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L 13240 P 483
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 3/18/2024 Number of Pages: 3 At: 7 :34 :54 PM Receipt Number: 24-0034443 *ELECTRONICALLY RECORDED* Transfer Tax Number: 23-23423 LIBER: D00013240 PAGE: 483 District: Section: Block: Lot: 1000 070 .00 02 .00 019.013 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 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: 23-23423 Fees Paid $390 . 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County RECORDED Numberof pages 3 3/18/2024 7:34:54 PM VINCENT PULED CLERK OF This,document wilt be rublic SUFFOLK COUNTY L D00013240 prior to recor'dhq, 23-23423 Deod f Mortgage Instrument Deed 1 Mortgage Tax Stamp Recordinrq t Filing Stamps FEES Raga)Filing Fee 1!3.ou 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 45.00 Spec,JAdd. - 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- 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 Nys Surcharge 15, 00 345.00 family dwelling only. Stab Total. _ YES or NO Other 390.00 � .�. Grand Total If NO,see appropriate tax cruse on page# of this tnstrumant. 4 1 Dist. Section Block Lot 5 Commun y Preservation Fund 24006916 Real Noperty T Cori i.ci�ratiQz r�.rrourzt$0.00 Tax Service P s R CGR A Agency CPF'Tex Due 0.0 0 � Verification zrz�rzoza Improved X � a rs actrons� a�es a eases €s rope Hers a�ts�g Tess RECORD&RE!URN TO-, vacantl.and CityLine Abstract TD 10 9726 3rd Avenue Brooklyn NY 11209 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) 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;PEP OF,PRINTED I BLACK INK ONLY PNOR To RBCQR0ING OR FILING, av No Standard N.Y.B.T.U.Form 8002 Warranty Deed,with Covenant against Grantor's Acts-Individual or Corporation(single sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD Consideration BE USED BY LAWYERS ONLY. THIS INDENTURE,made the U day of November,the year two thousand and twenty-three, BETWEEN THOMAS A. KLOS a/k/a THOMAS ANTHONY KLOS and ROSEMARY E. KLOS a/k/a ROSEMARY ELAINE KLOS,both residing at 1235 Jockey Creek Drive,Southold,New York, party of the first part,and THOMAS ANTHONY KLOS,residing at 1235 Jockey Creek Drive,Southold,New York as Trustee of the REVOCABLE TRUST OF THOMAS ANTHONY KLOS,dated November A,2023,as to a Fifty percent (50%)interest and ROSEMARY ELAINE KLOS,residing at 1235 Jockey Creek Drive,Southold,New York,as Trustee of the REVOCABLE TRUST OF ROSEMARY ELAINE KLOS,dated November S 2023,as to a Fifty percent(50%)interest, DISTRICT: 1000 party of the second part, WITNESSETH,that the party of the first part,inconsideration of TEN AND 00/100($10.00)dollars,lawful money SECTION:070.00 of the United States,and other good and 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, BLOCK: 02.00 ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being at Southold,in the Town of Southold,County of Suffolk and State of New York,bounded and described as follows: LOT:019.013 BEGINNING at a point on the northerly side of Jockey Creek Drive(which point is the following three courses and distances from the intersection of the northerly side of Jockey Creek Drive with the easterly side of Main Road; 1) South 79 degrees 00 minutes 50 seconds East 90.27 feet; 2) North 79 degrees 57 minutes 50 seconds East 184.38 feet;and 3) South 77 degrees 46 minutes 50 seconds East 798.42 feet); (and which point is the southwest corner of the premises herein described); THENCE North 12 degrees 13 minutes 10 seconds East 309.93 feet; THENCE along land of Southold Union Free School District,South 70 degrees 30 minutes 00 seconds East 171.38 feet; THENCE South 12 degrees 13 minutes 10 seconds West 288.21 feet to the northerly side of Jockey Creek Drive; THENCE along the northerly side of Jockey Creek Drive,North 77 degrees 46 minutes 50 seconds West 170 feet to the point or place of Beginning. SAID premises being known 1235 Jockey Creek Drive,Southold,New York. BEING and intended to the same premises conveyed to the party of the first part by deed dated July 25, 1980,and recorded in the Office of the Clerk of the County of Suffolk on August 15,1980 in Liber 8868 Page 415. Subject to Covenants and Restrictions as set forth on Schedule"A"and attached hereto. 