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Home My WebLink AboutL 13143 P 167 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 2/15/2022 Number of Pages: 4 At: 10 :30:28 PM Receipt Number: 22-0025860 *ELECTRONICALLY RECORDED* Transfer Tax Number: 21-24060 LIBER: D00013143 PAGE: 167 District: Section: Block: Lot: 1000 054 .00 03.00 021 .002 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 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 $0 . 00 NO Transfer Tax $0 . 00 NO Transfer Tax Number: 21-24060 Fees Paid $395. 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 2/15/2022 10:30:28 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013143 Social Security Numbers P 167 prior to recording. 21-24060 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 22rw4s�a 1000-064.00-03.00-021.002 0.0 0 Real Property Consideration Amount $ Tax Service P r s Agency 21st2�22A CPF Tax Due $ 0.00 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Hamlet Title Agency Inc TD 10 601 Portion Rd Ste 207 Lake Ronkonkoma NY 11779 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 DEED 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 BARGAIN AND SALE DEED with Covenant against Grantor's Acts THIS INDENTURE, made as of the 25th day of October, 2021, BETWEEN KIM RANDALL and KIM TETRAULT, residing at 4650 Hortons Lane, Southold, NY 11971, party of the first part and KIM RANDALL and KIM TETRAULT, as husband and wife, residing at 4650 Hortons Lane, Southold, NY 11971, party of the second part. WITNESSETH, that the party of the first part in consideration of ten dollars 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") C O0 0Being the same premises described in the deed to the parties of the first part herein dated June 24, 2021 and recorded I 1 I Z c-[2-C + in Liber I -:5 1 Page in the office of the County Clerk, County of Suffolk, State of New York. 0 ~� Suffolk County Tax Map# 1000-054.00-03.00-021.002 TOGETHER with all right, title and interest, if any, of the party of the first part of, 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 whatsoever, 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 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: KIM N AL'L KIM TETRAULT STATE OF NEW YORK ) COUNTY OF c%P?'C ): ss < ) On the 2s— day of 2021 before me, the undersigned, personally appeared KIM RANDALL and KIM TETRAULT, 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/she/they executed the same in his/her/their capacity(ies), that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual acted, execute the instrument. DAVID J.JANNUZZi NOTARY PUBLIC,STATE OF NEW YORK Regis"tfon No.02JA6052585 Notary Public Qualified in Suffolk County Commission Expires February 13,120-13 First American Title Insurance Company SCHEDULE A DESCRIPTION OF-PREMISES Title No. HTA-6987-S Policy No. 5011436-0242365e ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold, County of Suffolk, and State of New York, bounded and described as follows: BEGINNING at a point on the Northeasterly side of Horton Lane distant 340.43 feet Northwesterly from the cornet formed by the intersection of the Northeasterly side of Horton Lane with the Northwesterly side of Old North Road; RUNNING THENCE along the,Northeasterly side of Horton Lane the following two (2) courses and distances: 1. North 37 degrees 02 minutes 10 seconds West, 143.76 feet; 2. North 42 degrees 22 minutes 00 seconds West, 161.24 feet; THENCE North 44 degrees 01 minute 10 seconds East, 428.75; THENCE South 43 degrees 32 minutes 00 seconds East, 303.21 feet; THENCE South 44 degrees 01 minute 10 seconds West, 448.32 feet to the Northeasterly side of Horton Lane at the point or place of BEGINNING. SCHEDULE A A.L.T.A 2006 OWNERS POLICY FOR COUNTY USE ONLY INS):www.orps.state.ny.tis Cl- sw>s code 14 F 7 F 3 F 8 F 8 F 9 I Novo York State Dapartrnent cf Taxation and Finance C2_ nate need Recorded 12 / 15/ 2022 Month nay year Office of Real PrOPeny Tax SerViCeS 6F 7 1 RP- 5217-PDF C3_ Book 1 1 F 3 1.].,4, 3 1 C4_ Page 1 , ,1 , Real properly Transfer Report(SM 0) PROPERTY INFORMATION( T.Property 4650 Hortons Lane Location ------ 'S"1'fiE'E7*A3MaER .