HomeMy WebLinkAboutL 13148 P 249 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 3/21/2022
Number of Pages: 4 At: 9:43 : 04 PM
Receipt Number: 22-0048861 *ELECTRONICALLY RECORDED*
Transfer Tax Number: 21-28277
LIBER: D00013148
PAGE: 249
District: Section: Block: Lot:
1000 066.00 03.00 010 .000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount $1,350,000 . 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
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 $24,000 . 00 NO
Transfer Tax $0 . 00 NO
Transfer Tax Number: 21-28277 Fees Paid $24,395. 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 3/21/2022 9:43:04 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013148
Social Security Numbers P 249
prior to recording. 21-28277
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
Real Property
22011629 1000-066.00-03.00-010.000 Consideration Amount $1,350,000.00
Tax Service r s
Agency CPF Tax Due $
24.000.00
Verification
Improved X
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Core Title Services TD 10
1 Hollow Lane Suite 309
Lake Success NY 11042 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
NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,mad&t� (� day of"@Ct�, � in the year 2021
BETWEEN f 1
Kathleen M.Goggins Nickles,residing at 1605 Arshamomaque Avenue,Southold,New York.
11971
party of the first part,and
Herbert Hoffman and Susan Hoffman,his wife,both residing at 53 The Serpentine,Roslyn,
New York 11576
DY Ieco
S:OU6CLQ
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
L' O IQ,( 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
Hamlet of Southold,Town of Southold,County of Suffolk,State of New York,shown and
designated as Lot 20 on the "Map of Beixedon Estates,Town of Southold,Suffolk County,NY,
Property of Grace R.Nickles,formerly Grace Rogers DeBeixedon,Made by Otto W.Van Tuyl,
Licensed Surveyor,and filed in the Suffolk County Clerk's Office on March 16,1946,as Map
No.1472.
SCTM No.1000-066.00-03.00-010.00 containing.53acres
Known as 1605 Arshamomaque Avenue,Southold,New York
TOGETHER with all right,title and interest,if any,of the partyof the first partof,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 incumbered 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.
IN PRESENCE OF: .
AWj#")n
THLEENNM. G NI ES
Stewart Title Insurance Company
Title Number: CORE26634
Page 1
SCHEDULE A DESCRIPTION
ALL that certain plot piece or parcel of land, situate, lying and being in the Hamlet of
Southold,Town of Southold, County of Suffolk, State of New York, shown and designated
as Lot 20 on the "Map of Beixedon Estates, Town of Southold, Suffolk County, N.Y.,
Property of Grace R. Nickels, formerly Grace Rogers DeBeixedon, Made by Otto W.Van
Tuyl, Licensed Surveyor, and filed in the Suffolk County Clerk's Office on March 16, 1946,
as Map No. 1472.
For information only: Premises is known as 1605 Arshamomaque Avenue, Southold NY
USEACRNOWIF.DGMENTFORMBELOWWITHINNEWYORRSTATEONLY. USEACRNOWIEDGMENTFORMBELO1Vwi7wNNEWYORKSTATEONLY.
•
State of New York,County of Suffolk }ss.: State of New York,County of Suffolk }ss.:
�
On the"n1 day of 40 x-64' intheyearao On the day of in the year
before me,the undersigned,personally appeared 9 before me,the undersigned,personally appeared
Kathleen M.Goggins Nickles
personally known to me or proved to me on the basis of satisfactory 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 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 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 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 signature(s)on the instrument,the individual(s),or the person upon
behalf of which the individual(s)acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument.
i
MICHAEL HARRISON
NOTARY PUBLIC,STATE OF NEW YORK
Registration No,01 HA5025220
Qualified in Suffolk County
Commission Expires March 21,2022
ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONLY: ACKNOWLEDGMENT FORMFOR USE OUTSIDE NEW YORKSTATE ONLY:
[New York Subscribing Witness Acknowledgment Certificatel lOut of State or Foreign General Acknowledgment Certi(catel
State of New York,County of }ss.: ..................................................}ss.:
(Complete Venue with State,Country,Province or Municipality)
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 swom,did depose and personally known to me or proved to me on the basis of satisfactory
say that he/she/they reside(s)in 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
(if rhe place of residence is in a city,include the street and street number, the same in his/her/their capacity(ies),that by his/her/their signature(s)
if any,thereof);that he/she/they know(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
to be the individual described in and who executed the foregoing made such appearance before the undersigned in the
instrument;that said subscribing witness was present and saw said
execute the same;and that said witness at the same time subscribed (Insert the city or other political subdivision and the state or country or
his/her/their name(s)as a witness thereto. other place the acknowledgment was taken).
BARGAIN&SALE PEED
WI'nI COVENANTS,aG9a�}$iG OR'S ACTS
DTLENO. aCJ IIf�LI�y/ X
X XXXXXX XX X_
XXXX COUNTY OR TOWN Suffolk
TO
XXM2%%VAWX RECORDED ATREQUEST OF
Fidelity National Title Insurance Company
RETURN BYMAIL TO
FIDELITY NATIONAL TITLE William C.Goggins,Esq.
0 INSURANCE COMPANY P.O.Box 65
INCORPORATED 1928 ' Mattituck,New York 11948
i✓��j �n�Fidelity���'
hf/,d—New n,,k S,.,,Lund Td,A—id..