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 covenants that the parry of the first part has not done or suffered anything whereby the said premises have been encumbered 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 parry of the first part has duly executed this deed the day and year first above written. _ .... IN PRESENCE OF: r THOMAS A KLOS A/K/,-THFj10 S ANTHONY KLOS 1 io,PEWIARY E. OS a/k/a ROSEMARY E AINE KLOS ACKNOWLEDGMENT TAKEN IN NEW YORK STATE STATE OF NEW YORK) ACKNOWLEDGMENT TAKEN OUTSIDE NEW COUNTY OF SUFFOI.,K)ss.: YORK STATE *ROSEMARY E.KLOS On the _&day of November of year 2023,before me, the under-signed,personally appeared,THOMAS A.KLOS State of County of ,ss: (or insert District of a/k/a THOMAS ANTHONY KLO§/QI ROSEMARY Columbia,Territory,Possession of ELAINE KLO9 personally known to me or proved to me Foreign Country) on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are)subscribed to the within On the day of in the year,202_before me,the instrument and acknowledged to me that he/she/they undersigned,personally appeared executed the same in his/her/their capacity (ies), that by ,personally known to me or his/her/their signature(s)on the instrument,the individual proved to me on the basis of satisfactory evidence to be the (s), or the person upon behalf of which the individual(s)whose name(s)is(are)subscribed to the within indPdu (s)actedMee instrument. instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),that by his/her/their signature(s)on the instrument,the individual NO ARY PUB EMILY F.FRANCHINA (s),or the person upon behalf of which the Notary Public,State of New York individual(s)acted,executed the instrument and that such No.Oi FIRN 4855197 uCo individual made such appearance before the undersigned in Qualified in Nassau County pp � Commission Expires March 24.2021 the Acknowledgment by Subscribing Witness taken in New York State (Add the city or political subdivision and the state or country On the_day of November,in the year,2023 before me, the undersigned,personally appeared the subscribing other place the acknowledgment was taken). witness to the foregoing instrument,with whom I am personally acquainted,who being by me duly sworn,did depose and say,that he/she/they reside(s)in that he/she/they know(s)to be the individual described in NOTARY PUBLIC and who executed the foregoing instrument;that said subscribing witness was present and saw said execute the DISTRICT 1000 same;and said witness at the same time subscribed his/her/their name(s)as a witness thereto. SECTION 070.00 WARRANTY DEED BLOCK 02.00 WITH COVENANT AGAINST GRANTOR'S ACTS LOT 019.013 TITLE NO. THOMAS A.KLOS a/k/a THOMAS ANTHONY COUNTY OR TOWN SUFFOLK KLOS to THOMAS ANTHONY KLOS as Trustee of the REVOCABLE TRUST OF THOMAS ANTHONY KLOS,dated RETURN BY MAIL TO: November_,2023 and ROSEMARY ELAINE EMILY F.FRANCHINA,ESQ. KLOS as Trustee of the REVOCABLE TRUST of Franchina Law Group LLC ROSEMARY ELAINE KLOS dated 55000 Main Road,Southold,NY 11971 November.2023. FOR COUNTY USE ONLY CJ_ SWIS Cade 14 1 7 1 3 1 8 1 8 1 9 1 .-INS):wwnv.orPs-state_ny-us C2_ Date Deed Recorded 1 31 1 20241 HlifiFr. ._Lti )/ � Month Day Year .. .C3_ Book 11.3.2 t 4 t 21 C4_ Page I t t 4 t 8, 31 RP- 5217-P©F PROPERTY INFORMATION I Rea Property T ram-le r Report(a/10) PROPERTY INFORMATION . A.Property 1235 JOCKEY CREEK DRIVE Locatian ._............._.................._.�..... •.^,TF2E ET nu1R&Efi •aTR£F;T w,.an� SOUTHOLD 1.1.97I. f:sTY De 1'L+Wns — VILLAGE •2,P CQOf_' 2,Buyer ESTsbS THOMAS ANTHONY TRUSTEE OF THE REVOCABLE TRUST Name LFa•r raoMleorePAwr .........W. wirier uaisE ... ,�J .m....._......m._......m......._....