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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED WITH LIFE ESTATE Recorded: 02/23/2016
Number of Pages : 3 At: 03 : 47 : 00 PM
Receipt Number : 16-0026817
TRANSFER TAX NUMBER: 15-20582 LIBER: 000012853
PAGE: 682
District: Section: Block: Lot:
1000 138 .00 02.00 005 . 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 $400.00 NO
Transfer tax $0 . 00 NO Comm.Pres $0.00 NO
Fees Paid $590.00
TRANSFER TAX NUMBER: 15-20582
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1. 2
• RECORDED
h 2016 Feb 23 03:47:00 P11
Number of pages '�!� JUDITH G. PASCALE
CLERK OF
SUFFOLK COUNT'
This document will be public L 000012853
P68'2
record. Please remove all OT# 15-20582
Social Security Numbers
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 I FEES
• _ Mortgage Amt.
Page/Filing Fee (j�-
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 5_ SubTotal
Notation Spec./Assit.
or
EA-52 17(County) Sub Total 5 Spec./Add.
tate) /„26 f TOT.MTG.TAX
hh Dual Town Dual County
l/(� �� • Held forAppointment
Comm.of Ed. 5. 00 u
_tqp Transfer Tax
r �irAi1, ` Mansion Tax
Affidavit �• r
Certified Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 5 45- family dwelling only.
Sub Total YES or NO
Other
Grand Total J 0 If NO, see appropriate tax clause on
page# of this instrument.
-4]Dist.100( 16003806 A+4- J ti 4 &I 5 Community Preservation Fund
Real Property F, T ss\ Consideration Amount$ 4=6;1--
Tax
t9
TAnService VIT a III 111101 IIIII IIII 101101 ILII III CPF Tax Due $
Verification 08�E�
Improved 5
Satisfactions/Discharges/Releases List Propperty Owners Mailing Address
& RECORD&RETURN TO: Vacant Land
Rudolph H. Bruer, Esq. I
PO Box 1466 TD l
• Southold, New York 11971
TD
TD
Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information
7
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 Bargain and Sale Deed w/Life Estate made
by: (SPECIFY TYPE OF INSTRUMENT)
Richard R. DeMott The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
In the VILLAGE
Patricia D. Dussault or HAMLET of Cutchogue
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
pTS
Doc ID: 16003806 IP VIT A
\Q8-FEB-16
Tax Maps
District Secton Block Lot School District Sub Division Name
1000 13800 0200 005000
1000 13800 0200 014000 MATTITUCK-CUTCHOGUE
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BARGAIN AND SALE DEED WITH COVENANT AGAINST
GRANTOR'S ACTS(INDIVIDUAL OR CORPORATION)
FORM 8007
CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR
SELLER AND PURCHASER BEFORE SIGNING.
THIS INDENTURE,made the 11'" day of January,2016 between
RICHARD R.DeMOTT,as surviving tenant by the entirety, residing at 5275 Skunk Lane,
Cutchogue,NY 11935,
party of the first part,
and
PATRICIA D.DUSSAULT,residing at 42 Adams Street East,East Islip,NY 11730
party of the second part,
WITNESSETH,that the party of the first part,in consideration of TEN DOLLARS($10.00),
lawful money of the United States,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,in the Town of Southold,County of Suffolk and
State of New York,known and designated as Lot#107 on a certain map entitled,"Map of Nassau
Farms,situate at Peconic,Suffolk County,New York,Otto W.Van Tuyl,Licensed Surveyor,
Greenport,New York,"filed in the Suffolk County Clerk's Office as and by the Map No. 1179,
being bounded and described as follows:
BEGINNING at a point on the easterly side of Bay Avenue,the following two courses and
distances from the corner formed by the intersection of the easterly side of Bay Avenue and the
southerly side of Pine Tree Road: South 6 degrees 30 minutes 10 seconds West 251.78 feet and
South 5 degrees 59 minutes 50 seconds East 9822 feet and from said point or place of
BEGINNING:
RUNNING THENCE North 82 degrees 00 minutes 10 seconds East 250 feet to a point;
RUNNING THENCE South 5 degrees 59 minutes 50 seconds East 70 feet to a point;
RUNNING THENCE South 82 degrees 00 minutes 10 seconds West 250 feet to the easterly side
of Bay Avenue;
RUNNING THENCE along said easterly side of Bay Avenue North 5 degrees 59 minutes 50
seconds West 70 feet to the point or place of BEGINNING.
TOGETHER WITH all the right,title and interest of the Party of the First Part of,in and to
waters and land under the waters of Baldwin Creek lying in front of and adjoining the above
described property and together with all the land lying between Bay Avenue and Baldwin's
Creek.
SUBJECT TO a life estate hereby reserved by the grantor RICHARD R.DeMOTT for his
life use and occupancy.
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.
/ h `Zie—
R CHARD R.DeMOTT
STATE OF NEW YORK
:ss.
COUNTY OF SUFFOLK .
On the 111h day of January,2016 before me,the undersigned,a Notary Public in and for
said State,personally appeared Richard R.DeMott,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.
a �
NOTAR PUBLIC
�tz!Iq�T1+�►�taNkE' ,
Nol,sry PGbfie.9tata pt NS YO*
No.105�EBdJL' .
