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Home My WebLink AboutL 12839 P 474 11111.1111111111 Ii WI 11111W 11W IIII liii HII 1111 VOl lID III 111W 11111 lID 1111 III SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 11/04/2015 Number of Pages: 4 At: 02 : 12 :05 PM Receipt Number : 15-0153586 TRANSFER TAX NUMBER: 15-09898 LIBER: D00012839 PAGE : 474 District: Section: Block: Lot: 1000 115 . 00 14 .00 004 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 .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 $0.00 NO Comm.Pres $0 .00 NO Fees Paid $255.00 TRANSFER TAX NUMBER: 15-09898 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County . J 12-0104(2/99) v RECORDED Number of pages 2015 Nov 04 02:12:05 PM TORRENS JUDITH P. FHSCPLE CLERK OF Serial# SUFFOLK COUNTY L 000012839 Certificate# P 474 DT# 15-09898 Prior Ctf.# Deed I Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 4 1 FEES Page/Filing Fee Mortgage Amt. Handling p U 1.Basic Tax TP-584 c 2.Additional Tax Notation Sub Total EA-52 17(County) Sub Total Spec./Assit. I�(� Or EA-5217(State) I""' c)(0 Spec./Add. R.P.T.S.A. ai) ,14, (� d f TOT.MTG.TAX ( Dual Town Dual County Comm.of Ed. 5 00 i.Ph I 411: ii , Held for Apportionment Affidavit 4• I'�l +�' Transfer Tax O Certified Co Mansion Tax Py The property covered by this mortgage is or will be improved by a one or two family Reg.Copy Sub Total dwelling only. ` T 1 YES or NO ' ., Other I GRAND TOTAL d-5I� /I , If NO,see appropriate tax clause o page lJ,"/1, # of this instrument.•--)13(�/r� 5 I Real Property Tax Services A..a.....,v....:�... -- 6 Community \\Preservation Fund 15029588 1000 11500 1400 004000 i ConsideratiodAmount` $ _‘,...) Stamp 1CPF Tax Due $ 0 Date R SMI A Ililt II1lIIIIDIITIII Improved 17-OCT-1 Initials Vacant Land 7 Satin ___,- .....,.. .,,.-.-.uper.yvwners'1viatlingAddress TD 1 0 0 6 RECORD&RETURN TO: TD JOInNT. F Lov'-co -.F.,\:,A . ry TD t 3 7 o 8 ix..2.43e HG\ V—e mA I o- 1 �.Qw\t6Wk ( \ e( 5 )- 8 1 Title Company Information Co.Name Title# 9 I SUFFOLK COUNTY RECORDING & ENDORSEMENT PAGE This page forms part of the attached n_e-e d made by: (SPECIFY TYPE OF INSTRUMENT) _ t Jo k N ( ' .- 4 ,..1 it The premises herein is situated in 1..svv4.1;.3at 4. brabvLy SUFFOLK COUNTY,NEW YORK. To Si As./ Pr. 4-6.‘v•Y In the Township of S 0 k+k c A a 4l J t -,.s 1-_,P In the VILLAGE or HAMLET of BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (OVER) • • DEED Consult your lawyer before signing this instrument. This instrument should be used by lawyers only. THIS INDENTURE, made the 30th day of July, two thousand and fifteen, BETWEEN John T. Fabry and Lorraine A. Fabry, 3700 Deep Hole Drive, Mattituck,New York 11952, party of the first part, and Stacey A. Fabry, 3700 Deep Hole Drive, Mattituck, New York 11952, as Trustee of The Fabry Family Irrevocable Trust, dated 7/30/15, party of the second part, WITNESSETH, that the party of the first part, in consideration of ten dollars and no/100 ($10.00), lawful money of the United States, to them paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs, successors or assigns of the party of the second part forever, ALL that certain lot, piece or parcel of land together with the buildings and improvements located