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Home My WebLink AboutL 13162 P 60 11111111111111111111111111111111111I 11111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: CORRECTION / DEED Recorded: 06/24/2022 Number of Pages: 4 At: 04 :05:29 PM Receipt Number : 22-0104460 TRANSFER TAX NUMBER: 21-39277 LIBER: D00013162 PAGE : 060 District: Section: Block: Lot: 1000 078 .00 01 .00 003 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20 .60 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 .50 NO Cert.Copies $0 . 00 NO RPT $200 . 00 NO Transfer tax $0 .00 NO Comm.Pres $0 . 00 NO Fees Paid $395 .50 TRANSFER TAX NUMBER: 21-39277 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ❑1 ❑Z Number of pages RECORDED 2422 Jinn 24 04:05:29 PM •JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013162 Social Security Numbers P 050 prior to recording. DT# 21-39277 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee 1 Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. G� or EA-52 17(County) SubTotal / Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held forAppointment Comm.of Ed. 5. 00 ; / Transfer Tax t� 7 Affidavit + �. Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 S/ family dwelling only. Sub Total YES or NO Other Grand Total � , Aja If NO, see appropriate to clause on page# ofthisins um t: / �.� 4 Dist.1000 22024341 1000 07800 01000 003011101111111110 5 Community Preservation Fund Real Property PDT s I�I�I��I�III�uI�A1�1�I1i1 I Consideration Amount$ Tax Service A `I 1111111 I1 1 R DTY `l CPF Tax Due S Agency _ Verification � 19-MAY _ � Improved 6 Satisfactions/Di3tharges Releases List Propperty Owners Mailing Address R�CORD&RETURN TO: Vacant Land FREEDOM ABSTRACT 105 MAXESS ROAD TD SUITE 121 MELVILLE, N.Y. 11747 TD TD Mail to:Judith A. Pascale, Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.NameFREEDOM ABSTRACT www.suffolkcountyny.gov/clerk Title#JP-2015253 8 Suffolk County Recording & Endorsement Page This page forms part of the attached�(Z�J�C1 (fY� DEED made by: (SPECIFY TYPE OF INSTRUMENT) W. SCOTT BOLLMAN The premises herein is situated in MARY ANN BOLLMAN SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD SCOTT BOLLMAN In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over CONSULT YOUR LAWYER BEFORE SIONINO THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. r'\ THIS INDENTURE,made the�61ay of December,Two Thousand Twenty One BETWEEN CORRECTION DEED W.BRUCE BOLLMAN,MARY ANN BOLLMAN, residing at 240 Grange Road,Southold, NY 1197 1, party of the first part, AND SCOTT BOLLMAN, residing at 240 Grange Road,Southold,NY 1197 t, party of the second part, WITNESSETH,that the party of the first part, in consideration of the sum of Ten ($10.00)Dollars and other good and valuable consideration paid by the party 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. ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate, lying and being in the Town of Southold,at Southold,County of Suffolk and State of New York,known as Lot No.3 on Map of South Harbor Homes,said map being filed in the Office of the Clerk of the County of Suffolk on the 14th day of July, 1964,as Map No.4096. TOGETHER with a right of way over the streets,roads,or boulevards shown upon the map above referred ' to in common with,and subject to,the rights of all others lawfully entitled to use the same. SUBJECT to the reservations,covenants and restrictions contained in deed from Rene Gendron to Leroy; Rausch and Anne C. Rausch,his wife,covering the above-described premises,dated March 1, 1965,and . recorded in the Office of the Clerk of the County of Suffolk on March 2, 1965 in Liber 5708 of Conveyances at Page 215. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed'dated April 11,2013,and recorded May 31,2013,in the Office of the Suffolk County Clerk in Liber 12731, Page' 482. Correction Deed being recorded to Transfer the Full 100%interest in the premises to the Grantee. Said premises being known as 240 Grange Road,Southold,NY 11971. 