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Home My WebLink AboutL 13184 P 778 !!111111 IIII VIII IIIA VIII VIII VIII 111111IIII IIII IIII 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: 01/11/2023 Number of Pages : 3 At: 02 :53 : 40 PM Receipt Number : 23-0003770 TRANSFER TAX NUMBER: 22-14039 LIBER: D00013184 PAGE : 778 District: Section: Block: Lot: 1000 054 . 00 06. 00 011 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $15 . 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 $390 .00 TRANSFER TAX NUMBER: 22-14039 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County RECORDED 2023 .Jan 11 02:53:40 PM Vincent Puleo Number of pages CLERK OF SUFFOLK COUNTY L DOOO13184 P 778 This document will be public DTt1 22-14039 record. Please remove all - Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax [�_ TP-584 ✓ Sub7otal Notation Spec./Assit. or EA-52 17(County) SubTotalSpec./Add. EA-5217(State) 5- TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held forAppointment Comm.of Ed. 5. 00 Transfer Tax Affidavit + Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES- .-/I/ orNO Other Grand Total i If NO, see appropriate tax clause on page q of this instrum t. fa G zl zz 4 Dist -- "" 1,QQQ 22048401S Community Preservation Fund Z2� �� 1000 05400 0600 011000 Real Propei P T S Consideration Amount$ Tax Service R Agency CITY 1 I WII CPF Tax Due $ Verificatio , EC- _ _ Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Wickham, Bressler&Geasa, P.C. 13015 Main Road, PO Box 1424 TD Mattituck, NY 11952 TD TD Mail to: Title Company Information 11901 Co.Name Fidelity National Title Title71 Courtesy-3077 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) Joanne O'Brien The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Joanne O'Brien, as Trustee In the VILLAGE Joanne O'Brien Trust Agreement dated October 21,2022 or HAMLET of BOXES 6 THRU H MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over SAl� —Siandard,N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment Form 3290 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 211'day of October,2022 BETWEEN JOANNE O'BRIEN,residing at 666 Shore Road#5D, Long Beach, New York 11561, party of the first part; and JOANNE O'BRIEN,as Trustee of the JOANNE O'BRIEN TRUST AGREEMENT Dated October 21, 2022,residing at 666 Shore Road#5D, Long Beach, New York 11561, party of the second part, WITNESSETH,that the party of the first part, in consideration of Ten and 00/100--($10.00)--Dollars, and other good and 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, being bounded and described as follows: BEGINNING at a point on the northeasterly side of Hickory Road distant 691.87 feet southeasterly as measured along same from the corner formed by the intersection of the northeasterly side of Hickory Road with the southeast side of Soundview Avenue; RUNNING THENCE North 47 degrees 49 minutes 40 seconds East along the southeast line of lands now or formerly of Bergani 128.27 feet to a point; RUNNING THENCE South 44 degrees 12 minutes 00 seconds East along the southwest line of lands now or formerly of Dow 100.16 feet to a point; RUNNING THENCE South 47 degrees 49 minutes 40 seconds West along the northwest line of lands now or formerly of Kirincic 131.81 feet to the northeasterly side of Hickory Road; RUNNING THENCE along the northeasterly side of Hickory Road North 42 degrees 10 minutes 20 seconds West 100 feet to the point or place of BEGINNING. Being and intended to be the same premises conveyed to the party of the first part herein by deed dated December 2, 1982,recorded December 6, 1982 in Liber 9280 page 137 in the Suffolk County Clerk's Office. Said premises being known as 350 Hickory Road, Southold, New York 11971 S CTM#:1000-054.00-06.00-011.000 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.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: v Joanne O'Brien ReldeedO'Bnendoanne2022 Shd BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN New York STATE State of New York,County of Suffolk,ss: State of New York,County of Suffolk,ss: On the a/qday of October,in the year 2022 On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared JOANNE O'BRIEN personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is satisfactory evidence to be the individual(s)whose name(s) is (are)subscribed to the within instrument and acknowledged to (are) subscribed to the within instrument and acknowledged to me that helshe/they executed the same in his/her/their me that he/shelthey executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the indi ' I(s)acted,exec ted the instrument, the individual(s)acted,executed the instrument. (signal and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) N a NOTARY PUBLIC,STATE OF NEWWW Notary Public Registradon No.52-4842871 Qualified In SuffolkCowq Commisslon res i TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of ,County of ss: On the day of in the year ,before me,the undersigned,personally appeared personally 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 instrument and acknowledged to me that he/She/they executed the same in his/her/their capecity(ies),and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted, executed the instrument,and that such individual made such appearance before the undersigned in the in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgement) Notary Public BARGAIN AND SALE DEED SECTION 054.00 WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 06.00 Title No. LOT 011.000 JOANNE O'BRIEN DISTRICT 1000 TO JOANNE O'BRIEN,as Trustee of the Joanne O'Brien Trust Agreement dated October 21,2022 STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Lo,` D � GviCKhC� 1��3S1Cr'wE`i�S� �C M Cu n Kc1 Y;y,. INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.rry.us FOR COUNTY USE ONLY Now York Stats Department of Ct.SWS Code I Lf 3, � I Taxation and Finance 02.Date Dead Recorded I I / I / Z3 I Once of Real PlOperty Tax Services G Mive, r-' —7D RP-5217-PDF Q.Book I I ,�, ,O ,� I C4.Page Real Property Transfer Report ISMO) PROPERTY INFORMATION t.Properly 350 Hickory Road Location 61RtCi RUYaEP •STPEET NA1E Southold Southold 11971 .CIrYOR TCee1 VU.GE •..YCODE 2.Buyer Joanre O'Brien, as Trustee -so nne. Q'bri@n—rmt h%rf:8fT1E -i dlOded 10.11-2-L Name •L4S7 AAYT/OOIPAM FIRST rrFrE We NArEr"PA10 FIRST MVE 7.Tax Indicate where future Tax B2s aro to be sem Billing If other than buyer addroWal bottom of form) LAST NAWCOMPANV FOWc NAYS Address IMEET NUMEi AND HAVE Orrrop'o— STATC :CPCODC 4.Indicate the number of Assessment 1 a d Parcels OR ❑PM d•parcel (Only If Part of a Percol)Check as any apply: Rail nerals transferred on the deed 4A.planning Board with Subdivision Authority Exists S.Dead 0.29 ON 413.Subdivision Approval was Required for Trandu Property --MHT-611T •cerrx •aortae Size 4C.Parcel Approved for Subdivision with Map Provided O'Brien Joanne B.Seller •LAST w ErcaxrP.h• F.P51 NAME. Nome LAST NaMEICOMPmW FIRST NAME '7.Select the description which mest accurately do ribn ale Check this boxes below as they apply: use of the preprly at the ems of axle: a Ownership Type Is Condominium ❑ A.One..family Residential s.Now Construction on a Vanrd Land 13 ICA.Property Located within an Agricultural District ❑ IOB.Buyer received a disclosure notice Indenting that at property is in an ❑ Agricultural District SALE INFORMATION 1 a Check ort or mom of thea COWWOM as applicable to transfer: A.Sale Between Relatives or Farmer Relatives 11.Sale Contract Dab -------------- B.Sale between Related Companies or Partners in Business. C One of rhe Buyers is also a Sager 12.Data of Sekrlrmeshr 10/21/2022 D Buyer or Seger Is Govemmunf Agency or Lending Institution E.Deed Type not Warronly or Bargain and Sole(Speary Below) F.Side of Fractional or Lasa Then Fes Interest(Specify Below) '13.Full Sale Price 0.(X) G.Significant Change in Property Between Taxable Status and Sat Dales H.Sots d Buaineaa is Included in Sele Price (Full Sale PNinducing rlce Is the total amount paid for e property personal property. I.Other Unusual Factors Affecting Selo Price(Specify Belay) This payment maybe in the form d ash,other property or goods,or the assumption of J None mongaaes a other dragations.)Please tootle b the created wlrofe ahesrelrrovnt Commsat(s)on Condition: 14.Indicate the value of persona property Included Inthe sob .00 Transfer of Title to Trust ASSESSMENT INFORMATION-Date should railed the latest Final Assessment Roll and Tax Bill tor.Ynr of Aaessem rot Rdl tram which rMonnatlen taken(YYI 22 '17.Total Assigned Value 6,200 Property Class 210 _ •19.School District Nome Southold •20.Tax Map MonMr(syRoa WentM@r(s)0f mon than four,attach sheet with additional Werdttlerpll 1000-055.00-06.00-011.000 CERTIFICATION I Certify that all at the Rare of I be be an entered on this form are true and correct(to the best of my knowledge and began end I understand that the making of any wilful hiss sbWlront of material hot herein suWect me to the orovhlone of the round taw relative to the making end Sling of false IrwIn esds. SELLER SIGNATURE BUYER CONTACT INFORMATION (Ema adnmebm 1w ser buyer.NOW Ir buyer is u c.sedery.asecidwon.mrpmetn.jere sink canpwry.robes or am to is row an mdlWwl aernf or rdlldwv.awn a name End Ranfad Information of an nevidurilk penrimb qua who Gro aneeer quaaslna reewdre M Merefer Mewl be•maned.Type or prim clearly.) d e 45' NAlIxLL DATE J ne O'Brien BUYER SIGNATURE O'Brien: Joanne .LAIr NAME MET 1MeC WFACON •TELEPHOWIL IMLERIE.MM EM YEP eIrhAlURE DATE J roe O'Brien, Trustee 666 Shore Rd., 15D -STREET NIaaR 'STREET NAME ' Long Beach NY 11561 -Crt•OR IOMm •STATE 'r P CODE BUYER'S ATTORNEY Wickham Abigail A. L LAST NaYE FlaaT NAYE (631) 256-1153 AftFA CODE TELEPNDNE MrYSER is,aIEWEEI I I