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Home My WebLink AboutL 13245 P 859 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 04/25/2024 Number of Pages : 4 At: 10:24 : 49 AM Receipt Number : 24-0053358 TRANSFER TAX NUMBER: 23-27899 LIBER: D00013245 PAGE : 859 District: Section: Block: Lot: 1000 027 . 00 03 .00 006. 004 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $10 .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 EA-CTY $5 . 00 NO EA-STATE $125.00 NO TP-584 $5 . 00 NO Notation $0 .00 NO Cert.Copies $0 . 00 NO RPT $200 .00 NO Transfer tax $0 . 00 NO Comm.Pres $0 .00 NO Fees Paid $395 .00 TRANSFER TAX NUMBER: 23-27899 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL VINCENT PULEO County Clerk, Suffolk County ❑1 2❑ Number of pages RECORDED 2024 ADr- 25 10:24:49 AM 0INCE-NT PULEA This document will be public FLEKf O F aIaFFOL I: CLIU,yT4' record. Pleaseremove all L D00013245 Social Security Numbers " =59 prior to recording. DT# T-27899 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee 10.00 Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 �r�U Sub Total Notation Spec./Assit. �Q EA-52 17(County) 00 Sub Total or Spec./Add. f EA-5217(State) 106 100 TOT.MTG.TAX R.P.T.S.A. 2bb ' Dual Town Dual County Held for Appointment Comm.of Ed. 5. 00 _ Transfer Tax Affidavit r: �. Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total ! YES or NO Other Grand Total If NO,see appropriate tax clause on pa g of this instrum t. �3- 4 Dist. 24012975 i000 02700 0300; oo60oe )02 5 Community Preservation Fund Real Prope P T S ff II ++ ++ Consideration Amount$_LO_ _ Tax Agency R1-2 I IIIIII ll�lf�I�II�II�I IIIII I�I CPF Tax Due $ Verificatio v' Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land LAW OFFICE OF ROBIN BURNER DALEO, PLLC TD I U 655 ROUTE 25A MT.SINAI, NY 11766 TD TD Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.NameAMERICAN DREAM ABSTRACT INC www.suffolkcountyny.gov/clerk Title# CR1524-S 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFYTYPE OF INSTRUMENT) SUSAN A FORBES The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of SOUTHOLD SUSAN A FORBES AS TRUSTEE OF THE In the VILLAGE Kmt SUSAN A FORBES REVOCABLE TRUST or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over GR152y-S CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS THIS INDENTURE,made the fa day of March,2024 �000 BETWEEN 027�DO Susan A. Forbes, residing 1075 Narrow River Road, Orient, New York 11957 03�Q0 party of the first part,and 00b.002 Susan A.Forbes, residing at 1075 Narrow River Road, Orient, New York 11957 as Truttee of the Susan A. Forbes Revocable Trust dated March 22,2024 party of the second part, WITNESSETH,that the party of the first part, in consideration of ten ($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, SEE SCHEDULE "A"ATTACHED SAID PREMISES BEING THE SAME as premises conveyed to the party of the first part by deed dated January 6, 2016 recorded in the Suffolk County Clerk's Office on April 14, 2016 in Liber 12860 page 528. Said premises known as at 1075 Narrow River Road, Orient, New York 11957 1000-027.00-03.00-006.002 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"when ever 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: Susan A. Forbes Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment Form 3290 Schedule A Description Title Number CR1524-S Page 1 ALL that certain plot, piece or parcel of land situate