HomeMy WebLinkAboutL 13140 P 635 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 1/28/2022
Number of Pages: 4 At: 9:34 :36 PM
Receipt Number: 22-0015921 *ELECTRONICALLY RECORDED*
Transfer Tax Number: 21-21990
LIBER: D00013140
PAGE: 635
District: Section: Block: Lot:
1000 031 .00 10 .00 011 .000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount $1,125,000 . 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 $125. 00 NO
TP-584 $5. 00 NO Comm.Pres $19,500 . 00 NO
Transfer Tax $0 . 00 NO
Transfer Tax Number: 21-21990 Fees Paid $19,895. 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 1/28/2022 9:34:36 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013140
Social Security Numbers P 635
prior to recording. 21-21990
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
Real Property
22rDO1552 1000-031.00-10.00-011.000 Consideration Amount $1,12 5,0 0 0.0 0
Tax Service P r s
Agency €t cvvttn CPF Tax Due $
g Y 717472[122 19.500.00
Verification
Improved X
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Fidelity National Title - Riverhead, NY TD 10
24 Ccomerce Drive
Riverhead NY 11901 TD
TD
Mail 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 DL® 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
oN Dc--w6-w- ar, aoa 1 7 YOV' o/4a-19
Bargain and Sale Deed,with Covenant against Grantor's Acts—Individual or Corporation(Single Sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD RE USED BY LAWYERS ONLY,
THIS INDENTURE,made the (g day of October,in the year 2021
BETWEEN PNB Holding,LLC,of 325 Bay Avenue,East Marion,NY 11939
party of the first part,and Micah John Halsey and Simone Beth Levien,Trustees of the Micah John Halsey Revocable Trust,
and Micah John Halsey and Simone Beth Levien,Trustees of the Simone Beth Levien Revocable Trust,of 482 Waverly
Avenue,Brooklyn,NY 11238
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,with the buildings and improvements thereon erected,situate,lying and being
in the commonly known as 325 Bay Avenue, East Marion,NY 11939 and more fully described in Schedule A annexed
hereto.
BEING AND INTENDED TO BE THE SAME PREMISES DESCRIBED IN A DEED MADE BY MARK THOMPSON
AND RECORDED JUNE 29,2015,IN LIBER 12822,AT PAGE 73.
TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads
3, abutting the above described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and
1� 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.
\l 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 fust part has duly executed this deed the day and year first above written.
Ilii-PRS:
Daniel Seidenstein,Authorized Signatory
r—r P013 44010-��q
LLe-
FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO.7404-012279
SCHEDULE A-1
(Description of the Land)
For Tax Map ID(s): 1000-031.00-10.00-011.000
AMENDED 9/15/2021
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,being bounded and described as follows:
BEGINNING at a point on the easterly side of Bay Avenue,which said point is 300 feet south from the southerly side of
Main Road(S.R.25);
RUNNING THENCE North 56 degrees 46 minutes 40 seconds East,along land(now or formerly)of Roustas 200.60 feet
to land(now or formerly)of Tsiklidis;
THENCE South 29 degrees 29 minutes 30 seconds East,along said land 101.92 feet to a point to land(now or formerly)
of Johnson;
THENCE South 57 degrees 20 minutes 20 seconds West along said land 201.47 feet to the easterly side of Bay Avenue;
THENCE North 29 degrees 02 minutes 30 seconds West,100.00 feet to the point or place of BEGINNING.
THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the
premises which by law constitute real property.
FOR CONVEYANCING ONLY: Together with all the right, title and interest of the party of the first part,of in and to the
land lying in the street in front of and adjoining said premises.
