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HomeMy WebLinkAboutL 13196 P 271 I lllllll IIII IIIII lllll IIIII IIIII IIIII IIIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 04/05/2023 Number of Pages : 4 At: 02 :28 : 30 PM Receipt Number : 23-0046843 TRANSFER TAX NUMBER: 22-23442 LIBER: D00013196 PAGE : 271 District: Section: Block: Lot: 1000 115.00 02 . 00 007 . 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 $250 . 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.Pxes $0 .00 NO Fees Paid $520 .00 TRANSFER TAX NUMBER: 22-23442 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County Ir l� a2 Numberof pages RECORDED 2023 Apr 05 02:23:30 PK This document will be public Vincent. Puieo r'LE;R:{: OF record. Please remove all SUFFOLK COUNTY Social Security Numbers L D00013196 P 271 prior to recording.g• DT# 22-23442 Deed/Mortgage Instrument Deed/Mortgage Tau Stamp Recording/Filing Stamps 3 1 FEES Mortgage Amt. Page/Filing Fee _`' 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Spec./Assit Notation or EA-5217(County) Sub Total Spec./Add. TOT.MTG.TAX EA-5217(State) Dual Town Dual County R.P.T.S.A. Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Mansion Tax Affidavit 4S' � The property covered by this mortgage is Certified Copy or will be improved by a one or two 15. 00 family dwelling only. NYS Surcharge Sub Total YES or NO Other SGrand Total If NO,see appropriate tax clause on page# of this instru enwt ?-3 23010605 1000 11500 0200 007000 ""00 5 Community Preservation Fund 4 Dist.�0 P T SI�IIWI�IIW®I�II����I� Real Property R CVA A Consideration Amount$ Tax Service 09-MAR Agency CPF Tax Due $ Verification — Improved 6 SatisitictionilDischargeslReleases List Property Owners Mailing Address Vacant Land RECORD Sl RETURN TO: / TD p • O /IP 7 TD AV 11L?j �-- I I Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Ca Name / / - www.suffolkcountyny.gov/clerk Titie# qO B 1 S—uffolk County Recording & Endorsement Page This page forms part of the attached made by: ( (SPECIFY TYPE OF INSTRUMENT) ©l ruLk2 The premises herein is situated in '�" ��,� G S SUFFOLK COUNTY, NEW YORK. �-e S4 Vb1 Y� 'O 1 T5O I In the TOWN of I n the VILLAGE or HAMLET of j BOXES S THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIORTO RECORDING OR FILING. =: over CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the day of 0eeember- 922 BETWEEN Robert Olsen,as Trustee of the Ernest F. Dickerson Testamentary Trust f/b/o Dustin Olsen under the Last Will and Testament dated April 6, 2005,with an address at 911 Whisperwood Lane, Maryville, TN 37801, as to a 50%interest party of the first part,and Dustin Olsen with an address at 911 Whisperwood Lane,Maryville,TN 37801 party of the second part, WITNESSETH,that the party of the first part, in consideration of ten dollars 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 SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF DISTRICT 1000 SECTION 115.00 BLOCK 02.00 LOT 007.000 KNOWN AS 17605 MAIN ROAD MATTITUCK,NEW YORK 11952 BEING AND INTENDED TO BE THE SAME PREMISES CONVEYED TO THE PARTY OF THE FIRST PART BY DEED DATED MAY 7,2009 AND RECORDED 7127/2009 AT LIBER 12594 PAGE 584 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. N PRESENCE OF: ROBERT OLSE UST - Q;el�r��, Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of ss: State of New York,County of ss: On the day of in the year On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared 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 names) is (are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/herltheir 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 instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument. the individual(s)acted,executed the instrument. (signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Co u o �{ Tennessee ss: On the fr 24z i �day of in the year2Qa2-befo me,the undersigned,personally appeared Robert Olsen 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/shelthey 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 AJ(-0c'. )I (insert the City or other politicalJO EN�S (and insert the State or Country or other place the acknowledgment was taken) i S _ signatur and office of individual taking acknowledgment) o State Pub t►c �alA 11 L4 NOta�1f My commissian expires BARGAIN AND SALE DEED SECTION Dist 1000 Section 115.00 WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 02.00 LOT 007.000 Title No.7404-015500 Robert Olsen,Trustee COUNTY OR TOWN Southold TO STREET ADDRESS 17605 Main Road Dustin Olsen Mattituck,New York 11952 STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by RETURN BY MAIL TO: Hamlet Title Agency, Inc. r e FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO. 7404-015500 SCHEDULE A-1 (Description of the Land) For Tax Map ID(s): 1000-115.00-02.00-007.000 ALL that certain plot, piece or parcel of land, situate, lying and being about one quarter of a mile East of Mattituck, in the Town of Southold, County of Suffolk and State of New York, on the North side of the Main Highway and