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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 10/15/2014
Number of Pages: 4 At: 02 :28:54 PM
Receipt Number : 14-0136406
TRANSFER TAX NUMBER: 14-06955 LIBER: D00012792
PAGE: 161
District: Section: Block: Lot:
1000 135.00 02.00 021 .000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $400,000.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $20.00 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 $1,600.00 NO Comm.pres $5,000.00 NO
Fees Paid $6,855.00
TRANSFER TAX NUMBER: 14-06955
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
dt ❑ 2]
ti
Number of pages "T RECORDED
2014 Oct 15 02:28:54 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00012792
Social Security Numbers P 141
prior to recording. DT# 14-05955
Deed/Mortgage Instrument Deed I Mortgage Tax Stamp Recording l Filing Stamps
3 1 FEES
Page/Filing Fee odd l Mortgage Arnt,
1. Basic rax
00
Handling 2. Additional Tax
TP-584 Total
Notation Spec./Assit.
or
EA-52 17(County) r Sub Total 50 � Spec./Add.
EA-5217(State) a TOT.MTG.TAX
R.P.T.S.A. _ (oto M Dual Town Dual County
Held for Appointment
Comm.of Ed. 5. OO Transfer Tax
Affidavit �.� , ��! Mansion Tax
Certified Copy The� ' property c avered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 aO — family dwelling only.
Other
Sub Total YES or NO
Grand Total e��J d If NO,see appropriate tax clause on
page# of this instrument.
4 LL14029060 1000 13500 0200 021000 0j)-t .a0o 5 Community Preservation Fund
RAge 14-OCT-1IIIIIIIllll�lllConsideration Amount
Tax Se R Lpp A
i
Verific
CPF Tax Due $ Dab
Improved
6 Satisfactions/Discharges/Rel eases List Property Owners Mailing Address
RECORD&RETURN TO:
Vacant Land
��
TD
A TD
' a PLn l TD
Mail to:Judith A. Pascale, Suffolk County Clerk 1 7 Title CompaiiV Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffoikcountyny.govicierk I 19
Title#
81 Suffolk County Recording & Endorsement PaLre
This page forms part of the attached �fw made by;
t' n%Sr"rtv� Ne-
4 or, I r-us+e„— (SPECEFY TYPE OF INSTRUMENT)
The premises herein is situated in
b U"7 SUFFOLI{COUNTY,NEW YORK.
i
TO In the TOWN of Do.%4 -IN
In the VILLAGE
or HAMLET of Sa. -t~►arld
BOXES 6 THRU R MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
fntF-rl lt.
NY 005•Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet).(NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 23rd day of September in the year 2014
BETWEEN
Christina Kempner as surviving trustee of The Ann T.Kempner Living Trust Dated 12/6/2007,
residing at 326 6th Street,Greenport,New York 11944
party of the first part,and
KEVIN KEMPNER,residing at 270 Goldin Lane,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,lying and being in the
Town of Southold,County of Suffolk and State of New York,more particularly bounded and
described in Schedule A annexed hereto and made a part hereof
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.
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 incumbered 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:
3;�
Christina Kempne
i
USEACKNOWLEDGMENTFORMBEL(DWWITHINNEWYORKSTATEONLY: USEACXNOWLEDGMENTFORMBELOWWITH/NNEWYORKSTATEONLY:
State of New York,County of1l�+A-udt M }ss.: State of New York,County of }ss.:
On th4j day of.�t�lt'ZNnt tr in the year'A f 1� On the day of in the year
before me,the undersigned,perso�oo
y appeared before me,the undersigned,personally appeared
C.Inr:t•t:tiaa�b&tit
personally known to In Gr prov me n the basis of satisfactory 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 evidence to be the individual(s)whose name(s)is(are)subscribed to the
within instrument and acknowledged to me that helshe/they executed within instrument and acknowledged to me that he/she/they executed
the same in hi er/their capacity(ies), and that by his/her/their the same in his/her/their capacity(ies), and that by his/her/heir
siJewYork,
instrument,the individual(s),or the person upon signature(s)on the instrument,the individual(s),or the person upon
beindividual(s)acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument.
a
JEFFREY AL,N SHEFFLER
Notary Public,State of New Y k
No.01 SH4823699
qualified in Nassau County
Commission ExpiresNov.30,2 14
AT FORM FOR USE WTTHINNEW YORK STATE ONLY. ACKNOWLEDGMENTFORMFOR USE OUTSIDENEW YORKSTATE ONLY.
