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Home My WebLink AboutL 13196 P 272 s• 1111111111111111111111111111111111111111111111111111111 11111111111111111 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: 22-23443 LIBER: D00013196 PAGE : 272 District: Section: Block: Lot: 1000 115. 00 02 . 00 007 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $250, 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 $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.Pres $3,500 .00 NO Fees Paid $4 ,020 . 00 TRANSFER TAX NUMBER: 22-23443 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County . 1 RECORDED 2023 Apr- 05 02:28:30 PN Vincent Pule, Numberof pages CLERK OF SUFFOLK COUNTY L D00013196 This document will be public F 2 7 2 record. Please remove all DT# 22-23443 Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording!Filing Stamps 3 FEES ,� _ Mortgage Amt. Page/Filing Fee 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Spec./Assit Notation ` or EA-5217(County) Sub Total J� Spec./Add. TOT.MTG.TAX EA 5217(State) Dual Town f,D'ual County R.P.T.S.A. O Held for cal oinfinent Comm.of Ed. 5. 00 Transfer Tax �� D� Mansion Affidavit The property covered by this mortgage is Certified Copy or will be improved by a one or two .. family dwelling only. NYS Surcharge 15. 00 Sub Total_ YES or NO Other 4 If N0,see appropriate tax clause on Grand Total_ page# of this instru ent. 714 7-5 4 J Dist./000 23010606 i000 11.500 0200 007000 ) 5 Community Preservation Fund Real Property CVA A ®�I� Consideration Amount$ R Tax Service CPFTax Due $ _775� — Agency 09-M Verification - - - _- __ - --_ -- — �� TD Improved 6 Satisfactions/Dis arges/Releases List Property Owners Mailing Address Vacant Land AIR RECORD&RETURN TO: t C/20sS �s MTD la AAA 4 t� ti � l/f� S Mail to: Vincent Puieo, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# (�S 8 Suffolk County Recording & Endorsement Page This page forms part of theiattached made by: (SPECIFYTYPEOF INSTRUMENT) S `S'PiL" The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of �Q I n the VILLAGE L or HAMLET of BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. OV -7HaLly01�� CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY 90 rebw�..z °�3 THIS INDENTURE,made the day of-Deeeffibel,2922 BETWEEN Dustin Olsen with an address at 911 Whisperwood Lane,Maryville,TN 37801 party of the first part,and KEIL ALVAHS LANE FARM LLC with an address at 30 East Gate Drive Huntington,New York 11743 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 described in a deed made by Dorothy Dickerson Peters and recorded February 28,2012 in Liber 12686 Page 208 and by a deed date 2j+z3 made by Robert Olsen,As Trustee to be recorded simultaneous herewith 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.'.-,` DUSTIN OL Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment ►1 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 name(s) 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/her/their me that helshe/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 laking acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of Tennessee ss: If ��L�,�� do On the f day ofssei3r� in the year—?.W.efore me,the undersigned,personally appeared Dustin 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/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 /�ko,��1V (insert the City or other political su (and insert the State or Country or other place the acknowledgment was taken) 84 ..........I.�� 1�o ^� ,(sl gpat re aqd offrce of individual taking acknowledgment) �e• �� ,UL p.,d, ►tom,-!