and to be erected thereon, situate, lying and being at Mattituck, in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot No. 5 as shown on a certain map entitled, "Map of Deephole Creek Estates", filed in the Suffolk County Clerk's Office on January 28, 1965 as Map No. 4256. SUBJECT TO covenants and restrictions contained in declaration of protective covenants recorded in the Suffolk County Clerk's Office on January 20, 1966 in Liber 5897 at Page 500. BEING the same premises conveyed by Frank S. Zaleski, Grantor, to John T. Fabry and Lorraine A. Fabry, Grantee, by Deed dated February 15, 1967 and recorded in the Suffolk County Clerk's Office on March 20, 1967 in Liber 6128 of Deeds at page 257. SUBJECT to covenants, conditions, restrictions and rights of way of record, if any. 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. Etungcr Law Firm•R00-500.2525•tntsilaw.com Albany•Bohemia•Brooklyn•Fishkill•Lake Success•Manhattan•Melville•Middletown•Nyack•Rhinebeck•Saratoga•Southampton•Staten Island•White Plains • • 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. J sz T. Fabry d -1?2Lorraine A. Fabry Ettinger Law Firm•800-500-2525•trustlaw.com Albany•Bohemia•Brooklyn•Fishkill•Lake Success•Manhattan•Melville•Middletown•Nyack•Rhinebeck•Saratoga•Southampton•Staten Island•White Plains STATE OF NEW YORK ) ) ss: COUNTY OF SUFFOLK ) On the 30th day of July, 2015, before me, the undersigned, personally appeared John T. Fabry and Lorraine A. Fabry, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacities, and that by their signatures on the instrument, the individuals, or the person upon behalf of which the individuals acted, executed the instrument. N I .6'!r'ublic SUZANNE A MANASERI Notary Public,State of New York No 02MA6311347 Qualified in Suffolk County Commission Expires September 15,2018 Record and return by mad to: John T. and Lorraine A. Fabry 3700 Deep Hole Drive Mattituck, New York 11952 • Ettinger Law Firm•800-500-2525•trustlaw.com Albany•Bohemia•Brooklyn•Fishkill•Luke Success•Manhattan•Melville•Middletown•Nyack•Rhinebeck•Saratoga•Southampton•Staten Island•White Plains • INSTRUCTIONS(RP-5217-PDF-INS):www.orps.atate.ny.us FOR COUNTY USE ONLYNew York State Department of Cl.svVls coda 1 I I i h . Taxation and Finance C2.Data Dead Recorded } II /64 / 20157 Office of Real Property Tax Services -] a DA Y_ RP-5217-PDF CS.Book 1 i d-r it r 3 i i c4•Pogo [ r ,Lt r STT'I Real Property Transfer Report(MO) PROPERTY INFORMATION I 1.Property 1730 Theresa Drive Location •STREET AMER 'STREET NAME Southold 11952 •CITY OR TOWN IMAGE •zP CCOE 2•Buyer Fabry, as Trustee Stacey A. Nemo •LAST NAMACOEPNAY FIRST Not LAST NAeeIODMPNN FAar RIME a Tax John wham NAM TAX ems era to be ase Fabry John. T T. Blinn° if other than buyer eddress(st bottom d form) I ART NARTJCOIPANY FIRST NAVE AMMO 3700 Deep Hole Drive Mattituck NY :1952 erRLLT WATER ANONNEI CIIYOR TOWN STATE DO COOS 4.Indicate the number of Assessment 1 e d Palter OR o Pan of a Prod (Only II Pat of a Parcel)Check as they apply: Rail parcels transferred on the deed 48.Planning Board with Subdivider Authority Exists 0 8.Deed X OR 0.59 48.Subdivision Approval was Required for Transfer ❑ Properly •FROST RCT •DONN 'ACRES She 4C.Parcel Approved for