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Home My WebLink AboutL 12858 P 545SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 03/30/2016 Number of Pages: 4 At: 10:53:16 AM Receipt Number : 16-0048210 TRANSFER TAX NUMBER: 15-24259 LIBER: D00012858 PAGE: 545 District: Section: Block: Lot: 1000 108.00 04.00 011.003 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument JUDITH A. PASCALE County Clerk, Suffolk County 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 $250.00 NO TP -584 $5.00 NO Notation $0.00 NO Cert.Copies $5.00 NO RPT $200.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $525.00 TRANSFER TAX NUMBER: 15-24259 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County C Number of pages I This document will be public record. Please remove all Social Security Numbers prior to recording. Deed / Mortgage Instrument 3 RECORDED 2016 filar 30 10:5::16 PM JUDITH A, PASCALE CLERK OF SUFFOLK. COUNT' L D00012256 P 545 DT# 15-24259 Deed / Mortgage Tax Stamp I Recording / Filing Stamps FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax 7P18j� Sub Total Spec./Assit. Notation or O �— EA -52 17 (County) Sub Total Spec. /Add. TOT. MTG. TAX EA -5217 (State) �,�p-�r�-� R.P.T.S.A. v Dual Town Dual County _ Held for Appointment Coni �b� Comm. of Ed. 5. 00 a w Transfer Tax Mansion Tax Affidavit �-- `� 5— The property covered by this mortgage is Certified Cop or will be improved by a one or two NYS Surcharge 15. 00' („(/� � family dwelling only. Sub Total YES or NO Other S� Grand Total If N0, see appropriate tax clause on page # of th''s ioon�strumen//t. / o[ S N. 4 Dist. 1.003 5 Community Preservation Fund 16009352 1000 10900 0400 011003 Real Prop( T T , 1 Consideration Amount $ Agency 1�W1 CPF Tax Due Verificatic 31)aVIAR Improved Satisfaction0ischarges/Re leases List Property Owners Mailing Address 6 1 CoyYl RECORD & RETURN TO: ` % Vacant Land la TO _ William H. Price, Jr., Esq. TO P.O. Box 149 �k Greenport, New York 11944 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information Co. Name 310 Center Drive, Riverhead, NY 11901 www.suffolkcountyny.gov/clerk Title # 8 Suffolk County Recording & Endorsement Page This page forms part of the attached by: Trustee's Deed (SPECIFY TYPE OF INSTRUMENT) Jane B Goeller. Trustee of the Goeller Family The premises herein is situated in Survivor's Trust u/a dated April 5 2010 SUFFOLK COUNTY, NEW YORK. TO in the TOWN of Southold GOBIL LLC In the VILLAGE made or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over Truslce's Deed CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT --THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. Ih THIS INDENTURE, made the day of March, Two Thousand Sixteen BETWEEN JANE B. GOELLER, Trustee of the Goeller Family Survivor's Trust u/a dated April 5, 2010, residing at 349 Ridgecrest Drive, Santa Barbara, California 93108 party of the first part, and GOBIL LLC, whose address is 6915 S.E. Harbor Circle, Stuart, Florida 34966, 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 its right title and interest being twenty-five (25%) percent of the entire fee, All that certain plot, piece or parcel of land, situate, lying and being at Mattituck, in the Town of Southold, County of Suffolk and State of New York, as shown on Lot #2 on "Map of William J. Baxter, Jr., Patricia Baxter, Robert A. Goeller, Jr. and Jane P. Goeller," filed in the Office of the Clerk of the County of Suffolk on May 15, 1990 as Map No. 8937 BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated August 25, 2010, and recorded September 24, 2010 in the Office of the Suffolk County Clerk in Liber 12638, Page 429. 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: - La!2t=f.= g, -Zvz�=e�- - J E B. GOELLER, TRUSTEE STATE OF CALIFORNIA) ss.: COUNTY of SonaT�q O -Ca A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which ttruthfulness, accuarcy.ordvalidityot of that document +A, On the ).'S day of March, 2016, before me, the undersigned, personally appeared Jane B. Goeller, personally known to me or proved to me on the basis of satisfactory evidence to be the individualKwhose nameKis (wejsubscribed to the within instrument and acknowledged to me that jWsheloey executed the same in -his/her/their capacity4es�, and that by bis/her/thoir signature(ky on the instrument, the individualK,, or the person upon behalf of which the individualf,s,' acted, executed the instrument, and