!2.0030
CERTIFICATION
I Cartlfy that all of the items of Information entered on this form are true and correct(to the best of my knowledge and ballot)and I understand that do making of any willful
false statement of material fact herein Subject me to tM_pxeyislons_ef.Ma penal law relative to the making and Sling of false instruments.
SELLER 5 GNAT—RF BYYB�ONTACT INFORMATIQd
r (Enter u llon son For the buyer.We:II buyer is LLC.wc4ty,assoclation.corporation.joint Nock cwnpwV.M
entity that Is not an Individual agarN or Fiduciary.then a name and contact I far satbn W an Ind Widuagneponsl
n _ 1 A r party who can answer questions regarding the senator must be mtaper or print clearly.)
SELLER 5MM4JRE TE
Urbank John
(/ 'USi NAYE FRaf NAPE
516 650•/743
•AR ACODE TELEPHONE humMIEr swam
BUYER MMA RE PATE
1255 Donna give
•STREET NUNWR 'STREET NAME
t Mattituck NY 11952
-CITY an Towa -STATE 4P Ce
BUYER'S ATTPRNFY
Flanagan Andrew
LASTMMU FIRST MAYS
S ) 516 4667900
1 J