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11111111 IIII 11111 IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII i 111111 IIIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 12/26/2013 Number of Pages: 6 At: 03:59:55 PM Receipt Number : 13-0165610 TRANSFER TAX NUMBER: 13-14508 LIBER: D00012758 PAGE: 051 District: Section: Block: Lot: 1000 065.00 01.00 009.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $250,000.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $30.00 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 $1,000.00 NO Comm.Pres $2,000.00 NO Fees Paid $3,265.00 TRANSFER TAX NUMBER: 13-14508 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County r 1 2 RECORDED 0 Number of pages 2013 Dec 26 03:.59:55 PM tUDITH R. PRSCPLE CLERK OF This document will be public SUFFOLK COUNTY L D00012758 record. Please remove all P 051 Social Security Numbers DT# 13-14508 priorto recording. Deed Mortgage Instrument Deed/ Mortgage Tax Stamp /110 Recording / Filing Stamps 1, -7 3 FEES Page / Filing Fee _ Mortgage Amt. Handling 20. 00 1. Basic Tax, TP-564 2. Additional Tax _ Sub Total _ Notation Spec./Assit. EA-5217 (County) _ Sub Total or Spec./Add. EA-5217 (State) TOT. MTG. TAX R,P.T.S.A. fd~ , Dual Town _ Dual County Comm. of Ed. s, oo Held for Appointment a ~y Af Transfer Tax Affidavit s•-s ~ _ Mansion Tax Certified Copy The property covered by this mortgage is NYS Surcharge oo Sub Total / or will be improved by a one or two Other GrandTotal family dwelling ' only. YES or NO If NO, see appropriate tax clause on page # of this instrument I/3 4 Dist. o 73034869 1 Community Preservation Fund Real Propert 000 06500 0100 009000 5 cl~ ; - p T S Consideration Amount $ is--OLD-00 Tax Service R tB-0EC Agency pTy A Illlllll~lllllllllllllll[II111![Illllllllllllll CPFTax Due $ Verification -1 6 Satisfactions/uisenargesineleasesrax-r,VP,, Lr _ s Improved RECORD & RETURN TO: Vacant Land Z I ~7 Zoe g D /0 ~.o ice' 1 t 4 I D Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company information 310 Center Drive, Riverhead, NY3.igo2 Co. Name www.suffolkcountyny.goviclerk o i Title # B Suffolk County Recording & Endorsement Page This page forms part of the attached -C::) E E y made by: M Ar7 3~Sfr~,,(SPECIFYTYPE OFINSTRUMENT) a rlkrt user ~e m L')/ s~Thepremiseshereinissituated.in 'SUFFOLK COUNTY NEW YORk. 5~ A -C ~ Gti . TO In the TOWN of o )-4 aF,)w-Elnthe VI LLAGE ) of.., AQ" HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. Dl 9 (over) F- 7 T 1• Same as Standard NY.B.T.U. Form 80002 Bargain and Sale with Covenant against Grantor's Acts Individual or Corporate (single sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY ~S n -t-L DECKa,Qtrz THIS INDENTURE, madelthe Z day of euel two thousand and thirteen BETWEEN Mary Anne Klipp, resid}}'n at 28 Broad Avenue, Riverhead, NY 11901, Josephine M. G el reng, residing a 92 0 PEastw nrlve jAox$4t6, Cutchogue, NY 11935 Linda J. Webb esi~ing a 2M ®VinterVreet, lingsburg, CA 93631, Nancy G. Sprenkle, residing at 5806 Amber Avenue, Clovis, CA 93619 and Dianne A. Benko, residing at 6815 County Road 16, New Delhi, NY 13733 party ofthe first part, and John Holahan as Trustee of the John Holahan and Frances Holahan Revocable Trust Agreement dated March 2, 2012, 1146 Hill Flower Drive, Brooksville, Florida 34604 party of the second part, W ITNESSETH, the party of the first part, in consideration of Ten Dollars and other 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 certain plot, piece or parcel of land, with