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L 13236 P 834
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 2/21/2024 Number of Pages: 12 At: 8 :51 :54 PM Receipt Number: 24-0021505 *ELECTRONICALLY RECORDED* Transfer Tax Number: 23-20374 LIBER: D00013236 PAGE: 834 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $2,195,000 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $60 . 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 $1,200 . 00 NO Mansion Tax $0 . 00 NO EA-CTY $5. 00 NO EA-STATE $250 . 00 NO TP-584 $5. 00 NO Comm.Pres $0 . 00 NO Transfer Tax $0 . 00 NO Transfer Tax Number: 23-20374 Fees Paid $1,560 . 00 Tax Map Number (s) : 1000-087 . 00-05 . 00-021 .007 1000-087 . 00-05 . 00-021 .009 1000-087 . 00-05 . 00-021 .010 1000-087 . 00-05 . 00-021 .011 1000-087 . 00-05 . 00-021 .012 1000-087 . 00-05 . 00-021 .013 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County RECORDED Numberof pages 12 2/21/2024 8:51:54 PM VINCENT PULED CLERK OF This,document wilt be rublic SUFFOLK COUNTY L D00013236 prior to recordhq, 23-20374 Deod f Mortgage Instrument Deed 1 Mortgage Tax Stamp Recordinrq t Filing Stamps FEES ^age E Filing Fee .00 Mortgage 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 90.00 Spec,Add. - EA-5217(State) 250.00 TCT.MTG.TAX R.P.T.&A. 1,200.00 Dual Town Dual County I-tetd for Appointment Comm.of lWd. S- T tansfer 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 tly5Surcharge 15, 00 1,470.00 family dwelling only. Stab Total. _ YES or NO Other 1,560.00 Grand Total If NO,see appropriate tax clause on page# of this tnstrumant. 4 Dist. Section Block Lot 5 C*ammun y Preservation Fund Rom?Property 24001512� 9000-087.00-051000-087. .00-029.009 Co���i.ci�ratiQz�A.rnar3rzt z 195 000.00 TaxSetviCe p s 1000-087.00-05.00-021.011 a ©rr A .l 000-087.00-05.00-021.012 0.00 Agency �;��;2a24 1000-087.00-05.00-021.013 C' F Tt Verification Improved � a�s actEons� a�es a eases €s rope Hers a�ts�g Tess RECORD&RE!URN TO-, vacantl.and x Stewart Title Insurance Company — NY trn TD 10 711 Westchester Avenue, Suite 302 White Plains NY 10604 TD� TD Mail to: Vincent Puled,St9folk County Clerk Title Company 1nformabon 310 Center D ve, Riverhead, NY 1190-1 Co-Name u wwau'ffolkcountyny.goviclerk Title Suffriolk County cccr ink & Endorsement Page This page forms part of the attached DEM -made 4y, (SP CIFYTYP OF INSTRUMENT) T'he prernise5 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;PEP OF,PRINTED I BLACK INK ONLY PNOR To RECORDING OR FILING, av -7/Z y636� CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made effective the 21n day of December,2023 BETWEEN SOUTHVIEW CUSTOM HOMES TWO,INC.,a New York limited liability company,having an address at 9230 Main Bayview Road,Southold,New York 11971. party of the first part,and TOWN OF SOUTHOLD,a governmental agency,having an address at�^ J.5'fe Z-5.scame/a/�✓/Y�����/ party of the second part, WITNESSETH,that the party of the first part, in consideration of Ten and 00/100 ($10.00)dollars 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 SEE ATTACHED SCHEDULE"A" BEING AND INTENDED TO BE THE SAME PREMISES CONVEYED TO THE PARTY OF THE FIRST PART BY DEED DATED JUNE 9,2003,AND RECORDED ON JULY 22,2003 IN LIBER 12262 PAGE 416 IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY. SAID premises being known as 9230 Main Bayview Road,Southold,New York and designated on the tax map as County of Suffolk,District 1000,Section 087.00,Block 05.00,Lots 021.007,021.009,021.010,021.011,021.012 and 021.013. 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 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, 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. WHEREAS as set forth in Chapter 17(Community Preservation Fund)and Chapter 185(Open Space Preservation)of the Town Code of the Town of Southold OPEN SPACE acquired by the Town pursuant to the provisions of those chapters shall not thereafter be alienated,except upon the affirmative vote of a majority of the Town Board after a public hearing and upon the approval of the electors of the Town voting on a proposition submitted at a special or biennial town election. No subsequent amendment of the provisions of those chapters shall alter the limitations imposed upon the alienation of real property acquired by the Town prior to any such amendment. All other provisions of Chapter 17 of the Code of the Town of Southold and Town Law 64-e apply to this conveyance to the Town of Southold. