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1111111 II II I III I Ill!! I Iil1 IIII I III II IIIII II III I II I Ili1 111111111111 IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 09/19/2013 Number of Pages: 3 At: 10:21:55 AM Receipt Number : 13-0118824 TRANSFER TAX NUMBER: 13-04827 LIBER: D00012745 PAGE: 004 District: Section: Block: Lot: 1000 126.00 02.00 001.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $319,000.00 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 $0.00 NO RPT $60.00 NO Transfer tax $0.00 NO Comm.Pres $3,380.00 NO Fees Paid $3,630.00 TRANSFER TAX NUMBER: 13-04827 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County OF Number of pages RECORDED 2013 Sep 19 10:21:55 AM JUDITH R. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00012745 Social Security Numbers P 004 DT# 13-04827 prior to recording. Deed I Mortgage Instrument Deed / Mortgage Tax Stamp Recording 1 Filing Stamps 3 FEES Page / Filing Fee I Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax _ TP-584 Sub Total Notation SpecJAssit. or EA-52 17 (County) Sub Total Spec. /Add. _ EA-5217 (State)TOT_ MTG. TAX R.P.T.S.A. Dual Town --Dual-C- ty_ Held for A poi tment Comm. of Ed. 5. 00 Transfer ax Affidavit + Mansion The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other _ Grand Total If NO, see appropriate tax clause on page # of this instrulit . 4 Dist. M 13023959 iooo 12e00 0200 ooiooo 0-06 5 Community Preservation Fund Real Property p T S Consideration Amount $ 310 t DOD Tax Service Verification 04SEP-1 IIII~III~IIIII Illlll~ll IIIIIII~I~I~II~IIIII PF Tax Due R Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land Ell/~LiAm C'. 666(;1A1s, S© TD CiOCnG~AIS PA~umBo P0. ao.r <os TD rI/~TT/7Z/GlC, AJ`1 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co. Name Srp~aer ?lTCer h?5. www.suffolkcountyny.gov/clerk Title # 5713 - 8 Suffolk Count Recording & Endorsement Page This page forms pan of the attached 13Ak~ iN fl V,6 1"7L6 462 made by: (SPECIFY TYPE OF INSTRUMENT) P~°'~ ~~r18~1= The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of .~UUTHecp 'e• 0' x J'- N In the VILLAGE ROBYAt' % k D.VS or HAMLET of M,47T l rUCX BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. iz.aiw..iaroett (nver) STEWART TITLE INSURANCE COMPANY 707 Westchester Avenue, Suite 411 Standard N.Y.B.T.U. Forts 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts Uniform AcknowledSmplalra,Ny 10804 Form 3290 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the~ay of July, 2013 BETWEEN MARION GAMBLE, residing at 245 Bray Avenue, Laurel, New York 11948, party of the first part, and JAMESI'COX, JR. AND ROBYN^LYONS, AS ~7°'lrr 7r:71/f'_rs wirt`-014 ~lrs d 'c .~u4V'Y- ltFs p residing at 13235 Main Road, Mattituck, New York 11952, party of the second part, WITNESSETH, that the party of the first part, in consideration of Ten and 00/100--($10.)--Dollars, and other good and valuable consideration 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 tract or parcel of land, situated at Mattituck, Town of Southold, Suffolk County, New York, bounded and described as follows: BEGINNING at the intersection of the easterly line of Bray Avenue with the southerly line of Old Main Road and running thence along said southerly line of Old Main Road, North 71 degrees 14 minutes 50 seconds East 100.06 feet ; THENCE on a line parallel to said easterly line of Bray Avenue, South 20 degrees 46 minutes 50 seconds East, 179.78 feet; THENCE on a line at right angles to said er tt ery I line of Bray Avenue, South 69 degrees 13 minutes 10 seconds West, 100.00 feet tqt ai eOerly line of Bray Avenue; c2o THENCE along said easterly line of Bray Avenue, North W degrees 46 minutes 50 seconds West, 183.32 feet to the point of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated 3/2/05, recorded 3/3/05 in Liber 12374 page 616. 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: 71~/LLC7v/CL~pi1~"`C Marion Gamble f1deedgamble BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN New York STATE State of New York, County of Suffolk, ss: State of New York, County of ss: On the,2ZfLday of July, in the year 2013, On the day of in the year before me, the undersigned, personally appeared before me, the undersigned, personally appeared MARION GAMBLE personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their me that he/she/they executed the same in hislherllheir capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which instrument, the individual(s), or the person upon behalf of which the individual(s) a Ve~ed a instr ent. the individual(s) acted, executed the instrument. (signature and o of I I 'ng acknowledgment) (signature and office of individual taking acknowledgment) Notary Public Notary Public, State Of New York Notary Public No. 31-4370341 1]ualilied In Suffolk County Commission Expires February4, 20 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State (or District of Columbia, Territory, or Foreign Country) of County of ss: On the day of , in the year before me, the 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 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, and that such individual made such appearance before the undersigned in the in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgement) Notary Public ~IST(~IG( Io00 BARGAIN AND SALE DEED SECTION lal,.ob WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK bD_ 00 Title No. LOT 001.000 MARION GAMBLE COUNTY OR TOWN S~(IkILK- TO JAMES COX, JR. AND ROBYN LYONS Recorded at Request of COMMONWEALTH LAND TITLE INSURANCE COMPANY RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS W 1 Iltaw) C. 1 I F rjG tuns i ~~lo*nb0 l1/ ?o. N1(d!