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L 13235 P 931
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 2/8/2024 Number of Pages: 4 At: 9:22 :33 PM Receipt Number: 24-0017849 *ELECTRONICALLY RECORDED* Transfer Tax Number: 23-19633 LIBER: D00013235 PAGE: 931 District: Section: Block: Lot: 1000 056.00 02 .00 019.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $299,000 . 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 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 $250 . 00 NO TP-584 $5. 00 NO Comm.Pres $5, 600 . 00 NO Transfer Tax $1,196. 00 NO Transfer Tax Number: 23-19633 Fees Paid $7,316. 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County RECORDED Numberof pages 4 2/8/2024 9:22:33 PM VINCENT PULED CLERK OF This, o(,,.ament wilt be rublic SUFFOLK COUNTY L D00013235 prior to recordhq, 23-19633 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 Notation 0.00 apecJAW, or EA-5217(County) 5.00 Sub Total 50.00 Spec,JAdd. - EA-5217(State) 250.00 TCT.MTG.TAX R.P.T.&A. 200.00 Dual Town Dual County I-tetd for Appointment Comm.of lWd. S- T tansfer Tax 1,196.00 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, 00 470.00 family d Wng only. Stab Total. _ YES or NO Other 520.00 � .�. Grand Total If NO,see appropriate tax cruse on page# of this tnstrumant. 4 Dist. Section Block Lot 5 C*ammun y Preservation Fund 24004799 Real Property Corap>i.deration A.rr ou rzt$2 99,0 0 0.0 0 Tax Service 1 s a ©Tr a 5,600.00 Agency21512t324 �•[�}��I'E�Due ,� Verification Improved � a rs actrons� a�es a eases €s rope Hers a�ts�g Tess RECORD&RE!URN TO-, vacantl.and x Hamlet Title Agency Inc TD 10 601 Portion Rd Ste 207 Lake Ronkonkoma NY 11779 TD TD Mail to: Vincent Puled,Wfolk County Clerk Title Company 1nformabon 310 Center D ve, Riverhead, NY 1190-1 Co-Name u wwau'ffolkwuntyny.govlclerk Title Suffriolk County cccr ink & Endorsement Page This page forms part of the attached DEM -made 4y, (SP CIFYTYP OF INSTRUMENT) T'he 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;YPED OF,PRINTED I BLACK INK ONLY PNOR To RBCQR0ING OR FILING, av N�fl J S 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-TffiS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the , day of November in the year 2023 BETWEEN 01,V-Qf0 )JOTMAW 260 r 2023 Kathleen M.Goggins Nickles,P.O.Box 56,2555 Youngs Avenue,Southold,New York 11971 } A\ party of the first part,and �"✓ x i<P is P U. ,L.c i a,Ni residing at 22 Virginia.Avenue,Lake Ronkonkoma,New York 11979 party of the second part, WTTNESSETH,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 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 Hamlet of Southold,Town of Southold,County of Suffolk and State of New York,and more particularly described at Schedule A attached hereto and made a part hereof. Premises: 70 Arshamomaque Avenue,Southold,New York 11971 Inp° Digs °a 6 +h-p- san 2 pre.ra sks 0,S 00r d,, j GoY Qd S`, aZ °o SQP+�e t�nh2c(bt w2t in C.bZr* ti 3�2a PO log. o TOGETHER with all right,title and interest,if any,of the party of the firstpart 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 fast 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 fast part covenants that the party 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 parry 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: Kathleen M.Go ins Mckies Old Republic Title Insurance Company Title Number: HTA-8887-S Page 1 SCHEDULE A DESCRIPTION AMENDED ALL that certain plot, piece or parcel of land, situate, lying and being in the Hamlet of Southold, Town of Southold, County of Suffolk, State of New York, shown and designated as Lot 4 on the "Map of Beixedon Estates, Town of Southold, Suffolk County, NY, Property of Grace R. Nickles, formerly Grace Rogers DeBeixedon, made by Otto W. Van Tuyl, Licensed Surveyor" and filed in the Suffolk County Clerk's Office on March 16, 1946, as Map No. 1472. Said lot being more particularly