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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/26/2014
Number of Pages: 4 At: 12 :46:34 PM
Receipt Number : 14-0156653
TRANSFER TAX NUMBER: 14-11008 LIBER: D00012797
PAGE: 707
District: Section: Block: Lot:
1000 015.00 04.00 004 .000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $395,000.00
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 $1,580 .00 NO Comm.Pres $4,900.00 NO
Fees Paid $6,735.00
TRANSFER TAX NUMBER: 14-11006
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
❑t
RECORDED
Number of pages ! 014 Nov 26 12:46:34 ?PI
JUDITH A. PASCALE
CLERK OF
This document will be public
SUFFOLK COUNTY
7
record.Please remove all L DOOF' CEr07 y?
Social Security Numbers DT# 14-11008
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Mortgage Amt.
Page/Filing Fee �,��`
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 �`] — Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total' Spec./Add,
EA-5217(State) �-- TOT.MTG.TAX
O Dual Town Dual County _
R.P.T.S.A. -12aLlJ Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Mansion Tax
Affidavit
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 `?O family dwelling only.
Sub Total G YES or NO
Other
Grand Total /7—S 5 — If NO, see appropriate tax clause on
page# of this instrument.
14033875 1000 01500 0400 ooa000 1 4
4 Dist. iRealProperty PTS 10 5 Community Preservation Fund
R SMI A 111111 J11 Jill 11111 Jill 1111111111 Jill 1111111 Consideration Amount$ • —
ps�pV_�
Tax Service
Agency ------. ._._._------_—___ ij CPF Tax Due s _dd
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD
JAMES H.BOWERS,ESQ.
107 COOPER STREET TD
BABYLON,NEW YORK 11702 TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Title#
i`A
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFY TYPE OF INSTRUMENT)
JAMES J.LYNCH AS EXECUTOR The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of SOUTHOLD
KIMBERLY K. DEROSA,KOURTNEY M.DERCI In the VILLAGE
KRISTEN E ROMBALDI or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
F!'7 X11
EXECUTOR'S DEED (INDIVIDUAL OR CORPORATION)
FORM 8005-A (short version), FORM 8010 (hong version)
CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER
AND PURCHASER BEFORE SIGNING.
THIS INDENTURE, made the 10th day of November, 2014,
between James J. Lynch,as Executor of the Last Will and Testament of Helen Chalmers, late of 1265
Ryder Farm Lane,Orient,New York 11957,who died on the thirtieth day of September,Two Thousand
Thirteen,
party of the first part, and
CxsT+F►�ftat�s t�J [cc:K,�xonJ
Kimberly K. DeRosa, Kristen E. Rombaldi and Kourtney M. DeRosa, trim Acnants? Atlu'
su a�of 15 Beacon Lane, East Northport,New York 11731, A
party of the second part;
WITNESSETH, that the party of the first part,to whom Letters Testamentary were issued by the
Surrogate's Court, Suffolk.County,New York on April 2,2014,and by virtue of the power and authority
given in and by said Last Will and Testament, and/or by Article I I of the Estates, Powers and Trusts Law,
and in consideration of Three Hundred Ninety-Five Thousand Dollars and No Cents($395,000.00),
lawful money of the United States, paid by the party of the second part, does hereby grant and release
unto the party of the second part, the distributees 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 at Orient, in the Town of Southold, County of Suffolk and State of New York,
known and designated as Plot No. 57,on a certain map entitled, Map of Orient-by-the Sea, Section Two,
situate at Orient Point,Town of Southold, Suffolk County,New York, owned and developed by
Woodhollow Properties, Inc.,No. 3 Glen Lane, Glenwood Landing,New York,Otto W. Van Tuyl and
Son, Licensed Land Surveyors,Greenport,New York, and filed in the Office of the Clerk of the County
of Suffolk on October 26, 1961,as Map.No. 3444 and ABS No. 3840, bounded and described as follows:
'~ BEGINNING at a point on the westerly side of Ryder Farm Lane,distant 410.00 feet,southerly from the
corner formed by the intersection of the southerly side of North Sea Drive and the westerly side of Ryder
Farm Lane;
RUNNING THENCE South l degree 34 minutes East 135.00 feet along the westerly side of Ryder Farm
Lane;
THENCE South 88 degrees 26 minutes West 150.0 feet;
THENCE North I degree 34 minutes West 135.0 feet;
THENCE North 88 degrees 26 minutes East 150.0 feet to the westerly side of Ryder Farm Lane at the
point and place of BEGINNING.
SAID premises being commonly known as 1265 Ryder Farm Lane, Orient, New York 11957;
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;
Section: 015.00
Block: 04.00
Lot: 004.000
NYSBA's Residential Real Estate Forms(9(00} 0 2014 Matthew Bender&Co.,a member of the LexisNexis Group.
TOGETHER with the appurtenances,and also all the estate which the said decedent had at the time
of decedent's death in said premises,and also the estate therein, which the party of the first part has or has
power to convey or dispose of,whether individually,or by virtue of said will or otherwise;
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 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 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.
J es . L chr a L-`xec��CY
JNPR C F.
Acknowledgment by a Person Within New York State (RPL§309-a)
STATE OF NEW YORK )
COUNTY OF SUFFOLK )ss.:
On the 10th day of November in the year 2014, before me,the undersigned, personally appeared
James J. Lynch, 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
executed the same in his capacity(ies), and that by his signature(s) on the instrument,the individual(s),or
the person upon be�whic the individual(s)acted,executed the instrument.
