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Home My WebLink AboutL 13249 P 679 1111111111111111111111111111111111I11111111111111111111 I I I I I I I l l l l l l l l SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 05/21/2024 Number of Pages : 4 At: 03 :14: 40 PM Receipt Number : 24-0065373 TRANSFER TAX NUMBER: 23-31124 LIBER: D00013249 PAGE : 679 District: Section: Block: Lot: 1000 070.00 03 . 00 007 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 . 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 $5 . 00 NO RPT $200 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $0 .00 NO Comm.Pres Fund $0 . 00 NO Comm.Housing Fund $0 .00 NO Fees Paid $400 . 00 TRANSFER TAX NUMBER: 23-31124 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL VINCENT PULEO County Clerk, Suffolk County RECORDED Number of pages 2024 May 21 03-14.40 PN VINCENT PULEO CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013249 Social Security Numbers P 579 prior to recording. DT# 23-31124 Deed/Mortgage Instrument Deed I Mortgage Tax Stamp Recording/Filing Stamps 3 1 ez FEES Mortgage Amt. Pagel Filing Fee 40 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. f �r— or EA-5217(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. 0%,74 , Dual Town Dual County Held for Appointment Comm.of Ed. 5. 00 Transfer Tax 01�Cert idavit t Mansion Tax fied Copy The property covered by this mortgage is or will be improved by a one or two NYSSurcharge 15. 00 �qD family dwelling only. Sub Total � YES or NO Other Grand Total t5ommu ' 0,see appropriate tax clause on of this instru nt� 11 4 Dist.1001 24018972 1000 07000 0300 007000 Preservation Fund Real Propert Tax Agency Service y RRM xz , II�II�IIII I�II�II�II�II Consideration Amount$ CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land( SCOLARO FETTER GRIZANTI&MCGOUGH, P.C. TD 507 PLUM STREET, SUITE 300 TD SYYRACUSE, NY 13204 TD Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFYTYPEOF INSTRUMENT) ROBERT VAN BOURGONDIEN The premises herein is situated in PATRICIA A.VAN BOURGONDIEN SUFFOLK COUNTY, NEW YORK. TO In the TOWN of SOUTHOLD ROBERT VAN BOURGONDIEN,AS TRUSTEE OF In the VILLAGE THE PATRICIA A.VAN BOURGONDIEN REVO TRUST or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS THIS INDENTURE, made the lqi.d day of , 2024. 4 BETWEEN: ROBERT VAN BOURGONDIEN AND PATRICIA A. VAN BOURGONDIEN of 580 Grigonis Path, Southold, NY 11971, Grantor, AND: ROBERT VAN BOURGONDIEN,AS TRUSTEE OF THE ROBERT VAN BOURGONDIEN REVOCABLE TRUST dated January 25, 2024, AS TO A 50% INTEREST, -AND - PATRICIA A. VAN BOURGONDIEN, AS TRUSTEE OF THE PATRICIA A. VAN BOURGONDIEN REVOCABLE TRUST dated January 25, 2024, AS TO A 50% INTEREST, both of 580 Grigonis Path, Southold, NY 11971, Grantee, WITNESSETH, that the Grantor,in consideration of Ten and 00/100 Dollars($10.00)and other valuable consideration paid by the Grantee, does hereby grant and release unto the Grantee, the heirs or successors and assigns of the Grantee forever, ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows on Schedule "A" attached hereto and made a part hereof. SUBJECT to easements, covenants and restrictions of record, if any. FOR REFERENCE ONLY: Property Address: 275 Jernick Ln Tax Map No.: 70.-3-7 BEING the same premises described in the Deed to the Grantor herein dated November 6, 1978 and recorded on November 10, 1978 in the Suffolk County Clerk's Office in Book 8530 of Deeds at Page 452. THIS conveyance is made in the day-to-day business of the Grantor and does not constitute a transfer of all or substantially all of the assets of the Grantor. TOGETHER with all right, title and interest, if any, of the Grantor 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 Grantor in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the Grantee, the heirs or successors and assigns of the Grantee forever. AND the Grantor covenants that the Grantor has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the Grantor, in compliance with Section 13 of the Lien Law, covenants that the Grantor 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 Grantor has duly executed this deed the day and year first above written. rJ ROBERT VAN66URGONDIEN PATRICIA . VAN BOUR DIEN STATE OF NEW YORK ) COUNTY OF ss.: On this_,�r' day of `*a , 2024, before me, the undersigned, a Notary Public in and for said State,personally app ed ROBERT VAN BOURGONDIEN AND PATRICIA A. VAN BOURGONDIEN, 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 hislher/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. Notary Public Record& Return To: Scolaro Fetter Grizanti&McGough,P.C. JOHN A. MAKI 507 Plum Street, Suite 300 Notary public-State of New York No.01MA6164838 Syracuse,NY ]3204 872532.1 Qualified in Suffolk County My Commission Exp.04/301202.7 SCHEDULE "A" LEGAL DESCRIPTION ALL that certain