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Home My WebLink AboutL 13304 P 919 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 f l f 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: 08/13/2025 Number of Pages : 3 At: 10 : 55 : 31 AM Receipt Number : 25-0103580 TRANSFER TAX NUMBER: 25-01037 LIBER: D00013304 PAGE : 919 District: Section: Block: Lot: 1000 085 . 00 02 . 00 008 . 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 $395 . 00 TRANSFER TAX NUMBER: 25--01037 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL VINCENT PULEO County Clerk, Suffolk County ❑1 ❑2 Number of pages 7 RECORDED 2025 Avo 13 10:55:31 AM UINCE14T PULED CLERK OF This document will be public SUFFOLK COU}ITV record. Please remove all L D00013304 Social Security Numbers P 919 prior to recording. DT# 25-01 Cur Deed/Mortgage Instrument Deed!Mortgage Tax Stamp Recording!Filing Stamps 3 FEES Page/Filing Fee 5 Mortgage Amt. 1. Basic Tax _ Handling 20. 00 2. Additional Tax _ TP-584 Sub Total Notation y Spec./Assit. or EA-52 ]7(County) Sub Total Spec./Add. EA-5217(State) 12 S —. TOT.MTG.TAX Dual Town Dual County_ R.P.T.S.A. Held for Appointment Comm.of Ed. 5. 00 �, Transfer Tax G� Affidavit �� Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two family dwelling only. NYS Surcharge 15. 00 Sub Total s YES or NO Other Grand Total 3 Q S If NO,see appropriate tax clause on {� page#� of this inst me zlG S ZS 4 1 Dist. 25025384 1000 05500 0200 009000 g Community Preservation Fund ' RTax Sereal RwRM A I IIIIII IIIII 111111111111111111 Consideration Amount$ Agency CPF Tax Due $ Verification G G 3 Improved ✓' S 6 Satisfactions/DischargeslRelcases List Property Owners Mailing Address RECORD&RE URN TO: Vacant Land P, V s s o o TD 1n PQ a% x 1!9 y-Ij TD TD Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co, a e www.suffolkcountyny.gov/clerk Title# 8 Suffolk Counly Recording & Endorsement Pau This page forms part of the attached 2-U.&AL made by: „� n 1 r (SPECIFY TYPE OF INSTRUMENT) I A ckt Cyr 04 L ford/y r2 y` The premises herein is situated in Jf�C b S r r SUFFOLK COUNTY,NE�Wl�Y,ORK. O In the TOWN of .�.A � n (hp-J(i o— r Ac o 6p�n In the VILLAGE " 7fVs�-L'P orHAMLETof PecoN?c BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) ;Bargain and Sale Deed,with Covenants against Grantor's Acts—Individual or Corporation CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT•THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made on AUGUST .tj ,2025 BETWEEN DEAN W.JACOBSEN and CAROLYN J.JACOBSEN,aka CAROLYN JOANNE JACOBSEN,husband and wife, both residing at 1631 Mackaye Harbor Road,Lopez Island,WA 98261 party of the first part, and DEAN WILLIAM JACOBSEN, residing at 1631 Mackaye Harbor Road, Lopez Island, WA 98261,as the Trustee of The Jesse Jordan Jacobsen Third Party Irrevocable Special Needs Trust party of second part. WITNESSETH,that the party of the first pan,in consideration often dollars and other valuable consideration paid by the party of the second pan,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, with the building and improvements there erected situated, lying and being in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: Beginning at a point formed by the intersection of the northerly side of Main State Road with the easterly line of the lands now or formerly of Van Bourgondien and the westerly line of the lands of the premises about to be described and from said point of beginning; Running thence North 37' 06 minutes 20 seconds West along the easterly line of the lands of Van Bourgondien a distance of 160 feet now or formerly of Calstun Realty Associates(formerly Appleby); thence along the southerly and westerly line of land of Calstun Realty Associates following 2 courses and distances: 1) North 