the improvements thereon erected, situate, lying and being at Southold in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot No. 8 on a certain map entitled "Map of Jonathan T. Overton" and filed in the Suffolk County Clerk's Office as Map No. 1055, being more particularly bounded and described as follows: SEE SCHEDULE "A" ATTACHED. BEING AND INTENDED TO BE the same premises granted to the party of the first part by Deed dated 05/28/1999 and recorded 06/22/1999 at Liber 11970 page 695. TOGETHER with all right, title and interest, if any, if any, of the party of the first part in and to any streets and roads abutting the above-described premises to the centerline thereof; TOGETHER with the appurtenances and all the estates 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 parry of the first part covenants that the party of the•firsfili rf has not done or suffered anything whereby the said premises have been encumbered in any ways Hiso06'r Except as aforesaid. AND the party of the first part, in compliance witP'S ctions'l3 of the Lien Law, covenants that the party ofthe 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 costs 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 it read "parties" whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party ofthe first part has executed this release the day and year first above written. IN PRESENCE OF: Mary Annee Klipp yy, 64osephine M. Geehreng Linda J. WcFb :_A Nancy G.-S renkle Dianne A. Benko I L6l 1 1laoA MaN `plO4JnOS lsnay algeaonaS UVIOH saauead OIZI xog •O•d pue ueyeloH ugof `aalsnl j `uegeloH uqo f gt, peoM ,ClunoD 01Ztt of •bs3 ullgWnuj:) l utn3?1 own •t/ auuela pue apluaidS •O,CounN `ggaM'f epu!"I :01 llvW Ag KHfllax 'SuaagaaO - IN ouigdasof `ddtl}I auuV , jqN 000'600 - 00.10 - 00" S90 - 0001: 'ON delN xe L IIo3.lnS jo XIunoD Slag S,.lolURlD lsUlUWV lueuanOD gl!M paaQ ales pue ule;laeg otlgnd , MION 'elwo39e~3o aaels ay1 ui 3o Clla aul ul pau2lsjapun ay1 alodaq aauejeadde vans apew lenplnipul guns pun mawmism aqj palnaaxa `palae (s)lenpinl 1 aql yaigm,lo31egaq uodn uos od aqj jo (s)lenplnipui aql `mawnalsw aql uo (s)aanleu2ls alagl/aaq/slg ,Cq 'mql pun (sal •aea jiaglpay//siy u! awns ayl palnaaxa Xogllays/oq my aw o1 pa2palmou>fas oym pus luawnjlsui wyum a41 of pogmosgns (aje)sl (s)aweu asoym (s)lenplnipul ag1 aq o1 aauapina,Vo7ae}sllesgo slseq aql uo aw of panoad jo aw o1 umoux,Clleuoslad al?lUaads •O ,Cat1eN pareadde ,Cllsumad `pau2lsjapun aq1 `aw aaolaq lOZ aead agiuu lagwanoN to Cep ayl u0 :ss j0 AiN\fl6O~VIN210jI1V3 j0 31ViS 71 1 Ll allgnd`ia. )oN 'elujo.3llu03o Gaels 041 w ~a ayl ul pau2isjapun ay1 ajo3aq aauejuadds gans apses lenp!nipui gans pus luawn,lsul aqj palnaaxa `pall- (s)le i gaigm jo31egaq uodn uosiad aqj io (s)lenplnlpui aqj luawn~lsul ay1 uo (s)amleu2is ilayl/~ay/sly Cq yegl pus sa, a a~agl/.iaq//slq ui awes aql palnaaxa,Cayl/ays/oq leql aw of pa2polmoulou oym pus luawnilsui ulyl!m aqj of pa ns (are)s! (s)aweu asoym (s)lenplnipui aql aq 01 aauaplna Colae3slles,lo srseq ay1 uo aw of panoad ao ow of umou os,~ad gqaM 'f epu!l paieadde Alleumad `pau2isjapun aql 'aw aio3aq I OZ jeaX aqt ul .lagwanoN 3o ayl u0 :ss d0 AlNnoD 'VINI )31-lVZ) 03l is s1 moomovomumum unoo 00Iq OO W "U nn a qnd ~410N :AOA MON 1O GM, d ppnnRION ~ vp Asp •c eu~elo(r •luawnilsul aql palnaaxa'palae (s)lenplnlpul a uosiad aql io (s)lenplnlpu! oq1 `luawnjlsul oyl uo (spinleu2ls jlaylpaq/siq ,Cq `legl pus (sal)/,gnudea naglpay//sly ui awns aqj palnaaxa dayl/ays/aq legl aw of pagpolmou>lau oym pus luawnilsui ulyllm aql o1 paglaasgns (aan)si (s)ownu asoym (s)lenplnipui aql aq of aauapma ,C.l0l3ejslles3o slseq ayl uo aw of panoad jo aw of umoul Alleuosmd o)lllag -V auuelQ paaeadde Alleumad `pau2lsaapun aq1 `aw aao3aq 10Z ana,C oql ul aagwanON 30 ,(ep - aqj up :ss c~ 10 A1Nnoo ')l210A M3N JO 31VIS 5109 It •ma owli ft oq .