„1 l��p,, State public: = "'J tAOtatY y My commission expires i U 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 Dustin Olsen COUNTY OR TOWN Southold TO STREET ADDRESS 17605 Main Road Keil Alvahs Lane Farm LLC Mattituck,New York 11952 STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by RETURN BY MAIL_TO: Keegan, Keegan,Ross and Rosner,LLP Hamlet Title Agency, Inc. 315 Westphalia Avenue PO Box 146 Mattituck,New York 11952 ac { 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 paint 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;' I 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; r 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 Commitment for Trtle Insurance Primed: 12.19.22 C 12:37 PSN Schedule Art Description NY-FT-FRVH-01030.431004-SPS-1-22-7404-0i5500 I I INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY New York State Department of Ct.Btms cods µ,1 , e C�,g,�7,I Taxation and Finance C2.Date Deed Recorded I / S / ✓I Office of Real Property Tax Services NOM P" RP-5217-PDF C3.Book I ` ,„S ,\ ,� ,�PI C4.Page I I I ` I I Real Property Tramfor Report(8110) PROPERTY INFORMATION I.Prop” 17605 Fain Road Leca0en -STREET NUwr.9 '6TRF,ET NATE Southold Maztituct 11952 •alyoq Tcm VRLAGE •GF MM 2.Buyer Keil Alvahs Lane Earn LLC Nome .,thy HAMECOrp,E.1Y FlRST NAME WT NAME/CCN-ANY 11491 RAA1E 3'Tam Indicate where future Tax BBs am to be sent Billing if other than buyer addressfat bottom of form) LAST•aW LICOA - F-RST NAME Address ARREEETMUREa A1DNWE CrTT OR TOWN STATE ZPCOOE 4.Indicate the number of Assessment (Only If Port of a Parcel)Chock n they appy: Roll pneeh transferred on the deed 1 e Parcels OR ❑Pad Of a Parcel 4A.Planning Board with Subdiulsion Authority Exists ❑ S.Deed \ OR 0-50 48.Subdvlsion Appmvst wait Required for Transfer ❑ Property •Fr1O.Vr FEET •OEPIr1 'ACRES Sots 4C.Prod Approved for Subdivision with Map Provided Olsen Dustin S.Salley •lAWNAMEOCDWAw FIRST NWE Nome LVT NwEa:TNEA11` F.RST NANL E7.Baled the descelp8an which most eccuraely describes the Cheek do boxes below an they appy: use d the property at the time of sell. g.Ownership Type is Condominium C.Residential Vacant Land e.Now ConstmrLon on a Vaunt Land ❑ 1OA.Property Located within an Agricultural District ❑ 108.Buyer received a disclosure notice Indicating that the property is in an Agricultural District SALE INFORMATION 10.Cheek one or mom d these conditions me appOcable to tTensfer. A.Sale Between Relatives or Former Relatives 11.Sale contract Data 12/05/2022 B Sale between Related Companies or Partners in Business. C.One of the Buyers In also a Sdor D.12.Dale of SalerrramiTor - 1 -7 �3 E.DeeTyper or Sollr Is Government Agency r Lending Institution e not Warnmty or Bargain and Sale(Sporty Blow) F.Sale of Fractional of tees then Fm Interest(Specify Below) 113.Full See prim 250,000.00 G.Significant Change In Property Between TNmble Status and Sate Does H.Sala of Business is Included In Sale Prim (FIG Sale Price is the tad amount paid for the property including personal property. I.Other Unusual FnstdeTo Affecting Sale Pries(Specify Below) This Payment may be In the form of cash,other properly or goods•or the assumption Of J None mortgages or other obligations•)Plum round to Has nnmat whole dogr anfaad. Crnmsnga)on Condition: 14.Indicate this value of personal UO property Included In the sale ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll end Tax Bill 1e.Yeor d Aesnsment Roll from which Information ekmn(YY) 22 •17.Tool Anossed Value 11000 •1e.Propertycws 311 _ •12.School District Nome 12- Mattituck - Cutchoque '20.Tax Map Idsmlflrlsyllott IderdNlsr(s((lT more than four,oeaoh shoo with additional Ido tifler(a)) 1000-115.00-02.00-007.000 CERTIFICATION 1 Certify that all of the Isms of Information wat ed on this form are true and comet(m the beat of my knowledge and better)and 1 undamend that the making of any willful else statement d materiel fact hrivin subject mo to am.provblom dZiti nenptlaw relative to the making end Ailing of false hmtrumeme. 2111,LER SIGNATURE BUYER CONTACT INFORMATION IErtr crenation lr to buyer.Noe.If buyer it LLC.eodeb,as iocahon owmaeon,joint stodl mmpeny.UWA r wary eco Is nat an REEVER ar agW.or fiduCloy.oxen a rune and OMM arMrwAn Of W 1119611 leepOMae parry who can onswerplesdons TRUE"the t ansfar moa be OAMW Type er prim Wady) SEULER SIGNATURE DATE I Keil Eric BUYER SLGdATURE __ ` W,1;7 5/fe aS'D -�NAMS� 1S-AREA C� ^r1 rrDNE NUMSE.e 1Er ra�O1 e11'fER Sx7.Klrrk TE 30 East Gate Drive •5TREE'NLMLER 'STN TMYL Ir 1 r Hjr•.tington NY 11743 'CRYri foo WATE 'G-CUM @DYER'S ATTORj1JFY Ross Daniel C. I LAST Mw. rIRST NAME I 1 I I f63:) -EA COOL 7EIEAIDNENJNBE1110E wrern I I I