bounded and described as follows: BEGINNING at a point on the Northerly side of Main Road (know as NYS Route 25)at a monument West of land now or formerly of Martin Sidor; RUNNING THENCE South 77 degrees 35 minutes 50 seconds West 170.00 feet; THENCE North 12 degrees 24 minutes 10 seconds West 125.00 feet; THENCE North 77 degrees 35 minutes 50 seconds East 117.47 feet; THENCE the following two(2) courses and distances: 1. South 35 degrees 04 minutes 10 seconds East 40.28 feet; 2. South 35 degrees 15 minutes 10 seconds East 95.31 feet to said monument, the point or place of BEGINNING. THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which by law constitute real property. FOR CONVEYANCING ONLY: Together with all the right, title and interest of the party of the first part, of in and to the land lying in the street in front of and adjoining said premises. END OF SCHEDULE A I i i Commitment for Tdle Insurance Printed: 12.19.22 Q 12:37 PM Schedule A-1 Description NY-FT-FRVH-01030.431004-SPS-1-22-7404-015500 h INSTRUCTIONS(RP-5217-PDF-INS):www.orps.stalemy.us FOR COUNTY USE ONLY � G New York State Department of C1.SWIS Coda I�''1� O� , { I Taxation and Finance C2.Date Dead Recorded I `I / .5 / I Office of Real Property Tax Services 7 `\\ (� ylp,�' O" YR. RP-5217-PDF Ck.Book I A 11 1`y I G.Papa I -1 1 I l , Real Property Tnnshr Report(8110) PROPERTY INFORMATION 1•11"mpony 17605 Mair. Road Location •STREET NJMLR -r-PEC.WIFE Southold Mattituck 11952 •Cr.Y CA TCSN YILLArf -zrcc E 2.Buyer Olsen D'J5Lin Name •lMTN111E1CCIRAW rRSI NAME LAST NAMOCCMPAW 11451 N.AAM i.Tax Indies whole hilum Tax&re are to be esm Billing it other then buyer eddress(at bottom W Norm) LAST NAMriCOMPANT FIRST NAME Address STREET NJMBER AND NAME CRY OR TOWN STATE EIP Code 4.Indkate the number of Assessment 1 Pad of a Parcel (Only If Part of a Parcel)Cheek as they appy: Roll parcels transferred on the deed S o1 Pareale OR ❑ ❑ 4A.Planting Board with Subdivision Auttgny Exists a.besot X OR 0.50 40.SubSlvis on approval was RogLdmd for Transfer ❑ Properly •rRCNt FEET •OEPTP 'ACRES Sia 4C.Parcel Approved for Subdivision with Map Provided ❑ Olsen Robert, as Trustee S.Sigler -LA5TNIAY?JCOY`7Y FRSs NAYS Name Ernest ?. Dickerson Testamentary ^rue_ f�b)o Dewy)(��- �a/ VSTNAMEF OMPANY FIRST NNML '7.Select on description which most accurately describes the Cheek the boxes below as they apply: use of the property at the time of sale: S.Ownership Type Is COndontirdum ❑ C.Residential Vacant Land S.Now Construction on a Vacant Lend ❑ 10A.Pmpery Looted within an Agricultural DiairKi ❑ 10.Buyer received s d'isdowne nonce Indicating that the property is in an Agricultural District ❑ SALE INFORMATION 16.Chock onaormore Mthowconditions asapplicable totransfer. /1) A.Sale Between Relatives or Folmar Reietives /V 11.ads Contract Dan A B See between Related Companies or Ponmm In Business C.One of the Buyers is deo a Sailer '12.Date Lot Salefrransfor a-/ 7-03 D.Buyer or Seller Is Government Agency or Lending Institution E Dead Type not%iminly or Bargain and Side(Specify Below) F.Sale of Fractional or isms than Fes latereai(Spedry Below) A13.Full Sale Price 0.00 G.Significant Change in Property Between Taxable Sums and Sole Doles I Full Sale Price is the total amount d for the including ny H.Sale d Business Is Included In Sale Price Pa PrRPnY tea P pBPeny. 1.Other Unusual Factors Aeeclirlp Sale Price(Spmxry Bdow) This payment may be in the farm of cash.other property or goods.or the assumption of mortgages or other obligations.)Iskase mamount. to Me nearest whole do lar amounJ.None Cammem(s)on Condition: 14.Indicate the value of ppm anal property Included In the win •00 ASSESSMENT INFORMATION-Date should reflect the latest Final Assessment Rog and Tax BILI 10.Year Df Aeeesamsrd Roll from which Information leken(YY) 22 '77.Total Assessed Value 1,00 0 •tot.Property Cies 311 _ '1a.School District Name 12- Mattituck - Cutchogue '20.Tax Map IdeMMehs)IRWI Idenditrls)pf mom tan four.attach shod with additional Idemifla(s)) 100D-:15.00-0 .00-007.000 • CERTIFICATION • I Cerdly that all of the lams of Infemwdm amsred on this form are true and correct(n the best Witty knowledge and bellef)and I underannd that Me making of any willful faces moot of in fact herein subject me m the pr0Rlakumi j b Renal taw reintive n the making and Instruments.ing of false Instruments. SELLEILSIGNATMI E BUYER CONTACT INFORMATLO (Enter Irllonnalkin kir the buyer Note If Mer s LLC eedeq,asmdndm mrpDmori.joint at"company.eMJw a emq gal Is nM.On rwiedMl Open[a WAUMV.Iran a Maas End OWARCt WJMMW en ofW NnWBu xmponrW q /.23 po who Tran snD.ar gwdT regarding err nm5w must to ePamd.Type or print cissay I SELLFJl sIrAAOA. Olsen Dustin BUYERSIONATURE r\ X r�77 '.AB:%WE FRSTNAWE d/C/ oC� •AREA c. -TELEPHONE HUMMR FS app/Wr/ej /Jn W INNER SERW%qDATE �l! V✓��S}�U/UC� C��IVG.� •S'eEE7 N •SINCLI kAYL / r T r ill;11401 7V 3-2�ol 'CI'YdA TOWN 'STATE •N]P CODE B1JI ER'S ATTORNEY I Jar.nuz:i David lyes'NAME FRSr hAME 1 (631) 680-1157 r I ARLA6ODE TELEPPMENUr®EerFA serlasa 1