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11111111111 Ilifi 1111111111111111111111111 Hill IIII 1111 111111111011111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/21/2015 Number of Pages: 3 At: 11:56:45 AM Receipt Number : 15-0113299 TRANSFER TAX NUMBER: 15-02094 LIBER: D00012829 PAGE : 066 District: Section: Block: Lot: 1000 128.00 04 .00 025.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 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 $250.00 TRANSFER TAX NUMBER: 15-02094 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1 2 Number of pages RECORDED 2015 Aug 21 11:56:45 P11 JUDITH P. PRSCALE CLERK OF This document will be public SUFFOLK COUNTY record.Please remove all L D00012329 Social Security Numbers P 066 prior to recording. Nit 15-02094 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 I FEES Page/Filing Fee / (p Mortgage Amt. gel Basic Tax Handling aQ 00 2. Additional Tax TP 584 Sub Total Notation Spec./Assit. or EA-52 17(County) `) Sub Total `1 Spec./Add. EA-5217(State) is TOT.MTG.TAX R.P.T.S.A. �•• Dual Town Dual County Held for Appointment Comm.of Ed. 5. 00 ?" Transfer Tax _er Mansion Tax Affidavit >' Certified Copy _ The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 on C- family dwelling only. Sub Total YES or NO Other Grand Total .99) - If NO, see appropriate tax clause on page# of this instrument. JO 4 Dist. I M �^"'-' ''- )p 5 Community Preservation Fund Real Property 15023159 1000 12800 0400 025000 �y p S Consideration Amount$ TaAgency x Service DUT 11111131113 Tax Due Verification 20-AUG-1 _ Improved 6 Satisfactio.___..__.. ,yam ,��eases cistProperty Owners Mailing Address RECORD&RETURN TO: Vacant Land Michael G.Leavy,Esq. TD 191 New York Avenue TD Huntington,NY 11743 TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Advantage Title Agency www.suffolkcountyny.gov/clerk Title# REC16970 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) Joan Crosson and Helen Mary E.Crosson The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Kathleen A.O'Rourke and Kevin Ci.('Rourke In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) Bargain and Sale Deed,with Covenant against Grantor's Acts-Uniform Acknowledgment ,,ADVA N i,\i;E:.t i i LL CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the tilt day of May , 2015 BETWEEN Joan Crosson,as to her undivided twenty five percent(25%)interest in the subject premises,residing at 4080 Peconic Bay Boulevard,Laurel,NY and Helen Mary E.Crosson,residing at 200 Lexington Avenue,Apt.1-C,Oyster Bay,NY 11771,as to her undivided twenty five percent(25%)interest in the subject premises. party of the first part,and Kathleen A.O'Rourke,as to Joan Crosson's undivided twenty five percent(25%)interest in the subject premises,residing at 4080 Peconic Bay Boulevard,Laurel,NY and Kevin G.O'Rourke and Kathleen O'Rourke,as to Helen Mary E.Crosson's twenty five percent(25%)interest in the subject premises,residing at 4080 Peconic Bay Boulevard,Laurel,NY party of the second part, WITNESSETH,that the party of the first part,in consideration of /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 Laurel,Town of Southold,County of Suffolk and State of New York bounded and described as follows: BEGINNING at a point at a concrete monument on the southeasterly side of Peconic Bay Boulevard distant 324.2 feet southwesterly from a stone monument marking the division line between land of Arthur Aten and land now or formerly of Frederick Russell;running thence along land of Arthur Aten south 15 degrees 04 minutes east 293.6 feet to a concrete monument and land now or formerly of Thomas;thence running south 74 degrees 56 minutes west 79.91 feet along land of Thomas to a concrete monument and land now or formerly of Thomas Rushmore;running thence north 15 degrees 10 minutes west 221.23 feet along said land of Thomas Rushmore to a concrete monument of the southeasterly side of Peconic Bay Boulevard;running thence north 32 degrees 54 minutes 20 seconds east 108.1 feet along the southeasterly side of Peconic Bay Boulevard to the monument and place of BEGINNING. SUBJECT to any state of facts an accurate survey may disclose. SUBJECT to covenants,easements and restrictions of record,if any. SAID PREMISES KNOWN AS:4080 Peconic Bay Boulevard,Laurel,NY 11948 IT IS THE INTENTION OF THE PARTIES THAT,AS A RESULT OF THIS CONVEYANCE,JOAN CROSSON& HELEN MARY E.CROSSON WILL HAVE NO OWNERSHIP INTEREST IN THE SUBJECT PREMISES. 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"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: ,p • /AN CROSSON r' N MAR E.CROS ON Bargain and Sale Deed,with Covenant against Grantors Acts-Uniform Acknowledgment �,Anww i Acl ill i E TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of .4Pf'-a. ,ss: State of New York,County of ,ss: On the If day of "4y in the year 2015 , before me, On the day of in the year ,before me, the undersigned,personally appeared the undersigned,personally appeared Joan Crosson�. ��►� (1\c '.j El, C.(t ie 1'l Helen Crosson personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is satisfactory evidence to be the individual(s)whose name(s) is (are) subscribed to the within instrument and acknowledged to (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument. the individual(s)acted,executed the instrument. 