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L 13279 P 108
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 1/8/2025 Number of Pages: 5 At: 9:09 :52 PM Receipt Number: 25-0002839 *ELECTRONICALLY RECORDED* Transfer Tax Number: 24-17845 LIBER: D00013279 PAGE: 108 District: Section: Block: Lot: 1000 070 .00 04 .00 027 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $1,520,000 . 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 $15,200 . 00 NO EA-CTY $5. 00 NO EA-STATE $125. 00 NO TP-584 $5. 00 NO Comm.Pres $33,000 . 00 NO Comm.Pres Fund $26,400 . 00 NO Comm.Housing Fund $6, 600 . 00 NO Transfer Tax $6,080 . 00 NO Transfer Tax Number: 24-17845 Fees Paid $54, 680 . 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County RECORDED Numberofpages5 1/8/2025 9:09:52 PM VINCENT PULED CLERK OF This, o(,,.ament wilt be rublic SUFFOLK COUNTY L D00013279 prior to recor'dhq, 24-17845 Deod f Mortgage Instrument Deed 1 Mortgage Tax Stamp Recordinrq t Filing Stamps FEES Nga)Filing Fee 2!3.00 Mortgage 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,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 6,080.00 Affidavit TMansion Tax 15,200.00 Certified Copy 0.00 The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15, 00 345.00 family dweWng only. Stab Total. _ YES or NO Other 400.00 Grand Total If NO,see appropriate tax cruse on page# of this tnstrumant. 4 1 Dist. Section Block Lot 5 Commun y Preservation Fund zaoas Rea ert No n1 1,520,000.00 P Y T Coia�i.cieratiQz�A.r nar3 rzt Tax Service P s R orr a 33 000.00 Agency zrzarzoza CPF'Tex Due ■ Verification � Improved X � a rs actrons� a�es a eases €s rope Hers a�ts�g Tess RECORD&RE!URN TO-, vacantl.and Abstracts Incorporated TD 10 100 Garden City Plaza Ste_ 201 Garden City NY 11530 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\ALl.AGE or HAMLET of soxEs6 THRU 8 3MU7 IE;PEP OF,PR;NT€nT I BLACK INK ONLY PNOR To RBCQR0ING OR FILING, av 775 HILL ROAD OWNER LLC,a New York limited liability company GRANTOR TO MICHAEL E. FOSS and CHERYLYN R.FOSS, as TRUSTEES of the MICHAEL E.and CHERYLYN R. FOSS JOINT REVOCABLE TRUST GRANTEE € SI DEED Premises: 775 Hill Road, Southold,New York 11971 Suffolk County,New York District 1000, Section 070.00,Block 04.00, Lot 027.000 Record and Return by Mail to: Richard Vandenburgh, Esq. 42155 Main Road Peconic,New York 11958 BARGAIN AND SALE DEED WITHOUT COVENANT AGAINST GRANTOR'S ACTS THIS INDENTURE, dated as of December 6 , 2024, by 775 HILL ROAD OWNER LLC,a New York limited liability company, having an address at c/o 1981 Marcus Avenue, Suite El17, Lake Success, New York 11042 ("Grantor"), to MICHAEL E. FOSS and CHERYLYN R. FOSS, as TRUSTEES of the MICHAEL E. and CHERYLYN R. FOSS JOINT REVOCABLE TRUST, having an address at 775 Hill Road, Southold,New York 11971 ("Grantee"). WITNESSETH, that Grantor in consideration of the sum of Ten Dollars ($10.00) and other good and valuable consideration paid by the Grantee, the receipt and sufficiency of which is hereby acknowledged by Grantor, does hereby grant and release and assign forever unto Grantee, and the heirs, successors and assigns of Grantee, that certain plot, piece or parcel of land situate lying and being in the County of Suffolk and State of New York,known as and by the street address 775 Hill Road, Southold, New York 11971 (District 1000, Section 