HomeMy WebLinkAboutL 13174 P 792 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--05800 LIBER: D00013174
PAGE : 792
District: Section: Block: Lot:
1000 106.00 09 . 00 007. 009
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 $395.00
TRANSFER TAX NUMBER: 22-05800
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
[IR
r RECORDED
Number of pages q 2022 Oct 25 03:09:41 PM
JUDITH A. PA'SCALE
CLERK OF
This document will be public SUFFOLK COUNTS'
record. Please remove all L D00013174
P 792
Social Security Numbers DT# 22-05500
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 SubTotal
Spec./Assit.
Notationor
EA-52 17(County) n�5'�b Sub Total kIA-� Spec./Add.
EA-5217(Stat L,�'� TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held forAppointment
Comm.of Ed. S. 00 Transfer Tax
Affidavit • Mansion Tax
REDThe property covered by this mortgage is
Certified Copy or will be improved by a one or two
J family dwelling only.
NYS Surcharge 15, 00
Sub Total YES orNO
Other `5
Grand Total _1 If NO, see appropriate tax clause on
page# of this ins tr ment.
1D
4 1 Dist.1000 Section 106,00 1 Block 09,00 Lot 007.009 5 Community Preservation Fund
Real Property PROAConsideration Amount$
Tax Service
Agency a\`� c CPF Tax Due $
Verification '
Improved bGi1
Satisfactions/Discharges Releases List Property Owners Mailing Address
6 VCORD&RETURNTO: 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 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Goldstar Abstract
www.suffolkcountyny.gov/clerk
Title ti GOL-22-28319-S
$ Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFYTYPE OF INSTRUMENT)
Robert W.Nelson The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
510 Breakwater jC 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
CIO L- �
NY 018-Quitclaim Deed—Individual or Corporation(Single Sheet)(NYBTU 8004)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
11�Qf� 8�1%12 2.2
THIS INDENTURE,made the 24�4--day of July,in the year 2022
BETWEEN
Robert W.Nelson,residing at 510 Breakwater Road,Mattituck,NY 11952
l000
S ►occ.00
g: Oq,00 party of the first part,and 510 Breakwater LLC,with offices at 2692 Neptune Avenue,Seaford,NY 11793
t-'• bo-1•ooq
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,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,
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,bounded and described as follows:
BEING AND INTENDED TO BE the same premises conveyed to Grantor herein by deed dated 2/14/1995 and recorded
in the Office ofthe Clerk of the County of Suffolk on 2/14/1995 in Document ID Liber 11714 Page 683.
AND FURTHER BEING THE SAME PREMISES conveyed by Robert W.Nelson to Tracy L.Nelson dated 7/25121
and recorded 8!23/21 in the office of the Clerk of the County of SUFFOLK in Document ID Liber 13116 Page 990.
SEE ATTACHED SCHEDULE A
TOGETHER with all right,title and interest,if any,of the party of the first part of,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 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"parry"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 writt
IN PRESENCE OF:
1 V Robert W.Nelso
USEACKNOWLEDOMENTFORMBELOWWITHINNEWYORKSTATEONLK USEACKNOWLEDGMENTFORMBELOFVWITHIN,7'EIYYORKSTATEONLY.
State of New York,County of 5VIU4 ss.: State of New York,County of )ss.:
On the b day oflt P' in the year12- �L �1/ 1O� On the day of in the year
before me,the undersigned,personally appeared ,personally before me,the undersigned,personally appeared personally
known to me or proved to me on the basis of satisfactory evidence to 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 be the individual(s)whose name(s)is(are)subscribed to the within
instrument and acknowledged to me that he/she/they executed the instrument and acknowledged to me that he/she/they executed the
same in his/herhheir capacity(ies), and that by his/her/their 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 signature(s)on the instrument,the individual(s),or the person upon
behalf of which the individual(s)acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument.
JAMS C IMER 1
Notary row Woo arTYw.Yort �� �IQGOb�i,Turner
NaGITLA13r 1 ftwrutlD11i211
Quaw"Y 8rir\aroty
ommiuioa 6spha Ihpmn R m 1-41--- Gu Ff ONG.Cowntt j
exp,al a-
ACKNOWLEDGMENTFORMFORUSEWITHINNEWYORKSTATEONLY.• ACKNOWLEDGMEiNTFORMFORUSEOUTSIDENEIvYORKSTATEONLY:
(New York Subscribing Witness Acknowledgment Cert fcale) (Out of Stare or Foreign General Acknowledgment Certificate)
State of New York,County of }ss.: __________ Iss.:
On the day of in the year (Complete Venue with State.Country,Province or Municipality)
before me,the undersigned,personally appeared On the day of in the year
the subscribing witness to the foregoing instrument,with whom I am before me,the undersigned,personally appeared
personally acquainted,who,being by me duly sworn,did depose and personally known to me or proved to me on the basis of satisfactory
say that he)she/they reside(s)in evidence to be the individual(s)whose name(s)is(are)subscribed to
the within instrument and acknowledged to me that he/she/they
(fthe place ofresidence is in a city,include the street and street number,if executed the same in his)her/their capacity(ies),that by his/her/their
any,thereo)q;that he/she/they know(s)to be the individual described signature(s)on the instrument,the individual(s),or the person upon
in and who executed the foregoing instrument;that said subscribing behalf of which the individual(s)acted,executed the instrument.
witness was present and saw said
execute the same;and that said witness at the same time subscribed
his/her/their name(s)as a witness thereto.
