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11111111(III VIII VIII III1I VIII VIII VIII VIII IIII ILII 1111111 VIII(IIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 07/02/2014 Number of Pages : 6 At: 09:58:32 AM Receipt Number : 14-0085699 TRANSFER TAX NUMBER: 13-30110 LIBER: D00012779 PAGE: 479 District: Section: Block: Lot: 1000 080.00 04.00 021 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 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 $0.00 NO Comm.Pres $0.00 NO Fees Paid $265.00 TRANSFER TAX NUMBER: 13-30110 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1❑M RECORDED 2014 Jul 02 09:58:32 A€1 Number of pages JUDITH A. PASCALE CLER€:. OF SUFFOLK COUNTY This document will be public L D00012779 record. Please remove all P 479 Social Security Numbers DT# 13-30110 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee _1711) Mortgage Amt. 1. Basic Tax _ Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec JAssit. — /�" or EA-52 17(County) Sub Tata) f� Spec./Add. _ EA-5217(State) _ _ TOT.MTG.TAX R.P.T.S.A. 010 Dual Town Dual County_ Held for Appointment Comm.of Ed. 5• 00 Transfer Tax Q ' Mansion Tax Affidavit � �`' -.-._ The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 17 family dwelling only. Sub Total_ D►OS YES or NO Other _ Grand Total n a CJ" If NO,see appropriate tax clause on page# of this instrument. 4 Dist.(( o 140163811000 08000 0400 021000 5 Community Preservation bund Real Property Tax Service R DGR A I�IllllllllllUllglIII�II (� 1 f IJ !+I+I Consideration Amount$ — -- 01-JUL-14 I�IIIIIIIIIIIIIIlN� Agency CPR Tax Due $ Verification 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address Improved fr RECORD 8,REpTURN!TO: Vacant Land 1��Gr C1 ( Otto TD lU W pb 10.7T Cc,14ajc( h i UL/f TD E IQ?0 r S ISI&►"A PA TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title COMDany Information 310 Center Drive, Riverhead, NY 11901 a ' 'C www.suffolkcountyny.gov/clerk Tide# 26W— 17(0 8 Suffolk Countv Recordin2 & Pndarsement Page This page forms part of the attached Ic� made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK. n TO In the TOWN of _ / L ) In the VILLAGE ' l_ or HAMLET of an.,� BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. - 1a-oiuoJWOW -PAC--7Sq I WARRANTY DEED WITH FULL COVENANTS (INDIVIDUAL AND CORPORATION) FORM 8003 (short version), FORM 8008 (long version) CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. 6 THIS INDENTURE, made the 1 day of June,2014, between John M.Helfand Laura Helf,both residing at 875 Henrys Lane,Peconic,New York 11958,tenants by the entirety,and Robert L.Dietrichson and Carla F.Dietrichson,both residing at 10 Eagle Lane,Hauppauge,New York 11788, tenants by the entirety, party of the first part,and John M. Helf and Laura Helf, husband and wife, both residing at 875 Henrys Lane,Peconic,New York 11958, as to a fi fty-percent(50%)interest,and Robert L.Dietrichson,residing at 10 Eagle Lane,Hauppauge,New York 11788, as to a fifty percent (50%)interest. The interest between John M. Helf and Laura Helf, as tenants by the entirety, and the interest of Robert L.Dietrichson, individually, shall be as joint tenants with right of survivorship. party of the second part, WITNESSETH, that the party of the first part, in consideration of ten dollars ($10.00)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 buildings and improvements thereon erected,situate, lying and being in the Schedule A attached hereto BEING AND INTENDED TO BE the same premises as described in deed dated December 20, 1994 and recorded in the Office of the Suffolk County Clerk on May 31, 1995, in Liber 11727,page 232. Said premises also known as 350 Grove Drive, Southold,New York 11971. 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,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 Section: 080.00 Block: 04.00 Lot: 021.000 NYSBA's Residential Real Estate Forms(9/00) 0 2014 Matthew Bender&Co.,a member of the LexisNexis Group. 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. AND the party of the first part covenants as follows: FIRST:---That said party of the first part is seized of the said premises in fee simple,and has good right to convey the same; SECOND.