-guno > oom / uopa" 1 otI d oN MOA MON !O GMS'Dpnd tiBIeN ' 1" •C " O •luawnalsul oql palnaaxa `palae ~S)lenp!Alpul aq1 i mdodlegaq uodn uosaad a b~. (s)lenp,n, ayl 'luawnalsul ayl uo (s)aanleu2is alaglpaq/siq ,Cq `legl pun (sal),Cllaedea nays/aaq//sly u! awns ay1 palnaaxa ,Cagt/ays/aq leyl aw of pa2palmou~as oym pue wownalsui ulgl!m ay1 of paglaasgns (aae)sl (s)owuu asogm (s)lenplnlpul aql aq 01 aauaplna ti0aelsues30 slseq aq1 uo aw 01 panoad ao aw of umou)1XIleuosaad OuanlaaO -K outgdasof paaeadde ,Clleuosiad `pou2isaapun ayl `aw aao;aq l OZ aea,C ay1 ul xagw AON 3o ,Cvp I ayl u0 ()il i/1 30 AiNno:) ')ibo k tri30 UV1S ~DZ'Z'1deS'&13'WW00 W&O /yunoo ~bl)s ul MPTM otlgnd C 1e1oN 9000LB40N W 'C N )4+aA DISMOW10A AUVW~loN ~b •luawnalsul aql palnaaxa `palls (s)lenplnipui aql ga!ymdo jlsyaq uod8 uosiod ayl ao (s)lenpmlpul ayl `luawnilsu! ayl uo (s)aanleuSis .nagl/aaq/siq ,(q `legl pue (sal),Cl!aedea naylpaq//sly ul awns ayl palnaaxa ,Cagt/ays/aq legi aw of po2polmoulae oym pue luawnaisul u[gl!m oql of paquasgns (ale)s! (s)aweu asoym (s)lenp!nipul agl aq 01 aauaplna tiolae3shes3o siseq oy1 uo aw 01 panoad ao aw of umoul ,Cllnuoslad ddLIN auud ,iju" paaeadde XIleuosaad 'pau2isaapun aql `aw aaolaq I OZ lea( aql ul Aegt jo ,Cep aql u0 7) roal~a :ss (rl033ns 30 A1Nf100 ')IbOA M3N JO 31VIS CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT cmL CODE g 7189 c " State of California County of _r~Y..swlO On before me,Ge,;,t' /?oT~~1~/•C , Date Here Insert Name and Title of the Officer " personally appeared L). 4.Z4,46 ~ Name(s) of Signeris) who proved to me on the basis of satisfactory evidence to be the personN whose name(s) is/are. subscribed to the within instrument and acknowledged to me that he/she/" executed the same in his/her/tl4i* authorized capacity(4w4, and that by fiis/hedtheir- signature(* on the instrument the " person f4 or the entity upon behalf of which the MARILYN usiEN person(*acted, executed the instrument. " commission / 1997047 f Notary Public,- California I certify under PENALTY OF PERJURY under the z Tulare County laws of the State of California that the foregoing M Comm. Expires Noy 19, 2016+ paragraph is true and correct. WITNESS my hand and official seal. Signature: Place Notary Seal Above S' atu a of Nptary O n r OPTIONAL r Though the information below is not required by laver it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attaches! Document " Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: " Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: " ? Corporate Officer - Title(s): ? Corporate Officer - Title(s): ? Individual ? Individual ? Partner - ? Limited ? General Top of thumb here ? Partner - ? Limited ? General Top of thumb here ? Attorney in Fact ? Attorney in Fact ? Trustee ? Trustee ? Guardian or Conservator ? Guardian or Conservator ? Other: ? Other: " Signer Is Representing: Signer Is Representing: " " r r ~ r s 0 2010 National Notary Association • NationalNotary.org - 1.800-U5 NOTARY (1-800-876-6827) Item #5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CAnL CODE 0 1189 State of C lifornia County of On /-20/3 before me, G-~-~ Date Here t rt Name and Title of the "r personally appeared Q/)C ~7 rl e/'2, Name(s) of Signer(s) who proved