QUITCLAIM DEED
T/TLENO. DISTRICT 1000
SECTION 106.00
BLOCK 09,00
ROBERT W.NELSON LOT 007.009
COUNTYORTOWN SUFFOLK
TO
510 Break„-ater LLC
RECORDED AT REQUEST OF
Fidelity National Title Insurance Company
RETURN BYMAIL TO
FIDELITY NATIONAL TITTLE
INSURANCE COMPANY
/Roorteotur>D 1928
!6 Fidelity ”
Mortberlltr last dente IanAride Artodadon
qn
0 0)&
¢
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Vy
4.
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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.
FOR COUNTY USE ONLY New York State Department of
C1.SwISCodeI ���11 �,.dGr, 7 I Taxation and Finance
C2.Date Deed Recorded I /y/�,/ /ZAZ I Office of Real Property Tax Services
�~�1 Do RP-5217-PDF
C9.Book J 43, / ,7 IY I C4.Page I 1 .7.q ,& Real Property Transfer Report(8110)
PROPERTY INFORMATION
I.Property 510 Breakwater Road
Location
'MRCCI iAMUUN •STREET NATE
Mattituck 11952
'em ort yom VILLAGE •aP CODE
2.Buyer 510 Breakwa-.er I.I.0
Name
'LAST M V41COMPANY FIRST140M
LAM NAw:ICOMPANr FIRM NAME
7.Tea indicate where future Tax Bills are to be sent
Billing Bother than buyer address(at bottom of farm) LAST NAMEICOMPANY FaSTNALE
Address
w
STMETNUMIIFRANDr4AM Crry OR Tom STATE >p Cm!
4.Indicate the number of Assessment i a ul parcels OR ❑part of a Parcel (Only If Part of a Paroei)Check as they appy:
Ron parcels transferred on the dead 4A.Planning Board with Subdivelon Authority Exists
6.Dead X OR 0.92 4B.Subdivision Approval was Required for Transfer
Properly 'FRONT rcaT •DEPTH 'ACRES
Slag
4C.PerDEt Approved for Subdlvisipl cies Map Provided El
Nelson Robert W.
6.Seiler 'LAST NAWCOMPANT FIRST WAE
Name
LAST NAMEICO\PANY FIRM NATE
9.Select the description which most accurately describes the Check the boxes below as they appy:
use of the property at tho time of sale: 111.Ownership Type is Condominium ❑
A.One Family Residential 9.New Construction on a Vacant Land ❑
IDA.Property Located within an Agricultural District
100.Buyer received a disclosure notice indicating that the property is in an ❑
Agricultural District
SALE INFORMATION 15.Check one or more of these conditions as applicable to transfer.
$ A.Sale between
Relatives ere or Partes
11.Sale Contract Data � 8 B.Sok behveen Related Companies a Partner in Business.
C.One of the Buyer is SONO a Seller
12.Data of Sale/Transfer �Y I ^1 Q D.Buyer or Seller is Government Agency or Lending Institution
" L E.Deed Type not Warranty or Bargain and Safe(Specify Below)
F.Selo of Fractional or Less than Fee Interest(Specify Below)
'17.Full Sale Price 0,00 G.Significant Change in Property Between Taxable Status and Safe Dates
(Full Sale Price is the total amount paid for the property Including personalpatio ro H Sale of Business is Included in Sale Price
P
This payment may es m the form of cash,other property or goods.or the assumption d I. Other Unusual FaelontABseting Safe Peke(Specify Below)
mortgages or other obligations.)Please round to tae nearest whob doifaramount W J None
Comment(s)on Condition:
14.Indicate the value of personal
pro"Included In the sale .00
ASSESSMENT INFORMATION•Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from which Information taken(YY) ;; '17.Total Assessed Value 4,700
118.Property Class 2:0 _ '19.School District Name Ma t Li L'uc k
'20.Tax Map Identifler(syRolf Identifier(a)(if more than four,attach sheet with additional Identifier(s))
1000-106.00-09.00-CC7.009
CERTIFICATION
1 Certify that all of the items of information entered on this form are tree end coned(ter the best of my knoWedge and holier)and I understsnd that the making of any willful
false statement of material fact herein subject me to the.pr0dslona of thiLpenal k e relative to the making and filing of false Instruments.
SELLER SIGNATURE BUYER CONTACT INFORMATION
IEoer ilTelmlrion for the buyer.Nate'If dryer w LLC.aowly.M80C.on,fmlppaflon.pia etodl omlpagr.while or
amtr Lha b re w inilmdual som a Idlmay then R rens oMd cimteu morn=m oral siavialanee psis
4 Z� perry who rmn AWIFIW qullfh ne neadna ere MWtr mlwlw entered Type or pint cteady.)
SELLER TE
EUYERSIGNATURE 510 Breakwater LLC
51b Fly' ,.uati LLC LAeTNAIE nRMwwE
(5:6) 294-6410
•AREACOW •rEtEPNOrE NLMM RbE.SMN%
' core
Fr
rt 510 Breakwal.er Road
J 'STREET NINSCR STREET NAME
Matti-tuck NY 11952
sen ORTOMe 'STATE WCOW
ffilYEFt S ATTORNEY
Cohrs. Stevan
' I LASTNAME FIRST NAME
1
(516) 294-6410
II I S, I 1 I I AREA CODE TELEPHONE NUMBER PE.MBNO