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Home My WebLink AboutL 12810 P 158SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 03/13/2015 Number of Pages: 4 At: 09:32:23 AM Receipt Number : 15-0032196 TRANSFER TAX NUMBER: 14-20188 LIBER: D00012810 PAGE: 158 District: Section: Block: Lot: 1000 102.00 01.00 004.012 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument JUDITH A. PASCALE County Clerk, Suffolk County 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 RET $60.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $255.00 TRANSFER TAX NUMBER: 14-20188 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Fil 2 Number of pages L, RECORDED 1015 Mar 13 09::2:23 fl..i JUDITH A. PASCALE _ CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00012810 Social Security Numbers P 158 prior to recording. DT# 14-20188 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording /Filing Stamps 3 FEES Page./ Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax _ TP -584 Sub Total Notation Spec./Assit. -- V or EA -52 17 (County) Sub Total Spec. /Add. EA -5217 (State)_ TOT. MTG. TAX R.P.T.S.A. Dual Town Dual County_ Comm. of Ed. 5. 00 Held for Appointment Transfer Tax g Affidavit c¢ Mansion Tax Certified Copy The property covered by this mortgage is _ . or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other _ Grand Total 5 e/ g if NO, see appropriate tax clause on page # of this instrument. aoo 4 Dist. - - '' �Ia 5 Community Preservation Fuad 15004958 1000 10200 0100 004012 Real Property P T Consideration Amount $ D1� PF ax Due $ D. Tax Service Agency R pTy A I IIIII IIIIIIIIIIIII 1111111111IIIIIIIIIIIII Verification 28 -FEB -1 Improved e� __ _ ____ Satisfactions/Discharges/Releases List Property OwnersMailing Address 6 RECORD & RETURN TO: Vacant Land 1} TD IQ 1193-5 TD 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 # 8 Suffolk County Recordin & Endorsement Pau This page forms part of the attached �SE� D made by: (SPECIFY TYPE OF INSTRUMENT) Grp r� The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of In the VILLAGE j �9 r3 or HAMLET of CV1�C I') ogV.SL BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING, 12 0104.. 1 0108k (over) I — it 0 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 30th day of January 2015 BETWEEN SUSAN A. SHEPHERD, residing at 1100 Evergreen Drive, Cutchogue, New York 11935 party of the first part, and SUSAN A. SHEPHERD and RONALD H. SHEPHERD, Wife and Husband, both residing at 1100 Evergreen Drive, Cutchogue, New York 11935 party of the second part, WITNESSETH, that the party of the first part, in consideration of C�u TinTinlO.'ab) dollars 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 SEE SCHEDULE A (Attached Hereto) BEING AND INTENDED TO BE the same premises granted to the Grantor herein by deed dated October 28, 1994 and recorded in the Office of the Clerk of Suffolk County on November 10, 1994 in Liber 11701 Page B70. Premises known as: 1100 Evergreen Drive Cutchogue, New York 11935 Tax Map No.: District 1000; Section 102.00; Block 01.00; Lot 004.012 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" when ever 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: A fl.%SUSAN A. SHEPHERD Standard N.Y.B.T.U. Forth 8002 - Bargain and Sale Deed, with Covenant against Grantors Ads– Uniform Acknowledgment Form 3290 ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE Stale of New York County of Suffolk M On the 30th day of January in the year 2015 before me, the undersigned, personally appeared Susan A. Shepherd 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 behalfof which the individual(s) acted, executed the instrument, r� 1101App PpBUC STATE off NmW yoq No. %91495 WAMION Oman ..