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HomeMy WebLinkAboutL 13155 P 930 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 5/12/2022 Number of Pages: 6 At: 9:06 : 45 PM Receipt Number: 22-0081512 *ELECTRONICALLY RECORDED* Transfer Tax Number: 21-34504 LIBER: D00013155 PAGE: 930 District: Section: Block: Lot: 1000 111 .00 09.00 004 .002 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $30 . 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: 21-34504 Fees Paid $405. 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 6 5/12/2022 9:06:45 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013155 Social Security Numbers P 930 prior to recording. 21-34504 Deed 1 Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording 1 Filing Stamps 31 FEES Page 1 Filing Fee 30.00 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 60.00 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 405.00 Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund 22o27 5o5 1000-111.00-09.00-004.002 0.0 0 Real Property Consideration Amount � Tax Service P r s Agency R5rs AK CPF Tax Due $ 0.00 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Advantage Title TD 10 201 Old Country Rd Ste 200 Melville NY 11747-2731 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcounVny.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 THIS INDENTURE, made as of the t day of March, 2022 between DAVID HERMER, having an address at 9 College Place, Apt. 4D, Brooklyn, NY 11201, and SILVIA CAMPO, have an address at 9 College Place, Apt. 3J, Brooklyn, NY 11201, as tenants by the entirety ("Grantor') to DAVITA HOLDINGS LLC, a Delaware limited liability company having an address at 9 College Place,Apt. 4D, Brooklyn,NY 11201 ("Grantee"). WITNESSETH : That Grantor, in consideration of Ten and 00/100 ($10.00) Dollars and other good and valuable consideration paid by Grantee, the receipt and sufficiency of which are hereby acknowledged by Grantor, does hereby grant and release unto Grantee, the heirs or successors and assigns of the Grantee, forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in Nassau Point, Town of Southold, County of Suffolk and State of New York, known and designated as Lot 19 on a certain map entitled, "Map of proposed subdivision, Section A, Nassau Point Club Properties, Inc. situate on Nassau Point, Suffolk County,New York" surveyed by Wallace H. Halsey, C.E. filed in the Office of the Clerk of the County of Suffolk October 4, 1919 as Map No. 745. Premises known as 3675 Nassau Point Road, Cutchogue, NY 11935 and designated as District 1000 Section 111.00 Block 09.00 Lot 004.002 as shown on the Land and Tax Map of the Town of Southold, County of Suffolk and State of New York. Grantee covenants that all structures to be erected upon the above described premises shall be so located so that same shall be set back not less than 15 feet northerly from the most southerly boundary line of the subject premises,thereby creating a southerly side yard of not less than 15 feet. The above covenant shall be deemed a covenant running with the land and may be altered, modified or annulled by a written agreement by and between the imposer thereof, his heirs and/or assigns and the owner for the time being of the premises above described. TOGETHER with all right, title and interest, if any, of Grantor in and to any streets and roads abutting the Premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of Grantor in and to the Premises; SUBJECT TO such other liens, agreements, covenants, easements, restrictions, consents and other matters of record as pertain to the Premises; TO HAVE AND TO HOLD the Premises herein granted, or mentioned and intended