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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 07/25/2013
Number of Pages: 4 At: 12:30:46 PM
Receipt Number 13-0091080
TRANSFER TAX NUMBER: 12-28922 LIBER: D00012737
PAGE: 879
District: Section: Block: Lot:
1000 076.00 01.00 017.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $420,000.00
Received the Following Fees For Above Instrument
Exa.~npti Exempt
Page/Filing $20.00 NO Handling $20.00 NO
COE $5.00 N0 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 $180.00 NO
Transfer tax $0.00 NO Comm.Pres $5,400.00 NO
Fees Paid $5,775.00
TRANSFER TAX NUMBER: 12-28922
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BSLL
JUDITH A. PASCALE
County Clerk, Suffolk County
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Number of pages kF..~~E~
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This document will be public ~!~FF~!-~ ~C~L~NT','
record. Please remove all ~ D~~cE~1~P3?
~ ~
Social security Numbers ~
prior~to recording.
Deed f Niartgage Instrument Deed f Mortgage Tax Stamp Recording f Filing Starrtps
3 FEES
Page f Filing Fee ~ ~ t ~ ~ Mortgage Amt,
1. Basic Tax
l~landling DO
2. Additional Tax
TP-5$4 Sub Total
Spec.lAssit,
Notation
ar
EA-5217 ~Caunty} Sub Total Spec, lAdd.
EA-5217 State} ~ I ~ TOT, MTG. TAB
~ Qn p Dual Town Dual County
R.P,T,S,A, U
I•ield for Appointmen
Comm, of Ed. 5~ q0 ransfer x
~
~ Mansion Tax
Affidavit
• The property covered by this mortgage is
Certif ed Copy ar will be improved by a one ar two
NYS Surcharge l5. 00 ~ family dwelling only.
Sub Total
YES ar NO
Other ~ ,1
Crrand~ Total If N0, see appropriate tax clause on
~ page ~ of this instrument,
4 Dist. lad Section~`~[~~ Block r~l.~~~~ r.nrn~~r~~~,01~~ .5 Cammunitp Preservation Fund
V19•~U
Real Property, ~Q~1 Consideration Amount $ t
Tax Service T
Agency ~ ~ CPF ax Due $ ~ ~
Verification ~ OTY
17~11JN-1 ~ Improved
S atisfacti '
L _ - - - - -..j.~..~-v~r~.Awlu-l.i~,11A1~,~~?ddress
..RECORD & RETURN T0: Vacant Land
TD
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Mail to: ~ludith A. Pascale, Suffolk County Clerk 7 Taitle dam an Inform~~~on
31 d Center Drive, Riverhead, NY 1 ~ 941 Ca. Name .~U~I ~ ~t ~
www.suffo~kcountyny,govlclerk Title # ! ~
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~ uffalk punt Re~~rdin ~ ~~dorsement Pa e
This page farms part of the attached ~ ` made by.
(SPECIFY TYPE OF INSTRUMENT}
1~~kQ~~ ~ - ~ The premises herein is situated in
QI~A ~ • - ~,~~"]i1.,t i ~ SUFFOLK COUNTY, NE~V YORK.
1~
TO In the TOWN •f ~ ~ ~ L~ .
In the VILLAGE
ar HAMLET of
BOXES 6 THRU $ MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING,
~over~
Doc ID: 1~0~6D1 ~ DTY ~
1~~1I1N-13
~`x ~II~p
District Secton Block Lo# School District Sub Division Name
07800 0100 017000
X000 07fi00 0100 018000 ~L1TH~l.D
1000 D7~00 0100 01 X000 ~I~TH~~.D
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NY -1~Q5 Bargain and Sale Deed, with Covenan# against Grantor's Rcts-tndividuai or Corporation (Singre Sheet)
CDNSULT YOUR LAVYYER BEFQRE SIGNING THIS INSTRUMENT -THIS INSTRUMENT SHaULD BE IJSfC BY LAWYER5 at+ILY,
oa TH1S INDENTURE, made the 14th day of May, 2013
~~~1*~~
~ b BETWEEN
s~`~
WILLIAM S. LEEDS AND DIANA R. LOOMIS, HIS WIFE
16 Park Avenue, Ap#. 15A
a try , New Yark, New York 10015
~ party of the first part, and
~ ~ REBECCA RIVO
~ 726 Sackett Street, Apt. 3L
6roalclyn, New York 10010
party of the second part,
WITNESSETH, that the party of the first part, in consideration of TEN ~$10.00~ Dollars 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, Caunky of Suffolk, State of New York, commonly knawr~ as 745 Smith Drive North,
Southold, New Yark, all as more particularly described on Schedule "A"annexed hereto and made a park here of,
BEING khe same premises conveyed to khe party of the first par# by deed dated March 31, 2003 and recorded Apri!
16, 2003 in Liber 1224G cp. 401.
