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Home My WebLink AboutL 13180 P 692 I l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l f l l l l l l l l l l l l l l l l l l l l l l I f lllf l 11111 fllf l 1111 fllf SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 12/02/2022 Number of Pages : 4 At: 04 :27 :01 PM Receipt Number : 22-0165507 TRANSFER TAX NUMBER: 22-10730 LIBER: D00013180 PAGE : 692 District: Section: Block: Lot: 1000 117 . 00 08.00 010 . 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 $395.00 TRANSFER TAX NUMBER: 22-1.0730 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of pages RECORDED 2022 Dec 02 04:27:01 PM JUDITH R. PRSCALE CLERK OF This document will be public SUFFOLK COUNTY record.Please remove all L D00013180 Social Security Numbers P 642 prior to recording. DT# 22-10730 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee _ Mortgage Amt. �� 1.Basic Tax Handling G 2. Additional Tax TP-584 / Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total — Spec./Add. EA-5217(State) ( 7,�' TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. aw.00 Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit Q�*Ia Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling nly. Sub Total YES or NO Other \ Grand Total J If NO, see appropriate tax clause on page# of this instrume t. 4 Dist. 100 Section 117.00 Block ,ry1 08.00 Lot 010.000 5 Community Preservation Fund Real Property p14ROpConsideration Amount$ Tax Service 3UFFCLK t Agency counrrr CPF Tax Due $ Verification Improved x/ 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Dunathan Goodale,PC TO P.O. Box 645 Riverhead,New York 11901 TD Attention:Laura Dunathan Esq. TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) Michelle Roussan The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Michelle Roussan as Trustee In the VILLAGE or HAMLET of BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over NO CONSIDERATION Quitclaim Deed This Indenture,made the .2Sf� day of r,Two Thousand Twenty-Two, BETWEEN MICHELLE ROUSSAN,residing at 865 Second Street,New Suffolk,New York 11956 party of the first part, and MICHELLE ROUSSAN,residing at 865 Second Street,New Suffolk,New York 11956 as TRUSTEE OF THE MICHELLE R. ROUSSAN REVOCABLE TRUST u.a.d. 0Jr-610-- 2Q- 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,in the property described as: TAX MAP DESIGNATION Dist.: 1000 SEE SCHEDULE A Sec.: 117.00 Blk.: 08.00 Lot: 010.000 Premises known as 865 Second Street,New Suffolk,New York 11956 BEING AND INTENDED TO BE the same premises conveyed to Grantors,by Deed dated December 29, 1995 and recorded in the Suffolk County Clerk's Office on January 25, 1996 in Liber DI 1759 at Page 699. 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 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. In Witness Whereof,the party of the first part has duly executed this Deed the day and year first above written. IN PRESENCE OF: L.S. MICHELLE R USSAN STATE OF NEW YORK) COUNTY OF SUFFOLK)ss.: On the oar+qday of 0-\"0b--L4 in the year 2022 before me, the undersigned, personally appeared MICHELLE ROUSSAN, 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. Notary Public Laura 1.Dunathon Notary Public,State of New York No.01DU5089167 Quallfied in Suffolk Gott ty Commission Exp.12/08LIL- QUITCLAIM DEED DISTRICT: t000 SECTION: 117.00 MICHELLE ROUSSAN BLOCK. 08.00 LOT: 010.000 to COUNTY OR TOWN:Suffolk MICHELLE ROUSSAN TAN BILLING ADDRESS: AS TRUSTEE OF THE MICHELLE R.ROUSSAN 865 Second Street REVOCABLE TRUST New Suffolk,New York 11956 RETURN BY MAIL TO: Iaura Dunathan,Fsq. Dunathan Goodale,PC P.O.Bot 645 Riverhead,New York 11901 Page 2 of 2 Pages SCHEDULE A All that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at New Suffolk,Town of Southold, County of Suffolk, and State of New York, being bounded and described as follows: BEGINNING at a point on the westerly side of Second Street, distant 100.95 feet northerly from the corner formed by the intersection of the westerly side of Second Street with the northerly side of Main Street, said point of beginning also being on the westerly side of Second Street where same is intersected by the northerly line of lands now or formerly of Kneuer; RUNNING THENCE North 85 degrees 40 minutes 00 seconds west along said last described land and