so to be, with such right, title and interest, if any, in said streets and roads, and such appurtenances,unto Grantee,the heirs or successors and assigns of Grantee forever. AND Grantor, in compliance with Section 13 of the Lien Law, covenants that Grantor 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 improvements and will apply the same first to the payment of the cost of improvements before using any part of the total of the same for any other purpose. DM-US 187020596-1.101019.0011 AND Grantor covenants as follows: that Grantor is seized of the Premises in fee simple, and has good right to convey the same; that the Grantee shall quietly enjoy the Premises; that the Premises are free from encumbrances, except as aforesaid; that Grantor will execute or procure any further necessary assurance of the title to the Premises; and that the Grantor will forever warrant title to the Premises. BEING the same premises described in the deed to Grantor from William J. Schneider, as to a 50% interest, William J. Schneider, Frederick C. Schneider, Melinda A. Carney and Gretel M. Schneider, Co-trustees of the Schneider Article IV Disclaimer Trust, as set forth under Article IV of the Last Will and Testament of Lucille V Schneider, as to a 37.5% interest and William J. Schneider, Frederick C. Schneider, Melinda A. Carney, and Gretel M. Schneider, Co- Executors of the Estate of Lucille V. Schneider, as to a 12.5% interest, dated May 15, 2015 and recorded on June 29, 2015 in Liber 12822, Page 51 in the Suffolk County Clerk Records Office. [SIGNATURES ON FOLLOWING PAGE] -2 - DM-US 187020596-1.101019.0011 IN WITNESS WHEREOF, Grantor has duly executed this deed as of the day and year first above written. David Hermer 0 - 3 - DM US 187020596-1.101019.0011 STATE OF NEW YORK ) SS.: COUNTY OF � 5 ) On the IMay of ; Y in the year 2022, before me, the undersigned, personally appeared David Hermer, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. .� �X r OA Notary Public DIANA KOO Notary Public,State of New York No.011<06328315 STATE OF NEW YORK ) Qualified in Queens County S S.: My Comm.Expires July 27,2623- COUNTY 7.20COUNTY OF ► ) On the trday of in the year 2022, before me, the undersigned, personally appeared Silvia Campo, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. 4LZ,A,f 21.C No ary Public DIANA KOO Notary Public.State of New York No.01KO6328315 Qualified in Queens County My Comm.Expires July 27,20 2 - 4 - DM-US 187020596-1.101019.0011 WARRANTY DEED DAVID HERMER AND SILVIA CAMPO,AS TENANTS BY THE ENTIRETY TO DAVITA HOLDINGS LLC SECTION: 111 BLOCK: 09 LOT: 004,002 COUNTY: Suffolk STREET ADDRESS: 3675 Nassau Point Road, Cutchogue,NY 11935 RECORD AND RETURN BY MAIL TO: Amy Fridman,Esq. McDermott Will&Emery LLP One Vanderbilt Avenue New York,NY 10017 DM US 187020596-1.101019.0011 FDR COUNTY USE ONLY Cl- swis Cade 14 t 7 t 3 t S t S t 9 1 NS).www•vrps•state,-riyus New York State Departfrtent of C2_ nate need Recorded 15 / 12 20221 Taxation and Finance Month Day Year Office of Real Property Tax Services C3_ Doak 111 3,1 ,5, 5 1 C4_ Page 1 , ,9 , 3, 0 1 RP- 5217-PDF PROPERTY INFORMATION I Real Property Transfer fteport(8144) 1.Property 3 6'7 5 'Nassau Point Road Location "R=NUMER '•'• •'•'• - -• •3TRr#T NAME ,w •••••••• S c)LZ t h c>,'[fJ .-.'GTS'©R;awai VILLAGE •ZIP L'-nF 2.8uyer Davita Iira.Ldings LLC Name _- --- __ I,Ar.T fdAMi comp— .. •••• FI NAMNAME '•' __ ••• •• lAs;NAt3FiLC%Nd'Ah`l' F3HST ryA�� ^• --- 3,Tula Indicate where Suture lax Hills are to be sent Billing Indicate other than buyer address{ai bottom of farrrt) '. ..'