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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORD�NG PAGE
Type of Instruntent: DEED Recorded: 06/23/2015
Number of Pages : 4 At: 02:17 :58 PM
Receipt Number : 16-0096337
TRANSFER TAX NUMBER: 15-32081 LIBER: DQ0012868
PAGE : 935
District: Section: Block: Lot:
�000 135. 00 03. 00 005 .Oa0
EXP,MINED AND CHARGED AS FOLLOWS
Deed Amoun�: $Q.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.Capies $5.20 NO RPT $200 . 00 NO
Transfer tax $0.00 NO Comm.Pres $0 . 00 NO
Fees P�id $400 .20
TRANSFER TAX N[�ER: 15-32081
THIS PAGE IS A PART OF THE TNSTRUMENT
THIS IS NOT A BILL
JUDTTH A. PASCALE
County Clerk, Suffolk County
❑� �
�
, j
Number of pages
RE��C�RPE6�
2r�i6 ,T��n 23 i32:17:`� P�9
This document will be public JUDITH R. Fasca��
c���r oF
record.Please rernove all SI�FFOLK rout�T;j
Social Security Numbers � rn�ni2���s
priorto recording. P �35
GT# iS-32031
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Fi�ing Fee ��� I Mortgage Amt.
1.BasicTax
Handling 20. 00 -
2. Additional Tax
TP-584 _�� Sub Tota1
Spec./Assit.
Notation
or
EA-52 17(County)��= Sub Total_� Spec./Add.
EA-5217(State) =
TOT.MTG.TAX
��1 Dual Town Qual County _
R.P.T.S.A. �� � '°�, Held for Appointment
Comm.of Ed. 5. 00 °' Transfer Tax —�
�
Affidavit
_ � �. ��9 MansionTax
Certified Copy S. � ��� The property covered by this mortgage is
or will be improved by a one or two
NYSSurcharge 15. 00 SubTotal � ;� familydwellingonly.
, Y�5 or NO
Other /��
G�and Totai � • �V If Np, see appropriate tax clause on
�- page# of this instrument.
(9-d�/6
4 Dist. �6018021 �oo0 13500 0300 oos000 5 5 Community Preservation Fund
Real Prope p T � 1�n �I �II �m Consideration Amount$ �
TaxServia R �pq A II.'I��I'llll��l'll��"I�1
Agency 22JUN-1 WI �W WI OW CPF T�Due $ �
Verificatic
- - Improved ✓
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address /
RECORD&RETURN TO: '\ Vacant Land
PATRICIA C.MOORE ESQ. � � Tp /D
51020 MAIN ROAD ` (�
SOUTHOLD NY 11971 n '1 ��7 TD
�I V
�� TD
Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
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&SALE DEED made
by: (SPECIFY7YPE OF INSTRUMEN�
HENRY GOETZ&MARLENE GOETZ The premises herein is situated in
SUFFOLK COUNTY,NEW YORK,
TO In the TOWN of SOUTHOLD
HENRY N.GOETZ&MARLENE GOETZ AS In the VILLAGE
'FRUSTEES or HAMLET of_SOUTHOLD
BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION}
STANDARD NYBTU FORM 8007
CAUTION:THIS AGREEMENT SHOULD BE PREPARED SY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
PURCHASER HEFORE SIGNING.
M
THIS INDENTURE,made the /5T day of June,2016
between HENRY GOETZ AND MARLENE GOETZ,as husband and wife,both residing at 17213 La Brisa
Lane,Sugarloaf Key,FL 33042,party of the first part,
and HENRY N.GOETZ AND MARLENE GOETZ as Trustees of the Henry N.Goetz and Marlene Goetz
Joint Revocable Trust Agreement,dated March l6,2016,c/o Goetz 17213 La Brisa Lane,SugarloaE Key,FL.