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: SOUTHVIEW CUSTOM HOMES TWO,INC. BY: Name: Donald . Rya Jr. Title:Authorized Signatory SOUTHVIE CUST OM ES TWO,INC. By. s Name:Whae101iva Title:Authorized Signatory Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment //Pstewart TITLE Title Number: 71246363 SCHEDULE A—DESCRIPTION [[AMENDED 5/26/202311 AS TO LOT 021.013: ALL that certain plot,piece,or parcel of land,situate,lying,and being at Bayview,in the Town of Southold,County of Suffolk and State of New York being bounded and described as follows: BEGINNING at a monument set in the southerly side of Main Bayview Road at the northwesterly corner of land now or formerly Edson; RUNNING THENCE southerly along land now or formerly of Edson the following 2 courses and distances: 1. South 29 degrees 57 minutes 20 seconds West 300.00 feet; 2. South 35 degrees 10 minutes 10 seconds West 857.37 feet to the high-water mark of Corey Creek as observed on 2/7/02; THENCE in a general northwesterly direction along said high water mark the following 8 courses and distances: 1. South 74 degrees 02 minutes 45 seconds West 57.50 feet; 2. North 76 degrees 41 minutes 52 seconds West 29.15 feet; 3. North 39 degrees 19 minutes 24 seconds West 49.48 feet; 4. North 04 degrees 17 minutes 48 seconds East83.30 feet; 5. North 30 degrees 28 minutes 23 seconds East 65.77 feet; 6. North 06 degrees 32 minutes 59 seconds East 58.02 feet; 7. North 41 degrees 02 minutes 34 seconds West21.35 feet; 8. North 16 degrees 51 minutes 23 seconds West 2.41 feet; THENCE North 43 degrees 00 minutes 00 seconds East 718.60 feet; THENCE North 29 degrees 57 minutes 20 seconds East 300.00 feet to the southerly side of Main.Bayview Road; THENCE South 60 degrees 02 minutes 40 seconds East along the southerly side of Main Bayview Road 50.00 feet to a monument set at the point or place of BEGINNING. FOR CONVEYANCING ONLY:TOGETHER with all right,title and interest of the party of the first part,of,in and to any streets and roads abutting the above described premises to the center lines thereof. Schedule A Description(Page 1 of 9)- AlLstewart TITLE Title Number: 71246363 AS TO LOT 021.012: ALL that certain plot,piece,or parcel of land,situate,lying,and being at Bayview,in the Town of Southold,County of Suffolk and State of New York being bounded described as follows: BEGINNING at a point on the southerly side of Main Bayview Road distant 50.00 feet westerly from the northwesterly corner of land now or formerly of Edson; RUNNING THENCE South 29 degrees 57 minutes 20 seconds West 300.00 feet; THENCE North 60 degrees 02 minutes 40 seconds West 74.97 feet; THENCE North 25 degrees 11 minutes 30 seconds East 301.04 feet to the southerly side of Main Bayview Road; THENCE South 60 degrees 02 minutes 40 seconds East along the southerly side of Main Bayview Road 99.97 feet to the point or place of BEGINNING. FOR CONVEYANCING ONLY:TOGETHER with all right,tide and interest of the party of the first part,of,in and to any streets and roads abutting the above described premises to the center lines thereof. Schedule A Description(Page 2 of 9)- TITLE Title Number: 71246363 AS TO LOT 021.011- ALL that certain plot,piece,or parcel of land,situate,lying,and being at Bayview,in the Town of Southold,County of Suffolk and State of New York being bounded and described as follows: BEGINNING at a point on the southerly side of Main Bayview Road distant 149.97 feet westerly from the northwesterly corner of land now or formerly Edson; RUNNING