58'24 minutes 10 seconds East 167.00 feet; 2) South 31°00 minutes 30 seconds East, 160 feet to the northerly side of Main State Road; Running thence South 58'40 one minutes 00 seconds West along the northerly side of said Main State Road a distance of 150 feet to the point or place of beginning. Being and intended to be the same premises as described in that certain deed dated March 21, 1979, recorded on March 27, 1979 in Liber 8601 CP 420 in the office of the Suffolk County Clerk,as well as (1)that certain deed made by the County of Suffolk dated March 19, 1999 and recorded on March 24, 1999 in Liber 11953 CP 99 to the Suffolk County Trea§iuei'in'theJoff ce,ofathe-SuffolkiCounty Clerk and (2) that certain deed dated September 21 2011 recorded on.October]:1 r 20I1 in the office of the Suffolk County Clerk in Liber 12673 CP 634. �:, -�, ��;;` This conveyance covers only the one half interest of the-parties1of i}ie first"paif v Premises are known as 73 Main Rd.,Peconic,NY And described on the Suffolk County tax map as Dist 1000-Sectiot�-,085 o6xBlock-02.:00;Lot 008.000 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 14OLD the premises herein granted unto the party of the second pan,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party 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 part,in compliance with Section 13 of the Lien Law,covenants that the party of the first pan 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"panics"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the parry of the first pan has duly executed this deed the day and year first above written. IN PRESENCE OF: DEAN W.JA BSEN 11, CAROL J.J COBS Aka CAROL JO NE JACOBSEN BY:DEAN W.JA OBSEN Aka DEAN WILLIAM JACOBSEN Her agent/attomey in fact i ACKNOWLEDGMENT IN NEW YORK STATE (RPL 309-a) State of New York,County of Suffolk ss.: On the_day of in the year 20124,before me,the undersigned,personally appeared and personally known to me or proved to me on the basis of satisfactory evidence to be the individuals)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. (signature and office ofindividual taking acknowledgment) ACKNOWLEDGMENT OUTSIDE NEW YORK STATE(RPL 309-b) State of WASHIINGTON County of Snbko mish ss.: On the !'day of AUGUST,2025,before me,the undersigned,personally appeared DEAN W.JACOBSEN,aka DEAN WILLIAM JACOBSEN 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,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 L=v-e-r-EA V"k, (insert city or political subdivision and state or county or other place acknowledgm en) (signature and office oJ'indivi Fig acknowl ment) MARYANNE TRANG Notary Public State of Washington License Number 24022172 My Commission Expires June 25,2028 ACKNOWLEDGMENT BY SUBSCRIBING WITNESS(ES) State of VVA Co ty of `,'vI LAno rx l S h } ss.: aoa5 N`r en On the day of MONTH,in the year;D49-,'before me,the undersigned,per ally appeared Ci>1 W• �awlo5 the subscribing ' ess(es)to the foregoing instrument;with whom i am perso y acquainted,who being by me duly sworn, did depose ands that he/she/they reside(s)in (iifthe place ofresiden is in a city,include the street and stree umber,ifany,thereql); that he/she/they know(s) to be the individual(s)described in and w ecuted the foregoing instrument;that said subscribing witness(es)was(were) present and saw said execute the same;and that said nness(es)at the same e subscribed hWher4heir name(s)as a witness(es)thereto. And that said subse i ing witness(es)made such appearance before t ndersigned in (signature and office dual taking ckn wledgment) FUR UUUN I Y USE ONLY Now Perk 9fate DapaMaM of C1.SVAS Code . �,� j,e,4`;°� I Taxation and Finance. C2.Date Deed Recorded I J�/ / I Me of Real Properly Talc Sw ices- Lq C W "" L RP-5217-PDF ca.Book .