W
U
LL
LL
0
0
2
C
cc
O
V
W
<Y
0
W
y
tY
O
LL
w
U
d
a
fA
N_
ei
W
ficW
M
W
FDR COUNTY USE ONLY INS):V/WW,QFP5.%t;Me,F1y A-M
ci_ sfliis Code 14 7 3 S S 9 I New York State Department of
Taxation and Finance
C2_ nage need Recorded I 3 / 21 20221 Office of Real Property Tax Services
Month Day Year
RP- 5217-PDF
C3_ Book 11,3,1 ,4, S 1 C4_ Page 1 1 12 1 41 9 1 Roa€Property TaansferFtepgrt(8190)
PROPERTY INFORMATIONI
1,Property J.�4:a >>3;'Srs F3.I'1t7i1?o it LI E: F�Vf„73 i1 E?
Location .......
'STREET NMIEmR '6Y"F9a=ET f✓JAE
Srar.]t.hcal.d 11? 1
cITY oft rov," IHLLRGE -zip coot
2.Player i'I:3 E f;maty i-;e x-it;s•-ti:
Name
;J�i TSF'Tc'JLCAI>'�4'fT �M."NAME
l'IOffrt ri S"153n
LAST^1WhErrGrAPRNY P!�ST'N�.M£
.Tax Irtd€Cala where futum Tax Bills are to he sent
all ling if other than buyer address at bottom of form -�"- -
Address y { J LA,6F ww.sErcorawAx�rr D�s�s3�unaar;
^.T t@�7 NLxAFE TR ANO HAW rIT-r OA TowN s:AYE ZAP GO6�-z
4.)ndicat®the number of Assessment .1. pari o!a Parcel torily it Part of a Parcon check os they apply:
Rol€parcels transferred an the deed of parcels OR
QA.Ptanrillg tiCaFd with Subdiyig€ora Authority Exists
6.Deed a-5C? 48.vD3ad:vision Approval was FZequlrep for Transfer
property • r -PCpl" •f.CREF
&tri 4G.FarCel Approved frac SUbdivigion with Map fFrovided
G:�gc�a.ns t`Imck3.rs K�".tilr=eI't NI.
B.Seller -cay,"�.ejcornoaur FFRST n1Frfr
Name
QST idrf.1�Y:L+!.lF�Al:Y � FERST+Fur+1E .-..�
"7.Select the description which most accurately describes the Check the boxes bel ow as they apply:
use of the property at the time of sale: S-Ownemhip Type ss Con4ominium
S.New Oran Stn3Ciidn on a Vacant Land
.d5..C)zl C:Family�..1".si[IL'.r11'till
-'-'-'-'-' 10A.Property Located w€S}t€r•,an Agricultura10 iatricl
105.Buyer received a dlsefosure ncticc indicating That the property is in an
AgrfcWtura€DiOrict
SALE INVF0RMATIt7NV 16.Chsrnk ane ar more of these conditions as applicable to transfer:
A-Sate Between Relatives or Former Relatives
11,Sale Contract Date 06/30/21 B.Sale between Related Companies or Partners rrt Busifmss.
C.One of the Buyers€s also a Seller
ce.Late of 5aEelFralnafer 0.33:ryer or SeVer is Covernment Agency or Lond;ng lnSti:u itch
"iLSS 7- E.0eed Type not Nar,snty or sarg7in and BUIE[Specify Beiv W)
F.Sale of Fractional or Less than Fso Interest(Specify Below)
'13.Futl Sale Price , '3 r .0() r.Significant Change in Property Between Taxhple Status and Sale Bates
--••^'-- ^---` li.Sase of Flusi re"is inc=ucxeu in Sale Price
(Fu EI Sale Price is the total amount pa Dd far the property incl udinq personal Properly. 1. ❑ll]er Un Nz u4+l Fartom Affecting Sale Price(Spec.;Cy Below)
Tuts pay hent may be in the form of cash,other prvparty or goods-or the assumption of x!.Nonce
mortgages a other Obligations.]Please round to rhe r arasr whole rfo7fsr gR]e�!/rri-
Comment(s)on conditl on:
14.Indicate the value of personal
property included in the sale
ASSESSMENT 1NFORMAT€ON-Hata should reflect the latest Final Assessment R.Af dnd Tax Rill
16.Year of Assessment Balt From which information taken(YY) L 0 "17.Total Assessed Vacua 7900
"15.property Class 2.10 _ 19.School t4strfet Name t,0-3 t hc,I moi.
"213.Tax Map loerltiflerfsyRoit Identifser(s)(If mom than lour,attach sheat with addttionaI identiffer(s)),
CERTIFICA'T'ION
l Certify that alt df the items of information entered on thls form are true and cerrract{ta the hest of my knowledge and belief)and I understand that the making of any willful
false statement of material tact herein subject me to the�jg�yg.,g, t R gena€Irt�rretative to the making and flung of false instrut"ents.
SgL_LER S€Q ATURE 1 y.F_igQ"TACT..INFORMATION
(EN.,hat! rot V rvr then t a+ *Vote:1f h dad es Len.soggily. r,'d oor,.a :f rPurle=n Jaar s;^.Ck rampar•.y.carate or
err€r[y that! nal xn vscs�victvat agerrl or Rdur]�y,then En name arse wnrs�rt c�[ormxrti�n of ar•mceno�n:irr.:ponsule
party wltin c+en answsn-gveslions regarding mrr transfer snusr r+e entered-E'ypa ar print clearly j
[ASF 3'F�2.`E FIRST NAME
o 718 229-'8887
'A32LR GCCE 'T[LE>=f!CJr:E hiJ.11H�FY SP.'e AOtCAAP:r,
UYER Ll6NATS E DATE
5:3 The Serpentine
STREET---NUMBER '.^+T."$-'VT NAh*
Ii . F"_gsll n NY 't'ia75
CITY OR T�"'^'rBUYER'S A_TTC7RIVEYIII"T rti%-Y.ARERCQ0E Tt..EPM]?FE NUMBER M..99?_Sfl93 13 E I I