THENCE South 25 degrees 11 minutes 30 Seconds West 301.04 feet;. THENCE North 60 degrees 02 minutes 40 seconds West 125.00 feet; THENCE North 20 degrees 29 minutes 40 seconds East 304.14 feet to the southerly side of Main Bayview Road; THENCE South 60 degrees 02 minutes 40 seconds East along the southerly side of Main Bayview Road 150.00 feet to the point or place of BEGINNING. FOR CONVEYANCING ONLY:TOGETHER with all right,title and interest of the party of the first part,of,in and to any streets and roads abutting the above described premises to the center lines thereof. Schedule A Description(Page 3 of 9)- IIP`stewart TITLE Title Number: 71246363 AS TO LOT 021.007: ALL that certain plot,piece,or parcel of land,situate,lying,and being at Bayview,in the Town of Southold,County of Suffolk and State of New York being bounded and described as follows: BEGINNING at a point on the southerly side of Main Bayview Road distant 299.97 feet westerly from the northwesterly corner of land now or formerly of Edson; RUNNING THENCE South 20 degrees 29 minutes 40 seconds West 304.14 feet; THENCE North 60 degrees 02 minutes 40 seconds West 125.00 feet; THENCE North 15 degrees 55 minutes 10 seconds East 309.23 feet to the southerly side of Main Bayview Road; THENCE South 60 degrees 02 minutes 40 seconds East along the southerly side of Main Bayview Road 150.00 feet to the point or place of BEGINNING. FOR CONVEYANCING ONLY:TOGETHER with all right,title and interest of the party of the first part,of,in and to any streets and roads abutting the above described premises to the center lines thereof. Schedule A Description(Page 4 of 9)- I/.�''` ewart TITLE Title Number- 71246363 AS TO LOT 021.010• ALL that certain plot,piece,or parcel of land,situate,lying,and being at Bayview,in the Town of Southold,County of Suffolk and State of New York being bounded and described as follows: BEGINNING at a point on the southerly side of Main Bayview Road Distant 449.97 feet westerly from the northwesterly corner of land now or formerly Edson; RUNNING THENCE South 15 degrees 55 minutes 10 seconds West 309.23 feet; THENCE North 60 degrees 02 minutes 40 seconds West 168.65 feet; THENCE North 49 degrees 00 minutes 00 seconds East 88.36 feet; THENCE North 10 degrees 00 minutes 00 seconds East 230.29 feet to the southerly side of Main Bayview Road; THENCE South 60 degrees 02 minutes 40 seconds East along the southerly side of Main Bayview Road 143.42 feet to the point or place of BEGINNING. FOR CONVEYANCING ONLY:TOGETHER with all right,title and interest of the party of the first part,of,in and to any streets and roads abutting the above described premises to the center lines thereof. Schedule A Description(Page 5 of 9)- /P^stew TITLE Title Number: 71246363 AS TO LOT 021.009: ALL that certain plot,piece,or parcel of land,situate,lying,and being at Bayview,in the Town of Southold,County of Suffolk and State of New York being bounded and described as follows: BEGINNING at a point on the southerly side of Main Bayview Road distant 593.39 feet westerly from the northwesterly corner of land now or formerly of Edson; RUNNING THENCE South 10 degrees 00 minutes 00 seconds West 230.29 feet; THENCE South 49 degrees 00 minutes 00 seconds West 88.36 feet; THENCE South 60 degrees 02 minutes 40 seconds East 493.62 feet; THENCE South 48 degrees 00 minutes 00 seconds West 718.60 feet to the high-water mark of Corey Creek observed on 2/7/03; THENCE in a general northwesterly direction along the high-water mark of Corey Creek observed on 217/03 the following 10 courses and distances: 1. North 16 degrees 51 minutes 23 seconds West 126.75 feet; 2. North 14 degrees 39 minutes 02 seconds East 59.96 feet; 3. South 75 degrees 20 minutes 58 seconds East 17.91 feet; 4. North 05 degrees 58 minutes 37 seconds East 79.33 feet; 5. North 21 degrees 34 minutes 04 seconds West 124.66 feet; 6. North 41 degrees 16 minutes 11 seconds West 312.70 feet; 7. North 47 degrees 13 minutes 23 seconds West 65.18 feet; 