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L 12850 P 873
• Immmmmmmmommmmimmmmmomm 111111111111111111111111111111111111111111 VIII 11111111 1111111 II11111111 flU 1111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 02/01/2016 Number of Pages : 4 At: 02:19:10 PM Receipt Number : 16-0015237 TRANSFER TAX NUMBER: 15-18448 LIBER: D00012850 PAGE : 873 District: Section: Block: Lot: 1000 067 . 00 06 .00 013 .001 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 $200 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $0 .00 NO Fees Paid $395 .00 TRANSFER TAX NUMBER: 15-18448 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County I 7 az Number of pages L(' RECORDED 8 2016 Feb 01 02:19:10 F11 JUDITH 0. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L 000012850 Social Security Numbers P 8?3 prior to recording. DT# 15-18448 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee P-D l ° /"ortgage Amt. �-' I. Basic Tax Handling 20. 00 2. Additional Tax TP-584 5 Sub Total Spec./Assit. Notation EA-52 17(County) 5 Sub Total 50 - orSpec./Add. EA-5217(State) I'f TOT.MTG.TAX R.P.T.S.A. A00 .��it Dual Town Dual County b� g® i��J- Held for Appointment Comm.of Ed. 5. 00 ,'i,g t Transfer Tax SCJ _IPS: ,, 4:47F ' Mansion Tax Affidavit �.." — The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 altt,J- family dwelling only. Sub Total YES or NO Other 2C� £ Grand Total d-1.- 0 If NO,see appropriate tax clause on page# of this instrument. I I 4 Dist. 16002305 5 Community Preservation Fund 1000 06700 0600 013001 Q-00 Real Property p T II11I111111 111II11I1111111111 1111`1111f111111111 Consideration Amount Tax Service R SMI A IIIIIIIIIII1IIIIIIIIIIIIIIIi1111IJI1I1111IIIIIIIII CPF ax Due $ 0.00 Agency 26-JAN-16 Verification — Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land CONNORS AND SULLIVAN TD ATTORNEYS-AT-LAW,PLLC 7408 Fifth Avenue-Suite 2 TD Brooklyn,New York 11209 (718)238-6500 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 This page forms part of the attached LIFE ESTATE DEED made by: (SPECIFY TYPE OF INSTRUMENT) JAMES J. 0'MALLEY and The premises herein is situated in MAURA 0'MALLEY SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD BRETT IAN O'MALLEY and In the VILLAGE PECONIC ANNE M.O'MALLEY, as TRUSTEES or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12.010<..[0/Oakk (over) QUITCLAIM DEED • CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 267 day of 1� ,Two Thousand Fifteen BETWEEN •� JAMES J.O'MALLEY and MAURA O'MALLEY,his wife,both residing at 2545 Mill Lane,Peconic,New York 11958;party of the first part,and • BRETT IAN O'MALLEY,residing at 1917 Poplar Street,Philadelphia,Pennsylvania 19130, and ANNE M. O'MALLEY, residing at 53 Prospect Street, Stamford, Connecticut 06901, as Trustees of the"James J.and Maura T.O'Malley 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 at Peconic, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the westerly side of Mill Road,where the same intersects the southerly side of Lot#7,as shown on a certain map entitled"Property of Blanche T. Dickinson-filed June 6, 1929 as Map#660;THENCE RUNNING westerly along the southerly side of said Logi 7,200 feet to land now or formerly of Purcell;THENCE RUNNING southerly along land of Purcell,75 feet to the north side of Miami Avenue;THENCE RUNNING 200 feet easterly along the northerly side of Miami Avenue,to the westerly side of Mill Road;THENCE RUNNING northerly along the westerly side of Mill Road,75 feet to the point or place of BEGINNING. SAID PREMISES being known as 2545 Mill Lane,Peconic,New York. THE PARTY OF THE FIRST PART named herein are the sole lifetime be ficiaries of the Party of the Second Part,the"James J.and Maura T.O'Malley Trust"dated ,2015, during the lifetimes of the Party of the First Part and are entitled to all available 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. IN PRESENCE OF: WITNESS J ES J.O MALLEY ( &04/tyv0 r MAURA O'MALLE BREEjTT-- IA,NaiO''yMAL Y ANNE M.O'MALLE Standard N.Y.B.T.U.form 8004—Quitclaim Deed—Uniform Acknowledgment(single sheet) Form 2216 State of New York,County of Kings ss: State of New York,County