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,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 costs 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 ofthe first part has duly executed this deed the day and year first above written. IN PRESENCE OF: ,,+"'�Notary Puotic state of Florida Randy Seeman My Commission ' ^ NH 111816 Exp.12!212027 �l sem►, -� W BRUlfP46MMAN District: 1000 14 4u'f �,�— Section: 78 MARY NN BOLLMAN Block: 1 Lot: 3 To be used only when the acknowledgment is made outside STATE OF NfNV-VMK, F soar e A New York State COUNTY OF: (3n,,---- ss: 2�'-d STATE OF FLORIDA On this day of December.2021,before me.the undersigned,a notary COUNTY OF:BROWARD ss: public in and for said state, personally appeared MARY ANN BOLLMAN On thisZiay of December,2021,before me,the undersigned. personally known to me,or proved to me on the basis of satisfactory personally appeared W BRUCE BOLLMAN personally evidence to be the individual(s)whose name(s)is/are subscribed to the known to me, or proved to me on the basis of satisfactory within instrument and acknowledged to me that he/she/they executed evidence to be the individual(s)whose name(s)is/are subscribed the same in his/her/their capacity(ies) and that by his/hcr/their to the within instrument and acknowledged to me that he/shelthey signature(s)on the instrument,the individual(s),or the person upon executed the same in his/her/their capacity(ies) and that by behalf 0f which the individual(s)acted,executed the instrument, Arun his/her/their signature(s)on the instrument,the indfvidual(s),or rn.* s cH snomvsn.._ Aea �—m ArpEAR^. ci the person upon behatfofwhich the individual(s)acted,executed a-'.. . ♦wa.-n 4A--nQ the instrument and that such individual made such appearance =^T^•e--r or BRG"A" before the undersigned in the County of Broward and State of NbTA crAra uc Rro*coq Florida. �ARIN Notary Public Slate of Florida Randy Seeman My Commission Notary Public Stata of Florida �p^ hrH 174816 Randy Seeman Exp.1212 12023 Mit"1774816 on NOT(t� °f Exp,1 21212023 STATE OF NEW YORK, COUNTY OF ss: On the day of 2020 before me personally came STATE OF NEW YORK, to me known,who,being by me duly swom,did depose and say that COUNTY OF: ss: he/she resides at that he/she is the of,the Corporation described in andwhich executedthe foregoing instrument;that he/she knows the seal On this day of . 2020,before me,the undersigned,anotary of said corporation:that the seal affixed to said instrument is such public in and for said state,personally appeared, corporate seal;that it was so affixed by order of the board of dircclors personally known to me or proved to me on the basis of of said corporation,and that he/she signed his/her name thereto by like satisfactory evidcncetobethe individual(s)whose name(s)is/arc order. subscribed to the within instrument and acknowledged to me that helshe/they executed the same in hislher/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 NOTARY individual(s)acted,executed the instrument. NOTARY BARGAIN AND SALE DEED District: 1000 Section: 78 Block: I TITLE NO.: 1P-2015253NY Lot: 3 From: County or Town- Suffolk County BOLLMAN To: BOLLMAN RETURN BY MAIL TO: Scott&Kassata Bollman 240 Grange Road Southold, NY 11791 SCHEDULE A-LEGAL DESCRIPTION Title Number:JP-2015253NY ALL that certain plot,piece or parcel of land situate,lying and being in the Town of Southold,at Southold.County of Suffolk and State of New York known as Lot No.3 on Map of South Harbor Homes,said Mao being filed in the Office of the Clerk of the County of Suffolk on the 14th day of July,1964 as Map No.4096. TOGETHER with a right of way over streets,roads,or boulevards shown upon the map above referred to in common with, and subject to,the rights of all others lawfully entitled to use the same. For Informational Purposes Only the Property Address is: 240 Grange Road,Southold,NY 11971 Reference#: DISTRICT: SECTION: -IS BLOCK: 1 LOT: 3 This Schedule A has been made accessible via our website for review only purposes.The final Schedule will be included with your Title Commitment.Any changes made to the Schedule which have not been sanctioned by our company will not be included in the title policy and therefore will not he insured. Freedom Abstract I Vn\V,VV1w 1 1 VJL VIwL l I New York State Department of C1.SMS Code ^/ r I�1 ! 