8. North 25 degrees 23 minutes 18 seconds West 31.69 feet; 9. North 12 degrees 00 minutes 27 seconds East 66.64 feet; 10.North 18 degrees 56 minutes 30 seconds East 14.70 feet to land now or formerly of Pisciotta; FOR CONVEYANCING ONLY:TOGETHER with all right,title and interest of the party of the first part,of,in and to any streets and roads abutting the above described premises to the center lines thereof. Schedule A Description(Page 6 of 9)- /Wstewart TITLE Title Number: 71246363 THENCE in a general westerly direction along land now or formerly of Pisciotta the following 7 courses and distances: 1. South 64 degrees 47 minutes 00 seconds East 21.00 feet; 2. South 04 degrees 00 minutes 00 seconds East 70.00 feet; 3. North 86 degrees 00 minutes 00 seconds East 80.00 feet; 4. North 58 degrees 30 minutes 00 seconds East 70.00 feet; 5. North 77 degrees 44 minutes 00 seconds East 107.92 feet; 6. South 83 degrees 42 minutes 00 seconds East 62.59 feet; 7. North 49 degrees 00 minutes 00 seconds East 114.86 feet to land now or formerly of Middleton and Jones; THENCE North 10 degrees 00 minutes 00 seconds East along land now or formerly of Middleton and Jones 230.00 feet to the southerly side of Main Bayview Road; THENCE Easterly along the southerly side of Main Bayview Road the following 2 courses and distances: 1. South 64 degrees 07 minutes 00 seconds East 9.67 feet; 2. South 60 degrees 02 minutes 40 seconds East 43.33 feet to the point or place of BEGINNING; FOR CONVEYANCING ONLY:TOGETHER with all right,title and interest of the party of the first part,of,in and to any streets and roads abutting the above described premises to the center lines thereof. Schedule A Description(Page 7 of 9)- // ewe TITLS Title Number: 71246363 COMPOSITE DESCRIPTION .AMENDED 5/26/2023 ALL that certain plot or parcel of land with the buildings and improvements thereon erected,situate, lying,and being in Bayview,Town of Southold,Suffolk County and State of New York,being more particularly bounded and described as follows: BEGINNING at a monument set on the southerly side of Main Bayview Road distant westerly 630.10 feet from the intersection of the westerly side of Takaposha Road and the southerly side of Main Bayview Road.Said point or place of beginning also being the dividing line of the land now or formerly of 9450 Main Bayview LLC and the property described herein; THENCE along said land and along the land now or formerly of Charles V.Salice,the following two courses and distances: 1.South 29 degrees 57 minutes 20 seconds West 300.00 feet; 2.South 35 degrees 10 minutes 10 seconds West 857.37 feet to the high-water line of Corey Creek; THENCE along said high water line of Corey Creek the following sixteen courses and distances: 1.South 74 degrees 02 minutes 45 seconds West 57.50 feet; 2.North 76 degrees 41 minutes 52 seconds West 29.15 feet; 3.North 39 degrees 19 minutes 24 seconds West 49.48 feet; 4.North 04 degrees 17 minutes 48 seconds East 83.30 feet; 5.North 30 degrees 28 minutes 23 seconds East 65.77 feet; 6.North 06 degrees 32 minutes 59 seconds East 58.02 feet; 7.North 41 degrees 02 minutes 34 seconds West 21.33 feet; 8.North 16 degrees 51 minutes 23 seconds West 129.19 feet; 9.North 14 degrees 39 minutes 02 seconds East,59.96 feet; 10.South 75 degrees 20 minutes 58 seconds East, 17.91 feet; 11.North 05 degrees 58 minutes 37 seconds East,79.33 feet; 12.North 21 degrees 34 minutes 04 seconds West, 124.66 feet; FOR cONVEYANaNG ONLY:TOGETHER with all right,title and interest of the party of the first part,of,in and to any streets and roads abutting the above described premises to the center lines thereof. Schedule A Description(Page 8 of 9)- �'/P^stewert TITLE Title Number: 71246363 13.North 41 degrees 16 minutes 11 seconds West,312.70 feet; 14.North 47 degrees 13 minutes 23 seconds West,65.18 feet; 15.North 25 degrees 23 minutes 18 seconds West,31.69 feet; 16.North 12 degrees 00 minutes 27 seconds East 66.64 feet to land now or formerly of the Madeline