ubscribing Wimess Acknowledgment Certificate) lOut ofState or Foreign General Acknowledgment Certiffcatel
StCounty of }ss.: ..................................................}ss.:
(Complete Venue with State.Country.Province or Municipality)
On the day of in the year
before me,the undersigned,personally appeared On the day of in the year
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 personally known to me or proved to me on the basis of satisfactory
say that he/she/they reside(s)in 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
(ifthe place ofresidence is in a city,include the streetand street number, the same in his/her/their capacity(ies),that by his/her/their signature(s)
if any,thereoj);that he/she/they know(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
to be the individual described in and who executed the foregoing made such appearance before the undersigned in the
instrument;that said subscribing witness was present and saw said
execute the same;and that said witness at the same time subscribed (Insert the city or other political subdivision and the state or country or
his/her/their name(s)as a witness thereto. other place the acknowledgment was taken).
tdtoP�a �5�trac.F Corr+.
BARGAIN&SALE DEED
WITH COVENANTS AGAINST GRANTOR'S ACTS
TITLENO. y` 9 (�V DISTRICT 1000
SECTION 135.00
Christina Kempner as surviving trustee of BLOCK 02.00
The Ann T.Kempner Living Trust Dated 11,%1�,/`)op{ LOT 021.000
COUNTYORTOWN SUFFOLK/SOUTHOLD
TO
KEVIN KEMPNER RECORDED AT REQUEST OF
Fidelity National Title Insurance Company
RETURN BY MAIL TO
FIDELITY NATIONAL Tau Jay Gartlan,Esq.
INSURANCE COMPANY Gartlan&Associates
IscoreeoRATED 1928 775 Bloomfield Avenue,Suite 2A
ctl�s�s, acedt Fidelity Clifton,NJ 07012
MrmbrrNrw Yort Sm�r taM 7irfr Nwriaeion
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SCHEDULE A
DEED between CHRISTINA KEMPNER,as surviving Trustee,under the
LIVING TRUST OF ANN T.KEMPNER dated December 6,2007 and KEVIN KEMPNER
All that certain plot,piece or parcel of land,with the buildings and improvements
thereon erected,situate,lying and being in the Town of Southold,County of Suffolk and State of
New York known and designated as all of Lot 10,part of Lots 8,9 and 11 on a certain map entitled,
"Map of Nathan Goldin"and filed in the Office of the Clerk of the County of Suffolk on November
22,1932 as Map No.1106 being bounded and described as follows:
BEGINNING at a point on the easterly side of Goldin Lane distant 219.69 feet northerly,as
measured along the easterly side of Goldin Lane from the intersection of the northerly side of Middle
Road(North Road)with the easterly side of Goldin Lane,and from said point of beginning running
thence along the easterly side of Goldin Lane,North 21°57'10"West,100 feet(to a point on the
easterly side of Goldin Lane distant 100 feet southerly as measured along the easterly side of Goldin
Lane from the intersection of the southerly side of Sound View Avenue with the easterly side of
Goldin Lane);thence North 85"26'40"East,99.69 feet to land now or formerly of Laasko;thence
along said land,South 16"15'East,70.54 feet;thence South 68°02.50"West,88.13 feet to the
easterly side of Goldin Lane at the point or place of BEGINNING.
TOGETHER with the use in common with others of Lot No,4 on said map for access to Long
Island Sound and for bathing purposes.The party of the second part shall pay one-sixth(1/6)of the
real property taxes,maintenance and upkeep charges for said lot.Said charges shall be paid on
January 1 of each year for the previous year and shall become a lien upon the premises above
described until paid.The use of said Lot No.4 will be confined to the owners of Lots 8-14, both
inclusive,on said map.
BEING AND INTENDED TO BE the same premises conveyed to the Living Trust of Ann T.
Kempner dated December 6,2007,by deed of Ann T.Kempner,dated December 6,2007,and
recorded in the Suffolk County Clerk's Office on January 3,2008,in Liber 12536 page 20. Ann T.
Kempner died September 23,2011.
