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Home My WebLink AboutL 13286 P 27 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I l l l l l l l l l l l l l l l l l l l l l SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of instrument: DEED Recorded: 03/03/2025 Number of Pages : 3 . At: 04 :05 : 18 PM Receipt Number : 25-0029427 TRANSFER TAX NUMBER: 24-23608 LIBER: D00013286 PAGE : 027 District: Section: Block: Lot: 1000 055 . 00 04 . 00 018 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $15 . 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 $395 . 00 TRANSFER TAX NUMBER: 24-23608 THIS PAGE IS A PART OF THE INSTRU MENT THIS IS NOT A BILL VINCENT PULEO County Clerk, Suffolk County i ' ❑1 1-J Numberof pages RECORDED 2025 Mar 03 04.05:18 PM UINCENT PULED CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013286 Social Security Numbers P 027 prior to recording. DT# 24-23608 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee �j, Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 S Im Sub Total Notation Spec./Assit. l� or EA-5217(County) !�( U Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held for Appointment Comm.of Ed. 5. 00 "� Transfer Tax Affidavit Mansion Tax The property covered by this mortgage is Certified Copy a(� or will be improved by a one or two NYS Surcharge is, 00 3S family dwelling only. Sub Total YES or NO Other 7 Grand Total J IJ If NO,see appropriate tax clause on page# of this instrume t. d o(d -j 4 Dist.1 Of 25008754 1000 05500 0400 13i8000 )00 5 Community Preservation Fund Real Property on I Il�ljl IIII�IIIIIIII IIIII I�I Consideration Amount$ 0 Tax Service c� 11 I 1! I Agency CPF Tax Due $ 0 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD I V WILLIAM F. BATES, ESQ. 120 Court Street TD Riverhead, NY 11901 TD Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name N/A www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFYTYPEOF INSTRUMENT) DONNA CAMPBELL The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of Southold DONNA K.CAMPBELL a/k/a DONNA CAMPBELL In the VILLAGE REVOCABLE TRUST dated July 6,2023 or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over CONSULT YOUR LAWYER BEFORE SIGNING THIS/INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the_&__day of July ,2023 BETWEEN DONNA CAMPBELL,residing at 2155 Yennecott Drive,Southold,New York 11971, party of the first part,and DONNA K. CAMPBELL afkfa DONNA CAMPBELL, Trustee of the DONNA K. CAMPBELL REVOCABLE TRUST dated JulY 2023,residing at 2155 Yennecott Drive,Southold,New York 11971, party of the second part, WITNESSETH,that the party of the first part, in consideration of-0-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, ALL that certain plot, piece or parcel of land,situate, lying and being situate at Southold,Town of Southold, County of Suffolk, and State of New York, known and designated as Lot 34 on a certain map entitled, "Map of Yennecott Park, situate at Southold, Town of Southold, Suffolk County, New York", surveyed by Van Tuyl and Son, Greenport, New York, May 1, 1968 and filed in the Office of the l Clerk of the County of Suffolk on the 9"day of October, 1968,as Map No. 5187. BEING AND INTENDED TO BE the same premises as described in Deed dated August 19, 2020, and recorded on October 2,2020, in the Office of the Clerk of the County of Suffolk at Liber 13073, Page 422. SAID premises also being known as 2155 Yennecott Drive,Southold, New York 11971, District TOGETHER with all right, title and interest, if an of the a of the first art in and to an streets and roads taoo 9 Y. party p Y abutting the above-described premises to the center lines thereof;TOGETHER with the appurtenances and all Section the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the 055.00 premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of Block the second part forever. 04,00 AND the party of the first part covenants that the party of the first part has not done or suffered anything Lot 018.000 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: DONNA CAMPBELL Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE Slate of New York,County of Suffolk ss: State of New York,County of Suffolk ss: On the Cj day of July in the year 2023 On the day of in the year 2019 before me,the undersigned,personally appeared before me,the undersigned,personally appeared DONNA CAMPBELL 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 instrurngri"he individual(s),or he person upon behalf of which instrument,the individual(s),or the person upon behalf of which the individ I(s)acted,exec the i trument. the individual(s)acted,executed the instrument. 'X signature and offic4 of individual taking acknowledgment) (signature and office of individual taking acknowledgment) DIANE M BRErrEN6ACH umm Wa11G.SWEOFNFAYM ReGIOW0 Np 011311487M QmGfleE k�SUGnR[?o�My 9�-� uPllxnNs�on E�Y®Nwmnba50.'