Pisciotta Irrevocable Trust; THENCE along said land and along lands of August A-Fink Jr.and Hilary Kozarowicz,the following nine courses and distances; 1. North 18 degrees 56 minutes 30 seconds East,14.70 feet 2. South 64 degrees 47 minutes 00 seconds East,21.00 feet; 3. South 04 degrees 00 minutes 00 seconds East,70.00 feet; 4. North 86 degrees 00 minutes 00 seconds East,80.00 feet; 5. North 58 degrees 30 minutes 00 seconds East,70.00 feet;and 6_ North 77 degrees 44 minutes 00 seconds East,107.92; 7. South 83 degrees 42 minutes 00 seconds East,62.59 feet; 8. North 49 degrees 00 minutes 00 seconds East 114.86 feet; 9. North 10 degrees 00 minutes 00 seconds East,230.00 feet to the southerly side of Main Bayview Road; THENCE along the southerly side of Main Bayview Road,the following two courses and distances: 1.South 64 degrees 07 minutes 00 seconds East,9.67 feet; 2.South 60 degrees 02 minutes 40 seconds East,636.72 feet to a monument at the point or place of BEGINNING. FOR CONVEYANCING ONLY:TOGETHER with all right,title and interest of the party of the first part,of,in and to any streets and roads abutting the above described premises to the center lines thereof. Schedule A Description(Page 9 of 9)- TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of Suffolk ss: State of New York,County of Suffolk ss: On the 21s'day of December in the year 2023 before me,the On the 2151 day of December in the year 2023 before me,the undersigned, personally appeared Donald C. Ryan, Jr. undersigned, personally appeared Michael Oliva, personally personally known to me or proved to me on the basis of known to me or proved to me on the basis of satisfactory satisfactory evidence to be the individual(s) whose name(s) is evidence to be the individual(s) whose name(s) is (are) (are) subscribed to the within instrument and acknowledged to subscribed to the within instrument and acknowledged to me that me that he/she/they executed the same in his/her/their he/she/they executed the same in his/her/their capacity(ies),and capacity(ies), and that by his/her/their signature(s) on the that by his/her/their signature(s) on the instrument, the instrument,the individual(s),or the person upon behalf of which individual(s),or the person upon behalf of which the individual(s) the individual(s)acted,executed the instrument. acted,executed the instrument. (signat tce s owledgment) (signatuEa*Idfice of individual takinaa wledgment) JEANNE D GIARRATAN NNE D GIARRATANO NOTARY PUBLIC,STATE OF NEW YORK PUBLIC,STATE OF NEWYORKRegistration No.OIG16094250 rZgistration No.01GI6094250Qualified in Suffolk County ualified in Suffolk CountyCommission Expires June 16 mission Expires June 16, TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE ) State(or District of Columbia,Territory,or Foreign Country)of ss: On the day of in the year 2022 before me,the undersigned,personally appeared 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 which the individual(s)acted,executed the instrument, and that such individual made such appearance before the undersigned in the in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) BARGAIN AND SALE DEED DISTRICT 100 WITH COVENANT AGAINST GRANTOR'S ACTS SECTION 087.00 BLOCK 05.00 Title No.71246363 LOTS 021.007,021.009,021.010, 021.011,021.012 and 021.013 COUNTY OR TOWN Suffolk TO STREET ADDRESS 9230 Main Bayview Road STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by RETURN BY MAIL TO: 1uc/116a fCr'?i.UJ'/t£// fK461 Safe Harbor Title � �fate Dui -; NVE INSURE SNIOOTH S.AILC\c �ar/r17p1�•/�i ' � � /Tin;z/A/cn XII&III)II ............... _- -_---- - -_- ----- - .-.................._...... FOR COUNTY USE ONLY -1N$]:rvww.vrps.state.€ty,us Cl- SWIS Cade 14 17 13 I S I S 19 I New York State Department of C2_ Date need Recorded 1 2 121 120241 Taxation and Finance Month Day rear Office of Reai Property Tax Services C3_ Soak 11,312 ,31 6 1 C4_ Page 1 , ,S , 31 4 1 RP- 5217-PDF Peal Property Transftr Report(9;10) PROPERTY INFORMATION 1.Property 9230 Makin BByview Road Location -- ---------------- BTR>rET Ml3Ul R 'S1 fMa9 x AMK, 2.Buyer Town cif So€.ithold. Marna 'LABT NAF5EIG4MPANr F W8'1 NR.f.