HomeMy WebLinkAboutL 13185 P 372 III[III[IIII IIIII IMI IIIII II[[[IIIII IIIII IIIII IIII IIII
111111 IIIII Illll 11111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 01/18/2023
Number of Pages : 4 At: 08 : 10 : 43 AM
Receipt Number : 23-0005972
TRANSFER TAX NUMBER: 22-14539 LIBER: D00013185
PAGE : 372
District: Section: Block: Lot:
1000 059.00 05. 00 015 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $10 . 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: 22-14539
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Vincent Puleo
County Clerk, Suffolk County
RECORDED
2023 Jan 18 08:10:43 AM
Number of pages Vincent. Puleo
CLERK OF
SUFFOLK COUNTY
This document will be public L D00013185
record.Please remove all P 372.
Social Security Numbers DT# 22-14539
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp J Recording/Filing Stamps
3 1 FEES f
Mortgage Amt.
Page/Filing Fee 1.Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Du I County
R.P.T.S.A. u Held for Appointmen
Comm.of Ed. 5, 00 Transfer Tax
Affidavit Mansion Tax
Certified Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total, 5. If NO, see appropriate tax clause on
page- of this instr e t. I Q
4 Dist.} 22047139 1000 05900 05o0 015000 5 Co Immunity Preservation Fund
Real Prvic I'
WAIN Consideration Amount
rvi
Tax Service
Agency 09 OEC- CPF Tax Due $
Verificatioi
Improved_
Satisfactions/Discharges/Releases List Property Owners Mailing Address
6 RECORD&RETURN TO: Vacant Land
1 Q� p�F'�ccS dF robin Sufmr f]AIC(J, I�G`C
5 i 6
TD
Rovft� ZSA r
TD
TD
M+. s�,,tiy 1►�bb
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Mail to: 7 Title Company Information
Co.Name me-riGO-n D('eOrn �b3trGCF
��__ Title# CIQ 17 Z-.5
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached tv:,fA made
by: (SPECIFY TYPE OF INSTRUMENT)
Amy 19. Cu-hO NSA Aml Agr— resin The premises herein is situated in
Surf T:sl(�,T1 �Ufle L. C,tr(1eSS SUFFOLK COUNTY,NEW YORK, ll
TO In the TOWN of S; AA
Amij A0.nesin; -MF- Amy Aarlcs In I In the VILLAGE
geVOcCsble T(US� or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
CRa72-S
CONSULT YOUR LAWYER BEFORE SIGNING THIS1NSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
THIS INDENTURE, made the 3 day of No ver b e-r— 2022
BETWEEN Amy B. Cutillo NKA Amy Agnesini, surviving tenant of June L. Burgess who died
05/13/1997, residing at 1075 Lake Drive,Southold, NY 11971,
party of the first part,
and
Amy Agnesini Trustee of the Amy Agnesini Revocable Tr st, esidin" " I a51ake Drive
,
Southold, NY 11971, �S5�tPu3�t0.o:troin,,trr;a
rtr.uoJ Aoltv:!Nba"Fi-r:x>
party of the second part, �-�;,,,��.,,�;,r� �nol"•,�,,,,�.,
WITNESSETH,that the party of the first part, in consideration of ten dollars($10.00)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,
SEE SCHEDULE"A"ATTACHED
DISTRICT: 1000 SECTION: 059.00 BLOCK: 05.00 LOT: 015.000
Commonly known as: 1075 Lake Drive, Southold, NY 11971,
lUUO
061.00 SAID PREMISES BEING THE SAME as premises conveyed to the party of the first part by
0G.C)0 deed recorded in the Suffolk County Clerk's Office in Liber 11364 page 554.
