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Home My WebLink AboutL 13139 P 715 I!11111[IIII[[III IIII[[III IIIII IIIII 1111111111 IIII IIII 1111111 Il[[I 11[[1[I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 01/25/2022 Number of Pages : 4 At: 12 :27 :56 PM Receipt Number : 22-0011805 TRANSFER TAX NUMBER: 21-21257 LIBER: D00013139 PAGE : 715 District: Section: Block: Lot: 1000 053 .00 05 . 00 005.000 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 Cert.Copies $10 . 00 NO RPT $200 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $0 .00 NO Fees Paid $405 .00 TRANSFER TAX NUMBER: 21-21257 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ❑1 2❑ RECORDED Number of pages 4 20222 Jan 25 12:27.56 PM JUDITH Fl. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013139 Social Security Numbers P 715 DT# 21-21257 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 5 Sub Tota l Notation Spec./Assit. or EA 52 17(County) SubTotal Spec./Add. EA-5217(State) +a� TOT.MTG.TAX R.P.T.S.A, Qoc)-moo Dual Town Dual unty Held forAppointment Comm.of Ed. 5. 00 Transfer Tax Affidavit • a Mansion Tax J�ertlfiedcopy The property covered by this mortgage is or will be improved by a one or two S Surcharge 15. 00 family dwelling only. Sub Total YES orNO Other 1 Grand Total , If NO, see appropriate tax clause on pae# ofthis instrume 1�t. � I 4 Dist.100 22002591 1000 05300 0500 005000 5 Community Preservation Fun Real Property P T S Consideration Amount$ Tax Service 21111�� Agency �� A CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Propperty Owners Mailing Address CORD&RETURN TO: Vacant Land Erik J. McKenna, [!sq. BOX , Cu CutchogueNY 11935 TD 10 TD TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) Robert D. Ballenger The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Robert D. Ballenger,Trustee Robert D In the VILLAGE Ballenger Revocable Trust or HAMLET of Southold 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 1 day of October 2021, BETWEEN ROBERT D.BALLENGER,residing at 465 Tarpon Drive,Southold,NY 11971 party of the first part,and ROBERT D. BALLENGER, as Trustee of the ROBERT D. BALLENGER REVOCABLE TRUST, residing at 465 Tarpon Drive,Southold,NY 11971, r party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten($10.00)Dollars and other lawful consideration, lawful money of the United State,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 W ATTACHED HERETO AND MADE A PART HEREOF Being and intended to be the same premises conveyed to the party of the first part by deed in Liber 13034 page 86 and recorded on October 28,2019. 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 PRESENCE OF: ROBERT D. BALLENVER Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment Form 3290 First American Title Insurance Company, ' SCHEDULE A DESCRIPTION OF PREMISES Title No. 563-S-14883 Policy No. 5011436-019389le ALL that certain plot piece or parcel of land,situate,lying and being at Arshamomaque,.Town of Southold, County of Suffolk and State of New York,known and designated as Lot 48 on a certain map entitled,'Map of Southold Shores at Arshamomaque"and filed In the Office of the Clerk of the County of Suffolk on August 29, 1963,as Map No.3853. SCHEDULE A A.LT.A 1006 OWNERS POLICY TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of SUFFOLK State of New York,County of SUFFOLK ss: ss: On the 6'day of October in the year 2021 before me, the On the day of November in the year 20 before me, the undersigned, personally appeared Robert 0. Ballenger undersigned, personally appeared personally known to me or personally known to me or proved to me on the basis of proved to me on the basis of satisfactory evidence to be the satisfactory evidence to be the individual(s)whose name(s)is individual(s) whose name(s) is (are) subscribed to the within (are)subscribed to the within instrument and acknowledged to instrument and acknowledged to me that helshe/they executed me that helshelthey executed the same in his/her/their the same in his/her/their capacity(ies),and that by his/herltheir capacity(les), and that by his/her/their signature(s) on the signature(s)on the instrument, the individual(s), or the person instrument,the individual(s),or the person upon behalf of which upon behalf of which the individual(s) acted, executed the the indiviiddu'aln(s))aacted,executed the instrument. instrument. (signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) ERIK JOSEPH MCKENNA Notary public,State of New York No.02M66255919Guaj ,1 Commission�Exom In IFebruarY e.2t1�—I TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia.Territory,or Foreign Country)of ss: On the day of May in the