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Home My WebLink AboutL 12860 P 390 1111111 111111111 IIIA 11111111111111111111 IIIA 11111111 111111 ff11 1111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 04/13/2016 Number of Pages: 3 At: 12 :22: 10 PM Receipt Number : 16-0056437 TRANSFER TAX NUMBER: 15-25658 LIBER: D00012860 PAGE: 390 District: Section: Block: Lot: 1000 141. 00 03.00 045. 001 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 $5 .00 NO RPT $200 .00 NO Transfer tax $0.00 NO Comm.Pres $0 .00 NO Fees Paid $395.00 TRANSFER TAX NUMBER: 15-25658 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1 2 RECORDED Number of pages 2:16 Apr 13 12:2:10 PM JUDITH H. PAS€CALE CLERK OF This document will be public SUFFOLK COUNTY record.Please remove all L 00€0012860 Social Security Numbers P 3.30 prior to recording. Dill 15-25658 Deed/Mortgage Instrument Deed/Mortgage Tax Stat((fJ` It( Recording/Filing Stamps 3 FEES Page/Filing Fee !} Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total Spec,/Add. EA-5217(State) TOT.MTG.TAX ,;r.( Dual Town Dual County R.P.T.S.A. 61r ., Held for Appointment Comm.of Ed. 5. 00 '? T Transfer Tax IIli1. '.•:•. � �.,y Mansion Tax i _ The property covered by this mortgage is Certified Copy � ' or will be improved by a one or two NYS urcharge 15. 00 family dwelling only. Sub Total YES or NO Otherl Grand Total �� V If NO, see appropriate tax clause on 11(( page# of this i stru t. 4 Dist. 10 16010597 1000 14100 0300 045001 5 Community Preservation Fund Real Propertyp T SIIIIIIIIIIII� IIIIII�II�IIII�IIII�III Il�ull�ll Consideration Amount$ `t"7 Tax Service R DHO A Agency 12-APR-1. CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD Wickham,Bressler&Geasa,P.C. P.O.Box 1424 TD Mattituck,New York 11952 TD Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name fli ieJ tfa Nt -O 'ia/ Tiff e :•www.suffolkcountyny.gov/clerk Titter 7_05 q • S• 8 Suffolk County Recording & Endorseme t Page This page forms part of the attached Bargain&Sale Deed with Covenant d GSk�-, made by: (SPECIFY TYPE OF INSTRUMENT) Mattie Simmons The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Gregory J.Simmons(w/life estate) In the VILLAGE or HAMLET of Mattituck BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) Standard.N.Y.B.T.U.Form 8002-Bargain and Sale Deed with Covenant against Grantor's Acts—Uniform Acknowledgment ' Form 3290 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the Z-7 day of March,2016 BETWEEN MATTIE SIMMONS, residing at 11700 Sound Avenue, Mattituck, New York 11952, party of the first part, and GREGORY J. SIMMONS, residing at 50 Meadow Lane, Mattituck, New York 11952, party of the second part, WITNESSETH,that the party of the first part, in consideration of Ten and 001100--($10.00)--Dollars,and other good and 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 at Mattituck, in the Town of Southold, Suffolk County, New York, being bounded and described as follows: BEGINNING at a point at the northwesterly corner of the premises herein described at a point on the southerly side of Sound Avenue where the same is intersected by the easterly line of Agway, Inc.formerly Long Island Produce and Fertilizer Co., Inc.; running thence along said southerly side of Sound Avenue North 77 degrees 05 minutes 40 seconds East 87.38 feet to other land of the party of the first part; thence along said land South 13 degrees 57 minutes 30 seconds East 211.50 feet to land of Agway, Inc.; running thence along said land two courses and distances as follows: (1)South 73 degrees 53 minutes 30 seconds West 95.80 feet; thence(2) North 11 degrees 44 minutes 50 seconds West 216.90 feet to the point or place of BEGINNING. Reserving to the party of the first part, Mattie Simmons, a life estate in the premises. BEING AND INTENDED to be the same premises conveyed to the party of the first part by deed dated September 17 1976 and recorded on September 27, 1976 in the Office of the Suffolk County Clerk in Liber 8111 Page 492. 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: br, Mattie Simmons f/deedSimmonsLE2016 BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN New York STATE -,.State of New York,County of Suffolk,ss: State of New York,County of ss: On the o43°ILay of March in the year 2016 On the day of' , in the year , before me,the undersigned,personally appeared before me,the undersigned,personally appeared MATTIE SIMMONS 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 individual(s)whose name(s)is satisfactory evidence to be the individual(s)whose name(s) is (are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which instrument, the individual(s), or the person upon behalf of the individual(s)acted,executed the instrument. which the' ividual(s acted,executed the instrument. atle..