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Home My WebLink AboutL 13148 P 891 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 03/28/2022 Number of Pages: 4 At: 09 :41: 05 AM Receipt Number : 22-0052818 TRANSFER TAX NUMBER: 21-28798 LIBER: D00013148 PAGE : 891 District: Section: Block: Lot: 1000 015 . 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 $5 . 00 NO RPT $200 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO Fees Paid $400 . 00 TRANSFER TAX NUMBER: 21-28798 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ❑1 ❑2 RECORDEDNumber of pages tL 2=122 Alar 22= 09:X11:05 W1 UDITH A. PASCALE CLERK OF This document will be public SUFFA K CIOU}ITY record. Please remove all L D00013148 Social Security Numbers F' 8191 CIT# 'i-12,8,7:,,; prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Tota I Notation Spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held forAppointment Comm.of Ed. 5. 00 Transfer Tax 0=ertifiedCop �*� . Mansion Tax The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total Other I( YES or NO /�' Grand Total -I OD If NO, see appropriate tax clause on page# ofthis instrument. 4 1 Dist.1 O 22014156 1000 01500 0500 005000 i 5 Community Preservation Fund TReal ax Servc e Y �A A 111111111111111111 Consideration Amount$ Agency CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges Releases List Propperty Owners Mailing Address RECORD &RETURN TO: Vacant Land JONATHAN D. BROWN, P.C. TD 737 Roanoke Avenue Riverhead, NY 11901 TD TD Mail to:Judith-A. Pascale,Suffolk County Clerk 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 with Life Estate made by: (SPEGFYTYPE OF INSTRUMENT) WILLIAM R.FAGAN&LOUISE E. FAGAN The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD ROBERT J.FAGAN.WILLIAM J.FAGAN,JOSEPH R.FAGAN,&MARY E.HOFFMAN,and In the VILLAGE WILLIAM R.FAGAN&LOUISE E.FAGAN,AS TO A LIFE ESTATE or HAMLET of 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 thR day of February, 2022 BETWEEN WILLIAM R. FAGAN and LOUISE E. FAGAN, his wife, residing at 1515 Plum Island Lane, Orient, New York 11957 party of the first part,and ROBERT J. FAGAN, residing at 21 Pumpkin Street, East Northport, New York 11731, WILLIAM J. FAGAN, residing at 45 Massapequa Avenue, Massapequa Park, New York 11762,- JOSEPH 1762,_JOSEPH R. FAGAN, residing at 721 King of Arms Drive, Green Bay, Wisconsin 54313, MARY E. HOFFMANN, residing at 36 Wexford Drive, Oakdale, New York 11769, as tenants in common,ANID WILLIAM R. FAGAN and LOUISE E. FAGAN, his wife, residing at 1515 Plum Island Lane, Orient, New York 11957, RESERVING A RIGHT TO A LIFE ESTATE IN THE PREMISES. party of the second part, WITNESSETH, that the party of the first part, in consideration of Ten ($10) dollars 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, See Schedule"A"attached BEING AND INTENDED TO BE the same premises as conveyed to the party of the first part by deed dated 1/25/1999, recorded 2/17/1999, in the Suffolk County Clerk's Office in liber 11945 cp 761. 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"when ever 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: William R. Fagan Louise E. Fagan ' i i I Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment Form 3290 -....�-tom......-_ - _ __-T...»..r«. - -�..-,........................ ., .. ........ ...- TITLE NUMBER: L-364 ,191 SCHEDULE "A" DESCRIPTION ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk and State of New York, known and designated as and by Lot No . 117 , as shown on a certain Map entitled, "Map of Orient-by-the-Sea" , and filed in the Office of the Clerk of the County of Suffolk on October 26, 1961, as Map No . 3444 . r TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of Ne York,'County of SUFFOLK ss: State of New York,County of ss: On the W day of February in the year 2022 On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared WILLIAM R. FAGAN &LOUISE E. FAGAN, 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 /t the within instrument and acknowledged to me that he/she/they executed the same in his/her/their ca that s), and that executed the same to his/her/their capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which instru nt,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument. the in;vi al( acted,exeOLde the ins rument. (signature and office of-individual taking acknowledgment) (signature and office of individual taking acknowledgment) PAULA M. SHEEHAN Notary Public, State of New York No. 01 SH5030507 Qualified in Suffolk County � Comm Ex July 18, �L_u 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 in the year 