�„y G 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 individuat(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,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 acknowledgment) BARGAIN AND SALE DEED SECTION 055.00 WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 04.00 LOT 018.000 Title No COUNTY OR TOWN SUFFOLK,Southold DONNA CAMPBELL STREET ADDRESS 2155 Yennecott Drive, Southold, NY 11971 TO DONNA K.CAMPBELL alkla DONNA CAMPBELL, Trustee of the DONNA K.CAMP ELL REVOCABLE TRUSTdated Jul ,2023 RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by WILLIAM F. BATES, ESQ. Safe Harbor Title 120 Court StreetRiverhead, New York 11901 WE INSURE snao0•rfl s:uLlNc I o: INSTRUCTIONS(RP-5217-PDF-INS):www.orps.s(ate.ny.us FOR COUNTY USE ONLY Now York State Department of C1.SWISCode i , i Taxation and Finance C2.Data Dead Recorded I �/� / I Office of Real Property Tax Services '� OFF •� L41 RP-5217-PDF C3.Book `, O ,ti0 C4.Page i ` , , / i Real Property Transfer Report(g1110) PROPERTY INFORMATION 1.P-Petty 2155 Yennecott Drive Location •mREEI ar1YER '411EET NaYE ' Southold Southold 11971 •enrm Town VILLAGE •ancooE 2.Buyer CAMPBELL Donna K., a/k/a Name •LA87 rU111FR'OeP1e1T FIRaT ruYE Donna Campbell,Ttee Donna K. Campbell Rev. Tr. Ugr RayEAx)NIFAW Final ruble 7.Tart indicate whom future Tax Bills are to be sent Billing if olherlhan buyer addmas(m bottom of form) LAST,r.ACDerun Final NME Address mnEETrgleasT MNNRE cm an Tom! erArE EPCOm e.Indicate the number of Assessment 1 e d Praola OR Pen d a Parcel (Only if Part Ora Parcel)Chock as they apply: Roll psrools tronsforrod on the dood 4A.Planning Board with Subdivision Authority Exists 8.Dead X OR 0.51 4B.Subdivision Approve!was Required for Transfer Property FROM Fear •OF.PM •ROiEa Sin 4C.ParculApproved for Subdivision with Map Provided CAMPBELL Donna e•ACM-BaeTmar-K.WF4 S.Sailor •IASTNNt/aeYP.Nr FOOT HAVE Name LAST NaepR.'errPAW FRET W AE Y.Select the description which most accurately describes the Chock the boas below as they apply: use of tire property at the than of solo: L Ownership Typs is Condominium ❑ A.Olut Farnily Residential 9.Now Oonomcdon on a vorant Law El ICA.Pmperty Located within an Agrieullund District 10B.Buyer ram ivol o dra smuro notice indicating 00 the property is In an ❑ Agricultural District ISALE 1NFORMATIONJ IL Chock one or mom oftheso conditions as applicable to transfer: A.Sala Between Reladws or Former Rtlafives 11.sale contract Date N/A B.Solo between Related Companies or P4dnars in Business. C.One of the Buyers is ilea a Sder •12.Oate of Solarronalor 7/ 6/2 3 D.Buyer or Sailor Is Government Agency or Lending Instllmion E Deed Type not Warromy,or Bargain and Sole(Specify Barow) F.Salo o1 Fractional or Less Nan Fee Interest fSpodfy,Below) Y7.Full Sale Prim 0.00 G.Significant Change in Ptcpmly Between Taxable Status and Sole Osfea H.Salo of Business is Included in Sale Price (Full Sale Prim is the toil amount paid for fir property Including personal property. L Olhor Unusual Factors Affecting Sala Prim(Spa*Below) This payment may be In the form of=ah.Toher Property or goods.or the assumption of J.NOW elodgagos or other obligations.)Flown round to ffr neareal whole daNaramount. •Commongs)on Condition: 14.Indicate the value of personal 0 property included In the sale .00 Transfer to Trust ASSESSMENT INFORMATION-Data should refleq the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which Information takon(YY) 23 117.Total Assessed Value 51100 •18.ProportyClose 210 - •19.School District Name Southold •20.Tax Map IdentiflerfsyRoll Identtiorls)(If morn than four.attach ehoetwllh additional Identtlor(a)) 0900-055.00-04.00-018.000 CERTIFICATION I Certify that all of the Items of Information entered on this form are we ant correct(to the boat of my knowledge and bollon and I understand that No making of any willful false notemam of material fact herein subject me to the pmvlsjgns-ol_OpLp pALip.rolative to the making and filing of false ibstrumonts. SELLER SIGNATURE BLIYER CONTACT INFORMATION ib=o inrwmetlan lerdw borer.sloes:a Ixyw le ILG,errdery,saaednion,oapaallx Pea aline rxmparry,rmw or emit Vale ran m indhtleal agars or asuawy.riven a nwM arid mmvonMtrmeYan Lt on kWMRawaelvaremo p"wlw can emwar4ueRipne regarding aw none*mum on wLwee.Type or print cloady.) in--- N C MP a'TE CAMPBELL Donna K. 'U1ST NAME F cam WMS !Tr ••Tim' , YNEACOm •lELm%;-E-uww Ie+'answer DONNA K. CAMPBEDEN a/k/a DONNA CAMPBELL, Trustee 2155 Yennecott Drive 'STREETNI.9ER 'STREET UWE ' ! Southold NY 11971 -arrM ilex : ATa 'tar CODE h BUYER'S ATTORWM n Bates William F. `` LAW MWE Final UWE f (631) 727-0500 n {Jr MEACaeE TELEPHONErerNa a,:eeewwl f I h m i h 1