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L 13156 P 80
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 5/13/2022 Number of Pages: 4 At: 8 :17 : 06 PM Receipt Number: 22-0082117 *ELECTRONICALLY RECORDED* Transfer Tax Number: 21-34612 LIBER: D00013156 PAGE: 080 District: Section: Block: Lot: 1000 143 .00 05.00 001 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $630,000 . 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 $9, 600 . 00 NO Transfer Tax $0 . 00 NO Transfer Tax Number: 21-34612 Fees Paid $9, 995. 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 5/13/2022 8:17:06 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013156 Social Security Numbers P 080 prior to recording. 21-34612 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 Real Property 22o21662 1000-143.00-05.00-001.000 Consideration Amount $63 0,0 0 0.0 0 Tax Service P r s Agency �DTY CPF Tax Due $ 9.600.00 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 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the t�Aln day of �ahUQr� 2027_ BETWEEN W^ riOtk o1Su<Jijarsl^iP ��}�e�e l C �rcoCn- a� Amanda Hankes,as surviving joint tenant, residing at 608 Henry Street,#2, Brooklyn, q/13 New York 11231 "-L1 (' party of the first part,and vA)0r,6 ckoA k'-Fe - Richard Kelley and Michele Kelley, residing at 143 East 103rd Street, New York, New York 10029 party of the second part, WITNESSETH,that the party of the first part,in consideration of TEN 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,with the buildings and improvements thereon erected,situate, lying and being in the See Schedule A attached hereto and made a part hereof Being and intended to be the same premises described in a deed made by Cacioppo Living Trust, Paul Cacioppo and Maureen Cacioppo as Trustees and recorded July 6,2015 in Liber 12822 at Page 804. 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 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"when ever 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: / Amanda Hankes Standard N.Y.B.T.U.Form 8002 Bargain and Sale Deed,with Covenant against Grantor's Acts-Uniform Acknowledgment Form 3290 FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO. 7404-012923 SCHEDULE A-1 (Description of the Land) For Tax Map ID(s): 1000-143.00-05.00-001.000 AMENDED ALL that certain plot,piece or parcel of land;situate, lying and being at Mattituck, in the Town of Southold,County of Suffolk and State of New York, known and designated as and by the Lot Number 5,on a certain map entitled,'Map of Property of George,William T.and D.T. Riley",and filed in the Office of the Clerk of the County of Suffolk,on November 27th, 1928 as Map Number 186 being bounded and described as follows: BEGINNING at the corner formed by the intersection of the Easterly side of Bay Avenue and Southerly side of Riley Avenue; RUNNING THENCE along the Southerly side of Riley Avenue North 70 degrees 31 minutes 00 seconds 250 feet East to land(now or formerly)of McGowan; THENCE South 19 degrees 29 minutes 00 seconds East along said land 75 feet to land (now or formerly)of Regan, Browne, Healy and Lovett; THENCE South 70 degrees 31 minutes 00 seconds West along said land and along land (now or formerly)of Blyskal and Rafferty 250.00 feet to the Southerly side of Riley Avenue; THENCE North 19 degrees 29 minutes 00 seconds West 75.00 feet along the Easterly side of Bay Avenue to 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 CONVEYANCIIONLY: Together with all the right, title and interest of the party of the first part, of in and to the land lying in the str t in front of and adjoining said premises. END OF SCHEDULE A Commitment for Title Insurance Printed: 04.06.22 @ 11:30 AM Schedule A-1 Description NY-FT-FRVH-0103o.431004-SPS-1-21-7404-012923 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of--5.uF�lC SS: State of New York,County of ss: On the CQ day of Scsr\ in the year 2cD'Z.Z On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared Amanda Hankes personally known t o me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is satisfactory evidence to be the individu al(s)whose name(s)is (are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/their capacity(ies),and that by his/her/thei r signature(s)on the capacity(ies),and that by his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behal f of which the individual(s)acted, cuted the instrument. the individual(s)acted,executed the instrument. Gl( rp, vVrVV1Y idual taking acknowle ment) (signature and office of individual taking acknowledgment) Notary Public,State of New York No.02PA6078544 Qualified in Suffolk County Commisslon Expires Au st 5 TO BE SED bgCY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of SS: On the day of in the year 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) 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 _in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) DISTRICT 1000 SECTION 143 BARGAIN ANDSALE DEED