Qualified in'Si1t1011L CO n5Y' 0 F-1
dolnmisilpfi gxp ,Niru io!t 30, ei
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY New York State Department of
, Cl:scats Code 1 4,i c) g $19 Taxation and Finance
C2.Date Deed Recorded 1 2./23/ !(p Office of Real Property Tax Services
Q """ a., vv. Q RP-5217-PDF
2
CS.Book I 1 1 I(�5 3 !cc PaBo 1 , 14201,4▪ 1- Real Property Transfer Report(8110)
PROPERTY INFORMATION I
1.Proverb 2575 Skunk Lane
Location
•STREET WM,ER •SIRE[r 144110
Cutchogue • 11935
•Cm ORTOIRO VLJGE •rP COOS
2.Buyer Duseault Patricia D.
Name
•LASTNAMEICOWANf FRsT IMI*
WT 11NE1CArrPANv FPS!NAME
3.Tax
Indicate where future Tax Bins are to be sent
Bluing if other then buyer addros at bottom of
Address Ya W form) wT NA1Ee'AYeANr nor NNE
MEET IBWRES ANDNAIE CITYOR TOM W CODE
4 Roll ateparthe number of
transferred AssesemeM
n the rind 2 a t Permits OR ❑Pad t a Parcel• (Only If Panel a Parcel)Clack es they apply:
4A.Planning Board with Subdivision Authority Bidets 0
6'Deed X OR 0.40 & .04 4B.Subdndon Approval was Required for Transfer
• Properly 'FRONT FELT •DEPTH 'PLASS
• Sues 4C.Parcel Approved for Subdivision with Map Provided 0
DeMott Richard
I.Seller •WIT NU[ICCYPMIY F1451 NAME
Name
WT NIO1LCOMPAPH FNar NAME
•T.Select the description which most accuratelydescribes the Check the boxes below as they apply:
u se of the property at the time of sale: IL Ownership Type is Condominium ❑
A.One Family Residential 6.Now Construction on a Vacant Land ❑
10A.Property Located within on Agricultural Distrid ❑
10B.Buyer received a dxdosure nine indicating that the property 1s man
Agricultural Dialed ❑
ISALE INFORMATION, 16.Chock one or more of these conditions as applicable to transfer.
X A.Sale Between Relatives of Former Relatives
11.Sole Contract Dab n/a _ a Sale between Related Companies or Perarers in Business.
_ C.One of the Buyers is also a Seller
• 01/11/2016 _D.Buyer or Seller is Government Agency m Lending Inethubon
1 L Ditto of SaleR}aeslor _E.Deed Type not Warranty or Bargain end Sale(Spady Below)
F.Sale at Fradronal or Less than Fee Interest(Specify Below)
13.Full Sale Price 0.00 _ G.Significant Change in Properly Between Taxable Status and Sale Dates
(Full Sale Price lathe total amount paid for the property Including personal property. _ H.Sale Business is Included in Sale Price
This _ I.Otherr Unusual Faders Affecting Sale Prion(Specify Below)
payment may lathe farm of cash,other properly or goods.or the assumption t J.Np11e
mortgages or other obligations.)Please round to the nearest whole dollar amount.
Comment(s)on Condition: / ...
14.property
the valued Is personal 0I `71 `�
Inehndad In the sale 0.00 `-y-•v1U C
I ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tat Bill I
16.Year of Assessment Roll from which Information taken(YY) 15 17.Total Assessed Value 6,200
•18.Property Class 210 & 323 _ 9e.School District Namo Mattituck Cutchogue
•20.Tax Map Ide tlflets)Roll Identlfier(s)(If more than four•attach sheet with additional identiller(s))
1000-138.00-02.00-005.00 1000-138.00-02.00-014.00
I CERTIFICATION I
I Certify that all of the toms of Intonation entered on this term are true and correct(to the best of my knowledge and baton)and I understand that the making of any willful
false statement of material fact heroin subject mo to the_gpayielens_ofthesenallayfuelitive to the making and filing Ohio Instruments.
SELLER SIGNATURE BUYER CONTACT INFORMATION
(Emir Iniermaton for Pr buyer Nola If buyer is LLC•adety,eseop.dee.eppweaan•jail stook company.Wale or
/2 �a � }�.•�+ sniffy PM is net c
t sn individual pent orrrawy,own a name and apaect clam moon of n inersoWgsponW*
/ , -�e(n/✓ , ,,_•, po y ens on Anwar q.gsbma roeamiq lip Vander mal be entered Type w prim eleerly.)
S ELLER InGN1ilFlE .,,EER al DPI
Dassault Patricia D.
HUYER SIGNATURE
•W,NAME Fell NAME
��� 4S J���� ( �/ (631) 235-0838
//(JiuJ�l. . i.I{�'�J.(/�I '�1-Ya •SPEACWE •r uEw,oNE ruMtelr lEr NUM)
murk enMITi ger vend
42 Adam Street East
•sTRCCT NUMBER •sTPEET NAME
1
1 1
i I(1, 1IM I '
11 tlk(
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'CITY errl0RN
Bruer
raAME -
Rudolph
(631) 76s-lBSAIIQtdEY
NY
22 11730
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