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L 12790 P 65
1111111 IIII IIIII Illii IIIII IIIII IIIII IIIII IIIII IIII IIII llllllllllilllllllllillli SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 09/26/2014 Number of Pages: 3 At: 10:18:01 AM Receipt Number : 14-0127579 TRANSFER TAX NUMBER: 14-05343 LIBER: D00012790 PAGE: 065 District: Section: Block: Lot: 1000 075.00 02 .00 014 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $5,408.91 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 $0.00 NO Fees Paid $250.00 TRANSFER TAX NUMBER: 14-05343 THIS PAGE IS A PART' OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County r 1 2 Number of pages RECORDED 2014 Sep 26 10:15:01 AM JUDITH A. PASCALE This document will be public CLERK OF SUFFOLK COUNTY record. Please remove all r_ D00012790 Social Security Numbers P 065 prior to recording. DT# 14-05343 Deed/Mortgage Instrument Deed!Mortgage Tax Stamp Recording/Filing Stamps. 3 1 FEES Page/Filing Fee J�j— Mortgage Amt. 1. Basic Tax Handling 2. Additional Tax TP-594 `�' Sub Total Notation SpecJAssit. 1� or EA-52 17(County) S Sub Total -7 - Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. (Lie Dual Town Dual County _ Held for Appointment Comm.of Ed. 5• 00 Transfer Tax • 4 Affidavit Mansion Tax t, �. The property covered by this mortgage is �i Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total' � S YESor NO Other _ Grand Total If NO,see appropriate tax clause on of this instrument. o `1 4 I14027477 i000 o7soo 0200 0>a000 t pfd 00 5 CommnaiW Preservation ftnd Real f p T �IIfI1I I Consideration Amount$ ��GB'•9/ Tax Se R LPA A I (f 1 fll JI lll CPF Tax Due $ .� SEP-1 Age 28 Verifi< - - - - Improved_ 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RE/CORD&RETURN TO: Vacant Land // Lt/�1/ern C 0,-M Q rJ /©O /46 14/y? TD rJ /��5"Z TD TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 Tide Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name 41A www.suffolkcountynygov/dIerk Title# 81 Suffolk Countv Recording & Endorsement Pam This page forms part of the attached _ �u made by: / /` (SPECIFY TYPE OF INSTRUMENT) ON/7rf1 0 Tf 6g4 e l/_ The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO �r In the TOWN of �l/il��t//i C7t7►' Q✓► In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. SUFFOLK COUNTY QUITCLAIM DEED �c r� THIS INDENTURE, made the 7 day of 20X BETWEEN the COUNTY OF SUFFOLK, a municipal corporation of the State of New York, having its principal office at the Suffolk County Center, Center Drive, Riverhead, New York 11901, party of the first part, and WILLIAM GORMAN, No # Main Street, P.O. Box 1447, Mattituck, NY 11952, party of the second part,46%S P_W-t-E P gr52 WITNESSETH, that the party of the first part, pursuant to Resolution Number 939-2013 adopted by the Suffolk County DISTRICT Legislature on November 19, 2013 and, thereafter, approved by 1000 the County Executive on November 27, 2013, in consideration of ten dollars paid by the party of the second part does hereby SECTION- remise, release, and quitclaim unto the party of the second 075.00 Part, the heirs or successors and assigns of the party of the second part forever; BLOCK ALL, that certain plot, piece or parcel of land with any 02.00_ buildings and improvements thereon erected, situate, lying LOT and being in the Town of Southold,,t .County of S.uff,olk and 014.000 State of New York, and acquired by ,Tax Deed on May 13, 2013, from Angie M. Carpenter, the County Treasurer of Suffolk County, New York, and recorded' on•'May 16,2013, in Liber 12729, at Page 880, and otherwise known as District 1000, Section 075.00, Block 02.00, Lot 014.000; and FURTHER, notwithstanding the above description, it is the intention of this conveyance to give title only to such property as was acquired by the County of Suffolk by Tax Deed on May 13, 2013, from Angie M. Carpenter, the County Treasurer of Suffolk County, New York, and recorded on May 16, 2013, in Liber 12729 at Page 880. TOGETHER with all right, title and interest, if any, of the party of the first part of, 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. SUBJECT to all covenants, restrictions and easements of record, if any. SUBJECT to any state of facts which an accurate survey might show. THE WORD "PARTY" shall be construed as if it read "parties" whenever the sense of this indenture so requires. 