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L 12717 P 14
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 4 Receipt ~mher : 13-0004104 TRANSFER TAX NUMBER: 12-12795 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 035.00 01.00 EXAMINED AND CHARGED AS FOLLOWS $i0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $20.00 NO Handling COE $5.00 NO NYS SRCHG EA-CTY $5.00 NO EA-STATE TP-584 $5..00 NO Notation Cert.Copies $0.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 12-12795 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 01/11/2013 10:33:48 AM D00012717 014 Lot: 004. OO6 $20.00 $15.00 $125.00 $0.00 $~0.0o $0.00 $255.00 Exempt NO NO NO NO NO NO Number or,ages 4 ~ This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2013 .Tan 11 ].0:33:48 RH JUDITH [:1, PgSCALE CLERK OF SUFFOLK COUNTY L D000t2717 P DT~ 12-12755 I Deed / Mortgage Instrument Deed / Mortgage Tax Stamp I Recording / Filing Stamps FEES 31 Page/Filing Fee Handling 20. O0 TP-$84 Notation EA-52 17 (County) EA-S217 (State) Comm. of Ed. $. O0 Affidavit Certified Copy NYS Surcharge 15. 00 Other Sub Total SubTotal Grand Total 4 IDist. 1( 13000973 zooo ossoo ozoo oo4oo6 )06 Real Property ~ Tax Service Agency Verification _~ 8 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: JEFFREY SORENSEN, AS TRUSTEE 236 EAST 47TH STREET #12C NEW YORK, N.Y. 10017 Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total SpecJAssit. or Spec./Add. TOT, MTG. TAX Dual Town __ Dual County Held for Appointment ~ Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES or NO If. NO, see appropriate tax clause on 4age # __ of thisy~um~n~ 5 Community Preservation Fund Consideration Amount $ ,/~, "-' CPF Tax Due S t~ Improved Vacant Land TD / TD TD Mailto: Judith A. Pascale, Suffolk County Clerk 171 Title Company Information 310 Center Drive, Riverhead, NY 11901 Ic°'Name www.suffolkcountyny.gov/clerk iTitle# q~/¢[ ~ '~, Suffolk County Recording & Endorsement Page This page forms part of the attached by: JEFFREY SORENSEN HYUNMI LEE TO JEFFREY SCOTT SORENSEN HYUNMI LEE AS TRUSTEES DEED made (SPECIFY TYPE OF INSTRUMENT} The premises herein is situated in SUFFOLK COUNTY, NEW YORK. In the TOWN of In the VILLAGE or HAMLET of SOUTHHOLD BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) FORM 8002 (short version), FORM 8007 (long version) CAUTION: THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SEI~LER AND iCHASER BEFORE SIGNING. THIS INDENTURE, made the ~,. '~lay of OCTOBER, 2012; BETWEEN, JEFFREY SORENSEN & HYUNMI LEE residing at 236 E. 47'h Street'. #12C, New York, NY I0017 party of the first part, and JEFFREY SCOTT'SORENSEN & HYUNMI LEE- Trustee THE SORENSEN-LEE FAMILY TRUST, located at 236 E. 47th Street, #12C, New York, NY 10017 party of the second part; WITNESSETH, that the party of the first part, in consideration of $10.00 (ten 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 tbrever; ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being: as described in Schedule A together with 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 HA VE 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. ALL that. certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Greenpo~t, in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot 4 on a certain map entitled "Final Plat for the Property of Michael Verity" fi]ed in the Office of the Suffolk County Clerk on July 26, 2007 as Map No. i 1545, bounded and described as follows: BEGINNING at a point on the southwesterly side of Sound Road distant 421.78 feet northwesterly as measured along the southwesterly side of Sound Road from the comer formed by the intersection of the southwesterty~side of Sound Road and the northerly side of Main Road; THENCE South 63 degrees 03 minutes 57 seconds West, 287.03 feet; THENCE North 27 degrees 48 minutes 03 seconds West, 