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L 13156 P 622
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 5/18/2022 Number of Pages: 4 At: 7 :17 : 45 PM Receipt Number: 22-0084767 *ELECTRONICALLY RECORDED* Transfer Tax Number: 21-35054 LIBER: D00013156 PAGE: 622 District: Section: Block: Lot: 1000 119.00 01 .00 007 .000 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 $250 . 00 NO TP-584 $5. 00 NO Comm.Pres $0 . 00 NO Transfer Tax $0 . 00 NO Transfer Tax Number: 21-35054 Fees Paid $520 . 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 5/18/2022 7:17:45 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013156 Social Security Numbers P 622 prior to recording. 21-35054 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) 250.00 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. 00 470.00 family dwelling only. Sub Total YES or NO Other 520.00 Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund 2202231B 1000-1'19.00-01.00-007.000 0.0 0 Real Property Consideration Amount $ Tax Service P r s Agency 7DTY A 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 F 691 Standard N.Y.B.T.C.Form 8002-Bargain&sale deed With covenant against grantor's acts-Ind.or Corp.-single sheet CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the jl6 day of December ,2021. BETWEEN CARL J HOELZL,having an address at 21 Whitford Road,Stony Brook,New York 11790,the party of the first part, AND CARL J HOELZL as Trustee of the CARL J HOELZL REVOCABLE LIVING TRUST,having an address 21 Whitford Road,Stony Brook,New York 11790,the 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 parry 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 DISTRICT 1000 SEE SCHEDULE"A"ATTACHED SECTION 119.00 3LOCK TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads D1.00 abutting the above described premises to the center lines thereof; _OT TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said X07.000 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. BEINGAND INTENDED TO BE the same premises granted to the Party of the fust part by Deed,dated February 12,1997 and recorded on February 26,1997 in the Office of the County Clerk of Suffolk County in Liber 11817 Page 953. SAID PREMISES COMMONLYKNOWNAS 9895 Nassau Point Road,Nassau Point,Cutchogue,New York 11935 and bearing a tax map designation of District 1000 SECTION 119.00 BLOCK 01.00 LOT 007.000. 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"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: (Witness) CARL J HO L 2635021vl ! - I ACKNOWLEDGMENT TAKEN IN NEW YORK ACKNOWLEDGMENT TAKEN IN NEW YORK STATE OF NEW YORK ) STATE OF NEW YORK ) ss.: )ss.: COUNTY OF/)1 P)VV ) COUNTY OF ) On the_F'4-day of December in the year of 2021, On the day of in the year of before me,the undersigned,personally appeared CARL J 201_, before me, the undersigned, personally appeared HOELZL personally known to me or proved to me on the personally known to me or basis of satisfactory evidence to be the individual(s)whose proved to me on the basis of satisfactory evidence to be the name(s) is (are) subscribed to the within instrument and individual(s)whose name(s)is(are)subscribed to the within acknowledged to me that he/she/they executed the same in instrument and acknowledged to me that he/she/they his/her/their capacity(ies), and that by his/her/their executed the same in his/her/their capacity(ies),and that by signature(s)on the instrument,the individual(s)or the person his/her/their signature(s)on the instrument,the individual(s) upon behalf of which the individual(s)acted,executed the or the person upon behalf of which the individual(s)acted, instrumentexecuted the instrument. HEN r- ictU5 W 70t'S Notary pu Ytg �y�. ?3? �vi w 2��3 Qaali4�er;in��,a� 21.1 � tHennrry E.Klosowski T otary Public Notary Public Notary Public No.4947362 Commiss Exp.2/21/2023 ACKNvwl.r liq rvivmn l ur aUBSCRIBING WITNESS ACKNOWLEDGMENT TAKEN OUTSIDE NEW TAKEN IN NEW YORK YORK STATE OF NEW YORK ) ss.: STATE OF ) COUNTY OF ) )ss.: COUNTY OF ) On the day of in the year of 201_, before me, the undersigned, personally appeared On the day of in the year of 201_, ,the subscribing witness to before me, the undersigned, personally appeared the foregoing instrument, with whom I am personally personally known to me or proved acquainted,who being by me duly sworn,did depose and to me on the basis of satisfactory evidence to be the say,that he/she they reside(s)in ' individual(s)whose name(s)is(are)subscribed to the within that he/she/they know(s) to be the instrument and acknowledged to me that he/she/they individual described in and who executed the foregoing executed the same in his/her/their capacity(ies), that by instrument;that said subscribing witness was present and his/her/their signature(s)on the instrument,the individual(s) saw said execute the same;and or the person upon behalf of which the individual(s)acted, that said witness at the same time subscribed his/her/their executed the instrument,and that such individual made