bounded and described as follows: BEGINNING at the corner formed by the intersection of the Southerly side of Main Road (NYS Rt. 25) and the westerly side of Arshamomaque Avenue; RUNNING THENCE along the Westerly side of Arshamomaque Avenue, South 00 degrees 23 minutes 40 seconds West 198.55 feet; RUNNING THENCE South 83 degrees 20 minutes 10 seconds West 76.00 feet; RUNNING THENCE North 03 degrees 39 minutes 50 seconds West 179.70 feet to the Southerly side of Main Road (Rt. 25); RUNNING THENCE along the Southerly side of Main Road (Rt. 25), North 72 degrees 23 minutes 40 seconds East 92.69 feet to the Westerly side of Arshamomaque Avenue, at the corner first above mentioned, the point or place of BEGINNING. 1 USEACRNOWIEDGMENTFORMRELowwmzuvNEWYORgSTATEONLY.• USEACRNOwLwGMENTFORMBEwwwmmvNEWYORKSTATEONLY. State of New York,County of Suffolk }ss.: State of New York,County ofSuffolk }ss.: On the Z-1day of November in the year2023 On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared Kathleen M.Goggins Nickles 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 within instrument and acknowledged to me that he/she/they executed the same in hisihen their capacity(ies), and that by his/her/their 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 signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument. WILLIAM C. GOGGINS NOTARY PUBLIC-STATE OF NEW YORK No.02G049B3A89 �90ualified in Suffolk County mm stonExpires03-12-2026 ACRNOwLEDGMENTFORMFORUsT WrrmNNEwYORKSTATEONLY ACKNOwIEDGMENTFORMFOR USE O01SmENEWYORKSTATEONLY.• (New York Subscribing witness Acknowledgment Certificate) (Out of State or Foreign General Acknowledgment Certificate) State of New York,County of }ss: .................................................. (Complete Venue with State,Country,Province or Municipality) On the day of in the year before me,the undersigned,personally appeared On the day of in the year before me,the undersigned,personally appeared the subscribing witness to the foregoing instrument,with whom I am personally acquainted,who,being by me duly sworn,did depose and personally known to me or proved to me on the basis of satisfactory say that helshe/they teside(s)in evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that helshelthey executed (if the place of residence is in a city,include the street and street number, the same in bishred/their capacity(ies),that by his/her/their signature(s) if any,thereof);that helshehhey know(s) on the instrument,the individual(s),or the person upon behalf of which the individual(s)aged,executed the instrument,and that such individual to be the individual described in and who executed the foregoing made such appearance before the undersigned in the instrument;that said subscribing witness was present and saw said execute the same;and that said witness at the same time subscribed (Insert the city or other political subdivision and the state or country or his/her/their name(s)as a witness thereto. other place the acknowledgment was taken). BARGAIN&SALE DEED WITH COVENANTS AGAINST GRANTOR'S ACTS TTILE No. �`i .� .e l�t,t,�.� DisTRICT 1000 SECTION 066.00 BLOCK 02.00 LoT 052.000 CoaNTY oR TowN Suffolk TO RECORDED AT REQUEST OF Mdelity National Title Insurance Company RETURN BY MAIL TO FIDELITY NATIONAL TITLE , �ynN V10 INSURANCE�COMPANYINc 22 V;{S,n u G. , -'-'Fide ..&y . ,. �o��thl��>Mlr^ N hi mberN York Sua Land MeA.vaoclmion W U. LL 0 0 a Z O 06 U W 2 LL 0 W N It O LL W t1 4 a rn Lo s W W W W Q INS):www.orps.state'rty_us FOR COUNTY USE ONLY New Yorks State€3epat'ttn0nt of Cl- SWIS Cade 14 r 7 r 3 r S r S r 9 I Taxation and Finance C2_ Date need Recorded 1 2 / S 20241 Lq Office of Real Property Tax Services Mouth Day Year RP— 5217—P©F C3_ Book 11,3 f 2 f 3 f 5 1 C4_ Page I I .9 f 3. 1 I Real Property Transfer Report(8/10) PROPERTY INFORMATION J Clear Form 1,Property 70 1•]rs aTaoma que LOaat€an STR=,T NUM R o 1AF'r7..Mp s OL.i`_ho-'Ct ------------------------------------ 'CITY O9 T0WN I Lj.