33042,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,p'tece or parcel of land,with the buildings and improvements thereon erected,
situate,lying and being in the
SEE SCHEDULE A ATTACHED(DESCRIPTIOAt OF PRENfISES)
BEIAIG AND INTENflED TO BE the same premises as conveyed by deed dated October 27, 1973
and recorded on November l9, 1973 in Liber 7533 page 348 in the Office of the Clerk of the County of Suffolk
TOGETH�R with all right,title and interest,if any,of the party of the first part in and to any streets and
roads abu[ting the above described premises to the center lines thereof,
TOGETHER with the appurtenances and a�l the estate and rights of the party of the first part in and to
said premises,
TO HAVE AND TD HOGD 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 pan,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 conscrued 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:
H NRY GOE
MARLENE GOETZ
NYSBA Residential Real Estate Forms on HotDocs�(9l00) Copynght Capsoh°Development
-1-
t
Schedu�e A
ALL that certain pZot, piece or parceI of Iand, with the buildings and improvements thereon erected, situate,
lying and being�Cdna� at Sou�hold, in the Town of Southold, County o� Su��o1k
and Sta�e a� New Yo�k, bounded and described as follows:
BEGrNNING at an iron pipe on the baundary line betwean land z�ow o�
former�ly of Madel�.ne R. Armstrong ana land formerly of wenzel, said
point a�' beginning bea:ng South 48 degrees 42 minutes 50 seconds East
a distance of 469.57 £eet along said baundaxy li.ne from a monument on
the curved southeasterly line of Midd].e Road; from said point af
beginning r�nning along said land formerly o� Wenzel, South 48 degrees
42 minutes 50 seconds Eas� a d�stance o� 9b feet, ta ordinary high
wat�r mar�k of Arshamomoque Pond; thenc� southwest�rly aZong sa�.d high
water mark, the tie line of which bears South 23 degrees 46 m�.nutes
20 seconds west 73 .41 feet, to the northeas�erl.y �.ine o� a private
road, hereinafter described; �henc� al.ong said private road, being
parallel to and 70.0 feet southwesterly trom said boundar.y line, -
measured at right angles there�o North 48 d�gre�s �2 minutes 50 seconds
West a distance af 118 teet, to an iron pipe; thence land now or
formerly of Madeline R. Arms�rong, North 41 degrees 12 minutes 3fl
seconds �ast a distance of 70.0 �eet ta �he point or place af
BEGINNING.
TOGETHER WTTH the right to tha use of a rig�-i,t-of-way (in comman w3,�h
others)_. over th� fo}.low.ing- described- private ��oad.
BEGINL�TT�NG� at a manument on �he cuxved southeasterly iine o£ Middle
Road at th� norther}.y corner of land o� Levin and the westerly corner
of land now or former�y of Madeline R. Armstrong; from said poin� o�
beginning running South 48 degrees �7 minut�s 30 seconds East a
distance o� 489.0 feet to an iron p�pe; thence North 69 degxees 04
minutes East a� �di.starice of ��.25.0 feet to an iron pipe; �henc� South
48 .degrees �47 minutes 30 seconds Eas� a distance o£ 85 feet, inor� or
less, to ordinary higYi, water�mark of Axshamamoque Pand; thence north-
easter�y�along �said high v�rater mark,35 �'�et, more or less, to a point
70.0 f�et sauthwestex�ly f�co�i the northeasterly baundary 3.ine a� said
l,and now or �ormerZy of Madeline R. �Armstrong, measured at �ight
ari�gles. thereto; �hence paxa].lel' to said boundary li.ne and 70.4 feet
southwesterly �'hera�rom, North �8 degrees 42 minutes 50 seconds West a
a di:stance of 13.8 feet, to an. iron pipe; th�nce Sou�h 41 degre�s 12 i
minutes 30 seconds W�s� a distanee of 54.79 �eet to an iron pipe; '
thence South 69 degrees. 04 minutes West a distance of 74.92 feet to
an iron pipe; thence North 48 degrees 47 minu�es �30 seconds Wes� a
distanc� of 470 feet, more or less, to said �southeaster�.y 1�.ne of
Ma.ddle Road; �hence southwesterly along saa.d southeasterly line 25
�'ee� more or I.ess ta the point or place of BEG�NNING. ; � �
State of New York)
ss:
County of Suffolk
On this ISt day of June, 2016, before,the undersigned, personally appeared,
HENRY GOETZ AND MAftLENE GOETZ, personally known to me or proved to me on the
basis of satisfactory evidence to the be individual(s)whose name(s}is(are}subscribed to the
within instr�ment and acknowledged to me that he/she/they executed the same in his/her/their
capaciry(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.
