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Home My WebLink AboutL 13253 P 362 I IIIIIII IIII IIIII IIIII IIIII IIIII IIIII 11111 IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 06/21/2024 Number of Pages : 4 At: 03 : 12 : 15 PM Receipt Number : 24-0078521 TRANSFER TAX NUMBER: 23-34245 LIBER: D00013253 PAGE : 362 District: Section: Block: Lot: 1000 075 . 00 04 .00 012 . 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 $400 . 00 TRANSFER TAX NUMBER: 23-34245 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL VINCENT PULEO County Clerk, Suffolk County ao Numberofpages PEDIR EL; 2024 Jim 21 03:12:15 PM This document will be public 'JiraCENT PULED record. Please remove all CLERK OF Social SecurityNumbers 5{JFFULk' COUNTY25 L F"�iJOC31�[5z prior to recording. P 3612 JyT*A3,3t2yK' Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee cb. O Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 S. OtD Sub Total Notation Spec./Assit. _ or EA-5217(County)__ ZS bb Sub Total 6 Spec./Add. EA-5217(State) I ma-s L TOT.MTG.TAX �a Dual Town Dual County R.P.T.S.A. �- Held for Appointment Comm.of Ed. 5. 004 Transfer Tax Affidavit . , Mansion Tax The property covered by this mortgage is Certified Cop S or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total 2 sd. YES or NO Other � Grand Total ` I �`Dc). Dc—) If NO,see appropriate tax clause on p of this�trumen 4 1 Dist.Wa 24023210 1000 07500 0400 012000 5 1&MW/nity Preservation Fund Real Property P T S Consideration Amount$ Tax Service Rt —2 DI IIIII IIIII IIIII IIII IIIII�II Agency PF Due $ Verification 5' Impr ed� 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land n Record&Return to: TD—t — Scolara Fetter Grlaanti&McGough,P.L. TO 507 Plum Street,Suite 300 Syracuse,NY 13204 TO 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 Bargain and Sale Deed made by: (SPECIFY TYPE OF INSTRUMENT) Mark Van Bourgondien and The premises herein is situated in Karen M. Van Bourgondien SUFFOLK COUNTY, NEW YORK. TO In the TOWN of Southold The Mark Van Bourgondien Revocable Trust In the VILLAGE and The Karen Van Bourgondien Revocable or HAMLET of ^' Trust 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 44 THIS INDENTURE, made the _T day of , 2024. BETWEEN: MARK VAN BOURGONDIEN AND KAREN M. VAN BOURGONDIEN of 100 Grange Road Ext, Southold, NY 11971, Grantor, AND: MARK VAN BOURGONDIEN, AS TRUSTEE OF THE MARK VAN BOURGONDIEN REVOCABLE TRUST dated January 27, 2024, AS TO A 50% INTEREST, -AND - KAREN VAN BOURGONDIEN, AS TRUSTEE OF THE KAREN VAN BOURGONDIEN REVOCABLE TRUST dated January 27, 2024,AS TO A 50% INTEREST, both of 100 Grange Road Ext, 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 at Southold, 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: 810 Grange Rd Tax Map No.: 75.4-12 BEING the same premises described in the Deed to the Grantor herein dated December 3, 1992 and recorded on January 4, 1993 in the Suffolk County Clerk's Office in Book 11600 of Deeds at Page 418. 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. MARK VAN BOU GONDIEN CAROLINE M.MACARTHUR Public-State of New York No.OiMA6384635 Qualified in Suffolk Countyrw rNotary Y Commission Expires D'et 17,2026 IZAREN M. VAN bOURr ONDIEN STATE OF NEW YORK ) COUNTY OF jFr-0 L_14. ) ss.- On this S*day of Jtf N C- , 2024, before me, the undersigned, a Notary Public in and for said State, personally appeared MARK VAN BOURGONDIEN AND KAREN M. 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 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. G'G Notary Public Record& Return To: CCAA O t '0�rn lM AC R V4 h`Vn' Scolaro Fetter Grizanti&McGough, P.C. �' 507 Plum Street, Suite 300 �1 p /�6 56�fly SS Syracuse,NY 13204 872532.1 G0a--e u�� o K,•17 ,�P SCHEDULE "A" LEGAL DESCRIPTION ALL that certain plot, piece or parcel of land, situate, lying and being at Southold, Town ✓ of Southold, County of Suffolk and State of New York, known and designated as and by the remainder of Lot No. 9 on a certain map entitled, "Map of South Harbor Homes", which map was filed in the Office of the Clerk of the County of Suffolk on July 14, 1964 as Map No. 4096, being more particularly bounded and described as follows: BEGINNING at a point on the Easterly side of Grange Road Extension at the Northerly end of the curve connecting the Northerly side of Grange Road with the Easterly side of Grange Road Extension; running thence North 4 degrees 50 minutes 10 seconds West along the Easterly side of Grange Road Extension; 149.41 feet thence North 85 degrees 35 minutes 50 seconds East, 16.70 feet; thence North 4 degrees 50 minutes 10 seconds West, 100 feet; thence North 85 degrees 35 minutes 40 