• `STREET NAME 5oatthozd 7.1 9"71 CITY DR TCfwt1 VlLLA6E •MF CODE 2,Buyer Randall K'Lrn Nance ------------- •iAST NARfElCpFANY FFRST NAME ,w, �� • • Tetrault Xirn ---------— LAST N�QWANY FFRST NAME 3'Tax Indicate where future Tax Bills are to be sent 8€€11ng 0 other then buyer address(at bottom of form) a-A8T NAF�JCOf At3Y------------ FFRST NAMEAddress .......... .�............... ------------ STREET NS F-R ANP NAME Cd'CY tlR'rcwN 5TATr 2FP CBL 4.Ind lents the number of Asaessmant 1 Part of a Pal (only H Part of a Parcel)Check as they apply. Rail parcels transferred on the Ole" #of parc;a� oA€ ram 4A.Planning Beard with SubdNlsfon Authority Exists Deed 5 proX OR 3.02 •02 48.Subd€vislon Approval was Required for Trartsfar Property 'FRONT FEET •pFYTI-E 'ACRES S€M 4C.Parcel Approved for Subdivision with Map P-Ovibed Randall Kim 8.Se€her .............. ---------- •LAST M4t�4FJCOr. ANY LI£t�T NAME h€aena Tetraul t Flim .....................• -------------- i T NAMEJCOWANY FIHBT NAME "7.Select the description which most accurately describes the Check the boxes below as they apply- use of the property at We three of sats- 8,Ownership Type Is Condraninium A. Onc Family Residential ----�' 9.New Construction ars a Vacant Land ........... ..... IDA,Property Located w€ttmi an AgOcultural District 100.(Buyer received a disclosure notlse Indicating that the property Is in an Agricultural District SALE INFORMATION1 7 S.Check one or more of these conditions as applicable to transfer- A-Ss€e Between Relatives or Former Relatives tt.Sale Contrast Date 10/25/2021. M Sala between Related Companies or Partners In Business. _______ X C.Ona pf the Buyers is also a Sailor 12.Onto of Saterrrarmfer 10/25/2021 0.Buyer ar Sellar is Government Agency or Landing institution ------ E.Deed Typo not Warranty or Bargatn and Sale(Speclfy B®low) F-Sate of Fractional or Less than Fee Interest(Specify Below) '13.Full Sale Price 0 ,0l) G.Sigra£Rcant Change in Property Between Taxable Status and Sate Dates H,Sate of Business is included in Sale Price {Full Sale Price is the total amount it Ed for the property including personal property. I. Other unusual Factors Affecting Sale Price(Specify Salow) This payment may be In the feat of cash,other property or goods,or the assumption of �-None rnortgmges or other ob€€gatlons.)Please round to rhe rwamst whole dollararrieunt- i ammengs)on Condition- 14.tndtcate the value of personal property Included In the sale 0 .()0 ASSESSMENT INFORAAATION-Data should reflect the latest Final Assessment Roll and Tax Sill t6.Ymar of Aaesssrttptt!Roti from wh€ctr ktfnrtnat€an taken{YYJ 20 "17.Total Assessed Value 8200 ............................... '18.Property Class 210 1199 School District Nome 05—Southold Tax Map ant s €€ldentff€at{s}{€f mare then four,attach sheet with attdNtorra€Edentlf€sr{a)j Imo :]-- fir,C]Q.. 7 C>0— 02"-1 -CSCJ� CERTIFICATION I Certify that sit of fns items of information enterad on this form are tare and correct(to the best of my kn*wtaclg s and bel€0)and I understand that the making of arty wilful false statement of rnetorial fact herein subject me 3o sha,pxetrlaaettaR..ef tris p�net Iw�r,lat€ve to the making and fiIIng of false Instruments. ��L Y .S"e,S,i?NTACT 1NFORMA7tt)N r. (E'pw Inrorrneffon T the tfttyer-NOW H buyer is LLC.svclsty,sa8M3 Mk111.OMPMetfon.JOklt atwk company.aseala Or # lanuW that Is aoII en lndtumdual agent a fiduclary,then s name and contact Mrormattan of an fnAM iFraYrasPmnsibae .. -�. -• perry Whn carr acsWW quastfans re9erding the transf*r rrtvat be entered-Type or prtnt ctevrty.) $EF.LrcR Si6NATFIRE ______ VATC f �y "MAT p� Randall F4a In }Y �f YR�R�.7 !.r5m iJu4F NAME FFRST h`AME �. 631 5215353 Gw- ..... - "Anti-.G FpPE �ELEPHPNE 1du�F.R ai3YER SfWNA"ftriiG OATV 4550 HortonS Lane •ST/!E"ET N11 •STREET NAME So-uthold NY 21971 1, , 1 i 't,`rrY VR"k'OWrF •••••••••••• •• - ,STAVE: •.LFP COREW_ B3,l.YFFz's ATTORNEY I I + 7annuz z i.. David f J S'C NMA MRSr NARFE 1131. 68037.51y I ArlFA CO'De TELEPHONE tiF]WER{F:8&e G)