that said individual made such appearance before the undersigned in the City of Santa Barbara, State of California. LAURA ELIZABETH ` J Commlcommission# !11125211252 S% Notary Public - Glownia z Santa Barbara County Notary Public My Comm. Ex ires May 12, 2019 IR COUNTY USE ONLY C1. SV*i Code C2. Date Dead Recorded C3. Book PROPERTY INFORMATION INSTRUCTIONS(RP-5217-PDF-INS): www.txps.state.rty.us 14 ,( F) ie) I Now York State Department of Taxation and Finance 430 / 10_J Office of Real Property Tax Services dr Tw. RP- 5217 -PDF -' C4. Page tE�'•'I Real Property Transfer Report (8110) 1' P -POM Location 415 Eli j ah r s Lane FmeTnAea Trust xi/.a-dated April 5, 2010 • 9:REE: M.MSE; ' emEET NAYE WI awEACCUPANY Southold Mattituck 11952 Check the boxes below as they apply: ' cT' sir -CAN VarAEE 'acoDE 2. Buyer Name GOBIL LLC 10A. Property Located within an Agricultural District ❑ • LASTNIWF/DOYPANT FlRST NAIL LAST NA E:ICOM.I«r Form NAME 3. Tax Induce where future Tom Bias aro to be sant Bating Address if other than buyer addreoa(id bottom d lam) LAST NAMEnDew•AN. -NOT NAME SMM MO RA/D NAME Cryon TOM rTAE MP CODE 4. Indicate the number of Assessment1 Pan d a Pan* (Only ti Put of a Parcel) Check as they apply: Roil parols trarmfoned an the dead e d Parcels OR 4A. Planning Board with Subdivision Authority Exists a. Dad X OR 1.85 4B. Subdivision Approval was Required for Transfer Property •FaONr FEET •DE'TN 'ACRES She 4C. POMMAppmved for Subdivision with Map Provided Goeller Jane B., as Trustee, Goeller Family Survivor's e.BoilerName IASrNAMfCOY"""" FmeTnAea Trust xi/.a-dated April 5, 2010 WI awEACCUPANY FamTNAME •7. Select the description which most accurately describes the Check the boxes below as they apply: use of the property at dw time of saw. L Ownership Type is Condominium ❑ F. Comnter tial a. New Construction on a Vasa Land ❑ 10A. Property Located within an Agricultural District ❑ 108. Buyer received a disclosure cattalos indicating that here property is In an ❑ Agricultural District SALE INFORMATION 15. Check one or mora of these conditions tie applicable to transfer. A. Side Between RNetives or Former Rsktives 1 L Sak coidrect oats NIA B. Sale between Related Companies or Partes in Business. C. One at the Buyers is 8160 a Seller D. Buyer or Seller is Government Agency or Lading Instilial n '111 Dela of SaleRnurofer E. Deed Type not Warmly, or Bargain and Side (Specify Belfry) F. Sale of FracioM or Less then Fee Interest (Specify Below) •13. Full Sale Price 0.00. G. Sigdficem Change In property Between Taxable Status and Sale Dates H. Sale of Business a Included In Sete Price ( Full Sale Prim is the ldid amount paid for the property including personal property. t. Other Unusual Factors Aflectitg Sale Price (Speoy Below) This payment may be in the form of cash. other property or goods, or aro assumption of J. None mortgages or other obligations.) Ream round to the neamat whale dollar ammmt. Cemmemts) on Contlltion: 74. Indicate the value of personal property included In the sok 0 •00 ASSESSMENT INFORMATION - Data should refled the latest Final Assessment Rall and Tax Bill IS. Year of Assoosm tt Rall hem which Infamatlon tMmIYYI 15 •17. Total Assessed Value 8,400 •1e.Property Close 440 _ _ •12.School District Name Mattituck-Cutchogue •20. Tax Map Idmdfle4s)fRoll Iden renin) IN mon than four, allach sheat with additional memifiega)) 1000-108.00-04.00-011.003 CERTIFICATION 1 Certify titat all of tlro Qems of information entered on this tam aretme and correct (to the best of my knowledge and bell@4 and 1 understand tltet the making of any willful false statement of makrial het heroin subject me to Mo_pMylelgfla.ef Ma canal kw rekdm to the making and filing of take Instruments. SELLER SIGNATURE BUYER CONTACT INFORMATION — - (ESNir MWMI an for do buyer. Non. x burer is LLC.od*. aauorlaaon. conpoishon. pica std cenpmy. wart or nn / ark, Nm Is not an i aivtcom agora a ad mur. awn a name and contact Ydwmmwn of an ■Idwieuaftepcoeble yacirA•. /�A�l.. r�u..�' 3/ 2a �/i para'.mvti,.a..Lau.adMarwerArwmkw,swmwle..mr.d.lva.«wrRwemJ Sm Tendo Trustee 12aneGOBIL LLC BUYER 316NAT.URE / • Wi riAle: Falai NAME \2h (772) 285-0877 3 (., , 'AREACObE •. WHar ONENUMBERIF. wRst William, .LBaxter, Jr., ManagingEMember 16915 Harbor Circle .SIRMET NwEaA-9IREhr NAME Stuart Price BUYER'S ATTORNEY William H. FAS- NAML FL 34966 'STATE •LP CODE (631) 477-1016 AnsACOof TDFANCTE NUM= M.: rerNM