INSTRUCTIONS(RP-5217-PDF-INS):wwty orpsAsay.ny.us
FOR COUNTY USE ONLY
C1.SWIS Coda L/ Naw York Stale Dopartment of
r ■ ,1 ' ��I Taxation and Finance
C2 Date Deed RetardedLq Office of Real Property Tax Services
CS.Book l 7C a C4 Pageran RP-5217-PDF
Real Property Transfer Report(ens)
•
PROPERTY INFORMATION
1•Lal 270 Goldin Lane
•ermarauseu
•erayaTxsrs
Southold
•an aralw vaaAa 11971
R.Boyer Kempner '}1 coot
MmeKevin
'� � FweT Nam
UFT 11AwRiaMaw NIR I1I111a
L TrMOing IMUNO wham velum Tex Mb are to be e
Atldnmddre s olhr euro buyer addroweat bdbm oforam Wan 401AXI PARY f s Aaraaxa
aTR!aTNUa ANDMAM crones T9Na mATe
accuse
4.lndrnem the aumban of Ammerman 1 d a Pied lOnly It Part aria Pa")Check es they,&PPM
Roll parcels base ned on the dead a d Parcels OR ❑Pad
4A.Planing BOwith Stbdlwdml Authority Estate ❑
d.prop" 10 Fesr X 99 OR _ W 49.SubdN=Approval was
.� ,tea Ra9drad War Transfer
Sho El
4C.PaMNApRolad for Sub"It n Will Mop Provided ❑
Christina Kempner as surviving trustee of The Ann
a.
Ham .Wit MYaaOYPwaY ..
NT. Kempner Living Trust Dated 12/6/200}
LWNKULVD irr From.
17.Select the dmcdpton which most eocumbey,describes Uw Cheri[the boxes below as may sppy:
use of use pnopery at the the of calx a.ownership Type is Condominium ❑
A.One Family Residential 9.New Olook alon an a vanW Land ❑
fOA.PROP"Loraled wYhln an Ap:kul.uml Dbldd El108.SuW reeslsad a tlwJ mere aeTsee Inddealing that 1M propeny is in an El
District
SALE INFORMATIONJ ta.Chock one or mom of these conga ro as app9dabb kpWra-rar
A.Sem Between Relatives or Fowler Ratsivn
If.Sato Contract Data B.Sala bakhaes RdoW CompankM or Pmtnm In Budrmaa
C.One of me Buyers Is deo a Sher
•IIL Dab af9aldrmrtkr 09/23/2019 D.Buyer an Swan Is tlovruam Agency or Lama%neawuan
E.DOW Type not Wass my or Bargain and Sale(Spsdy,Beast
F.Sale of Fracea ri a Lam than For Ironed(Spedry aebwl
113.Full Bob Pride 400,000.00 r.Signecom Change in Property Bslwesn Taxable Stews end Sale Dates
H.ads d Budlsas n Included n Salo Price
(FUN Said Pals b the total amount paha for the progeny Including Immune!ProPe:y. I.Crier Unusual Faaors Alfeetl SW Price
The payment may to in the form d cash,Q'Juw Prop rty or goody,or 0s SOMWO!cr,d J.Nona no (Specify Bekwr)
morlppr or other ohigd"one.)Phar ramal to the nemesf whore dpMramamr.
'Commmnyef on Condition
14.Indicafs the value of personal .,
prop"Included In the can •00
ASSESSMENT INFORMATION-Data should mfled the latest Final Assessment Roll and Tax Bal
ILYarofAwsmmat Rollfromwhichinfimaatatakaha(M 13 M7.Told Aesesaed Value 5,300
Ma.Properly Class 210 _ M0.School District Name Southold
12L Tax Mop hi indflor(aYRoh IdentlMr(s)(If mom than four,&Such shut win additional IdonUfbnsl)
1000-135.00-02.00-021.000
CERTIFICATION
1 Cemly,that as of the ft s at Infannat as enteraa an this form am true and correct(to the best of my knowledge end beheq and 1 mgombUW that tm waking of any willful
fabo mane.mA of mahwhO fact humin sublet me to ma oravt digs rime art law mlagve to the making and 91Ing of abs nemmmMs.
span E co Mlaa 'T`Iala
---_ BUYER 9021TACT INFORMATION
(Eawrywowmn forra hum.Near:abyar Isuxmoane.monsoon. up
dman.romlb.%OMa rain co paa
y.rem
wary am a ml wwtlhAMW apeoror Memory.am a awas are awmvft.. nNan wg mmm"mmm
y A Party who an aaMgW"Dn$riPM a n*nndWOuw Be Meme.Iran or print clearly.)
Sol
1�� NA r BU NATURE am Kempner Kevin /
•Wan Nes Nwrwua
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Kurth I" rar .aasTwlamR matET N,rm
1197
•GhIYa Term
ma'. 'co0E
BUYER'S ATTORNEY
Gartlan SO4
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