—That the party of the second part shall quietly enjoy the said premises; THIRD.—That the said premises are free from encumbrances, except as aforesaid; FOURTH.—That the party of the first part will execute or procure any further necessary assurance of the title to said premises; FIFTH.—That said party of the first part will forever warrant the title to said premises. The word "party" shall be construed as if it read"parties"whenever the sense of this indenture so requires. IN WITNESS OF,the party of the first part has duly executed this deed the day and year first above wtYtt o 7;17 M. Helf ' Laura Hetfl/ Robert L. Dietrichson Carla F. Dietrichsin Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK COUNTY OF SUFFOLK ss.: On the day of �ZIIOVE- in the year �06( , before me, the undersigned, personally appeared John M.Helf,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capac' ,and t y his ature on the instrument,the individual,or the person upon behalf of which the individual ted, ex ed tstrument. MARTIN RATLEY Notary Pub%89M of N"York Tsignatdce andpffice,7" I'vidual,11king acknowledgment) ft4894602 Ouallfled in Suffolk Coum Commission Expires mey I-I.zbor— NYSBA's Residential Real Estate Forms(9/00) 0 2014 Matthew Bender&Co.,a member of the LexisNexis Group. Acknowledgment by a Person Within New York State (RPL§309-a) STATE OF NEW YORK } COUNTY OF SUFFOLK }ss. On the 17th day of June in the year 2014, before me, the undersigned, personally appeared Laura Helf, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name 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. RICHARD A.WEINSLATT NOTARY PUBLIC,State of New York No. 4946649 (signature and office of individual taking acknowledgment) Qualified in Suffolk Cou�tt� Commission Expires February 6, 0 Acknowledgment by a Person Within New York State(RPL §309-a) STATE OF NEW YORK } COUNTY OF SUFFOLK }ss.: On the 17th day of June in the year 2014, before me, the undersigned, personally appeared Robert L. Dietrichson and Carla F.Dietrichson,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 they executed the same in their capacity(ies), and that by their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted,executed the instrument. (signature and office of individual taking acknowledgment) RICHARD A.WEINBLATT NOTARY PUBLIC,State of New York No.4946649 Qualified in Suffolk County Commission Expires February 6, 0 NYSBA's Residential Real Estate Fortis(9/00) 0 2014 Matthew Bender&Co.,a member of the LexisNexis Croup. Legal Description- Schedule A Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: BEGINNING at a point on the Southeasterly line of"Grove Drive",at the Northerly comer of Lot 12 and the Westerly comer of Lot 11, as shown on Block H,on"Map of Reydon Shores",and filed in the Suffolk County Clerk's Office as Map No. 631, distant 309.80 feet Southerly from the Southerly end of the curve connecting the Southwesterly side of Lake Drive with the Southeasterly side of Grove Drive; RUNNING THENCE South 36 degrees 52 minutes 00 seconds East along the Northeasterly Line of said Lot 12, 215.95 feet; THENCE South 21 degrees 47 minutes 20 seconds West along land of the Shelter Island Oyster Co.,being along the Easterly line of said Lot 12 and the Easterly line of Lot 13, as shown on said Map, 140.0 feet; THENCE thru said Lot 13 and thru Lot 14, as shown on said Map, the following(2) courses and distances, being through the center of an existing garage to the Southeasterly line of"Grove Drive": 1)North 24 degrees 13 minutes 40 seconds West, 254.86 feet; 2) North 25 degrees 41 minutes 20 seconds West, 45.12 feet; THENCE Northeasterly along said Southeasterly line of"Grove Drive",along a curve to the left, a distance of 55.20 feet, to the point or place of BEGINNING. Warranty Deed District 1000 Title No. Section 080.00 Block 04.00 John M. Helf and Laura Helf and Robert Lot 021.000 L.Dietrichson and Carla F. Dietrichson County or Town Southold To Street Address 350 Grave Drive John M. Helf and Laura Helf, and Robert Southold,New York 11971 L. Dietrichson Return By Mail To: Richard A. Weinblatt Haley Weinblatt&Calcagni,LLP 1601 Veterans Memorial Highway, Suite 425 Islandia,New York 