HomeMy WebLinkAboutL 13165 P 76 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 7/15/2022
Number of Pages: 4 At: 8 :27 : 44 PM
Receipt Number: 22-0116090 *ELECTRONICALLY RECORDED*
Transfer Tax Number: 21-41687
LIBER: D00013165
PAGE: 076
District: Section: Block: Lot:
1000 070 .00 11 .00 006.000
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 $125. 00 NO
TP-584 $5. 00 NO Comm.Pres $0 . 00 NO
Transfer Tax $0 . 00 NO
Transfer Tax Number: 21-41687 Fees Paid $395. 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 7/15/2022 8:27:44 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013165
Social Security Numbers P 076
prior to recording. 21-41687
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
22037 7 37 1000-070.00-11.00-006.000 0.0 0
Real Property Consideration Amount �
Tax Service P r s
Agency €t DTr n CPF Tax Due $
g }' 6727f2022 0.00
Verification
Improved X
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Abstracts Incorporated TD 10
100 Garden City Plaza Ste_ 201
Garden City NY 11530 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 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
.\\ A
G�Q 2022-0
BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
FORM 8002 (short version),FORM 8007 (long version)
CAUTION: THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED
BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING.
THIS INDENTURE,made the Apri12 8,2022,
BETWEEN Emily S. Gundersen, residing at 395 Crittens Lane, Southold,New York 11971,as surviving
tenant by the entirety of James F. Gundersen,
party of the first part, and
Jennifer Schelin,residing at 581 West Street,PO Box 3,Uxbridge,Massachusetts 01569,as Trustee of the
Emily S. Gundersen Asset Management Trust u/a/d April 28,2022,
party of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten Dollars and No Cents
($10.00)and other valuable consideration 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,
lcco
070,00 ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,
situate,lying and being at Pine Neck,near Southold, in the Town of Southold,County of Suffolk and State
of New York,known and designated as Lot#45 on a certain map entitled"Map of Southwood,Lots Nos.
1-53 inclusive"made from actual survey completed October 1, 1953,by Otto W.Van Tuyl&Son,Licensed
Land Surveyors, Greenport,New York, and which map was filed in the Suffolk County Clerk's Office on
November 24, 1953,as Map#2141,Abstract#2249.
BEINGANDINTENDED TOBEthe same premises as described in deed datedNovember 21,1978
and recorded in the office of the Suffolk County Clerk on 12/12/1978 in Liber 8548;Page 190.
Said premises also known as 395 Crittens Lane, Southold,New York 11971
TOGETHER with all right,title and interest,if any,of the party ofthe 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 HAVEAND 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.
Section:70,Block: 11,Lot:6
NYSBA's Residential Real Estate Forms(9/2000) -1- 0 2022 Matthew Bender&Company,Inc.,a member of LexisNexis.
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 ofthe first part will receive the consideration for this conveyance and will hold the rightto 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.
S
By: Emily . Gundersen
Acknowledgment by a Person Within New York State(RPL§309-a)
STATE OF NEW YORK )
COUNTY OF SUFFOLK ) ss.:
On the 28i'day of April in the year 2022, before me,the undersigned,personally appeared Emily
S. Gundersen, personally known to me or proved to me on the basis of satisfactory evidence to be the
individual whose name is subscribed to the within instrument and acknowledged to me that she executed the
same in her capacity,and that by her signature on the instrument,the individual, or the person upon behalf
of which the individual acted, executed the instrument .
RICI'IARD A.WEIyBLATT
(signature and office of individual taking acknowledgment) NOTARY PUBLIC,State of New York
No.4946649
Qualified in Suffolk County
Commission Expires February 6,20
Deed 2022'Q['1 �
Title No. ffi Section 70
Block I L
Emily S. Gundersen Lot 6
To County or Town Suffolk
Jennifer Schelin, as Trustee of the Street Address 395 Crittens Lane
Emily S. Gundersen Asset Southold,New York 11971
Management Trust
Return By Mail To:
Richard A. Weinblatt,Esq.
Haley Weinblatt& Calcagni, LLP
1601 Veterans Memorial Highway, Suite 425
Islandia,New York 11749
Schedule A
ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,
situate,lying and being at Pine Neck,near Southold,in the Town of Southold,County of Suffolk and
State of New York,known and designated as Lot#45 on a certain map entitled"Map of Southwood,
Lots Nos. 1-53 inclusive"made from actual survey completed October 1, 1953,by Otto W.Van Tuyl
& Son, Licensed Land Surveyors, Greenport,New York, and which map was filed in the Suffolk
County Clerk's Office on November 24, 1953,as Map#2141, Abstract#2249.
Being and intended to be the same premises conveyed to the parties of the first part by deed dated
December 27, 1954 and recorded in Liber 3825,Page 332 in the office of the Suffolk County Clerk
on January 18, 1955.