END OF SCHEDULE A
Commitment for Title Insurance Printed 10.19.21 09:23 AM
Schedule A-1 Description co
N Y-F T-F RVH-01030.431004.S P S-1-21-7404-012279
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York,County of " ,ss: State of New York,County of ,ss:
/ 1
On the 19 day of()Ct• in the year 2011,before me,the On the day of in the year before me, the
undersigned, personally appeared A-'n(�srsonally known to undersigned, personally appeared
, personally known to
me or proved to me on the basis of satisfactory evidence to be 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 the individual(s)whose name(s)is(are)subscribed to the within
instrument and acknowledged to me that he/she/they executed instrument and acknowledged to me that he/she/they executed
the same in his/her/their capacity(ies),and that by his/her/their 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 signature(s) on the instrument, the individual(s), or the person
upon behalf of which the individual(s) acted, executed the upon behalf of which the individual(s) acted, executed the
instrument. instrument.
NOTARY PUBLIC ,A44n&'A 3 H-M-0,;&. ,5Sjj NOTARY PUBLIC
ANDREW H.MEIER,ESQ.
NOTARY PUBLIC,State of New York
Registration No.02ME6332812
Qualified in Kings County
Commission Expires on November 9,20.:2:�.-3
ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK
TAKEN IN NEW YORK STATE STATE
State of New York,County of , ss: State of County of ss:
On the day of in the year before me,the On the day of in the year before me,
undersigned, a Notary Public in and for said State, personally the undersigned personally appeared personally known to
appeared , the subscribing witness to the foregoing me or proved to me on the basis of satisfactory evidence to be
instrument,with whom I am personally acquainted,who,being the individual(s)whose name(s)is(are)subscribed to the within
by me duly sworn,did depose and say that he/she/they reside(s) instrument and acknowledged to me that he/she/they executed
in (if the place of residence is in a city,include the street the same in his/her/their capacity(ies), that by his/her/their
and street number if any,thereof);that he/she/they know(s) signature(s) on the instrument, the individual(s) or the person
to be the individual described in and who executed the upon behalf of which the individual(s) acted, executed the
foregoing instrument;that said subscribing witness was present instrument, and that such individual make such appearance
and saw said execute the same;and that said witness at before the undersigned in the (add the city or political
the same time subscribed his/her/their name(s) as a witness subdivision and the state or country or other place the
thereto. acknowledgement was taken).
NOTARY PUBLIC NOTARY PUBLIC
Bargain & Sale Deed COUNTY:Suffolk
With Covenants TOWN/CITY:Southold
PNB Holding,LLC PROPERTY ADDRESS:325 Bay Avenue,East Marion,NY 11939
TO SECTION:031.00
Micah John Halsey and Simone Beth Levien,Trustees of the Micah BLOCK:10.00
John Halsey Revocable Trust,and Micah John Halsey and Simone LOT:011.000
Beth Levien,Trustees ofthe Simone Beth Levien Revocable Trust
Title No.7404-012279 RETURN BY MAIL TO:
DISTRIBUTED BY
F45.Main
sen,Esq.
Olsen LLP
Road,PO Box 706
--�� eNY 11935
JUDICIAL TITLE
EFT: 1-TITLE F:800-FAX-9396
FDR COUNTY USE ONLY
C1_ SWIS Code 14 . 7 . 3 . 8 . 8 . 9 1
C2_ Date Deed Recorded I 1 / 28 / 20221 =-iN5):vvvrw.ctrps.slata.ny.ua
Month Dap Year N"Yark State 1e1,adrrApfH of
Taxation and Finance
C3_ Book I L,3,] ,4,.0j C4_ Page I 1 1 6 E 31 5 I of Real Property-i-&x 5rarvlc s
PROPERTY INFORMATION RP- 5217-PDF
............._.. Ream Property Transfer#Report(WIG)
PROPERTY iNFbRMATIt)N
1.property 325
Bay Avenue
Loca$nn
-aTnRrcT har�lesR -- ."". •srr�r h."�
East Marion
•�rrr vee Town -•- - -- .,,,,.__. 11939
-x�cooe�
2.Buyer Ha3.3ey, Lev.ien j t LK_tX .� Micah j oho., Simone Beth.
