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Home My WebLink AboutL 13220 P 657 1111111111111111111111111111111111111111111111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 10/02/2023 Number of Pages : 4 At: 11 :22 :57 AM Receipt Number : 23-0126434 TRANSFER TAX NUMBER: 23-07053 LIBER: D00013220 PAGE : 657 District: Section: Block: Lot: 1000 018 . 00 02 . 00 027 . 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 $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 $395 .00 TRANSFER TAX NUMBER: 23-07053 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County - 0 2 RECORDEI' Number of pages 2623 Oct 02 11:22:57 AM Vincent. Puieo CLERK OF This document will be public SUFFOLK COUNTY record.Please remove all L D00013220 Social Security Numbers Es57 prior to recording. DTII 23-07053 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total — Spec./Add. EA-5217(State) IA5z- TOT,MTG.TAX R.P.T.S.A. ' Dual Town Dual County Held for Appointment Comm.of Ed. S. 00 Transfer Tax Affidavit _ GE%-j Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 �- family dwelling only. Sub Total YES or NO Other _ Grand Total If NO, see appropriate tax clause on 2e# of this instrument. in 'g-6-4,3 4 Dist. 000 5 Community Preservation Fund 23039610 1000 01800 0200 027000 Real Proper Consideration Amount$ Tax Servic Ageye R DTY A Tax Due S Verification 21 SEP- Improved ps. 6 Satisfarnonsiuiscnarges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD Karen J.Hagen,Esq. 16 Vista Court TD Riverhead,NY 11901 TD N 7 Title Company Information Co.Name Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by. (SPECIFY TYPE OF INSTRUMENT) Don L.Ja amaha and Sharmini Ja amaha The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO to the TOWN of Southold Don L.Ja amaha In the VILLAGE or HAMLET of Orient BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 6th day of September,in the year 2023 BETWEEN DON L.JAYAMAHA and SHARMINI JAYAMAHA,as tenants by the entirety,residing at 243 Maiden Lane, Mattituck,NY 11952 parry of the first part,and DON L.JAYAMAHA,residing at 243 Maiden Lane,Mattituck,NY 11952 parry of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration paid by the party of the second part,does hereby grant and release unto the parry 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,Cotmry of Suffolk,State of New York See Schedule A attached hereto and made a part hereof. Said premises is being and intended to be the same premises described in a certain deed to the party of the first part herein from Geoffery F.Proud,surviving tenant by the entirety to Helen G.Proud,dated 07/08/2022,recorded 07/26/2022 in Liber 13166 page 277 ✓ Said premises are known and designated as District 1000 Section 018.00 Block 02.00 Lot 027.000 Commonly known as 23955 Route 25,Orient,NY 11957. TOGETHER with all right,title and interest, if any,of the parry of the first part of,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 parry of the first part has not done or suffered anything whereby the said premises have been incumbered 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: 1, �M D L'.J yamaha Sharmini Jayamaha t USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLY. USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLK State of New York,County of Suffolk)ss.: State of New York,County of Suffolk)ss.: On the 6th day of September in the year 2023 On the 6th day of September in the year 2023 before me,the undersigned,personally appeared Don L.Jayamaha, before me, the undersigned, personally appeared Sharmini personally known to me or proved to me on the basis of satisfactory Jayamaha,personally known to me or proved to me on the basis of evidence to be the individual(s)whose name(s)is(are)subscribed satisfactory