070.00, Block 04.00, Lot 027.000), as more particularly bounded and described in Schedule A attached hereto and made a part hereof(the "Land"). TOGETHER with all right,title and interest of Grantor in and to any and all buildings and improvements located on the Land (the "Improvements"); TOGETHER with all right, title and interest, it any, of Grantor in and to any easements, rights of way, privileges, benefits, appurtenances, hereditiments, strips, gaps and gores, and any and all other rights, if any,thereon or in any way pertaining thereto, including, without limitation, any land lying in the bed of any streets and roads abutting the above-described property to the center lines thereof (the foregoing rights, together with the Land and the Improvements being hereinafter referred to,collectively,as the "Premises"); BEING AND INTENDED TO BE the same premises conveyed to Grantor by Shirley E. Bratle, individually and Shirley E.Bratle and Barbara E.Bratle,both as Co-Trustees of the Shirley E. Bratle Trust under Agreement dated May 11, 2011, by deed dated October 12, 2023 and recorded on June 4,2024 in the County of Suffolk in Liber 13251, Page 337. TO HAVE AND TO HOLD the Premises herein granted, or mentioned and intended so to be, unto Grantee, and the heirs, successors and assigns of Grantee, forever. AND Grantor, in compliance with Section 13 of the Lien Law, covenants that 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 improvements and will apply the same first to the payment of the cost of improvements before using any part of the total of the same or any other purpose. [Signature to Appear on the Following Page] SCHEDULE A Property Description 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, known and designated as Lot No. 6 on a certain map entitled "Map of Calves Neck" and filed in the Office of the Clerk of the County of Suffolk on February 15, 1972, as Map No. 5673. IN WITNESS WHEREOF, Grantor has duly executed this deed the day and year first above written. GRANTOR: 77 HILL ROAD OWNER LLC a New York limited liability c By: Name: E-r[c� 'r-�L,, Title: Authorized Signatory STATE OF NEW YORK ) ss.. COUNTY OF NASSAU ) On the day of December,2024,before me,the undersigned,a Notary Public in and for the State of New York, personally appeared S aO k,A , personally known to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument,the individual,or the person upon behalf of which the individual acted, executed the instrument. ry Public JUSTIN E.THUREN NOTARY PUBLIC,STATE OF NEW YORK Registration No.OITH6278073 Qualified in Suffolk County mission-Expires—, March FOR COUNTY USE ONLY Cl- SW IS Cade 14 e 7 e 3 e S e S e 9 New York S to Elepatftaertt of Taxaffon and Finance C2_ Date need yarded 1 1 1 8 1 20251 Month Day rear Cfto of Real Propert3r Tax Sel'srims yy yy o _ FOP- 521'f-P©F C3_ Doak Ill 312 1 7 1 9 1 C4_ Page I I I l 1 01 81 ROW ProPertY Transfer Report(W10) j) PROPERTY INFORMATIONI 0I.Pruparly, 775 Hill Road L,oaallori .-.-.-.-.-- -5rteEE7 rOFlhmeRmm -99WFPT Hsus SC"ft th<>Id Southold •CrrY 0K 4VV 1W VK4I •aP cone 2.Buyer THE MICHAEI, E. AND CHERYLYN R. MSS JOINT Name 't/i.Sf ehAAtE/CIX rr'� Fingr3L4Em « A-EVOCABTUE TRUST tAer cpr.�rarr �xi4sr•r 3_Tax Indlcater4rttem fertum Tax 8111a are to b"sent AdS11dress W0VWr than buyer bottom aT frarin) w�srrrxn�c ___r rsane.""". P :�,_ Address t - i� ] _ __... �E'lUi �- C� q4 $r r'�/.M7 NAn'dR Crt�s�t NR¢ STATE =PcrAm 4.