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Home My WebLink AboutL 13162 P 61 III!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 I I I I I I I I I I I l l 1111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 06/24/2022 Number of Pages: 4 At: 04 : 05 :29 PM Receipt Number : 22--0104460 TRANSFER TAX NUMBER: 21-39278 LIBER: D00013162 PAGE : 061 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 . 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 $395 .00 TRANSFER TAX NUMBER: 21-39278 THIS PAGE IS A PART OF .THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County as t / Number of pages t� RECORDED2022 Jun 24 04:05:29 PI9 ' JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTV record. Please remove all L D00013162 Social Security Numbers P 061 prior to recording. DT# 21-39278 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20 00 2. Additional Tax TP-584 Sub Tota I Notation Spec./Assit. V� or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held forA ppaintment Comm.of Ed. 5. 00 Transfer Tax Affidavit + + r Mansion Tax /". The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total If NO, see appropriate tax clause on r� page# of this ir(strum&nt. // 4 Z� 4 Dist 22021873 l000 07e00 oioo 003000 )3.000 5 Community Preservation l2u,d deration Age�Y R DTY A I�IIIIIlllllIUI1� :SPFDueDue Amo$nt$ T Verificati 09-MAY- - --- ---- - - J Improved Satisfactions/Discharges//Releases List Propperty Owners Mailing Address 6 RE[ORD&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 DEED made by: (SPECIFY TYPE OF INSTRUMENT) SCOTT BOLLMAN The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD SCOTT BOLLMAN In the VILLAGE KASSATA BOLLMAN or HAMLET of BOXES G THRU H MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-TH IS I NSTRU VENTS HOULB REUSE O BY LAWYERS ONLY. ® THIS INDENTURE,made the day ofl>Been +cr,Two Thousand Twenty One BETWEEN DEED SCOTT BOLLMAN, residing at 240 Grange Road,Southold,NYl 1971, party of the first part, AND SCOTT BOLLMAN and KASSATA BOLLMAN, his wife, residing at 240 Grange Road, Southold,NY 1197 1, 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(lie 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 ofthe 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 and ,in the Office of the Suffolk County Clerk in Liber Page_. Confirmatory Deed being recorded to confirm the full interest in the property being transferred to the Grantees. Said premises being known as 240 Grange Road,Southold,NY]1971. 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 of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: SC MAN District: 1000 Section:78 Block: 1 Lot: 3 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 114th 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 STATE OF NEW YORK, STATE OF NEW YORK, COUNTY OF:S��J.! j� ss: COUNTY OF: ss: On this day of 6cccmher.201',before me,the undersigned,a On this day of 2020,before me,the undersigned,a notary notary public in and for said state,personally appeared SCOTT public in and for said state,personally appeared BOLLMAN personally known to me,or proved to me on the personally known to me.or proved to me on the basis of satisfactory basis of satisfactory evidence to be the individual(s) whose evidence to be the individual(s)whose name(s)is/are subscribed to the name(s) is/are subscribed to the within instrument and within instrument and acknowledged to me that he/she/they executed acknowledged to me that he/she/they executed the same in the same in his/her/their capacity(ies) and that by his/her/their his/herltheircapacity(ies)and that by his/her/theirsignature(s)on signature(s)on the instrument,the individual(s),or the person upon the instrument,the individual(s),or the person upon behalf of behalfof which the individual(s)acted.executed the instrument. which the individual(s) acted,executed the instrument. \\N'- L [t_I() ��JC/ --- NOTARY NMargaret A.Barker Notary Public State of New York No,01BA8079823 Qualified in Suffolk County Commission Expires September 3,2M2 STATE OF NEW YORK, STATE OF NEW YORK, COUNTY OF: ss: COUNTY OF ss: On this day of , 2020,before me,the undersigned,a notary On the day of 2020 before me personally came public in and for said state,personally appeared, to me known,who,being by me duly sworn,did depose and say that personally known to me or proved to me on the basis of he/she