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Home My WebLink AboutL 13298 P 811 I Iilllll IIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 06/23/2025 Number of Pages : 4 At: 11 : 01 : 00 AM Receipt Number : 25-0079121 TRANSFER TAX NUMBER: 24-34123 LIBER: D00013298 PAGE : 811 District: Section: Block: Lot: 1000 066 . 00 02. 00 013. 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 $0 . 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 $395. 00 TRANSFER TAX NUMBER: 24-34123 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL VINCENT PULEO County Clerk, Suffolk County Fill RECORDED Number of pages 2025 Jun 23 11:01:00 AN UINCENT PULED CLERK OF This document will be public SUFFOLK COUNTY L 000013298 record. Please remove all P 811 Social Security Numbers DT# 24-34123 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 _ `�- Sub Total Notation Spec.lAssit. - LL or EA-5217(County) J Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. � Dual Town Dual County ' Held for Appointment Comm.of Ed. _ 5. 00 ; Transfer Tax Affidavit + �+ Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two 3 family dwelling only. NYS Surcharge _ 15. Co. Sub Total YES or NO Other LJr Grand Total If NO,see appropriate tax clause on page# of this instru7nt. 4 1 Dist.1000 25025005 1000 06600 0200 013000 5 Community Preservation Fund Real Property In SA ff ff II Consideration Amount$ Tax Agency wuµ I I�Illl «II�IIII�II�I IIIII I�I CPF .Due $ Verification Improved 6 Satisfactions/DischargeslReleases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Janet O'Hanlon, Esquire TD Winkler Kurtz, LLP TD 1201 Route 112, Suite 200 Port Jefferson Station, NY 11776 TD Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Eminent Abstract, Inc www,suffolkcountyny.govlclerk Title# CR#1063 i 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) Elliott Bruce Heath, III and Ora Heath The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of Southold Robert H. Heath,trustee of the Heath Family In the VILLAGE Irrevocable 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 Dced,with Covenant against Grantors Acts-Individual or Corporation(single sheet) THIS INDENTURE,made the �Y day of rf)6t two thousand and twenty five BETWEEN ELLIOTT BRUCE HEATH,IH and ORA HEATH, residing at 500 Hippodrome Drive,Southold,New York 11971, party of the first part,and ROBERT H.HEATH,as Trustee of the Heath Family Irrevocable Trust dated /n.?4f residing at 67 Primrose Lane,Kings Park,New York 11754, \ party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration 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 PIECE OR PARCEL OF LAND,situate,lying and being in Southold,Town of Southold, County of Suffolk and State of New York,more particularly described as follows, DIST Being and intended to be the same property conveyed to the party of the first part by deed dated March 12, 1982 1000 and recorded in the Office of the Clerk of the County of Suffolk,at Liber 9157,Page 191,on March 19, 1982. SECT 66 BLK 2 LOT 13 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 parry 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 par in compliance with Section 13 of the Lien Law,covenants that the parry 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 work"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 abive written IN PRESENCE OF: ELLIOTT BRUCE HEATH;II ORA HEATH "SCHEDULE A" ALL thatcertain plot, piece or parcel of land,with the buildings and improvements thereon erected, situate, lying and being in the town of Southotd, county of Suffolk and state of New York,shown and designated one certain map entitled, "Map of Beixedon Estates,Town of Southold, Suffolk County, New York, property of Grace R. Nickles, formerly Grace Rogers DeBeixedon", made by Otto W.Van Tuyl, licensed surveyor,and filed in the Suffolk County Clerk's office