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L 13140 P 284
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 1/27/2022 Number of Pages: 6 At: 8 :21 : 08 PM Receipt Number: 22-0014584 *ELECTRONICALLY RECORDED* Transfer Tax Number: 21-21711 LIBER: D00013140 PAGE: 284 District: Section: Block: Lot: 1000 078 .00 09.00 012 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $1,150,000 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $30 . 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 $20,000 . 00 NO Transfer Tax $0 . 00 NO Transfer Tax Number: 21-21711 Fees Paid $20,405. 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 5 1/27/2022 8:21:08 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013140 Social Security Numbers P 284 prior to recording. 21-21711 Deed 1 Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording 1 Filing Stamps 31 FEES Page 1 Filing Fee 30.00 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 60.00 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 405.00 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 22wi if s 1000-078.00-09.00-012.000 Consideration Amount $1,15 0,0 0 0.0 0 Tax Service P r s Agency IR CPF Tax Due $ 20.000.00 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 79 �tysT BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) FORM 8002 (short version), FORM 8007 (long version) CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE, made the 29th day of October, 2021, BETWEEN Goed Intent LLC, of 58 South Path, Calverton,New York, arty of the first part,and Rachel Reiser&Robert Antona of 325 Kent Avenue Apt 650,Brooklyn,New York, party of the second part; WITNESSETH, that the party of the first part, in consideration of Ten Dollars and No Cents ($10.00) 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; ALL that certain plot,piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the See attached Schedule A made part hereof. Being and intended to be the same premises as conveyed by deed made by Carl Deliteris and Charlotte H. Gadomski n/k/a/Charlotte H. Deliteris and recorded January 22, 2020, in Liber 13044, at page 701. Premises also known by the address of 355 Summer Lane,Southold,NY; TOGETHER with all right,title and interest, if any, of the party of the first part in and to any lstreets 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. District: 1000, Section: 078.00, Block: 09.00, Lot:012.000 NYSBA's Residential Real Estate Forms(9/2000) -1- 0 2021 Matthew Bender&Company,Inc.,a member of LexisNexis. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. e4x�h GaietrieTB�all�i,�,�Zember � A-LLJ IN PRESENCE OF.• District: 1000, Section: 078.00, Block:09.00,Lot: 012.000 NYSBA's Residential Real Estate Forms(9/2000) -2- ©2021 Matthew Bender&Company,Inc.,a member of LexisNexis. Acknowledgment by a Person Within New York State(RPL § 309-a) STATE OF NEW YORK ) ) ss.. COUNTY OF SUFFOLK ) On tke 29th day of October in the year 2021, before me, the undersigned,personally appeared G*trie Balli,personally known to me or proved to me on the basis of satisfactory evidence to be e individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledge o me that she executed the same in her capacity(ies), and that by her signature(s) on the instrunt, the individual(s), or the person upon behalf of which the individual(s) acted, executed the-i p t ment. (signature of ice of individual taking acknowledgment) \ ROBERT O ARRtoo Notary Public-State of New York No.4862988 Oustified in Suffolk County Commission Expires August 18,202,?— District: 8,20Z,?—District: 1000, Section: 078.00,Block:09.00,Lot: 012.000 NYSBA's Residential Real Estate Forms(9/2000) -3- O 2021 Matthew Bender&Company,Inc.,a member of LexisNexis. Deed Title No 7404-012378 District 1000 Section 078.00 Goed Intent LLC Block 09.00 To Lot 012.000 Rachel Reiser and Robert Antona County or Town Suffolk, Southold Street Address 355 Summer Lane Southold,New York Return By Mail To: J.Kevin McLaughlin,Esq. P.O. Box 1210, Southold,New York 11971 Reserve This Space For Use Of Recording Office District: 1000, Section:078.00, Block:09.00, Lot:012.000 NYSBA's Residential Real Estate Forms(9/2000) -4- ©2021 Matthew Bender&Company,Inc.,a member of LexisNexis. FIDELITY NATIONAL TITLE INSURANCE COMPANY POLICY NO. 7404-012378 SCHEDULE A (continued) AMENDED 9/13/2021 ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, at Bayview, Suffolk County, New York, more particularly shown and designated as Lot Number 14 on a certain map entitled, "Map of Bayside Terrace" and filed in the Suffolk County Clerk's Office on March 11, 1953 as Map No., 2034, said lot being bounded and described as follows: BEGINNING at a concrete monument on the northwesterly side of Summer Lane distant 300.00 feet northeasterly from the corner formed by the intersection of the northwesterly side of Summer Lane with the northeasterly side of Summit Road, said point of beginning also being where the division line between Lot 14 and Lot 15 intersects the northwesterly side of Summer Lane; RUNNING THENCE from said point of beginning along the division