HomeMy WebLinkAboutL 13227 P 813 11111111 IIII IIIII IIIII 1111111111111111111111111 IIII IIII
l l i l l l l l l l l l l l i i l l l l l l l l
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/01/2023
Number of Pages : 3 At: 02:02 : 11 PM
Receipt Number : 23-0151792
TRANSFER TAX NUMBER: 23-12950 LIBER: D00013227
PAGE: 813
District: Section: Block: Lot:
1000 070 . 00 04. 00 026.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0. 00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $15 .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 $5 .00 NO RPT $200 .00 NO
Transfer tax $0 .00 NO Comm.Pres $0 .00 NO
Fees Paid $395 .00
TRANSFER TAX NUMBER: 23-12950
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
VINCENT PULEO
County Clerk, Suffolk County
1❑ 2❑
Numberof pages
RECORDED
2023 bec 131 02:02:11 PM
This document will be public VINCENT PULED
CLERK OF
record. Please remove all SUFFOLK COUNTY
Social Security Numbers L D00013227
prior to recording. P 8133
CST# 23-12950
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee j5.cc, Mortgage Amt.
1.Basic Tax
Handling 20, 00
2. Additional Tax
TP-584 S-�� Sub Total
Notation Spec./Assit.
or
EA-5217(County) S_ Sub Total L4 Spec./Add.
EA-5217(State) 1 . S D-0 TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. aZ ��. Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Mansion Tax
Affidavit
Certified Copy S. �� The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 cYD family dwelling only.
Sub Total 3S YES or NO
Other
Grand Total 3�1 S da f see appropriate tax clause on
e# of this instru11
i e�ta( 2
�
Dist23048981 loos 07000 oaoo 02e000 5 Co unity Preservation Fund
.
Real Ager ye 0 VIT �II�IEII�IIIIE�I�III�IIIIII�I�I��I�IIII CPF Tax Due Amount$ a
Tax Service R VIT A
Verification
- - - -- �--- -- -- - - ---- - - Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD 8 RETURN TO: Vacant Land
�
Record&Return to: TD
LID 0
Scolaro Fetter Gritanti&McGough,P.G TD
501 Plum Street,Suite 300
Syracuse,NY 13204 TD
Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Bargain and Sale Deed made
by: (SPECIFYTYPEOF INSTRUMENT)
Elizabeth Van Bourgondien The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of Southold
Elizabeth Van Bourgondien and In the VILLAGE
John Van Bourgondien or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
THIS INDENTURE, made the_L2�_day of Oc+o P T 2023.
BETWEEN: ELIZABETH VAN BOURGONDIEN
of 875 Hill Road, Southold,NY 11971,
Grantor,
AND: ELIZABETH VAN BOURGONDIEN AND
JOHN VAN BOURGONDIEN, husband and wife,
of 875 Hill Road, Southold,NY 11971,
Grantee,
WITNESSETH, that the Grantor,in consideration of Ten and 001100 Dollars($10.00)and
other valuable consideration paid by the Grantee, does hereby grant and release unto the Grantee,
the heirs or successors and assigns of the Grantee forever,
ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon
erected, situate, lying and being at Southold, Town of Southold, County of Suffolk and State of
New York,known and designated as Lot number 5 on a certain map entitled,"Map of Calves Neck
at Southold" and filed in the Office of the Clerk of the County of Suffolk on February 15, 1972 as
Map number 5673.
SUBJECT to easements, covenants and restrictions of record, if any.
FOR REFERENCE ONLY: Property Address: 875 Hill Rd
Tax Map No.: 70.-4-26
BEING the same premises described in the Deed to the Grantor herein dated May 15, 1974
and recorded on May 24, 1974 in the Suffolk County Clerk's Office in Book 7643 of Deeds at
Page 209.
THIS conveyance is made in the day-to-day business of the Grantor and does not constitute
a transfer of all or substantially all of the assets of the Grantor.
TOGETHER with all right, title and interest, if any, of the Grantor 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 Grantor in and to
said premises;
TO HAVE AND TO HOLD the premises herein granted unto the Grantee, the heirs or
successors and assigns of the Grantee forever.
AND the Grantor covenants that the Grantor has not done or suffered anything whereby
the said premises have been encumbered in any way whatever, except as aforesaid.
AND the Grantor, in compliance with Section 13 of the Lien Law, covenants that the
Grantor 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 Grantor has duly executed this deed the day and year first
above written.
94�MJLX&t�-
ELI ABETH AN B RGONDIEN
STATE OF NEW YORK )
COUNTY OF ,Sufi-cO)k ) ss.:
On this /01-, day of 0(f v 2023, before me, the undersigned, a Notary Public in
and for said State, personally appeared ELIZABETH VAN BOURGONDIEN,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 wh' a ind' ' al(s) acted,
executed the instrument.
Notary Public
��f D"'�*�+„tea_ +►
Record& Return To: �� y
Scolaro Fetter Grizand&McGough, P.C.