Subdivision with Map Prodded ❑ Fabry John T. a.Salter •Ley NNC.ICOPANY FIRST NOTE Name Fabry Lorraine A. LAST NWeCO.PNn FIRST NAME °T.Semmes description which most accurately describes the Check the boxes below as they apply: use of the properly alter time of sale: 8.Ownership Type is Condominium 0 A.One Family Residential s.New Construction on a Vacant Land ❑ 10A.Property Located within an Agricultural District 0 108.Buyer received a disclosure notice indicating that the properly lain en ❑ Agricultural District 1 SALE INFORMATION' 18.Check one or more of these conditions as applicable to transfer: 2 A.Sale Between Relatives or Former Relatives 11.SW Contract Date _ B SW between Related Companies or Partners in Business _ C.One of the Buyers Is dao a Seller °12.DW of SAWTncefar 07/30/2015D.Buyer or Seller is Government Agency or Lending Institution E.Deed Type not Werra*or Bargain and Sale(Speak Below) — F.Sale of Fractional or Lan than Fee Interest(Speey Below) 13.Full Sale Price 0.00G.Significant Change in Properly Between Taxable Status and See Dates — H.Sale of Business is Included in Sala Price (Full SW Pnce is the total amount paid for the property including personal prapeny. I.Other Unusual FelonAfecdng Sale Price(SpecifyBelow) TNe payment may be in the form of rash,ether properly or goads,or the assumption of — .1None rnatge0es or other obligations.)Please rand to ter nearest wrote dollar amount Camnrdp)on Condkmon: 14.Indlcat.the value at personal 0.00 property IncludedlntesaleTransfer of real property into trust IASSESSMENT INFORMATION-Data should retied the latest Final Assessment Roll and Tax Bill I is.Year of Asawment Roll from which Infatuation Yken(YY) 15 17.Total Assessed Value 3,800 °1R Properly Class 210 _ •18Nye*•School Dlstriet NoMatti tuck °20.Tax Map NarttlSer(sNdoll Identlfier(s)(If more than four,attach sheet with additional Idendfledel) 115.-14-4 'CERTIFICATION" I Certify that all of die Items of Information entered on this form ere Sae and correct(to the best of my knowledge and belief)and I understand that the making of any willful false statement of motorist fact herein subject mem thej gylslons Oithe-0ene1 law relative to the making and filing of false Inetnementa. SE BUYER CONTACT INEORMATION {Enter iNAmasen for eco burr.Note:If buyer is LLeo C. osywiR .aaRn,eorprmampa eben.pka mock ny,estate r /' 9 rimy ma r TM AS MIRI um amens eaaAary,lens Ogee and OMNIoemarw A M an nAemerreeperrable �� '7- act-1 j ' pAry MOM sewer questions minim the brWarmust M entered Tpae or print dully( - 3's'mvum001S Fabry, as TrusteeStacey A. • 1._ • ATE NAST NAPE FAST NNrt r (631) 298-5627 0't JAMU eon ^ramxarwenati:warwr muumuu*. GATE 3700 Deep Hole Drive •STr-ET AJMEER •STREET NAME I' °+ 111 �t�l,f l r'y + I 'II� Mattituck NY 11952} •unaeTaww 7TATE zrCOa � r '�II,�� li 4 ��1�� Iwh � 4��41a � �r I� I��a 'i I SUYER$.�1TTORNEY �l ''ri'U!' f'� �.1 ,1•i�i Il 11 Irt1 � 11.1 ,. I� I{ 8' 1 r . I, I I 4 ��I�r,� 14i,��11I.','��V11'i )��'il�'I'r�i �"�'1 LASINAYE OMPWAC�, h 5l'' r.f' , 'ti1i1} �` 1 �I. 1',1k!11 i� 1td�, •�S r,l,i ,y1.1 It r,i1,1+ 41'��1/. (800) 500-2525 /1 �(1r1144 yl'S 1f� 1 lj ,Itl�l I 1`y 1`1�f f1.1t I{ AR FYNEE rrLoFlrora rota Sly,arMnrh • �', +} J rl }l'1,',11 ,,1 i,i�'+ ,iii.6Sil;