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Home My WebLink AboutL 12822 P 983SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 07/07/2015 Number of Pages: 4 Exempt At: 02:42:52 PM Receipt Number : 15-0089431 Handling $20.00 NO TRANSFER TAX NUMBER: 14-29873 $5.00 LIBER: D00012822 $15.00 NO PAGE: 983 District: Section: Block: Lot: NO 1000 126.00 10.00 018.000 EXAMINED AND CHARGED AS FOLLOWS Cert.Copies Deed Amount: $0.00 NO RPT $60.00 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 RPT $60.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $255.00 TRANSFER TAX NUMBER: 14-29873 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. Ueed / Mortgage instrument I Deed / Mortgage Tax Stamp 3 RECORDED 2015 Jul 07 02:42:52 PH .JUDITH N. PASCALE CLERK OF SUFFOLK COUNTY L D00012822 P 983 DT# 14-29873 Recording / Filing Stamps 1 11 FEES Page/ Filing Fee Mortgage Amt. Handling C�0)6. 00 1. Basic Tax TP 584 2. Additional Tax Sub Total Notation 15 Spec./Assit. EA -52 17 (County)or Sub Total Spec. /Add. EA -5217 (State) TOT. MTG. TAX R.P,T.S.A. Dual Town Dual County _ Comm, Ed. Held for Appointment of S. 00 ° Transfer Tax Affidavit1 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 OtherYES or NO Grand Total �� If NO, see appropriate tax clause on page ik of this ins tru ent. / 4 Dist. 15013582 1000 12600 1000 018000 5 Community Preservation Fund Real Property Tax � Consideration Amount $ 0 .00 AgencyII�III�II�III�IIIIIJI��I�I�+�III�fl�fll�l f i++ ge cye (�27MIAJYII I I I I IIII�III� Verification CPF Tax Due $ N/A 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address Improved X RECORD &RETURN T0: , N/A Vacant Land TD /} /A/ TD 113 �77 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 www.suffolkcount Y n Y•9ov/cleric Co. Name Title p 8 Suffolk County Recording & Endorsement Page This page forms part of the attached LIFE ESTATE DEED by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in KATHLEEN A. HISTON, f/k/a SUFFOLK COUNTY, NEW YORK. KATHLEEN.A.REILLY made TO In the TOWN of SOUTHOLD KATHLEEN A. HISTON, as Trustee In the VILLAGE or HAMLET of LAUREL BOXES 6 THRU 8 MUST.BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over QUITCLAIM DEED CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the day of /Z1 Two Thousand Fifteen BETWEEN KATHLEEN A. HISTON, formerly known as KATHLEEN A. REILLY, residing at 59-40 Queens Boulevard, Woodside, New York 11377, party of the first part, and KATHLEEN A. HISTON, residing at 59-40 Queens Boulevard, Woodside, New York 11377, as Trustee of the "Kathleen A. Histon Trust 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 remise, release and quitclaim 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 County of Suffolk and State of New York, bounded and described as follows: SEE SCHEDULE "A" ATTACHED HERETO SAID PREMISES being known as 6775 Peconic Bay Boulevard, Laurel, New York., THE PARTY OF THE FIRST PART named herein is the so e lifetime benefr�lary of the Party of the Second Part, the "Kathleen A. Histon Trust" dated , 2015, during the lifetime of the Party of the First Part and is entitled to all a ailable veterans and senior exemptions as provided under RPTL subsections 458(7), 458-a(5) and 467(9), and the school tax relief (STAR) exemption as provided under RPTL section 425. TOGETHER with all the 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, 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. 