�.....,_.,......._.. KLOS ROSEMARY nxE�ILAINETRUSTEE OF THE REVOCABLE TRUST OF ..........................................,......,.. 3.Tax Imitate where future'Tax Rills are to At Sant Billing if other than buyer address(at boltom of form) LAST NWVn COMPANY ,w, RizaY NaliE Address sTRarrT NuuaRri nNa N4vna CITY PR T K &&ATE ZW CODE v . 4.Indicate the number of Assessment �'Par'of a Parcel (Only If Part of a garde€)Check as they appfy: RPII pamets tra Rafe rred on the deed #of Parcels DR ❑ 4A_Planning Beard with Subdiv Isiah Arrlhorlty Exists 5.Peed X _ OR 1.20 48.Subdivision Ap provaI was Required tar Transfer ID Property •FRVNT FEES •pF,YT'y 'ACRES Size 4C_Parcel Approved for Subd iws;on with Map Provided TfIOS THOMAS A. A/K/A THOMAS ANTHONY S.Seiler -. ...______._ f_nSV NAMFJCC]hQWAMN m R3RFT NnMR' •�.�................................................ ...,..-,.. Name KLi]S ROSEMARY E_ A/K/A .ROSF 4ARY ELAINE - F�kT NAMF)C tlMS�ANY F'iRST NAM= 17.Select the descnptlan which most accurate€y dese ri bee the Chock the boxes be law as they apPty: use of the pro pe Ry at the time of sale-- a.Ownersh]p Type is Cart dont in i u:T) A. One Family Residential 9,New Construction on a Vacant Land 74A.Property I_Ocated within an Agriou ltu rat 0isfrict n 9 be,Buyer received a disclosuro nohGm sndicating Thal tha property Is In an ❑ Agricunurai nisfrict SALE INFORMATION IS.Check one Pi more of th es®cond iti ohs as ap pl scab lm to transfer: A.Sale Between Relatives or Farmer Relatives 11.Sale Contract Date B.Sale between Related Companies at Partner%in Busktess. C.Une of the buyers is also-a So II&V 1 I 0 S/2 0 2 3 i7,Duyer or Sollor is Gavernmant Agency a Lending Institution "f 2.Date of SalelTransfer E,peed Type not Warranty or Bargain and Safe(Specify Seiaw) F-Sale of FracflonaI or Less than Fee Interest(S peo ily Below) "73.Puli Sale price 0,00 G-Significant CPl anger in Pm pasty 8stwoan 7axab to Status and Sale Crates ti.$gle of ausiness is lnclucied in$;Ale Price (Fuil Sale Price is She total amount.paid for the property including personal props rty- I, Other Llnusu al Factors AfIecting Sale Price(S peci€y Below) This payment may be in the form of Gash,Other pro pet riy Or,goo as,or the assumption of J.None thong ag as or nth or obligations.)flea se round€o!ha ne ares€whole doilar amount. Comtnent(s)on condition-. 14,Indicate the value of persona€ Od Property included In the safe A$SESSMEN"I-INFORMATION-Data shoutd reflect the latest Final Assessment loll and'ram Si It 16.Year of Assessment Rog from which information taken(Yy) 2 117,Total Assessed Value 5 r 900 't$,Property Class `,� .Q _ 'ta.sohe01 District Name SOUTROLI7 *20.Tax Neap Identifier(sykog Idonufior(s)(it more than four,attach sheet with Additional identifler(s)) lvoa•-a�a.oa--oa-a19.o�� CERTIFICATION l Certify that afl of ttte items of information antemci an this form are true and correct(to the best of my knowledge and be Iof)and t untie mtond that the making of any wi€ifuI false statement pJ.ua-teriaI fact heroin subject me to the-pmy- Q1)s L Me 3e oenaI law rye lative to the making and filing of false instruments. ${inter-.w. alien Par it.'buyer.Now ff buysr is Lt.c,s i®ty,bssocigtbr,corporation,joint sleek company,estate or _ E entity that i9 not an individua€agent or f.duciary, a nAme And csfntact Information aI an molividuslim sponsibl® ` ) q� -may 333 party who can answer queslWo roger rding tho trart0or mast>e entered."type or print clearly-) [ t— ear 3CJ�SE ' .C7S THOMAS ANTHONY "LAST NAME G'•di5'r NAME �r (999) 999-9999 -FA cnaE N%WAP..0[Rx' aaapay aICa1�nTIJftFm .7n7F 1235 JOCKEY CREEK DRIVE •^w'rREE=NUMa£R � aSRRaS.uAMR .•-.--�- �••••••••••• ' [ SOUTHOLD W NY 11971 m '1 •a IT C+R TOWN -STATE 'zir COPF,, m t j t fw- ATT[aRNEy E F RAb7CH T FTA EM T LY L4S'f'rvAh�E. •• FIRSTNAME �... 1 � 1 E5:31) 765 8787 • 3 ;� 3 nR eA.^,obE 1"c:,E1'I-[t]ISE'F JMSER[ter:BB8BBB8]