-. ------ ----- -----. .. Address LAST NAMN�[aR�pprr P ST W ME 6'FRFET lSLSAFaE;R ANP NAME MTY OR T_AyN -- '•'•J S ATE.W 2P C,00e. ---• 4-Indicate the number of Assessment (on€y if Part of a Parcel)Check as they app Rol#parcels transferred on the deed .- 1#of Pascefs OR n Part of a parcel ly: 4A.Planning Board with Subdivision Authority Exists S.Deed 1 1-g Property •FRora'r r •r •f]F'nTkF -- It •Acrr v .... 4B.Subdivision ApproVze#was Regulrmd for Transfer Size F-1 4C,Parcel Approved for Subdivision with Map Provided Campo Sa_tzria 6.Seller NAf✓EIC:6t.�AhY •.•"• •� f1RST'NAW •• _ •.•• •••• ••••'•• Name Herrner, tenants by the entirety David LA:,'T KAMM-0;jPANY •.-�..w •'•' ---• ••••• Fp ST NAMt; . '"'"" •- `7,Select the description which most accct rately denscrlbes the Chock the boxes below as they apply- use of the property at the time of sale_ 8.Ownership Type is Condominium A_ One Family Residential 9_NewConstruc##nn on a Vacant Land ❑ 14A.Property Located wKhln an Agricultural District 109.Buyer received a disclosure notice indicating!fiat the property is in an Agricultural DWtriot rw4LE INFORMATION .Is,Check one or more of these conditions as applicable to transfer: A-Sale Between Relatives or Former Reialives 11,Sale Contract Date H.Sate bel wean Related Companies or Partners in Business- '-' C.One of the Buyers is also a:Seller '12,Date of SatelTransfor µ_ "a •� D.,Suver or Seller 1s Government Agency or Lending€dsliiution . •-- E.f7aed Type not Warranty or Bargain and Sale(Specify Below) F'_Sal®of Fractional on Less than Fee interest(Specify Below) '13.Fug Sate Pn#oe .(3() G.Signbflcanl Change in Property Between Taxable Status and Sale Detes (Full Sate Price Is the total amount paid for the property indudbng personal progeny, H.Safe of Business 7s included in Sale Price This payment may 0e in the form n}CasBt,other Property or goods,Or the assumptigri of i- Mer Lbnusuai Factors Affecting Sale Price(Specify Sefow)J-Norte mortgages or others-obligations-)Please round to fhe nearest whofs dollar amounL 'Comment(s)on Cond€€don: 14,Indicate the value of personal property included In the sale _ .00 Gift transfer ASSESSMENT INFORMATION-06fa should reflect the latest Final Assessment Roti and Tax Bill If..Year of Assessment Roll from which Information token(yY) 22 `17.Total Assessed Value 118.Properly Class 210 __. "19.School District Norrie Matt_4-'L"L1C k-Cu t C;t7WCj ti E3 --- '2U.Tax A7ap Identifier(s)IRoll#dentiftarls)Of more than fotur,atfach sheet wtth additional ldedtlfier€s)) --- • '--' 7,C7 L3(T-11i_E3Cj-C39_E3D--C7Q4.4Q2 ZMPTIFICATKON l Cart€fy that all of the Items of€nformat€on entered on this form are true and Correct(to the oast of my knowledge and teolief)and l understand that the making of any witifw false statement Of material fact tieroin subject me to!he_;},LS)yjgJcans. tt�-ls_enal��sv relative to the making and f€Ilrxg of false instruments. 1 t R S 11.1t E BVYEft-CQJl1' &C-T-J F0J;t nATJQK it=rater�±on{felidlS foc rite buyer. Note:K h.yer is Et,G',spary�ty,assmiaffon.r,agy atbn,j."moc9;Ex+mQ�yestate oT .;chit is cwt an i d-Nis-,ai®gena or rrcrud� y,=nen s earn¢�d convect?nrorm(iwt of anrad viauaNresponsit le P"who cin an r geaewG—r gAr ding the transfer mush he entered,Type ar print dearly,) SFU( R.4iCdFATW2 PAT[ Elava iaP-rmCr pp¢¢ l!,,ppr 1H erYIIe.r. D a'v1d 51Wq�' pF E+.tMa E,1.0 eY: _--H� I rfn •AREA CGY� '•' ���' •C�i.FeKLk�C 13UrA9F.v i�x:8'JA?H99)•• •' SdviF[:anp�o,$fii STaFnaaei••• __-.•.•••T•,f •••• HATE ••-••••� 3 Co11 agr Plar_E_, Amt_ 4D •sTiz�T ii�atEifwa •s'r+�eEr raAan=_ r = Brooklyn NY 11201 t erivrm'rowrs --- ....... •sTnT� .... •zu�vx+r,- .....-. -.UYEfUSA..f QKKF�Y I Fri-dutan, Esq. Amy LA.,3'E3AhlF •'•' _-• .� PIRTWME (212) 547-5551 F �•,••,••�•••A*IVA C[x;E 7VI.F..,Hot�kLFM Qp fE><:5.8895891 --_ E = 1 t I 31