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Home My WebLink AboutL 13174 P 793 R l 1111111 IIII IIIII IIIII IIIII IIIII 111111111111111IIIIIIII I I I I I I I I I I I I I I I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 10/25/2022 Number of Pages : 4 At: 03:09: 41 PM Receipt Number : 22-0149174 TRANSFER TAX NUMBER: 22-05801 LIBER: D00013174 PAGE : 793 District: Section: Block: Lot: 1000 106. 00 09.00 007 . 009 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $470, 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 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 $6,400.00 NO Fees Paid $6,795.00 TRANSFER TAX NUMBER: 22-05801 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL . JUDITH A. PASCALE County Clerk, Suffolk County ' ❑1 ❑2 Number of pages RECORDED- 2022 Oct 25 03:09;41 PM UDITH A. PASCALE This document will be public CLERK OF SUFFOLK COUNTY record. Please remove all L D00013174 Social Security Numbers P 793 prior to recording. DT# 22-0501 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Mortgage Amt. Page/Filing Fee 1.Basic Tax Handling 20. 00 2. Additional Tax TP-5$4 Sub Total Notation Spec./Assit. r� (� or EA-S2 17(County) '}� ��]"� Sub Total k`-' Spec./Add. EA-5217(StateG21 l;.J �W TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held forAppointm ien�t Comm.of Ed. 5. 00 Transfer Tax I O 0 Affidavit •.na Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 � iV1 family dwelling only. Sub Total llJ YES or NO Other Grand Total �Gi If NO, see appropriate tax clause on � page# is i strument. 4 Dist.1000 Section 106.00 1 Block 09.00 Lot 007.009 5 Community Preservation Fund Real Property Consideration Amount$ Tax Service Agency \ , l� O;F; CPF Tax Due $ Verification y"`vvv' f7,,� ��"1 Improved 1�IC MU i6\ Satisfactions/Discharges Releases List Propperty Owners Mailing Address 6 R CORD&RETURNI Vacant Land Steven Cohn, Esq. P.C. One Old Country Road, Suite 420 TD Carle Place, NY 11514 TD TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Goldstar Abstract www.suffolkcountyny.gov/clerk Title#GOL-22-28319-S 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: {SPECIFY TYPE OF INSTRUMENT) Stacy M.Nelson The premises herein is situated in Tracy L Nelson SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold 510 Breakwater LLC In the VILLAGE or HAMLET of BOXES 6THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over �e11��.��-c� S �18� �aZ2. Goy aa-aa3i9-s THIS INDENTURE,made the6f day ofTwo Thousand and Twenty Two BETWEEN Stacy M.Nelson residing at 103 Maple Avenue, Port Jefferson Station,NY &Tracy L. Nelson,residing at 3410 State Route 30,Fultonham,NY 12071 party of the first part,and 510 Breakwater LLC, with offices at 2692 Neptune Avenue, Seaford, NY 11783, party of the second part, WITNESSETH, that the party of the first part, in consideration of Ten Dollars and other valuable consideration paid by the party of the second part, hereby grants and releases 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 Brookhaven, County of Suffolk and State of New York, bounded and described as follows: DIST: SEE ATTACHED SCHEDULE A 1000 SEC: 106.00 BLOCK: 09.00 LOT: 007.009 BEING AND INTENDED TO BE as to 50%interest the same premises conveyed to Stacy M. Nelson,a party of the first part by deed to Stacy M.Nelson and Robert W.Nelson from John Parckys,Nicholas T.Parckys&Irene H.Parckys by deed dated 2/14/1995 and recorded 2/14/1995 in the office of the Clerk of the County of Suffolk in Liber 11714 Page 683;and FURTHER BEING AND INTENDED TO BE as to 50%interest the same premises conveyed to Tracy L.Nelson,a party of the first part,by deed from Robert W.Nelson,Jr. dated 7/25/21 and recorded 8/23/21 in the office of the Clerk of the County of Suffolk in Liber 13116 Page 990. 