resides at that he/she is the of,the Corporation described in satisfactory evidence to be the indtvidual(s)whose name(s)is/are and which executed the foregoing instrument:that he/she knows the seat subscribed to the within instrument and acknowledged to me that of said corporation:that the seal affixed to said instrument is such he/she/they executed the same in his/her/their capacity(ics)and corporate seal:that it was so affixed by order of the board of directors that by his/her/their signature(s) on the instrument, the ofsaid corporation,and that he/she signed his/her name thereto by like individual(s), or the person upon behalf of which the order. individuat(s)acted,executed the instrument. NOTARY NOTARY BARGAIN AND SALE DEED District: 1000 Section: 78 Block: TITLE NO.: JP-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 11ll.ti NAIL FYMY__1- 1-vnU.4 I I aloe VI.L r New York State Department of C1.SWIS Code Taxation and Finance Q(p e�- �� Office of Real Property Tax Services C2.Date Deed Recorded / 7/ Mpeie DA, "Fiu RP- 5217-PDF C3.Book i 13 1( 1 611 C4.Page i , 161401 i Real Property Transfer Report(8110) PROPERTY INFORMATION 1.Property 24C ;RANGF; ROA') Location , 'S-REE7 NUAeER 'S:REE-NAME SOU?HOLD i:97i 'C-Tr OR TOAs VLLAGE .0-C-00111 2.Buyer AO:AXAM, SCOTT Name •LASrhwEiCWPwT FIRST NAAE Ho..Tetas ivASSeA'T. LAST NAMERCCWAW rRST SAME 3.Tax Indicate where future Tax Bills are to be sent Billing is other Lhan buyer address(at bottom of form) LIST NAMEICCUPAW FIRST NAME Address l e-REETMJMBER AND YAME 111W-A TONT. STATE CODE 1 4.Indicate the number of Assessment (Only f Parcel (Only If Part of a Parcel)Check at they appy: Roll parcels transferred on the dead a of Parcels OR oa 4A.Planning Board wah Subdivision Authority Exists 3•Dead OR 0_42 4B.Subdivision Approval was Required for Transfer Property •FPONT FEET •DEFN 'ACRES Size 4C.Parcel Approved for Subdivison with Map Provided BOLT—MAN SCOTT B.Seller .LA9rNAuecoupAw FIRST KWE Name LAST NWELW PASY •IRST NIAME '7.Select the description which most accurately describes the Chock the boxes below as they apply: I use of the property at the time of sale: 8.Ownership Type is Condominium ❑ A.One Fdrtlily Residential 9.New Construction on a Vacant Land ❑ 10A.Property Lcca:ed within an Agricultural District too.Buyer received a disclosure notice Indrea4ng that the prowly is in an ❑ Agricultural District SALE INFORMATION 15.Check one or mom of these conditions as applicable to transfer. A We 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 D Buyer or Seller Is Government Agency or Lending Institution 12.Data of SelarTrensfer 1— �• - . E.Dead Type not Warta"or Bargain and Sale(Specify Below) F.Sale of Fractional or Less than Fee Interest(Specify Be" Full Sale Price C,f)t) G.Significant Chango 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 Nona mortgages or other obligations.)Please round fo the nearest whole dollar amount Commerdfs)on Condition: 14.Indicate the value of personal properly Included In the sale 0 AK) ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 18.Year of Assessment Roll from which Information taken(YY) 19 '17.Total Assessed Value 4,1 OC 11B.Properly Class 21 G. _ '19.School District Name S0i.)'I•:i0i.D '20.Tax Map IdentBler(syRoll Identifier(s)(If more than four,attach sheet with additional Identifleris)) 1004 - 78 _ 1 _ a CERTIFICATION 1 Certify that all of the Items of Information entered on this form aro true and correct(to the best of my knowledge and belief)and I understand that the making of any willful false stetem material fact herein subject me to the.provf0)ons.0f ths.pgnpl.law relative to the making and filing of false Instruments. SELLER SIGNATURE BUYER CONTACT.INFORMA71Qd (Cnla•rila•ma:mri lcr L e bus'w.Mile I•biryar is 1.1 C.sammy ma$ itIm,cola.-gi on,)7n:$lock comm-y adete or ercity t-a:Is rot a I indivtC.a:agn•n w btluaary:118-a nomn and ranlau Fealmasoll o1 an 1•d Yd.aMewximiiwe avly who rai ansvm•GuoslxnA gar' 13.1a ng Iia:roc e'er mut be afxared 7YPa or print clearly.) S L,E sl L W11L SCOTT BUYER-0 GNATURE •LAST NAAC FIRST IYALIE I ("31 4-1-1 RJ 23 1 13. �/ � •AREA X-DE .i LLL'••]SC SLIAIBR IF,Lii9996a) SJTEP ar"TLTRE OAS 240 ,RANEE 40AD 'SRCCT YJMDCR 'SI RtET aWC I I I I SOUT30LD NY _1971 'CrrY OR-DNN 'STATE 'LP CODE BUYER'S ATTORNEY ' l I . I I I I + LAST NAME FIRS-NAMEy I 1 AREA VJ]E TELEPP04E SLIADCR IS.waw9si