such name(s)as a witness thereto. appearance before the undersigned in the City of State Notary Public Notary Public B DISTRICT 1000 BREIN AND SALE DEED SECTION 119.00 BLOCK 01.00 CARL J HOELZL LOTS 007.000 TO COUNTY/TOWN: Suffolk/ Cutchogue Record and return to: CARL J HOELZL REVOCABLE LIVING TRUST Sheryl Bergstein,Esq. Moritt Hock&Hamroff LLP 400 Garden City Plaza Garden City,New York 11530 2635021v1 Schedule"A" known at Nassau Point, or Little Rog t tled k Amended MaCounty, A tof Nassau Point d owned by d n p designated as Lot number 79 on map C.E. and Surveyor, Greenport, situated in the Town of Southold, Long island, Nassau Point Club Properties, Inc., New York", surveyed June 28, 1922 by Otto W. VanTuyl, New York August 16, New York, and filed in the Office of the Clerk of Suffolk County, 1922, Tile No. 156. 2635021v1 FDR COUNTY USE ONLY 'S):www.orps.stawfty.us C1_ swis Cade 14 ! 7 ! 3 ! S ! S ! 9 I !Nrw�, State Depailrtmarn of C2_ nate need Recorded 15 / 1S 20221 Taxation and Finance Month nay year Office Real.Property Tax SeMces C3_ Book I�,3,] ,51 6 1 c4_ Page 1 , 16 , 21 2 1 RP- 5217-PDF Real Property Transfer Report folio) PROPERTY INFORMATIONI 1.Property 9895 NasSa[l PcA nt Rcnad Location •STRF,FT MTM@ER •STREET NAME cut chcaque Nassau Poira£_ 11935 cn? DR Towns �.�34i.rich......_............M... ...._................_....... .... --'zip coDE T 2.Beyer Carl J' Hoelzl Revocable 'frust tV0m0 1.A$T NAprc:�^pfr�ANv FWRST NAME Carl T. Hoelzl, Trustee LAST NAME/OMPANY W W.., �. MRRT NAME 3"Tax indicate where Suture Tax Bills are to be sent Bulling if other than buyer address(at bottom of farm) LAST NAMEJCOMPAW FltisF rurrfE Address STREET NkjMOER AND NAME mm� OE?Y❑R TOWN STATE 21Y CODE 4.Indicate the number of Assessment Pari o€a Parcel Poly if Part of a Parcel)Check as they apply: Roll parcels transferred on the deed #of Parcels DR 4A.Planning Board with Subdivision Authority Exists ❑ S.need _ OR .$2 4e.Subdivision Approval was Raqui red for Transfer €....I Properly •FRON1'FF.�"r •prf+TH 'RCRF$ �T�- Size 4C.Parcel Approved for Subdivision!with Map Provided ❑ Carl f30�1 z7 G.Seiler •LAiT NAMEICOWFANY F'tR5'[NAME •�••� Name 6A57�MEljOn AKY •�,•- FIRST„^'A "7.SGWct the ddscriguon which most accurately describes the Check the boxes below as they apply: use of the property at the time of sale: 8.Ownership Type is Condominium ❑ C. Residential Vacant land S.New Construction on a Vacant Land - IOA.Property Located within an Agricultural Disirict 1OB.Buyer received a disclosure notice indicating that the property is in an ftrlculturat€3 atrict E-1 SALE lF!FZ5RMAT$0Nj 46.Check one or mord of these conditions as applicable to transfer: A.Sale Between Reiwiives or Former Relatives 9#.Sale Contract Date B-Sale between Related Companies or Partners In Business. 0-One of the Buyers is also a Seller -� 0,Buyer or Seller is Government Agency or Lending Instilution 't2.Date of 5aie)Transfer m E.Deed Type not Warranty or Bargain and Sate(Speci€y Below) F.Sale of Fractional or Less than Fee interest(Specify Beiow) '33.Full Sale Pike 0,00 G-Significant Change in Property Between Taxable Stilus and Sale Rales -- H,Sale of Business is fnc;uded in Sale Price (Fuli Sala Price is the total amount paid for the property including persona€property. L other WnusuaT Factors Affecting Sale Price(Specify Dwow) This paymentmay be in the form of rash,other property or moods.or the assumption of 3-Nofe� mortgages or other Obligations-)Please round to the mmrest whole doffar amount E'.o4rfh'eeRt(&)4n Condition: 14.Indicate the value of personal .�� property included in the sale ASSE,55MENT INFORMATION-Data should reflect the latest Final Assessmerd Roll and Tax Sill #e.Year of Assessment Roll from which information takenlYY) 21 "17.Total Assessed Value 2,700 -ts.property Class 311 _ '79.School District Name PBa.tti tu.c:k °20.Tax Map lientifler(s)fRoll identifier(s)(if more than four,attach sheet with additional ident€ffer(s)) V .7..000-7.7..9.PD-01.€30-007.❑(?0 ER l F ICATION I Certify that all of the items of I"formation entered on this form are true and confect(to the test of my knowledge and belief)and I understand that the making of any wilful false statement of material fact herein subject me to the.ptpffj_$ of the ptE1t.7ALd vra€atlYe to the makings and filing of false instruments 4" RUY5R19QNTA9TJNE0RMA1LQX (Enter€nfornudlon for She buyer,biota;If buyer is LLCJ,s&d&(y,as%WaFion,CWE]or#yoli,i-IN Stuck ccrnpany,aSlat@ Or r,n e6y ylst[s"c' art in" "a Mrrl rap ffduCia y,theR 9 mane End co daft lnforrnalion of art inasV 6u&ffYBR�9ns{b a pony who Can answer 4u©siions rcgarareg jim transfer muse he entered.Type w!a;it clearly-) C &ELLER&&NATURE ••••••� DATE ^ •!l S'-f NR6A[ MY"- FtRSF NAME W... �' `i C- COD7. •T[LLAliCNE NlJMBE.#Itx.SSLtT9383 €RJY�R SSGNA'S'l3RL• OATS 21 Whitford. Road $TRPFTrSLMGE,R "3F ,ETNAMe EM Stony B=ok 111Y 11790 'CIF'OR TOWN p •STAT'E 'Xz1F com, 1 £ [ 3 3 ST NAME F'131sT 136haE 3 1 r (516) 873-2000 3 ARIA COpE Tt.;.FRlICJN[:NLEMF3ER iEx:98989983