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L 12862 P 992
1 11 11111 111111111 11111 1 1111 11111 nii iini irni iii iii ulul IflI VIII Dii liii SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 05/03/2016 Number of Pages: 4 At: 02:36:08 PM Receipt Number : 16-0068929 TRANSFER TAX NUMBER: 15-27564 LIBER: D00012862 PAGE: 992 District: Section: Block: Lot: 1000 055.00 04. 00 009 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $395,000 . 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 $4, 900. 00 NO Fees Paid $5,295. 00 TRANSFER TAX NUMBER: 15-27564 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County • • 1 2 �. Number of pages "// RECORDED 2016 May 03 02:36:08 PM This document will be public JUDITH H. PASCALS CLERK OF record. Please remove all SUFFOLK COUNTY Social Security Numbers L 000012862 prior to recording. P 992 DT# 15-27564 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES �� Mortgage Amt. Page/filing Fee 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 s.) Sub Total Spec./Assit. Notation EA 52 17(County) SubTotalOr Spec../Add. 4-75 TOT.MTG.TAX EA-5217(State) doll\ Dual Town Dual County R.P.T.S.A. �U `, �� ., Held forAppointment Comm.of Ed. 5. 00 �' 7: Transfer Tax iQ Y/� R r l� .-.1411-f.,!.:1 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 family dwelling only. Sub Total YES or NO Other '3S Grand Total if NO, see appropriate tax clause on \M page# of this instrument. / --- /c.) 3 3 /c, 4 I Dist.1( .000 5 Community Preservation Fund 1601_2640 1000 05500 0400 009000 Real Pr vice F T VIII ILII II I VIII nll I III I I�� IIII IIII CPF Consideration ax Due Amount � zZ Tax Service R COL A li II III I ` "/ Agency 02-MAY-1 Verification Improved ( 6 Satisfactions/Discharg eaCORD&RETURN ror y Owners Mailing Address Vacant Land Schwartz, Fang & Keating, P.C. Attn. Stephanie M. Keating, Esq. TD I J 60 Crossways Park Drive West Woodbury, NY 11797 TD TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 7 310 Center Drive, Riverhead, NY 11901Co.Name STEWART TITLE ' www.suffolkcountyny.gov/clerk Title slb_ 8 Suffolk CountyRecording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) ROBERT L. KEUPP The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD JOSEPH T. REILLY&MARGARET MARY In the VILLAGE REILLY or HAMLET of SOUTHOLD BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) ' CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY :tf" T ye THIS INDENTURE,made the day of March,2016 .4 mo o ,: W F. "'c, BETWEEN ROBERT L.KEUPP,residing at 900 Long Creek Drive,Southold,NY 11971 anI.., Z U H 1 party of the first part, and JOSEPH T. REILLY and MARGARET MARY REILLY, husband and wife, both a residing at 51540 Main Road,Southold,NY 11971 party of the second part, i g WITNESSETH,that the party of the first part, in consideration of TEN and no/100ths($10.00)dollars 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, ,9 SEE SCHEDULE"A"ANNEXED HERETO AND MADE A PART HEREOF cis' BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed made by Robert L. Keupp and George John Keupp, as beneficiaries under the Last Will and Testament of Helen L. Keupp(Suffolk County Surrogate's Court File No. 1119P001,who died 5/10/2000 dated March 26, 2001 and recorded in the Suffolk County Clerk's Office on April 11,2001 in Liber 12112 Page 839. 