TaGETHER with all right, title and interest, if ar~y, of tl~e party of the first part in and to any streets and roads abutting
khe above described premises to the center lines thereof; TQGETHER with the appurtenances and all the estate rights
of khe party of the ttrst part in ar~d ko said premises; TO HAVE AND T~ HELD the premises herein granted unto the
party of the second part, the heirs ar successors and assigns of the party of the second part forever.
AND the parr of the first part covenants that the party of the first part has nflk 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, incompliance with Section 13 of the Lien Law, covenants that the party of the first part
will receive the consideration for #his conveyance and will hold the right to receive such consideration as a trust fund
to be applied first for the purpose of paying the cast of the improvement and will apply the same first to the payment
of the cast of the improvement before using any part of the total of the same for any at#~er 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:
tom, S • C e eves _
V1lilliam S. deeds _
By. n ' n~C~t
Diana R. Laamis
0~,~0~- ? ~c ~l~'~
~
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OF NEUV YORK, COUNTY OF NE1N YORK ss.: STATE OF NE1N YORK, COUNTY OF ss.:
On the 14~" day of May, 203, before me personally On the day of , ~Ot3 before me
appeared Michael A. Gould, personally known to me ar personally appeared
proved to me on the basis of satisfactory evidence to be ,personally
the individual whose name is subscribed to the within known to me or proved to me an the basis of satisfactory
instrument and acknowledged to me that he executed the evidence to be the individual whose name is subscribed
same in his capacity, and that by his signature on the to the within instrument and acknowledged to me that he
instrument, the ind' ' or th erson upon behalf of executed the same irti his capacity, and that by his
which the indivi al act cute the instrument. signature on the instrument, the individual, or the person
upon behalf of which the individual acted, executed the
~ ti instrument,
o ary u ~c
Notary Pub1iG
Raymond DiPaolt
Notsry Public, State a# New York
Na. 0214645151
Quel+fied in Queen C~aurny
Qomrnission Expires Oct. 31.20.L .
BARGAIN AND SALE DEED District: ~o0a
WITH COVENANT AGAINST GRANTORS ACTS Section: 076.00
elo~l~: a~.aa
William S. Leeds and Qiana R. Laamis LOt:'U17.OOa~ ~ ~ ~ ~ ~N~ ~
TO County: Suffolk
Street Address: 745 Smith Drive North
Rebecca Riva Southold, New York
RETURN BY MAIL TO
Steven M. Nachman, Esp.
fi75 Third Avenue 29'h floor
New YodC, New York 1 O~i7
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T~ JU~]~~A~ TYTL~ ~N[JI~AN~ ANY LLB
Tithe Number:l~3~~9ST-
~~IEDULE A
ALL that certain plat, piece ar parcel of land, situate, lying and being in the 7'awn of
Sauthald, bounty of Suffolk and State of New York, known and described as Lots I I G,
17 and 1 S as Shawn an a certain neap entitled} "loose Neck Estates" and filed in the
Suffolk bounty clerk's office on November l 948, as Map Na. 1 ~3, bounded and
described as follows:
BEINNINC at a monument on the narthwester~y side of Smith Drive North, distant
7~a.a0 feet northeasterly as measured along the northwesterly side of Srnith Drive North,
from the corner formed by the intersection of the northwesterly side of Smith Drive North
and the northeasterly side Qf Main ~ayview load; .
RUNNING Ti~ENE north 1 degrees ~a minutes 0~ seconds east, 1 ~D~~~ feet to a
monument;
THENCE north 4I degrees 1 minute a~ seconds east, 3~.1 ~ feet to a paint;
TI~~NE north 41 degrees 31 minutes ~0 seconds easty 117.4 feet to a point;
TI~E~~ north 4~ degrees ~ minutes as seconds east, ~ D. ~ 1 feet to a monument;
~'HENE south 51 degrees Oa minutes a~ seconds east, 1 ~ 1.19 feet to a nr~onument an
- the northwesterly side of Smith Drive North;
TINE south 3 degrees ~a minutes ~a seconds west along the northwesterly side of
rr~ith Drive North, ~~~~~0 feet to the monurrient, the point or place of BEINNIN.
SAID PREMrSES being known as 74~ Smith Drive North, Southold, NY.
The policy to be issued under this repart will insure the title to such buildings
FAR and improvements erected on the premises which by law constitute real
CQNVEYAN~ING property.
ONLY TETHER with all the right, title and interest of the party in the first past, ar, in
' and to the land lying in the street in front of and adjoining said premises.
PEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: ltttp:llwww.orps.state.ny.us or PHONE ~518~ 4T4~a45D
FOR COUNTY USE ONLY
C1. SWIS Code REAL PROPERTY TRANSFER REPORT
~ STATE OF NEIN YORK
C2. Date Deed Recorded ~ STATE BQARD OF REAL PROPERTY $ERYICES
a y aer
RP-5211
p. Book C4. Page I r r I
RP~i7 Rer S!e'T
PROPERTY INFORMATION
1. Property I ~ l s r!? t j~ f ~V~ b, I
~~i~n STA[C'YUMB[R SrRFFi NAME
CITY ~R TtiwN ~ VILLAGE 'IP COOE
x Buyer ~ Y ~ ~ ~Q
Name r As r NAME l oaMa?wY F ST NAME
_ , i
LAtir NAME ! CaMRIWY rstsT Nlwi[
3. Tox Indicate wltaro future Tex Bills are to he sent
Billing if other than twyer address let bottarn of iixmt I I I
Addreaa 1A5r NAMLl4.~NP'ANY Illgil NAM
- - - I - - - l 1
S1RE[T NUMB[R ANp STREET NAME GIY +1R ruwN tilA-E !IP u?nE
4. Indicate the number of Assessment I Only If Part of a Parnell Check as they apply:
Rol! parcels transferred on the deed 1 It Ol' ParCel6 OR ? Part of a Paroal ~ plennin Board with 5u6riivisian Alnhari Exists
9 tY ?
~B. "~rhdivieinn Approval wee Rnq+rirTTrl Mr Tranei+rr
5. Deed .
Property FeIrHT FkEI x C[PT11 OR I ' I Paru'I Appruvud far SubdNisic>'n with Map Provided
Sl:e
B. seller ~ ~•~-'~~~II'l
Name LAST NAMr r C{7hrP+4YY ~IRSI MA44.
~ASI tiAfAE ! I:aMr'AN+? FlRST NA11TE
7. Check the box below which most aoa+ratefy describes the use of the property at the time of sale: Check the boxes 6e1ow as they apply:
!L Ownership Type is Candaminium
r1 boa family Residential f, Agricultural I Community Service tl. Now Construction on Vrtcartt Land
B 2 or 3 Family Residential F Commercial S Industrial 10A, Property Located within an Agricultural District
Residential Vacant Land ~ Apartment K Publlc Service 10B. Buyer ruarivcd a diar:lusuru notice indicating ?
Nan-Rosidential Vacant Land H Entertainment J Amusement Forest that the properly is in an Agricultural pistrict
SALE INFORMATION ~ ~ 15. Check aw ar mare of 1tTStie oonditlana ea eppBceble to trander.
11. Seta Contract Date ~ r1 Sale Botvvoen Relatives or Former Relatives
Moms Day wear l; Sale Between Related Companies nr Partners in Business
r Dno of the Buyers is also a Seller
1P. Date of $ele J Transfer I 'S ~ ~ ~ f I D Buyer or Seller is Government Agency or Lending Institution
Month Deg Year F Deed Typo not Warranty ar Bargain and Salo 15pecify Bolowl
f
Sale of Fractional ar Less than Fee interest 1Specify Belnwl
C 5il}niftcant Chunpc in Prupurty Betwat:n Taxable Status and Sale Dates
13. Full Sale Price ~ ]I H SAIe of Business is Included in Sale Price
~ ~ •
fFull Seio Price is the total amourrt paid for the property including personal property. I Othor Unusual Factors Affecting Sala Price lSpacify Balowi
This payment may be in the iprm of cash, other property or panda, ar the aasumpllon of J Nono
rnortaeges ur other oblipatians.l Please round to the nrrarear wlrala dollar amount.
14. Indkate the value of peraoTTel
property Included In the sale I ~ ~ + ~ r + ~ U r U l
! •
ASSESSMENT INFORMATION • pate should reflect the latest Final Assessment Roll and Tax Bili
16. Year of Aseesamam Rall from I ~ ~ I
which irrformatlon taken I . 117. Total Assessed Value Ilat all perceb in trensferl I ~ ~ ~ ~ ~ ~ ~ ~ ~
y ! y
1B. Property Clara I-I~J U 19. Schaal Dertrrct Name
Ie. Tax Mep IdemtAerRal ? Roll IdentlRerial iff more than lour, attach sheet with additional identifierlall
I~1~~ ~fl~o S~~.
L I t~ ~S 17, I $ *T l
CERTIFICATION
r<rriify that ell rd Ihr iterng nP inPotmttiatt cnten~d Ter the Pilrnt arc true and ~~unn1 ltu ihr h~a1 I>< m} knTrTr'it~dpL~ and Irclirfl and I undcrlWnd Ihet the rmfLinR
of anL+• r+iBlal GrL~t~ ~fu!<'ment of material Pact ln~nein +aill s~uh~ect tn~' to ttre pmridrmx the perurl IaK~ n~l;ttl~c ttr the making and tltitgt rfi fvL~r in5trumems.
BU BUYER'S ATTORNEY
r ~ ~4G~-~N I Il+~r~
9UYER S'd'iNATURE CAT[ LAST NAM[ FlRST AAME
~ `
L I
S~gEtT HUMBER STRE[' NAM[ W''[R SALES AREA WnF IFLFFNSINF NrlMRFR
l ~ ~
CITY 4q T4Wh SrAIE !IP COCS
SEALER NI:W YORIti S'l'A~['~
Imo, I I r~? ~ S ~ COPY
SY: -
S[~L[R BIGHATURF 6aT