FDR COUNTY USE ONLY INS)_www.aqoS.stata.ny.us
Cl- swig Cade 14 e 7 e 3 e S e S e 9 I Now York.State DepartYrrertt of
C2_ Date Deed Recorded 1 7 / 15 20221 -:41Taxation and Finance
Month Day year Office of Real Propefty Tax Services
C3- Pock 11,3,1 ,6, -5 1 c4_ Page I I 10 17i 5 I RP 5217-PDF
Real Property Transfer Report(SPID)
PROPERTY INFDRlfATIDNI
9.Property
Locations 395 Crittens Lame
9T3i�ttT NLtMB3aR •eTREST HAMS
Southold 11971
CrF'Y t%t TCNYri V IL.IAV E •7.%�COPSE
x.Heyer
[tonins Schelin.Trustee of the Emi S.Gundersen Assert Frit Trust .Jennifer
'LASF H�ANY FOIST NAME
LAST NAkW-?C0MFAFgr FIRST NAME
S.Tax Indicate where Future Tax Bills are to be sent
willing if otter,than buyer address(at bottom of Form) LA4TNAMtF R FWEST NAME
Address
Sr19WUTA1Rd6ER AM A#AMF. ctFr aalTavrN srnre RIP caDE
4.Indicate the number of Assessment (Only If Part of a Dare*€)Check as they apply;
#of Parcels OR ❑Part tN a Parcel
Roll parents transferred on the deed 1 4A..Planning$Hard with.SCrbdtV€sIArF Authority Exists
S.Deed
Property r�Carrrr T 0tPTk .ACytSS fl 69 46.Subdivision Approval was Required for Transfer
Sixes SLcr'txcl" Temnn bq 11"C Cqbreh 4C.Parcel Approved for Subdivision with Map Provided
Gunderson 1 Tames 12 anolerce/-N Emily S.
s.Better rAsrxmatercornF%W MRST NAME
Name
L4,STNAhW6hX) PANY rlr?$T K-AW
"7.Select the d000rlption which most accurately descrit3les the Check the boxes below as they apply_ l�
use of the property at the time of sale_ tr.Owrmrshlp Type Is Condominium
S_New Construction on a Vecant LBped El
A. One Family ResidentialtOA,property Located within an Agricultural District Q
100.Swor reocko d s disclosure notice indicating that the property Is In an
Agricultural District
SALE INFORMATION 15-Chock one or more of these conditions as applicable to transfer:
A.Sale Between Relatives or Fomn®r Relatives
tt.Salm Contract Date Bi Seta btdtweon Related Companies or Partners in Susiness.
P7 ff�� G.One of the Buyers Is also a Seer
D.Buyer or Seller Is Government Agency or Lending Institution
"
12.Date of Sala/Transfer CiG.— R—�[ �7 E.Deed Type not Warranty or Bargain and Sale(Specify Below)
F.Sale of Fractional or Less than t=ee kuerost(specify Below)
'I&Full Sale Price $0.00 G.SI(}rtfltaant Change in Property Sotwaen Taxable Status and Sate Dates
FL Sale of Business is Inckided in Sate Pace
I Full Salta Price is the totalamount paid for the property including personal property. i. Other Unusual Factors Affecting Sale Price(Specify Below)
This payment may be in the form of cash,other property or goods,or the assumption of J.None
nwa-t ogas or other obl€gafrons,)Please round to the poorest svhofo dorforammount. Ij
Comment(s)on Condition:
14.Indicate the value of personal
property hmktded In the sale 00
AS5l=:3SMENT INFORMATION-Data shotdd reffect the latest Final Assessment Roll and Tax Bill
IC Year of Assessment Roll from which Information taken(YY) 22 't7-Total Assessed false 4,900
'IS.Properly Class 2 1 D is,School District Name
Southold
'20.Tax Map ldartffier(s)/Roil ktent€f€er(s)(it more than four,attach sheet with additional Identifier(s))
1000 70-11-6
CERTIF[CAT]ON
I Certify that all of the items of Informatlan entered on this form are true and correct(to the best of my knowledge and belief)and I understand that the making of any willful
false statement of material fact heraln subject me to the orovisiorfs of the army[to relat€ve to the making and III Ing of false Jrstru nents.
SELLER SIGNATURE BUYEELCONTACI INFOBIVAIL(
(tcMer it i rnwtinn fpr"twyer-Nott rf t7uyor r5 LLC.society,assoolallon,corpwaton.Joint stock cwnpewy eeatatee or
entity that i&nal an irWivWuai agent or ridvdr y.than a name and conte.t an iorYvfduaUrespansE49e
C"
�rr n_T PmtY�o can answer questio"repw%"We traslsfet Faust 6e entered.Type or int ole",)
a 2d
BUYER SIGNATURE Sche[inm,Trustee Jennifer
( =EAST N } PIIST WAS
WWACODE •rEL&PHaNCNurtlSK(se:as®ssa%
err rrKartea mere
395 Crittens Lane
'$TnF�TNLIMOsR 'UmWT NA#AU
t T
r Southold NY 11971
'CITY EHt TOWN 'S7ATU ZIP 9P➢E
E YER'^s A�L7R1+tEY
Weinb[att Richard
LA,sr NAME FIRST NW F
' 14'1 Ica: (631) 582-5151
AREACOVE TELEPHONE NUMBER BER(rx"0000a)