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Home My WebLink AboutL 13306 P 800 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 08/27/2025 Number of pages : 4 At: 11 : 44 : 06 AM Receipt Number : 25-0110496 TRANSFER TAX NUMBER: 25-02631 LIBER: D00013306 PAGE : 800 District: Section: Block: Lot: 1000 111 .00 11. 00 020 . 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 $395. 00 TRANSFER TAX NUMBER: 25-02631 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL VINCENT PULEO County Clerk, Suffolk County ❑1 2❑ RECORDED Numberof pages 2025 Aug 27 11:44:06 AM VINCENT PULEO I CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013306 Social Security Numbers P tiOO [?T# 25-02631 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Z Page/Filing Fee 0 Mortgage Amt._ Z 1.Basic Tax Handling _ 220. 00 2, Additional Tax TP-584 J Sub Total Notation Spec./Assit. or EA-5217(County) S Sub Total Spec./Add. EA-5217(State) L TOT.MTG.TAX R.P.T.S.A. Dual Town Dual County Held for Appointment Comm.of Ed. 5, DO Transfer Tax s Affidavit • �. Mansion Tax C� The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 C�5 family dwelling only. Sub Total YES or NO Other _ _ 2 Grand Total > If NO,see appropriate tax clause on fj page# of this instrument. z 10 9 I G /zS 4 1 Dist.1000 25034962 1000 11100 1100 020000 5 Community Preservation Fund Real Property p r S Consideration Amount$ 0.00 TaAgency R7 RAK auG A I�I�II IIIII I�II�III�I I II I�I CPF Tax Due $ 0,00 Verification Improved X r,E--S 6 Satis actions/Oischarges/Relea ses List Property Owners Mailing Address RECORD 8 RETURN TO: Vacant Land Harvey A.Arnoff, Esq. TD (060 450 Old Country Road, Suite 24 TD Riverhead, NY 11901 TD Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkeountyny.gov/clerk Title# 8 Suffolk-County Recording & Endorsement Page This page forms part of the attached DEED - Lj-?— E5{-n.� made by: (SPECIFY TYPE OF INSTRUMENT) Annelie Petersen The premises herein is situated in SUFFOLK COUNTY, NEW YORK, TO In the TOWN of Southold Benjamin Petersen In the VILLAGE or HAMLET of Cutchogue BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. I over Bargain and Sale Deed,with Covenant against Grantor's Ads-Individual or Corporation(single sheet) THIS INDENTURE, made the 4 . day of Gdf Two Thousand Twenty Five BETWEEN, ANNELIE PETERSEN, residing at 3395 Haywaters Road, Cutchogue, NY 11935, party of the first part, and BENJAMIN PETERSEN, residing at 3395 Haywaters Road, Cutchogue, NY 11935, 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 party,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,with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold,County of Suffolk and State of New York, more particularly bounded and described in Schedule"A"annexed hereto and made a part hereof. BEING AND INTENDED TO BE the same premises as conveyed to the Grantor herein by deed dated February 20, 1992 and recorded on February 28, 1992 in Liber 11426 page 318. This conveyance is subject to the party of the first part, Annelie Petersen, reserving a life estate in and to the premises herein conveyed. 