to me on the basis of sati5acloq evidence to be the person(s) whose name( l subscribed to the within instrument and acknowledged to that -h sh executed the same in _MQ JANE HEREDIA ftqeft~hw authorized capacity(ies), and that by Commii:I6n i 2011368 her • signature(s) on the instrument the Noartr Public - Cnltrorma. ~ person(s), or the entity upon behalf of which the Fenno county - person(s) acted, executed the instrument. Comm. tilfar t 1, 20 t 7 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS y ha d and official seal. Signatu Place Notary Seal Above ignet of otary Public t OPTIONAL Though the information below is not required by law, it may pro ve v luable to persons relying on the document and could prevent fraudulent removal and reattachment f this form to another document. Description of Attached D current Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ? Corporate Officer - Title(s): ? Corporate Officer - Title(s): ? Individual ? Individual ? Partner - ? Limited ? General ? Partner - ? Limited ? General ? Attorney in Fact ? Attorney in Fact ? Trustee ? Trustee ? Guardian or Conservator ? Guardian or Conservator ? Other: ? Other: Signer Is Representing: Signer Is Representing: © 2012 National Notary Association • NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 Fidelity National Title Insurance Company TITLE NO: F]3-7404-92500-SUFF SCHEDULE A-1 (Description) Amended 11/08/13 ALL that certain plot, piece or parcel of land, situate, lying and being at Southold, in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot No. 8 on Map of Jonathan T. Overton, filed in the Suffolk County Clerk's Office on 01/0411932as Map No. 1055, said premises being bounded and described as follows: BEGINNING at a point on the northwesterly side of Terry Lane distant 400.00 feet northeasterly as measured along the northwesterly side of Terry Lane from the corner formed by the intersection of the northwesterly side of Terry Lane and the northerly side of Hobart Avenue; THENCE North 68 degrees 28 minutes 00 seconds West, 157.43 feet; THENCE North 07 degrees 54 minutes 00 seconds East, 51.45 feet; THENCE South 68 degrees 28 minutes 00 seconds East, 169.56 feet to the northwesterly side of Terry Lane; THENCE South 21 degrees 32 minutes 00 seconds West along the northwesterly side of Terry Lane, 50.00 feet to the point or place of BEGINNING. THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which by law constitute real property. FOR CONVEYANCING ONL Y. Together with all the right, title and interest of the party of the first part, of in and to the land lying in the street in front of and adjoining said premises. SCHEDULE A-I (Description) Rev. (03/04) PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP-52174NS): www.orps.statemy.us . SWIS Code -7, 3, T5, S,R New York State Department of 22 Taxation and Finance LPR~OPERTY OUNTY USE ONLY . Date Deed Recorded Office of Real Property Tax Services ~iaw . Book I -7.5's I C4. Page I Real Property PTransfer ~R Port (Sl, o) INFORMATION 1. Property 530 I Terry Lane Locations - I I Southold 111971 1 CITY OR TOM YILLArf - anwos 2.euyer I John Holahan, Trustee of the John Holah4n and Frances Holahan Revocable Trust I Name AST -E rCoteYwY - ' - -T -E dated March 2, 2012 I I I 3. Tax Indicate where future Tax Bills are to be salt Billing if other than buyer address (at bottom of form) I l _ _ I Address na3tTDWt^ ISTRbE) NUMBER AND SHEET NAW J`~~1r' (gl'I Itirll " I aP000E 1 4. Indicate the number of Assessment (Only M Part of a Parcel) Cheek a they apply: Roll parcels transtamed en the deed I .1 I M of Parcels OR Pat Of a Ppoal 4A. Planning Board with Subdivision Authority Etisb ? 