0 1 5.000
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"when ever 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:
4
Amy B. Cutillo N A e I
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment
Form 3290
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
Jl,t
State of New York,County of Rov Ss: State of New York,County of SS:
On the 3 day of �iqd 1br'in the year X22— On the day of in the year
before me,the undersigned,personally appeared Before me,the undersigned,personally appeared
Amy B.Cutillo NKA Amy Agnesini
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 he/shelthey executed the same in his/her/their me that he/she/they 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
ins ment,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which
th dividual(s)acted,execu a instrument. the individual(s)acted,executed the instrument.
( nature and office of individu taking acknowledgment) (Signature and office of individual taking acknowledgment)
LEANNEREEV
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.OIKE6417827
Oualifled in StAck County
Commission Expires May 24.20g2
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)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 helshe/they executed the same in his/her/their capacity(ies),and
that by his/her/their signature(s)on the instrument,the individuals),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 acknowledgment)
SECTION:059.00
BLOCK:05.00
LOT:015.000
COUNTY OR TOWN
BARGAIN AND SALE DEED Suffolk
WITH COVENANT AGAINST GRANTOR'S ACTS STREET ADDRESS
1075 Lake Drive
Title No CR972-S Southold,NY 11971
Recorded at Request of
American Dream Abstract,Inc.
BETURN BY MAIL TO
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by Law Offices of Robin Burner Daleo,fLLC
American Dream Abstract, Inc. Mt. Route
Mt.Sinai,New
York 11766
"We enTitle you to the American Dream"
FI RST AM ERICAN TITLE INSURANCE COM PANY OF N EW YORK
K
SCHEUdLE A
All that certain plot, piece of parcel of land,with the buildings and improvements thereon erected,
situate, lying and being in the Town of Southold, County of Suffolk, State of New York;
BEGINNING at a point on the Southerly side of Lake Drive, distant 917.56 feet Westerly from Kenney's
Road said point of beginning being the North-Westerly corner of land now or formerly of Worhle, and
from said point of Beginning;
RUNNING THENCE along said land now or formerly or Worhle,South 44 degrees 24 minutes 30 seconds
East, 275.00 feet to the shore line of Great Pond (Leeton Lake)as shown on survey made by Roderick
Van Tuyl, P.C. October 17, 1991,
THENCE along a tie line along said shore line South 50 degrees 22 minutes West,88.18 feet to land now
or formerly of Silberstein
THENCE along said land now or formerly of Silberstein North 44 degrees 24 minutes 30 seconds West,
285.00 feet to the Southerly side of Lake Drive;
THENCE Easterly along the Southerly side of Lake Drive on a curve bearing to the right having a radius of
295.92 feet,A Distance of 84.86 feet to the point or place of BEGINNING.
I14STRUCTIONS(RP-b21/-PDF-INS):www.orps,statemy.tn
FOR COUNTY USE ONLY � Now York State Department of
Ci.SMS Code I 7 ,� O, I Taxation and Finance
C2.Data Deed Recorded I I /I O / I Office of Real Prouty Tax Services
RP-5217-PDF
C3.Book O ,S C4.Paye , , Real Property Transfer Report(BM0)
I
PROPERTY INFORMATION
LProperty 1C75 Lake Drive
Loeallon
-e1PCLT MM1eNr 'SniE['n•14,
SCUL110iC'
1]97:
•er*ra row vI.M.
•aFcv
2.Buyer A(;nes!:Li, rLUStee Aty
Name
•.•al h••et;mnryrW refile 1.•1C
Any Agnesini Revocable Tr
• l•aT x•wEiCGYF•W FIRST w•eL
A Tas InCrwu where Tulsa Tax B 4 aro to be sem
Address ddie if amer San buyer add•eagal bottom of.'am) us:nwtcoww.
.,xsr h•NF
I
STMEThO=NAN21Y11E Cn,on lora _VA IL aPCom
4.Indleaie the number of Awesamem, 1 Pall al a Pa•cel lOnly a Part of a Parout)Check n they apply:
Roll perools transferred an the dead tl d Pareds OR r'
4A.Pwvi•Ip Board Will Subd'Mebn Aldhtdq Exists LJ
L Dnd I--I
property •FWhIFLLi X OR 0.50 40.SIbtlro�abn Approval was ro
RegJd forTmrrfe• L J
size •aeprx ••exEx
4C.penal Approved for Subdiwalol vdflt Maa Provided
Cutillo NKA Amy B.