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 th"e 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 PRE NCE OF: ��. , , ROBERT L.KEUPP • ' TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New ork,County of Suffolk ss: State of New York,County of ss: On the day of March in the year 2016 On the day of in the year before me,the undersigned, personally appeared ROBERT L. Before me,the undersigned,personally appeared KEUPP 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 indi '••- s ^ •se name(s)is satisfactory evidence to be the individual(s)whose name(s)is (are)subscribed to the within i.. ment and ack .wledged to (are)subscribed to the within instrument and acknowledged to me that he/l- exec ed the same in is/her/their me that he/she/they executed the same in his/her/their capacity(ies), at by •islhe heir signature s) on the capacity(ies), and that by his/her/their signature(s) on the instrument,the r•ividual(s or • .erson upon behalf of which instrument,the individual(s),or the person upon behalf of which the individual.)acted,exe'ut J -'• trument. the individual(s)acted,executed the instrument. Gi. : (signature and office of Ill dual taking acknowledgment) (signature and office of individual taking acknowledgment) NOTARY PUBLIC ELLIS KOEPPEL Notary Public,State of New York No. 01K04883264 Qualified in Nassau County Commission Expires Feb 9,2019 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)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/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) BARGAIN AND SALE DEED DISTRICT 1000 SECTION 0 WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 04.4. 00 00 Title No. sn 4-213? LOT 009.004 COUNTY OR TOWN ROBERT L.KEUPP STREET ADDRESS TO JOSEPH T.REILLY&MARGARET MARY REILLY Recorded at Request of COMMONWEALTH LAND TITLE INSURANCE COMPANY RETURN BY MAIL TO; STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by Schwartz,Fang&Keating,P.0 Attn.Stephanie M.Keating,Esq. v, Commonwealth 60 Crossways Park Drive West LANDAMPNcn COMM', Woodbury,NY 11797 COMMONWEALTH LAND TME INSURANCE COMPANY w U LL LL 0 0 a x Q U W x LL 0 LU 0 LL W U a a N_ x f W W fD stewart title Title Number: ST16-26389 SCHEDULE A— DESCRIPTION ALL that certain plot, piece or parcel of land, situate,lying and being at Southold, Town of Southold, County of Suffolk and State of New York,shown and designated as Lot No. 19, on a certain map entitled, "Map of Yennecott Park situate at Southold, Town of Southold, Suffolk County, New York", surveyed by Van Tuyle and Son, Greenport, New York,May 1, 1968 and filed in the Office of the Clerk of the County of Suffolk on the 9th day of October, 1968, as Map No. 5187 and being bounded and described as follows: BEGINNING at the corner forming the intersection of the southerly side of Long Creek Drive and the westerly side of Laurel Avenue;distant 595.57 feet westerly to the true point of beginning; RUNNING THENCE South 9 degrees 30 minutes 40 seconds east, 170.26 feet; THENCE South 83 degrees 42 minutes 00 seconds west, 135.00 feet; THENCE North 9 degrees 30 minutes 40 seconds west, 170.26 feet to the southerly side of Long Creek Drive; THENCE along the southerly side of Long Creek Drive north 83 degrees 42 minutes 00 seconds east, 135.00 feet to the point or place of BEGINNING. FOR CONVEYANCING ONLY:TOGETHER with all right,title and interest 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. -Schedule A Description(Page 1 of 1)- . . • . INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY �� New York State Department of C1.SWIS Code 17t 3 g 9 I Taxation and Finance C2.Date Deed Recorded ()T./6 3/ /6 I Office of Real Property Tax Services S)/d) •v... q RP-5217-PDF C3.Book I /1 G Sf]I�pI I C4.Page 1 I I 1 /p2 I Real Property Transfer Report(8110) PROPERTY INFORMATION I 1.Property 900 Long Creek Drive Location •SMUT NUMBER •STREET NAE Southold Southold 11971 •CRY OR save MACE •BOCCIE 2.surer Reilly Joseph T. Name •LAST NAIF/CORIPANT Parer NAME Reilly Margaret Mary WTNAWcuWMIY FIRST NAME 3.Tax indicate where future Tax Bis are to be sant