line between Lot 14 and Lot 15, North 64 degrees 54 minutes 30 seconds West, 120.00 feet to a monument; THENCE along the division line between Lot 14 and Lot 5, North 25 degrees 05 minutes 30 seconds East, 100.00 feet to a pipe; THENCE along the division line between Lot 14 and Lot 13, South 64 degrees 54 minutes 30 seconds West, 120.00 feet to a point on the northwesterly side of Summer Lane; THENCE along the northwesterly side of Summer Lane, South 25 degrees 05 minutes 30 seconds West, 100.00 feet to the point or place of BEGINNING. END OF SCHEDULE A Copyright American Land Title Association. All rights reserved. wm� AMERICAN The use of this Form(or any derivative thereof)is restricted to ALTA licensees and ALTA members in good standing as EANDTITLE JATJON of the date of use. All other uses are prohibited. Reprinted under license from the American Land Title Association. AS IML ALTA Owner's P01icy(06/17/2006) NY-FT-FRVH-01030.431004-SPS Printed:7306 1721 ,7 04 012378 FDR COUNTY USE ONLY Cl- SWISCode 14 [ 7 [ 3 [ 8 [ 8 [ 9 l C2_ nate need Recorded I 1 I 27 / 20221 'Dr-INS)] vw .orps-state-ny.us y yy Month Day Year NeW York State Depralrtrr{ent of C3_ Book Ili 31l i 4 i 0 1 l i i2 i 8, 4 1 Taxation and Finance C4_ Page Office or Real Property Tax Services PROPERTY INFORMATIONI RP- 5277-POF PROPERTY INFORMATIONReal Property Trans for Report fall 0) 1-Property Location 355 Lane •sL�EEr NunleEcx 'aLli�F„-r HAnnF Southold Icm•on Lrnvry ""-`�---- 2.13uyer Name eller eP cove.Rachel 'BAST N!�,pµpgRy FIRST NAaA�. Antona Robed LAS T NAiuyyp+,rPANY 3.Tax TI HST NAME ---�"" Hitting indicate where future Tax 8311s are to tie sent Address If other than buyer address(aI bonom v!Corm] r.nsx nnr, p„nnpFAiVY '�••�"" FrWsr w nrE"" TISl'AFET Ni1rmt:ii AMa MVAC f:nY OR TaWiJ grAYY Sp'C�F�E R.Ind icaM tri e n um be r of Assessment ROH parcels transferred on the deed _4 of Parcels OR n Part Ora Parcel (Only 1f Part of a Pareel)Check as they apply: S.t7ged 4A,Planning Shard with SFJbdVision Authority exists R y„. Pmpmrly •F aFlr ELT X 0R O- 2� L$.Subdly tsinn A ❑ Size „•l3EPTty 'ACRES nproval was Required fpr Transfer 4C,Parcel Approved for Su bd tvisian with Map prodded C" 7 s.Seiler Coed lntenY LLC •r�V3L NM.+F1CCMaANY .. Mame F9eFr NAME •,•.--�— LP.ST NAMGlC[xngAryV m"�� FIitSY'kAME �" ••-�� "7.Select the description which most accurately describiw the Check the boxes below as they apply, use Of the grope rty at the tlrno of sat a: 8.Ownerahip Type is Cprldernin tum ❑ A. Qne FaiJ1y F eZS[defltial 4•New Construction on a Vacant Land ISA.PraPerty Located within an Agricuituraf 0istrlot El 10B.Buyer receiYod a disclesurm notice indicating that trio property is In an ALC:1 41 ION Agricu€lural pistnct 45.Check ane or more of these cord€!fans as applicahie{a transrer; A.Sa€e 6eiwecn Relavvps or Fofmor Relatives tl.Sale Contract Cate �1UpLFSt 27�2Q21 8,Sa6 tsetwaen RQlated Companies or Pannots In Business. C,one of the Buyers is also a Seller "lx-Cate of so lemra ns For _ Octo ber 2El, 2024 6,Buyer❑r Seller is Government Agency or Lending instiEyrlitln F.Deed Type not Warranty or Sorg ain and Sale[Specify Bola'] "13.Full Saie Price F-Sala of F=aefic,nal or Less than Fee lntefest[Specify Below] 1 50000-00 G.SignirFcant Change in Pmparly Between Taxahie Status and Sate Flakes f FUEI Sols Price is the lata[amounE paid For trio property incruding personal property, H-Safe of Business is ingd+ded is Sais price Tills payment may be in the forrn of cash,Other property Or goods,or the assumption of I, Other unusual FacFws Affecting Saie Price{Specify Selowi mortga gos or Otherobliga t3Ons.)please round 113&a nearesf whole d!! U J.NOne cpmment(s]On Condition: ld,Indicate the value of P"Sonal property included in the sale $0-00 ASSESSMENT IhFFORMATIC}ti-gala shotrfd reelect the latest Fina#Assessrnent Rall and Tax Bill 18.Year of Assessment!'tell from which informs lion to ken(Yy) 21 117.Tatar Assessed Value 500 "18.Properly Ctass - i y — — '14,$phaot District Hanle '2 0.Tax Map ktantifiorfsylRolt Ida ntifrer(s)(!f more than four,atfach sheet with additional identifier(s)} Snuthpid 1()00-E822-02.00-012.000 CCRTiFICATIRN I Cer{lTy that all of the items or information entemd an this form are true and correct(1*the beat of my ktlnwle dge and be 40f)and I understand that the making of any�11fW false statement of material fact herein subject me to thp.orgy iglQng,Uhe PC.n*L(itW r*fathre to the;Waking and ftirng Of false inalruments. w��/��� {i;;R!¢r in}arrrlalintt far Fhe❑uoty. �LLI.y. �nti[y mg[is rqE an inp=v:duxl c�r�en vi fd—iary,then s roma and o next i,ffoomtaTj,p arPilil�tl�lJtes nY�bslsl8 nr +j p patty wrlo tan ans"r�N¢sfiprxg regyrking Flui lranafgr must be mnterpd.Type pr print cFearFy.J LLF DATE UYER-al-ON_ATM Reiser Rachel •LAQL NAnar: FIRST rJArJAME ���--"• _ AFS„c�� ? �.... _._. PCZ I --- ""_ `reLCP' ONE,HDAYu'rlaGft[Ek:939A9691 355 Surnmer Lane aTRVtr Ni Mcr? — 'S7AzET NAI; -- ........�_.. Southold NY 11971 carr nfx rawer 'STATE •yfP COQF, r r E + T McLaii ghlin Kevin E r 3 u, m FIRST NAM1S[ � 63 765 6085 I Far inns rELEPr::.:.;F_NWABER[[.x:9999999]