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L 13214 P 220
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 8/16/2023 Number of Pages: 4 At: 9:19 :54 PM Receipt Number: 23-0104875 *ELECTRONICALLY RECORDED* Transfer Tax Number: 23-01916 LIBER: D00013214 PAGE: 220 District: Section: Block: Lot: 1000 070 .00 11 .00 008 .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: 23-01916 Fees Paid $395. 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County RECORDED Numberof pages 4 8/16/2023 9:19:54 PM VINCENT PULED CLERK OF This, o(,,.ament wilt be rublic SUFFOLK COUNTY L D0 0 013214 Soca i Svcurfty Numbers P 220 prior to recor'dhq, 23-01916 Deod f Mortgage Instrument Deed 1 Mortgage Tax Stamp Recordinrq t Filing Stamps FEES Raga)Filing Fee .00 Mort0age Arnt. 1.Basic Tax --- Handling 20. 00 2. Additional Tax TP-584 5.00 SuhTota1 Notation0.00 apecJAssit, or EA-5217(County) 5.00 Sub Total 50.00 Spec,Add. - EA-5217(State) 125.00 TCT.MTG.TAX R.P.T.&A. 200.00 Dual Town Dual County I-tetd for Appointment Comm.of lWd. S- Transfer Tax 0.00 Affidavit * �* Mansion Tax 0.00 Certified Copy 0.00 The property covered by this mortgage is or WH be improved by a one or two NYS Surcharge 15, 00 345.00 family dwelling only. Stab Total. _ YES or NO Other 395.00 Grand Total If NO,see appropriate tax cruse on page# of this tnstrumant. 4 1 Dist. Section Block Lot 5 Commun y Preservation Fund 23029690 Real Noperty Cori i.ci�ratiQz A.rrourzt$0.00 Tax Service P s R cwrt A 0.0 0 Agency 7r7T2023 CPT( Tax Du Verification Improved X � ars actrons� a�esa eases €s rope Hers a�ts�g rens RECORD&RE!URN TG: vacantl.and First International Title - Riverhead TD 10 633 E MAIN 5T 5TE 3 RIVE REEAD NY 11901 TD TD Mail to: Vincent Puled,Wfolk County Clerk Title Company 1nformabon 310 Center Dve, Riverhead, NY 1190-1 Co-Name u wwau'ffolkwuntyny.govlclerk Title Suffriolk County cccr ink & Endorsement Page This page forms part of the attached DEBD -made 4y, (SP CIFYTYP OF INSTRUMENT) The prerniw5 herein issituated in SUFFOLK COUNTY, NEW YORK TO In tt*TOWN of SOUTHOLD 1 n the\ALLAGE or HAMLET of soxEs6 THRU 8 MU7 IE;PED OF,PRINTED 1N BLACK INK ONLY PNOR To RBCQR0ING OR FILING, av 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 15th day of March,2023, between Suzanne Fujita,as to a one-third(1/3)interest, 1655 Parkway,Southold,New York 11971, party of the first part,and David M.Fujita and Suzanne S.Fujita,Trustees,or their successors in interest,of the David M. and Suzanne S.Fujita Living Trust dated March 1,2023, and any amendments thereto, 1655 Parkway, Southold,New York 11971, party of the second part, subject to a life estate to Carol Perry Scott,as recited in Deed recorded in Liber 12766 at Page 545, 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 at Pine Neck,near Southold,in the Town of Southold,County of Suffolk and State of New York,known and designated as Lot#43 on a certain map entitled"Map of Southwood, Lots No. 1-53 inclusive"made from actual survey completed October 1, 1953,by Otto W.Van Tuyl& Son,Licensed Land Surveyors,Greenport,New York,and which said map was filed in the Suffolk County Clerk's Office on November 24, 1953,as Map#2141 Abstract#2249 Together with all right,title and interest,if