054126 Ala NVW'dOE) KVIIIIM oil 01 N2inlsu GNV allODEE XINnoo XWEEns ---------------------- aaaa wivrioLiO h1), Y(OZ'Ot'AON S8Adx3 UOISSIWWOO kunoo mjc%nS uj papent) 6066 WI? )POA mON 10 OW1S OIIqnd/JE40N NIIOH'M OIVNOH DTTqnd AauqON -quawna suT -4 q PG:lr'DaxG 'P9--I3P TpnPTATPUT Gt4:1 IJOT14M LT a 0 ,TVT go JTPLIaq uO uOsa LI-4 JO 'TvnPTATPUT aT4:1 :juawn-7;su-c ;DLI; uo aan4PU6TS aaT4 Aq qPLI; pue 'AqTDPdPD aGT4 uT awes Gqq paqnDqxG aqs 4eqI Gw 01 PaSPaTmOu�{Ov Puv ju;DwnajsuT UTLIqTm @qq o; paqTlosqns ST awpu asoqm jpnPTATPUT aqq aq of aDUaPTAa AJOqOP;ST;PS JO STspq Gqj UO GW Oq P@Aoad ao aw Oq UmOUN ATIpuosaad JJOTO�iTN -uaso-d -[-[Tf pajuaddp ATTpu siad 'ppTsaapun aq; law aaojaq Oz aeaA aqq UT V"f,--.j f",Vp UO go App aL XqUaris 60 ximoo IXHOA MEN 30 Elvis BUTuuPTd Puv juawdoTaAGC DTWOUooH go quaw;apdaa ,G)lelsa Teag go aol -ITG n qiO'IOXIN-Na-9-QrIIIIIf As :40 @Duasa3d UI MEN, MEN '?4qOa3flS AO XINnOD 'uGlqT2m 9Aoqp IsaTj aeaA puv App aqq paap sTqj pG--Innaxa ATnp spq lied JSJTJ aLIJ go Alaed aqq a0aEaHm SSaRlIm NJ PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS(RP-5217-INS):www.orps.state.ny.us FOR COUNTY USE ONLY 3 Y,Y q C1.SWIS Code ( 4y New York State Department of Taxation and Finance C2.Date Deed Recorded ( / / ( Office of Real Property Tax Services 4 Iw ^t Lq RP-5217 C9.Book 1 I� era 1 Cit.Page 1 1�1 ( Real Property Transfer Report(11110) PROPERTY INFORMATION 1.��1 dlSF'OS N1t>r Z� 1 SnaEf'FIxeER— —Sf1aEf CRY OR TOM VILLAGE nPCmoE I:uyer Nam= u'ST a Anr "`FJe xAe l LAST NAME I T75rNAM. 9.Tax Indicate whom future Tax Bills are to be sem Billing if other Phan buyer address(at bottom of tam)i�SP�aa1t'7'W[=7W Address I 1 I I I sT1hEr�TREMWE CIN mTowN "�zpc'm 4.Indicate the number d Assessment (Only N Part of a Parcel)Cheek as they appy: Roll parcels transbmsd on the deed I I #of Parcel$ OR Part of a Parcel 4A.Planning Board with Subdivision Authority Edsts ❑ 3.Deed �f ♦ 48.Subdivision Approval was Required for Tmnsbr PswFROW.FEU roperty (_._ J x —1........J OR •7 `I 4C,Parcel Approved lot Subdivision with Map Provided F 6.Seller I Name I I 1 I ijiM.iwwEtrasulT x87 7.Chock the box below which most accurately describes the use of the property at the time of sale: Check the boxes below as they appy: S.Ownership Type is Condominium ❑ One Famiy R=sidomiol LHEnterteinment/ Agricultural I Community Service S.Now ConsWclion an Vacant land $ 2 er 3 Famiy Rosidonaal FCommercial J Industrial 16A.Property Located within an Agdcuhuml District F1 C sldentipl Vacant Land GApartment KI Public Service 168.Buyer received a disdowrs notice indicating • Non•ResiduNal Vacant Land N Amusement L Forest that the properly is in an Agricultural District SALE INFORMATION 15.Check one or more of tames conditions as applicable to transfer. 11.gab Contract Dab L.._ j / I A Sale Between Rolallves or Farmer Relatives ^Pear B Sale Between Related Companies or Partners In Business /j C One of the Buyers is also a Setter 12.Doto of Safe f Transfer ( / U Buyer or Sailor is Govemmem Agency or Lending Institution rah ry Y E Dood Type not warranty or Bargain and Sale(Speedy Below) F Sale of Fractional or Less than Fee Interest(Specify Below) fi G Sgn kart Charge In Property Between Taxable Status and Sale Dates 19.Full Sols Price 1 •6 • 0 I FI S=Ire of Business is Included in Sale Price (Full Sale Puce Is the total amount pad for the properly k1luding personal property. ( Other Unusual Factors Affecting Sale Rice(Specify Below) This payment may be In the form of rash,other property or goods,or this assumption of None mortgages or other obligations.) Please mond to the rearaal whole dollar amount. 14.Indicate the value of personal O O property Included In the ask �} e 1 ASSESSMENT INFORMATION -Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll tom,/ ..3,17.Total Assessed Value lot all parcels In bansteril_ which Information taken 16.Property Class 1 2-.1 rD I��,•_; 16.School District Nam= 20.Tax Nap Idendrals)I Roll IdenW"s)(ti more than four,attach sheat with additional Mantiaer(s)) I /000- yS7- 1 I l CERTIFICATION 1 merry that all of am time of Information emend an this term are train and MMMt its the beat N my kneaded@*wird boll"and I andwstard teat tbe making of may WMN fair statement of maWad fact Ileeekr will @UND 1 wire to On Provisions of the panel law mlaew to the mmung ant Nkrg of fah*larlim K .eSSELLLER SIGNATURE BUYER CONTACT INFORMATION I^wc4- (Brnor nhmwti n lor=e buyer.Nee:11 buys a U.C.ndety.msaoabon,caaomwn.joint suck onnp'an�wh or army the aratan inywdwl meant a faudary,men a name arm carded rAmmigbm er„eH aG1/"TUNE DATE of M r Pdm al�eia'Wray tie Sen wlawar aaaliaa m=amq ga awaia mvel be Waimea. BYER SIGNATURE I � - _ _ / ( We1V 1 Ash r curet nHSTNmrar BUYER'S ATTORNEY �� - WACatE TELEPHDNE NVMERR/� LAST NAME I FIRST NAVE STRCCT NUMMEA F-MET NAA! AREACaaE tsLEn10NENW$ER I AJY I //F71 (NEWYORK STATE crryaRrovm ar"TE $PCOM COPY