on March 16, 1946 as map no. 1472,as and by lot numbered 8 in block numbered 4 on said map. BEGINNING at a monument set on the northerly line of Hippodrome drive at the southwesterly corner of lot 7 and the southeasterly corner of lot 8, shown on "Map of Beixedon Estates", as filed in the Suffolk County Clerk's office as map#1472; RUNNING THENCE along said northernly line of Hippodrome Drive, S.60020'40"W., 109.0 feet to ordinary high water mark of Hippodrome Creek.; THENCE northwesterly along said high water mark, 115 feet, more or less,to a point on the southerly line of lot 9 shown on said map,said point being N.77°SB'30"W., 111.60 feet from the last described point; THENCE along said lot 9 , N.480 40'40"E., 177.0 feet to a monument set atthe southwesterly corner of loth, shown on said map; THENCE along said lot 6 N. 6010 20'40"E., 19.0 feetto a monument and the northwesterly corner of said tot shown on said map; THENCE along said lot 7,S.290 39'20"E., feat to the point of beginning. SUBJECT TO an easement 15 feot in width across the premises. STATE,6F NEW YORK,COUNTY OF SUFFOLK SS.: STATE OF NEW YORK,COUNTY OF SUFFOLK SS.: On the)9day of 1 ' AA 2025,before me,the On the ay of t y ot� ,2025,before me,the undersigned,a Notary Public in and for said State,personally undersign d,a Notary Public in and for said State,personally appeared Elliott Bruce Heath,111, personally known to me or appeared Ora Heath ,personally known tome or proved tome proved to me on the basis of satisfactory evidence to be the on the basis of satisfactory evidence to be the individual(s) individual(s)whose name(s)is(are)subscribed to the within whose name(s)is(are)subscribed to the within instrument and instrument and acknowledged to me that he/she/they executed acknowledged to me that he/she/they executed the same in the same in his/her/their capacity(ies),and that by his/her/their his/her/their capacity(ies),and that by his/her/their signature(s) signature(s) on the instrument,the individual(s),or the person on the instrument,the individual(s),or the person upon behalf upon behalf of which the individual(s)acted,executed the of which the individual(s) cted,executed the'nstrument. instrument. t�,c AA01 NOJ NE"}�.8,HANLON otary Public Notary Public,State of New York �j JANET L O'HANLON No.020H5020533 Notary Public,State of New York Oualified in SuffolkCoun►y� No.020H502GS33 Commission Expires Oualified in Suffolk County Commission Expires i 112 STATE OF NEW YORK,COUNTY OF SS.: STATE OF NEW YORK,COUNTY OF SS.: On the day of before me personally came the subscribing On the day of before me personally came witness to the foregoing instrument,with whom I am personally to me known, who being by me acquainted,who being by me duly sworn,did depose and say duly sworn,did depose and say that he resides at No. that he resides at No. ;that he is the ;that he knows to be the of the corporation individual described in and who executed the foregoing described in and which executed the foregoing instrument;that instrument;that he,said subscribing witness,was present and he knows the seal of said corporation;that the seal affixed to saw execute the same;and that he,said said instrument is such corporate seal;that it was so affixed by witness,at the same time subscribed h name as witness order of the board ofdirectors of said corporation,and that he thereto. signed Ir name thereto by like order. Notary Public Notary Public SECTION 66 BLOCK 2 LOT 13 COUNTYORTOWN Suffolk BARGAIN AND SALE DEED ELLIOTT BRUCE HEATH,III and ORA HEATH RETURN BY MAIL TO: TO JANET O'HANLON,ESQUIRE WINKLER,KURTZ,LLP ROBERT H.HEATH,as Trustee of the HEATH FAMILY 1201 ROUTE 112,SUITE 200 IRREVOCABLE TRUST. PORT JEFFERSON STATION,NY 11776 INSTROCTIONS(RP-6217-PDF-INS):www.orps.state.ny.us FOR COUNTY 11Sf ONLY 1 I q Now York Statp Department of C1,SQ11,18CodO l "i7^ 3 