� (signature and office of individual taking acknowledgment) (signatur and office of individual taking ackngwledgment) Notary ublic /}'TAIL A. WICKN,`fyr l Notary Public ABIGAIL A.WICKHAM Notary Public,State of New York No. 52-4642871 Qualified In Suffolk County • Commission Expires Sept.30,20 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of County of ss: On the day of ,in the year , before me,the undersigned,personally appeared 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 within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),and that by his/herltheir 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 acknowledgement) Notary Public BARGAIN AND SALE DEED SECTION 141.00 WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 03.00 Title No. LOT 045.001 DISTRICT 1000 Mattie Simmons TO Gregory J.Simmons STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Wickham,Bressler&Geasa, P.C. P.O. Box 1424 Mattituck, New York 11952 W V LL t C Z a K O U W re 0 0 W N o K o w w o 4 a. N N_ I H W C 0, N W R' INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us OR COUNTY USE ONLY p- (� New York State Department of -•ci..SWISCodeIf � ? ,3 $ ,o ,_I Taxation and Finance C2.Data Deed Recorded , o'+, +3 ,40l61 New of Real Property Tax Services B D 'ft. G` RP-5217-PDF C3.Book ,. , , , f C4.Page , , 3, tv Reel Properly Transfer Report(8170) PROPERTY INFORMATION 1.Properkr 11700 Sound Avenue Location •STREET?AMBER •STREET NAME Mattituck 11952 •CITY OR Taws w..rca •OP Coot 2.Buyer Simmons Gregory J. Name •LAST NASIF/CIAPANY FIRST MULE LAST ,PA,yy FRET RAKE 3.Tax Intimate when:future Tax Bills we to be sent Billing if other than buyer address(at bottom of lam) LAST wMECOAPMMY FIRST NNIE Address PO Box 926 Mattituck NY 11952 STREET NUMBER ATOFAWE CRY OP TOM! STAIR Zp caw 4.Indicate the number of Assessment 1 e el Pemis OR 0 Pen of a Panel (Only If Put o1 a Parcel)Check as they appy: Roll parcels transferred en the deed 4A.Planning Board with Subdivision Authority Use ❑ 0.Deed X OR 0.40 48.Subdivisioe Approval was Required for Transfer ❑ Progeny -FRONT rcn •cCPTR •Ares Slat 4C.Penal Approved for Subdivision with Map Provided ❑ Simmons Mattie 6.Seller •LAS'NANUo veiY FAST NAME Name LAST NvRccc.ie Y MST SAYE '7.Select the description which most accurately describesthe Cheek the hoses below as they apply: use of the property at the time of sale: 6.Ownership Type is Condominium ❑ A.One.Family Residential 9 New Construction on a Vacant Lend 0 16A.Property Located within an Agricultural District ❑ . 10B.Buyer received a disclosure notice indicating that One property is man ❑ Agricultural District I SALE INFORMATION' 10.Check one or more of these conditions as applicable to transfer: A.Sale Between Relatives or Former Relatives 11.Sale Contract Date B.Sale between Related Companies or Partners In Business _C.One of the Buyers is also a Seller •12.Date of SaleRraMhr 03/2.3/2016 _D.Buyer or Saler is Government Agency or Lendng Institution `E.Dead Type not Warranty or Bargain and Sole(Specify Below) F.Sale of Frocking!or Lem than Fee Interest{Speofy Below) •13.Full Safe Price 0.00G.Significant Change In Property Between Taxable Status and Sale Dales T_H.Sale of Bummers is Included in Sale Price (Fut Sate Price is the total amount paid for the property including personal property. I.Other Unusual Factors Affecting Sale Price(Specify Below) This payment may hem the lam of cash,the property or goods,or the assumption of Z J None mortgages or other obligations.)Pham round to the nearssl whole doter.mount. Commetd(s)an Condition: 14.Indicate the value of personal 0 .00 properly Included in the sale IASSESSMENT INFORMATION-Data should reflect the tales)Final Assessment Roll and Tax Bill' 16.Year of Assessment Roll from which Infommtlon takeT(YY) is 97.Total Assessed Value 3,900 '18.Property Glass 210 _ '19.School District Name Mattituck •20.Tax Map Idenlfler(epRoll Identifiers)(If more than four,attach sheet with additional IdenWler(s)) 1000-141-3-45.1 I CERTIFICATION.' I Certify that all of the Nome of Information entered on Nle form are true and correct(to the best of my knowledge and belief)and 1 understand that the making of any willful false statement of material fact herein tabled me tot e.PLo)d$len6 of the renal lawrelatire to the making and filing of false Instiumenh. BEl r FR SIOFATURE BUYER CONTACT INFORMATION tamer intomsam threw auger.Nolo If buyers LLC.sooeq.aaaoaabm,rarpmmart Pfloi Brod,mmpny,cameo way nut s net an irsntdual gem or fiduciary.rhea■nurse and mnloUetfmoebea SI SI mdlduWaspmmtle (f LY - _- DA� pare who noanew aneeuesbwts regarding the sander mud be ensues Typo a Mm downy I MiffSiONAnaE •- / E Simmons Gregory J. BAYER SIGNATU[ •LAaT RARE ran Main X/1.4 (631) 872-8931 •MrACONE TRLPgAE FARMER(Ea deMi ggBnaNa71AEQATE � 50 Meadow Lane '8'REEThTMEHr •si FEET RAMC I ', '- L I Mattituck NY 11952 ',l 4 5(111'1,1 ,11!ii �� i■ I; 1 l� ,' 'f I 'CTT OR TCMM 7r ATE 'gYCOaE 1 ,;( `r I r} )11 ly ,1:.,0 4() t „1 y 6UlCE�B AiTOBtlEY igll� � 11 �y} ��I1 1�,' i I I ,��I,�L i't � Wickham Abigail A. l ii , 1 iy }I1 I 1 +i,4i ri,: { uam a r.ROTwrE l T J �r (631) i I � �I. l' 'I I�Iy,,llJJ� .1 f'`' . 1.1 l} i 298-8353 ` '\1 �'Iil ; '1 ,r �1 nli' (is1 Mia CCCE Abigail W1m.R a.eases) ll,411 it M e