any,of the party of the first part in and to the highways in front of and adjacent to said premises and to the center line thereof. BEING AND INTENDED TO BE the same premises conveyed to the grantor herein by deed dated February 18,2014,recorded in the Suffolk County Clerk's Office on March 11,2014, in Liber 12766 at Page 545 BEING AND INTENDED TO BE the premises commonly known as 55 Crittens Lane, Southold, New York 11971; 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 at I the estate and rights of the party of the first part in and to said premises, District: 1000,Section:070.00,Block: 11.00,Lot:008.000 NYSBA's Residential Real Estate Forms+9/2000) 4- V 2023 Matthew Bender&Company,Inc.,a member of LexisNexis. TO IIA VE 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, 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. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. By:'uzantre Fujita IN PRESENCE OF.- District: F.District: 1000,Section:070.00.Block: 11.00,Lot:008.000 NYSBA's Residential Real Estate Forms(9/2000) -2- t)2023 Matthew Bender&Company.Inc..a member of LexisNexis. Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK ) ) ss.. COUNTY OF SUFFOLK ) On the 15th day of March in the year 2023,before me,the undersigned,personally appeared Suzanne Fujita,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 acknowledg,qd tX�hividy.she executed the same in her capacity(ies).and that by her signature(s) on the ins e -s};`or the person upon behalf of which the individual(s)acted, execute a ins l " (s' e'an fice of in idual taking acknowledgment) JENNIFER SOPHIA RAGUSO Notary Public,State of New York No.01RA6285437 oualified in Suffolk County Commission Expires 07108;20 aS District: 1000,Section:070.00,Block: 11.00,Lot:008.000 NYSBA's Residential Real Estate Forms(9/2000) -3- 0 2023 Matthew Bender&Company,Inc.,a member of LexisNexis_ FDR COUNTY USE ONLY C1_ swiS Cade 14 . 7 . 3 . 8 . 8 . 9 1 =-IP€5]:www.orps.state.fty.us C2_ Date Deed Recorded 8 / 16/ 2023 bkW Yq'k.Stoto�p of yy yy Month Dap Year Twin and Fllm> C3_ Book 111 312 1 1 1 4J C4_ Page I I 12 1 21 0 I aw aB of P.Sm Propedy Tax SendmS RP- 5217-PDFPROPERTY INFORMATION Real Property Tfaffx'ft0f Report($140) PROPERTY INFORMATION s. Property 1-C1Catiocatigh 55 Crittens Lane ^s�tv�'lx -srmrr»er:•'rM1te� Southold ]None � _ 11971 .... CITY OR WAW v"10 Trustees,or their successors in interest,of the David hR.aftd��anne S_ 2.Buyer David M. Fujita and Suzanne 5, Fujita Fu its Llvin Trus!dated March 1 2©23,and-any amocinnents therefor Narrxei_............ 9.,......_..._....r..�.,.....r..�.._.........1.__....- •use wu�rcaaes�arur Futsr waratz 115F NM1MEJCfIMPANY.... .......�..�............. Fji NAME -- .............�.. ...........W... 3.Tax indicate where future Tax BJw ane to be sent ("' j(a Suzanne B31€in9 d other than hrsyer addresS(at botiorn of form) f :'. '". rwxsi xyar.� Address 1655 Parkway Southold —NY 11971 - sris;'rnerr 'waarn env oR rows ATATE xm corms. 4�€rvWcate the number of Assessment #of FS ❑Part of a Parcel (Only it Part of a Pard€)Check as they apply- Roll parents transferred on the deed , , arCrtlS t7R 4A_I'€annirrg t3vard VVitft Subdiviaion AuntaaS€y Exists &-Deed x.55 OR 48,Subdivision Approves was Required for Trarlxfer l:+roperIpr ^=cnarnrr�Er -•cvryrri `-•acnes size 4C.Pame�Approved for Subdivision with Map Provided Suzanne Fula _. .