HomeMy WebLinkAboutL 13186 P 667 11111 1 1 1 1 1 1 1 1 1 I I I I I I I I I I I II V I I I VIII III I I IIICI IIIV I I I
I I I I I I I I I I I I I I I C
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 01/30/2023
Number of Pages: 4 At: 02 : 09 : 04 PM
Receipt Number : 23-0012017
TRANSFER TAX NUMBER: 22-15557 LIBER: D00013186
PAGE : 667
District: Section: Block: Lot:
1000 115 . 00 03. 00 008 .000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $460,000 .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 $6,200.00 NO
Fees Paid $6,595. 00
TRANSFER TAX NUMBER: 22-15557
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Vincent Puleo
County Clerk, Suffolk County
1'
RECORDED
Number of pages 2023 Jan 30 02:09:04 R1
Uincent Puleo
CLERK OF
This document will be public
SUFFOLK COUNTS'
record. Please remove all l 60001318E
P EE7
Social Security Numbers DT# 22-15557
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
+ 1.Basic Tax
Handling 20. 00 I 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State)
/Zj� TOT.MTG.TAX
�.`, •"�� Dual Town Dual County
21LUR.P.T.S.A. Held forAppointment
Comm.of Ed. 5. 00Transfer Tax /�
Affidavit + . Mansion Tax
Certified Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES orNO
Other
Grand Total ✓395- If NO, see appropriate tax clause on
page#► of this instrument.
4 Dist.1000 23001009 5 Community Preservation Fund
1.00011-900 o3oa aae000
Real /-
Property TA Consideration Amount$
Tax Service � GLA
N I�W[II�IIIIIC
Agency PF Tax Due $
Verification
// p Improved
6
Satisfactions/Disc harg Relea&RETURN TO yOwnersMailingAddress
Vacant Land
Juan Sepulveda
50 Sunset Avenue aka 16600 Route 25 TD /6100
Mattituck, NY 11952 TD
TD
Mail ti, -_ffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Goldstar Abstract
www.suffolkcountyny.gov/clerk
Titlett GOL-22-29402-5
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
William A Jacobs,II The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Juan Sepulveda 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
GOA-Z2- 7-ggC71
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS
INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE,made the 0- day of NOVEMBER,Two Thousand Twenty Two
BETWEEN WILLIAM A.JACOBS,II
50 Sunset Avenue a/k/a 16600 Route 25
Mattituck,New York 11952
party of the first part,and
JUAN SEPULVEDA
1400 Aldrich Lane
Laurel,New York 11948
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,and
DISTRICT described as follows,to wit:
1000 SEE SCHEDULE"A"LEGAL DESCRIPTION ATTACHED HERETO
&MADE A PART HEREOF
SECTION
BEING and intended to be the same premises conveyed to the grantor herein by deed dated
115.00 April 20,2015,recorded April 28,2015,in Liber 12815 Page 128.
BLOCK PREMISES also known as 50 Sunset Avenue a/k/a 16600 Route 25,Mattituck,New York 11952
03.00 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
LOT 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
008.000 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:
BY: cll rL.
WILLIAM A.J COBS,II
STANDARD N.Y.B.T.U.FORM 8002.BARGAIN AND SALE DEED,WITH COVENANTS
AGAINST GRANTOR'S ACTS-INDIVIDUAL OR CORPORATION.
�STATE OF NEW YORK,COUNTY OF STATE OF NEW YORK,COUNTY OF
SF9t SS: Ml�SS w SUFFOLK SS:
On the day of NOVEMBER in the year 2022 On the day of in the year 2022
before me,the undersigned, before me,the undersigned,
WILLIAM A.JACOBS,II
personally appeared...personally known to me or personally appeared...personally known to me or
proved to me on the basis of satisfactory evidence to proved to me on the basis of satisfactory evidence to
be the individual(s)whose name(s)is(are)subscribed be the individual(s)whose name(s)is(are)
to the within instrument and acknowledged to me that subscribed to the within instrument and
he/she/they executed the same in his/her/their acknowledged to me that he/she/they executed the
capacity(ies),and that by his/her/their signature(s)on same in his/her/their capacity(ies),and that by
the instrument,the individuals(s),or the person upon his/her/their signature(s)on the instrument,the
behalf of which the individual(s)acted,executed the individuals(s),or the person upon behalf of which
instrument. the individual(s)acted,executed the instrument.
Renee Connolly
Notary Publlo,State of Now York
Suffolk County.LIC#01006095191
Commission Expires July 7,2023
BARGAIN AND SALE DEED
WITH COVENANTS AGAINST GRANTOR'S ACTS
TITLE NO: GOL-22-29402-S
WILLIAM A.JACOBS,11 SECTION 115.00
BLOCK 03.00
LOT 008.000
TO COUNTY OR TOWN Suffolk/Southold
JUAN SEPULVEDA Recorded at Request of
S�n-� Sep�lvedo.