Billing if other than buyer addrean(at bottornoffanir) LASTNomecCupwY FiPTwRE Address STREET NURSER MONME STY OR lOSR STATE MONK 4 Indicate the number of Assessment 18 of PPart of a parcel (Only If Part of■Parcel)Check as they apply: Rog parcels transferred on the deed arade OR 4A.Planning Board with Subdivision Authority Exists 8.Deed X OR 0.53 48.Subdivision Approval was Required for Transfer Property •Mar FEET •DEPTH •FORSS Size 4C.Parcel Approved far Subdivision with Map Provided Keupp Robert L. e.Seller •LAST.RwacceaAa, FIRST New Name LAST NMw coePrnr FIRST NRME Cheek the boxes below as they apply; h.Select the descrlpuon which most accurately describes the use of the property at the lime of sale: L Ownership Type is Condor lnlum A.One Family Residential I.New Construction one Vacant Land -- '-� 10A.Property Located within an Agricultural District 10B.Buyer received a dlsdceure notice indicating that the property is In en Agricultural District ISALE INFORMATION! 1 S.Chock ono or mon of these conditions ea applicable to transfer: ' A.Sale Between Relatives or Former Relatives 11.sere Contract One 2/22/2016 B.Sale between Related Companies or Partners 1n Business C.One of the Buyers la also a Seller 3/29/2016 D.Buyer or Seller is Government Agency or Lending Insstution •12.Date of Sale/rrenefer E.Deed Type not Warranty or Bargain and Sale(Sealy Below) F.Sale of Fractional an Less than Fee Interest(Specify Bakal) •13.Full Sale Price 3 95,000.00 G.Significant Change in Property Between Taxable Status and Sale Dales rice (Fu0 Sala Price is the lotei amount paid for se includingpersonal X.Sale oBusiness is FactorsAffecting Included in Saeale Price properly ert hNmiplio I.Other Unusual Sale Price(Speay Below) This payment may be in the loon of cash,other properly or goods.or the assumption of V J.Nana mortgages«other obligations.)Please round to the nearest whole dollar amount. Commingle)an Condition: 14 Indicate the value of persona .00 property Included in the sale IASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I 15.Year of Assessment Roll from which Information beken(YY) 15 '17.Total Assessed Value 4500 '18.Property Class 210 _ •1e.School District Name SOU Southold •20.Tex Map Identttter(egRoe Identmer(s)(if mon than four,attach shoot with additional IdentlMgs)) 1 000-05 5.00- 04.00 - 607,0100 I CERTIFICATION I I Certify that ell of the Items of information entered an this form are true and cornet(to the best of my knowledge and belief)end I underetand that the reeking of any willful false statement of mstedN fact herein subject me to the provfigna.OLth.psnallawrelatIve to the making and filing of false Instruments. SELLER SIGNATURE MIXER CONTACT INFORMATION (Enter clonselian to Ins buyr.Nolo:R buyer Is LLC.eodety.essadatla[earpwYen,joke each eipeny.metals Of / X6 63121AG rery sant a n te en r gumbos agent a swam Inns a Twee eta wired. Typo orp n t a d�MIWRoepwlTiba [I If prsurn's nrur rwaamn naemngarvrulr mune mid ea.rypaor vema SELLER eLONATYRE DATE Reilly Joseph T. BUYER eSIGNATURE s •LAST NAME FIRST NAE 7 /. 65 42 'AREA CODE •TELEPHONE INNER(EL a MEM T �E++ OATC • t ! !/ ©3]agli(, - Si RUT NLMCR 'STREET NAPE 11� 1. ?Ii ��{ f l rl,1i��I11ril1� II, •11 111,I I,I •Drr coram •srATE 'II DDaE 1,, i!1 �� Ii ioi 11��i,i li 1��i i.14.,111�� �II ��II ill �UYER'SATTORNEY 1,'Il� �'I �� �i�1� II '� 1I�f� i IJJ �11 1 fib Keating Stephanie II 1II II 7 I■ II III i,? 11 1 III 1 �I� a RASrM IO Fuer eerier V i(' 1�Ir I iii••}til#)I Tl�li I� �� e�� II it �1_ rf`I` '+ 1 rl �J" ) 1I�`llr�1 I �I r' 5164880100I1Iff 1, ��T4(I i � 1� 111 i!I }1 ' NTEACDOE iFI FFFgNE NIMMFRMFa eaelelelI llrl I `i �i }iI1 IrµI-y] `gill 1 III r,i. I :It L , 111�I, 1 iILI �� 1