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L 13149 P 928
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 4/2/2022 Number of Pages: 4 At: 8 :44 :33 PM Receipt Number: 22-0057758 *ELECTRONICALLY RECORDED* Transfer Tax Number: 21-29642 LIBER: D00013149 PAGE: 928 District: Section: Block: Lot: 1000 102 .00 01 .00 004 .005 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: 21-29642 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 4/2/2022 8:44:33 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013149 Social Security Numbers P 928 prior to recording. 21-29642 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 22013309 '#000-102.00-01.00-004.005 0.0 0 Real Property Consideration Amount � Tax Service P r s Agency €t DTr n CPF Tax Due $ g }' 3f27f2[722 0.00 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land First International Title - Riverhead TD 10 633 E ]AIIF ST STE 3 R.IVEREEAD NY 11901 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 WARRANTY DEED WITH FULL COVENANTS (INDIVIDUAL AND CORPORATION) FORM 8003 (short version), FORM 8008 (long version) CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE, made the 24'day of February,2022, between Diane Benediktsson, as surviving tenant by the entirety of Ben Benediktsson who died a resident of Suffolk County,New York on May 10,2021, 1655 Evergreen Drive, Cutchogue,New York 11935, party of the first part,and Courtney Marie Benediktsson, as Trustee of the Diane Marie Benediktsson Irrevocable Trust, dated January 19,2022, 1655 Evergreen Drive,Cutchogue,New York 11935, party of the second part, WITNESSETH, that the party of the first part, in consideration of Ten Dollars and No Cents ($10.00)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 at Cutchogue,Town of Southold,County of Suffolk and State of New York,known and designated as Lot No. 5 on a certain map entitled, "Map of The Woods at Cutchogue" filed in the Office of the Clerk of the County of Suffolk on 3/23/1989 as Map No. 8717, which said lot is bounded and described according to said map as follows: BEGINNING at a point on the northeasterly side of Evergreen Drive where the division line between Lot 4 and 5 on said map intersects the northeasterly side of Evergreen Drive; RUNNING THENCE along said division line,North 52 degrees 14 minutes 00 seconds,East 299.15 feet; THENCE South 37 degrees 41 minutes 30 seconds, East 150.00 feet; THENCE 52 degrees 14 minutes 00 seconds,West 273.95 feet to the northerly side of Evergreen Drive; THENCE along the northerly and northeasterly side of Evergreen Drive the following three courses and distances: 1.Along an arc of a curve bearing to the left having a radius of 50.00 feet a distance of 42.05 feet; 2.Along an are of a curve bearing to the right having a radius of 25.00 feet a distance of 21.03 feet; 3.North 37 degrees 46 minutes West, 94.10 feet to the point or place of BEGINNING. BEING AND INTENDED TO BE the premises conveyed to Ben Benediktsson and Diane Benediktsson by deed dated October 8, 1998 and recorded in the Suffolk County Clerk's Office on November 10, 1998 in Liber 11927 at Page 849. District: 1000, Section: 102.00,Block: 01.00,Lot: 004.005 NYSBA's Residential Real Estate Forms(9/2000) -1- Q 2022 Matthew Bender&Company,Inc.,a member of LexisNexis. BE17VGAND INTENDED TO BE the premises commonly known as 1655 Evergreen Drive, Cutchogue,New York 11935. 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, 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 costs 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. AND the parry of the first part covenants as follows: FIRST. —That said party of the first part is seized of the said premises in fee simple,and has good right to convey the same; SECOND. —That the party of the second part shall quietly enjoy the said premises; THIRD.—That the said premises are free from encumbrances,except as aforesaid; FOURTH. —That the party of the first part will execute or procure any further necessary assurance of the title to said premises; FIFTH. —That said party of the first part will forever warrant the title to said premises. 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. By: Diane Benediktsson, surviving tenant by the entirety IN PRESENCE OF. District: 1000, Section: 102.00;Block: 01.00,Lot: 004.005 NYSBA's Residential Real Estate Forms(9/2000) -2- ©2022 Matthew Bender&Company,Inc.,a member of LexisNexis. Acknowledgment by a Person Within New York State (RPL §309-a) STATE OF NEW YORK ) ss.: COUNTY OF SUFFOLK ) On the day of in the yearC efore me,the undersigned,personally appeared Diane Benediktsson,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 she executed the same in her capacity(ies), and that by her signature(s) on the instrument,the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. (signature and oflil?e1oit individtkJ taking acknowledgment) Kasey J.Cosgrove Notary Public,State of New York Reg.No.01 CO6086831 Qualified in Suffolk County Commission Expires February 03,20 District: 1000, Section: 102.00,Block: 01.00,Lot: 004.005 NYSBA's Residential Real Estate Forms(9/2000) -3- C 2022 Matthew Bender&-Company,Inc.,a member of LexisNexis. FDR COUNTY USE ONLY C1_ SWIS Code 14 . 