Nanta
•IAET NN.IFJCCHPANY RlR6T NAA
Micah John HalSey Simolae Beth Leviers Rev 1Qt„0.'Lzi1k 1I+A p+
Ll5]'NANeICOMPAKY NiR3'k+iaE
3_Tax indicate where future Tax Bili3 are to be slant
Billing
Address tf other than buyer adoress(at bottom of fwm) MRST HuS """•"
u ar NA]sE CantPntrl
81AEV W mep Ano.' X Crrx nq TL)4 - TH Z Coin
4.lrldieate the number of As,sessmen! 1 t6 d'Patg0lg Part a4a Percwl (Only tr Pert Cf a Parcel)Check es they apply: ...
RWE pareels trans'fmsrad on lite eaed OR 4A.planning Board with Subd11A$Wn Authonly Exials L �
Reed 48•SubdiY&Oi
Property •rRauT�F�r x -z>sv:r�"�""' �R Approval was F;equined for Transfer
size
aC.Parcel Approved for Subdivtafan wth Map Pre%ddld
PNS Roldi.ng LLC
s.se€tar -usT HAM&c Oc,,,r --- _•••""•.••
F3ir$T Pi"f.1E
Name
L T[YNA€rC>.�Mw+�NY F?N8Y NAUF .
"'7.$*wet the descrliMon Which must aocu eatery dssw)bes The Check the boxes bwtuw as they applri
U"of The property at the tlhte of Salo- a.Ownership Type is CondomaNum
A, Eine Family Residential S.New ridNl&bUVtion on a Vacant Land ❑
�.__.-_..
I*A. Property Bled within an Agricuhu ral District
TM Suver received a dlaciosure notice indioas ng that the property in in an ❑
Aixicultural Dishic!
SALE INFORMATTON 18.Check one or more of!hdlg conelitions as AppRWble to SrurtsfeT:
A.Saie Between RelaUl or Former Raialivea
it.Sale C04WXPICt Bate S.S29a beh.can Roped Companies or Partners in ausineea.
C.One of the Buyers ig also a Seiler
10/21/2021 D.Buyer or$ 11 far is GWemmer#Agency or Lending fnOtuWn
"48.Date of SaMlTranaTer _ E-Deed Type not Warranty or Bargain and Sale(Specify Delnw)
F-Save of Fraction*or Less than Fee inimmst(Spadiy Seiaw)
"TS.Pini Baia feriae 1,125,000 .{}� G.Sigrxificanl Change ih Property Sahy n Taxable Salus end Safe Dates
C;10€Sale Priv €s the totat amount pa)d fort"property inctudi It.Safe of Business is lncl"ed in SaEe Price
TKs.payment may tee Tn the furors nE o"h,other ds perthe ad property, 1. other Umsuaf Factors Affecting Sale P rloe{Spe dfy Seiow)
property nearest
or goads,or the assumption J.Nona
RlortgpgC9 or other abligadpns,)FNeaIDe r4r�nd ii7!h!nsBr@s![vhWe doi7gr Wncunf.
Comment(s)on Condition-
14.indicate the value of personal
propene included in The Belo •00
ASSPSSMSNT INFORMATION-Data should r0eot the Forest Fine Assessment Rnk and Tax Hilt
18.YOW of Assassmont"16 o".which Inforrnatiott taken(YY) 21 'T 7.Total Assessed Va€lr! 6 r O dO
110.Property Class 21❑ ....".T"_ _19.School Aisttict Nam! O]r5te Tponr�.s
"TC.Tax.Map Wentiftar(SYRail idomn3arl s}lit more than fever,attach shoot with xuriitiornof kferstii5er{ali
Y7pp--31-1Q-Ix
izm_FFCATION ..
I C&rt4fy that all of the Hems of information to tertltl cn this form are true and corrwce(to the beat of my knowledge and belief)and F undarstand than the making P4 any wril[ful
false Statement of materisi fact herein subject me to to the making and fit"of false Enstruntants.
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