HomeMy WebLinkAboutL 13240 P 828 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 3/20/2024
Number of Pages: 5 At: 8 :29 :39 PM
Receipt Number: 24-0036120 *ELECTRONICALLY RECORDED*
Transfer Tax Number: 23-23691
LIBER: D00013240
PAGE: 828
District: Section: Block: Lot:
1000 114 .00 07 .00 010 .006
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount $0 . 00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $25. 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: 23-23691 Fees Paid $400 . 00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Vincent Puleo
County Clerk, Suffolk County
RECORDED
Numberofpages5 3/20/2024 8:29:39 PM
VINCENT PULED
CLERK OF
This, o(,,.ament wilt be rublic SUFFOLK COUNTY
L D00013240
prior to recor'dhq, 23-23691
Der_rd f Mortgage Instrument Deed 1 Mortgage Tax Stamp Recordinrq t Filing Stamps
FEES
Raga)Filing Fee 2!3.00 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 55.00 Spec,Add. -
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 400.00
Grand Total If NO,see appropriate tax cruse on
page# of this tnstrurnant.
4 Dist. Section Block Lot 5 Commun y Preservation Fund
24007492
Real Property T - Corap>i.deration r�.rr moat$0.00
Tax Service P s
R HGI A 0.00
Agency rzsrzoza CPF'Tex Due �
Verification z
Improved X
� a IS�Ctl0€351 a�es a eases Is rope Hers al ts�g Tess
RECORD&RE!URN TO-, vacantl.and
Fidelity National Title — Riverhead, N1 TD 10
24 Commerce Drive
Riverhead NY 11901 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 DL® -lade
4y, (SP CIFYTYP OF INSTRUMENT)
The prerniw5 herein issittlated 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
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
Form 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 1s'day of November,2023
BETWEEN
ELIZABETH FORMICA a/k/a ELIZABETH C. FORMICA, residing at 2422 Westphalia Road,
Mattituck, NY 11952, as surviving tenant by the entirety of LOUIS A. FORMICA,who died on July
12, 2022, a resident of Suffolk County, party of the first part, and
ELIZABETH C. FORMICA,AS TRUSTEE OF THE FORMICA REVOCABLE TRUST dated
November 1,2023,residing at 2422 Westphalia Road, Mattituck, NY 11952, party of the second
part,
WITNESSETH,that the party of the first part, in consideration of Ten and 00/100--($10.00)--Dollars,
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,
ALL that certain plot, piece or parcel of land,with the buildings and improvements thereon erected,
situate, lying and being in the Town of Mattituck, County of Suffolk and State of New York, being
bounded and described as follows:
SEE SCHEDULE 'A'ATTACHED HERETO AND MADE A PART HEREOF
Being and intended to be the same premises as conveyed to the party of the first part by deed dated
March 14, 1994, recorded March 29, 1994 in Liber 11670 page 355 in the Office of the Suffolk
County Clerk.
Said premises is known as 2422 Westphalia Road, Mattituck, NY 11952.
SCTM#District: 1000, Section: 114.00, Block: 07.00 and Lot: 010.006
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 party 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
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: Le l �--
Elizabeth C. Formica
a/k/a Elizabeth Formica
Wills/Formica/DeedFormica
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 ss:
On the 1s'day of November,in the year,2023 On the day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
ELIZABETH FORMICA alk/a ELIZABETH C.FORMICA
personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s)whose name(s) is satisfactory evidence to be the individual(s)whose name(s) is
(are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the
instrument,th ividual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which
the indivi I )acted,executed the instrument. the individual(s)acted,executed the instrument.
i
(signatuPblic
nd o Ice of Indi Idual taking acknowledgment) (signature and office of individual taking acknowledgment)
Notary Notary Public
ABIGAIL A.WICKHAM
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.52-4642871
Qualified in Suffolk County
Commission Ex ires September 30,2025
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS SECTION 114.00
BLOCK 07.00
Title No.: LOT 010.006
DISTRICT 1000
ELIZABETH FORMICA a/k/a ELIZABETH C.