6.Boller .Lear+•ubCWs•Ir assrh•hY
Name Amy Agnesin- Sury Tenant
June :,. Burgess
wrhaweeOw•Nr L�x"I%WL
'T.Select tho description which mom accurately describes the Check the boxes below an they apply:
use of the property at the these of sate: a.Ownership Type is Condominium U
A.One Family Residential 9.Now Conatmcren on a Vacant Lana
101.Prop". Located wdthin an Agricultural District
100.Buyer recelw l a diwkiwo notice Indicating that the properly,is In an I--I
AgdulLml District LJ
SALE INFORMATION 15.Check cos or morn of thew conditlons an applicable to transfer:
A.Sale Between Re'aliws or Former Relatives
11.sale Contract Date 06/15/2022 B.Sale demean RoWed Companies or Perones in Business.
C.One Of iM Buyers a also a Sailer
12.Dass offlaldTnnsfer �I D.Buyer Or Seller is Gow+unent Agency orierging lneda.gon
E.Deed Typo not Waranq or Bargain and Sale(Spelyly Below)
F.So o of FmcGonal or Lass tnan Fee Int"msr(Soo*Belton)
'13.Fu9 Sale Price 10,n0 L a.Sig•alieom Change in Property Between Taxable Status and Sale Dates
I N.Sale Of Busrlose Is Included In Sala Price
(Full 5a'o Prize in the bun amount meld br ere properly nCludng personal prcaerly. L Olhor Unusual Facm•e Affecting Sa a Prkw(Specyy Below)
Trill paytrrnl may be In the b:m U mash,otter property or goods.Or as wsu:mplion at
mortgages or other achget ons.)Plssaeroand so trb nearesr wnaa dollsr amount R J.None
'Commeld(s)an Condidom
14.Miaass the valor of Panoral
property Included In the sale 0.00 .anster to Trus-
ASSESSMENT INFORMATION-Data should Failed the latest Final Assessment Roll and Tax Bill
16.Year of Assewmenl Roll from which Information bdamIYY) 71 17.Tone Ananatl Val— 6,800
'18.Property Clans 210 _ '19.School District Name Southold Sil
7e.Tax Map IdeMiflol(syRo(I Iderdifieds)(If mom then four,annh shout with additional ktenttilerls))
1000-059.00-05.00-025.000
CERTIFICATION
I Coldly that all of the trema of information entered on thin form are true and correct Ito the best of my knowledge and bdWQ and I understand that the making at any willful
!also statement of material fact herein subject me to theymylilers of the carnet law related to tis making and filing of W w lnstmrame.
BUYER CONTACT INFORMATION
(Erw„RraaYYer krmw Ober.AplC•rewyw eLLC.feCyry.a l,,mrpwilon,wm alar ax,ipeny.a Lower
emery Ure.r nit:Dar rlraeireal pent a I,Adnxr.syn a my and caress dmnahen el Dar I„dwlpwhuaaR hY
a �` awry wro ran airmen mwrOam agrdre try earefw mrgl M a^a+ad Type er pflml eleerlr I
scacRscmlum rE
A.gnnsi.ni Nay
R// •uerww: Dawe M1L' .•
'Lr Fe C'" •rl.4J4C%KASIFR IL.W:NSwT
Jwr a all
W:E
1015 Lake C-ive
-F.EE'I -Ex -SISH ..E
1I 7 SOCthcid NY 11971
l vn a+:awa sraTs -art 000E
I j�(j-Yr�t's ATTORNEY
1
Bilrner Daleo Robin
Dar w•liF FA57 law
I 1
(63i) 392-660
4 ' •RE•etp TCLEPN0 Faause+f.w al
I r Yi I r 1 I 1 t 'n