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L 12588 P 403
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED N,,mher of Pages: 3 Receipt N,~mher : 09-0054917 TRANSFER TAX NUMBER: 08-21599 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 144.00 01.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 05/18/2009 02:31:48 PM D00012588 403 Lot: 014.000 Received the Following Fees For Above Instrument Exempt Page/Filing $15.00 NO Handling COE' $5.00 NO NYS SRCHG EA-CTY $5.00 NO EA-STATE TP-584 $5.00 NO Notation Cert. Copies $5.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 08-21599 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL $20.00 $15.00 $75.00 $0.00 $3O.00 $0.00 $175.00 Exempt NO NO NO NO NO NO Judith A. Pascale County Clerk, Suffolk County Number of pages This document wiU be pubUc record. P~ease remove aU Social Security Numbers prior to recording. Deed / Mortgage Instrument Deed / Mortgage Tax Stamp 31 FEES RECORDED 2009 May 18 02:3i:48 PM Judith R. Pascale CLERK OF SUFFOLK COUNTY L D00012588 P 403 DT# 08-21599 Recording / Filing Stamps Page / Filing Fee HandlinS TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed. NYS Surcharge Other ~Z.-© 5. co Sub Total 15. 0._~0 Sub Total Grand Total Real Prope Tax Servic Agency Vedficatio,, 8 09009492 zooo z44oo ozoo oz4ooo Satisfactions/Discharges/Releases List Propei-ty Owners Address RECORD E RETURN TO: Mailto: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NYl1901 www.suffolkcountyny.gov/derk Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County Held for Appointment Transfer Tax ~'~ Mansion Tax The property covered by this mortsage is or will. be improved by a one or two family dweUin8 onl. y. YES or NO If NO, see appropriate tax clause on page # __ of this instrument. Community Preservation Fund Consideration Amount CPF Tax Due $ Improved Vacant I~and FD /~ rD I-D. 71 Title Company Information Co. Name '~?a~:~,~- Title # Suffolk County Recording E Endorsement Page This page forms part of the attached by: TO (S p ECI FY~'~P~'C~F INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. In the TOWN of In the VILLAGE Or HAMLET of made 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 the Ocl+t' day of April, 2009 BETWEEN MARGUERITE THOMAS, surviving tenant by the entirety of ALPHONSE THOMAS, who died on May 22, 1994 in Suffolk County, New York, residing at 1930 Sigsbee Road, Mattituck, New York 11952 party of the first part, MARGUERITE THOMAS, as Trustee of the Marguerite Thomas Trust dated April 29th, 2009, residing at 1930 Sigsbee Road, Mattituck, New York 11971 party of the second part, WITNESSETH, that the party of the first part, in consideration of TEN ($10.00) dollars, lawful money of the United States 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, with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot no. 39, on a certain map entitled "Amended Map of Property of Mattituck Park Properties, Inc., Mattituck, New York," made by Daniel R. Young and filed in the office of the Clerk of the County of Suffolk, on January 12, 1926, as Map No. 801. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated December 8th, 1970 recorded in the Office of the Clerk of the County of Suffolk on December 9t~, 1970 in Liber 12475 at page 183. 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 ~remises. FO 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 incumbered 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 Iwill 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: Marguer~ ThOmas STATE OF NEW YORK: COUNTY OF SUFFOLK) ss: On the ,g q-~ '~ day of April, 2009, before me, the undersigned, personally appeared Marguerite Thomas, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose names is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. JENNIFER B. GOULD Notary Public, State of New York No. 02GoSO24640-Suffolk County Commission Expires March 14, 2Ot_.O ..........' -~'-- "-' '- prEASE'TYPE'OR~PRESS FIRMLY WHEN WRITING' ON'FORM '- INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222 2. Buyer Tax Sill(nil il other than huye~ addres~ (at bottom of form! I I 4. Indlcele the number of Assesmneflt, ! , [~l Roll parcels transfeffnd on the deed I , , I I # of Parcels OR I I Part of · Per(el 5. Deed ,~.,y if. sa.., I [ J JqS't-[ I FIRS' hAME (Only if Pm't of e Pmml) Check as they apply: I I I t%[] One Family Residential S ~ 2 or 3 Family Residential CI~I Residential Vacant Land DI I Non-Residential Vacant Land SALE INFORMATION ] 11. Sale Contract Dste I~[~ Agricultural [~ Community Service ~F, Commemial J ~ Industrial .~afl[naot · K~I Public Service Ente~inment/Amu~ment L~ Fo~l 12. Dine of Sale / TrandM 13. Full Sale Pi'[.I ........ O, 0 , 0 I (Full Sale Price is the total amount paid for the property including ~ersonal property. This payment may be in Ihe form of cash. other property or goods, or the assumption of mortgages or other obhgst~ons.) please round to rlm r. earestwhnledoflaramount. 0 property included in the sale ~ ~ · ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 18. ProperWCle. L~,~ .~l-I I lif. SGhoolO~tHct Name I Significant Change in Pmpen'y Between Taxable Status and Sale Dates Sale of Business is Included in Sale Price Other Unusual Faotors Affecting Sale Price (Specify Belowl None I Ir~oo- I~L( .- I- I~ I I [ J I I CERTIFICATION I BUYER BUYER'S ATTORNEY SELLER