year 2019 before me,the undersigned,personally appeared, 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 helshe/they executed the same in his/herltheir capacity(ies),and that by his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf of which the individuals)acted,executed the instrument,and that such individual made such appearance before the undersigned in the in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) BARGAIN AND SALE DEED SECTION 053.00 WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 05.00 LOT 005.000; Title No. COUNTY OR TOWN SUFFOLK TO STREET ADDRESS 465 Tarpon Drive, Southold,NY 1111 Recorded at Request of Abstracts,Incorporated RETURN BY MAIL TO: Erik J.McKenna,Esq. PO BOX 912 Cutchogue,NY 11935 z INSTRUCTIONS(RP-5217-PDF-INS):www.crps.stale.ny.us FOR COUNTY USE ONLY Now York State Department of Cl.sWlsCode I ,3 I Taxation and Finance C2.Date Deed Recorded 10-i If-/a 5 / o0 I Office of Real Property Tax Services cal RP-5217-PDF C8.Book ], J. 'Cl I C4.Pogo I e 1 ; I i Real Property Transfer Report(8110) PROPERTY INFORMATION 1'PrOPNty 465 TARPON DRIVE Location -_-- ------- •snxLL:wwlLw •sra.LR tutu. SOT"HO:L` }I1TIiOLD _1571 •OTT OR TOM NRWiL ---- .11PON4 2.Buyer BALiRENGER ROBERT 0, AS TRUST- Neeq LUInRUL4ANrwn ----'----- RRSI NAVE _-tAgr LYRLxWPAIlr 3.Tax Indicate whore hture Tax Bills are to be sem Billing if olhor Iran buyer address(st vodom of form)'" VRSI-EIrl Rn•.xr 1 IwI ruin Address STREET NLUaERMP RALE aIV oil 10fN erAl1 rs•rxx1L 4.Indicate the number of Assessment - Part of a Parcel (Ony ti Part of a Parcel)Cheek w they apply: ROTI the tmrlahrred on the deed sol Pends OR L ❑ Pe 4A.Planning Board with Subd,vs on Authority Exists 6'Dead X OR D•^S 40.Subdivision Aonrovw was Required for Transfer I� Property •FRIWTFFFT •ULPn- 'A.RLS Slxe 4C.PmUll AmrovM for Sl.Otlivision with MoD Provided i3A!.i..ENGEZ ROBERT D. 9.Splen •;isIT euA•Fa+rra•Rw .._ ._ I RSI NAiu - Natw IAST 4M46AV Watr FIRST wNE ' '7.Select the description which latest accurately doscdbotis s Chock the boxes below as they apply: use of the property at the time of sole: A.Ownership Two Is Co^dormrum El A One Familv Residential 9.New Consbuctio•1 on a Vacant Land El --- 10/L Property LOrnlad w.L41n an Agricultural District 10B.Buyer received a d sdosure notice Indicating mat the property Is In an r-; Ag•cultur.'a D abiet Li SALE INFORMATION 16.Check one or more of thew conditions as applicable to transfer. A.Sale Between Relatives or Fortner Roladves 11.safe Cortina Date 10/14/2021 B.Sale oehveen Related Comps-as or Partners in Business. C.One of the Buyers is also a Seller 10/15/21021 D Buyer or Seller is Gave-mmint Agency or Le:d.ng Institution •1Z Date of SeblTnnehr, E.Dead Type not Warranty or Bargain and Sale(Soeoy Below) f sale or f red Ondl Or Less than roe Imemot(Specify Below) •f3.Full Sale Price 0.00 G.Significant Change.n Property SubwLron Taxable Status and Sate Dates H Sale or Busires s Included in Sole Price (Full Sale Price aI the total amount cold M•Ina property ineludl•g personal property. _ 1.Omar U^usual Factors Affecting Sale Pse ce(Spank Bebwl This payment may be in the term o1 rash.of er property o•goods.or the assumption of J Naze mortgages o•oyer obligations.)Please round to the noose!whole decor umowd CommoM(s)on Condition: to Indicate the value of personal D•�� Property Included In the wlv _ ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which Information taker(YY) 2' '17.Total Assessed Value ,100 •16.Property Class 7.l D _ •-__•• •19.School District Name SOUTHOLD •20.Tax Map Identifiee(syRoll kiwdMor(s)(If mon than four,attach shoot with adtlXional idendfim(e)) 1Dd0:053-CC;C5.q1;1:)5.:)00 CERTIFICATION 1 Corttty that all of the Rams of Information entered on this form aro true and Correct(to the best of my knowledge and hetleQ and I undorstuld that the making of Orly willful Pals nt of matoHel tel heroin subject me to ths•prevlsions Of the penal low rolative to the making and filing of folw instruments. GELLER SIG BUYER CONTACT INFORM (ON w.0 mail' 1 a illi Nes b.nR.ent II nM o.1I r:.MR:wrr.eRwPrWd cvaws:41.A. lavi Ramesso wax,a Wi(fir/ Mllry Wr.Y IrRI M rxkvd:Yl aeMY M fYMDRry.NMI i MaIY elRd DnY4 MIO•mR:Tn Id an n W+II:YNM41a•Rrlla pear M'e tun DlnaRr gaouera maMe ng Ire I.WWR.raxW be ffft as TYM a plica OWNly I • r BA L'%ZGEX ROBERT D. NRru %IYER SIGNA74r I __ /'` 'IASI NAYL TIMI NAVL - VP=1i A "I I-rlT 4M-1 W.L.•A'TnI.I drER 91GMRFIC RL •STRE TMMMER 'STREET NAVE 1197111 sk)uTHOL3 NY I •R%I•"pp:p WR 'S1RTE 7 F CtlriF 1 BUYER'S ATTQtj(RjEY IMCKEKNA F,RIK, ti I AST ti YF IRs%WbA (631) 786-5033_ -- ANArnSF -----• ••IFI R'FRxae'ma;4 11.Ir1WA7F1 I I I