BLOCK 5 WITH COVENANT AGAINST GRANTOR'S ACTS LOT 1 Title No. Mattituck COUNTY OR TOWN 1265 Bay Avenue Hankes STREET ADDRESS TO Recorded at Request of Kelley RETURN BY MAIL TO: DISTRIBUTED BY Patricia C. Moore, Esq. 51020 Main Road Southold, New York 11971 w U LL 0 0 2 O 0 O U W Q 0 O w m 7 C O LL W U a a N _W S f W K W N W K FDR COUNTY USE ONLY Ci_ SWIS Cade 14 r 7 r 3 r S r S r 9 1 F4NS) www-orps.state.ny.us Neve Ycnrk State Deyattrrrant of C2_ nate need Recorded 15 / 13 20221 TQIxat on and F€naence Month Day Year Mce of Real Property Tax Services c3_ Book 11,3,1 ,5, 6 1 c4_ Page 1 , ,0 , g, 0 1 RP- 5217-PDF PROPERTY INFDRlfATIDNI Fteai Property Transfer Report tW10y 1.Property 7.265 Pay AvE nF3e Location ..................... _.._- _.........._. ......... .._ __ •:TI�FwF i NUMBER '9-Rf:E-NAME Mattiti-i.ck 1.1952 -- rizv cTcnNN viLw,E •zfv coop 2.Bayer KE-, Richard Name �. LTNAEGMANVF'Wgr .F. '.••••••• '•••'• Kel.lry M.l.cls 1e mw.m I-AST NAMESCOMPANv ....,...Ww., --- m' F'3k`.l NArrS. ���-•-�W 3'Tax indicate where future Tax Bilis are to be sent Ke 1.1�y Ft i..r-kza r d Billing if other than b4 rm r address at bottom of to") -.•.-••.....--• ------------_„__„•„_,............ Address } ugraEA�OM.'AfdY F:vST NnME -� STssEBT NUMS eR AND NAME r-.�„•,•,.,,•,.,,.,.M.�,.,�,� CITY OZ TOWN �mmm ''''''W"'W .^,TATE rsP DOVE Y,---- . 4,tndECate the number of Assessment Part of a Parcel (Only if Part of a Parcel)Check as they apply: ftwi parcels frarlsfarTsd on the deed ...... .. . laarceEs OR 4A.planning Board wKII Subdivision Authority Exists 5.treed C7t4 340.SubcHvision Approvat was[required for Transfer Property •FRONT FEET -•• DE—H •'•'•M..FkE.S Sia:a 4C.Parol Approved for Subdivision with Map Provided EE L E�l Han ke,9 Am a n da C Seller .LAST NRMkx'f]MPAnry �....... z3kF.n NArvE ..............�-� Name LAST lJAAAf'rcnrnr'nrJv-- •• •-••••'•••'•'�•'•• - fiRBF NAMF:'•.•'•,•'.••W �••••.• '7.Select the description which most atcoratety describes the Check the boxes boob"as they applyz use of the property at the time of sale: 8.Ownership Type is Condominium A. Otte Finnily RctsWenti:al S.view construction on a Vacant Land n ............. `- ---------__ 10A.Property Located within an Agricultural District 1 as.Buyer received a disclosure notice iodcf;ati ng that the properly is in an Agrlcuiturat©istnctt L f SALE. $NFQRMATiON 15.Check one or morin of these comlkians as applicable to transfer: A.Sale:Between Rteiatives or Forrner ReWives 11,Sate Contract Date 11/04/2021 B.Sate between Related Companies or Partners in Business. —------......'-- C.One of the buyers is also a Seller "12.Date of SMelTraosfer D.Buyer or Seller is Gov rnrreent Agency or Lending Institution .... ..w— E.Deed T'yAe not Warranty or Bargaln and Sale(Specify Below) F.Sale of Fractional or Less than Fee interest(Specify Below) '13.Full sale price 630,0Q0 ,p() G.Significant Change in Property Between Taxable Status and Sale Dates H.Sate of Business is lrcluded in Sale frits (Fu#Sale price is the total amount paid for the properly including personat property.foE, Usher Unusual Factors Affecting Safe Price(Specify Below) This payment may be in Chet rm of cash,other propeny or goods,w the assurrgntion of - 3.None mortgages or other aCltgations.)Please round to the nearest-note doflar amount. CommetMsj on CandlOon: 14.Indicate the value of personal property included in the sale .00 ASSESSMe.NT XF£3RMATION^-Data Should reflect the latest Final Assessment Roll and Tax Bill 16,year of Assessment Roil from which information taken(Yy) 20 "17.'Total Assessed Value 2,900 *10.property Class 21 0 '19.school District Name � W .. .....Y. Ma t t i tuck•-Cutchc�cTfze '20.Tax Map Identifiar(syRoth identifier(%)(If more than four,attach shoat with additional identifter{s)} �... ." .•— CERTEFE+.:ATI(7t�i " "•` I Certify that 2111 of the items of information entered on this form are true and correct(to the pest of my ki rowledga and bellef)and i understa Rd that the malting of any witlfuh isles gtafamont of materta11 fact herein su4ject me to ERe..pr{tyi$,(pn PGVAh.AaW-relative m the making and filing of false instruments, SKILEK.0.ft;1vA , 1Y �?� 1 (�aTfRM�L#Q en feria isnot a tar Eno buyer.;rate::3t by.,ix hoea xnaiv.assooaa o forrrafinp Ojoin stack aarA azPo estate or Viy that Ea nos an�naiyiduai agaf]t or lid Bary-ikon a aama arra carnace inlorrnanon m on ineiwou2rfrasponaibfa pally wno can ansv f!uv Inns regarding Etre transeer must to sntered.Type or print clearly.? h -ELLER sirrvnisiQE ❑Ari Fffl.Y xf N lS�t3lr �4e.1.way Richard .•LA`:T NAMF;' ... .. .......�__.. FrReT NAME -- ...........� y�•[Ica ^•• 'AI�F;n T.:rJ.�E •rFGE V� �ONF:N,,MBE!!fCx apfiF�i 991 T Lrv. SY' i'�rp F.... ..CnTE .......�� 1.93 Fast 1.03rd Street STrrEfT Nc1FA2rR... .,rraaET rrni�p. r - - ...�_....�......�.. .......�......•.�.� 1 1 f P�7ew YoriC IVC 1QQ29 i rr •crf'r'csx Town 1 •Sips!•: 'zit'C:(it]E mm Moate Pat."+c_i.a C. i [ 1 ! ! [632} 765--4330 1 AREAC TELEPICC] .:NilMMi.R rtf:99ggp9f 3