€nd€cafe the number of A�eat y, ❑Part of a t�m01 {Ortly N mart of a Parcel]Check as they apply- ❑ Rolf parcels tran�rrest on em steed YR of F rarea€s OR 4A.Flann€ne Board wlth SubdFvF�Ivn AmOmaty E4sEa 8•Head OR4 46.00 4R.subdhvslln Approval was Required for Transfer ❑ Property -smaarrrzer X Size 40.ftmel Approved for SubdNle€wi Wth Mali Prcvkled ❑ 775 KILT, ROAD OWNER LLC 6_seker »rAsrturaonrwanry eucsraenns Name tnsrxmn or�a wr recto WAM •T.Select the descrlptton wWah most accurately describes the Checkitte boxes loe€ow as they apPir. use of the properly atfhe time of xains &Ownership Type Is condwninturn ❑ A_One Pan-dy Resielexrtia7 R Now Cant xwc on a Vacant land ,I*A.Propany Located whNn an Agrknilturst D ❑ 103.Buyer received a d€as:k=re natcar indI aat€ng that the prupwty is in an ❑ Agriouiturs€DiWct SALE INFMWA'T€ON IS.Check one or more of thew condkions as applttable to tmnffrw- A.Sala aetween Ftetaiives or Vonnar fRemves 9'1.Sate Contrect Date 0 6/18/2 0 2 4 s.We hersean(Related Oompan€e%or Partners in Business. a One of the Buyers is also a Seller 1z.Dato of Saietrransfer 12/0 6/2 0 2 4 U.Buyer or Seiler is Government ANY or Lerrdlrrg€nsittutkhrl >r Deed Type net Wananty or Uargatn and sale(Specify Below) F.sale of Fmet1on6€or Less Own Fee InterwA(SpecPry Below) "€3.Full Sate PrIva 1,5 2 0 r 000-01) G.sign4Licant change in property B"Ween Tambta stafue and sale Dates }l.Set.of Mmkmr.4ls trealuded to Sale Pdca {Full.Sate pry is the total amount Acid for the property Including!mil pnVeriy- I. Other Unusual Pact= AfleWrV Sale Prkpe{Speplty Below) This payment may be to the form of Cash,other property or goats,or the assumpgon at J.None mortgages or other obtlgabons.)Fleas®sound to the neawe whop®daaaramount Can,r+[aa;Ka3 du Gcxrdlttcn: 14.Indicate the value of.psraonai ,� properly included in the sale ASSESSMENT INFORMATION-Data shou€cS raDeu the latest F'tal Assessment(tall and Tax Bin 16.Yew of Assessment Roll from wMcb information bwcrKM 2 4 ^17_Total Assessed Va€m 19,000 118.propertyClass 10 ...... "79.school 1CSkodetName 05-- SOUTHOY D `20_Tax clap€dent€fter[as)MOK€derrt€fier(a){rf more than four,attach skeet with addttiarml hdet ufler•(s)) 1000/090_00/04.00/027.000 OERTIFICATION t CeMfy that all of the Stearns Of 7nfansrat c0 entered on Ws form are true and correct(to the best of ray knuMedge and 13,al"and 1 tmdsrstand that the atalung of any uAltrA fa€se.%urtament of material tact herain subject me to to 010 making and filing of fdise fnslrumantm. R.rFTSaTIATtiRi BUYER CC3N7&S:`f'1h1FORMA"€'ON Cater€F#ntrrwHOFt ftlr tPw buyer.[ulsla:At buyer to LILCA06aty.aMOUBOOML s+urparnumtjl,ffntauxde wrreriaaY•estate or a"tlr tis nor en in4mduot agent W Ntpaery.*re a name and cao€act adasmullon of art Inflivi re6p[xr53tAe par€y arha cars arnsMV ClUOSLors regard''A9 TI'M Lfffl"fer repast be eritfered.'lype arpnnt aF@*Trj sr:ccsastcwatuFM Mire FOSS KxCI3"L E. BUYER SIGNATWRF tnsra+n re>xuraraisxr f9g9) 999�9999 -nrrra�caoE 'n�.erreao=emu�ma�aa(as�wese¢eY �ur�asrrrannxan pn7e ' 775 BILL ROAD SO€ITHOLD NY 1"71 BtIYi�YB A7"f[7r2NS�C I j . h Vandeanbuirgkt. ERlchard r tAST'KV44U Fu["✓r 3FleDAL' F ; '631) 5I3- 9OI 9 PECONIC SAY ATTACHMENT SCHEDULE A,GRANTEE: Name: FOSS, AS TRUSTEE, MICHAEL E. and FOSS,AS TRUSTEE, CHERYLYN R.