�: LP.6T NAAb FJa Lsh1PANY ����_ FIRST I Ame $.Tax Indicate where future Tax Bills are lobe sent Town of Southold Billing If other than buyer address(at bottom of form) I,Asr wwcrrrtartaPwi rli3sr xr al Address P.O. Box 1179 Southold NY 119-11 STR�� NUMBER Af NAME col OR T[f N STATE XIP COt}r; 4„Indicate the nurnber of Assssamant S Pert of a Perae€ (Only If Part of a Parcel)Check as they apply* "a parcels transtafr®d on the deed #of Parcels ©R ❑ ❑ 4A_PlsRnfRg Board rrl;h Subdivision Authority Faders S.Deed.......w' X OR 23.35 48.Suhdiveceon ApWoval was Pequlred for Tranafw F"nm•ty -FRONT f£ET •DEPTH 'AGe2ES ❑ sloe 4C.Parcel Approved for Subs ivis€ot with Map Pxwkled ❑ Southvlew Custom Hornes Two, Inc_ 5.sallor .y,ggr KAMEICQM1IAAM! P[RST NAn[ _ Name LRFT Na,egF,>camPANY PIRST 1 ME '7."ecttihe description width most amurate€y describes the Check the boxes below as th+ay apply: use of the property at the time of sale, s,ownership Type is Condominium ❑ C.Residential Vacant Land 9.New ConStruef€on on a vacant Land C] 10A.Property L.ocafed m4min an Agricuttura€District 1013.Buyer received a disclosure notice ind€cetkig that the property fs in an ❑ Agricufturai Dfstlt t. [SALE INFORMATION1 IS.Check one or mare of these conditions as applicable to transfer. A,Sale:Between Ftelativ or Former Ftelaf€ves 73.SaEe Contract raw G 3/01/2 0 2 3 B.Sate between Relaters Companies or Parinere in easiness. G.One of ttie Buyers Is area a Soften 'T2,Date of SalefTransfer I �•I n.Buyer or Seller is Governrnwyt Agency or Lending€nsWullon E.Dead Type not Warrardy or Bargain and Sate(Specify Below) r,$alts of Fractional or Less lion Fee Imerest(Specify ae€oYr) "37.Full Sala Price 2,195,000 .00 G.Significant Cnangern Property Between Ta"We SIaWus and Safe Crates H.Safe of Business Is Ind ud ed to Sete Frioe {Fu€f SWe Price Is the totdf amount paid lot- di the property inciu no Personal property. €. C nhw Unusual Factors Affacting Sate Pry(Speedy Below) T€h{S payment rrrdy be in the forrR OF cash.other property or goods,or the assumption of J.lore mortgages or other FlWase round to the rw st➢Yid&dollar amount, L`o[rlralBint('g)on f.ortditloh: 14.indicate the value of personal property included In the sale .00 ASSESSMENT INFORMATION-Data should ref€ed the latest Final Assessmii�nt Rolt and Tax Bill SS.Year of Assessment Ra11 from which inforr eon takanlYY) 2 2, *17,Total Assossed Valtre 1 5 r 100 *-Is.Property Cia" 311 ,,,,, 119.Scttnot tA.b io Naane 05 — Southold 129.Tax Map ldernufler(s)IRolt Identinet,N)(if mom than four,attach shoot vdt h additional identirtef(s)) 1C]D -s]97.i7G-U5.{JU-i721_gG7 1CY[)C-pl3"7.p(3-D5.Qfl-o21.afl9 ].QIJt3-t38'1.Gf3-Q5.Oi3�[32I.G1Q 10Q�-£187.GF3-G5.OG-s�21.C31I CE&d IFICA7It3N , €Certify that all of the items a lnfoonation entered on this form arc true and correct fto the best of my knowleAlge and be WQ and I undwstand that the making of any willful false Statement of material fact herein subject a to to unt making and filing o'f false histrument3. ' BUYER CONTACT 1N-9,P—MPi,"LK d8nler infrMT.ation to,the tJuyer.Noce!if tvyw is i.l.G.eaeiety,sacoe ation,erorpara eon,Ont srnck company.eaealo yr QAW Mat is not an McilviduW agent or flauclWa r,elan a name and mMEC[information of anti isWnidvaVrespvnsihie r fj patty acorn d:an answer quamons regmrdins t€te transfer muat tie w+tered.Type or print clearly-) SEElER 8 E .T Town of Southold 1 •k ST NAIAE wow........ F-IR91 3 ME (53.1) 765-571 m'AREA COM - -MUIPHaNE NUMBERfe.:5999899} F�-rf�ii S%lhi4T13RE ••f•••-••••• F]wS't 54375 Main Road (Route 25) •STREET NlJb1H&R 'WREAT NAhtfi ' Sotathold MY 11971 •CITY T'P�K •STATE •ZIP CboE. Yallson Mary Ir EAST NAME F.RST MME I � {G31,1 502 55iQ A4PA CY]OE 'r EiLs'S>FJ E KuuA R SE,s@ gs7 I I [ RP-5217 Addendum #20-Additional Tax Map Identifiers -1000-087.00-05.00-021.012 -1000-087.00-05.00-021.013