- --- -- as to a one-third 't13 interest B.Stellar - -- �....��......_�_. .W........... 'tASr K4ArFJC1�oAtil' SIRSF tVAME Name LN`f'NMrL=N.�a'>'iVy -�J -••• •�f 3'�iST wunfl •• ••W '7.Select the description Bch roost accurately describes the Check the boxes below as they apply. use of the property a3 the time of sale: 8.Ownership Type is Condominium Sl,New Const€imtion on a Vacant Land A. Cane Family_RI sidential .., ., ,., IOA.Property Located within an Agricurturai Die, t L I RA.Buyer received a disclosure notice irlc#catirtg that the prOpP.aiy is in an Agrictftumi Dist6ct riALE INFORMATION Ys.Check one or more of these condRions as applicable to transfer: A Sale ItWw ee n Relatives at Fortner Relatives TT.sale Contract Data B.Saw between Rotated Ccunpanias or Partners in C.One of the Buyers is also a Seller 1z DaA.e of SaIrJTrarssfer March 1�� D.Buyer or Selliwf m Government Agency or Lending tnstitultort ' E.Creed Type not Warranty w Bargain and Sale(Specify Blow) F.Sale of Fractional or less than Fee lMomst(Specify Below] '43.ru€€Sale Price $0000.SngnWmant Change in Property Het een Taxable Status and Sale Dates m Ft.Sale of Business is included in saw Price {Full Saar Price is the total amount paid for the property including persondl property- I. OtherUnusslal Factors Affecting Satle Price(Spey c+°) This paymfnit.nay be in the formof cash,other p€s7perty or goads.or ilia assumption of �{ J.None or other oNtgatora-)Please round to Me heemst whole dolla?ramount. Comment(s)on Cond€tlun: 14.Indicate the value of personal property Inc€sided in the shale $0,00 _ 777:MENT INFORMATION-Data should reffeCt the latest Final Assessment R(Al and Taal(Bill -- 7S.Year of Assessment Rall from which information laken(YY) ^23 '17-Total Assessed Value u... .^.^.^. 900 'I8.Properly class 2 1 0 — 149.school District Name Southold '20.'rax Map€dentif€er(sYFoll tdentifisr(s)of more than four,aHach sheet with additional Idenfifier(a)) 1000-07,000-11 OGO CERTIFICATION €GerCfy€hat alf of the itamt;of information entered on this fnrrre are tree and correct(to the befit of my knowterfge and bellef)and€undetwtand that the making of any wiiFFa€ false statement of materia€fact herein subject me to th0 oa'uvis<ourlsl_[d'the bloat Few r8Fat7YB to the mah"and filing of false Instruments. (Enter inforraaSoq for the buyer-Note!If 6uyor is LLC.®Pesaiy.seen urem ,mrp-avon,gni su.*i,on p*ny'ouwte W .c entity that is not an lnaividual agent or l€au iprY.Dari a>L Rte pnd Conbho%0`0"Tk"t On Mail itldly}WAaVrI#�mon5lWa .� .ry Carty who can at> t quastknS regardkno the lrarsfiu MW to arft"d.TYPO er ted"t Ck-"3 SlLtmR, rus* Ii iN rt 7 5. jYER Sf!1SaMATi.)$ 1 .... ..... 1 avid •nosh trA� t�xyr r+�i►iE -' i 637 506-844 :: ].'.1..�r c-Jam.-.r .. ..:a f•.S ..� ^AiiFii revs.;. ......_ �_____.........�.._ ...rra.r�-a+rx+E rsurm�H[Fx-9a nw9 = mrr>=n s1 rtniE ware 1655 Pa!"gy ,............... •srae�r swnnd�a •srr�tr rrnnat= • t � SDuthvld .. ._ ._. NY 1187'1 �cny Un i cIwm STAW !W CME [ 1 IAUYER_14-A TCHK H EY € NONE 1 ;� A1i>=A�N7f= •� -�•••�•••�••• 'rE[.F.PIYSHe 3Vs9de�J2[EK:riseBAB83