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Home My WebLink AboutL 13138 P 870 r` 11111111 IIII IIIII IIIII IIIII IIIII 1111!!1111 111111111 IIII I I I I I I I I I I I I I I I I I I I I I I I I l SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 01/14/2022 Number of Pages : 4 At: 02 :50 : 41 PM Receipt Number : 22-0006844 TRANSFER TAX NUMBER: 21-20613 LIBER: D00013138 . PAGE : 870 District: Section: Block: Lot: 1000 115 .00 15 .00 001 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument Exempt Exempt Page/FilingPage/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 $0 .00 NO Comm.Pres $0 . 00 " NO Fees Paid $395 .00 TRANSFER TAX NUMBER: 21-20613 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PAS CALE County Clerk, Suffolk County , , - r ti 0 Number of pages RECORDED 2022 Jan 14 02;50:41 PP1 A.This document will be public -JUDITH SCALE OFSCaLE record. Please remove all SUFFOLK COUNTY Social Security Numbers L DOOO13130 P 870 prior to recording. DT# 21-20513 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps .3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) IQ TOT.MTG.TAX R.P.T.S.A. Dual Town Dual County Held forAppointmen Comm.of Ed. 5. 00 Transfer Tax A, Affidavit • 17w . Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES orNO Other Grand Total ro If NO, see appropriate tax clause on Page# ofthisinstrument. I 4 Dist. 1 22001391 1000 11500 1500 001000 5 Community Preservation Fund R lpertY pg ANS II�III�I�IIWIIEIII�Il11IW1IIII�I1[pI�I�� Consideration Amount$ Tax Service Agency CPF Tax Due 5 Verification _ �/ - Improved A Satisfactions/Discharges Rel eases List Property Owners Mailing Address ^'r 6 RECORD&RETURNpTO: Vacant Land V�wo1n l C�w ov TD—10 TD TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name EAGLE ABSTRACT CORP. www.suffolkcountyny.gov/clerk Title p 8r-Suffolk County Recording & Endorsement Page r This page forms part of the attached g—Q— 1�1 � made (SPECIFY PE OF INSTRUMENT) �QQAThe premises herein is situated in SUFFOLK COUNTY,NEW YORK. O _ In the TOWN of,NJV In the VILLAGE 1/J /� or HAMLET of SAA,Q A-�U ln/� BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING1 over BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS THIS IS A LEGALLY BINDING INSTRUMENT. IF NOT FULLY UNDERSTOOD, WE RECOMMEND ALL PARTIES TO THE INSTRUMENT CONSULT AN ATTORNEY BEFORE SIGNING. THIS INDENTURE, made theZ�day of , 2021 BETWEEN JUDY JOHNSON, residing at 6500 Suffolk Avenue, Mattituck, NY 11952 party of the first part, and JUDY JOHNSON as Trustee of the Judy Johnson 2021 Revocable Trust, residing at 6500 Suffolk Avenue, Mattituck, NY 11952 party of the second part: WITNESSETH, that the party of the first part, in consideration of Ten Dollars and other good and valuable consideration, lawful money of the United States, 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 SEE SCHEDULE "A"ATTACHED HERETO AND MADE A PART HEREOF. Being and intended to be the same premises as conveyed to the grantor, herein by deed dated November 7, 2001, recorded on November 20, 2001, in liber \ D00012154 page 114.. \�J Reserving a life estate running in favor of JUDY JOHNSON. Premises known as 6500 Suffolk Avenue, Mattituck, NY 11952 Tax Map Designation: Section 115.00 Block 15.00 Lot 001.000 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 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. U NSON NVSBA PRACTICE:FORMS 10199 RE067.17 "SCHEDULE A" ALL that certain plot, piece or parcel of land,with the buildings and improvements thereon erected, situate, lying and being in the at Mattituck, in the Town Southold, County of Suffolk and State of New York, known and designated as Lot 20 on a certain map entitled, "Deep Hole Creek Estates", filed in the Office of the Clerk of Suffolk County on January 28, 1965 as Map No.4256; said lot being more particularly bounded and described as follows: BEGINNING at the intersection of the easterly side of Theresa Drive with the Southerly side of New Suffolk Avenue; RUNNING THENCE along the Southerly side of New Suffolk Avenue South 85 Degrees 08 Minutes 00 Seconds East 122.09 feet to the division line between Lots 20 and 21 on said map; RUNNING THENCE along said division line South 02 degrees 40 minutes 40 seconds West 185.35 feet to the division line between Lots 22 and 44 on said map; RUNNING THENCE along said division line North 87 degrees 19 minutes 20 seconds West 122.00 feet to the Easterly side of Theresa Drive; RUNNING THENCE along the easterly side of Theresa Drive North 02 degrees 40 minutes 40 seconds East 190.00 feet to the southerly side of New Suffolk Avenue at the point or place of