plot,piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot 1 on a certain map entitled "Map of Harvest Homes Estates, Section I" and filed in the Office of the Clerk of the County of Suffolk on July 18, 1969 as Map No. 5337. TOGETHER with an easement over the streets as shown on said map, but excepting and reserving unto Mary J. Grigonis, her heirs, executors, administrators and assigns, the fee to said streets and all franchise rights therein and the right of dedication of said streets to the proper governmental agency for street purposes. INSTRUCTIONS(RP-5217-PDF-INS):www.orps.stalemy.us FOR COUNTY USE ONLY New York State Department of C1.SWIS code 147 7,?j ,� ^^el Taxation and Finance /C2.Date Dead Recorded L 5 � «/1 l Office of Real Property Tax Services � "r '~' RP-5217-PDF C9.Book I k l D 1-Z`l,q j C4.Page Real Property Transfer Report(8110) PROPERTY INFORMATION I-—Potty 275 .TERN-Cf: iN Location •S'NLL:hJYsai •SaeL!NWL• SO.I^HOt,:; 1197'- .CITW CR Tcwh V-U GL •:P V CE s.Buyer Name SEE A_AWLICGW-E, r%K3rJ;rat Name •.A51 NAYLICGYaAnf 3.Tat Indcone wham futuro Tax Bills are to be sent Btiling if other then txrye W.r addreaalat bottom of form) L NAi�r-OURAW X:sT NAYS Addrms ' s1+EF I a1VP.FR A.hy MuE Crr:la To iv SWE rPCe11F 4.Indicate the number of Assessment 1 #d Parcels OR Part d a Parch (Only,If Part arm Parcel)Check as they apply: Roll parcels transferred an the deed 4A.Planning Board with Subdivision Authority Email 6.Dead K (,)It 0-N n 4B.Subdivision Approval was Required for Trans'er Property •MW:rth: -DEPTH -.C-ES Srza 4C.Parcel Approved for Subdivision with Map Provided ❑ VAkr O';RGONDIEN ROBERT 9.Sever •I MT v WR;QrrP4ti 1051 hAtt Name VAN BOURGOND:EN PATCIC:A A. IA47 vA CXXWPAW Fast NATAL •7.Safest the description which most accurately describes the Check the boxes below as they apply: use of the property at the time of axis: a.Ownership Type is Condominium ❑ A.One family Residential 9.New Conatmckon on a vacant Land ❑ 10A.Property Located within an AgdCtund District 109.Buyer received a disclosure notice Indicating that the property is in an ❑ Agricultural District SALE INFORMATION IL Chock one or more ofineso conditions ae applicable tolronafer. A.Sale Between Relatives or Former Relatives It.Sale Contract Data B Sale between Related Companies or Partners in Business. C.One of the Buyers is also a Sever �( D.Buyer or Seller is Government Agency or Lending Institution '12.Data of SablTrenafsr 7 E.Dead Type not warranty or Bargain anti Sole(Speoly Below) F.Sale of Fractional or Lou than Fee Interest(Specify Below) '17.Full Sale Prise .UU G.SigrAcant Change in Property Between Taxable Status and Sale Doss l Full Sale Price is the fatal amount d far the H Sale d Burnep is Included In SW*Price pal properly including personal property. I Other Unusual Factors Affecting Sale Price(Specify Below) This payment maybe in the form d cosh,Weer property or goods,or the assumption Of J.Nero mortgagor or other obligations 1 Please round tosere the nst whole dollar amount 'Cammongs)an Condltion: 14.Indicate the value of personal 0 00 property Included In m . e esl0 Ct7NVf:YANCE TO REVOCABLE TRUS 3 ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 15.Year of Assessment Roll from which Information taken(YYI 23 '17.Total Assessed Value •1 v.Property Class 210 - r19.School District Name SOUT OLD '20.Tax Map IderltieerlsyRoll Identifier(s)IIf more than four,aBach aheatwith additional IdentlSerls)) 7C.-3-7 CERTIFICATION 1 Certify that all of the Rome of Information entered on this form are tram and correct(to the beat of my knowledge end ballot end I understand that the making of any wl ltiul false statement at material fact harsh;subject me to meAmvialons of the tonal law relative be the making and filing of false Instruments. 11IM;_GONTACT INFORMATION C.r IPlemr e.ter ma nine r.Neu a Buyer E LLG.seamy n110dirIY7,rapmemr.loam atom mmpmy,cent•OF ..",9W.a rut"i rd,rluial agent W 16-7.awn••wma and mmwx 11-1111M Of an rxnid,aVWspW%Wo Kobe! Vat: B u di vary rd•o owl armed,Q-1mlia morns a:not vansen rrYl tie a-nano Typo er polr suarty 1 "P'AW 1-a A. an Bourg—on3re,drTF vPn saURaa:4Dl=^a RoLt>;Fr AND PATRICIA ' -IASTMVF I 145'WVE Robe ncB 1t31; 765-41642 e. •Am[AGO:X "'9 EPF5N_Aa.Yw.a Ch.929 MI "IMINFI is A. Van ourgondiefr-F SdC GEIGONiS :'A':'(1 •bINLLI WYL SO[:T::OLi) VY 11971 i YI'Y Y.rave. •STA-E -2Y Coon r I BUYEf1LS ATTORNEY I SCOLAR0 aF.'.'T R GRIZAN'i1 6 `!cGOUG , ?.C. LA57NwF FIONI VAYL l (:17) 471-6111 f -Eft Cd7P 71 tP rya:WMMR 1E•W..l 5 I I L. 13Zu9 P ��9 SCHEDULE TO FORM RP-5217 2. BUYER NAME: ROBERT VAN BOURGONDIEN,AS TRUSTEE OF THE ROBERT VAN BOURGONDIEN REVOCABLE TRUST dated January 25, 2024, AS TO A 50% INTEREST, -AND PATRICIA A. VAN BOURGONDIEN,AS TRUSTEE OF THE PATRICIA A. VAN BOURGONDIEN REVOCABLE TRUST dated January 25, 2024, AS TO A W/o INTEREST,