507 Plum Street, Suite 300
Syracuse,NY 13204 8571 14.1 s Y
P18IJC:
$a saw"
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.slats.ny.us
FOR COUNTY USE ONLY J� -1 New York State Department of
C1.$ells code I `7 I ,�g I Taxation and Finance
C2.Date Deed Recorded I �" /Z-3 Office Office of Real Property Tax Services
�j yw• RP-5217-PDF
C3.Book r ,is 1 Z I C4.Page I ,
v �, I� Real Properly Transfer Report(8110)
PROPERTY INFORMATION
1.Property 8.15 II-;LL ROAD
Location
•S'�CE'h�VGCi 'S:R_LI RAYL
SOUTHOLD 1197.
GI"•Ci-Cher V 1A:E •Z P GCGC
2.Buyer VAN BOURGONDIEN '7,ARE"_'=
Name
I WIT YAMFCCa-AMY F RET%W
VAN BOUHGOYDf=V JOHN
LAETNANEICCM-AhT rME,1WME
3.Tax Indicate where future Tom Bills are to be sent
Bfiling d other than buyer oddress(m boilers Of farm) Ue,NEVGCOW-Wr 'RST-E
Address
E:RLL'N VDLV M3 NAML C'1Y0R:Gwh JW-F rP CODE
4.Indicate the number of Assessmen! _ M of Percale OR ❑Pan of a Period (Only Ir Part ata Parcel)Check as they appy:
Roll parcels transferred on the dead 4A.Planning Board with Subdivision Authority Exists
6.Deed XOR 0.44 46.Subdivision
Property •-ROW.FEE'. •LLPfll 'ACRES
Approve!was Raglcretl for Transfer
Stro 4C.Parcel Approved for Subdivision with Map Provided
VAN -OURGONDTF.N ELIZABETH
G.Salter •IAe;NAlrx:eVPAr,• 171x'IIAYI
Name
LAST MVFICDVPMY FEW i-F
17.Select the description which most accurately describes the Check the boxes below as they appy:
use of the property at the time of sale: IL Ownership Type Is Condominium
A.One Family Rcsiduntial 9.Now Convection an a Vorent Land
10A.Property Located within an Agr[pu tund District
108.Buyer received a disclosure notice Indicating that the property Is in an ❑
Agrieullural District
SALE INFORMATION 16.Check one or mom of these condltions as applicable to transfer:
A.Sale Between Relatives or Former Relatives
11.Sale Contract Deb B Sale between Related Companies or Partners in Business.
C.Ono of:he Buyers Is also a Seller
12.Deft of SolelTransfer I'D - D.Buyer or Seller is Government Agency or Lending Institution
E Dow Type not warranty or Bargain and Sale ISpeafy Below)
F.Sale of Fractional or Less then Fee lmemat Specify Below)
113.Full SEI@ Prim 0.00 G.Significant Change in Property Between Taxable Status and Sale Dates
H.Sale Of Business is Included in Sale Price
I Full Sale Price is the ugel amount paid for the property including personal property. 1.Other Unusual Factors Affecting Sale Price(Spociy Below)
This payment may be in the farm of cash.other property or goods.or the assumption of J.None
mortgages or other obligations.)Presse round retire nearest whole clodur ameent.
Comments)on Condition:
14.Indl@ato the value of personal 0 .00
Property Included In the sale
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Rall hem which Information taken(YY) 23 117.Total Assessed Value
•16.Property Class 210 _ •19.School District Name SOUT HOLD
•20.Tax Map Identiflerls)IRoll ldmltifler(s)(It more than four,attach sheet with addWonni Identlfleirls))
/4-5-26
CERTIFICATION
I Certify that all of the hams of Information emend on this form sm true and Correct(to the best of my knowledge and b@Ii@Q and I understand that the making of any w11tiul
felso stomment of material fact herein■ubject me to thojModWgn&aLftnpnAUavLreledve to the making and filing of false Instruments.
SELLER SIGNATURE BUYER99111TACIINF.ORMATION
T (Einer Inlamehon tr ere bapr.Nota 4 buyer Is LLC,scos ly,asso,abw:corpolelan.F-a icook cornpe'ry,We%or
V ��11 muly-at leno[an1'1amaW1 pain w IMWry,VIM■rare 1110 m7aC MUM MUM IS on MdWdURMIPma da
�e-Z3 paM+r'no W ontaar gwsmns mosmng s's aansfer rr st oa ertmot.Type or pent coatsI
5LL_LR5 .,R= Ua ?RE
VAN 6011RG01tiD1k:N LLl'LA:3r:'iii AN:; JOHN
BUYER SIGNATURE
�•
'LAST RIWE FPS-a1W'E
io-�a•a3
x:r•ft:i '-FIFIMD�i 4..vaF-.F.SKNWi;
SMERSIUMIATURE, DATE
ass ll--:,L ROAD
•E'PEET hu1PER •S"RLLI VRML
SOn.:�f 01`.) NY 119,11 5 DY
-BATF 71FCQ7E
BUYER'S AgQRN91
1 SCOLARO F-ETTER GRILANTI 6 MCGOUGH, P.C.
'1 LAST»YC F DIST VAME
1 I
/;I5--COi7L 47,-R1 1 TF.FR-04-NINbERis,ewewll