HomeMy WebLinkAboutL 13147 P 245 1111111111111111111111111111111111111111111111111111111
111111 I I I I I I I I I I I I I I I I
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 03/16/2022
Number of Pages: 3 At: 12 : 01:26 PM
Receipt Number : 22-0045346
TRANSFER TAX NUMBER: 21-27405 LIBER: D00013147
PAGE : 245
District: Section: Block: Lot:
1000 098 . 00 05. 00 010 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 . 00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $15 . 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 $390 . 00
TRANSFER TAX NUMBER: 21-27405
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of pagesRECORDED
2022 rlar 16 12:01:26 PN
JUDITH A. PASCALE
CLERK OF
This do6ment will be public SUFFOLK COUNTY
record.Please remove all L D00013147
Social Security Numbers P 245
prior to recording.
DT# 21-27405
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Mortgage Amt.
Page/Filing Fee �
1.Basic Tax
Handling 20, 00
2. Additional Tax
TP-584 ��' Sub Total
Notation
Spec./Assit.
Or
EA-5217(County) Sub Total Spec./Add,
EA-5217(State) `�— TOT.MTG.TAX
a Dual Town Dual County
R.P.T.S.A. r , Held for Appointment
Comm.ofEd. 5. 00 Transfer Tax
•
Affidavit • Mansion Tax
�
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
T Grand Total If NO, see appropriate tax clause on
age# of this i trument.
4 Dist. 22011703 1000 09800 0500 010000 )00 5 Community Preservation Fund
Real Propert PT S Consideration Amount$
Tax
Agency i X15 LPA-MAR-A CPF Tax Due $
Verification,
-- -- — --J Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD _
Victor Law Firm,PC
405 RXR Plaza TD
Uniondale,NY 11556 TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Title#
s Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Douglas Slama The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Peconic
Douglas C.Slama.Trustee of the Douglas C. In the VILLAGE
Slama Revocable Trust or HAMLET of Southold
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
Form 8002(3100)-Bargain and Sale Deed,with Covenants against Grantor0s Acts-Individual or Corporation.(Single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT❑THIS INSTRUMENT SHOULD BE USED BY LAWYERS
ONLY.
THIS INDENTURE,made the 2"d day of December,2021
BETWEEN
Douglas Slama, residing at 303 Walker Way, Newark, DE 19711-6123
party of the first part,and
Douglas C. Slama,Trustee of the Douglas C. Slama Revocable Trust, dated December 2,2021,
residing at 303 Walker Way, Newark, DE 19711-6123.
party of the second part,
WITNESSETH, that the party of the first part, in consideration of TEN AND 00/100 ($10.00)
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,
ALL that certain plot,piece or parcel of land,known and designated as Lot#16 on a certain map entitled"Map of
Dist Peconic Bay Oaks,situate at Indian Neck,Peconic,Town of Southold,Suffolk County,New York,owned and developed
1000 by Henry J.Smith and Stella M.Smith,his wife,Peconic,New York"and filed in the office of the Clerk of the County of
Sec. Suffolk on October 18,1961 as Map No.3434.
098.00
Biot` Together with the right to use the 134.55 X 15.1 foot strip of waterfront beach as shown on said map for recreational
05.00 purposes.
Lot
010.00
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 to 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 D 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:
ou Slama
,i
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of Suffolk ,ss:
On the day of in the year 2021 State of New York,County of ss:
before me,the undersigned,personally appeared On the day of in the year 2013,
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) personally known to me or proved to me on the basis of
is (are) subscribed to the within instrument and satisfactory evidence to be the individual(s)whos8 name(s)
acknowledged to me that he/she/they executed the same in is (are) subscribed to the within instrument and
his/her/their capacity(ies), and that by his/her/their acknowledged to me that he/she/they executed the same in
signature(s) on the instrument, the individual(s) or the his/her/their capacity(ies), and that by his/her/their
person upon behalf of which the individual(s) acted, signature(s) on the instrument, the individual(s) or the
executed the instrument. person upon behalf of which the individual(s) acted,
executed the instrument.
(signature and office of individual taking acknowledgment)
(signature and office of individual taking acknowledgment)
TO BE USED WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of P'e'�U" -�'r�
ss:
On the 2"d day of December,in the year 2021,before me,the undersigned,personally appeared
Douglas Slama
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
,,c��
(insert the City or other political subdivision) (and insert the State or Country or other place the acknow dgment was taken)
(signature and offs of indivrt1111 takin {BgtowlF4gmen
LAW
E02—N4323
ELAWARE
O
BARGAIN AND SALE DEED
WITH COVENANTS AGAINST GRANTOR❑S ACTS
DDistrict: 1000
Douglas Slama
SECTION . 098.00
BLOCK 05.00
LOT 010.00
TO COUNTY OR TOWN
STREET ADDRESS
Douglas C.Slama,Trustee of the Douglas C.
Slama Revocable Trust
RETURN BY MAIL TO:
Victor Law Firm,P.C.
