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L 12857 P 673
..................... lIlifil IV Hifi 1110 11111 lII HhI 1 1111111 11111 11111 liii IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 03/23/2016 Number of Pages : 4 At: 09:21 :34 AM Receipt Number : 16-0044045 TRANSFER TAX NUMBER: 15-23564 LIBER: D00012857 PAGE : 673 District: Section: Block: Lot: 1000 139. 00 03 .00 004 .001 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $297,500 .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 $5. 00 NO RPT $200 .00 NO Transfer tax $1,190. 00 NO Comm.Pres $2, 950 .00 NO Fees Paid $4,540 .00 TRANSFER TAX NUMBER: 15-23564 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ,rI 1 2 RECORDED • 2016 Mar 23 09:21:34 RN JUDITH P. PPSCPLE Number of pages CLERK OF SUFFOLK COUNTY TORRENS L D00012957 P 673 Serial# DTA 15-23564 Certificate# Prior Ctf.# Deed.Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. gi 5✓0 1.Basic Tax Handling 2.Additional Tax TP-584 5 Sub Total Spec./Assit. Notation / or EA-5217(County) 5 Sub Total Spec./Add. (QS- TOT.MTG.TAX EA-5217(State) Dual Town_ Dual County_ �'y J cYc„�ty= Held for Appointment R.P.T.S.A. aYi r/ y r;' �'a Transfer Tax I T Comm.of Ed. 5, 00 :VA, ;' • t VAMansion Tax df s rpi Affidavit ••$,, ,,„„.,,, ,,:. a The property covered by this motgage is �-- '�, ' or will be improved by a one or two eC rtified Copy family dwelling only. YES or NO Reg.Copy - Sub Total If NO,see appropriate tax clause on Other Grand Tota] �� page# of this instrument. ` a�� 3- - f6 4 I District 11 16008393 1000 13900 0300 004001 1©Ol 5 Community Preservation Fund Real R CWH MINEININS 7Ieration Amount $ �� Property �1 Tax Service 22-MAR-1 . ax Due / $ JV Agency — / Improved Verification Vacant Land J Satisfaction/Discharges/Release List Property Owners Mailing Address TD RECORD&RETURN TO: TD Eric J.McKenna,Esq. 320 Depot Lane TD Cutchogue,New York 11935 7. Title Company Information Co.Nameir4- ks 4--,0„c. -T--r< Title# .--e3 --S - iti iO3 8 Suffolk County Recording & Endorsement Page This page forms part of the attached BARGAIN AND SALE DEED made by: (SPECIFY TYPE OF INSTRUMENT) James Lessard and Corinne Garcia The premisis herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the Township of Southold Rebekah A.Lessard In the VILLAGE or HAMLET of Mattituck BOXES 6 THROUGH 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) 17-P3rs` iy03 • NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY t).‘•C A. THIS INDENTURE,made the day of March ,in the year 2016 y BETWEEN v‘, James Lessard,residing at Westphalia Avenue,Mattituck,New York 11952 and Corinne Garcia,residing at Bayer Road,Mattituck,New York,11952 •party of the first part,and :Rebekah A.Lessard,residing at 3000 Wickham Avenue,Mattituck,New York 11952 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 that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the at Mattituck,in the Town of Southold,County of Suffolk and State of New York,known and designated as Part of Lot Nos.15 and 16 as shown on a certain map entitled,"Amended Map of Mattituck Heights,Property of Gustav Bayer,at Mattituck,Suffolk County,New York" filed in the Office of the Clerk of the County of Suffolk on July 24,1935 as Map No.1184,said part of lots when taken together are more particularly bounded and described as follows: See schedule A,attached hereto and made a part hereof. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed from:Ruth Lessard dated 10/27/03 and recorded 12/26/03 in Liber 12291 at cp 995. TOGETHER with all right,title and interest,if any,of the party of the first part of,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 incumbered 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 an first above written. IN PRESENCE OF: JA E ' • r De C `NE GARCIA ( . - First American Title Insurance Company SCHEDULE A i DESCRIPTION OF PREMISES - i ifr/ Title No. 563-S-14203 Policy No. 5011436-0099016e ALL that certain plot piece or parcel of land, situate, lying and being at Mattituck, in the Town of Southold, Count of Suffolk and State of New York, known and designated as Part of Lot Nos. 15 and 16 as