– Ct10MrY tDt31 1!; ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN IN NEW YORK STATE State of New York, County of .20 On the day of in the year before me, the undersigned, a Notary Public in and for said State, personally appeared the subscribing witness to the foregoing instrument, with whom 1 am personally acquainted, who, being by me duly sworn, did depose and say that he/she/they reside(s) in (if the place of—id—e n in a city, include the street and street number if any, thereoo: 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 Bargain and Sale Deed With Covenants Title No. Susan A. Shepherd TO Susan A. Shepherd & Ronald H. Shepherd DISTRIBUTED BY YOUR TITLE EXPERTS The Judicial Title Insurance Agency LLC 800 -281 -TITLE (8485) FAX: 800 -FAX -9396 ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE Slate of New York, County of , ss: On the day of in the year 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 behalfof which the individual(s) acted, executed the instrument. ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE *State of , County of ss: -(Or insert District of Col—bia, Territory, Possession or Foreign County) On the day of January in the year 2015 before me, the undersigned personally appeared Personally known to me or proved to me on (he 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), that by his/her/their signature(s) on the instrument, the individual(s) or the person upon behalfof which the individual(s) acted, executed the insWment, and that such individual make such appearance before the undersigned in the (add the city or political subdivision and the state or country or other place the acknowledgement was taken), SECTION: 102.00 BLOCK: 01.00 LOT: 004.012 COUNTY OR TOWN: SUFFOLK RETURN BY MAIL TO: Susan and Ronald Shepherd 1100 Evergreen Drive Cutchogue, New York 11935 ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being hnlne at Cutchogue, Town of Southold, County of Suffolk and State of New York, known and designated as Lot No. 12 on a.certain map entitled "Map of the Woods at Cutchogue", filed in the Office of the Clerk of the County of Suffolk on 3/23/89 as Map No. 8717, which lot is more particularly bounded and described as follows: DIST. BEGINNING at a point on the westerly side of Evergreen Drive where the same is intersected by the division line between lots 12 and 13 on said map; 1000 RUNNING THENCE South 52 degrees, 14 minutes, 00 seconds West, a distance of 303.49 feet; SEC • THENCE South 35 degrees, 41 minutes, 20 seconds East, a distance of 150.10 feet; 102.00 THENCE North 52 degrees, 14 minutes, 00 seconds East, a distance of 308.93 feet; BLOCK THENCE North 37 degrees, 45 minutes 00 seconds West, a distance of 150 feet to the point or place of BEGINNING. 01.00 part of BEING AND INTENDED TO BE/the same premises as conveyed to the party of the first part by deed dated 8/11/93 and recorded in the Office of the Clerk LOT of the County of Suffolk in Liber 11642 of Conveyances at Page 109 on 8/31/93. 004.012 INSTRUCtIONS(RP-52+7-PDF-INS)' www.orps.sWtemy.us OR COUNTY USE ONLY G' Fq Now York State Department of C1. swlS Code I �- ,'�j, p , 0I I I Taxation and Finance C2. Date Deed Recorded I / / l J I Ice of Real Property Tax Services �� a•�J RP- 5217 -PDF q C3. !look ` I Q C4. Page Real Property Transfer Report (&+0) PROPERTY INFORMATION 11 -property Location 1100 Evergreen Drive •7. Select the description which most accurately d"crlbm the anR. I . reRREOA -a-xEET NaAE hsaT NAYS Southo;d Cutchogue 11935 2. Bayer Name • CIIT an TORSI Shcalierd vsWi --CGDE Susan A. fimni'PFaR AYa%AVE ' lAel yrYFIGOAPAx. FIRST