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Home My WebLink AboutL 13154 P 97 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 5/1/2022 Number of Pages: 4 At: 7 :06 : 42 PM Receipt Number: 22-0075157 *ELECTRONICALLY RECORDED* Transfer Tax Number: 21-33035 LIBER: D00013154 PAGE: 097 District: Section: Block: Lot: 1000 106.00 10 .00 004 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $575,000 . 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 $8,500 . 00 NO Transfer Tax $2,300 . 00 NO Transfer Tax Number: 21-33035 Fees Paid $11,195. 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 5/1/2022 7:06:42 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013154 Social Security Numbers P 097 prior to recording. 21-33035 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 2,300.00 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 22oi gTo7 1000-106.00-10.00-004.000 Consideration Amount $575,0 0 0.0 0 Tax Service P r s Agency aRr2s 222 CPF Tax Due $ 8.500.00 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Fidelity National Title - Riverhead, NY TD 10 24 Ccomerce Drive Riverhead 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 DL® 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 i Standard N.Y.B.T.U.Form 8005-B—Administrator's Deed(Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS DOCUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made this 16'day of February, in the year 2022 de,1I yeft(a J7 JaOL-)9 BETWEEN THE PUBLIC ADMINISTRATOR OF SUFFOLK COUNTY,having offices at 300 Center Drive, Riverhead,New York, 11901 as Administrator of the Estate of IRENE A. SHULHA a/k/a IRENE SHULHA, late of 1200 West Mill Road, Mattituck, New York, who died on the 9' day of March, in the year 2021, Suffolk County Surrogate's Court File No.2021-1936. party of the first part,and 1200 W MILL RD LLC,having an address at 8500 Nassau Point Road,Cutchogue,New York 11935, party of the second part, WITNESSETH, that whereas Letters of Administration CTA were issued to the party of the first part by the Surrogate's Court of Suffolk County,New York,on November 8,2021 and by virtue of the power and authority given by Article II of the Estates, Powers and Trusts Law, and in consideration of Five Hundred Seventy Five Thousand and xx/100............................... ($575,000.00)dollars, paid by the party of the second part,does hereby grant and release unto the party of the second part, the distributees 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 SEE SCHEDULE"A"ATTACHED HERETO BEING AND INTENDED TO BE the same premises described in a deed made by Andrew Shulha and recorded August 10,2011 in Liber 12667,ast page 986,in the Suffolk County Clerk's Office. SAID PREMISES COMMONLY KNOWN AS: 1200 West Mill Road,Mattituck,New York. SCTM#: 1000-106.00-10.00-004.000 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 line thereof; TOGETHER with the appurtenances and also all the estate which said decedent had at the time of decedent's death in said premises,and also the estate therein,which the party of the first part has or has power to convey or dispose of, whether individually or otherwise; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the distributees 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 above described premises have been encumbered in any way whatever,except as aforesaid. Subject to the trust fund provisions of section thirteen of the Lien Law. The word"party"shall be construed as if to read"parties"whenever the sense of this indenture so requires. i 9 FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO.7404-013071 SCHEDULE A-1 (Description of the Land) For Tax Map ID(s): 1000-106.00-10.00-004.000 AMENDED 1/24/2022 ALL that certain plot,piece or parcel of land,situate,lying and being at Mattituck,Town of Southold,County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a found monument on the Easterly side of West Mill Road(Mill Road)at the corner formed by the intersection of the Northerly side of Jackson Landing with the Easterly side of West Mill Road; RUNNING THENCE along the Easterly side of West Mill Road,North 19 degrees 20 minutes 20 seconds East,155.72 feet to a found monument and land now or formerly of Theodore Stevens; THENCE along said land now or formerly of Theodore Stevens,South 84 degrees 08 minutes 50 seconds East,556.90 feet to land now or formerly of Reilly; THENCE along said and now or formerly of Reilly,South 19 degrees 20 minutes 20 seconds West,151.43 feet to a found monument and the Northerly side of Miller Road(Bungalow Lane); THENCE along said Northerly side of Miller Road,along the Northerly side of land on"Map of Jacksons Landing"through a found monument and along the Northerly side of Jackson Landing,North B4 degrees 34 minutes 30 seconds West 557.92 feet to the found monument at the point or place of BEGINNING. THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which by law constitute real property. FOR CONVEYANCING ONLY: Together with all the right,title and interest of the party of the first part, of in and to the land lying in the street in front of and adjoining said premises. END OF SCHEDULE A Commitment for TRIe Insurance Printed: 01.24.22 @ 10:36 AM Schedule A-1 Description NY-FT-FRVH-01030.431004SPS-1-22-7404013071 IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF MA HEW G.KIERNAN,Public Adnfinistrator Of Suffolk County 651AIe o f ZAe e A. sti v/h/7 ,4XIA Z'Reve shv/h/j STATE OF NEW YORK) ) SS.: COUNTY OF SUFFOLK) On the \4 day of February, 2022, before me, the undersigned, personally appeared, MATTHEW G. KIERNAN, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacity and that by their signatures on the instrument idu , or person upon behalf of which the individuals acted, executed the instrume SiEnXire ana Office of individualOCs( taking acknowledgment FWeS'r R' �R I, (� Ernest R.WfUCk oaW'.6oL4 l Notary PubNc,State of NereYork v 1 Q 3 No.02WR8047034 Qualified in Suffolk county ,�1 ^^�� Term Expires Aug.21,201-Z I a' dL0a;L ADMINISTRATOR'S DEED --------------------------------------------------------- Public Administrator of Suffolk County As SECTION:106.00 Administrator of the Estate of IRENE A. BLOCK:10.00 SHULHA a/k/a IRENE SHULHA LOT:004.000 TOWN:SOUTHOLD STREET ADDRESS: TO 1200 West Mill Road,Mattituck,NY 1200 W MILL RD LLC ---------------------------------------------------------- RETURN BY MAIL TO: J.KEVIN McLAUGHLIN,ESQ. P.O.BOX 1210 44210 COUNTY ROAD 48 SOUTHOLD,NY 11971 FDR COUNTY USE ONLY Cl- SWIS Cade 14 1 7 1 3 1 8 1 8 1 9 1 =_INS):www.ogf :9-slate•rny-us 1Vt!!wr Yot'lc State Depalrtmaft!of Ca_ Date Deed Recorded 1 5 / 1 20221 Taxation and Finance Month Day Year diC6 of RtlBi:17fOpB!'t]r TS.t7C SE)t'1r1CBS C3_ DDDk 11,3,1 1-5, 4J C4_ Page I , ,0 , 9, 7 1 RP- 5277-PDF Real Property Transfer Report(W1p) PROPERTY INFORMATIONI 1,Pr W"V 1200 West Mill Road. Locatlen •STREET xuMnER •gTRF..ti'r >=' ----- NAfN � Mattituck 11952 'CfTY OR TQwfQ v143AW •;UP Com B.Buyer 1200 Liz M111 Rd LLC Name •1,AGT MAME DMPANY PmBT NAME .. LAST NAMP1Ca3APANY FAST NAME &Tax Ind leata where future Tax Sills are to be sent Billing if other then buyer a ddress(at bottom of form) LAST NAMEfDOMPANY FS NAME Address STREET HL]M9Ek AND NAME CITY OR TOVM 01-AYE g1p=OH 4.Indicate the number of Assessment 1 #of ltiarceie OR ❑Past of a Parow (Only If Part of a Parcat)Chock as they apply: Roll parcels transferred on the dead 44.Planning Board with Subdivd&Eon Authority F-2dats ❑ S.head X OR 2.22 .alt Sub diarisian Approval was Required Tor Transfer ❑ Property -PROW FEET '{7lYTn 'ACRES Sb* 40.Pascal Approved for Subdivision wHh Map Provided El Pub'i c Adminiswratox of Suffolk county � �• IL�CEJV�/" $•Sailer •LAST N aecL1Mi>ANY PIRST rd AMr s Name as Admizxistratar E/t3 Ireno A ShIalha LAST NAM yJC,pMPANY FEiST NAME 17_Select the dseedil tion which moat accurately doacrlbas the Check the boxes bebaw as they apply- use of the propertyat the time of sola: a.Ownership Type Is Condominium El e A.OnFamily Residential e_Now Conetruction an a Vacant Land 14A.Property Lorded within an Agricuiturai Diotrict 709.Buyer received a disclosure notice inking that the property is in orf E-1AgricuPturM District SAL IN TION 15.Check one or more of these condWons as applicable to transfer: A.Safe Between Relatives or Former Relatives 1t,Sale Contract Date 11/30/2021 B,Sale between Reiated Companies or Partners in Business. C.One of the Buyers is eiso a Sailer '12-Date of Salarrransfer 02/ 17/2022 D.Buyer or Salim is Government Agency or Lending Institution B.OeW Type not Worramy or oargain and Sale(Specify Below) F.Sane of Fractional or Leas than Fes Interest(Speeity Below) '18.Foil Bala Price 575,000 ,00 G.Significant Change in Property Between Taxable Status and Sale Dates H,Sada M Business is Included in Sale Price {Full Sale Price is the total amours paid for the property IWuding parsorial properly- I. Other Unus"Faders Affecting Bala Price(Specify Salow) This payment may be in the form of cash,oder property or goods,or the assumption of J.None mortgages or other cit€ig"lons,)Please round to V*nearest whore doueramount, 'Comment(s)an Conditions 14.indicate the value of personal property included In the sale Adminiat:rater`s Deed ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 1$.Year of Assessment Roll from which informatlon takan(YY) 21 '17.Total Assessed Value 6,100 '116.Property Cie" 210 � •18.School District Name Ma t t i-tuc k--Cu t ch.ogue Im Tax Map ldentifler(s3fRoll Identiflerds)(if more than four,attach shoot with additlonal tdon0ft"83) 100i7-IQ6.fld--1C3.g0--E7{74.QQD CERT;FICATIO1V I Certify nkat all of the items of IrtIb madon entered on this form are true and correct(to the best of arty knowIsdge and belhM and I understand that Lha making of any willful ase statamipnt of material fact here]"subject me to to the marring and filing of false Instruments. Pij,l LER SIGNATURE (Fntar Irefomation for the al.yer_Divots:R buyer is LLC,sodaty,assodakian.mrpomtion,Joint stock company.astaw or ontlty that is not on indrviduW agent wtiWaaary.trlan a name and wnt%"riformatwn of an it dMauallreopamelbra party wrto a and r quewtlon%mciarairlg taw tre%%r merest be entered.Type or prim vmarfyr.) a i;k e.WATUMC a TE Corax x i n i Richard E31lYl F!SIt3FlATttl _ 'LAST NArytt F1RSr NAME C �� •W<[=.n i.[:CiF: '[k i Fi'!OtA:t4UMBF.51 il:•4]'i✓a!r,ll R SK3NA7 rw BA 8500 Nassau Point Road •STREET Ny1MBZR •STREET NAmr 1 s , Cutcho ue NY 11935 1 'CITY OR Tovm 'STATE -ZW C E r YBR'S Al"E'QRtyEY 1 McLaughlln J. Kevin s 1.aar NAME FaRsr NAAO'E i 1 163x1 765-150135 AREA COME TELEPNpNE.WVMR fix:9B9BeaB) + i ,