shown on a certain map entitled, "Amended Map of Mattituck Heights, Property of Gustav Bayer, at Mattituck, Suffolk County, New York", filed in the Office of the Clerk of the County of Suffolk on July 24, 1935 as Map No. 1184, said part of lots when taken together are more particularly bounded and described as follows: BEGINNING at the corner formed by the intersection of the easterly side of Middle Road with the southerly side of Grant Boulevard; • RUNNING THENCE along the southerly side of Grant Boulevard, south 58 degrees 55 minutes 30 seconds east, 125.00 feet; THENCE south 31 degrees 04 minutes 30 seconds west, 100.00 feet; THENCE north 58 degrees 55 minutes 30 seconds west, 125.00 feet to the easterly side of Middle Road; THENCE along the easterly side of Middle Road, north 31 degrees 04 minutes 30 seconds east, 100.00 feet to the southerly side of Grant Boulevard at the point or place of BEGINNING. i ,r ` by' i: •' fI. / i',/ i, ` f•` `5 / 1 .0' fV 4 ,# yr . a 1 f. -- • SCHEDULE A A.L.T.A 2006 OWNERS POLICY USE ACKNOWLEDGMENT FORM BELOW WITHIN EW ORK ATE ONLY: USE ACKNOWLEDGMENT FORM BELOW WITHIN NEW YORK STATE ONLY: State ofNewYork,County�tof �J D ,ss.: State of New York,Conty of Le.`f`� I }ss On the 0 day of 4r 4 in the year 2016 On the e day of M-6-1-4— in the year 2016 before me,the undersigned,personally appeared before me,the undersigned,personally appeared James Lessard Corinne Garcia personally known to me or proved to me on the basis of satisfactory personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are)subscribed to the evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed 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 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 signature(s)on the instrument,the individuat(s),or the person upon behalf of which the individual(s)acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument. Kenneth B.Zahler Kenneth B.Zahler Notary Public,New York Notary Public,New York Suffolk No.012A4517618 Suffolk No.01ZA4517618 Expires Feb.28,2059 • Expires Feb.28,2019 ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONLY: ACKNOWLEDGMENT FORM FOR USE OUTSIDE NEW YORK STATE ONLY: (New York Subscribing Winless Acknowledgment Certificate) (Out of State or Foreign General Acknowledgment Certificate) State of New York,County of }ss.: }ss.: (Complete Venue with State,Country,Province or Municipality) On the day of in the year before me,the undersigned,personally appeared On the day of in the year , before me,the undersigned,personally appeared the subscribing witness to the foregoing instrument,with whom I am personally acquainted,who,being by me duly sworn,did depose and personally known to me or proved to me on the basis of satisfactory say that he/she/they reside(s)in evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed (if the place of residence is in a city,include the street and street number, the same in his/her/their capacity(ies),that by his/her/their signature(s) if any,thereof);that he/she/they know(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 to be the individual described in and who executed the foregoing made such appearance before the undersigned in the instrument;that said subscribing witness was present and saw said execute the same;and that said witness at the same time subscribed (Insert the city or other political subdivision and the state or country or his/her/their name(s)as a witness thereto. other place the acknowledgment was taken). BARGAIN&SALE DEED WITH COVENANTS AGAIN tiT GRANTOR'S ACTS TITLE NO. 3 _.S—iv 1,0 3 DisTRict' 1000 sacrtoN 139.00 James Lessard BLOCK 03.00 Corinne Garcia LOT 004.001 COUNTY OR TOWN Southold TO Rebekah A.Lessard RECORDED AT REQUEST OF Fidelity National Title Insurance Company RETURN BY MAIL TO FIDELITY NATIONAL TITLE INSURANCE COMPANY Eric J.McKenna,Esq. ( a 3INCORPORATED1928 320 Depot Lane Fidelity' 9 / Cutchogue,New York 11935 Menlo,NIN'YIIk Srare LrnATirlr A.rrxinriar, , w C, LL LL 0 z 2 a ccO U u, cc LL O u, . co 7 Q O LL Co o 4 a. N (n S I— W CC W N Co cc INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us F COUNTY USE ONLY New York State Department