FORMICA,AS TENANT BY THE ENTIRETY OF
LOUIS A. FORMICA, DECEASED
TO
ELIZABETH C. FORMICA,AS TRUSTEE OF THE
FORMICA REVOCABLE TRUST AGREEMENT
dated November 1, 2023
SCHEDULE A
ALL that certain plot, piece or parcel of land, situate, lying and being at Mattituck,Town of
Southold, County of Suffolk and State of New York, bounded and described as follows:
BEGINNING at a point on the northwest side of a 25'foot right of way, distant northeasterly
329.59 feet, as measured along the northwest side of said right of way from where the southeast
line of land of Pope intersects the northwest side of Westphalia Road:
RUNNING THENCE from said right of way along land now or formerly of Pope,North 45
degrees 58 minutes 20 seconds East, 393.16 feet to Mattituck Creek;
THENCE along Mattituck Creek on a tie line course bearing, South 69 degrees 15 minutes 30
seconds East, 179.12 feet to land now or formerly of Van Holthe;
THENCE along said land now or formerly of Van Holthe, South 49 degrees 21 minutes 50
seconds West, 444.28 feet to the northeast side of said right of way;
THENCE along the northeast side of said right of way, North 54 degrees 52 minutes 30 seconds
West, 138.22 feet to the point or place of beginning.
TOGETHER with all accretions to the premises along Mattituck Creek.
TOGETHER with an easement in common with others over a right of way described as follows:
BEGINNING at a point formed by the intersection of the northeasterly line of Westphalia
Avenue with the Westphalia Avenue with the southeasterly line of the land of John I. Pope; and
RUNNING THENCE from said point of beginning along the southeasterly line of the land of
John I. Pope the following courses and distances;
(1)North 39 degrees 42 minutes 00 seconds East, 116.34 feet;
(2)North 46 degrees 45 minutes 00 seconds East, 151.15 feet;
(3)North 45 degrees 58 minutes 20 seconds East, 62.10 feet;
THENCE South 54 degrees 52 minutes 30 seconds East along other land of the party of the first
part along the parcel of land hereinabove described and again along other land of the party of the
first part, 403.32 feet to the land of the Estate of Ruth L. Slattery;
THENCE South 39 degrees 31 minutes 40 seconds West along the land of the Estate of Ruth L.
Slattery, 27.45 feet;
THENCE northwesterly and southwesterly along other land of the party of the first part the
following courses and distances:
(1)North 54 degrees 52 minutes 30 seconds West, 346.21 feet;
(2)on a curve to the left with a radius of 30.25 feet, for a distance of 41.79 feet;
(3) South 45 degrees 58 minutes 20 seconds West, 16.57 feet;
(4) South 46 degrees 45 minutes 00 seconds West, 149.82 feet;
(5) South 39 degrees 42 minutes 00 seconds West, 112.80 feet to a point in the northeasterly line
of Westphalia Road;
THENCE North 54 degrees 52 minutes 30 seconds West along the northeasterly line of
Westphalia Road, 25.08 feet to the point or place of beginning;
SUBJECT to a 12 foot right of way for access for a foot passage only by owners and guests of
Lots number 3 and 4 on a minor subdivision map prepared for A.C. Garelle, dated August 28,
1974 and approved by the Southold Town Planning Board on 6/23/75, to a Mattituck Creek;
which right of way runs along the westerly boundary line of the above-described premises
adjacent to the land of John I. Pope, more particularly bounded and described as follows:
BEGINNING at a point on the southerly line of the land of John 1. Pope; which point of
beginning is the following courses and distances from a monument set at the intersection of the
northeasterly line of Westphalia Road with the southeasterly line of the land of John 1. Pope:
(1)North 39 degrees 42 minutes East, 116.34 feet;
(2)North 46 degrees 45 minutes East, 151.15 feet;
(3)North 45 degrees 58 minutes 20 seconds East, 62.10 feet; and
RUNNING THENCE from said point of beginning, North 45 degrees 58 minutes 20 seconds
East along the land of John 1. Pope, 393 feet more or less to Mattituck Creek.
FOR COUNTY USE ONLY
Cl- swiS Code 14 1 7 1 3 1 8 1 8 1 9 I -P0E-lNs3:www•orps.state.ny,"$
New York State Department of
C2- Date need forded 1 3 / 20 20241 Taxation and Finance
Month Day year
Office of Real Property Tax Services
C3- Book 111 312 ,4 1.0j C4- Page I 1 18 1 21 8 1 RP- 5217-PDF
s
Real Property Transfer Report(8110)
PROPERTY INFORMATIONI
1.Property 2422
Location Westphalia Road
•STREET hvMSER
C� •SYq�EF NAME
Southold mattituQk
c,rr oR TtlWN 11952
V P UGC
..Z.HIty6Y 'Zip CODE
Name The
•3A5r NRME/CGireANY F3H8T HAMS .. ..... .-...............�.-.......-.-..........�.................�.-.....-....
EA5T NAMBi0oMPANY F1RSr NAME � ..