of _ ss: On the -pL./day of in the year 2015 On the_day of in the year 2015 before me,the undersigned,perso ally appeared before me,the undersigned,personally appeared JAMES J.O'MALLEY and MAURA O'MALLEY 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 individuals whose names are satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me subscribed to the within instrument and acknowledged to me that they executed the same in their capacities,and that by that he executed the same in his capacity, and that by his their signatures on the instrument, the individuals, or the signature on the instrument,the individual,orthe person upon person upon behalf of which the individuals acted,executed behalf of which the individual acted,executed the instrument. the instrument. — r (signature and office of indiv• ual taking acknowledgment) (signature and office of individual taking acknowledgment PAULINA GOZDOWSKA NOTARY PUBLIC,State of New York No.01G06279667 QualittedCommission in ExKin9es17 51 P 417 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS 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 tome or proved tome 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) • • • (signature and office of individual taking acknowledgment) QUITCLAIM DEED SECTION 67. BLOCK 6 Title No. LOT 13.1 JAMES J.O'MALLEY and COUNTY OR TOWN Suffolk MAURA O'MALLEY STREET ADDRESS 2545 Mill Lane TO Peconic,New York BRETT IAN O'MALLEY and ANNE M.O'MALLEY,as Trustees Recorded at Request of . • COMMONWEALTH LAND TITLE INSURANCE COMPANY RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by Connors and Sullivan Attorneys-at-Law,PLLC VINTAGE ABSTRACT CORP. 7408 Fifth Avenue-Suite 2 2124 FLATBUSH AVENUE BROOKLYN,NY 11234 Brooklyn,New York 1 1209 718-377-0200 Tel:(718)238-6500 1 W U LL LL • 0 O U • W W UI O LL W u a co2 W 2 W N W M • STATE OF NEW ) :ss. COUNTY OF On the 2Yday of 1w �r'"� ,in the year 2015,before me,the undersigned,personally appeared BRETT IAN O'MALLEY 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 instrum-nt. �a ► STAR' COM OWEALTH OF- SYLVANIA - NOTARiAL S COMMONWEALTH OF PENNSYLVANIA RICHARDBAY� NotaryPubi� Citfyy of Philadelphia,Phila.Coun. ty �` :s M NCorrmissio�Expires May 72017 COUNTY OF IYW/I ) On the 2� day of 0-31C'' .3t.1, in the year 2015,before me,the undersigned,personally appeared BRETT IAN O'MALLEY 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,executgd`the instrument,cand that such i dividual made such appearance before the undersigned in the M �a L in the Commonwealth of Pennsylvania. (insert the City or other solitical su vision) 411.111r1::: (signa re and of ice of indivfual taking acknowledgment) CO niNecrictir COMMONWEALTH OF PENNSYLVANIA STATE OF NEW YORK J e NOTARIAL SEAL• :ss. SY71 MFp2� RICHARD SAYE.Notery Public City of Philadelphia,Phi€a.County COUNTY OF I'll-Ikr-[61,D ) M Commission Expires Ma 7,2017 • On the .23 day of ©CrO& '?_ , in the year 2015,before me,the undersigned,personally appeared ANNE M. O'MALLEY 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 she executed the same in her capacity,and that by her signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument. JONATHAN J PE20 (fr , Notary Public _ Connecticut N ARY '�/BLIC L mmission Expires Oct 31,2019 STATE OF CONNECTICUT :ss. 5?-�-4 r-c€D COUNTY OF F-14/ .F-SC-15) ) • _ . On the -?'J- day of d C-M6 Com- _, in the year 2015, before me,the undersigned,personally appeared ANNE 1:O'MALLEY persoually 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 her capacity,and that by her signature on the instrument, the individual,or the person upon behalf of which the individual acted,executed the instrument,and that such individual made such appearance before the undersigned in the c>'"Y O'` s rwJ '-e A in the State of Connecticut. (insert the City or other political subdivision) JONATHAN J PEZO Notary Public (signature and offic f indi t..al taking acknowledgment) Connecticut / - My Commission Expires Oct 31,2019 INSTRUCTIONS(RP-5217•PDF-INS):www.orps.state.ny.us • • FtiR COUKTY USE ONLY New York State Department of Cl.SIMS Codo 1&i7j P $ ,5' 1 Taxation and Finance C2.Data