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HomeMy WebLinkAboutL 13201 P 167 I I I I I I I I I I I I I I I I I I I I I I L I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I l l l l l l l i l i l l l l l l l l l l l l l l SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 05/10/2023 Number of Pages : 4 At: 02 : 45 : 10 PM Receipt Number : 23-0062564 TRANSFER TAX NUMBER: 22-27393 LIBER: D00013201 PAGE: 167 District: Section: Block: Lot: 1000 117 . 00 09 . 00 028 . 001 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 $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 $395 . 00 TRANSFER TAX NUMBER: 22-27393 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County [1]F2] Number of pages RECORDED 202-) t-lay 10 02:45:10 Ph1 This document will be public Vincent Puleo record.Please remove all CLERK OF SUFFOLK COUNTS' Social Security Numbers L DO©013201 prior to recording. P 167 DT# 22-27393 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation SpecJAssit, or EA-52 17(County)C V Sub Total_ ) Spec./Add. EA-5217(State) TOT.MTG.TAX �. Dual Town Dual County R.P.T.&A. Held for Appoint men Comm.of Ed. 5. 00 Transfer Tax t:7— Affidavit • * Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total' If,,NC, see appropriate tax clause on r- #`-;) of this ins rumen . 4 Dist. 23011633 1000 11700 0900 028001 l 5 C`ommmlunity Preservation Fund Real Property R CWH A Consideration Amount$ I� Tax Service IIIIGG I " Agency 17-MAR-2 CPF Tax Due $�J Verification __ Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Burner Law Group,P.C. TD 12 Research Way TD East Setauket,NY 11733 TD Mail to 7 Title Company Information 11901 Co.Name Title# 8 Sdfolk-County Recording & Endorsement Page This page forms part of the attached Warranty Deed made by: (SPECIFYTYPE OF INSTRUMENT) SHANNON SLON SIMON The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold SHANNON SLON SIMON I REVD AB . . In the VILLAGE TRUST dated 12/27/2022 or HAMLET of New Suffolk BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over WARRANTY DEED WITH FULL COVENANTS (INDIVIDUAL AND CORPORATION) FORM 8003(short version),FORM 8008(long version) CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING, THIS INDENTURE,made the C71—day o4(gig,1�w _ ,2�0�,-between SHANNON SLON SIMON, 17130 Main Street,New Suffolk,New York 11956,party of the first part, and JENNIFER ELIZABETH SIMON CAREY, Trustee of the SHANNON SLON SIMON IRREVOCABLE TRUST dated December 27,2022,17130 Main Street,New Suffolk,New York 11956, party of the second part, WITNESSETH, that the party of the first part, in consideration of Ten Dollars and No Cents ($10.00)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 more particularly described in Schedule A attached hereto; SAID PREMISES BEING KNOWN AS AND BY 17130 Main Street,New Suffolk,New York 11956. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated December 5, 1988 and recorded on January 25, 1989 in the Office of the Clerk of Suffolk County of the State of New York in Liber No. 10785,Page No.492. 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 HAVEAND 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,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 costs 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. AND the party of the first part covenants as follows: FIRST.—That said party of the first part is seized of the said premises in fee simple,and has good right to convey the same; SECOND.—That the party of the second part shall quietly enjoy the said premises; THIRD.—That the said premises are free from encumbrances,except as aforesaid; FOURTH.—That the party of the first part will execute or procure any further necessary assurance of the title to said premises; FIFTH.—That said party of the first part will forever warrant the title to said premises. The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. Section: 117.00,Block:0009,Lot:028.001 NYSBA's Residential Real Estate Forms(912000) -1- 0 2022 Matthew Bender&Company,Inc.,a member of LexisNexis. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. II nn By:SHANNON SLON SIMON Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK ) ss.: COUNTY OF SUFFOLK ) On the day of �UE,( in the year, before me, the undersigned,personally appeared SHANNON SLON SIMON,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 she executed the same in her capacity(ies), and that by her signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrulnent. C460.7 89-4York (si ature and office of individu No.01 aking acknowledgment) o�No.01iiied tstt[tolkGo MY c.ornmission Expires AP61 is.20_ WARRANTY DEED 1it1e_No.