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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 10/14/2015
Number of Pages: 3 At: 04 :12 : 19 PM
Receipt Number : 15-0141601
TRANSFER TAX NUMBER: 15-07607 LIBER: D00012836
PAGE: 396
District: Section: Block: Lot:
1000 078 .00 01 . 00 030 .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 $5. 00 NO RPT $60.00 NO
Transfer tax $0. 00 NO Comm.Pres $0 .00 NO
Fees Paid $255 .00
TRANSFER TAX NUMBER: 15-07607
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
f
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1 2
RECORDED
Number of pages 2015 Oct 14 04:1:2:19 PM
. JUDITH R. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00012836 •
Social Security Numbers P 396
prior to recording. DT# 15-07607
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
1
3 FEES
Page/Filing Fee I �r— Mortgage Amt.
1 1. Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 S Sub Total
Spec./Assit.
Notation
or
EA-52 17(County)_� _ Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
can/ 1 Dual Town Dual County,_
R.P.T.S.A. ;�,.
*j''' �1 Q Held for Appointment
Comm.of Ed. 5. 00 ? N Transfer Tax
410,
° Mansion Tax
Affidavit
c5 i The property covered by this mortgage is
,Certified�Copy- or will be improved by a one or two
(
'11YS-Surcharge 15. 00 �/ family dwelling only.
Sub Total [/4() YES or NO
Other
Grand Total Z s� If NO,see appropriate tax clause on
,„ page# of this instru ent.
4 Dist.f ooO 15029260 1000 07800 0100 030000 0 5 Community Preservation Fund
I
Real
60 100 14-OC 1 CPF Tax Due $ C.
Verification Fri
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
JLAL1E L . rc7GN.g-T 5SY. I TD ..
,.Ts CSN tib. . TD
5hc..A7( 401--S, NI ) 91 1 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 Recording & Endorsement Page
/Up C.OrJSCbei-fITIO")
This page forms part of the attached 1376,12,E, IN Ai4t SALE bEE6 t t7W COuE)Anh"r made by:
(SPECIFY TYPE OF INSTRUMENT) ft-e•AuvS1-6/(AFFekkiit77
The premises herein is situated in
,J V.L_(E A L_La1.) SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of SdwTI-1OLI)
In the VILLAGE
J(A t—I t- I—• Fein& -T y or HAMLET of 5 0 UCC N(JO)
BOXES•6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12-0104.101081,k (over)
NO CONSIDERATION
•
BARGAIN AND SALE DEED WITH COVENANTS AGAINST GRANTOR'S ACTS
THIS INDENTURE,made the 13`h day of October,2015
BETWEEN
District 1000 JULIE ALLEN,residing at 2175 Glenn Road,Southold,New York, 11971
Section 078.00 party of the first part,and,
Block 01.00 JULIE L.FOGARTY,residing at 2175 Glenn Road,Southold,New York, 11971,
Lot 030.000 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 of it's
right,title and interest in and to
ALL that certain plot,piece or parcel of land lying and being at Southold,Town of Southold,Suffolk County,New York,
known and designated as Lot No.30 on a certain map entitled"Map of West Creek Estates,Property of Ernest E.and
Harold W.Wilsberg,situated at Southold,Suffolk County,New York"made by Otto W.Van Tuyl from surveys completed
January 28,1963,and filed in the Suffolk County Clerk's Office on August 19,1963 as Map No,3848 which said Lot is
more particularly bounded and described according to said map as follows: .
BEGINNING ata point on the northerly side of Glenn Road distant 235.00 feet easterly from the corner formed by the
intersection of the northerly side of Glenn Road with the easterly side of Grissom Lane as shown on said map(now known
as Tax Lot 45);and
RUNNING THENCE North 10 degrees 50 minutes 00 seconds East 200.00 feet;
THENCE North 74 degrees 00 minutes 00 seconds East 110.00 feet;
THENCE South 10 degrees 50 minutes 00 seconds West 200 feet to the northerly side of Glenn Road;and
RUNNING THENCE South 74 degrees 00 minutes 00 seconds West along the northerly side of Glenn Road 110.00 feet k
the point or place of BEGINNING. •
•
Being and Intended to Be the same premises as conveyed to the party of the first party by Deed dated
August 5,2;113 and filed in the office of the Clerk of the County of Suffolk on August 28,2013 in
Liber D000012742 at Page 322.
Said premises being more commonly known as:2175 Glenn Road,Southold,new York, 11971
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 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.
ULIE ALLEN
STATE OF NEW YORK )
)ss; -
COUNTY OF SUFFOLK )
On the 13th day of October in the year 2015 before me the undersigned, a Notary Public in and for said State,
personally appeared JULIE ALLEN,personally known to me or proved to me on the basis of satisfactory evidence
to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed
the same in his capacity and that by his signature on the instrument,the individual,or the person upon behalf of
which the individual acted,executed the instrument.
Notary Public
PATRICIA M.DOLL
Notary Public,State of New York
No.01006183484
Qualified in Suffolk County
Commission Expires March 17,20 C.