BEGINNING. Acknowledgment by a Person Within New York State STATE OF NEW YORK ) ss.: COUNTY OF SUFFOLK ) On the ` ' day of 0&4x� in the year 2021 before me, the undersigned, personally appeared: JUDY JOHNSON, 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 executed the same in his capacity(ies), and that by his signature(s) on the instrument, the individual(s), or the person upon behalf of which the individuals) acted, executed the instrument. Notaryublic ROCMELLEL.VERRON Nofary Pudic•Sbrte vl News Yak No.02VES387893 Qualified in SWkOt COurxy MY Comm.Elites Feb.25.2023 BARGAIN AND SALE DEED PREMISES: 6500 SUFFOLK AVENUE, MA-MTUCK, NY 11952 TITLE NUMBER: N/A RECORD AND RETURN TO: VERRON LAW GROUP, 77 BROADWAY, SUITE 2, AMITYVILLE, NY 11701 RE067.17 NVSRA PRACTICE FORMS 10199 -2- INSTRUCTIONS(RP.5217-PDF-INS):wtms.orps.state.nty.us FOR COUNTY USE ONLY New York Sate Oeptgtmeft!of C1.SINIS Cede 1'4 /�SCT� I Taxation and Finance DM C2.DDeed Recorded 1 / / /A'r /2 I L4Office of Real Property Tax Services rl "" RP-5217-PDF C8.Book C4.Page , ,�I 7,� Real Property Transfer Report(8110) PROPERTY INFORMATION 1.ProPerly 6!>00 SUFFOLK AVFN-,!F. Location •R'REC'MUVL4N •STaFFT h.YL MATT TTUCK 11es 'CI IY OR TOWS ve-aoF aS =Pe" 2.BuyerJOHNSON JUDY TRJSTL �I Name '451 hAYEICOw'Aw =RSI LAS'NAWiCIIV PMV FISSThANE S.Tax Indicate where lulure rax Bus areto be sent JOHNSON JJDY B011np it other than buyer addrasa(al boaam dform) Achim aEr,u,o-rxuF.v' rPST HAW 5500 SUFFOLK AVENJF. MAr7TT'i'UC:C NY 11952 SlRhhThJVRERM3AWf CITY OR TOM ST.Y anta7E 4,lndkoethenumbwofAssessment 1 edParcals PadofaParcel (OOylfPartofaPamal)Clwckastheyappy- Rail pamela transfwred an the bleed OR ❑ 4A.Planning Board with Subdlvtaon Authority Exists ❑ 8.Deed X OR 0.53 46.Suhdtrsion Approval was Raglirod for Transfer Property •FRCVT rr:Cl •AC=F.B Sim 4C.Pared Approved for Subaswskn with Map Provided ❑ ,'OHNSON iLOY L Boller %A11-W WL=10Mv FeAI VAY Name LAST M.Cx'ALIF v —%-. WL '7.Select the description which most accurately describes the Check On boxes below an they appy: use of the property at the time of sets: B.Ownership Type is Candomlraur ❑ A.One tamhlv Residential L Now Construction an a Vacant Land ❑ 10A.Property Located within an AgdcLxuml District ❑ 100.Buyer rece ved a disclosure notice Indicating that the property is In an Agricultural District ❑ SALE INFORMATION 1 S Check one or more of mese conditions as applicable to transhr: A Sale Between Relstivw or Former Relatives 11.Sale Commet Dasa 10/27/2021 B.Salo between Related Companies or Partners in Business C.One of the Buyers is also a Sailor •12.Dots of S&WFmnster 10/27/2021 D.Buyer or Seller is Gammmem Agency or Lending Institution E Deed Type not warranty or Bargain and Sale(Specify Below) F Side of Fractional or Lou than Fee Interest(Specify Below) '73.Full Sob Price Omit G.Sigrsacard Change in Property Between Taxable Straus and Salo Ddee (Full Sala Prior le the totalamours pad for the Property Indudi pemand N.Saleof Business is Induced In Salo Pries Ma p�My I.Other Unusual Factors Affecting Salo Price(Specify Below) This Psym rd may be in the form of cash.other property or goods.or the assumption of J.Marie inort eges orother obligations.)Planes mundto donsweaf whoa dTaaranount 'Co 1 1(s)onConlnnd`Poon: 14.Indicate the value of personal n pmporty i Included In s sale - .110 TRUST. ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 1e.Year d Assswmem Rall from which information taken(YY) 20 '17.Tots Assessed Value -18.Property Chia 210 _ •1 L School District Name MATT I T JCe{ •20.Tax Nap IdsctllorfsyRoll kkmffl cls)(If mom than four.@each shoot with additional IdemlMr(s)) 1COO-_15.00-15.00-001.O(D0 CERTIFICATION I Certify that a0 ofthe Bess of tabmlotion emend on this form are true and correct po the best of my knowledge and belbil and I und- nd that the making of any willful false etebmsm of material fact hsmin subject me to thsyryvbbm o die emel law mlNive to the making and filing of fabs Insf ffmnb. SELLER SIGNATURE BUYER CONTACT INFORMATION .,.M rnlarmolkn far ass bLY0 Nota a agar it LI.10.oaaay,aseotlwsn,rMpaaxgn.Arlt abLNr mmprv,aa:re cur anhly.Sst Is nots'1.viarW acrdoredrrary.lhlen a clothe not cwrtact irea oIm of an kgrquoweamo Ne MTV who ran 111—cun:ma rvaaNna tier banelP must be Ininsd rA,or pMra Clearly) srL.Lis r.IL, (J�J) BUYER,$1GNATURE JOHNSON JUDY .1PAT NAVL F RST—L b n (_1b) 493-1579 O -.RFS . ^FIFP4*hENUVWA.E,MORI Rl Ral ' NiL I 6503 SUFFOLK AVENUE 'hIVLL'hUYMR 'STRCLI YAVE i MA'_ITTJC{ '1Y 11552 Yr,ad lam 'STATE YP GOES BUYER'S ATTORNEY VERRO\ }O'.HF.T.:,E LAST r rISST NAF. (631) 461-11221 ARFP CU& TR EPFUN'-IA1111 ERT,waawa) 1