- Section 117.00 Block 0009 SHANNON SLON SIMON Lot 028,001 To County or Town Suffolk,Southold JENNIFER ELIZABETH SIMON Street Address 17130 Main Street CAREY,Trustee of the SHANNON New Suffolk,New York 11956 SLON SIMON IRREVOCABLE TRUST Return By Mail To: Nancy Burner Burner Law Group,P.C. 12 Research Way East Setauket,New York 11733 Reserve This Space For Use Of Recording Office Section: l 17.00,Block:0009,Lot:028.001 NYSBA's Residential Real Estate Forms(92000) -2- 0 2022 Matthew Bender&Company,Inc.,a member of LexisNexis. SCHEDULE "A" TAX MAP: 1000 - 117.00—09.00- 028.001 ALL that certain plot,piece or parcel of land, with buildings and improvements thereon erected, situate, lying and being in the Town of Southold, County of Suffolk and State of New York more particularly bounded and described as follows: BEGINNING at a point of intersection of the easterly line of Second Street with the southerly line of Main Street and; 1) RUNNING THENCE South 85 degrees 25 minutes 00 seconds East along the southerly line of Main Street a distance of 76.13 feet to a monument; 2) THENCE South 05 degrees 05 minutes 50 seconds West along lands now or formerly of Vangi a distance of 125.65 feet to a monument; 3) THENCE North 85 degrees 27 minutes 10 seconds West along lands now or formerly of Polashock a distance of 76.06 feet to a monument in the easterly line of Second Street; 4) THENCE North 05 degrees 03 minutes 50 seconds East along the east line of Second Street a distance of 125.69 feet to the point or place of BEGINNING. INSTRUCTIONS(RP-5217-PDF-INS):twlymorps.state.ny.us FOR COUNTY USE ONLY Now York State.09paAment of C1.swlS Code I ALL.! ,�� �, �` I Taxation and Finance c2.Date Deed Recorded I S/ ICS / I Office cf Real Property Tax Services e°� Oft Lq "- RP-5217-PDF C3.Book I G.Papa I I , Real Property Transfer Report(9110) PROPERTY INFORMATION 1.propshtr 17130 Main Street Location 'MEET NWER •STREET NIW E Southold New Suffolk 11956 •Cm OR Tam VILLAGE 'ZP COOS Y.Buyer Nemsrm Shannon Sion Simon Irrevocable Trust N 'Wi W WFJCOYFlINY FRUIT IeVAE WT NAMEICOYPANr FIRST NAME 3.Tax Indicate whole future Tax BAR are to be said Billing if other than buyer address(at boUrn of form) LAST NAE¢Sott7Ww nRST NAME ' Address STREET MAWR AND NAME C11T<r10aN STATE res COOL ' 4.Indicate the number of Aesnsmnta Part of Proal (Only It Port of o Parcell Cheek as they apply: Roll parcels tnnstered on the dead 10 of Parcels OR sA.Planning Board with Subdivision Authority Exists L Dead \ alt 0.22 Property 'FRONT FEET Property Subdivision Approval was Required kr Transfer 'pEPrx •AeREa sire I 4C.Parcel Approved for Subdivision with Map Provided 51MON SHANNON SLON ; 6.Sailor •LAST HAMErCOYPAW RRST NWE Nems LAST NMFX.OYPANY FRET NAME '7.Select the description which most accurately describes the Check the boxes below as they apply: l use of the property at the time of sale: B.Ownership Type 1s Condominium A.One FamilyResidential s.New Construction an a vacant Land E]I 10A.Property Located within an Agricultural District 100.Buyer received a disclosure notice indicating that the property Is In an ❑ Agricultural District SALE INFORMATION 16.Check we or more of these conditions me oppilcableto tmhtefor. A Sok Between Relative or Former Relatives 11.Sale Contract Date B.sale between Related Companies or Partners in Business ^ C.One of the Buyers is also a"Isr •1 i Date of SakRrenslor Ol D.Buyer or Sailor 1s Government Agency or Lending Institution E.Dead Type not Warranty or Bargain and Sale(Specify Below) F Sale of Fractional or Less than Fee Interest(Specify Below) •13.Full Sale Price $0.00 G.Significant Change in Property Between Taxable Status and Sok Det" H.Sale of Business is Included in Sale Pries (Full Sala Price Is the ictal amount paid for the property Including personal property. t. Other Unusual Factors AffectingSale Price 3 This payment may be 1n the form or cash.other property or goods.or the assumption of (Specify Below) mortgages or other abllgaboe.)Preen mend to the nearest sclero dSlgrerlrOurll. Xi J.None Comment(s)on Condition: 14.Indicate the value of personal property Included In the sale $0.00 ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 18.Year of Aesesmsaht Roll from which Information taken"' 22 '17.Teal Ameasad Value 6.600 i '1111.Prop"Class 2 1 0 — .19.School District Name New SUffbik School '20.Tox Map Mondlsr(syRoll kinttlor(s)(N more then four,attach shoot with additional IdemMer(s)) 1000-117.00-09.00-028.001 CERTIFICATION I CerWy that all of the Items of Information eat- on thin forth are We and correct(to the best of my knowledge and beflan and I undsmtend that the ranking of any willful false slater.out of material fact herein subject net to the provisions of the.genal low-ralative to the making and filing of false InWumnte. $ELLER SIGNATURE BUYER CONTA¢T INFORMATION (Flier Irlarrrlabwl for ITS buyer.ITde:1 dryer a LLG.sooaq.association.Colporeort fart rocs edrgarq,ease or w rl;y trial Is not an IyxteAal agent or tox-y,Ilan a lelr end camp I.ft.I rtiorl of an ngWAML espnmbb U 171a-71a�a w�wRaCM01 wegilaaAmsragrorlgnauonskrmupbma-ei Type or prim clerlyI aEllER BGINTYR - 1L11E BUYER SIGNATURE Shannon Sion Simon Irrev Tr LAW-ANS FlRST NWRE 1 Z 631 734-7237 T11EACOOE RBEMONENUMMRF.:srree) E drE 17130 Main Street i 'STREET SUMMER 'STAOET IME E New Suffolk NY 11956 S:ITT OR TOIAN 'STATE 'pPCOOE BuvER's ATTORNEY I Bumer Law Group l , .111AYE 1.RST NWAE ( � 941-3434 ATEIEWHOwEENxrER aE..mm"