Bargain and Sale Deed
with Covenant Against Grantor's Acts District: 1000
TITLE NO: Section:078.000
Block:01.00
Lot:030.000
JULIE ALLEN
County/Town: Suffolk/Southold
TO RETURN BY MAIL TO:
JULIE L.FOGARTY Julie L.Fogarty
2175 Glenn Road
Southold,New York 11971
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INSTRUCTIONS(RP-5217-PDF.INS):www.orps.state.ny.us
•
FOR COUNTY USE ONLY [7f� 400,New-Yetdc Sterte.t�ejpertmentof.G1•SIMS Cope• 1 71318/, r� I . Taxe on:ar+dEFtaar lie
C2Data Deed Recorded I ��/ /`4 �5 . 011lceroi eat roperlyTs7 San a� MT YrsRP-5217-PDF
CS.Book I 75, C4:Page 1 1 u ID 7P I Real Property Transfer Report(ah0)
PROPERTY INFORMATION I
1.Properly a 1`I 5 • cy-►-ef N R o A b
Location •
•STREET MUM= •enhmT NMR
- S O UT H O LD 5 ourvr0 LD 1 191 I
•CRY OR TOWN MLAOE • •aP ECHE
2.Buyer Fo&A(0-/ Tic,i_-1E
Nims •LMTNAYFJCO1RNrr RAST ROME
•
uTNAMER.YAwMrr _ MOT SAW
].Tax Indicate where future Tax this ore to be sent '
Billing If other Orn buyer addreae(at bottom of form) LATH NN,EncupANY RAW NAME
Address
STREET WaeER AMOK TE WY OR TO/R. STATE ZIP OCHE
4.Indicate the number of Assessment Ipof POR ❑Pad or a Parcel (Only If Part of a Parcel)Check as they apply:
Roll parcels transferred on the deed aroals 40..Planning Board with Subdivision Aulhcdy Exists ❑
5.DOed X OR I •50 4B.Subdhesion Approval was Required for Transfer ❑
Property `FRONT FEET •DEPTH •ACREO
She 4C.ParoelApproved for Subdivision with Map?rounded 0
A L L tJJ J IA LA E
8.Seller •LAST NAMGaOYPATIT feler NAadE
Name
LASrwMO'JCOuPNM FiIaTNM@
Check the boxes below as they apply:
1.Select the description which most accurately describes the
use of the property at the time of sale: 11.Ownership Type Is Condominium ❑
Ot4e 654 M� 2Es 1 D,e_t4 1(k L._
9.New Courstrdlon on a Vacant Lend ❑
w1DA.Properly Located within an Agdalturel Dotfict • ❑
• 10B.Buyer received a darxsure notice Indicating that the property Is in on 0
Agricultural District
(SALE INFORMATION I 18.Check ono or more of these conditions as applicable to transfer:
El A.Sale Between Relatives or Former Relatives
11•Solo Contract Dab /0//...y.2 O/5 B.Sale between Related Companies or Partners in Business.
C.One of the Buyers is also a Sayler
D.Buyer or Seller is Goverment Agency or Lend'ng insltullon
'12.Dab of SaleRranafer . /D f/J/a v/S E.Deed Type not Warranty or Bargain and Sale(Specify Below)
F.Sale of Fractional or Less than Fee Interest(Specify Below)
MS.Full Sale Pries 0 .00 G.Significant Change In Property Between Taxable Status end Sale Dates
H.Selo of Business Is indicted In Sale Rice
(Full Sale Price!slim total amount paid for the property including Fereaual property. I.Other Unusual Factors Affeaing Sele Price(Specify Below)
Thls payment may be in the tom of cash,other property or goods,or the asaurnplion of .i.None
mortgages or ether otagetione.)Reese round la the nearest whole dollar amount ,
Comment(s)on Condition:
1A Indicate the value of personal n
property Included In the safe 0 .00 G haYa•1•CLr+.yryGerltd wtQidwrnGtivl@______)AX09.
IASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and.Tax Bill
18.Year of Assessment Roll from which Information taken(YY) t rJ '17.Total Assessed Value 1•300
ND.Property Class a I o ,_ �_4— •19.School District Name So u-r(„to L.b
'20.Tax Map Identlaer(s)lRotl identifier(s)Minors than four,attach sheet with additional identifier(s))
1)11riziGT (boo sECTh&o-J8.00 LLockO/•O0 Louo30. ow
I CERTIFICATION I
I Certls,,that all of the items of Information entered on this form are true and correct(to the best of my knowledge and bollel)and I understand that the making of any willful
false statement of material fact herein subject me to the provisions of the oanal law relative to to making end Sling of false Instruments.
SELLER SIGNATURE BUYER CONTAGIJNFORMATION
. (Enterhdhnnatbn Tar the Myer.Nee If buyer U.0 cadet,axed eon.deperadm.JNst abdr weeny,seta or
f entry the b not en Indeduor apent•r Muds%then a nava sea oared) ordadon ares IndMduieapondele
(^ A.11. _ ' /OI�r.ol� pay Me me wwxrluw9aw repaN:rDIMaaMarmwl On entered.Type err pint oleaRYJ
�G7,101Gly`'IRSHATumS Ae Y�.� sum 1 �t r�-��/ . T G
)})JTFR SIGNATURE FO6x^' l r tkL(
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v •STREET NUMBER •TnffT NAME
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