evidence to be the individual(s)whose name(s)is(are) to the within instrument and acknowledged to me that he/she/they subscribed to the within instrument and acknowledged to me that executed the same in his/her/their capacity(ies), and that by he/she/they executed the same in his/her/their capacity(ies),and that his/her/their signature(s)on the instrument,the individual(s),or the by his/her/their signature(s)on the instrument,the individual(s),or person upon behalf of which the individual(s)acted, executed the the person upon behalf of which the individual(s)acted,executed instrument, r the instrumen ` r Fm,j HAGEN• KAREN J HAGEN Notary Pu c NotarlrPublic,State of New York- otary Pu li tory Public,State of New York Regiiitatton*02HA8312317 . Registration 002HAS312317 QualHlad In Suffolk'County Qualified In Suffolk County Cantrrdtilon Ellpins 8eptentber 29.20 commission Expires September 29, ACKNOWLEDGMENTFORMFORUSEWITHINNEWYORKSTATEONLY: ACKNOWLEDGMENTFORMFORUSEOUTSIDENEWYORKSTATEONLY: [New York Subscribing Witness Acknowledgment Certificate) /Out a(Stale or Foreign General Ac1mowledgment Certificate) State of New York,County of }ss.: ----- -------- ------------------------------- }ss.: On the day of in the year (Complete Venue with State,Country,Province or Municipality) before me,the undersigned,personally appeared On the day of in the year the subscribing witness to the foregoing instrument,with whom I before me,the undersigned,personally appeared am personally acquainted, who, being by me duly sworn, did personally known to me or proved to me on the basis of satisfactory depose and say that he/she/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 (efthe place ofresidence is in a city,include the street and street number,if executed the same in his/her/their capacity(ies), that by his/her/ any.thereof);that he/she/they know(s)to be the individual described their signature(s)on the instrument,the individual(s),or the person in and who executed the foregoing instrument;that said subscribing upon behalf of which the individual(s) acted, executed the witness was present and saw said instrument. execute the same;and that said witness at the same time subscribed his/her/their name(s)as a witness thereto. BARGAIN&SALE DEED WITH COVENANTS AGAINST GRANTOR'S ACTS TITLE NO. DISTRICT 1000 S=ON 018.00 Don L.Jayamaha and Sharmini Jayamaha BLOCK 02.00 LOT 027.000 COUNTYORTOWN Southold TO Don L.Jayamaha RECORDED AT REQUEST OF Fidelity National Title Insurance Company REnJPNBYMNL TO FIDELITY NATIONAL TITLE Karen J.Hagen,Esq. INS1i3RANCE COMPANY16VismCoua N avtnRtotusro 1928 Rjverhead,NY 11901 Al-Fidelity 4fl--/" t/anbe Rsw Yw!Stmt Imd nGAssocvim 6 14 WO N O UW 6 6 r/1 G First American Title Insurance Company Title Number:641-S-04527 Page 1 SCHEDULE A DESCRIPTION ALL that certain plot piece or parcel of land,situate,lying and being at Orient,in the Town of Southold,County of Suffolk and State of New York,more particularly bounded and described as follows; BEGINNING at a point on the northwesterly side of Main Road where the division line between premises hereinafter described and land of W.Daley intersects the northwesterly side of Main Road; RUNNING THENCE North 20 degrees 58 minutes 10 seconds West along said,last mentioned division line and also along the division line between premises herein described and land of New York State distant 286.37 feet to land of H.Schmidt; THENCE South 45 degrees 20 minutes 30 seconds East along said last mentioned land and land of A.Karcher, 168.80 feet; THENCE South 22 degrees 43 minutes East continuing along said lands of A. Karcher,131.32 feet to the northwesterly side of Main Road; THENCE South 67 degrees 59 minutes West along the northwesterly side of Main Road 73.68 feet to the point or place of BEGINNING. 