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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 01/18/2022
Number of Pages: 4 At: 10 : 15 :26 AM
Receipt Number : 22-0007344
TRANSFER TAX NUMBER: 21-20653 LIBER: D00013138
PAGE : 929
District: Section: Block: Lot:
1000 055 . 00 02 . 00 015.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $625,000 .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 $125.00NO
TP-584 $5 . 00 NO Notation $0 . 00 NO
Cert.Copies $0 . 00 NO RPT $200 . 00 NO
Transfer tax $2 ,500 . 00 NO Comm.Pres $9,500 . 00 NO
Fees Paid $12 ,395.00
TRANSFER TAX NUMBER: 21-20653
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
:rte:,
00
Number of pages RECORDED.
2022 ,tarp 18 10:15:26 AK
TUDITH A. PPSCALE
CLERK OF
This document will be public SUFFOLK CnultTY
record. Please remove all L DOOO1313e
Social Security Numbers F 929
prior to recording. DT# 21-20653
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp. Recording!Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
1. Basic Tax _
Handling 20, 00 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
i or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
—
Dual Town Dual County_
R.P.T.S.A. Held for Appointment
�
5. 00 —
Comm.of Ed. Transfer Tax
�
' �^ ' �
Affidavit ���� Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other /�
Grand Total �/ If NO,see appropriate tax clause on
page# of this instrument.
g/O ll-i-7-dl
4 1 Dist. 22000639 i000 05-900 0200 015000
5 Community Preservation Fund
(�IS,cba
Real Propert p T S Consideration Amount$Q
Tax Ser '. R DTY A I
jjj�j
IIIII�IWlllulllllll��u Illlul CPF Due $ 1 501
Agencyy aS,IAN-
Verificatioi
�— Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD &RETURN TO: 9 Vacant Land
zljiLL/HM �"/DO�it, `5 / TD �y
TD
71-1,9 e- vv ��./ �� 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# TL75
8 Suffolk County Recordin & Endorsement Page
This page forms part of the attached �7 made by:
(SPECIFY TYPE OF INSTRUMENT)
/'^J The premises herein is situated in
SUFFOLK COUNTY;NEW YORK.
TOIn the TOWN of �J%WOC.
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_:0108kk
Form:00.(DOO)-Bargain and Salc Deed,with Corenami again,t Grantor's Act,-Individual or Corporation.ISingle shoed
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY,
THIS INDENTURE.made the dayof N10V and 2021
RETWEEN
FREDERICK REMPE,Jr.having an address at 4000 Youngs Avenue,Southold,NY 11971
party of the first part,and
PALOOKA 4000,LLC.,having an address of 140 PINE AVENUE,SOUTHOLD,NY
party of the second part,
NV ITN ESSET H,that the party of the first part,in consideration often dollars and other valuable consideration paid by the party
orthe second part.does hereby grant and release unto the party of the second par[,the heirs or successors and a.signs of the party of
the sccund part forever,
A 1,1,that ccrtaitt plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the
SEE SCHEDULE"A"ATTACHED
Premises:4000 YOUNGS AVENUE,SOUTHOLD,NY 11971
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed in Liber 12692 page
798.
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;ANI}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 pan 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 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
pan 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,
I N W ITN ESS W H E REOF,the party of the first part has duly executed this deed the day and year first above written.
1's rxcs>w.cE or.
FREDERICK REMPE,JR.
Westcor Land Title Insurance Company
Title Number: W-ADA-1752-S
Page 1
SCHEDULE A DESCRIPTION
ALL that certain plot, piece or parcel of land, with the buildings thereon erected, situate,
lying and being at Southold, in the Town of Southold, County of Suffolk and State of
New York, bounded and described as follows:
Northerly and easterly by land now or formerly of James Gagen:
Southerly by land formerly of Sarah Sweezey and
Westerly by Railroad Avenue.