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 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 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: NNELIE ET7RN MI&WERAL REPUBLIC OF GEMNIANY INFLANO HESSEN CITY OF I;RAMffURT AM MAIN SS CONSULATE GENERAL OF THE UNITED STATES OF AMERICA STATE•O SS.: STATE OF COUNTY OF On the day of AUG U 6 2025 ,2025,before me,the SS.: undersigned, personally appeared AnnMie Petersen, On the day of 20 before me,the personally known to me or proved to me on the basis of undersigned, personally appeared satisfactory evidence to be the individual(s)whose name(s) personally known to me or proved is (are) subscribed to the within instrument and to me on the basis of satisfactory evidence to be the acknowledged to me that he/sheAhsy executed the same in individual(s) whose name(s) is (are) subscribed to the Jais9herAW P.capacity(ies), and that by hieiheritht� within instrument and acknowledged to me that signature(')-,on'the'.,instrument, the individual(s), or the he/she/they executed the same in his/her/their person,.upon"behalf of which the individual(s) acted, capacity(ies), that by his/her/their signature(s) on the executed'the.instrurn�nt,;� ` instrument,the individual(s),or the person upon behalf of which the individual(s) acted, executed the instrument, ��; ,'r= ,-�:;:.• °� and that such individual made such appearance before the undersigned in the ul (city,state). Vice C on U.S.Consulate eneral My commisslon,ls,indefinite Frankfurt am Main On the_day of-" 2025,before me,the Notary undersigned, personally appeared 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 her signature on the instrument, the individual(s), or the person upon behalf of which the individual(s)acted,executed the instrument. Notary DISTRICT 1000 SECTION 111.00 BLOCK 11.00 LOT 020.00 COUNTY OF Suffolk TOWN OF Southold BARGAIN AND SALE DEED with Covenant Against Grantor's Acts ANNELIE PETERSEN RETURN BY MAIL TO: TO Law Offices of Harvey A.Arnoff BENJAMIN PETERSEN 450 Old Country Road, Suite 24 Riverhead, NY 11901 SCHEDULE A ALL that certain plot, piece or-parcel of land, with the buildings and improvements thereon traded, situate, lying and being iKJbc at Nassau Point, or Little Hog Neck, in the Town of Southold, County of Suffolk and State of New York, known and designated as lot number 404 on a certain map entitled "Map of Section B , Nassau Point Club Properties , Inc . , situate on Nassau Point, Suffolk County , New York" surveyed by Otto' W. Van Tuyl, C .E . and Surveyor , Greenport, New York, March 24, 1926 , and filed in the Office of the Clerk of the County of Suffolk as Map 4806 . BEGINNING at a point on the easterly side of Haywaters Road at the point where the division line of lots 403 and 404 as shown on said map intersects with the said easterly side of Haywaters Road; running thence northerly along the easterly side .of Haywaters Road, North 22 degrees 05 minutes 10 seconds west, 103 . 52 feet; thence along the division line of lots 404 and 405 , North 87 degrees 38 minutes 30 seconds East, 303 feet; thence along the division line of lots 398 and 404 , South 16 degrees 09 minutes 10 seconds East, 91 . 