1N PRESENCE OF: WITNESS _ 4�TLEENHA. HISTON, formerly known as KATHLEEN A. REILLY Standard N.Y.B.T.U. form 8004 — Quitclaim Deed — Uniform Acknowledgment (single sheet) Form 2216 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of Queens ss: On the v9day of in the year 2015 before me, the under igned, personally appeared KATHLEEN A. HISTON, formerly known as KATHLEEN A. REILLYpersonally known tome orproved tome on the basis ofsatisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on t I men', the individual, or the person upon behalf the individual acted, executed the instrume "signal ryj aad 6fiice of individual taking acknowledgment) GIACOMO JMANISCALCO ,IOTARY�M -stafgewY orkN13 tlua0fled in t]usensCOultt Commission ExQlres 061141_ State of New York, County of ss: On the _day of in the year 2015 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. (signature and office of individual taking acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT tS MADE OUTSIDE NEW YORK STATE State (or District of Columbia, Territory, or Foreign Country) of On the day of in the year 2015, 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 names(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 in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) QUITCLAIM DEED Title No. . KATHLEEN A. HISTON formerly known as KATHLEEN A. REILLY TO KATHLEEN A. HISTON, as Trustee STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by VINTAGE .ABSTRACT CORP. 2124 FI AT13USH AVENUE BROOKLYN, NY 11234 718-377-0200 (signature and office of individual taking acknowledgment) SECTION 126. BLOCK 10 LOT 18 COLNTY Suffolk STREET ADDRESS 6775 Peconic Bay Boulevard Laurel, New York Recorded at Request of COMMONWEALTH LAND TITLE INSURANCE COMPANY Connors and Sullivan Attorneys -at -Law, PLLC 7408 Fifth Avenue - Suite 2 Brooklyn, New York 11209 Tel: (718)238-6500 W u LL 0 z Z O , 0 O U W K 0 Q W N 7 Y LL W LL W W 2 N W N W 1' SCHEDULE "A" ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being near Mattituck, Town of Southold, County of Suffolk, State of New York, bounded and described as follows: BEGINNING at a point in the northerly side of Peconic Bay Boulevard where the westerly line of land formerly of Harry Martin intersects said northerly side of Peconic Bay Boulevard; RUNNING THENCE along the northerly side of Peconic Bay Boulevard South 42 degrees 01 minute 00 seconds West 69.96 feet to land now or formerly of Charles F. Lewis formerly Carlton Prankard; THENCE along said land North 18 degrees 46 minutes 50 seconds West 404.78 feet to land of the Roman Catholic Diocese of Brooklyn, formerly Carlton Prankard; THENCE along said land North 42 degrees 20 minutes 00 seconds East 70.00 feet to land formerly of Harry Martin; THENCE along said land South 18 degrees 45 minutes 00 seconds East 404.47 feet to the northerly side of Peconic Bay Boulevard, the point or place of BEGINNING. TOGETHER with an unobstructed right-of-way to and from Peconic Bay Boulevard to Peconic Bay over a strip of land about twenty-five (25) feet in width, bounded North by Peconic Bay Boulevard, South by Peconic Bay, West by land now or formerly of Samuel H. Cummings and East by land now or formerly of Samuel H. Cummings and East by land now or formerly of Henry Gildersleve. INST.RUCT10(4S(RP-5217-PDF-INS): IR COUNTY USE ONLYNaw / �/ ill www.orps.statemy.us York State Departirvint of Ct. Scots coda f Taxation and Finance % C2. Date Dead Recorded // r [_ J_J 4 cur coag OItICe or Real Property Tax Services RP- 5217 -PDF C3. Book C4. Page , Real Property Transfer Report (8118) PROPERTY INFORMATION' LAST NAwErWiUff 1•P-Perb 6775 PECON7C BAY BOULEVARD Locallco Indnte where future Tax Bills are to be nm HI STON ' aTXEEI YYYW X ' 61NLLI NAYL LAUREL 11948 •CnYOS TOWN ALAE •tIPCODE t. Buyer HISTON KATHLEEN A., AS TRUSTEE Name •LAST NAW3[OYPIIM' IRBT NFeE HISTON LAST