163.22 feet; THENCE North 69 degrees 14 minutes 05 seconds East, 77.58 feet; THENCE North 62 degrees 17 minutes 37 seconds East, 53.00 feet; THENCE South 27 degrees 48 minutes 03 seconds East, I35.59 feet; THENCE North 63 degrees 03 minutes 57 seconds East, 157.02 feet to the southwesterly side of Sound Road; THENCE South 27 degrees 48 minutes 03 seconds East along the southwesterly side of Sound Road, 20.00 feet to the point or place of BEGINNING. TOGETHER with and subject to a right of way/common driveway over Lot 4 for the benefits of Lots 4 and 5. BEING AND INTENDED TO BE the same premises conveyed to the party of'the first part by deed from J & C Holdings, L.P., dated 11/25/02, and recorded 12/I 1/02, in the Office of the Suffolk County Clerk in Liber 12224, Page 814. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. jEFF4~Y 'qqYUNMI LEE r IN PRESENCE OF: Acknowledgment STATE OF NEW YORK ) ) SS.: COUNTY OF NEW YORK ) On the ~"'e~' day of OCTOBER in the year 2012 before me, the undersigned, personally appeared JEFFREY SORENSEN and HYUNMI LEE 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(les), 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. ,~~ Notary Public, State of New York Registration #02HA6068671 · ^/"'1 Qualified In New York County Commission Expires Apdl 22, 2014, (s~gnature and office~uaTaof individual taking, acknowledgment) NYSBA's R~E'stat~ t"orms (9/00)©2008e Mallhcw Bender & Co., a nlcmbcr of thc LcxisNcxis Group, -2 PLEASE TYPE OR PREE$ FIRMLY WHEN WRITING ON FORM ' FOR COUR'rY'USE'ONLY INSTRUCTIONS (RP-S2174NS): www.orps.state.ny.u$ New York State DepaRment Cl.S~aSCodo I/'~,.~"'~'~ ,~,~ I Taxation and Finance '" RP- 5217 I 4. IndlGlte tM number of Aiaceereem Rollpar(:MetraseTenedmtthsdsed II . $.Dnd er...r~ ~xl Io~1 ..... S~.., ,.Da,,,r ?. C hack the box below whiGh meet accurately beacdbem the use of the I~opesty si the time d sale: A ~] One Family ReeidenUsl ~- [] Agdcutiural I [] Community Sawine B [.__[20r3 FamilyRosleentist 1: i~ommer~al J [.~ Industrial C 1 I Res~en~l Vacant Land O ~.] Apameent K[__~ Public Sswlce Dl~Non-l~oslder~ldV~n[L~nd H [ [EflteflainmentlAmussment L~J Feast I ~1 (Only if Ptd Ms Par=el) Ch~k se the,/~: [ #of Pamela OR PartofaPsrcol 4A. PtnnningBeerriwRI1Sul~dMslonAulberilyExists [] 4B. Sof)dK'tslon ApDmval was Required h' Transfer [] , "'~.-5 .~1 4C. Psrcel Approved Mr SubdMsion with Map Pmvided [] Check the bexet belew se they IIIIN)ly: 8. Ovme~qip Type i~ C~nium ~ g. N~ ~n on V~nt ~nd ~ 1~, Pm~y L~t~ ~thin ~n ~ltuml ~t~ ~ 10B. Burr m~d a dictum n~ ~ ~ that Ihe ~ Is in an ~d~lluml Di~d~ I SALE INFORMATION I 11. Sale Contract Date 12. Date of SaBle / Trane~.r I to / o~ /2.Qx'LI 13. Full sale Fd. I , , , , , *--'..~ .O. 0.01 Fun Sale prim i~ IndM~evalueM~mo~l ~ 0 ,0 I pmp~ InoluM In ~ ~k [ j ' J ' ' 15. Check one or mom of these condigns ac sppllalble to transfer: A [~Sale Be~. en Relatives or Framer RMatives U ~j-Sals DaWmsn Related Companies or Palteel~ in Business C I~J One off;he Buyms is als~ a Sailer LI I~ Buyer or Seller is Govemmact Agency or Lending IrislJtutinn I;. [ [ Deed Type n~t Warranty or Sarga]n and Sale (apec~ Below ) ]: I~ Sale of Frac~orlal or Less than Fee Iflteresl ( Specify Below ) ~ [~1 Significant Change in Property Between Taxable Status and Sale Dates I I [~ Sale of Busmeaa is Included in Sale Pt~e I I..--] Other U~usual Fac~'s Aflecang ~ Pace ( Spe,~e/Sa[ow ) I ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bdl 16. Yeer~fAaceesmentRoll~mm · -~ L~. r)L [ 17. Total Aaclsssed Value (of ell parcels In tracer, ri4 whleh Information taken Tax Nsp Id~ntlBe[~$) I Roll Idsetlflsr(s) ( If mm than four, attach Sllset with sddiUonM Identifier,s) ) I I CERTIFICATION [ NEW YORK STATE COPY BUYER CONTACT INFORMATION (Crier ~r-~M'nalmn ~'the b~lr. Ncaa: ~f ~]er I~ LL C. me:y. auac;ahm. 1,.....~.,...., ~4.,{o~