Deed Recorded I 1/ //(moi I Office of Real Property Tax Services CARP-RP-5217-PDF C3.Book 1 AO?,5,L.. i0101.Page g,7151 I I Real Property Transfer Report(a10) PROPERTY INFORMATION I 1.Properly 2595 Mill Lane Location - - -SI.tEI RAM. •8'REF•MAP Peconic New York 11958 •CI I v OR MAN vaiAOr •ORu,.,• s.Buyer O'Malley Brett Ian, as Trustee Name •LAvr WYnCC4PMY IAST NAME O'Malley Anne M. , as Trustee IAS!yN•ERICIPANF F.RbT NAME 3BIIthp Indicate where future TaxBillearetobesem O'Malley James J. and Maura if other than buyer eddreulet bottom of form) ,u;yw„cow,W. FRET'ANC Address 2545 Mill Lane Peconic NY 11958 STREET MJYa°RArOr..YE Crinimowu S•ATC raw CORE 4.Indicate are number of Assessment 1PM of a Primal Pay If Pert of a Parcel)Check..they appy: Roll parcels transferred on the deed ._ a d Parnxds OR ❑ 4A.Planning Board with Subdivision Authority Funs ❑ 5.Deed X OR o.36 48.Subdivision Approval was Required ler Transfer El Progeny -FRONT FLET •OLn r• •ACRES Sao 4C.Parcel Approved for Subdivision with Map Provided ❑ O'Malley James J. 5.Seller ••u.SIItRAECC PANV FPS]NAME Nin O'Malley Maura LAST NAMumCOMFAFAST uFlE '7.Select the description which most accurately describesthe Chock the bozos below as they apply: use of the property at the time of sale: 8.Ownership Typo is Condominium ❑ A.Unca Family Residential • a.New Conuruaron one Vacant Land 0 10A.Pnlpeay Located within an Agncuburel Disvld ❑ 108.Buyer received a disclosure notice indicating that the property is In en ❑ Agri:inure]Dusted 'SALE INFORMATIONI 15.Check one or mom of these conditions a.applicable to transfer: g A.Sale Between Relatives or Former Relatives ++.safe Contract via 05/20/2015 _ B Sala between Related Campanian or Partners in Business. C Oneor the Buyers is also a Seder '12.Date of Sale/Transfer 0 5/2 0/2 015 _ D.Burner Seller is Government Agencyor Lending lnamutine --- _E Deed Type not Warranty or Bargain and Sale(Specify Below) _ F.Sale of Fractional or Less than Fee Interest(Specify Below) '13.Full Bale Price 0.00 _ G.Significant Change in Property Between Taxable Status and Sale Dates H.Sale d Business is Included in Sale Price (Fut/Sale Price is the teal amount paid for —the properly including personal properly. I.Other Unusual Factors Affecting Sae Price(Specify Below) This payment may be in the form of cash,other property or goods,or the assumption of — ,fele mortgages or other obligations.)Please round to the nearest whole dower amount. Comment(s)on Condition: +4.Indk■bthe value of personil0.00 LIFE ESTATE DEED . property included inthe balele ASSESSMENT INFORMATION-Data should rented the latest Final Assessment Roll and Tax Bill I 15.Year of Assessment Roll from which Information taken(TY) 15 '17.Total Assessed Value 6,700 •15.Property Class 210 — '19.School District Name Southold School '20.Tao Bap Ident erlePeoll Iderdlfer$)Of mom than four,attach sheet with additional Idemllfer(s)) /odd 67,-6-13.poi 1 CERTIFICATION I I Certify that all of the Items of Information entered on this lam are true and comet(to the best of my knowledge and hells!and I understand that the making of any willful fall ment of material fact herein subject me to t e.greelslene.0f the penal lawlelative to the making and filing of loin lnswmente• SELLER SIGNATURE BUYER CONIACTJNEORMAIlON d-ai(h/ IEixer eaamewn lar Pre curer Novi a buyer n LLC weary.anecdotal..Lorpe exec.Pm em4 camgnr,eeuM or array Suet is rot n aha Nuel sere a colaer r Pen■rwna era cdoa livormasan a a rev ccvmperMde wow'erotic Quenon.ma'am ere vender reel ere relayed Tea pale Cleary.) 0..C/0 OA JANgritrb'MALLEY a rF O'Malley Brett Ian, as Trustee BU7E1tSIG1iATURE _— •,Aer NNE FRU NWr: 908 442-1953 O rajT IAN ...ea.men •.LLL.,."•.L w.ML .C••70.%•: BRETO'MAL Y, as Tr id 1917 Poplar Street •Sink,lR.uu e '5lieti ru.. � �1 ( i, I I Philadelphia PA 19130 _ II'l� ll'I{��IIrll''��'I+���� �I I��I�� I'i�!) i f1. I+4II'll'll r' 'eR'•eR:OiY•! •e-ArF •ry CoaF .1,1;,,1c141111:11,1.1 HUYER'S ALCOSNEY 11�i+�1,II1111?1�1 1,,1c14I1I� �I 'i,II I �'1till l Yusim 611a kJI SI�`j 1`r1 1 -us,vert — Ili f I r (;1a) 238-5500• � �,1 I' I. ANLA Cera[ rEIFN.oNC N111W.e lra etraTlJ l�} 'II �� t