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L 13184 P 849
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 1/11/2023 Number of Pages: 4 At: 5:37 :29 PM Receipt Number: 23-0003914 *ELECTRONICALLY RECORDED* Transfer Tax Number: 22-14100 LIBER: D00013184 PAGE: 849 District: Section: Block: Lot: 1001 006.00 03.00 011 .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 Notation $0 . 00 NO Cert.Copies $0 . 00 NO RPT $200 . 00 NO Mansion Tax $0 . 00 NO EA-CTY $5. 00 NO EA-STATE $125. 00 NO TP-584 $5. 00 NO Comm.Pres $0 . 00 NO Transfer Tax $0 . 00 NO Transfer Tax Number: 22-14100 Fees Paid $395. 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County RECORDED Number of pages 4 1/11/2023 5:37:29 PM VINCENT PULED CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013184 Social Security Numbers P 849 prior to recording. 22-14100 Deed 1 Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording 1 Filing Stamps 31 FEES Page 1 Filing Fee 20.00 Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 5.00 Sub Total Notation 0.00 Spec./Assit. or EA-52 17(County) 5.00 Sub Total 50.00 Spec./Add. EA-5217(State) 125.00 TOT.MTG.TAX 200.00 CIO., Dual Town Dual County — Held Held for Appointment Comm.of Ed. 5. 00 Transfer Tax 0.00 ' _� Mansion Tax 0.00 Affidavit 4�" The property covered by this mortgage is Certified Copy 0.00 or will be improved by a one or two NYS Surcharge 15. 00 345.00 family dwelling only. Sub Total YES or NO Other 395.00 Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund 22043947 1001-006.00-03.00-011.000 0.0 0 Real PropertyConsideration Amount $ Tax Service /1'7s Agency a vc1 A CPF Tax Due $ 0.00 g Y �z;zs;zazz Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land All State Abstract TD 10 191 E Main Street ]Huntington NY 11743 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Comwny Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# g Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD In the VILLAGE or HAMLET of BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0104..10MId, over CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 10th day of March,2022 BETWEEN NICHOLAS RIDOLFI,as surviving Tenant by the Entirety 370 East 76th Street,Apartment C502,New York,New York 10021 party of the first part,and NATALIE WYLL and ALEXA RIDOLFI,Co-Trustees of the NICHOLAS RIDOLFI INCOME ONLY IRREVOCABLE MEDICAID TRUST dated March 10,2022 370 East 76th Street,Apartment C502,New York,New York 10021 party of the second part, Arc 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 See "Schedule A" annexed hereto. The same being and intended to be the premises conveyed to the grantor by deed dated 7/27/2012 and recorded 8/6/2012 in liber 12701,page 197. The same being and intended to be the premises known as 531 Wiggins Street,Greenport,New York. 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: NICH LAS RIDOLFI Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment Form 3290 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of New York ss: State of New York,County of ss: On the 10th day of March in the year 2022 On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared NICHOLAS RIDOLFI 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 t t she/ executed the same in his/her/their me that he/she/they executed the same in his/her/their cap a ity(ies), 3a , b his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instr ment,the diI( , r the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the ndividual(s d th ' strument. the individual(s)acted,executed the instrument. (signatu and offce of inljvOlilal taking acknowledgment) (signature and office of individual taking acknowledgment) DON A.COOPERMAN Notary Public,State of Nem Y No.02C05064297 Qualified in Suffolk Suffolk County �^!// Commission Expires Aguw 1A 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 he/she/they executed the 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 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 insertthe State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) BARGAIN AND SALE DEED SECTION 03.000 WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 03.00 LOT 011.000 COUNTY OR TOWN Suffolk Title No. STREET ADDRESS 531 Wiggins Street NICHOLAS RIDOLFI Greenport,New York to NICHOLAS RIDOLFI INCOME ONLY IRREVOCABLE Recorded at Request MEDICAID TRUST COMMONWEALTH LAND TITLE INSURAA NCE COMPANY RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by The Law Offices of Leslie C. Greene, PC Commonwealth 21 Arrowwood nL—AMEasncourust Melville, New York 11747 COIMMOMi'EAL'rii LAA,TD TITLE INSURANCE COMPANY K SCHEDULE ttt Description ALL that certain plot,piece or parcel of land,situate,lying and being in the Town of Southoid,County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a monument set in the comer formed by the intersection of the southerly side of Wiggins Street with the easterly side of Sixth Street; RUNNING