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Home My WebLink AboutL 12880 P 137 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 09/19/2016 Number of Pages : 4 At: 10: 10: 06 AM Receipt Number : 16-0145881 TRANSFER TAX NUMBER: 16W-05234 LIBER: D00012880 PAGE: 137 District: Section: Block: Lot: 1000 108 .00 04 .00 011.002 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 .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 $250 . 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 $520 . 00 TRANSFER TAX NUMBER: 16-05234 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County RECORDED Number of pages 2016 Sep 15 10:111:06 AM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record.Please remove all L D00012880 Social Security Numbers P 137 prior to recording. DT# 16-05234 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Mortgage Amt. Page/Filing Fee 1.Basic Tax Handling 20. 00 2, Additional Tax G_ Sub Total TP-584 Spec./Assn. Notation or EA-52 17(County) �7 Sub Total Spec./Add. TOT.MTG.TAX EA-521 7(state) �nr�Q Dual Town Dual County R.P.T.S.A. — Held for Appointment Transfer Tax Comm.of Ed. 5. 00 �� Mansion Tax Affidavit The property covered by this mortgage is Certified Copy or will be improved by a one or two 15. 00 family dwelling only. NYS Surcharge Sub Total YES or NO OtherGrand Total If NO, see appropriate tax clause on page# oft ' 'vument. 4 Dist 11.002 5 Community Preservation Fund !6026791 l000 10800 0400 011002 Real Prop p T S Consideration Amount$_ f Tax Servi- R LpA A III�I�III�I�II� IIIICPFTaxDue 5 Agency 05-SEP-1 IIIIIIIII IIIIIIIIIIIII�WI Verificati Improve 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address Vacant Land RECORD&RETURN TO. TD 1 QDD William H.Price,Jr.,Esq. TD P.O.Sox 149 Greenport,New York 11944 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 Trustee's Deed made by. (SPECIFY TYPE OF INSTRUMENT) Jane B.Goeller.Trustee of the Goeller Family^ The premises herein is situated in Survivor's Trust u/w dated April 5 2010 SUFFOLK COUNTY,NEW YORK. TO In theTOWN of Southold GQB11,,LLC In the VILLAGE or HAMLET of Mattituck BOXES 6THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over Trustee's Deed CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made the 17th day of August, Two Thousand Sixteen BETWEEN JANE B. GOELLER, Trustee of the Goeller Family Survivor's Trust ula dated April 5, 2010, residing at 349 Ridgecrest Drive, Santa Barbara, California 93108 party of the first part, and GOBIL LLC,whose address is 6915 S.E. Harbor Circle, Stuart, Florida 34966, 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 of its right title and interest in and to All that certain plot, piece or parcel of land, situate, lying and being at Mattituck, in the Town of Southold, County of Suffolk and State of New York, as shown on Lot #1 on "Map of William J. Baxter, Jr,, Patricia Baxter, Robert A. Goeller, Jr. and Jane P. Goeller," filed in the Office of the Clerk of the County of Suffolk on May 15, 1990 as Map No. 8937 BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated August 25, 2010, and recorded September 24, 2010 in the Office of the Suffolk County Clerk in Liber 12638, Page 430. 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: J E B. GOELLER, TRUSTEE ' a STATE OF NEW YORK) ) ss.. COUNTY OF SUFFOLK) On the 17th day of August, 2016, before me, the undersigned, personally appeared Jane B. Goeller, 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. Notary Public WILLIAM H. PRICE,JR. Notary Pubiic, State of New York No. 4644944, Suffolk County Term Expires Fehruary 28, 20Y INSTRUCTIONS(RP-5217-PDF•INS):vrvrw.orps.slate.ny.us FOR COUNTY USE ONLY l New York Stale Department of c1.swls code Taxation and Finance C2.Date Deed Recorded C/ Ic / I� I Office of Red Proporty Tax Services Drs r'a' RP-5217-PDF C9.Book ; I,Z$E-,0C4.Page , Real Property Transfer Report(olio) PROPERTY INFORMATION 1,Property 19625 Main Road Location •STREET MI,GER •sTREET NAYS Southold Mattituck 11952 •CITY an Towel VuweE •LP cam z.Buyer GOBIL LLC Name 'IKINAME6OWANr FRSTxwE , LAST NAIEICQWP FRET NAME J.Tax Indicate where velure Tar Bias are to be sent Bilddress ling it other than buyer addresa(al bottom of form) LAST NAYEICpxPANv FIRST SAME _— -- A SIREEI NUMBER AND NWE CITVORTOWN STATE err CDOE 4.Indicate the number of Assessment 1F1 Part of a Parcel (Only if Part of a Parcel)Check as they apply: Roll Parcels transferred on the dead 8 of Parcels OR eA,Planning Board with Subdivision Au:hwily,Fnl,s U S.Deed -85X+ •OEPTN O R 1•ArJAE4 Property -FROM r[El 4B.Subdivision Approval was Raoul etl for Transfer Size 4C.Parcel Approved for Subdivision soul Map Provided Goeller Jane B., as Trustee, Goeller Family Suryivorls a.sailor Name •LAST MANWONUAAT FRSTAWE TruSt u/a dated April 5, 201.0 LAST NMEICOMPAN- FRST SANE '7.Select the description which most accurately describes the Check the boxes below as they apply: use of the property at the time of sale: 8.Ownersvio Type is Cordc n niu'n F.Commercial 9.Now Construction on a Vacant Land C JOA.Propeny Located vathin an Agric ilural District C 108.Buyer.received a disclosure notice i-d.'cafing that the proaeriy is in an Agricultural District SALE INFORMATION 18.Check one or more of these conditions as applicable to transfer: A.Sele Between Relatives or Former Relobves 11.Sale Contract late N/A a.Sale between Relafod Componiea or Padnera in Business C.One of the Buyers is also a Seller O.Buyer or a ilernot Is GovernmentmyOfBa Agency or Lending city Beim '12.Oaio of SalelTranshr (- E.Deed Type not Warranty or Bargain and Sate(Speoly BelaTq ' F.Sue of Fractional or Less then Foe Interest(Spedy Below) '13.Full Sala Price 0 00 G.Significant Change In Property Between Torable Status and Sale Dates (Full Sale Price is the Total amount paid for the property inducing persenel property. H.Sale of Business Is Included in Sate PriceI.Other Unusual Factors Affecting Sale Pnoe(Specify Below) Tfvs payment may be in the form of cash,other property or goads,or the assumption of J.None mortgages or other obligations.)please round ro the nesmsf whale dollar amount Commends)on Condition: fa.Indicate the value of personal property Included In the sale 0.00 ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill ill.Year of Assessment Roll from which Information taken(YY) 15 -17.Total Assessed Value 19,700 '18.Property Class 484 _ •19.School District Name Mattituck-Cu L•chogue •20.Tax Map Identiner(syRoll foengaer(s)(If more than four,attach Most with additional Identifier(SI) '- 1000-108.00-04.00-011.002 CERTIFICATION I Certify that all of the items of Information entered on this form are true and correct(lo the best of my knowledge and belief)and I understand that the making of any willful false statement of materfaf fact heroin subject me to ths_nrorlalona of the Renal law rolative to the making and filing of false instromonts. SELLER CR SIGNATURE BUYER CONTACT INFORMATION -- (Enler u2xnebon lar Re buyer.Note.If bgwis LLC,sooery. m ,a—aU ,corporation,loonstock mapr : ry,a mar anally PSI is not an ildrAduel SOW lir rdadafy.Own a Nme she terasG illamaSm of an Inewli ueumstionsbM Party wine-anther qusabons ispa"ew-sealer MR be entered.Type ar pant Ready 1 JanseE $wi`'x'IUoeller, Trustee DATE GOB1L LLC BUYER SIGNATURE / •LAST NNA RRST NAME (772) 285-0877 - (� 'S•OL� y F,�JIIF r, -MiEAC07E •'ELEPriNLM:xakRlF•.WRM [R are 1 E GATE William Baxter, Jr., Managing Member 6915 Harbor Circle •aTREE!AMYafJr •STREET NANE I � IScuart FL 34966 II , 'CT1 ON ropy V11TE -err COOE rlyJa I BUYER'S ATTORNEY )Price William H. 1 1 I I UST NAME FRSTMANE 477-1016 — I I i I M1F/1 Lace raL[o+oxr NrrY,Ea IEr rrrarwl