7 . 3 . 8 . 8 . 9 1 --INS):whww_sxlaa.ataltr.ny_us C2_ nate need Recorded 14 / 2 2022 kf Month Day year —41 C3_ Book 11,3J ,4, 2J C4_ Page 1 1 19 1 21 8 1 '� FLP- 6217-PDF PROPERTY INFORMATION I Real Property Tinansfer Report(8110) PROPERTY INFORMATION 1,Property I. tlon 1855 Ever Teen Drive =sxr r�xr,a�n •arr�r wuu� Cutch ue 11935 CITY OR TOM VbLLACa •ISP COW. 2'8Yer Caurtne Mae Benediktsson TTEE of the Diane Marie Senediktseon brew Trust,dtd III 9,t2022 NameY m___.. .n__._.�.........._._....�. .. LAST worst=rabaaFvwY -MRar LAST Nllr lCWu�AiV1• MRST NAME a.T" Indicaatewhere future Tax DWe ara m ea seal Senedktsson Diane Marie Simin9 If dater'than buyer addrese(at bottom of form) I.Asr NANt&M0QMPANY FfftWrWW Address 9655 Evergreen Drive CutchoQue NY 11935 aTREFTfA.M OMAND NAW CrrY OR Teases STATE 2a'CODE 4.IrkdWate the reumbarof Asses nt Part of a Parcel (only if Part of a Parc)Check as they apply: Rall paroele bmsfarreEd on the deed 1 a of Parcels OR 4A.Planning Spars with SundMai m Authority,Exists . $"Dead X OR 1.01 46.Subdivision Approve!was Required for Transfer Q Property 'ACRES Size 4C.Paas!Approved for'.(.ubdivielon with Map Provided Q Benediktsson Diane,as surviving_tenant by the emu€rets 6.Seller ruuartcaMrAfvr M"HAW Name LAST NARORp41PAKY FIRST P"k 47.Sect the description whish!!lest aeoureteYtr ffeaeHbera the Check the boxes below as they atpptin Elase of the property,at the BCondominium El of sats: S.Ownership Type is Condominiu A.One Family Residential_ a.New C'.onatnxation on a Vacant Land ................. 10A.Property Located within an Agrirulhba€District 108.Buyer received a disclosure nogm indicating that the property is in an Agricultural Dis&lct. ❑ NAM INFORMATION 16._Check one or more of these condfilkwe as applicable to trarrM6er. A.Sale Setwaen Relatives or Farmer Relatives 14.axis Contract Gabe 0.Sale between Refeted Gomparr#mx or Partners in SmairAms. ---- C.One of the Buyers to also a Sadler I Gats of SatelTransfer 2/2412022 D•Buyer or Setter is 0overnment Agency or Lending{risfitution E.OeW Type not Warranty or Bargain and Sale(Specify Below) F.Sale of Fractional or Leas than Fee Interest(Spey Below) 113.Full$ale PNCE �.{j� T G.Sight Chance In Property Setween Taxable Status and Sets Oates tf.Salo Of Suairieaa is krrdraded in Sala Pr1os (Full Sale Price Is the total amount paid for#w property kMdudini;i personst property. i.'(either Unusual Factors Affecting Sale Prim(Specify Below) This payment may be In the,form of cash.offw Property or goods.or she asaumpbon of X J.flans morWages or other oblWafidns.)Mass&round A)tfm nearest wholes duffer anwunf. Cormnent(s)are Condition: 44.Indicate the value of personal property Iuded in the sale $0.00 AS91ESSWNT INFORMATION-C)ata shotAd reflect the latest Final Assessment Roll and Tax.Bali 16.Year of Assadlsn"rit;Pelt hwn which Info rnaHon taken(YY) 22 197."Total Assassead%W" 7,700 "18.Property Class 2 1 0 ._ ______ •f9.&shoot District Name Mattltuak Schaal District 120.Tax Mop idwriMar(ayRoll Identifier(s)(if!mora than four,attach sheet With additional Werdifiar")) 1000-1(]:2.(]0-01.00-004.005 CERTIFICA'nON I Certify that all of the Meme of]nfoarnmMm entered on this farm are true and correct(to the Chest of my knowledge and beilef)and I undaratendthatt the rnskine of any wilifad tafee sfate.ruwd of anatedal fact herein subject me to the 3rSiathfll7tLa.sFi3lltt cttlffpi.law-.rsfatire to the rra king and filing of fides Instruments. SELLER SIGNAMR-9 6_Uy OQNJkCT INFGM&M__i (Eroar WgiXr erten far the buyer-Notk t huyerss€,t.c. .au"awon.yrs,l $UK*oWr4wW'"we or a r tfy that is noc an&mtvl Lm9 apana or S&icl ary.then a nems and canted infori nution of ars IndirAduaSteapunalble Finny who can answer 44 s rogardhep the transfer muss be anlamd,Type or inner eteaNy.) 812AA R SiGMTUM RATM �f31�# Pi�(IF�lr Benediktsson Courtney Marie •LAST MAMA FIRST M Wra: n e 631 506-$440 •AREA COOS 'r�r� +�NWNaFg(Er:ppgpgyi] WYM 01UNA.URS 'TX 9655 Eve I�at3r1 Drive •un rMT tamem ^arReer senses T k Cutchogue NY 19835 j •pl'Y nor TOVYN •SiA'C� �.'.IF'C[1[]� r I s NONE r a 1 cAsiraawace '"'" '"'".'•"". Fsriar rlaWsa '"�'"'" r a� ArrenCODE _ TaEvmw urMMERtea:""NO) _