11749 Reserve This Space For Use Of Recording Office NYSBA's Residential Real Estate Forms(9/00) 0 2014 Matthew Bender&Co.,a member of the LexisNexis Group. INSTRUCTIONS(RP-52117-PDF-INS):www.orps.state.rty.us POR COUNTY USE ONLY New York State Depaithient of C1.SWIS Code 1 4 , 7 , 3 1 8 ,$,,/Q I Taxation and Finance C2.Date Deed Recorded 1 67/1,)a. / r'7 I Office of Real Property Tax Services M ' Dry y- q,1? RP-5217-PDF C3.Book f '71-7 C4.Page I Real Property Transfer Report(8110) PROPERTY INFORMATION 1.Propert Locetioyn 350 Grove Drive •SttlCCf NUMDER •sTRC[T naYfi Southold ty 11971 'c"YORTOWN va .aPCODE 2.Buyer Helf John M. rte) L"ra. Name /'IN •HAST N.NCA'OMEMr Fahr INAME 3 ir--+rtrhson 1?,,6, 4 L—r LAST FLAMGCOYPAIrr BRIT NAME See AAttachment3 tax Billing Indicate where future Tax Bills are to be seat AddressIf other than buyer address(st bottom of form) LAST NAME000MPARY FIRST RAIL STRCrTNLWK.RANDNAMC CRY OR TOM STATE zr OmE 4.Indicate the number of Assessment ❑part or a Parcel tonly if Part of a Parcel)Check as they apply: Roll parcels transfarred on the dead 1 e of Parcels pR 4A.Planning Board wrin SubtlMsion Authority Exists El S.DMI t Pe, X OR 48.Subdivision Approval was Requited for Transfer' ProperElty FRONTra .DCPTN AC9E8 Sled 4C.Parcel Approved for Subdivis act with Map Provided El Helf John Lau req., 6.Beller 'LASTNAIECOMPANY FIRST NAME NoNit/ HO D e�ricMs©n , �o6er1 L . ���rar�cz, LAsr RAMEMO MANY 0FIRST See Attachment *7 Soled the description which most accurately describes the Check the boxes below as they appy: use of the property at the time of sale: B.Ownership Type is Condominium ❑ 9.New Construction on a Vacant Land ElA.One Family Residential 10A.Property Located within an Agricultural District ❑ 108.Buyer recaly d a disclosure notice Indicating that the property is in an Agricultural District ❑ SALE INFORMATIONI 15.Check one or mon of thew conditions as applicable to transfer: A.Sale Batman Relatives or Former Relatives 11.sale Contract Dam B.Sale between Related Companies or Partners in Business. C.One of the Buyers is also a Seller 12.Data or Salofrrensfer June 17,2014 D.Buyer or Seller is Government Agency or Lending Insatuaen E.Deed Type not warranty or Bargain and Sam(Speedy Below) F.Sale of Fractional or Less than Fee Interest(Specify Below) Y3.Full Sale Price $0,00 G.Slgnficant Change in Property Between Taxable Scotus and Sale Dates Full Sale Prim le the total amount d for the n including al H.Sale of Business is Included in Sate Price ( Pa Property g person Property. t Other Unusual Factors Affecting Sale Price(Specify Below) This payment may be in the form of cash,other property or goods or 0m assumption of mortgages or other obligations.)plains round to are xaroaf whole dolmramwmt. J.None Ca us-rd(s)on Condition: 14.Indicate the value of personal property included in the sale $0.00 ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roil and Tax Bill 16.Year of Assessment Roll from which Information taken(YY) 14 '17.Total Assessed Value u Propery,Class 2 1 0 — '19.School District Name S; Q — '20.Tax Map IdonagagsyRoll taentitler(s)(If more than four,leach shat with additional ldontiBer(s)) 1000-080.00-04.00-021.000 CERTIFICATION I CorBy that all of the items of information entered on this form are true and torted(to the best of my knowledge and belief)and 1 understand that the making or any willful false statement of material race herein subject me to the orovisions offers Donal law relative to the making and filing of false Inauumenm. coUI INATIM BUYER CONTACT INFORMATION (Enter infematloa for the buyer Nute.If buyer is U.C"oss.association,mrpor0m,joist stack carq W.adshe w entity that a rot an intirrid s!seem or fd+dary,then a name and mntaat saermaton of an IndYldawasponsible (�[/"^^' /�' .•R"''� Party who man wMwsr WealNMe repardng the tnmNr MUM be entered Too«print Clearly.) 511"CR aaNATURE CAIS R SIGNATURE Helf John LAST NAME FIRST NAME 631 765-5278 'AREA CODE •TELEPHONENWOER dix teessin R iURC DATE 875 Henrys Lane 1 + e I •STRCCTNWwCR •SIMbTNNIE I Peconic NY 11958 •Crl•m TOM •SIATS lip fool BUYER'S ATTQ$� r I I I t Weinblatt Richard LAST NNIS nRsT stilt (631) 582-5151 ' ARCA CODS IELtPNONEN URtl.BWMM