��uO' I C4.Page Real Property Transfer Report(N10) PROPERTY INFORMATION 1.Propalty 73 Main Road Location •atRfaT.11aiaFA •STRleT NAPE Southold (t?econic) 11958 'GIYORTORM VILMOE •UP cOde N6me t•fAn JACOBSEN (AS TRUSTEE) DEAN WILLIAM •LAW NFwE1CO1PANV ( , FIRST IwYE JESSE JORDAN JACOBSEN SNT LAST R LCOMAW FIRS1 NMI 9.Tax Indicate where future Tax Bills are to be sent BARRY THELMA Bllling iloher than buyer address(ot bottom of km) .ASTFuweCO.PANr FlRar-.E Address 29 E. loth St. t Act 30 New York NY 10003 UTRUTWKWANDIWE cnY OR 10*k eTAT! rF con 4.Indicate the number of Assessment 1 Pad of a Parcel (only If Part of a Parcel)Cheek as they apply: Roll parcels transferred on the deed a of Parcels OR 4A.Planning Board wish Subdivision Authority Exists 13 5.Deed X OR 0.60 40.Subdivision Approval was Required for TransferProperty •FRONT FEET •OEM 'ACRES El SW 4C.Parcel Approved for Suhd'wlsbal v+Nr Mop Provided JACOBSEN (AS TO JOINT 50% DEAN W. G.Sell r •WrwuwlGaiPwry Fdat wwE Nome JACOBSEN (AS TO JOINT 50% C_AROLYN J.AKA Carolyn JoarMIL .�aco6se.v) WTMUMICO1PANY FlRS'ImUM 17.Select the description which most accurst*describes the Check the boxes below as they apply: use of the property at the time of sale: S.Ownership Type is Condominium A.One Fancily Residential s.Now Construction an a vacant Land IJ 10A.Property Located within in Agricultural District 10131.Buyer received a di iddwre noose indicating that fhe property is in an ❑ Agricultural District SALE INFORMATION 15.Chock one or more of these conditions as applicable to transfer. A.Sale Between Relatives or former Rotaives 11.Salo Contract Date 0 6/16/2 02 5 B.Sale between Related Companies or Partners in Business. C.One of ate&gels Is am a senor O 12.Dale of Sate/fmnsler !oft?8 ZS' D.Buyer or Seaor Is Government Agency or Lending Institution • G E.Deed Type not Warranty or Bargain and Sale(Spedly Below) F.Sale of Fractional or Less Own Fee Internet(Specify Below) •13.Full Sale Price 0.00 G Significant Change in Property Between Taxable Status and Sale Dales H.Sale of 9usiness is Included In Sob Price I Fun Sale Price is the torsi amount paid for the property including personal property. I.Other Unusual Factors Affecting Selo Price(Specify Be" TTIis payment may be In the form at rash,other property or goods,Or the assumption of J.None mortgages or other obligations.)Freese round to the nearest who dollaramounf. 'Comm a We)on Condition; 14.Indicate the value of personal U.0D property Included In the Salo TRANSFER 501, INTEREST INTO A TRUST ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which Information tatron(YY) 24 •17.Total Assessed Value 4,200 118.Propodly Class 210 _ _ .Is.School District Name Southold 120.Tax Map IdentiflonisyRoll Iderdilterls)(N mom than four.attach sheet with additional IdoMlBer(ol) 1000-ae5.00-02.00-008.000 CERTIFICATION I Certify that all of the Moms of Information entered on this form am true and correct(to the boat of my knowledge and boliel)and I understand that the making of any willful false statement of material fact herein subject me to the,p[0ylsjgnn.Af th0 MALIMfolatlre to the making and tiling of false Instrumoats. .FI n ER SIGNATURE VJMER S&I TACT INFORMATION (User information fa an buyer Now:■buyer it LLC.Sociall.asuchat n.owpwarlon.loin a;om ewopwry.Onde m wary um is rot an wdmm cab pat or Ilar®ry,met a name hew canUmt Wormi on bt an i livid W ump"1118 pmv%fq conomwar quewgro reaamk.g lho:rord*mud be wowed typo or print cl ady.) TARE DATE Jacobsen Dean E •LAST nA.¢ FlRir N.NE •wEAceD! •fF1EPN.'W!NWBER IEr tawlwl wYEa ax:Wnxai M7E 1631 Mackaye Harbor Road •STRM NLMIEII •STREET NAME + Lo wz Island WA 98261 + Y7R'oRTOM W-Ta -ZIP CODE BUYER'S ATTORNEY I Davis Leo LAST mud FPaT NAME (631) 919-8000 I ARMCebe W1 rpm REM Lem FEW wrbean 1