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L 12880 P 964
l l l l l l l l l l l l l l f l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l I I I I I I I I I I I I I I I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 09/23/2016 Number of Pages : 3 At: 09:26:04 AM Receipt Number : 16-0149406 TRANSFER TAX NUMBER: 16-05863 LIBER: D00012880 PAGE : 964 District: Section: Block: Lot: 1000 125 .00 04 .00 007 . 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 $390 . 00 TRANSFER TAX NUMBER: 16-05863 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Film EO Number of pages 3 2016 Sepp 223 3 L104;26;04 41 JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00012880 Social Security Numbers F 964 prior to recording, DT# 16-05863 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee 115— Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 S SubTotal Notation Spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) �a — TOT.MTG.TAX R.P.T.5.A, Dual Town Dual County Held forAppointment Comm.of Ed. 5. 00 Transfer Tax Affidavit + . Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total_ YES orNO Other 4/ Grand Total 1If NO,see appropriate tax clause on pageof this instrument. J� 11110 4 Dist. 16029245 Community Preservation Fund f: loo0 12500 Daoo oo�oao Real ProperT Consideration Amount$ Tax Service P S Agency R LpA APFTaxDue N1111111�IiIl C $ Wul Verificatior 23SEP4 Improved Satisfactions/Discharges Releases List Property Owners Mailing Address 6 R1CORD&RETURN TO: Vacant Land Timothy Caufield Peconic Land Trust, Incorporated TDI o0b PO Box 1776 TO Southampton,NY 11969 TD Mail to:Judith A.Pascale,Suffolk County Clerk Z Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Advantage Title www,suffolkcountyny.gov/clerk Title u SSA-38200-16 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFYTYPE OF INSTRUMENT) Anne A.Hubbard The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Peconic Land Trust,Incorporated In the VILLAGE or HAMLET of Laurel BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over ®� IL NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT•THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 7a-h day of 5e_F m bei in the year 2016 BETWEEN ANNE A.HUBBARD, 1 Stoneleigh Plaza, Apt. 5K, Bronxville, New York 10708 party of the first part,and PECONIC LAND TRUST,INCORPORATED,296 Hampton Road,PO Box 1776, Southampton NY 11969 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,piece or parcel of land,with the buildings and improvements thereon erected.situate,lying and being in iho at Laurel,in the Town of Southold,County of Suffolk and State of New York,known and designated as Lot No.23 on a certain map entitled,"Map of Laurel Country Estates" and filed in the Office of the Clerk of the County of Suffolk on June 22,1970 as Map No.5486. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated November 19,2003 and recorded on December 2,2003 in Liber 12287 page 330. TOGETHER with all right,title and interest,if any.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;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 incumbered 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/LGG'Y. /above written. „ �Y IN PRESENCE OF: /*"' Anne A.Hubbard USEACKNOWU,MAf'MfFORMBFLOWWUHINNEW YORK STA TF.ONLY: USEAC'KNOWFF,1)GMF,RTFORM8EL0WwtTntNNFWYORK STATFONLY: State of New York,County of Westchester }ss.: State of New TOUR,Countyo On the 7thlay of September in the year 2016 On the day of III the year before me,the undersigned,personally appeared before me,the undersigned,personall ared Anne A.Hubbard personally known to me or proved to roe on the basis of satisfactory personally known to me Dyed to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are)subscribed to the evidence to be the in ' ' ual(s)whose narne(s)is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed within In nd acknowledged to me that he/shelthey executed the same in his/her/their capacity(ies), and that by his/her/their the sam his/her/their capacity(ies), and that by his/her/their signature(s)on the instrument,the individual(s),or the person upon si (s)on the instrument,the individual(s),or the rson upon behalf of which/the individual(s)acted,executed the instrument. a ms rument. DONNA M.BOVA NOTARY PUBLIC STATE OF NEWYORK NO,01B06092647 QUALIFIED IN SUFFOLK COUNTY omnn;saioY.EFPt�s d7/1ot`� PM ML IUICK.31AIP U —K few Ynrk Subscribing Wirnesa Arknowterlgnienr Cenifcnr.