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 line 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" 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: tacy M.Nelson racy L.Nelson USE ACKNOWLEDGEMENT FORM BELOW USE ACKNOWLEDGEMENT FORM BELOW WITHIN NEW YORK STATE ONLY WITHIN NEW YORK STATE ONLY State of New York } State of New York } County of SUFFOLK} ss: County of��lFPnc IL } ss: On the 13th day of July in the year 2022 before me, On the 9'h day of August in the year 2022 before me, the undersigned,personally appeared Stacy M.Nelson , the undersigned, personally appeared Jacob C Turner, personally known to me or proved to me on the basis of as agent for Tracy L. Nelson, personally known to me satisfactory evidence to be the individual(s) whose or proved to me on the basis of satisfactory evidence to name(s) is (are) subscribed to the within instrument and be the individual(s)whose name(s)is(are)subscribed to acknowledged to me that he/she/they executed the same in the within instrument and acknowledged to me that his/her/their capacity(ies), and that by his/her/their he/she/they executed the same in his/her/their signature(s) on the instrument, the individual(s), or the capacity(ies), and that by his/her/their signature(s)on the person upon behalf of which the individual(s) acted, instrument,the individual(s),or the person upon behalf of executed the instrument =.State Z:;ii acted a cured the instrument RD FMAN ork Pub , to ofNew York No.02KA4748097 No. KA4748097 40.WNAg7N%i7 Qualified w Suffolk County Qualified nt Suffolk County S,k VVI IC Commission Expires r, Z3 Commission Expires.ital; u^fy USE ACKNOWLEDGEMENT FORM BELOW ACKNOWLEDGMENT FORM FOR USE OUTSIDE WITHIN NEW YORK STATE ONLY NEW YORK STATE ONLY: (New York Subscribing Witness Acknowledgment Certificate) (Out of State or Foreign General Acknowledgment Certificate) State of New York } County of } ss: }ss: (Complete Venue with State,Country,Province or Municipality) On the day of in the year before me, the undersigned, personally appeared On the day in the year before me, , personally known to me or proved to me on the undersigned,personally appeared , the basis of satisfactory evidence to be the individual(s) personally known to me or proved to me on the basis of whose name(s)is(are)subscribed to the within instrument satisfactory evidence to be the individual(s) whose and acknowledged to me that he/she/they executed the name(s) is (are) subscribed to the within instrument and same in his/her/their capacity(ies),and that by his/her/their acknowledged to me that he/she/they executed the same signature(s) on the instrument, the individual(s), or the to his/her/their capacity(ies), and that by his/her/their person upon behalf of which the individual(s) acted, signature(s) on the instrument, the individual(s), or the executed the instrument person upon behalf of which the individual(s) acted, executed the instrument Title No: GOL-22-28319-S Stacy M.Nelson&Tracy L.Nelson District: 1000 Section: 106.00 To Block: 09.00 Lot: 007.009 County or Town: SUFFOLK 510 Breakwater LLC Record and Return to: Steven Cohn,Esq. Art:Christine Hubner I Old Country Road,Suite 420 Carle Place,NY 11514 Reserve this space for use of the recording office: STEWART TITLE INSURANCE COMPANY SCHEDULE A DESCRIPTION OF PREMISES TITLE NO: GOL-22-28319-S AMENDED 5/17/2022 DESCRIPTION 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, County of Suffolk and State of New York and described as follows: BEGINNING at a point marked by a monument on the easterly side of Luther's Road, at the point marked by a monument on the easterly side of Breakwater Road (formerly Luther's Road), which point of beginning is distant 405.77 feet northerly from the corner formed by the intersection of the easterly side of Breakwater Road and the northerly side of Mill Road; RUNNING THENCE North 26 degrees 01 ' 00" west along the easterly side of Breakwater Road 193.26 feet to a point; RUNNING THENCE South 86 degrees 04' 00" east, a distance of 264.44 feet a point; RUNNING THENCE South 0 degrees 29' 00" east, a distance of 200.00 feet (199.99 feet, survey) to a point; THENCE North 75 degrees 11' 00" west 186.13 feet to the easterly side of