3.Tax Indicate where future Tax Bills are so be sent Address
Billing Of other than buyer sddress(at bottom of form) �E�iraT���a�'AN� Revocable Tr-s t A r ep�tent _*,��t,ed
Address Fra57 wiuie
2422 Westphalia Road Mattituck NY STREET NV N MaER Ap NAME CrFY OR roml 11952
aTATE Yip GPoE
4-indicate the number of Assessment 1 [t7nry if Part Of a Parcel)Check as the Roll parrots transferred on the deed N of Parcels OR Part of a Parcel Y apply:
B.Deed
4A.Planning Board with Supdivisfon Authodly Exists
Property -raO -r Fekr X OR 1.41 4M SubdEvlsian Approval was Required for Transfer
Size
Formica AC,ParoaE Approved for Sutxttvision with Me11p provided
Elia}�B tj]r - t�8.Seiler •I.A.r NA-E ovpmy ?
Name cFasF xAMe
LL4F NRME+�OMPM Y F�HBT NAffE -
"7,Select the description which most accurately describes the Check the haxes below as they appty:
use of the property at the time of sale: S.Ownership Type is Condominium
A.One Family Residential 9,New Construction on a Vacant Land
t GA,lroperty Located within an Agricultural C]istrlct
108.Buyer received a dmc;tosure notice indicating That the property is in an ❑
Agrirulloral District
SAL INf=C]F2MA"rl C3N IS.Check one or more of these conditions as a ppilrahle to transtar:
A,Sale 8elween Relatives or Farmer Relatives
11,Sale Contract slate 8_Sate,=:n Related Companies or partners in Business.
C.One of the Buyers is also a Selier
'12+Rate of SaierTransfer 11/01/2 0 2 3 D_kluge,or$slier is Government Agency or Lending tnstitut€oh
E.Deed Type not Warranty or Bargain and Sale(Specify eeiow)
"'t 3.Full sate Price F.Sale of Fractional or Less than Fee lnierest(Specify Solo_)
p •00 G_Significant Change in Property Between Taxable Status and Sale Dates
(Full S290 Price is the total amount paid for the properly including personal property_ H.Sale or Business is Included in Sale Price
p
Tills payment may be in the form OF cash,other property ar goods,or the assumption of 1. Other Llnusuar Factors Affecting Sate Price(Specify Below)
rr orlgages or other obligations,)please round to the nearest whole dollar amoenf, 4 J.
None
'Ccrnmtant(s)on Conditlon:
SC,indicate the value of porspnal
property included in the sale 0 .QO Transfer to Grantor's Trust
ASSESSMENT INl=ORMATtON-Data shntsfp reflect the latest Final Assessment Roll and Tax Bit!
'16,Year Of Assessment Roll from which Information taken{Yy) 23 '17,Total Assessed Value 12 500
'19.Property Class 210
179.School District Name ma t t j,tLi z:k
"20.Tax Map Ident3fier(s)IRotl Identifier($)(If more than four,attach sheet with additional We ntifter(s))
1000-114_00-01.00--010.00is
CER I ICAT101
I Certify that all of the items of information entered on Mls form are true Arid correct(to the hest of my knowledge and bellaq and I understand that the mak€ng of any willful
false statement of material fact herein subject me to trsv 1 s w relative to the making and filing of false Instruments,
M A19M
(Enter lnf H alton roc the buyer.Note;it buyer is LLC,Sodety,atsoopatkm.Corpg,,4ion,joint stock CWnParly.estate❑r
'k /'raj ontilly that is isn elrsn�ind3vi4uar agent or fiduciary,then a Damn end contact Interrn afion of an lneivlduaVrexpcnslpa®
V / F.� :[.'(q �'-: / � 9�ee;rp�S regarg7ng the tt Imar meat be nNere d.Type or print cl"rly.)
SE3.i?=p SIWYRTURE DATE
Elizabeth Forms Formica Elizabeth, C.
The Formica Revocable Trust Agreement LAST NAM2 FrRsr o-AME
slated 11/01/2023 63l
0 b _ 902-772.3
v •r ^••'��"� •AREA Cfl;1K 'TELEPHONE NIJM6ER[Er;8989999]
Bi]YER SIGNAFi1RE Elizabeth C. Formica, as TrusteeCMFf 2422 Westpha73a, Etna
•sTAVET NUMBER •srREer NAMt= '
{' € IVA Mat t31puck NY 11.952
•j1 •crrran rowr�
i ! r 'STAY£: •jrp Opp
l ! Wickham Abigail
1 3 T NAME F3RSr NeMI£
(531) 298--8353
AREA C()p♦r TELEPHONE NllMHER(frx-9$pggggl
,YQyS !r l