lying and being at Orient, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the Northerly side of King Street (alkla Narrow River Road) distant 237.70 feet Easterly from the corner formed by the intersection of the Northerly side of King Street with the Easterly side of King Street; RUNNING THENCE along land of Holtzman, North 25 degrees 03 minutes 20 seconds West 70.80 feet to land of Vilna Estates, Inc.; RUNNING THENCE along said land North 67 degrees 18 minutes 10 seconds East 157.62 feet to land of A. Blodgett; RUNNING THENCE along land of A. Blodgett, South 18 degrees 13 minutes 20 seconds East 82.60 feet to the Northerly side of King Street; RUNNING THENCE along the Northerly side of King Street, South 71 degrees 46 minutes 40 seconds West 148.72 feet to the point or place of BEGINNING. TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of�7[1lt' V— ss: State of New York,County of ss: On the 11- day of UArC,6, in the year 2024 On the day of in the year before me, the undersigned, personalty appeared Susan A. Before me,the undersigned,personally known to me or proved Forbes personally known to me or proved to me on the basis of to me on the basis of satisfactory evidence to be the satisfactory evidence to be the individual(s)whose name(s) is individual(s) whose name(s) is (are) subscribed to the within (are)subscribed to the within instrument and acknowledged to instrument and acknowledged to me that he/shelthey executed me that he/she/they executed the same in his/her/their the same in his/her/their capacity(ies),and that by his/her/their capacity(ies), and that by his/her/their signature(s) on the signature(s)on the instrument, the individual(s), or the person instrument,the individual(s),or the person upon behalf of which upon behalf of which the individual(s) acted, executed the the individual(s)acted,executed the instrument. instrument. _ Y l Y[_ V (signature and office of individual taking acknowledgment) (signatu and o of individual taking acknowle N iCp1e IT. NICOLE J.RIFKIN t lO4-Ctrq1 Puw 11 NOTARY PUSLIC,STATE OF NEW YORK _�. 0 1,y�1 Registfa"n No.01R16QS612 3 br Qualified In Suffolk CountyVo 6)U&4 S V 001 K Commission Expires August 15,20; e� 6/15l;� 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 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/shetthey executed the same in his/her/their capacity(ies),and that by his/herttheir 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 admowtedgment) SECTION:027.00 BLOCK:03.00 BARGAIN AND SALE DEED LOT:006.002 WITH COVENANT AGAINST GRANTOR'S ACTS COUNTY OR TOWN Town of Southold Title No.CR1624-S STREET ADDRESS 1075 Narrow River Road Susan A.Forbes TO Susan A.Forbes as trustee of the Susan A.Forbes Recorded at Request of Revocable Trust American Dream Abstract,Inc. RETURN BY MAIL TOP STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Robin Burner Daleo, PLLC Distributed by 655 Route 25A American Dream Abstract, Inc. Mount Sinai,NY 11766 "We enTitte you to the American Dream" FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK INSTRUCTIONS(RPti9217-PDF-INS):www.orps.stowny.us FOR COUNTY USE ONLY 4� q1- Now York Shrilly Department of C1.Sans Code 11 A, 2u11 .D 1b 1 1 I Taxation and Finance C2.Dab Deed Recorded I _1 /aS 1214 1 Office of Real Property Tax Services army V— c2.Book I L�L�-,� IS I C4.Paw I 1 5, I RP-5217-PDF Real Property Tronehr Report(SRO) PROPERTY INFORMATION 1-P V 1075 Narrow