11 (signature and office of indi 'dildiko proof) (signature and office of individual taking proof) MI Notary Public,State of New York No.02LE4848451 Qualified in Nassau County Commission Expires July 31,2012. TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of ss: On the day of in the year ,before me,the undersigned,personally appeared ,personally known to me or proved tome 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,and that such individual made such appearance before the undersigned in the (insert the city or other political subdivision and the state or country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) BARGAIN AND SALE DEED,WITH COVENANT AGAINST GRANTOR'S ACTS DISTRICT: 1280 SECTION: 128.00 BLOCK: 04.00 TITLE NO.: LOT: 025.000 PREMISES: 4080 Peconic Bay Boulevard,Laurel,NY 11948 COUNTY: Suffolk Joan Crosson and Helen Mary E.Crosson TO Kathleen A.O'Rourke&Kevin O'Rourke • RECORD AND RETURN TO: ADVANTAGE TITLE Michael G.Leavy,Esq. 201 Old Country Road,Suite 200,Melville,NY 11747 191 New York Avenue 631.424.6100 • 800.285.1551 • Fax: 631.424.6049 Huntington,NY 11743 245 Park Avenue,New York,NY 10167•212.672.1960 • www.advantagetitle.com THE ADVANTAGE GROUP.ADVANTAGE TITLE•AUVANIIGETORECIOSURC ADVANTAGE LEGAL•ADVANTAGE SETTLEMENT•MORTGAGE ADVANTAGE of a 4 INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY ,1 New York State Department of Cl.swis code Eft 1-7 g ,3 I r 3,9 1 Taxation and Finance C2.Date Deed Recorded I D 5/i I /a0 1.5r Office of Real Property Tax Services �°M °� Y� RP-5217-PDF •-C3.Book I g l :2 IC:1 I C4.Page I 1 1©,6,6 1 Real Property Transfer Report(8110) PROPERTY INFORMATION I 1.Property 4080Peconic Bay Blvd Location MAESTROS/ER •STREET KALE Laurel 11948 •CITY OR TORN VILLAGE •IP CODE 2.Buyer O'Rourke Kathleen Name •LMTN1aECOLIPANY FIRST MC O'Rourke Kevin,G. LASTNAIEiCOrEANY OROS NAVE 3.Tax Indicate where More Tax BIAS are to be sent Billing if other than buyer address(al bottom of form) WT MMECarPANY FIRST NNE Address STREET MOM AND NAME CRY OR tont/ STATE 1pftODE 4.Indicate the number of Assessment 0 Pan of a Parcel (Only If Part of a Parcel)Check as they apply: Roll pareele transferred on the deed 1 6 er Parcels OR 4A.Planning Board with Subdivision Authority Exists ❑ S.Deed X OR 0.5 413.Subdivision Approval was Required for Transfer 0 Property •rerun FEET -DEPTH 'ACRES Size 4C.Parcel Approved for Subdivision with Map Provided ❑ Crosson Joan IL Seller MAST refE/ccepAmr FRET NAME Name Crosson Helen Mary E LAST NAEANY FIRST NNE Check the boxes below as they appy: '7.Select the description which most accurately describes the use of the property at the rime of side: a.Ownership Type is Condominium 0 A.One Family Residential 9.New Construction one Vacant Land ❑ 10A.Property Located within an Agricultural Dialicf 0 10B.Buyer received a disclosure notice Indicating that the property Is In en ❑ Agricultural District I SALE INFORMATION! 15.Check ono or more of these condltlons as applicable to transfer. •A Sale Between Relatives or Fanner Relatives 11.Sole contract Date May 21,2015 II B.Sale between Related Companies or Partners at Business. ■ C.One of the Buyers is also a Seller '12.Date of Sale/Transfer May 21,2015 • D.Buyer or Seller is Government Agency or Lending Institution E.Deed Type not Warranty or Bargain and Sale(Specify Below) • F.Sale of Fractional or Less than Fee Interest(Spedfy Below) '13.Full Sale Price $0,00 • G Significant Change in Property Between Taxable Status and Sale Dates IN H.Sale of Business is Included in Sale Price (Full Sale Price is the total amount paid for the property Including personal Property UI.Other Unusual Factors Affecting Sale Price(Specify Below) This payment may be in the farm of cash,other property or goods.ix the assumption of • © J.None mortgages or other obligations.)Please round fo the nearest whole dollar amour. Commenta)on Condition: 14.Indicate the value of personal property Included in the eats $0.00 I ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which Information taken(YY) 15 '17.Total Assessed Value $7,800.00 '15.Property Class 2 1 0 - 1 '19.School District Name Mattituck '20.Tex Map kdentlterfs)IRoll kdeatiler(s)(If more Nen four,attach sheet with additional Idendfer(sl) 1000/128.00/04.00/025.000_ I CERTIFICATION I I Certify that all of tire Items of Information entered on this form are true and correct(to the best of my knowledge and belief)and I understand that the making of any willful false statement of material fact herein subject me to Me.arovldoaa of me penal Ia+A,refeave to the melting and filing er false Instruments. SEL M ER SIGNATURE BUYER CONTACT INFORMATION _— - (Etter infonnrrien for the buyer.Note a oyer a LLC,aoraty,naooraon.mrporaacn,join stack ednpry.estae or ewey that is not an Ina/AW sped or Sauey,.clan a nettle and MOM information A n ndrekl aheepnnhible .44-944".." Sf be party who can craw rremea regarding tie transfer must be eroded.Type or print clearly.) ealt sNYR MTI BUYER SIGNATURE O'Rourke Kathleen •LAST NATE FAST NAME '41t. .L4 d Oit4W✓K/ S(2ilil 'AREA CODE 'TELEPHONE NURSER axxnnune) BUYER SIGNATURE MTI 4080 Peconic Bay Blvd :. •„, ) i + I ` MTTEEr OWN. •STEET NAME T Laurel NY 11948 1 1'4'1'4E4:: SOY OR TOON •STATE RPCODE 1 1 L BUYER'S ATTORNEY 1 1� T ff / i Leavy Michael ' ■ , I , Lai NATE Rear NAME (631) 673-7555 AREA CODE 7IIaRIcrE NIaeER Ms NOM