RETURN BY MAIL TO: .5 Sin 5�+ A
qKq I6G,J0 Rs.ire�.;
IOHYCPA ^SQ. Makt�hrv-
1301 AVEN E OF HVAMERICAS f
NaFL012,42 119572-
YO , '(,10019-6040
(212)484-3900
B-3290 RESERVE THIS SPACE FOR USE OF RECORDING OFFICE
Fidelity National Title Insurance Company
SCHEDULE A
DESCRIPTION OF PREMISES
Title No.: GOL-22-29402-S
AMENDED 11/11/2022
ALL that certain plot,piece or parcel of land, situate, lying and being in the Town
of Southold,County of Suffolk and State of New York,bounded and described as
follows:
BEGINNING at a monument at the intersection of the southerly line of Main Road with
the westerly line of Sunset Avenue; and
RUNNING THENCE South 1 degree 22' 20"West along the westerly side of Sunset
Avenue, 110.00 feet;
RUNNING THENCE along land now or formerly of Pedro, South 86 degrees 51' 30"
West 15 8.5 7 feet to land of the Town of Southold;
RUNNING THENCE along said land,North 7 degrees 59' 20"East, 110.00 feet to said
southerly line of Main Road;
RUNNING THENCE along said southerly line the following two(2)courses:
1. North 86 degrees 15' 00"East, 141.90 feel,and
2. North 83 degrees 40' 00"East,4.09 feet(4.10 feet, survey)to the westerly side of
Sunset Avenue,the point or place of BEGINNING.
DESCRIPTION
INSTRUCTIONS(RP-5217-PDF-INS):www orps.stale.ny us
• FOR COUNTY USE ONLY Lam-, I New York Stale Department of
Ct.SIMS Code I III SS� I Taxation and Finance
C2.Data Deed Recordod /�U/ Office of Real Property lax Services
13 "' �} RP-5217-PDF
C3.Book �I-1 �J C4,pogo Real Property Transfor Report(OMD)
PROPERTY INFORMATION
1.Property gp Ali:•IS T AVE
Location
•.I-LL-III.VaFn -•i•i uLL:N•4E
MATT 1':GCK
_457.
•L I.OP-06N 1
vii•GF •:P:O]F
2.Buyer SE:':l:Iv S"rin ;IAN
Name
-'I.A51 NA4eLLY"AY• 1 Wel M1eYa "•�
LAST M1,4'r3VlpV.Y 11-61 MVE
3.Tax Intrcete where fLture i as B,7s ere to be awl S!'W,17 VEDA JUAN
Billing y on.her than buyer add.2sslal bosom of form)L:3r 4A4=ryyn.r,+- '
Address Gnat r.+w.
5. SUNSET AVENGE MAT'.1:'GC{ 14Y _
St-LL1rr.Y9?p esti MW[ •I'T?':1MT STR? ,I+C'JCF
4.Indicate the number of Assessment Pas C1 a Pared (Only If Part of a Parcel)Chock as they apply:
Roll parcels transferred on the deed � #d parcels OR ❑ ❑
4A.Raining Board wish Subdivis•dn Au:honry Eris:s
8 Deed ?" 48.Subdmsior.A (oval was R ❑
Properly 's:.y,TT;ii ` -:xFT_ OR ^.? PP egcredforTmnalor
Size
4C.Pa%el Approval for Subdlvoism with Map Provided ❑
�CG3Sr iI Ii.LIAM A.
9.Sailor •,n5'N+YLfl.V^AM
vpy•Nay�
Nemo
I"l S.VLrOVPR4• •••• -rrti'N•IVL
'7.Select the description which most accurately describes the Chock the boxes below as they apply:
use of rho property at the time of sale: 8.Ow•-orship Type 1s Condominium
I--
:1.1Jnr l.unj s IiC.•Irlrnl ia) 8.New Construction on a Vacant Land l_!
-" - 10A.Prcpwty Located within an Agricultural DIs:rlL1 L
10B.Buyer tees wad a disclosure noLce i-dicating 1-al the property Is 1n on
Agricultural District ❑
SALE INFORMATION 18.Chock one or mom ofthess conditions as applicable totransfen
A Sale Between Rela:wos or Former Relatives
11.Salo Contract Date 10/12/2022 I B.Sale botveen Related Companies or Partners in Business
1 '• /I �1•••- _.C.One of the Buyers is also a Serer 1
12.Dare of SyleTransfer /�' �- 1 `Z� ;J D 9:yeror Sher is Government Agency or Lending lnsti;uton
I E.Deed Type not Warranty or Bargain and Sde IScoory Below)
F Sale of Fracional or Less than coo Internal(Specify Be10w)
Full Sala Price 4$j,1,i)0,pQ G Slgnlf.card Change In Property Between Taxable status a'Id Sale Dates
(Full Sale Paw is the total amount paled!or the p:ooert IntlLTll H Sole of Business is Included,n Sale Price
This moil rcey on rt the farm or rash o;t•er y n9 personal PmPai•y I Othe'Unusual Factors A9oc1•ng Sale Price(Speo•y Belowl
ABP• property or goods,or the assumption of 1 , J.Nono
mortgages of other obllGa:lons.)Please round le Ghe nearest whole"or amount
Comment(al on Condition:
14.Indicate the value of pemonal (• III I
property Ineludod in the sale _
ASSESSMENT INFORMATION-Data should reflect the latest Rnal Assessment Roll and Tax BIII
19.Year of Assessment Roll from which Information token(Yyl 22 17.Total Assessed Value �r 3133
•18.Property class i:O
•19.School District Nome MATT:'I'U':K-.^.I:-.^.HCI;
•20.Tex Map Identiflansllitoll Identisar(sI(e more than four,attach sheet with additional Identlfor(s)I
CERTIFICATION
I Certify that all of the Items of Information entered on this form are true and correct(to the best of my knowledge and beliofl and I understand that the making of any willful
false statement of material fact heroin subject me to the.provisions of thg.ponal law relative to No making and filing of felse Instruments.
$ELLERSIGNATURE MIR CONTACT INFORMATION
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