seconds East,78.30 feet;thence South 4 degrees 50 minutes 10 seconds East,219.75 feet to the Northerly side of Grange Road; thence South 58 degrees 12 minutes 20 seconds West along the Northerly side of Grange Road, 87.18 feet to the point or place of beginning. INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.nly.us FOR COUNTY USE ONLY New York Stab Department of C1.SVAS code �J n� Taxation and Finance C2.Date Deed Recorded lY v l Z4 I Lq ORCe of Real Property Tax Services MBA as Taa RP-5217-PDF C3.Book ZS c4 Paso 1 1 vJl!I�� Real Properly Transfer Report(8110) PROPERTY INFORMATION 1.Properly 810 GRANGE RD Location •9'REE'rJYBEw •5'11EE'MIME SCU^_HOLD 11971 -C.Tv all Tool. (� WLAGE •ypcom 7.Buyer Moms CSZE ATTACHED yQS1 rbl lrOLMrl�r�l� �S K. C��i CLL��CC. Name •.AST NAMIRMOMPANIP F. NAPE LAST hAMZ=WAh'f F RS'NAMF 3.Tax Indicate where future Tax Bias are to be sent Billing if other than buyer address(st bottom of lrm) [ASIWIehCOMPAW FIRST NAME Address STREET WYBER ANb NWE Cl.l W TOM STA:_ ZPCWC 4.Indicate the number of Assessment 1 Part of s Parcel long If Pert arm Parcell Check as they apply: Roll psreols transferred on the deed a of ParcMs OR ❑ 4A.Planning Bond with Subdivision Authority Exists S.Dead X OR 0.47 48.Subdivision Approval was Required for Transfer ❑ Properly •FlK'n FFE-. •OEPTN 'AMS Sixe 4C.Parcel Approved for Subdivision with Map Provided ❑ VAN BOURGONDIEN Y.ARK e.Sailer •LAB"-%MCCWP— FR57 KWE Name VAN BOURGCNDIEY KAREN M. LAS-W W FJCO WAW FIRST NAPE -7.Select the description which most accurately describes the Check the boxes below as they apply: use of the properly at the ame of sate: a.Ownership Type Is Condominium ElA.One Family Residential 9.Now Construction on a Vacant Land ❑ 10A.Property Located within W Agricultural District ❑ 10B.Buyer received a disclosure nonce Indrating that the property is in an ❑ Agricultural District SALE INFORMATION 15.Check are or more afthese conditions as applicable to transfer: A.Sala Between Relatives or Former Relatives 11.Sale Contract Dab B.Sale between Related Companies of Partners in Business. C.One of the Buyers is also a Sailer D.Buyer or Sailer is Government Agency or Lending Institution 17.Date or SalafTmahr 0LA' ®$ E.Dead Type not Warranty or Bargain and Sale(Specify Below) F.Sole of Fradionel or Lou than Fee Interest(Specify Below) -13.Full Sale Price 0.00 G.Significant Change in Property Between Taxable Status and Sale Dates H Sate of Business is Included in Sale Price (Full Sale Price is the total amount paid for the property including personal properly. I.Other Unusual Favors Affecting Sale Price(Specify Below) This payment may be in the form of cash.other property or goods.or the assumption of J None mortgages or other obligations.)Pteaae round to the nearest whole doper amaum. -Comma l(a)on Condition: 14.Indicate Ow value of personal property Included In the sale () .00 CONVEYANCE TO REVOCA111F. TRUSTS ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Rol(and Tax Bill 1s.Year of Assessment Roll from which Information tokon(YY) 2 3 -17.Taal Assessed Value 6,100 110.Property Class 210 •tit.School District Nano - SOUT?OLD 020.Tax Map identifler(silRoll Identifier[@)(If more then four.SUCK sheet with additional Identlllar(s)) 1q� 75.-4-12 CERTIFICATION I Certify that all of the items of Information antral on this form are inns and correct(m ilea bat of my knowledge and b&W and I understand that the making of any wlltiul false statement of material fact heroin subject me to tbs provjolorrs of the ISInW law relative to the making and Sling of files instruments. BUYER CONTACT INFORMATION I&WrJm anion far the blear.Nate If buyer u LLC.eeeery,eswdanen.cwpmum.pat am a twmpony.eeuu or 8r al] o rg Dn Rn Wl4r tie le lest all iillMdill a9Ml d ad"ry.than a tram.and oanad afalmabm a as mdrlauWaapmede V if oar � pnry who eat answer 9ueeama IepaNYta the trMeM disco be mlwad.Type ar Pdm eYariy 1 rMr "12fif L"'M.`/Van BO rgondien VAN BOURGONDIEN MARK AND KAREN V 6vL.�1BE y .IAST NAM rlRsl W WL Mark Van our rod n R (631) 765-2797 •tie AaCOL `TELEP4q.4 NUYTNai eaxiall Karen an our ondi n G /5 2� 100 GRANGE ROAD EXT. •RTaCET NJYOCR SToCM.NAME in4 S.^.UTIIO:.D NY 11971 w 1,OR TOWN •cif A7E -ZIP COW BUYER'S ATTORNEY r S::OLARU FETTER GRIZANTI 6 McGOUGH, P.C. I.W.WE FAST WWF (315) 47:-5733 MEACCOE TELEPFONCI&JUSERILA a+asar I I ( I �o �21 a� - L. �3z�3 f? 362 SCHEDULE TO FORM RP-5217 2. BUYER NAME MARK VAN BOURGONDIEN,AS TRUSTEE OF THE. MARK VAN BOURGONDIEN REVOCABLE TRUST dated January 27,2024, AS TO A 50% INTEREST -AND - KAREN VAN BOURGONDIEN,AS TRUSTEE OF THE KARE..N VAN BOURGONDIEN REVOCABLE TRUST dated January 27.2024,AS TO A 50% INTEREST ,r r' y