Taxation and Finance C2.Dadfteed Recorded I LY/ / I Office of Real Property Tax Services - RP-5217-PDF C3.Book I , ✓, c+, L IRE C4.Page I , , , I Real Property Transfer Report(8110) PROPERTY INFORMATION 1.Proponty 500 Hippodrome Drive Location '67REET NUIEER �STREET NAYE Southold 11971 .CIIYON TCwN ValADE 'LPCOCE 2.Buyer Heath Family Irrev. Trust �o�frt u Llama a - �_ LAST NwaeaMPAM t Foul NAME LAST KAMENANPI FRET NNE 3.Tax Indicate whom kdum Tax Bills aretebesent Heath Elliott Billing IF other than buyer address(al WHOM of form) LAST NAIIX.OMPAM FORK NAME Address 500 Hippodrome Drive Southold NY 11971 BMEEFMMERANDNWE CTV OR TORN eTATE WCOOE 4.Indicate the number of Assessment 1 d of Percale OR ❑Pen of a Parcel (Only If Part of a Parcel)Chock as they apply: Rail parcels transferred art No dead 4A,Planning Board with Subdivision Authority Edols ❑ S.Dead \ OR 0.42 4L Subdivision Approval was Required for Transfer ❑ Property FROM FEET 'DEPTH 'ACRES am@ 4C.Parcel Approved for Subdivision with Map Provided ❑ Heath Elliott Bruce, III 9.SRllor •LAST NAMERMUPAW FIRST AWARE Name Heath Ora LASTN MEICONPANP FRET NMAE 7.Select the description which most accurately describes the Chock the boxes below as they apply: use of the property at the time of Sato: 9.Ownership Type Is Condominium ❑ A.One Family Residential 9.Now Construction on a Vacant Land ❑ 10A.Property Located within on Agricultural District ❑ 100.Buyer received a disclosure notice indicating that the property Is in an El District SALE INFORMATION 16.Chock ono or Moro of those condidons se applicable to transfer: A.Sato Betvrean Relatives or Former Relatives 11.Sale Contract Data B.Sob between Related Companies or Partners in Business. C.One of the Buyers is also a Sollor 12.Data of Solofrransfor o25- D.Buyer or Seller it Govelnmant Agency or Lendng Instimion E.Deed Type not Warranty or Bargain and Salo(Specify Below) F.Sale of Frectionel or Loss than Fee Interest(Specify Below) •13.Full Sole Price 0.00 G.Slgnif cans Change in Property Between Taxable SRdus and Sale Dares N.Sale of Business is Indudod In Sahib Pike (Full Sob Pelee is the IM amount pail for the property Including personal property. I.Other Unusual Factors Affecting Selo Price(Specify On" This payment may be in the form OF Cash.other property or goods.or the assumption of J.None mortgagee or other obligations.)Please round to the m mesf whale chilar amornL •Commont(s)on Condition: 14.Indicate the value of personal property Included In the solo 0.00 transfer to trust ASSESSMENT INFORMATION-Data Should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which Information taken(YY) 25 '17.Total Assessed Value 9,300 '18.Property Class 210 — •19.School District Name Southold '20.Tax Map Idondfrer(eNRoll Identiflada)III more than four,attach shout with additional Identiflor(s)) 1000/66/2/13 CERTIFICATION I Certity that all of the items of Information antorod on this form am true and correct(to the bast of my knowledge and bollol)and I undoratend that the making of any willful false statement of material fact herein subject me to the Retidslar s of the penal law mladve to the making and riling of false Instruments. SELLER Eo SIGNATURE BUYER CONTACT INFORMATION l (Enter INorrnown Ell ate twyv.Note:rt Buyer Is LLC.Ndaly.asseugaart corporation.Ioun stick aseparry,aa:s's ar wft tlho tea not s er quas again o dAR4n. cos r Twins one CWACaced. F.o or prim a on kd1rip.) aaesPendea II party NIO can drawer quesddrs roaeNYq:x wnF.'F mum W wgared.Typo or pram cTFFay.) 01NEe ogNATUR DATE BUYER SIGNATURE Heath Robert 'LAST NAM! FPE.-NAME (631) 134-1713 'MEIICWE 'TELEP>bNE..E.,.:G E' wwaWl BIKER a ,ATUV G 61 Primrose Lane -STREET NUMBER 'STREET NAME ' Kings Park NY 11754 'CrW OR TORN 'STATE 'eP 0= BUYER'S ATTORNEY I 1 O'Hanlon Janet LASrluxe RRST NAME 1 L I ' (631) 928-8000 J IREACOGE TELEPHONEMIMSER(Er N l