land now or formerly of Robbins 118 feet to land now or formerly of Apollo; THENCE North 5 degrees 01 minutes 00 seconds East; along said last described land 98.94 feet to land now or formerly of Malinowksi; THENCE South 85 degrees 40 minutes 00 seconds East; along said last described land 118 feet to the westerly side of Second Street; THENCE South 5 degrees 01 minutes 00 seconds West, along the westerly side of Second Street, 98,92 feet to the point or place of beginning. INSTRUCTIONS(RP-5217•PDF-INS):www.orps.slate.ay.us FOR COUNTY USE ONLY Nary Yak State Dyrt Of C1.SWIS Coda ,-7.3.S .1Lr� Taxation and Finance C2.Dab Deed Recorded I 01/ 00-/ -C Me a Real Property TeX SeivioBB (�J— D" •– G (? RP-5217-PDF C9.Book 11 1 I 1 X 1 OI C4.Papa I 1 1"'1—l l�I Real Property Transfer Report(8MO) PROPERTY INFORMATION t.Property 865 Second Street Location 'SinEkl MInIER 'SIl[E1 NW E New Suffolk 11956 .ear Cp mm VLaACE •ar wnL t.Buyer Roussan Stepnan Robert as Trustor Name •WiNrerJf:nN•AM' -PSI NAME LAST N1NT/OZN4RIY 'OeT NAME 3.Tax Inaratsw:amtutumTaxanisamtobe,wd Roussan MiC e_le R. as .rustec Bili g It other then buyer adamss(at bottom of form) LAST NW EF00 TIy Man WHE Address 865 Second Straw; Now Suffolk NY 11956 emET MNa AME art ON lam STATE aP0011E /.bltlkate the numbaraf Aeteasm rd (Only If Part at a Parcel)Check an they apply: Roll particle transferred an this dead l pal Percale OR Perl TII a Patel ❑ 4A.Planning Road w.th Subdmslon Autthony,Exists 0.Deed X OR 0.26 IB.Subdivision Approval was Requited for Trander ❑ Property •Famrrkkl •pn•IA -Amb Bke 4C.Parent Approved ter Subdiwtlm whh Map Provided ❑ Rou9san Mi cher11e S.Soler •LAST NANatma•ANy FRET WE Name LAST NAWAI WANY RST NONE 'r.eekel the description which most accurately dseerlbw IM Check the boxes below as they apply: me a the property a the time of mob: S.OwrMmhp Typo Is CondominiumA.One Family'Residential 9.New Corstrualon on a varam Land E] 10&Property Laraaed,&Mil an Agribr7xal D-OU 109.Buyer milled a dwcbaua nous Indicating that The property In In an El District SME INFORMATION 75.Cheek one or mom of thew conditions me opplcabb to vulshr. A.Salo Bolvmen Roh0os or Former RelaBtae 11.Bill*Contract Dau B.Sale between Related Completes or Partners In BtsLww. C.One all the Buyers is also a Sow D.Buyer or SIs Govamma ard Agency Lending Insttulim •1L Date of 9ablrrsnehr ?�- eller E.Dead Type not Warmny or Bargain and Sale(Speay Below) F.Sale all Fmdlmal or Leaf than Fen Interest(SpwJfy Below) •17.Full Sale Price o Al O.Significant Change in Property Between Taxable Status and Sale Dams H.Sale at Business is Included In So..%Peke (Full Sale Pros is the toad amount paid kir the properly Including personal properly. I.Other unusual Factors Affecting Sale Price(Specly Below) 7 his payment prey be in the farm ol cash•other property or goods.or the assumption of J.Noris mortgages orother oblgaaons.)Presse rtxmd to the nearsal blx*doper&WLW. Commangs)on Condition: 1e.Indicate the value of personal property Included In the sets 0.()() conveyance to a trust ASSESSMENT INFORMATION-Data shmld reflect the latest Final Assessment Rol and Tax Bili 18.Year at Assessment Roll from which I sit atlon ukenlYY) 22 117.Total Awaseed Value 7,300 '18.Property Clare 2'-0 _ 49.School District Name New Suffolk '20.Tax Map kbntfnerlglRoll kkntlfbr(s)IN mon than four,attach shed with additional kbntllbr(e)) 1noo-117.00-op.00-oIo.000 CERTIFICATION I Certify that at of the Mama of Information entered on#Nle form m true and marred Ito kite best of my knowledge and belbf)and I understand that the making at any willful fabs statemarl of material fact heroin subject me to the ptovbions.of the.penel.law_rslodve hers making and Ming of take Instruments. i SELLER AIGNA01tr BUYERCOTACTNFORMATON�Y) (EMar MMnYM nlxweMW.Nete ebWkLLC aro".amcadn mporsum.paxaMex mmpmy,MUM& carryall k not a MINIMUM Milled tax Ielurry.awn a Shoo end rowan n1Nnwlon also OdNAMwYponebla pMb.sn an.mavQlmton.ngMd.hg th.anrkr muM oe eneersa Tyke a qIM dmlb! SELLER SFJMTW OA � YERRoussan Michelle .SLGIdATI!!3E 'LAST NYE •Oa Nae �/ar COM �.I (631) W •rnEAM0rvw M.rrr N.re •r . *%%-1 aurarr shrann DATE R65 Second ST.roet 'STMETNa•BER 'STREwr MNE lililNew Suffolk NY 1'-956NMCATOWNBUYER'S ATTORNEY Dunathan Laura LAST NYE FOST Nlwa 1631) '127-0923 MFA Rae TELEP4 EMINER ar eM M