5_ 46. Subdivision Approval was Required for Transfer ? Do*d Property Lr..T JI X I OR I . O *1 .8 1 4C, Parent Approved for subdivision with Map Provided ? BW s. Boiler pctvpWv_Ann r e_MMas-_\~Benko.,_Dianne A- I Name LET Y M. CIF IM) L Webb, Linda J. Sprenkle, Nancy G, I Fl~ t S42 7. Cheek the box low which most aceurebly d rites the use of the property at the lima of Bair. Cheek the hoses below as they apply: ? a. Ownership Type is Condominium A X One Earthly Residential E HAO'Cu= I H Commurury Service 9. New CtTnswctOn on Vacant Land ? B 2 or 3 Family Residential F CommJ Indusblal 1OA. Property Located within an Agricultural District ? C Residential Vacant Lard G Apartment K Public Service 10B. Boyar received a dleclon im notice indicating D Nan-Residaneal Vacant Land H Entertainment f Amusement L Foram that the property is in an Agricultural District SALE INFORMATION 15. Cheek ono or more of these condklons as applicable totransfer. 11. Sato Contract Dam 1 1123 17013 J A Sale Between Relatives or Former Relatives ~^a W "Y B Sale Between Related Companies or Partners in Business C One of the Buyers is also a Seller 12. Dab of Sala I Transfer 1 . / 14 / 2013, D Buyer or Seller Is Government Agency or Lending Institution w Y raw E Deed Type not. Womanly or Bargain and Sale (Specify Below ) F Sale of Frocdoned or Less than Fee Interest ( Specify Below ) G Significant Charge in Property Between Taxable Status and Sale Dates 1 S. Full Sala Price I 2 , 5 , O O 0 , 0 is 0 1 JI _ Salo of Business is Included In Sale Price (Full Sale Price Is the total amount paid nor The property including personal property. I Other Unusual Factors Alfecling Sale Price ( Specify Bellow ) This payment may be in the forth of cash, odor property or goods, or the assumption of J None mortgages or other obligations.) Please round m dD noorosf whole dogaramourd. 14. Indicate the value of personal I - 0 property Included In the sale ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 16. Year of Assessment Roll from j 17. Total Assessed Value pd all parcels In hand@4 1 which Information taken - 1s. property class 1 2 . 1. q-U 19. Schad District Name 1 473805 - Southold _ 20. Tax Map IdentMer(s) I Roll klmiMer(s) ( M mom than four, attach wheat with additional 1dmdMsr(s) ) 1000 - 065.009 - 01.00 - 009.000 I I I I I I CERTIFICATION 1 oarlly that all of the Moms of Ist--ion antped on this fpm are tw and convert (rte do bad of my knowledge and belle" and 1 ustarebnd that On making at any wMMs false statement or material nap hemin wig eahiset tae to the prodalu s of the perrd lass reyshla to the makes and filing at false Inasrrm xmb6 SELLER SIGNATUREM Qmt~d-"- BUYER CONTACT INF ORMATION / 1 • -kA c\ (ENar Irh7unwam Tor Ina their. Kota: NG.yw'a LLC. wy. a mPead assn into l r r _ ssi 7Mt is nor an rdiMwtl eosons a l Iselu regae a senor annd =abed kfom. Y'utM~ t~of an xddduYrmPwakk Perry who can answer questions regarding nna the senator moot to hNhwrad Jose[him M. rLp.rm A. &riv Type ar Press Steady.) MFl `HiIIIE T Rlip~ DYER SIGNATURE _Hnlahan an T91.SYPP I John- " LATTNME FeBI NMTE O O+r.1?8flan ~ J ~ EE lB7~,.,'%Wtp~.~~NEY 1 '750 f3~ ARLACCCF TELEPIDNENIILBER McLaughlin I Kevin LAST NAME FUNT NAME 1146 I Hill flower Drive SIMLI 1A1MaER STREET NNE 6.31 1 7 56-6085 60 AREA CODE DE TELEPHONE nYwaR Brooksville 1 FL 134604 NEW YORK STATE CTYORTOmr STATE WOODS COPY