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Home My WebLink AboutL 12873 P 38 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 07/27/2016 Number of Pages: 3 At: 03:57 : 39 PM Receipt Number : 16-0115204 TRANSFER TAX NUMBER: 15-35332 LIBER: D00012873 PAGE : 038 District: Section: Block: Lot: 1000 123 . 00 08. 00 027. 000 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 $0.00 NO RPT $200 .00 NO Transfer tax $0.00 NO Comm.Pres $0 .00 NO Fees Paid $390 .00 TRANSFER TAX NUMBER: 15-35332 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 3 RECORDED 2016 Jul 27 03:57:39 PH JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L DO0012873 Social Security Numbers P 03 prior to recording. DT# i5-35332 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Reco ding/Filing Stamps 3 FEES rr,,�� 3 Mortgage Amt. Page/Filing Fee / — 1. Basic Tax _ Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation SpecJAssit. 1 u`� or EA-52 17(County) ] Sub Total Spec./Add. — EA-5217(State) 1 TOT.MTG.TAX — R.P.T.S A. Dual Town Dual County_ Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit :(yam Mansion Tax � — 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 _ Grand Total If NO,see appropriate tax clause on page# of this instrument. -19 -rtp 4 1 Dist. loo0 16022189 1000 12300 0800 027000 1 5 Community Preservation Nnd Real Property 27-JUL-16 IIIIIIII�III�III[IlIIIlI�II+'III��IIIIIIIII�I�I Consideration Amount $ 0 Tax Service DGR A I! `!`I `I lu'I If II I+11 AgencyCP Tax Due $ 0 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address (1' RECORD&RETURN TO: ��9 Vacant Land TD LO LARK & FOLTS ESQS PO BOX 973 TD CUTCHOGUE NY 11935 TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Cornvanv Information 310 Center Drive, Riverhead, NY 11901 a N/A www.suffolkcountyny.gov/clerk Title# N/A 8 Suffolk Count 'Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) ANN CASSIDY The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold ANN C. _CASSIDY and WILLIAM J. CASSIDY, In the VILLAGE TRUSTEES OF THE CASSIDY REVOC LE R D JUNE 3, 2016, AND ANY AMENDMENTS THERETO or HAMLET of Mattituck BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0104_]0/08lck Page 1 of 3 (over) Form 8002—Bargain and Sale Deed,with covenant against Grantar's Acts—Individual or Corporation(Single Shat) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. NO N.Y.S. REAL ESTATE TRANSFER TAX REQUIRED THIS INDENTURE,made the 19th day of July ,in the year 2016 BETWEEN ANN CASSIDY, residing at 6065 Bluff Heights Drive, Cumming, Georgia 30040 party of the first part,and ANN C. CASSIDY and WILLIAM J. CASSIDY, TRUSTEES of the Cassidy Revocable Trust dated June 3, 2016, and any amendments thereto, residing at 6065 Bluff Heights Drive, Cumming, Georgia 30040 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, h r undivided 1/2 interest in ALL/that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate, lyingandbeing at Mattituck, Town of Southold, County of Suffolk and State of New York, known and designated on the Suffolk County Tax Map as District 1000, Section 23, Block 8, Lot 27. Town of Southold, County of Suffolk and State of New York, known and designated as Lot #3 on Filed Map #331. BEING AND INTENDED TO BE the same premises conveyed to the party of the first party by deed dated April 27, 1988 and recorded in the Suffolk County Clerk's Office on June 30, 1988 in Liber 10635 Page 534. 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 pan 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. [N PRESENCE OF: Ann Cassidy \ Page 2 of 3 i ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York County of Suffolk ,ss: On the 19th day of July,in the year 2016,before me the undersigned,personally appeared ANN CASSIDY,personally known tome or proved to me on the basis of satisfactory evidence, to be the individual(s)whose names) is (are) subscribed to the within instrument and acknowledged to me that(he)(she)(they)executed the same in(kris)(her)(their)capacity(iss),and that by(his) (her)(their)signature(a)on the instrument,the individual(&)or the person upon half of which the mclividual(s)acted,executed the instrument. Not ublic N1�bp�pwyRICHARDF,LARK ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE pp Na0aLA7r, Yak omftwbn l:mhsa AW.3f.peaL90 f Q State of New York County of ss: On the day of ,in the year 20 ,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. ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN IN NEW YORK STATE State of County of ,ss: On the day of in the year 20 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 say,that(he)(she) (they)reside(s)in ;that(he)(she)(they)know(s) to be the individual described in and who executed the foregoing instrument;that said subscribing witness was present and saw said execute the same;and that said witness at the same time subscribed(his)(her)(their)name(s)as a witness thereto. ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE •State of County of ,ss: •(or insert District of Columbia,Territory,Possession or Foreign Country) On the day of ,in the year 20 ,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 city of ,Stale of BARGAIN AND SALE DEED RETURN BY MAIL TO Title No. LARK & FOLTS ESQS PO BOX 973 CUTCHOGUE NY 11935 ANN CASSIDY to ANN C. CASSIDY AND WILLIAM J. CASSIDY, TRUSTEES OF THE CASSIDY REVOCABLE TRUST DATED JUNE 3, 2016, AND ANY AMENDMENTS THERETO District: 1000 Section: 123.00 Block: 08.00 Lot: 027.000 County ec Town: Southold Distributed By Chicago Title Insurance Company Page 3 of 3 INSTRLICTIONS(RP-5217-PDF-INS):www.orps.statemy.us FOR COUNTY USE ONLY Now York Stab Department of C1.SMS Code I �, g/9, I Taxation and Finance 02.Data Deed Recorded I ® T/a�, w I ADB of Reel Property Tax Sery Ory ices RP-5217-PDF 7 .0.3? r C3.Book C4•Page , ,O, , Real Property Transfer Report(8110) PROPERTY INFORMATION 1•P-P-y 270 Park Avenue Extension Location •amEEr IAYEER •BTRCET NAMr Southold Mattituck 11952 -CRY OR TOM MAGE •Tp C= 2.Buyer Ann C. Cassidy and William J. Cassidy, Trustees of the Cassidy Revocable Trust Noma •IMTNAYEITAWa.I FgaT NATE dated June 3, 2016, and any amendments thereto IMT-AlEA:OMFAT/ FRS7 NATE: 3•Tax Inhiwts where future Tax Bills aro to be sent Slime ti other then buyer addross(al bottom of form) WT MAMFedMPANY FIRST NAAa Address STREET-u RA MUS CRY CN TCIIAI STATE MCODE 4.Indicate the number dAssarmam 1 ❑Part d a Parent (Only a Part of a Pascal)Check as they appy: ls a Roll ptrcosndrad aron tie dead a or Pluoels OR 4A.Planning Board wish SubdMSlon Authwdy Exmm S.Deed X _OR 0.25 48.Subdielsion Approval was Required for Transfer ❑ Preprty •mdNT FEET -DEPTH •IIGRES Sim 4C.Parcel Approved for Subdiveion with Map Prowled El Cassidy Ann G.eager -wT NAFX oNPANv FIRST NAME Name LMTNALaCSOYPwf/ FIRST NAME 17.Select am description which most accurately describes the Check the boar below as they appy: use all*property at the area of ria: S.Ownership Type Is Candmmium ❑ A.One Family Residential e.New Construction on a Varna Land El 10A.Property Located within an Agricultural District 110.Buyu recurred a disclosure neloe indicating dust the properly is in an Agriculture!Dialdd SALE INFORMATION 1s.Cheek one or more of these conditions t applluble,to transfer: A.Sale Between RalMives or Former Relatives 11.Sala Contract beta B Sala between Related Companies or Partners in Business. C.One of On Buyers is else a Sister •12.cam of SAWTmmfer 07/19/2016 D.Buyer or Seller is Government Agency or Lending Institution E.Deed Type notwanndy or Bargain and SW(Spa dy Below) IL F.Sale of Fractional or len than Fes Interest(Speafy Salols) 113Fu)I gale Prke 00 G.Significant Change In Property Between Taxable Status and Sale Daft H."set Business is Included in Sole Price (Fug Sale Fla is the rood amount paid for ars property including personal property. 1.Other Unusual FactorsAf sting Sala Price(Specify Below) This payment may be In the kxm of bash.other property or goods.or the ass imphon of J.None mortgages or other obligations)Please round to aro serest whole WeromounL 'Comenam(a)on Conditlon: 14.Indicate the value of personal her undivided 1/2 interest property Included In are mals •00 transfer to revocable trust without consideration ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 1e.Year arAsarsmnt Roll from which 1.10 atlon taken(YY) 16 117.Total Assessed Value 3,100 '1e.Property Claes 260 _ -1e.School District Num Mattituck—Cutchogue UFSD Asa r Tax Rep Idandfler(syRoll ldtlllar(a)pt mora than four.Which shut with iddhkrTal Memifler(s)) oQ 123-8-27 1 V CERTIFICATION I Carey titan as of the hi ms of Information entered on this form am true and correct(to the but of my knowledge and belief)and I understand that Me making of any willful faha slabmant at materiel tact herein subject sem to tie imWWgM gj#fepanPl krr/ralstive to the making and filing of false Instruments. SELLER SIGNATURE BUYER CONTACT INFORMATION IEuaermb m wn 1rx alebrsar.Note•a k Wig LLGsnoaT,nsodseml,mrpxnm,pm swill oampolry,caro m a"duh.nrd tie etlwOal qct or educery.awes■nems,and meed 0 Its ohm at an idxkhalke podbne /16 °"tr•larwmrwmrmascwwrgwalvsrem+errmueeswrrEa.TypearMlydeMY.l e1LA.rfRWTm,E E Cassidy Ann C. .m MT NAME FIRST NAE (704) 564-3280 9/16 •ARE11 moE •TslEm101:WHKR la Snse) mRm IMATURE Mrs 6065 Bluff Heights DriveA -STREETNLMM •STREETNm mm Cuing GR 30040 •G7Y OR TOM STATE -LPCom BUYER'S ATTORNEY IBMLAW NAME FIRST NAME I I _ 19 -COOF TELEMIOMMro ERIE.senerel m d