THENCE South 88 degrees 21 minutes 20 seconds East,along the southerly side of Wiggins Street,144.79 feet to land now or formerly of Corazzini; THENCE South 3 degrees 47 minutes 00 seconds west,along said last mentioned land,64.82 feet to the post and land formorly of Barlett,now or formerly of Corazzini; THENCE North 82 degrees 42 minutes 00 seconds West,along said last mentioned land, 147.92 feet to the easterly side of Sixth street; THENCE IVotth 7 degrees 08 minutes 50 seconds East,along the easterly side of Sixth Street,50.44 feet to the paint or place of BEGINNING. FDR COUNTY USE ONLY Cl_ SAIS Code 0 r 7 r 3 r S r 0 r 1 •••ENS):wvwv.o rps.state-ny-us New Ynrk State C}epariinenY of C2_ Date Deed Recorded I 1 I 11/ 20231 Taxation and Finance Month Day Year o /� C�`fit:e of Real f'fo��eily Tax Services C3_ Book 11,3,1 ,S, 4 I C4_ Page I I I U I 41 I RP- 5217"-P©F PROPERTY INFDRlfATIDNI ReaI Property Transfer Report(8f1 R) 1.Property 531, Wiggins L vcation 'STREE-r NUM MR 'STREETt Mc �Y Y••• •Or:-1'DR TCNM1 V tLFa.Gc 'ZIP 003]E 2.8uyer RIICFiL':LrAS }?T170LFI INCOME ONLY IRREIT MEDICA•TT) TRUST Naive .............. ...�......._.M..____.___-f..------•------------ Lw'_:i'[JAMFiCUMi'ANY fJR; NAME :.LIST NAME OMPA Y 11R:ST NAhtt; 3_Tax indicate v 3ipre fu€we Tax Bi is are to be sent Sifi€ng if other than buyer acs Vms(at un€£bm of form) LnSr NAME;r(:'.]EnPfwT _ ,... .... •• •••• - FIRS'f NAME •v Address 57A E€.T Nil AlLF.ri iSJ.❑....N...A...M..E..._._------ srnvc 21P COQ[ 4.Ind iC a to the nu rl'lb er of Ass essment €'aY oP a€diCt��. l (only if Part of a Parcel)Check as they appy: 1" of Pi Rail parcels transferred on the deed # amels OR 4A.Planning L'oarJ With Subdivision Authority Exists S.Deed [�� _L_12 ........... ... 46.Subdivision Approval Was R". uirerl too Yran�fer Pvopefty •PRgn'r FLET •I�'-•'PT1.1�•�•W 'ACR£K mmu Size 4C.PamotApprovert For Slibdivislon with flap PTcmdefi u RIDOLFS �,�y : -f.C'Z 'r _._..,. NICHOLAS •FAril'N Ah•.EICU3Ni'nrJY f•Ei[.f3'lJAM F Name LR.ri T f•FAh�t+Cl 1s'A++Y F Isi57'tJ nrAE; 17.Se€e ct the desc ript€on which most so Curate ly describes the Check the boxes Below as they app€y: use of t€re property at the time of sale,, S.Ownt?rsllip Typeis Condominium: A. Oixa:Fia.Enii1v Remcici-€Uaf 9.New Con struciion on a Vacant Lartrt ��................. €43A.°Propeety i_ocated wtrun an A0 culhoal€ istfi of 1VW 141 B,Ru yer fecewved a disclosure notice indicating ithat th0-property is in an Agmultura!DSstnct SA€„F INFORMATION 15.Check one or more of these ccndit€ons as app€icable to transfer: ] A.Sale Between Re€atwes or Fwmer Rolafives 7 7.Sa€e Contract Date 03/09/2022 B.So€e between Re€ated Cam panes or Partners in Busmn - -.•-•---- __ C.One of The Bu ye.s is also a Seller 03/10/2022 €7.Guyer w Sel Ser is Government Agency or Lendir-g Susi=€"bon "12,q#Ee n!3afe3l'ransf®r 'Y E.Deed Type not Warranty or Barg aim and Bele(`S peri fy Lei ow) _ F.So 1e of Fra chnnat or Less t3ian Fee Imerest(Specify Re lard) 113.Full Sale Price 0 .f}() G.Sip r1ifi Gs rit Change in Pope rty Detwe en To xa€7fe Status and Sate CYt€e5 -••--• r H.Sale of Business is lncluded m Sale Fnoe [rul€Safe Price is the total aMe tznt paid for tl;g prop arty IllcSudmg personas property. €. Other ll nu sual Factors Affec,IwI4�$a le Price[Specify Below) This as ym ert may tae€n the form of rash,other property or goons,o isle ass wn PLion o€ J.None mbr€parges or other obiig atio res.)Please mune in the nears l whi fe dollar am ounl. r- 'Comrnent(s)on Condition= 14.indicate the Value of persona€ CZ pmperty included in the sale -CJZ) '"r-ei:,rs 5-.,,r �.. '!'•-•i.:;"- ___ _ ___ ASSESSMENT INFORMATION-0 ata should reflect the Is test Final Assessment}-Rol;and Tax Bill 16,Year of Assessment Ro€t ftam Wf'6ch Information taken(YY) 22 "17-Total Assessed Value 4, 600 '18.Property Csass ?ZO _. `•i S.aChool Distr;ct€Vame �7,reen27o.r_t w._..._..._..._.-------------------------------- '201 Tax Map Id a ntifi a r(syRoi€Id a ntifier(s)(If more than four,attach sheet with add itiona€ident ifier(s)� C ER Tt FtCAT€Q N 1 Certify that a€€of the€te ms or Enforrxtation entered on th is form are true and carred(to the best of my know€edge and he lief)and I understand that the me king of any w11IfuE false statement of materia€fact herein subject me to th e_g-FpY-!s ions of the none[jaw re€ative to the molt Ing and fill ng of false snstru me n ts. i;F2 3€GRIATUR ;z3lJYRFt CtltJT,�C.['iN .,R,€NATl.pflF 5.Ell,,j .- -...._. -.........................!..T. ............. _ orn po my.ewo re S Pa �v ....... utillr p narole. -- -- _ Lny arhe can answ q—tt rea.(�,ng L'i¢lra n Yfwr muM sae entered.Typa oor;fps l nl c3 ntrly.}IFC .a ran r Is�., svcie y,assvu � 'ss not an� ry,t3xen nt cw-�tx1 n WYLA,r, : rtY! t e E N.A.T.Ai:.xE 6;3,Y..... ..101A.T_UR ............_...._..........,,,,.....______ 'S.AST fvAME F 1317,i'NAH1t; ti y ^•...'�'W----- •AkFrAC�]!�. 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