Being a plot 145 x 63 feet and being more particularly bounded and described as follows:
BEGINNING at a.point on the easterly side of Youngs(Railroad)Avenue,where the same
is intersected'by the northerly boundary line of the lands now or formerly of Sarah
Sweezey. Said point being distant 105.57 feet northerly as measured along the easterly
side of Youngs Avenue from the extreme northerly end of the arc of a curve connecting the
easterly side of Youngs Avenue with the northerly side of Middle(North) Road (C.R. 48);
RUNNING THENCE north 11 degrees 21 minutes 00 seconds west, along the easterly
side of Youngs Avenue 63 feet to the lands now orformerly of James Gagen;
THENCE along the last mentioned lands,the following two courses and
distances:
1.north 79 degrees 47 minutes 00 seconds east, 145 feet;
2. south 11 degrees 21 minutes 00 seconds east, 63 feet to lands
now or formerly of Sarah Sweeney;
THENCE south 79 degrees 47 minutes 00 seconds west along the last mentioned lands, 145.00
feet to the easterly side of Youngs Avenue, at the point or place of BEGINNING
FOR CONVEYANCING ONLY:Together with all right,title and interest of,in and to any streets and roads abutting the
above described premises,to the center line thereof.
Acknowledgement taken in New York State Acknowledgement taken in Now York State
State of New York,County of SUFFOLK ss: State of New York,County of ss:
On the l day of t ' V r,in the year 2021 ,before me, On the day of in the year before me,
the undersigned,personally appeared the undersigned,personally appeared
FREDERICK REMPE,JR,
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 helshelthey executed the same i hislherltheir me that helshelthey executed the same in hislherltheir
capacity(les), and that by his/her/their sign u (s) on the capacity{les}, and that by hisfierltheir signature(s) on the
instrument, the individ )or the person upo bo alf f which instrument, the individual(s)or the person upon behalf of which
the individual(s)acted a ecute the instru the indlvldual(s)acted,executed the instrument.
aETSY KINS
Notary P0110,State of New York
Na 01PE6130636
QusHfied In Suffolk t:oa��
Commission Expires July 1
Acknowledgement by Subscribing Witness to i Acknowledgement taken outside Now York State
York State
State of New York,County of ss: "State of County of, ss:
"(or insert District of Columbia,Territory,Possession or
Foreign Country)
On the day of in the year before me,
the undersigned,personally appeared On the day of in the year before me,
the undersigned,personally appeared
the subscribing witness to the foregoing instrument,with whom I
am personally acquainted, who being by me duly sworn, did personally known to me or proved to me on the basis of
depose and say,that helshelthey reside(s)in satisfactory evidence to be the individual(s) whose name(s) is
(are)subscribed to the within instrument and acknowledged to me
that helshelthey know(s) that helshelthey executed the same in his/her/their capacity(ies),
to be the individual described in and who executed the and that by hislherltheir signature(s) on the instrument, the
foregoing instrument;that said subscribing witness was individual(s)or the person upon behalf of which the individual(s)
present and saw said acted, executed the instrument, and that such individual made
execute the some;and that said witness at the same time such appearance before the undersigned in the
subscribed hislherltheir name(s)as a witness thereto.
(add the city or political subdivision and the sate or country or
other place the acknowledgement was taken).
Title No,: DISTRICT 1000
SECTION 055.00
FREDERICK REMPE,JR. BLOCK 02.00
LOT 015.000
TO COUNTY OR TOWN SOUTHOLD
PALOOKA 4000,LLC RETURN BY MAIL TO:
Attention: William D.Moore,Esq.
51020 Main Road
Distributed by Southold,NY 11971
Chicago Title Insurance Company
Zip No.