� �/
C
Not ry Pu ic
MARGARET C.RUTKOWSId
Notary PuNloc,9t�2528New York
Qualified in Suffolk CouMy c�
Commission Exp�res June 3, ' '�� /
NYSBA Residemial Reaf Estate Forms on HotDocs'D(9/00) Copyright Capsofti Development
-Z-
INSTRUCTIONS(RP-5277-PDF-INS):www.orps.stale.ny.us
FOR+COUNTY USE ONLY n' New Yorlc Sfate DepaRmeM ot
• c�.sw�s c�a. � �s g Taxation and Finance
C7.Daa Deed Reeorded V �� � ���Real Property Tax Services
° � •- 3 RP-5217-PDF
CS.Book G.Paga Rsal Proparry Trairofer RepoR(8H0�
PROPERTYINFORMATION
�•ProP� 645 RICAMOND ROAD 'n
Loeatlan
•T9EET N111�ItR '6i4CCi N��E
SOUTHOLD SOUTHOLD 11971
•cnr ae�owx n�t� •Ln co�
Z.euyer HENkiY N. GOET7. 6 MARLENS GOET2 AS TRUSTE3S OF THs
Nam�
•lABTxwFICo1P�M' FNli fN1E
H�NRY �. G08TZ A[dD MA�aLENE GOETZ JO_VT RFVOC
IAlr wWE1f�IW4M' Fl40i MIWE
�'T�x IrMiota wheie fWuro Tax BIAe ero to Ce saM
Bllling if alherlMn 6uyer addrMefM bodom af lann) usrn�covrun �+wsr w�
Addras
BTqEETNyY9ERMONME CittON'CNN STa'E ty�p�
4.Indieau IM n�onbar oTA�s�ssmwrl 1 �Prl ol a Parosl ��"y H Pvt o/a Paraeq ChKk u My�ppy:
Roll psreNs translx�W m th�daaE p d Preds OR �11.Planninp BoaN witli Subdrviaion Aulhoriry Exials �
6'�°°d X �R a•16 48.Subdniaion A wee R uisdla TranaNr �
�Wrb •rnartsEer PP�a� e4�
•pEPIM 'I�I'AF9
Slu 4C.Prcel ApproveA for S�diNeion with Map P�wided �
GOET2 HENRY
6.9�1br .usrxweeorrrer ona�xwe
Name GOETZ MARLENE
usr.ureieorn..or Fi1aT�M1L
`7.9ol�et IM aneApllon whkh most auurately daeAOa�tM Ch�ek th�boxn 6olow u tlaY�PPh�
us�W th�propMy�ttM 16na of seN: B.OwneishP TpPe ie ConOaNnium �
A.One Family R�sideniial B.New ConeWction an a Vaee�rt Land �
70A.P�opsrty LarJlaa wiNin en AgAedlural DisK�t �
708.Buyer reeevad a dietlmuro ndke intlleellnp lhet lhe property is in an ❑
AqriaMurd DieUi�i
SALE INFORMATION 76.Chack ons a�more of thne condltlona as�pplk�bM to tnnsfer:
A.Sale Belwaen Reladvea a Pamsr RNalivp
H.Sab CotKnet D�h B.Sale helween Rdffiad Comperies a PaNrors in 8umnea.
C.One al the Buyen is alao a SeGer
•u o.a o�suarrr.�s�.r 0 6/�/2 016 D.Buyer or SaCer Is Govammen Ageney a Lendnp InaliWion
E.Daad Type not Wananty«Baryan and Sale(3peaYy Balax)
F.Sals ol Frxvonal or Lns tha�Fas Inlasot�Spady Bebw)
YS.Full 8als Rko d.0� G.SipNfieant Chanps in PropMy Betwaan Tmhla SWua rd Sda Dalas
N.SNe d Butinaas i�indudea in Sele Piice
(Fu�SeM Pnos i�the ro!N omouM peid br tM Pmpady Indudhq penonal paperty- I.Olher Unuaual Fadaia AlFac�np Sels Prics l5pedh Belaw)
Thif pcymmt mry 6s in the lam d csel�,dher P�OPs�Y m pood�.a Ihe aswmptian ol J.None
maaa0a«omar obuuauom.)Plxae�aw,a ro ms mema�wno�s Coxaremwen.
Commant{s)on Candltlon:
14.I�Wkab ehe ralw o1 ps'sonal 0 .00
pmperqr Ineludad In Me sek
ASSESSMENT lNFORMATION-Dafa should reMeel lhe latest Final AasesameM Roll and Tax BIII
Sl.Ya�rdAaassmmtRollfromwhkhlntoim�tlontak�n�YY) �( 97.ToulAssnwdWlw 6,200
•70.ProperryChaa 210 _ _ •19.SehoalDl�trlelll�m� SOUTHOLD
•70.Tex MaP�dmtllb4sV�ll IdaMlflor(q(I!moro tlun four.nuch�Md rvllh addhlond IdaMMaMsl)
1000-135-3-5
CERTIFICATION
I GNy Mrt all of M�luiro of IiAaenutlon enterW an ehN form aro Ws and eomat roo th�besL Mmy knowNdpa and haIMQ mtl I untl�nlan0 Mel Ms nuNWq of�mr willlul
hW dahm�M of m�Eorld hU harsln subJxl m�ta fh�nmvlslone of Ih�o�nd law rNatlro fO1M m�klnp�nd flllnp ef hbs Imtrumsnb.
BIIYER CONTACT INFORMATION
IFNx.tlamuxn 1ar IM Ouyrr.Nou:n aMr b llt.wwb.eeeod�tlon mw�auon.l���W�O'.�paro a
�nuy IM i�na�nervid��pam a Iltl�w�Y.�Mn�ium�rp rarll�arCamN7n af an iNMtluW�epawEY
✓ prqwroun�mwer9��brVO+eu�n�ryrmutl0rwbx�E�YMaP�ti�M.)
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BELLE9&GNMLLiE Gl
GOETZ HF.NRY N.
•un x..� nnar�uwE
� / /� / (397) 98i-5066
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�anm sciwiun. -E
:7213 LA BRISA i.AyE
•d�R°�TWIIlER '81RLC1N46
SUGARLOAE KEY :L 33042
i +uxaerowr+ •r.•re •vwoe
BUYER'S ATTORNEY
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MOOR� PI�TRICiA C.
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