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Home My WebLink AboutL 13162 P 461 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1111111 VIII VIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 06/28/2022 Number of Pages : 4 _ At: 11 : 44 : 42 AM Receipt Number : 22-0105884 TRANSFER TAX NUMBER: 21-39572 LIBER: D00013162 PAGE : 461 District: Section: Block: Lot: 1000 064 .00 05 .00 016 .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 EA-CTY $5 . 00 NO EA-STATE $125 . 00 NO TP-584 $5 . 00 NO Notation $0 . 00 NO Cert.Copies $0 . 00 NO RPT $200 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO Fees Paid $395 . 00 TRANSFER TAX NUMBER: 21-39572 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of pages $ 3 RECORDED 2022 Jun 28 11:44:42 AM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUHTY record. Please remove all L 900017,162 Social Security Numbers P 461 prior to recording. DT# 21-39572 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee g0 Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 5.00 Sub Total Notation ] /� Spec./Assit. or EA-52 17(County) 5.00 SubTotal -46-9-15 Spec./Add. EA-5217(State) 125.00 TOT.MTG.TAX 200.00 Dual Town Dual County R.P.T.S.A. Held forAppointment Comm.of Ed. 5. 00 Transfer Tax 0.00 Affidavit + Mansion Tax CertifieclCopy IRS The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total 345.00 YES orNO Other r / Grand Total 3900- fn If NO, see appropriate tax clause on page# of this instrument, - a�2 4 Dist.1 22029715 1000 06400 0500 016000 00 5 Community Preservation Fund RAgencyei 14JUN 2 Ill�llllllll�l�llllllll�llllllll�lfll�llllllllll CPn$tderation ax Due Amo$0.00 00 Tax Service R pOL Verificatioi T--— Improved 6 Satisfactions/Discharges/Releases List Propperty Owners Mailing Address Kathleen FisVCORD&RETURN TO: Vacant Land 614 Lakeview Avenue Rockville Centre, NY 11570 TD�Q TD TD Mail to:Judith A.Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title 7,3 s Suffolk County Recording & Endorsement Page This page forms part of the attached Quitclaim deed made by: William Rountry` (SPECIFY TYPE OF INSTRUMENT) Robert S. Rountry° The premises herein is situated in Kathleen Fisk SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Robert S. Rountry In the VILLAGE Kathleen is Southold or HAMLET of BOXES 6 THRu 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over e Prepared By: ' Kathleen Rountry Fisk After Recording Return To: Kathleen A. Fisk 614 Lakeview Avenue Rockville Centre, New York 11570 SPACE ABOVE THIS LINE FOR RECORDER'S USE QUITCLAIM DEED THIS11 NTURE, made May 27, 2022 BETWEEN - William Rountry, residing at 35 Lawrence Avenue, Sleepy Hollow, NY 10591 Party of the first part, and - Kathleen A. Fisk and Richard L. Fisk, her husband, residing at 614 Lakeview Avenue, Rockville Centre, Nassau County, New York 11570 - Robert S. Rountry, residing at 400 Roosevelt Avenue, Freeport, Nassau County, New York 11520 Party of the second part, WITNESSETH, that the party of the first part, in consideration of One Dollar($1.00) and other valuable consideration paid by the parry of the second part, does hereby remise, release and quitclaim unto the party of the second part, the heirs or successors and assigns of the party of the second part forever as joint tenants, Page 1 of' ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected„situate, lying and being in the: Legal Description: Town of Southold, County of Suffolk and State of New York, known and designated at Lot No. 101 on a certain map entitled "Subdivision Map of Founders Estates, situate at Southold, Suffolk County, New York, made by Otto W. Vam Tuyl, Engineer and Surveyor dated March 18, 1927" and filed in the Office of the Clerk of the County of Suffolk on May 10, 1927, as Map No. 834. SAID PREMISES known as 515 Old Shipyard Lane, Southold, New York D: 640 S: 64 B:5 L:16 Transfer between siblings exempt from state transfer tax. �.s 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. The word "party" shall be construed as if it reads "parties" whenever the sense of this indenture so requires. 