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111111 IIIII IIIII IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 07/01/2014
Number of Pages: 3 At: 02 :58:25 PM
Receipt Number : 14-0085473
TRANSFER TAX NUMBER: 13-30071 LIBER: D00012779
PAGE: 435
District: Section: Block: Lot:
1000 143.00 02 .00 005.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $290,000 .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 $1,160.00 NO Comm.Pres $2,800.00 NO
Fees Paid $4,210.00
TRANSFER TAX NUMBER: 13-30071
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Fil F21
Nbmber of pages RECORDED
2014 Jul 01 02:58:21' PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00012779
P 435
DT# 13-30071
Stamp Recording/Filing Stamps
Page/Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20, 00 2. Additional Tax
TP-584 - Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total LAS Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. 00 Dual Town—Dual County—
Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax k'
Affidavit Mansion Tax
Certified Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 Sub Total family dwelling only.
YES or NO
Other — Grand Total 7 If NO,see appropriate tax clause on
page#—of this instrument.
6170114
z In
4 1 EY, 114016162 1000 14300 0200 005000 005.000 5 Community Preservation Fund
Real Pr p S Ca sideration Amount$ 290,000.00
Tax St R LPA AI�IIIVIIII�IIII
Age 30-JUN-1 00CPFTax Due $ 2,800.00 -
Verifi(
Improved X
Satisfactions/Discharges/Releases List Property Owners Mailing Address
6 RECORD&RETURN TO: Vacant Land
TD 10
ANTHONY B TOHILL PC
PO BOX 1330 TD
RIVERHEAD NY 11901
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Decision 2000 Real Estate Services,
www.suffolkcountyny.gov/clerk Title# 14-08-8222 Inc.
8 Suffolk County Recording. & Endorsement Page
This page forms part of the attached Deed made by:
(SPECIFY TYPE OF INSTRUMENT)
MARIE A. DRAKE The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
NORTH FORK HORIZONS, LLC In the VILLAGE
or HAMLET of Mattituck
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12-0104,.10108kk Page 1 of 3 (over)
T
form 8002—Bargain and Sale Deed,with Covenant against Grantor's Acts—Individual or Carporatioa(Single Sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
N.Y.S. REAL ESTATE TRANSFER TAX $1,160.00
THIS INDENTURE,made the 29th day of June ,in the year 2019
BETWEEN MARIE A. DRAKE, residing at 65 Freeman Road, Mattituck,
New York 11952
party of the first part,and NORTH FORK HORIZONS, LLC, a New York limited
liability company having its principal place of business at
925 North Sea Drive, Southold, New York 11971
party of the second part,
WITNESSETH,that 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 buildings and improvements thereon erected,situate,
lyingandbeing at Mattituck, in the Town of Southold, County of Suffolk and
},State of New York, known and designated as Lot Number 300 on a certain
G5 map entitled "Amended Map of Property of Mattituck Park Properties,
Inc." which map was filed in the Office of the Clerk of the County of
Suffolk on January 12, 1926 as Map No. B01.
TOGETHER WITH the right to said party of the second part and the
heirs, successors and assigns of the party of the second part to use
in common with the other owners of lots shown on said map, the tract
shown on said map as Sigsbee Park for park purposes.
TOGETHER WITH a right of way over the Sigsbee Road shown on said map
and over a right of way three rods wide running from Peconic Bay
Boulevard over premises shown on said map to Peconic Bay.
BEING AND INTENDED TO BE the same premises conveyed to the party of
the first part by deed dated June 26, 2001 and recorded in the Suffolk
County Clerk's Office on August 3, 2001 in Liber 12133 Page 772.
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:
Marie A. Drake
Page 2 of 3
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York County of Suffolk ,ss:
On the 24th day of June, in the year 2014, before me the undersigned, personally appeared MARIE A. DRAKE,
personally known to me or proved to me on the basis of satisfactory evidence, to be the individual(s)whose name(a) is(afe)
subscribed to the within instrument and acknowledged to me that (he) (she) (they) executed the same in (his) (her) (thele)
capacity(ies),and that by(his)(her)(theif)signature(&)on the instrument,the in ' 'dual(s)or the person upon behalf of which the
individual(s)acted,executed the instrument.
Notary P O lic
ItAft
�1 �of*wyt
"4
0-*llI r
ACKNOWLEDGEMENT TAKEN IN NEWYORK STATE Gm"W0^EXON AtU9f ty
State of New York County of ,ss:
On the day of ,in the year 20 ,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(&)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($) acted,
executed the instrument.
ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN IN NEW YORK STATE
State of County of ,ss:
On the day of in the year 20 before me the undersigned,personally appeared the subscribing witness to
the foregoing instrument,with whom I am personally acquainted,who being by me duly sworn,did depose and say,that(he)(she)
(they)reside(s)in ;that(he)(she)(they)know(s) to be the individual described in and who executed the foregoing
instrument;that said subscribing witness was present and saw said execute the same;and that said witness at the same
time subscribed(his)(her)(their)name(s)as a witness thereto.
ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE
•State of County of ,ss:
•(or insert District of Columbia,Territory,Possession or Foreign Country)
On the day of ,in the year 20 ,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 city of
State of
BARGAIN AND SALE DEED RETURN BY MAIL TO
Title No.
ANTHONY B TOHILL PC
PO BOX 1330
RIVERHEAD NY 11901
MARIE A. DRAKE
to
NORTH FORK HORIZONS, LLC
District: 1000
Section: 143.00
Block: 02.00
Lot: 005.000
County of Town: Southold
Distributed By Chicago Title Insurance Company
Page 3 Of 3
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631 727-8383
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