405 RXR Plaza
Uniondale,NY 11556
RESERVE THIS SPACE FOR USE OF RECORDING OFFICE
INSTRUCTIONS(RP-5217•PDF-INS):www.orps.state.rty.uas
FOR COUNTY USE ONLY ++'' New York State Depadah9at of
,--Cl.BAS Coes '` 3,•3,8,,3 11 _� Taxation and Finance
C2.Date Dead Recoreed Lw / I /v3 I Office of Real Property Tax Services
�t "°"' RP-5217-PDF
CS.Book I , ✓, I ,-1,7J C4.Page I ,r- .Lt,,I Real Property Transfer Report(SHO)
PROPERTY INFORMATION
1.PL� 355 - Robinson Lane
-"F=MINDED •STRFFThM1E _
Fecoric: Sourhol d
•CIT1.OP Iow% ye.Ac[ •— •:rex¢
2.Buyer Douglas C S1 na Rev Trl:st Douglas Slama Trus Lee
Norm
'.ASI W11FII:nIa'Aa'r :NS'NLVF
I Afil NALKO4PAW FRPkMF
i.Tax Indicate whom future Tax®IIs am to be sem S la7ru Douglas
Blleng d other than addre a bctim d Conn
Address St ) 1A81 hAnaJCORPAw I V51'"F
303 Walker Way Newark _ D•6-• 1971
STRFFT YnpEN MDNAVE CM CA TOM STA-F ZPe01:E
4.Indira the number of Assessment0d Parcels n flarl d e Peters 4A.
If Part of a Pared)Check a they apply:
Roll peruU transferred on the deed OR '"' 4A.Planning Board with Subdivision Authority Elusts ❑
S.Daae _ ` )R_ 0.50
• 40.Subdivision Approval was Requred for Transfer
Propary FR4V11 LLT
Pn •OL"1.1 •WRES
IC.Pareal Approved for Subdivision with Map Provided ❑
S:arra Douglas
9.Sailor Afi-WKA-wrlion
FI9Si hl1•F
Name
LMI NI WEICOW 1w FAST NIMP_
*7.0, the description which mod accuracy dowribes an Chuck the hose below w ewy appy:
use of the property d din dmo of sad: 8.Ownership Type is Condanrium ❑
A.One Family Readential 9.New Constructon on a Vaud Land ❑
IDA.Property Located within an Agricultural District ❑
18&Buyer received a eacbere notice indicating that We property as In an
Agricueural District ❑
SALE INFORMATION 111.Check ons or more ofthee conditions a applicable totrensfer.
f ,A.Sole Between Reletves or Fortner Relatives
11.Sale Contract Dad IIL�-II g.Sale between Related Companies or Pennem In Business.
Cd.One the Buyers is also a Seller
'12.Dap of 1ledRrsnshr 1-2/02/2021 'D Buyer or Seller Is Government Agency or Lending Institdmn
E.Deed Type not Warranty or Bargain and Sale(Specify Below)
F.Sale of Fractional or Less then Fee interest(Specify Below)
'17.Full Bale Price U.00 G.Significant Change In Properly Between Taxable Status and Sale Date
1 Full Sale Price Is the tow amount paid for the property Including perunel property. 1.Sad r Unusual F is cm AlloIncluded In Sad Price
This paymenl may be in the form d ash,other property or goods,or Me aseumphon d J 011ier Unusual Pecten ARadlrg Sala Dna(Spedly Bskyal
J None
mortgages or ether odrgadons.)Preuss mond to ells rlearesr Lenore timer arrlorrnt 'Carnmeags)on Condition:
14.Indicate the value of personal
property Included In the wh •00 T:ansfor to a_.rus:
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
18.Year ofAeessrmnt Roil from which insonation token(YYI 21 '17.Total Assesad Value 1),400
'18.Property Clow 210 _ '19.Scholl olstirld Num
— Soul:lold
'IO.Tax kap Idwdifo4syRdl Idemtiler(s)(If more than four,attach shad with oddMonal kWrWftrial)
090.00-05.00-010.000
CERTIFICATION
I Certify dot as of ttm Mons of IMon.often @.Lotad on this farm aro tnse and correct(to tlN bad of my knowledge and bdleQ and I undomtsnd that No melting of any wlltiul
Islas stahmeat of metrial fact herdn subject t rat to the provdlona_otttlanpid law mMlve to tin making and filing of(also inshummrd.
MILLP Cf!SIGNATURE , DyjZH_&0NTAQLMEQRl!AjM
'IEIIkr-d-crimb I•h:ro buyer�:o•A I!buyer la 1.C.smoty.amodaLan,co pwawo.jura!lora cwrpwry•awa:s or
'ewL1y VIP a W 4 oar Or ylduan 4110111 M fldlldary.sun a mato and arwaCl keaaabm of an Indvlduayrorpeneble
` Dalry who ran aeamr quer:wa mtadre ens nrww meal be arena lvpr w,print Clardy)
i14E
JW
BUY.ER.SIGMATURE S]a:na Douglas
�/ ••4R'NMIL• ani:NAIL
L � 'AALA:.Yx -.I:,:+A:L_•e v[3•i.•IY4.rR;
Ov
..14i M
303 _Walker, Way
-S'REE'M.4RER •8,NLLI hAYF
I ' ' Newark DE 19711
'Cur CQ TAVII SIVE •2r CA)L
MUER'S ATTORNEY
1 Victor Ellen
LAST—h -- F RST v/wE
l (516) 23-4880
-L-COIF rLJj%0-4F-AWER IES.atMM)
I