of 6.swat Code 14 1 3I - S ,3 9 � Taxation and Finance C2.Date Deed Recorded 1 n 3 01....1 /20(6 1 Office of Real Property Tax Services f7^ yr. RP-5217-PDF c2.Book 1 I 1, -.1 r 5,- 1 I C4.Page I I ,( . ,,I 3 I Real Property Transfer Report(8)10) PROPERTY INFORMATIONI F 1.Pmpatty 3000 Wickham Avenue Location •SmEET wane •STREET RAID Southold Mattituck 11952 •CRY OR TODD rL er.. •zPCODE 2.Buyer Lessard Rebekah A. Name •LAST NOMNCOWPNx MST NAME LAST NICCOw'.m' Fw5IIMAIL -- 7.Tax Indiute where future Tex BIER are to be sem Billing If other than buyer addreu(a bottom of form) LAST wappADDipam FIRST KAYE Address STREET NUNN.Na NONE CITY Dm TOM. RATE TP=OE 4.Indicate the number of Assessment 1 a d Percds OR ❑Pad d a Patc l (OnlyN Part of a Parcel)Check as they apply: transferred percaletransferred on the deed 4A.Ranting Board with Subdivision Authority Exists ❑ 0.Deed X OR 0.29 48.Smxlivision Approval was Required for Trenoer ❑ Property •MON I FEST •DEPTH •ACRES She El46.Parcel Approved for Subdivision with Map Provided Lessard James S.Seller •LAST NMIEntOMPAW- Aril NAME Nem. Garcia Corinne LAST NAIEACOMPY FIRST HMVAN 1.Select the deecsption which most accurately describes the Cheek the boxes below n they apply: tee of the property at the rima of sale: e.Ownership Type is Condominium ❑ A.One Family Residential 9.New Canahuction on a Vacant Land ❑ 10A.Property Located wain en Agricultural Coble ❑ 10B.Buyer received a disclosure notice indicehng that the property Is in an ❑ Agricultural District (SALE INFORMATION! 1e.Check one or mare of these conditions as applicable to tenser. A Sale Between Relatives or Former Relatives 11.Selo Contract Date 01/11/2016 B.Sale between Related Companies or Partners in Business. C.One of the Buyers Is also a Seller • 03/08/2016 -- D.• Buyer or Seller is Government Agency or Lancing Institution 12.Dao.of SaleRmosfar _E.• Deed Type not Warranty or Bargain and Sale(Specify Below) F.Sale of Fredional or Less than Fee Interest(Specify Below) 13.Full Sala Prlce 297,500.00 =_ G.Steams Charge in Property Between Taxable Statue and Sale Dates Full Sete Rice is the mai amountH.Sale of Business is Included in Sale Pdos (Fu paid for the properly inducing personal property. I Other Unusual Factors Affecting Sale Rice(Snooty Below) This payment may be in the form dash.other properly or goods,or the assumption of 4 J None mortgages or other odgellati.)Please round le the nearest whore dialer amaAn Commend(.)on Condition: 14.Indicate the value of personal :h property included in the Ws 0.00 I ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I ta.Veer of Assessment Roll from which information tekon(YY) ((a 17.Total Assessed Value 6 (b e IS Property Class 210 - •19.School D6aktNome Mattituck-Cu tchogue •20.Tex Map ldena8er(s)IRoll identMer(e)(If more than four,attach sheet with eddelonel IdenUflsr(e)) 1000-139.00-03.00-004.001 I CERTIFICATION I I Certify that all of the Mans of bdonuellon entered on this form are lies end correct(to the best dray knowledge and belief)end I understand that the making of any willful falls stain of materiel fad harem.ub)ect net to theymvNleas.otthananetiawrelethe to the making and fling of false Instruments. toe - �i LL LIRE BUYERq01QAh.T_INEORMA110N 1Err irre .non for Or bowbowNon Ir lova r LLC.Foowy.eseoouee rarpwaim.Joba elom mmpeny.MM.wa or enb4Ort In rem on individual pont or bloomy,then a norm wan Donlan raanram or n sorkkoMerppaW ,Li. �-- , mn 3 '.3-1 b wrty site ran mesa ereNOns Neentrq dr MM.EMT be armed TEMm Pant motel -'.IWrrIRE TAIL i I / BUYER.SIGNATURE Lessard Rebekah A. •LAST NNE FIRST NAME L. , i `•I r 4 'AREA CODE •lELERIamET eSer w aaFR PDT eJYLR m .. t7�L DATE . 3000 Wickham Avenue •S:RAFT NUMBER •SIeEFT NNE y !; IMattituck NY 11952 • 1l } 1 �1f M I�{- i L� 'M1.} I'f 1 �i f J.,,,,1"1 { •CMTAORTON • •zrcooE 1A'Ii ���,'�,i I��l� li �14.( 1�{j:11��1�1 '1 I'�.11 @U!ERSAILORNEY i, ky y�i�� J�',+(+�^ !LiI�'� �w6' 4I ll'ir}' Iii i., ' 1 ,11 y err 'i �,'1 Ill1 ,Il�l'�1}l,,111�1111 114 �Iy1I'1ill(11�'�'Iii11l �' McKenna Eric J y ' 1, +• l r i uem RARE MST WAD I A 11�f I F(! 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