River Road 'BTREUNL'MER 'WREF-NPrE Orient 11957 •ca.a+-om v ffi -a-cm 2."r Forbes, ttee Susan A. Name 'lAs-NNIFRa1PANY eFc'NNE Susan A. Forbes Revocable Trust IAST NAMLCOMPAN1 PRSr NAPE 3.Taw Indicate wham fulurs Tax We are to be sent Bill" it other than buyer eddhiWat bosom of tom) �.yyr„Eiep,P� FIRST NAYS Ad S-REE-NUMMERANaNwE C,rr OR TOM 5-ATE LPCOQE 4.Indicate the number of Aseememn 1 0 d Paloela Pan d a Pawl (Only It Part eta Parcel)Cheek as May apply: Rail parents vansfarrad on the dead OR ❑ 4A.Planning Board with Subdivision AWhorlq Exists ❑ 8.Dead OR 0.26 ProW ip •FITONr rEET M.Suhdividall Appmvel was"red for TronefK ❑ man •7EmN •ACPEe 4C.Parcel Approved far Subdivision with Map Provided ❑ Forbes Susan A. B.Seller •L-STNArPJCOrPANY Noms �asl NAME L-ST NAMEOCMP*rr I MST raw '7.Sated the deaeription which most axurd*dmribm the Check the bales blow as they apply: use althe properly atthe thins of sad: 0H Ownership Type Is Condominium ❑ A.One Fdmily Residential o.Now ConstrueWon a Vacant Lend ❑ 1OA.Props"Located within an Apdeuhlsd Dlstrks ❑ 1OB.Buyer mowed a diedom m notice illdira rig that the property Is in an ❑ Aplurltund District SALE INFORMATION 10.Checkaneor mass of thus eoadMonsas applicable totransfer A.Sala Between Relatives or Fanner ReNavas 1 t.Salo Contract Dam 01/0 3/2 02 4 B.Sale between Railroad Cwrgmnlm or Partners in Business C.One of the Buyers In sim a Seller •12.Data at Sddrionsfor 'Ly D. m Buyer or Seller is Gmemem Agency or Landing InstitutionE.Deed TWO not warardy or Bargain and Sale(Specify Below) F.Sala d Frauiiertl er Leas Ihan Fee Internet(Sparily Below) 9 s.Full sale price 10.0() G.SigrtihcaLl Change in Property Beneesn Taxable Status and Bah boas H.Sale d Businna Is Ir,,Uded In Sae Plies I Full Sale Price Lathe told amount paid far the property including per= property. 1.Other Unusual Factors Affecting Sale Price(Specify Bakes) This payment may be in the form of cash.Other property or goods.or the assumption d J.None mMgagas or other aWigations I Freese round to the reasqu l whale dallarsmount 'ComlheW(a)on CondNlon: 14.Indic&*dm vatus at personal properly llleluLtatl In the tale •00 transfer to trust i ASSESSMENT INFORMATION-Date should retied the latest Final Assessment Roll and Tax Bill 1ti.Yea of Asseasm lvt Roll from which Inkshodeni takan(M 23 *17.TONI Assessed Value 7,500 'IL property Clw 210 — •111.8ehooldelrktNans Oyster Ponds SD '20.Tes Mop lderdlMr(syRoll ldenUr4ds)(If mole then four.oUnh shed wkh additional Idenaaer(e)) 1000-027.00-03.00-006.007. CERTIFICATION I Cerffly that ell al the hens d Intorm y tie a tasd on rids ram are true and tarot!(to the hest of my It and belle!)and I understand Mot ale making of ay wllRul I tales eNbrnarrt d mabrlol fad herein sub)al t ma ta Mayrovlelena W.IIN�aLlaylrrsleii,m b am making and Mnp of fees strum nft. BELL ve SIGNATURE BUYER CONTACT INFORMATION (EmerlEwmsem err aw Wryer.slater dbuyer Is IlC.mdalo amcmgm.tarprWm.0it pars am, or 1 amlry amrnoe w,mava,W prswnauwry,awnarsmesm maep MxmWonda nNrbsarsaemaek orb wm ran snmw quamm regrdrq the aadwm,a 6a wand Type ar pdm craft.) s,orAnyE tyATF BUYERSIGNI&TUIRE Forbes Susan A. •L tan N,wE rwsr NAME iiP•//•� -ANE,1 OrxF •TELEPHOW NUMMID aeew, •VNEaAOWnIRE � 1075 Narrow River Road S-RrETµyRN •STPLLT NAME Orient NY 11957 -cryop Tom 'STATE 'ZPCWE BUYER'S ATTORNEY Daleo Robin Burner LAST WARE R-67 NAME (631) 392-6600 oil ANEACCOE TELEPHONE NUMBER,B•erNae, 1