KYLE T.Lei
(signature and office of individual taking acknowledgment) NobryPublic,SuftofNowllbdt
%x 02Ly81QM0 �'K
QualiBod in Nassm Oxft I/
Commission Expires AW 12,go.L v
NYSBA's Residential Real Estate Forms(9100) 0 2008 Matthew Bender&Co.,a member of the LexisNexis Group.
-2-
EXECUTOR'S DEED
litle No. 81751 ](O-NY-RP-MD) District 1000
Section 015.00
James J. Lynch Block 04.00
To Lot 004.000
Kimberly K. DeRosa, Kristen E. County or Town Suffolk
Rombaldi and Kourtney M. DeRosa Street Address 1265 Ryder Farm Lane
Orient,New York 11957
Return By Mail To:
James H. Bowers, Esq.
107 Cooper Street
Babylon, New York 11702
Reserve This Space For Use Of Recording Office
NYSBA's Residential Real Estate Forms(9/00) ®2008 Matthew Sender&Co.,a member of the LexisNexis Group.
-3-
INSTRUCTIONS(RP•5217-POF-INS):www.otpe stMoJiy u&
FOR COUNTY USE ONLY Now York Stab Department of
C1.S(RS Code `T ! �lTaxation and Finance
C2.dace Deed Recorded I I 1 )-(01 / 7 ( Office of Real Pmerty Tax SeMcm
I °" �`W, RP-5217-PDF
C3.Book I , L , r I C4.Pegs 1:2 0,-71 I I Real Property TrMrshr Report(MO)
PROPERTY INFOR(BATION
PLomaoftnnpor" 1285 Romer Farm Lane
'arReet mamatt -01-1 RAW
Orient 22937
analam vesaui Zoom
2.Buyer D1eRosa Kimberly K.
Name
MWAIMW M-V rP - K,w+berl�V, ter CdoS ger
ROtnhAldi Kristen E- Ksr,-r k n eh M riP-'ROgcq,,
LOTNOARCOI~ Ramram
7.Toe indicate wham future Tar Bib an to be sem
Addi I other Me buyer eddreseial bollam of faklFiC
m) LAerxAaePAkr F W NW
ddmes
ailE6TNNWN4DWAM arYallmRN mATC me=
,.Indicate the number of AneeemeM1 e mP.rels OR El ole Parcel (Oe1y If Part of a Pamag Chock as they apply: ❑
Roil parcels konsrmrad on the clastl 4A.planning Board wIlh Subdivision Authody EdNs
Dead135 X 150 OR 48.auldMWm Approval was RMlmd for Tmmfa
Property -"WwFMt •01" •Maas Cl
She 4C.Portal Applwadfor Stredhdslon WM Mop Provided
Lynch James J.
S.Safer 'tAXIMMMo WOMY
Name '�'
IAS NA NCMMar Rnrrram
7.Sel"the description which moat accurately describes Me Chock the bear below an they appy:
we of the pmpsy at the thea of male: B.Ownership Type Is Condomlrdum ❑
0.Now Combuoson on s Vacant Lad
A.One Family Residential
LOA.Property Located wrhkl an Agdalloml Metal ❑
LOB.Buyer mmdwd o dbdasum notice led,"' dolt the plapeM b loan
AgrleWMrd WWia ❑
SALE INFORMATION 15.Cheek one or more of those awtd-low a apptbable to-anter.
A bale Between Reh Ives or rwemr Iteledws
1l.Mle can&ad Date October 13,2014 B.sale between Ratnee Cananie a Pamem ineuskmss.
C.One of am Buyem b also a Seller
•12.Date of Salef Ponta November 10,2014 D.Buys or Seller le Government Agency or Lon aing tmaketon
E.Dead Typo not Wamnly a Bargain and Sate(apacty Below)
F.ane of Fmetloml a len Mon Feo In Mono(Spa*Below)
'ter.Full ads Price $395,000.00 O.Si Mwnt Cocoas In Propel Bstaaen Taxeble Shhm and sae ones
amount - N.Sete of Buslm s Is Included In Sete Price
ThI�DEYm Sale Price b be to tllnhe l ism W ash,aMs property or ponds.d for the property boRWIng a Ne eawmptlon d I.OMs Unwud Factors Affecting SW Price(Sp ndly Below)
modgagesoroeWromlgetlons.)Flow mundtoammot"whole dadaramowrl J.Nano
Comment(s)on Condition:
14.Iadlcato the value of pmenat
prgmrylndudodinthank $0.00
ASSESSMENT INFORMATION-Oete should reflect the latest Final Andooment Rog and Tan Bill
1a.Yea of AssesomaM Roll from whish IMortmae Uken(M 14 47.Tool Assessed volae $5,200.00
-18.Properly Class 2 1 0 _ *19.Schon District Name
Ovstetponds
1211.Tax Map hbMftr(syRol IMntifer(m)(If mom Nen lour.&each sheet with addMoml town=**))
Dist 1000 Section 015.00 Bik 004.000 Lot 004.000
CERTIFp:ATI
I C01111 Suit all of the Items of Information antamd on this your we true and correct(to the bet at my knowledge and being and 1 undma nd that the making of any wHEW
hire aNemont of moterlal feel heroin subject me to aw1JBIMtIabDILaT91aPeaaltaw.rataNwe to the making and Ming of Mw InstrulneMa.
QELINUMMATITI BUYER CONTACT INFORMATION
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st,rMR BIGNATURp DeRosS Kimberly R.
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C _ _._. li'f r7� .�,�ea 'rEwnwNENlmmnaw:mrara
.�,um oAm
15 Seacan Lane
er 1 'smeermar0t •amrarwurt
East Northport NY 11731
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r Bowers James H.
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