NAwErWiUff rRm-E S. Sailer •L"TAAYFI[aeF, • 3. Tax Indnte where future Tax Bills are to be nm HI STON KATHLEEN A. KATHLEEN A. -RST —9 Billing it other then buyer address(et bosom or term) LAST NALareauFAm' REST W A E use of the property at thetion Waste: Address ❑ 1 -Family Residential B. New Construction on a Vacard Land ❑ 6775 PECONIC BAY BOULEVARD LAUREL NY 11948 ❑ STREET WY32A AND• E CT' 02 TOWN STATE zPcoce 4. Indicate the number of Assessment E) Pan of a Parcal (Only B Part of a Parcel) Check as they appy: Roll parents transferred on the dead 4 d Parcels DR 4A. Planning Board with Subdidsion Authority Exists ❑ S. Deed X OR 0'. 5 6 - 48. Subdivision Approval wait Required for Transfer prop" Biz$ •FROW FEET •ocPIH 'ACRE$ 4C. Parent Approved far SubdiMaron Sam Map Provided D. Buyer or Seller is Government Agency or lending Institution HISTON KATHLEEN A. S. Sailer •L"TAAYFI[aeF, • IlXal vAYe Nome REILLY KATHLEEN A. -RST —9 4sT W LMUPN '7. Ilaloet Na tlonrtptbn which most accurately describes the Check the boxes below as they appy: use of the property at thetion Waste: 11. Ownership Type is Colmomileum ❑ 1 -Family Residential B. New Construction on a Vacard Land ❑ IDA, Property Located within an Agricultural Oistdct IDB. Buyer received a dindosure nate Indicaarq that the property is in an ❑ Agricultural District SALE INFORMATION IS. Check one or mora of these conditions as applicable to transfer. A. Sale Batman Relatives or Former Relaliveo 11. Sale Contract Date 04/08/2015 B. Sale between Related Companies or Partners In Business. C. One of the Buyers is also a Seller • 04/08/2015 D. Buyer or Seller is Government Agency or lending Institution It. Data of galanimnsfar E Deed Type not Warranty or Bargain and Sore (Spottily Below) F. Sale al Fractional or Leas than Fee Interest (Specify Below) '1 S. Full Sole Price 0.00 G. SrpalTicant Change in Properly Salmon Taxable Status and Sale Dates -- H. Sala of Business re Included in Safe Price (FW Ssts Price is the tarot amount paid for the progeny inctlAlmp personal prapeny. I. Other Unusuel Factors Afler411g Sale Price (Specify Below) TNe paynlem may be In the farm of man, other property ar goods, or the assumpico of J. None mortgages w alhor obligations) Pkra es round to the neareat whole dWwornounf Comments) on Condition: 14. Indicate the value of Forecast property Included In the sale D .00 LIFE ESTATE DEED ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 18. Year of Assessment Roll from which Information takenn Y) 15 117. Tote) Assessed Value $ 3,600 '18. Property Clan 210 _ _ •19. School District Nems MATT ITUCK '28. Tax Map Idntiflor(syRoll Idendrrar(s) (If more then bur, attach Shast with additional Identifier(s)) 126.-10-18 CERTIFICATION I Codify that all of On items of Information emend on this farm am f rYe and correct (to the beat of my knowledge and bedaq and 1 understand that the making of any willful false atatement of material fact heroin subject me to the aravialpns.af tha. WPP! Ipw,relative to the making and Sling of false Instruments. SELLER.SIGNATURE BUYER -CONTACT INFORMATION [Dow rewma:en for IN peer. Now If buyers LLC.eedey, nsoaa:a'r, eorperebm pm SWA moronity, New or MAY Rn is nit: a'1 Rd &SI BOOM or fd+de'y.'.w a MRS and mntad urarmebn d on iftnedualaesppsbw Wy rrrw un o'ICAereueaba's retamrii aw transfer must be emned. Type or prim clearly 1 )15 r7i BUYER SIGNATURE.&, 04/08/201 BVTFR 6IGNATYAF 3FTF LANDSKIND KATHLEEN A., AS TRUSTEE FwlT xA$E 446-9388 •fF. LI"CY.!t..i'l'L'L• Tix9iN "ENS BOULEVARD STREET NAYS BUYER'S ATTORN91 RENATA r RS' N1wC NY 11377 •STATE •rlccoir (718) 238-6500 APIACODL TELEPrwNE wm1ERIE. sereseer I