—c,, 'VP DOVE 2.Buyer yyr�+ L/ _`fi - . Name L.1�.1 • y �. ........... LAST NWi , OMPANY PR-IT MAW_ FOWNWINC ..--......DA;7 M1AMC=TM A'dY............................ 3.Tax €ndkc te.wham fututr Tax eWE are to tie se rt Billing if other than buyer address at bottom of Four. .'.'.'.'.'.'.'.'.'.'.'. Address Y } 3AST-A➢E"/COM?AW PmGy RWV -STREET t.13MBEF AND NAME CITY OR TOWN •••••••••••••••••••••••••••••••��..... STATE ZIY'roc e 4.Indicate the number or Assessment - Part of a Parcel (Only if fart of a Parcel)Check as they apply- Roil parcels transferred on the deed of Ps rce is OR 4A_Planning F3aard with Suhdivision Authority Exists S.Deed 0_3(S X OR 48.Su6dly€lion AppraVal was Ftaqulrxyd for"Trapafer Property J'FROriT RLGT •DaP`rH 'ACRES S€xe 4C.ParcEil Approved for Sulbdivision with Map Provided Ni-ckles Ka-h_een M.Goggins 6.Seller •LAST NAM[-O ARANY >=1s2E7 NAME Name ..............LAITw EXOMPANY .............. Mokn NA.tYeE '7-select the description wtr tch most accurate€y describes the Check the boxes below as they apply: use of the property at the time of sale: S.Ownership Typ®is Condominium C. Residential Vacant Land 9.Nr^w C.ohstrcuotior,on A Vacant Land --- ••-••-••--• 10A.Property Located within an Agricultural€ istrict 106,3 uyer received a disclosure notice ind€eating that the property is In an Agricultural District SALE INFORMATIONJ I5.check one or more of thee cond7tio ns as applicable to transfer: A.Sale Between Re€ativos or Pnrrner ROe ives 11,Sale Contract Date 0 4/2 4/7 3 5.Sale betwenn Re€ated Companies or Partners in Bus€ness. a�] C-Ors,of the Buyers i$also a Sel€er 12-Date of Sa€alTransfer l I`3V /2`3 D-Buyer or Ss13or is Cavc-srnrnent AS3ency or Lendmg€nstiti#ion E Deed Type not Warranty or Pargain arm Sate(Specify&e€ow) F.Sale of Frac€ions€or I..@SS that Fee Interest(Specify ae€ow) '13-Full Sale Price 299,000 . Q ,Significant Change in Property Between Taxable Status and Sala Dates """"""""" H `Sale of Hus€Hess is Ind uded in Sale Price {Full S th Sate Price is the total amcu nt paid for e property invI uding personal property I Other Unusual Factors Affecting Sale Price(Specify Below) This paymc nt may be in the arm of Gash,other property or goads,or the assure ptio€s of J.None ma"agP.5 or other ors€igatiOr:s.}Please round fo fi+e r1e3IeSf whole rlpilgY amount Conunont(s)on CondIbon: 14.indicate the values of personal O property included in the sate ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16,Year of As""ment Rol€from which information taknn(YY) 2 3 "17.Total Assesaed Value *10.Property C€ass 4' .3(( _ "19.Sohoo€District Name Sou-fio.l.ct "20.Tax Map lder:£if€er(s)IRoR€dent€Tser(s)(If more than four,attach sheet with additional identifier(s)) .............. 1000-056.0[)-02.00-01 8.000 CC R rI F€CAT I O N €Certify that ati of the items of in formation entered on this form are true and correct(to the best of my knaw€edge and belief)and l understand that the making of ally wi€ltu€ false statement of material faot herein s.Ta bject me to th e,.prpl�3Sians a€the tse nit €avv relative to the making and tiling of fafSG€nstruments- SELLER$1QNATt3 .)-,YFE.,, ONTACT€TIFORttiIAT_IS!)Si. €F`ntur lnfoh,nanan for the buyer.Notes:I puyer is€-C',society,assoaetl on,corporation.joint Si OcA ecrnpany,estnfe or v-,Lty that is rest an inomad f nr..nt ar f,d.nary,then a name and confect mfurmevon or an tndrYiduallrespor-sitre ny who can answe-que�lio is n® aroing trm transfer must be entered Type or print cl"ly) L• .^,[LEFTY`3kGNA7i3RE DATE 'LAST NAME F1R3T NAME _................. — 'PRGA GOr+F ^]'ELFF'I•prYE�AFs-LER CEYI22 59A9499: uYERn• g []A"� m.....mm t]7...'CS]..t-11.8, a�V i�:3l1 Ca 'STREET NL3MEC3[ 'S-RLGT N�- r f Lake Fnnkan cpnta _ NY 11979 r ' 1n O.•q TOL^HS I 'STATE '2SP COS?E € f J3M EF_�'S.A7TORNEY LAST MAMkP.. RRS7 NAME € r t AREA 1A=r TELEPHONE NUMaER{,;"S Phda) •••••••• • :I