50 'eet; thence along the division line of lots 403 and 404 , South 85 degrees 56 minutes 50 seconds West, 290 feet to the easterly side of Haywaters Road, the point or place of BEGINNING. I INSTRUCTIONS(RP-5217•PDF4NS):wwwarps.slate.fty.us FOR COUNTY 116E ONLY 1 ' New York State Department of c1.s1Ms cede I�I�� Taxation and Finance C2.Date good Rocnrded I b/o�/ I Oilioe of Real Property Tax Services -5 aw "" V RP-6217-PDF C7.Book O C4.Page Reel Property Transfer Report(N10) PROPERTY INFORMATION I.PmpoTly 3395 Haywatets Road Location •ala[[T rvraeea •e1NERNPrd Southold 11935 Car en 10Wq VLLWA .ip CWL 2.Buyer Pecersen Benjamin Rams •IAsr xaerabaPwn rrsr Nxt LNT NPeECaYPNn FIRST w-E 2.Tea Indinge where hduro Tax Bias we to be sent Add a ifatmr Ilan buyer addmas(or botlrn or lorm) LAST HAnEremrwT FIRST ISME STREET wYeya AEA NUIE CON EST To— more PER Dow s.lndktlo the numaw of Assessment 1 Pal M a Pineal lonly it Part of a Parcel)Cheri so they apply: Roll parents transferred on Me dead d ci Pads OR ❑ ❑ 4A.PtennbTp Board rrM Sumidsbn Adnairy Eaine 4.Dead \ UR 0.63 40.Suadividon Pmwrly •raorRFEEr •Caro. •ACRES Approval was RdGldlad for TrmalES sat 4C.Parcel Approved tar Subd islon with Map Provide ❑ Petersen Annelie e.Sailor •wr N"COM FIRST Trice Rams LAST walryeaNPlyrl rear Nam '7.9aWet Ills description rm)eh most accurately daxdass she Chock the boxes below as they apply: use of the properly at the time of sate: a.Ownership Type Is Condominium A.OTI.•Family kCSidcntial S.how CanmrucbonanavammLand 10A.Property Loavd wmdn on Agriwhurel[Nam IDIL Buyer MWWM a 4sdosws notice indimft that The properly Is In an ❑ Aq lauhural DiS WIE ISALE INFORMATION IS, hard one or mom of those conditions es applicable to eawlar: A.Salo Samoan RMSWaa or Forcer Resolves 11.Sate Contract Data S.Sala boom RNBW Componks ES Partners in Businem. C.Om of an Buyers is on a Sailer ''I..unu,W Salal rwn.l r d' Ep' D.Buyer or Sdkr is Govanmars Agency or Lendng Immu ail E.Dad Type net Wammnty or Bargain and Sale 1Saedly Baler) F.Salo of FmdlonM or less Ihen Fee Interval(Spedly Below) •t7.Full Sale Pike 0.00 G.Sigrdlkam Change in Prop"BoTwaen Tar tft SWurs rid Sole Dales H.Sao Is Susumm is IrrtlWed in S09 Price (Full Sob Price is Ike UM amount paid ITS The property indudq personm plopedy. I.Omer Unuwol Factors Atlseirq Sole Price fSpadry BeWvrl Tlrs poynamt may as in Tha form M rash,mrrr property or goods,or The Cywnpdim d A hob mwopages or odw obligations.)Phe round to din assiese whore mparamoam. Co Life Estate mmshTl(s)on 14.Irdkata the rsk.6 of personal 0.(Jo Included In am sob ASSESSMENT INFORMATION-Data should called the latest Final Assessmenl Roll and Tex Bill 19.Yew of Assessment Roll hom which Information tatmnivyl 2 4 '17.Total Assessed Valor 5,600 '19.PTdpeTly CWes 210 — 'I9.Beheol District Homo Naccituck CUCChogue •20.Tom Mop identl W epRoti IdwWkwisl Of more elan four,AnKh Mast with addhfonal ldon~all 100u-1 r1.un-a.00-020.000 CERTIFICATI N 1 Canty that all of the IMrm of Inlmmadoe antaod on this Form at*live and correct(to the heat of my knowledge and batW1)and t understand that the omldng of any wiliful fobs Sta erso1 i at mstadal tact havtn 6ubIWA me to dm,erahbbm d eu esnat Tarr ratstwa to ON MR"am Ming of fates hweumawA. E (err aammemn er are buyer.arm:comer is LLC,mesb.eraaoaah,oaparamn.TOEE amen m Ps",mew Of r• mW am Is Im m ad-Lue par or 06a wn.am a rmne arw won klmom at anildmdmwm eves Gbf C-/► illy a11a Ra alMwqua mehYlrparw Tp aw 4mFIYla Elmawna.TyW pMadCWwr.) ESy WE Pecersen Benjamin !r,d AAA 7"/ {/wr,o/w Fm1Nx.r z MErLC�(Iw •IITLrwhwnwalrN�i�4MM� Ile tell. 3395 Haywaters Road •aTxreT maMER •mhn:cl NFrE Cutchogue NY 11935 •dTTm T0r 9 1 rxIE -"CON BUYER'S ATTORNIEY Arnoff Harvey I/wrNN1E Farm—c (631) 727-3904 MCA Wm rah arr.na.NUWCRM.aMPrml 1 1