1 ' INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us • FOR COUNTY USE ONLY Now York Stets DopereRlent of Cr.SUNS code d.1 .5 ,$ $9 1 Taxation and Finance C2.Den Dead Recorded 1 /02 /20z 31 011ime of Real Property Tax Services '^,1•, °^ r" RP-5217-PDF OS.Book h J J+IZ O I C4•Page 1 1 5 31 1 Real Properly Transfer Report(BM 0) PROPERTY INFORMATION 1•ProPsrb 23955 Route 25 Location •Yratr wlweR •aIREEr NIyIE Southold 11957 .CITY oR roew -LOW •2P CCoe 2.Buyer Jayamaha Don L. •:!a-EMWMY -Mr Mho 1 IAan IJV(xOMPNa' f Pal•tI11C ! 7.Tax =rig Indicate where future Tac Bills are to be surd Addf dalhorthan buyer addreas(atbreamdform) LASTMWEICCMFANy •carr Marc 1 IrRFSr wYBER 40 eAIE cry OR Tom sTAIE 7P CODE 4.Indkels do marcher of Assessment i ❑Pad d a Parcel (Only lf Partof s Poral)Chask esd�apply. 1 Rall parcels trwhm d on the doed a d Parcels OR 4A.Planning Bond with Subdbwsi in Authority Exiws ❑ L Deed \ OR 0.12 4B.SuhdMaxxr roved war Property -mchaFEET -MMM .KRB APP Required for Transfer ❑ Sim 4C.Parcel Approved for Subdvidw with Map Provided Jayamaha Don L. a.Beast •WT k6AXEr0MPw1Y Fair NAME Name Jayamaha S'tarm_n_ LW NAWicoMPMV FIRST hmV- h.Select do dassdpem which mat aeeumbiy dwAbn the Check the boos below as they apply. on of the property at the timo of sols: S.Ownership Type is Crndorrtrdum A.One Family Residential s.New construction an a Vacant land 10A.Properly Located within an Agricultural Dlwdd 108.Buyer received a disclosure notice indicating OW the property In in an ❑ Agricultural District SALE INFORMATION 15.Check on@ ormom dtltemcandidates sappaceblstotransfer A.Sale Between Relotivss or Former Relsdves 11.Sale Conhfdt Dau B.Sale bohmen Related Companies or Partners in Business. C.One of the Buyers a ilea s Seller •12.Dela ofswrrmnahr 09/06/2023 0 Buyer or Enter is Government Ago"or Lending Ine itudon F-Deed Type not Worreery or Bargain and Sale(Specify Below) F.Sala Of Fractional or Less than Fee Interest(Specify Bobo 117.Full Bale Prim 0.00 G.Sgnsiam Change In Property Between Taxakb Status and Sale Daae H.Selo d Business u Included in Sale Price (Full Sale Paha ls the ictal forum paid ICI tw property or goods, p f the ProPwf. I.Otho Unwual Factors Affecting Stle Price(Spedry Below) This paymem may be In Ns form d cash,other property tX goads,a the aswrrption d naryages or other abligatlons.)flees round to Abs rwemN whole ddlsr emoted. ri J.None 'Comment(s)on condition: 14.Indicate the value of Personal 0 ,00 properly Included In1MsW ASSESSMENT INFORMATION-Date Should reflect the larval Final Assessment Roll and Tax Bill 16.Year of Assmems nt Roll from which Irrhrmodon ukw9YY) 22 •17.Total Assessed Value 4,000 •18.PropiftClass 210 _ •1111.School DlebictNome Oyeterponds •ie.Tax Map kbnefMr(syRog Ideneaor(s)pf mom then four,eeaeh show with sddwontl,deneflMs)) 1000-018.00-02.00-027.000 [CERTIFICATION I Cordy that all of the"' of Informade n orreorod on this form are true and correct(u the bust of my knowledge and began and 1 understand east the me"of wry willful ease stalanwrtt of malarial fact Inmin sW*d me to t of mrtMons t1r the caner Iaw.retativa to the making and Sling of hiss bwtmmerea. AFI r ER R BUYER CONTACT INFQ$MA'jJQN IERRr nramnm for ate burr.Nine:Y Wrr s LLC rodey.Semsba;arpaaen.law era aanpaly,eswre or aroydwarotnnl MdRalaswtaMMdWV.den•nunwas Mn rftWArbndennw!Mddwlheepaabh Ealy was co ewer Rllwbone milaraq Nle I avu Mand be entered.type Rrpfnt abaft) eE sxwATORE WE Jayamaha Don L. 'LAL:NAYF F RY M.at �o Y -J?! 7 •AREA CODE ':ELMCM N LMRER IE.-BEwwe: BUYER SIGNATURE MTF 243 Ma_der. Lane '10REE-NLMBER -MEATrA1P mm e Matt:itcck VY 11952 -CM OR 10/11 'TATE '71POWE BUYER'S A�� Hagen Karen J. .AET MWE r106 NAME (=16) 982-2112 —A— TELERONE w112ER IE. t