~ W V LL LL O Z O K O U W LL C) W N C O LL W U Q a _3 x r W s W N W K PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP-5217-INS): www.orps.statemy.us FOR COUNTY USE ONLY C7. S)NIS Code 3.9' RIF Now York State Department of Taxation and Finance C2. Date Dead Recorded Office of Real Property Tax Services -2 Lq RP- 5217 C3. Book C4. Page - Real Property Transfer Report (8110) PROPERTY INFORMATION ' Property 50 1 Old Main Road I 1 Southold I Laurel 111948 1 Cnr aR TonN vl uaE R zrwoE 2. Buyer I Cox I Jamese Jr. 1 Name LIRT NAME 1 Gok~ .-NAME L _Lyons I Robyn r ~arMpfEl - - 1 3. Tax Indicate where future Tax Bills are to be sent Billing if other than buyer address (at bottorrl of form) NAME ~ 1 Fly I Address COMIPV~f 51IM€T NUMBER AM STla'L1 wML. I Sty 1WAW ZIC3E 4 Roll at parcels numbw of Assessment transferred on the deed 1 1 9 of Parcels OR ? Pan of e Pproel (Only N Part of a Period) Cheek as they apply: 4A. Planning Board with Subdivision Authority Exists ? r,A Deed 40. Subdivision Approval was Required for Transfer El Property X L, ~ OR 1 e 5. 01 4C. Parcel Approved for Subdivision with Map Provided ? sin FRONT PEET 6. Seller I Gamble I Marion 1 Name IA4T rcalrwn 161 w ijis. We,- I Fa91 MAN. JI 7. Cheek the box below which most accurately describes the use of the property at the time of sob: Cheek the boxes below as they apply: ? e. Ownership Type is Condominium A X One Family Resklaneal E Agricultural I Community Service a. New Construction on Vacant Land ? B 2 or 3 Family Residendel F Commercial J Industrial 10A Property Located within an Agricultural District ? C Residential Vacant Land G Apartment K Pudic Service 10B. Buyer received a disclosure notice indicating ? D Non-Residential Vacant Land H HEntartainmSin /Amusement L Fares[ that the property is in an Agricultural District SALE INFORMATION IS. Check one or more of these conditions as applicable to transfer. 11. Bab Contract Date 1 6 / 7 / 13 I A Sale Between Relatives or Former Relatives mar. B Sale Between Related Companies or Partners In Business C One of the Buyers Is also a Seller 12. Date at Sole / Transfer 1 7 / 26 / 13 I D Buyer or Seller Is Government Agency or Lending Institution ear E Deed Type not Warranty or Bargain and Sale (Specify Below 1' Sale of Fractional or Less than Fee Interest ( Specify Below I 13. Full Sob Price 33 0 0 . Q 0.0 1 G Se of nt Change I Property Between Taxable Status and Sale Dates , 1 9 0 • H Sale of Business is Included in Sale Rice ( Full Sale Price a the total amount pad for the property including personal property. 1 Other Unusual Factors Affecting Sale Price 1 Specify Below ) This payment may be in the form of cash, other property or goods, or the assumption of Ng1p lrortgages or other obligations.) Fles" round to the nmmsr whole dollar amount. 14. Indicate the value of personal 1 Q 0 . 0 .0 1 property Included In the sets ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 16. Ymr of Assmsmsnt Roll from 112113 77. Total Aassssed Value (of all which Information taken parcels In transfed,_,_; y_3 4 , 1. 0. 01 16. Property Class 1 2. 1 .0 I-U 12. School District Nome I Mattituck-Cutchogue 20. Tax Map Idendflar(s) / Roll IdemSier(s) ( N more then four, attach shoat with additional identifier(s) I 1 1000-126.00-02.00-001.000 I I I I I I CERTIFICATION 1 eny that all of rid Item at Imbmention entered an this form am tow and correct It. the Met w my lureadadge and belleQ and 1 understand that the making mf army willful falmMstesment of nwtwlet fact hemin will srrbiset me be the prsvlslons of on mml low mistwe to the nwlTtrlg end GUNN of fee" Imtnmelxs. SELLER SIGNATURE BUYER CONTACT INFORMATION (Erxer Inkwlm9on for the buys,. Note: if buyer is LLC. sodety, association. ewpomran, plm steci, `l/l f rr 1 i - 119 (1 r camp". same ar an ty Suit Is nal an'Wddual opera or rdu iwy, then a name and context Inhnmlbn g;l•FRA1VIa.oYr+ ~~~~lll DATE ryal an w;m~n) pony who on emwer gUeatons ropprdng the aamfar must to ensured. Mario cy n li mble BUYER SIGNATURE f/ r~ A ~r .~I _ ~,J~ /~~t-+/ ~/I71 li /I IV 11 I / j'/.~ b3 ~I~T NAME v~•' ~jI FwSSI Jamesl N.vx ~P.,~~ ""Ur" R06" yt1 Lyy ns DATE (3 1 I lJ ~ 0 -1196 s BUYER'SATTORNEY AREA CODE rE1EPHONE NUMBER U LAST16AME nB I William C. 0V 10 G j~ nA~l~T d aCCG..III STREET NUMBER STREET NAME 631 1 315-5300 AMAGME TELEPHONE NUMBER - ~ t.~/` I /mar I L L L ~J fJ~ NEW YORK STATE cn CRTOM STATE ZIP WERE COPY