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 he/she/they executed the same in his/her/their capacity(ies),and that by his/her/their signature(s)on the instrument,the individual(s), or the person upon behalf of which the individual(s)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 SEED DISTRICT: 1000SECTION:015.00 WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK:05.00 Title No. LOT:005.000 WILLIAM R.FAGAN&LOUISE E. FAGAN to ROBERT J.FAGAN,WILLIAM J.FAGAN,JOSEPH R. Recorded at Request of FAGAN,&MARY E.HOFFMANN,as tenants in common AND RESERVING A LIFE ESTATE FOR JONATHAN D.BROWN,P.C. WILLIAM R.FAGAN&LOUISE E.FAGAN,his wife RETURN BY MAI JONATHAN 0.BROWN,ESQ. 737 ROANOKE AVENUE RIVERHEAD, NY 11901 I I INSTRUC'TIONS(RP-5217-PDF-INS):www.orps.statemy.urs OR LOUNTY USE ONLY Now York Stale Depa"artt Of 'C1.scats code 1'y1-7,; i 1WTaxation and Finance C2.Data Dead Recorded 1 3 /2-U /22 I 0Rice Of Real Property Tax Seivi_es �°'� I- RP-5217-PDF C3.Book J4,y1 C4.Page I , a,(q, )_j Real Properly Transfer Roport(BM 0) PROPERTY INFORMATION 1.Property 1 51 S. =:.(It•1 l:::.AA'_'• LAN: Location •smr:xLVOCR •374EEI W WE ,R T TNT .CITY ar TOreI VLUkOL •S P WOE 2.Buyer FACAR, R::RF:RT J. FAGA`J, JOSE=- . . Name LAST NAYECOW.NT I Mir WE W_LL:AM i A 1 AS:NAM!Lq LVA r F RS-%AMC 3.To ladlcex where ru:u:e ias SICS are w w sem -r'-:.': !-=^= �•.•.••_. ..-�L=��: R. - LC".li2L' ' Billing d olherlhanbuyer acdless(al bottom of fond VSI tiAVL•CfJIPAMT -.RST WE Address i lr.: FLl:M _r1N LAN7 0-RT NT NY :1957 SlREETNLMeER AADNAME eI:YORTO- STATF hp r.%r On If Part of a Parcol Check as they 4.Iltdleala the number of Assessment i a Of Parcels OR r-1 Pan of a PrWI [Only 1 �appty: ❑ Roll parcels transferred on the dead 4A.PIaleing Board with Subdivision Authority Exists 5.Dead x ..47 4B.Subd!wsion Approval was Required for Transfer Properly 'FRJY-FEE- •7Er-XC. 1-1-S Size 4C.ParW Approved for Subdlvrson with Map Provided ❑ 7.1iel.`e W"J..TAY '•. S.Seller •LASTWML[WPAW •Ar,NAVL Name _ Il LA•.1 W UCOVPMr FAST AME •7.select the description which most accurately describes the Check the boxes below as they apply: use of the property at the time of sale: S.Owne•sh•p TyDe Is Cordomwum ❑ A.Ont-Birwic Residt'nrial S.New Consouabon on a Vara•it Land ❑ 10A.Property Located w,thln an Agdclllural Dime! ❑ 109.Buyer received a disclosure noliae indicating that the properly Is in an Agricultural Disl•ict ❑ SALE INFORMATION 15.Cheek one or more ofthees conditions as applicable to transfer: w� 1Q1 A.Sale Between Relatives w Forms Relesvds 11.Salo Contract Data _ R B.Sala between RoWed Companies or Pertness in Busness. C.Yea a°'pe net:is pas a Bargain 12.Date of SalelTrenafar 7.Buyer or Seller's Government Agency or Lending Ins:aullon E.]sed Type not Warranty or 9algein and Sale(Specify Below) F.Sale of Fractional or Less than Fee Interest(Specify Below) '13.Full Sala Price .00 O SigniCcont Change In Property Between Taxable Status and Sale Dates H.Sale o!Busiress is Incudes In Sae Price (cull Sala P^ea Is the 101al amount pax!for Cie property including personal Droparty I.Other Unusual Factors ACectng Site Price(Specify Below) This payment may be in Me lam or rash,Inner proverly or goods,or Ine assumption of J.None mortgages or other ob:gabom.)!'loom round to the nearest whole dollar amount 'Commonl(s)on Condition: 14.Indicate the value of personal property included in the solo .00 ..K 'r l"I'ATE ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 18.Year of Assesemwa Roll from which information token(YY) '17.Total Assessed Value p,_•r; '18.Property Class Z; '19.School District NameOYS'2ER PONDS U:-SE, '20.Tax Map Identifler(s)rRoll Identiflor(s)(If more than four,attach shoat with additional Identiflehs)) CERTIFICATION I Certify that all of the Items of Information entered an this farm are we and correct(to the best of my knowledge and belle))and I understand that the making of any willful false statement of material fact hereln subject mo to the m2mNena-pf-the penal law rolotive to the making and filing of false instruments. SELLER S!(yNATU$L BUYER CONTACT INFORII IQy IIEntel rn7rmhon'nr 0e sayer.Now f a.ye•iR LL•:.SooelY.assxeason wApc4alxw:xr!slowrmroe•ly @sate o• mhlY:'gllS rat an r'SNxk.al ager.a•`C.r pry,•heap v^@ax_Il :ew• bw of anad muKA@sporM7te q..esadlsIN—IN!FC,Pansies-1151 Lr IRL"a.Tiniew pnmeaary; Sri:C4 SYSNArtmix CA's =air"ii;J ;L_FF F. .TA'.'F., W:. I._Y1i R. 4 TC;J_SIs 19 E. 63 1"; /LS'NAYE cRSiWVL LL •MCP O;AIL• •TFLE-FOIE Vu4SERIFr waPoK1 •S-aEF:SWa1L4 'S--METAAVF 'OI'•at Ictal •S ATE VP WX 1 BUYER'S ATTORNEY 1 r I ASI•IA11L I IRS".kALE r AREA COf:F TCLCPNI)MILN IIEERX.rr UMr