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. Tax Parcel Number: 1000-064.00-05.00-016-000 Mail Tax Statements To: Kathleen A. Fisk 614 Lakeview Avenue Rockville Centre, New York 11570 [SIGNATURE PAGE FOLLOWS Pave 2 of: Grantor Signatures: DATED: 2� William Rountry 35 Lawrence Avenue Sleepy Hollow, New York, 14591 STATE OF NEW YORK, COUNTY OF NASSAU, ss: On this day of a.t- , ZoZ?before me, the undersigned, a notary public in and for said state, personally appeared William Rountry, 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) acte , executed this instrument. Notary Public .441 ,� ��r17 � 7� Title (and Rank) M y commission expires , EDWARD J. WALSH,JR. Notary Public, stare of Now York No. 30-9617275 Qualified in Nassau County Commission Expires October 3'l W_- ¢ Paae 3 o f_ _ INSTRUCTIONS(RP-5217-PDF-INS).www.orps.state.ny.us ,*FOR COUNTY USE ONLY A !,• New York Stats Department of C1.awls code l�, 3,4g, Taxation and Finance C2.Data Dead Recorded 1 010/a—p/ I Office of Real Property Tax Services Mrrh 3.1 'Nf L/ / RP-5217-PDF C3.Book I ( ,4,, I C4.Page I , .14.6, 1 Real Properly Transfer Report 18110) PROPERTY INFORMATION 1.Property 515 Old Shipyard Lane l Location 'STRCC'NAW R 'STREET NAME d 11971 cIT"OR TORR. VLLAfat '.'IP coon 2.Buyer -t if. Kathl::c:n: Name 'WI'NYVJUN'AVT FIST NAM LASL 4 =ee AM_C Mr ad!d 1 t FAST KAMO 3.Tax Sit so. 0.G�A Indicate where future Tah Bills are 10 be Sent F:•S Wa h l-en Billing if Other than buyer address(at collom of form) LAS'.ww•.rrw=ANL FIRsr+1ArE Address Lila !.r,re:ie:. Ave il_kvl_l:. t:::1l1._.. N'. STPFFTMIMEEPATANAME C;TL OR TOM STATC ZIP Co?E 4.Indicate the number of Assessment 113 Part of a Parcel (Only If Part of a Parcel)Check as they appy: Roll parcels transferred on the deed a of Parcels OR ❑ 4A.Planning Board with Subdivision Authority Exists 6.Deed X OR -I••'•6 4B.Subdivision Approval was Required for Transfer Property •F•L7NT FEET 'OhPl.l 'tiflhii Size 4C.Parcel Approved for Subdivision with Map Provided 1':C•L..1 I.L"}' Lti l I 1 r?Ti S. 6.Seller ,AaTwiEiAM;AhT FFSTNAME Name LAS NALE.COAPAYr FRET AAMC '7.Select the description which most accurately describes the Check the boxes below as they apply: use of the property,at the time of sale: S.Ownership Type is Condominium A.Oita Family Residential 9.New Construction on a Vacant Land 10A.Property Located within an Agricultural District ❑ 10B.Buyer received a disclosure notice indicating that the property is in an El District SALE INFORMATIONJ 19.Check one or more of these conditions as applicable to transfer: A Sale Between Relatives or Former Relatives 11.Sale Contract Date BSale between Related Companies or Partners in Business C.One of the Buyers is also a Seller 15/27/2022 D.Buyer or Seller is Government Agency or Lending Institution '12.Date of Sale/TransferE.Deed Tyle not Warranty or Bargain and Sale(Specify Below) F.Sale of Fractional or Less than Fee Interest(Specify Below) '13.Full Sale Price C.00 G Significant Change In Property Between Taxable Status and Sale Dates H.Sale of Business Is Included in Sale Price (Full Sale Price Is the total amount paid for the property including personal property I Other Unusual Factors Affecting Sale Price(Specify Below) This payment may be in the form Of cash•other property or goods,or the assumption of J.None mortgages or other obligations.)Please round to the nearest whole dollar amount. Commengs)on Condition: 14.Indicate the value of personal property Included In tho sale U •00 ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 18.Year of Assessment Roll from which information taken(YY) 2CI '17.Total Assessed Value Q,2,Of' '18.Proporty Class -1;1 _ - '19.School District Name 1 7 '20.Tax Map Identifrer(s)1Roll Iderdlfler(s)(If more than four,attach sheet with additional IdenUear(s)) CERTIFICATION I Certify that all of the items of information entered on this form are true and correct(to the beat of my knowledge and belief)and I understand that the making of any willful false statement of material fact herein subject me to the-gyf)el0ne of tbflitlin w.relative to the making and Sling of false Instruments. SELLER ER 8 rN,4TURE BUYER CONTACT INFORMATION ' (E-MF FMc:masin for eq c Yat Note.V.burs Is LI.0 ssuoly,assoossio 1,capo,rion Am s'.00k campary estate or ' em•Ir ins:is fie an M n.klal egra c 1Afuaarl 1:m a-0 S-d crRRYA Rra.Palla-of an Rwrrtdals uehaspbre patn i who a anawQuniirs hard ng ra canan:as Ns ersered Type lar print clsany I SLLLhR SIGMA RIF oa rL BILYER 10BATURE 1�) KaLhl een •LAST MAW Fray r-L /C/ '-ELEROW-N..ARE:R IEA MISS;" e R szara'iA+E ,i,Lte 'a IRLET hUMBEP 'b'Rri-mit E 1 I I I I 1?oc.r:v:l 1 Ce:-.-r N5' :1570 'CII.OF,owx 'soil• -3P COW ffi !ER'LS.ATTORNEY I .AO'N-MF I War NAM Attachment to RP-5217- PDF Co` 2AI ZZ (Additional Buyer Name) L Individual Richard L. Fisk ❑Corporation u Partnership 614 Lakeview Avenue ❑Estate/Trust ❑Single Member LLC Rockville Centre, NY 11570 ❑Individual I ❑Individual Corporation ❑Partnership Estate/Trust Single Member LLC ❑Individual I Individual Corporation Partnership :: Estate/Trust L Single Member LLC 11 Individual ❑ Individual :_Corporation o Partnership c Estate/Trust Single Member LLC ❑Individual