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Home My WebLink AboutL 13201 P 655 1111111 IIII IIIII IIIII IIIII(IIII Illll 111111111111111111 1111111 IIIII 11111 IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 05/15/2023 Number of Pages : 4 At: 12 : 38 : 45 PM Receipt Number : 23-0064359 TRANSFER TAX NUMBER: 22-27777 LIBER: D00013201 PAGE : 655 District: Section: Block: Lot: 1000 128 .00 01 . 00 016.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $630, 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 RFT $200 . 00 NO Transfer tax $2 ,520 . 00 NO Comm.Pres $9, 600 .00 NO Fees Paid $12 ,515 .00 TRANSFER TAX NUMBER: 22-27777 THIS PAGE IS A PARI' OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County / RECORDED Numberof pages �l/ 2023 Nay 15 12:38:45 PM Vincent. Puleo CLERK OF SUFFOLK COUNTY This document will be public L D00013.201 record. Please remove all P 655 Social Security Numbers DT# 22-27777 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Mortgage Amt. Page/Filing Fee 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-5217(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX e--7, Dual Town Dual County �' R.P.T.S.A. ov co Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Z-5 7� Affidavit • . Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other ? Grand Total 13 4-51- V,` If NO,see appropriate tax clause on yl page# of this instrument. aid 3�a3 4 Dist.l 23015779 1000 1.2800 0100 016000 00 5 Community Preservation Fund Real Propert�vice PTS IIIIIIIVIII IIIVIIII II VIIII�I I��IIIIIIIII CPF Tax Due Amount$ Op OGU Tax Service R CGR A I k Agency 11-APR-2 9 Verification -- - - J Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TERRENCE M HIGGINS ESQ TD /000 57 MANHASSET AVENUE MANHASSET, NY 11030 TD TD Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name LANDSTAR TITLE AGENCY INC www.suffolkcountyny.gov/clerk Title#LT75797 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFYTYPEOF INSTRUMENT) HSA HOLDINGS II,LLC The premises herein is situated in SUFFOLK COUNTY, NEW YORK, TO In the TOWN of SOUTHOLD JOSEPH F FARELLI AND PATRICIA FARELLI In the VILLAGE or HAMLET of LAUREL BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over LT 11,5'7 9 �] ✓ CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY u v THIS INDENTURE,made the 3rd day of March 2023 BETWEEN HSA Holdings ll, LLC c/o Sean Peters, 108 Remington Road, Manhasset,NY 11030 party of the first part,and Joseph F.Farelli and Patricia Farelli,as Tenants by the Entirety 137 Carlton Terrace,Stewart Manor,NY 11530 party of the second part, WITNESSETH,that the party of the first part,in consideration of ten dollars($10.00) paid by the party of the second part, does hereby grant and release unto the party of the second part,the nems 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 AND MADE A PART HEREOF Being the same premises conveyed to the parties of the first part herein by deed recorded on January 16,2019 in Liber 12997 page 207. biST /oo o Sec_ al, a0 Street Address: 4985 Peconic Bay Boulevard,Laurel,New York �T- Tax Map No.: 1000-128.00-01.00-016.000 p 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 parry 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"when ever 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: HSA Holdings II, LLC By: Name: Robert Fischette, Title: Authorized Signatory Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment Form 3290 WFG National Title Insurance Company Title Number: LT75797 Page 1 SCHEDULE A DESCRIPTION ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Laurel, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the northwesterly side of Great Peconic Bay Boulevard distant 450 feet southwesterly from the intersection of the southwesterly line of land of George H. Turner with the northwesterly side of Great Peconic Bay Boulevard; RUNNING THENCE along the northwesterly side of Great Peconic Bay Boulevard South 39 degrees 46 minutes 30 seconds West 70 feet; RUNNING THENCE North 50 degrees 13 minutes 30 seconds West 95 feet; RUNNING THENCE North 39 degrees 46 minutes 30 seconds East 70 feet; RUNNING THENCE South 50 degrees 13 minutes 30 seconds East 95 feet to the northwesterly side of Great Peconic Bay Boulevard the point or place of BEGINNING. Said premises to be known as 4985 Peconic Bay Boulevard, Laurel, NY 11948. District 1000 Section 128.00 Block 01.00 Lot 016.000. The policy to be issued under this report will insure the title to such building and improvements erected on the premises which by law constitute real property. For conveyancing only: Together with all 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. Z ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of Suffolk ss: State of New York,County of ss: On the 3rd day of March in the year 2023, On the_day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared Robert Fischette, personally known to me or proved to me on the basis of satisfactory 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 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 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) same in his/her/their capacity(ics),and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which on the 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. Notary signature:&4,',L Notary signature: Notary stamp: — I Notary stamp: t_INDAA.HOLBROOK Notary Public,State of New York No.01H06074303 Oualified in Nassau County Commission Expires 05113/2026 ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK IN NEW YORK STATE STATE State of New York,County of ss: *State of County of , ss: '(Or insert District of Columbia,Territory,Possusim or-Foreign Ctnmry) On the day of in the year , before me,the undersigned,a Notary Public in and for said State, On the day of in the year personally appeared before me,the undersignced_pawititlly appeared the subscribing witness to the foregoing instrument,with whom I am personally acquainted,who,being by me duly sworn,did depose and say Personally known to me or proved to me on the basis of satisfactory that he/shc/they reside(s)in 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), that by his/her/their signature(s)on (ifthe place of residence is in a city,include the street and street atunber if my,thereof): the instrument,the individual(s)or the person upon behalf of which the that helshe/they know(s) individual(s)acted,executed the instrument,and that such individual make such appearance before the undersigned in the to be the individual described in and who executed the foregoing instrument;that said subscribing witness was present and saw said (add-the city or political subdivision and the state or country or other execute the same;and that said witness at the same time subscribed place the acknowledgement was taken), his/her/their name(s)as a witness thereto bi sT 1000 SECTION: 128.00 Title No. HSA Holdings II,LLC 01.00 BLOCK: LOT: 016.000 COUNTY OR TOWN: Suffolk County TO Town of Southampton p �(ghhas5�j i1o,3� FOR COUNTY USE ONLY Q-01New York State Department of C1.SWIS code 4 D I-511?�p I ' I Taxation and Finance C2.Date Deed Recorded L-5 / 15 /a �:) I Office of Real Property Tax Services Mune Do YM h RP-5217-PDF C3.Book l m d rV , 1 i C4.Pape I m 1J t� Real Property Transfer Report(8110) PROPERTY INFORMATION 1.Property 4985 PECONIC BAY BOULEVARD Location 'STREET NUMBER •81RLkl HAUL SOUTHOLD ;1946 CITY OR TOWN WLAOk .2P COLE 2.Buyer Farelli JOSEPH F. Name .I AST MAMEA:OMRAMY river NAPE Farelli PA^_RIC-7A LAaI NAW CQMPAW FIRSr NANF. 7.Tax Indicate where future Tax Bills are to be sant Billing If other then buyer address(at bottom at(am) LAST NAV WCrrAPAW FIRST NAME Address STREET NUMBER AND MMML: OTYOR70NN arATE rr coon: 4.Indicate the number at Assessment ) ❑pan of a Parcel (Only If Part of a Parcel)Check as they appy. Rall parcels transferred an the deed N Parcels OR ❑ 4A Planning Board with Subdivision Authority EIISIM S'Deed X oj>. 0.15 46.Subdivision Approval was Required for Transfer Property •FRONT`rEET •IrFPrH -ACRES sue 4C.Parcel Approved for Subdivision with Map Provided HSA (-fold'_rgS TT LLC G.Sellar LASI NMILICOMPAW reasT MANE Name I AST MAM1!C0MPANY r IRST NAME 17.Select the description which most accurately d@wAbss the Cheek the boxes below as they apply: use of are property at the time of Bob: 1.Ownership Type is Condominium A.0nc Family Residential 9.No-Construction an a Vacant Land 10A.Property Located within an Agricultural District D 106.Buyer received a disclosure notice indicating that the property B in an ❑ Agricultural District SALE INFORMATION1 15.Check one or more of time conditions as applicable to transfer: A.Sale Between Relatives or Former Relatives 11.Bob contract Date 01/19/2023 B.Sale between Related Companies or Partners in Business. C.One of the Buyers is also a Seller 12.cots of Selalrmnsfer 03/03/2023 D.Buyer or Seller Is Govemment Agency or Lending Insbtubon E.Dowd Type not Warranty or Bargain and Sale(Specify Below) F.Sale of Fractional Or LBBB then Fee Interest(Specify Below) 119.Full Sale Price 630,O O D.(X) G.Significant Charge in Properly Between Taxable Status and Sale Dates H'sale of Business is Included In Sob Price (Full Sale Price is the total amount paid for the property including personal property. I.Other Unusual Factors Affecting Sale Price(Specify Below) This payment may be in the form of rash,other property or goods,or the assumption of J.Nam mortgages or other obligations.)Please round to me nearest whole dollar amount. Comment's)on Condition: 14.Indicate ft value of personal property Included In the sale 0 .00 ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roil and Tax Bill 16.Year of Assessment Rall from which information taken(YY) 2 2 97.Total Assessed Value 3,300 •16.P opsrtyClass 2!0 _ •19.school District Name MA"'TT T TCUK-CUTCHOUGUF 120.Tax Map Identlflar(syRoll Idsnditr(s)Bf more than four,attach Most with addulsnal Identifier(Q) 1000-128-1-16 CERTIFICATION I Certify that all of the Noma of Intarmatlan entered on this Pores are bus and correct(to the beat of my knowledge and belief)and I understand that the making of any willful false statemsM of mabrlat fact herein subject me to tM.proylsWne_of_tha.penal.bw relating to the making and Sling of false Instruments. R SIGNATURE BUYER CONJACT INFORMATION (En wwftmawn mar aro buyer.Nue:II suyw is I.W.sociemy.asaoeiskMl.corporaton.pirs srorA company.cause or entry that a not an individual pelt or fduwFy.glen a nano and anted adon-.A ion or an RRWIdinarmsQonsitio {wly who rel answer questions M prdUM am aansM miss IID anmmtl.Type ar print clearly.) SELLER SIGNATUR DATE FAR=LLI 3OSE?1•f •LAS:NANF rINMI rlAvs: ' 31314, St4 444 - �f9s 'AREA CODE 'TELEPHONE NUMBER fEa.fMlewwm Sx NAT rrAlE /��1�Ks /37 Q/• '�,f /Y7 I CG 'SmEET NUUBLR 'STRFFr NAME rIIY OR TONM 'STATE ZPCODE BUYERS ATTORNEY I I HIGGINS TERENCE LAST NAE F WST NAME I 1 1 (516) 365-6414 ARF.ACabk I LLLPHOrb NUNULN ILS tisalrrI