3 ,`8 ,T, I Taxation and Finance C2:Data Deed Recorded I /oZ 4li"/ a-�' I Office of Real Property Tax Services 1sT D" mer RP- 5217-PDF C3.Book 1 / 13 1 1 1P 2:1 C4.Page I I I Iti1 G,a I Real Property Transfer Report 18110) PROPERTY INFORMATION I.Property 24C GRAN;B :TOAD Location 'STREET VLLBER 'STREET NAME SOU i e:OLJ _1971 •cm OR Tota, V LIACE •2 p CODE 2.Buyer 13:)L:.MAN, 3C^v'-' Name LAST NANIFCOMPANY -IPST MNE LAST NAVEMON-ANY FRETNM1F 9.Tax Indicate where future Tax Bills are to be sent Billing Address if other than buyer address(at bottom or form) LAST NANE.COMRAW F PST NAI1E S:RLCT NIL%% bR AND NAwb CIT1'01`1'00114 STA-E aP COCE 4.Indicate the number of Assessment 1 a Of Parcels OR ❑Par;of a Parcel (Only If Part of a Parcel)Check as they apply: Rall parcels transferred on the dead aA.Planning Board with Subdivision Authority Exists 5.Deed \ OR U•9 L 413.Subdivision Approval was Required for Transfer Property 'FPKWFES' DDCPIh 'ACRFS size 4C.Parcel Approved for Subdivision with Map Provided BOL:RAN W BRUCE G.Seller '1ASrNAW.CoAPAw FIRST NAME Name BOL:24AN MARY ANN US<NnvEiCavrAw. 1'IRSr NANL '7.Select the description whish most accurately describes the Cheek the boxes below as they apply: i use of the property at the time of sate: B.Ownership Type is Condominium A.One 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 Agricultural District ❑ SALE INFORMATION1 15.Check one or more of these conditions as applicable to transfer: A Sale Between Relatives or Former Relatives 11.Sale Contract Date B Sale between Related Companies or Partners In Business. C One of the Buyers Is also a Seller 1 a d 3.a D.Buyer or Seller is Government Agency or Lending Institution 12.Date of SelafTransfer E.Deed Type not wananly or Bargain and Sale(Speely Below) F.Sale of Fractional or Less then Fee Interest(Specify Below) '13.Full Selo Price U,OQ G.Significant Change in Property Between Taxable Status and Sale Dates N.Sale of Business is Included in Sate Price (Full Sole Price 1s the total amount paid for the property Incl'iding personal property. I Other Unusual Factors Affecting Sale Price(Specify Below) This payment may be 1n the torn of rash.other property or goods or the assumption of J.None mortgages or other obligations)Please round fo the nearest whole dower amount Comment(s)on Contlltlon: 14.Indicate the value of personal U iN 1 properly Included In the sale ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which Information taken(YY) _g 117.Total Assessed Value 4, 1 00 '1s.Property Class i 1 C _ '18.School District Name SOUTHOLD '20.Tax Map Idantiflsr(syRoll IdentMor(s)(If more than four,attach sheet with additional Iderdifler(s)) ir,.00 - 73 - i - 3 CERTIFICATION I Certify that all of the(tams of Information entered on this form are true and correct(to the bast of my knowledge and ballet)and I understand that the making of any willful false statement of material fact heroin subject me to the provisions of the panel law relative to the making and filing of false Instruments. RIPMEUMNAIIIJEF BUYER CONTACT INEOBMATION (E-W irl .alio^.-or the Curer Note x b lar a 1.1 C SWinly.eswrialien rAT000115on.lai-t stook 00--any.esnro Or Evil 1y this Is rot on I:3wduel agerY..or rldwN y.Than a ne—o and m1Eed i:dar—Alien or an livino irresporisele pony who u^answer q_oc1 ons regarding the Irander must ha aJamd type or print clearly.) •• '•sEu8Rsrmno DATE �•. B0L:1MAN SCO"77' BUYER SIGNATURE •LAST hwE -IasT NAME 1"� 7 )) 1 631 l}11 oto Z. 2-1 'A®{/ A.r_A a-:A)L' •rELEP•-.hE 1.4NDSR IL.SW,-,Ni BlJ s WE 240 GPANGE ROAD 'STIEET NUVIER 'STPEET NAME 1 1 1 5 SO T:iOL] NY ii971 t 'cma+:auw 1 'STATE 'La CCDb BUYER'S ATTORNEY 1 I I I 1 LAST NAN'E I IRS1 MAL S 1 r I I 1 I 1 AREA CODE IE'Epl•ONC NAAOLA 0.•aaaaaaa;