RARE Shenherd Ronald . rpG W I wficmpm IRV % 7. Tax Indicate whsle future Tax Sin em to be sant Ma.. MIRE •7. Select the description which most accurately d"crlbm the Biline if other than buyer adfkea(at bottom of form) LAST,yRRECrFIANv hsaT NAYS a. ownership Type is Condominium Address A. One farnilr• Residential 6. New Construction on a vacant Land ❑ fimni'PFaR AYa%AVE 10A. Property Located within an Agricultural District ❑ mlvc. rorty i rpG 4.Indical , the number of Assessment 1Part F1 of a Parcel (Only N Part of a Parcel) Check as they appy: +S. Check one or mon of thus conditions as applicable to transfer. Roll parents transferred on the decd a of Parcels OR 4A. Planning Board vnN SubdMslon Authority Exists ❑ S. Deed \ oil 1-05 46. Subdinson ADpowl was Required for Tmnsfw ❑ Property—CNTFEET •ren- -. 116 C. Ore of the Buyo , is atm a Soler Stu 4C. Parcel Approved for Subdhuion with Map Provided ❑ !� Shepherd Susan A. a.Ze'hAaT NAYTA:ORFIW. MST RAPE Nems I I wR4.DauR Ma.. MIRE •7. Select the description which most accurately d"crlbm the Chock the box" below as they apply. use of the property at the time of sale: a. ownership Type is Condominium ❑ A. One farnilr• Residential 6. New Construction on a vacant Land ❑ 10A. Property Located within an Agricultural District ❑ 108. Buyer reserved a disclosure notice indicating that the property is in an ❑ Agricultural District SALE INFORMATION +S. Check one or mon of thus conditions as applicable to transfer. A. Sale Betwaon Relatives or Former Relations 11. Sate Contract Data B. Sade between Related Companies or Partners in Bum"s. C. Ore of the Buyo , is atm a Soler •72. 01/30/201-5 D. Buyer or Sellor Is Goonmmont Agency or Lending Institution Date at SaleRnnaror F. Dees Type net Vyarran;y or Bargam and Solo (Speedy BDluw) F. Sale at Fractional or Less Nan Fee Interest (Spedy Beaty) Full Sale Price 0.00 G. Significant Change In Properly Between Tumble Status and Sale Dat" N, Sale of Business in Included or Sole Prwc (Full Sale Price is the total amount paid for the properly imArding personal pmpedy I Dow trosu s Factors Arecing Sale Prim (Specify Beicw) Ties payment may be in the film of cash. other property or goods. or the assumption r A Nom mortgages or other obligations) Phase mend to the n"mal whole dolisramount •Commenye) on Condition: 14. Indicate the value of personal 0 Transfer from wife to self c husband/ ?to property included In the sale .00 Corni doral ion ASSESSMENT INFORMATION - Data should reflect the latest Final Aswumenl Roll and Tax Bill 10. Year of Asa"sment Roll from which Information taken(YY) 15 1 •17. Total Assessed Value E, 7 C 0 -16. Properly Close 210 _ •19. School District Name Ma LLi LCCk 820. Tax Map dongfler(syRell ldentiler(s) (g mon than herr• Reach sheer i i1th additional idontlNT(s)) 1000-102.00-01.00-004.0.2 CERTIFICATION I Conity that all of the Items of Information encored on &hill form am true and correct (to the beat of my knowledge and belles) and I uedmtand mut the making of any willful false statement 91 material fact trjaln subject me te ehe.pfpvlRlone.e(ma nsnar law nledw to the making and filing of at" Instruments. BUYER CONTACT INFORISATIOM (Ent., inAR^inn bms buys-.' ays•. NCA 1 eels' is L.C,s.M w eOsh, am p"Rin. Fail skidm anPy We%o' Mbry Clan • rn sn.MhdlY Aram car• cheery, IMA • rule r4 amhatl:n4hnwle'R sl a^ i^.6heuahNaen6•.h Wlb orb ran anewu'IeaLana aOadLYq:+s triter runarnred Typ-pulmdsaay.) Shepherd Susan A. •dAe1RF.E FwST YAYF ..EA CODE-TEIEMr rRFFEEQLE. seserRel 1100 Evergreen Drive 'STaEET.M. '11TREETYARE Cu_ NY :1935 %'ATE •zR'CCGE Horsley Scott Wf KARL FIRST Awl b3:) 286-7532 AREA CODE TEIaFRa1RE 1LYayR yi: rerearet