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INSTRUCTIONS(RP-5217-PDF-INS):vwyw.orps.statemy.us
FOR COUNTY USE ONLY New York State Department of
C1.awls cods 14 7.3,$,1,q I Taxation and Finance
C2.Date Dead Recorded I / / 1251 Z 2- I Office of Real Property Tax Services
M°.M Dw RP-5217-PDF
C3.Book C4 Pe®a Z Real Property Transfer Report(WI 0)
PROPERTY INFORMATION
t•ProwFIY 4000 Youngs Avenue
Location
STREET same .SMErrwms
So4Lhold Southold 11971
•CITY ON TOM MASS •Jr CODA
2.Buyer Palooka 4000, LLC
Noma
•LAST NAAw1COePN1Y FlRSTFIAlO:
WT K-IWJGOIPANY FIRST NAME
I 7.Tax Indicate where future Tax Bills aro to be not
wiling
it ether than buyer oddross(tl bottom of tones) LAFF APAEwwPAxy Rpsr NAIVE
Address
VIREET,AAwERANDNAME CITE OR TOW STATE nP CON
4,Indicate the number of Assessment Pad of a Parcel
11 Part of a Pamel)Check an they appy:
Roll percete transferred on Ow deed a et Parcels OR ❑ 4A,Planning Board with Subdivision Authority Exists ❑
e'Deed X ort 0.20 49.subdivision Approval was Required for Timm r
PropEl
-FRDMFFEET .1191M 'ACRES
size 4C.Parol Approved for Subdivision with Map Mow ad ❑
Rene Frederick, Jr.
e.seller .,AST N4KIGOm'Nw FRBTINME
Name
WT MALT.CMPANY FIRST NAME
'f.Solace the description which most accurately describes the Check the boxes below as they apply:
use of tin propmy at Ahs time of"Is: e.Ownership Type is Condominium
A.One.family Residential e.New Construction on a Vacant Land
10A.Property LWAM within an Agdeul irat DIEM ❑
100.Buyer received a disclosure mxxa Inmrabng am the property is in an ❑
Agricultural Dormix
SALE INFORMATION 1 L Check am or more of close condition an applicable to transfer:
A.Sale Between Rolabves or Former Relatives
11.sale Contract Date 08/09/2021 B.Sale between Related Companies or Partners in Busimse.
C.One of the Buyers is also a Seger
•12.Date of Salon'rensfer //'17 91 D.Buyer or Seller Is Government Agency or Lending Institution
E.Dead Type not warranty or Bargain and Sale(Spa"Below)
F.Sale of Fractional or Less than I"Interest(Spealy Below)
'13.Full Sole Price 625,000.00 G.Significant Change In Pmparty Between Taxable Status and Sale Dates
N.Sals of Business is Inducted in Sale Prim
(Full Sale Prim is the total amount paid for the property including personal property. I.Other Unusual Factors Affecting Sale Price(Spectly,Below)
This payment may be in the form of cash.other property or goods or the assumption of J.None
mortgages or other oblloadons.)Please round to aro no~whole dofaramounf
Cmnmor t1a)on Condition:
14.Indicate the value of pereonal
property Included In the este AV
ASSESSMENT INFORMATION-Date should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from which Infbmstlmn takes(YY) •17.Total Assessed Value 4,100
'1 B.Property Class 210 _ '19.School Di{bkt Nome 05—Southold
120.Tax Nap Idsn0 r(syRall Nand ler(a)Cif more then four,aaech shoot with addidomi IdoMflsrfs))
:000-055.0.-02.00-015.00
CERTIFICATION
1 Certify tied all of the Items of Information entered on this form are true and coned(to the best of my knowledge and boner)and I understand tMt the making of any willful
fates statement of materiel fact herein subject in to the Rrevlalese of rip psntl Ipw relative to the making and filing of folse Imannums.
SE--ER SIGNATURE BUYER CONTACT INFORMATION
dydw rtsarMOOM cur 1114 buyer.Nate II"K IF LLC.md ft nesoa.nm.empRrcn pin vow oampony.sure of
en::y scut is not tan Nr
ndmdwl agent orfdiciary.dwn■norm curd conlacl Intmrwem at an ndxdWhesp nable
"I?
p"wrwclananawwqumtwm ra0rengentamer mm bsmmw Typeorpdm deady.)
0 3
IMERwawRDa!
BUYER SIGNATURE Palooka 4000, LLC
7 •WMME ME FlRaTNAeE
\\\, �� 'AREACODE 'TEA 3HM NUMKRaa:awrmq
SOMAa
140 1,Lnc Avenue
.STREET NawER 'STREET RAISE
I Southold NY 11971
r cm OR TOM 'STATE -EPCOM
BAYER'S ATTORNEY
Moore Patricia C.
LAW NAME FIRST NAME
I I 6311 '165-4330
AREA CODE TELEPHONE NUMKRna:wmm
I