Breakwater Road the point or place of BEGINNING. INSTRUCTIONS(RP-6217-PDF-INS):www.orps.statemy.us FOR COUNTY USE ONLY New York State Department of CI.8111 code A 7,3,F aR I Taxation and Finance C2.Date Deed Recorded 1 10/ 2,5/L 2 I Office OF Real Property Tax Services ter 1 4 A 7�1 g 1 Tar 7 4',.31 RP-5217-PDF 109.Book , , , , 104.PB e , , , Raaf Property Transfer Repoli 18110) PROPERTY INFORMATION 1.Property, 5_0 Breakwater Road Location 'STREET 101YeER •MEET NAPE Xa=tituck 11952 .cm Ohl TOM MLAO- •ZIP CODE 2.Buyer 510 Breakwater LLC Narro •lJ1eT NAYEIrdrA1M rtraT MAKE LAV NASFICOYPANT RRST NINE 7.Tax Indute where future Tax Bills aro to be sent Billing a other than buyer address(st bosom of form) ,AST 4A ERMUFANY FRET wWE Address STREET NIaaE1s AND W W E Cot OR roved STATE zP Cox 4.Indicate the number of Assess mint p d Pe,oels pp; ❑Pan of a Plates, (Ony,11 Put of a Ps reel)Check as they appy: Roll parcels traindoned an the deed 4A•Planning Board with Subdivision Aulhmy Earls 6.Deed \ OR 0.52 4B.Subdivision Approval was Required In Transfer ❑ Property •FRONTFEET 'DEPTH -KRIS sin 4C.Parcel Approved for Subdivision with Map Provided Nelson Stacy M. 6.Seller 'IAS-RANIUCCIDAM "RETH"IE Neme Nelson Tracy L LAST HAYEMUPMn• FRET MASE '7.Select the description which most accurately dawribee the Check the boon below me they appy: use olthe property at the Ww of wle: S.Ownership Type is Condordnlum ❑ A.One Family Residential e.New Construction on a Vacant Land ❑ IgA.Prop"Located within an Agdcdturd District ❑ 108.Buyer roosived a disclosure notice Indicating that the property,is In an ❑ Agricultural Diomct SALE INFORMATION 16.Check on*or more of thaw conditions as applicable to transfer. A.Sale Between Relatives of Former Rela•.no 77.Salo Contract Date 8r1 7 B.Sale between Related Companies or Pennns in Business C One of Ike Buyers Is also a Seller 12.Dab of Sats Transfer O �Z,� D Buyer or Seller is Government Agency or I.&TWing InYdtulion E.Deed Type not Warranty or Bargain and Sale(Specify Below) F Site of Frecdonel or Leas men Fee interest(Specify Below) '12.Full Sole Pelee 4 70,000,OQ G Significant Change In Property Between Taxable Status and Sale Data H.Sets of Business m Included in Sale Price (Fug Sale Price is the total amount paid 1dr the properly Including penond property. 1. Other Unusual Factors Affecting Set Price(Specify Below) This payment may be in the form d cash,other property or goods,or the assumption of J None morVeges or other obiigal'ons.)Plisse round to the nearest whole ab6aramounl. 91 Comment(s)an Condtdon: 14.Indcab The value of personal propsrgr Included In the ask .00 ASSESSMENT INFORMATION-Data should relied the latest Final Assessment Roll and Tex Bill 16.Year of Assessment Roll ham which Information taken(YYj 117.Total Amsesed Value 4,700 '18.Property Class 210 _ '16.school District Name Ma t t i uC k '20.Tax Mop Identifien(syRotl identMler(s)(N more than four,attach shag with additional Idemthar(s)) 10010-106.13.0-09.00—CC7.009 ICERTIFICATION I Certify thg all of the Intro of Informs on entered on this farm are true and correct(to the beat of my knowledge and belles and I understand that the making of any wndul false ataWnont of mob r ml feet herein subject me to thayrovlslano of 1he.ppeal Jew relative to the making and filing of false Instruments. Sall tie SIGNATURE BUYER CONTACT INFORMATION -----——�2t�, — — 1 r Indonvoli n lerthe buyer.New.If buyer b LLC.soeety,enboatiari•parpon a .Tarn does cvrpriy."lessor pad is not an EaMduel agent a E4udoy,ran a nems aid cantar.Npmstan or an movid,arnesponstss 1y who can snow quesians resenting 1110eemier Ism b astaad Type ar pddl elaady.) GElER SEMTVE BUYER SIGNATURE 51C Breakwater :,LC r// •WTIUYE FRS-NMIE 15:6) 294-6510 -AREAOOOE -MR-HORS IaIMN M.Shea, • � u '-cA-E 510 Breakwater Road wend ��L -STREET NWaA •STREET ROOM ' Matt-tuck NY 11952 'CITY OR-OM 'STATE •7P000E BUYER'S ATTORNEY Cohn Stever+. LASTNN,E FIRST-Sia (516) 291-6410 1 ANG CODE TEIEPNpi*AMR pa:a1aa1 I I 1 I