-J /Our fSrare or Foreign Genervi AcknoWledgntenl Cenificettel State of New York,County of }ss.: (Cmnpive Venue with State,Country.Fr'oi,ince orrtfunicipuliry) On the day of in a year Wore me,the undersigned,personally appear On the day of -t the year before me,the undersigned,penarally ap d the subscribing witness to the foregoiu strument,with whom I run personally acquainted,who,being b e duly sworn,did depose and personally known to me or proved me on the basis of satisfactory say that he/sheldtey resides)in evidence to be the individuals)w se names)is(are)subscribed to the within instrument and ackno dged to me that he/she/they executed (if the place of residence is acity incluiethestreetandstreetnumber, the same in his/her/their c acity(ies),that his/her/their signature(s) if any,thereon:that It e/they know(s) on the instrument,the' ividual(s),or the person upon behalf of which the individual(s)ac ,executed[he instrument,and that such individual to be the indiv' al described in and who executed the foregoing made such ap ance before the undersigned in the instrument; said subscribing witness was present and saw said exec the sante;and that said witness a[the same time subscribed (L rt the city at-other political subdivision and the state or country ar n. BARGAIN&SALE DEED W nN COVENANTS AGAINST GRANI"OR"S ACTS TfTLENO. DISTRICT /aDO SECTION Anne A.Hubbard BLOCK OLf_O'Q LOT O©'1* <26 0 tG _r1 COUNTY OR TOWN 50 U.L�`4 TO Peconic Land Trust,Incorporated RFCORDF.DATRF,QUFSTGF Fidelity National Title Insurance Company R✓TURN RY MAt L TO FIDELITY NATIONAL TITLE Susan Quinn Tuths,Attorney INSURANCE COMPANY 33 Flying Point Road,Suite 208 V INCORrnRArsu 1928 Southampton NY 11968 C f�rAra/a/.z,Fidelity Mcrnbrr NrxYor#Swu lurrJ nilu Asmriariar W U LL LL z Z O cc U W 2 LL 0 W N 7 cc 0 Ll. W U Q a N S H W ccW U1 W K INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY / 1-7/ New York State Department of C1.SWIS Code 7 I Taxation and Finance C a / Office or Real Property Tax Services C2.Data Iliad Recorded °" Yw RP-5277-PDF C3.Book C4.Pepe Real Property Transfer Report(8110) PROPERTY INFORMATION 1,Praperbf 3245 Delmar Drive Location 'STREET MlIER 'STREET NAME Southold 11948 'CITYGR NMN v4AAG1 'zlp CODE 2.Buyer Peconic Land Trust .�neuYj�b(A�� Nems T .L1ar NAMEICOMPANT FIRST NAME WTivim OapANT FIRST NAGS 3.Tax Indeste whole figure Tax Baa am to be sae Billing it eater dun buyer address(at bottom of form) LAST N.raeomp— FIRST NNE Address amEETmLGMAmDM/WE Cm'OR TOWN --i---LapcCom 4.Indicate the number of Assessment 1 ®Pon of a Parcel (Only if Part of a Parcel)Check as they appy: parcels rate tmmahned on the deed d d Parcels OR ❑ 4A.Planning Board with Suhdiwsion Authority Etats 6•Dad XOR 0.54 40.Subdivision Approval was Required for Transfer •oEPrN 'ACRES Property •rRONT FEeT Skzo 4C.Parcel Approved for Subdlvlslm TYM Map PnNMed Hubbard Anne A. L Seller LAST NA ECgrPANY FIRS,NATE Name LAST NAMEICDYPANY FAST NATE 7. Select the tlsssriptlon which most accurately describes the Check the boxes below as they appy: use of on property at the Woe of ealo: S.Ownership Type is Condominium A.One Fancily Residential a.New Conxmelmn on a Verse lend 111A.Property Located within an Agricultural Distinct 108.Buyer received a disclosure notice indicating that the pmpoy Is in an Agnwhuml District SALE INFORMATION 16.Check ono or more of Ume condfloms me applicable totranser. A.Sale Between Relatives or Former Relatives 11.Sola Contract Date B.Sale between Related Campania or Pallas in Business. 1,.� C.One d the Buyers is also a Seiler uyer or Seem is GowirnmeM Agency or Lending Institution 12.Date of SelalTmmer Ipg��to E D. BDead Type not War my or Bargain and Sale Specify Below) F.Sale of Fractional or Lees than Fee Interest(Spaury Below) •13.Full Sale Price 0.00 O.Significant Change in Property Between Taxable Status and Sae Dates H.Sale of Business is Included in Sate Pnee ( Full Sale Pia is the tout anouat paid for the property Including personal property. I.other Unusual Factors Affecting Sale Price(Specify Below) Title payment may be In the lam of ash,other properly Or goods,Or the assumptim Of J.None matgeges or other obligations.)Peme round to fie nearest whole dbferamoun! •Commom(s)on Condition: 14.Indicate the value of personal property Included InOnsale 0 '00 gift—lo consideraLion ASSESSMENT INFORMATION-Data should reflect the latest Fina(Assessment Roll and Tax Bill 16.Year of Assessment Ron from which Informal m taken(YY) 15 117.Total Assessed Ve1ea 5,900 11 a Property Class 210 _ •1e.School District Name Mattituck—Cutchoguo 120.Tax Map hdentieer(syRoa Idemifbr(s)pt mom than four,attach shot with additional idendlegs)) 1000-125.00-04.00-007.000 CERTIFICATION I Certify list sit or the Items of information entered on this form aro Wo and correct(to the bot of my knowledge and bolbq and 1 understand that the making of any willful else statement of material fart heroin subject me In uwjM)olMLgt f le pala)J4w.roladve to the making and filing of false Instruments. ear r e SIGNATURE BUYER CONTACT INFORMATION /Ij,/ / _— (Ercw Walmawon ver ole buyer.Note:If buyer Is r1.C.roaey.assodaeaL alperAML lard SW neepary,revs.*a (F� /// / h P"mr t mol an m igior penia aemsry.then a Homs am oorean mkiwis=on M l inMmaaerporlade pnwty vAte an answer Guerons rpaalp the wester nwa a elserea type a prim eteedy.) Kum wo-ATWE P DATE rat�',f/. Greene Pam FC.40(I'LL G t- Ajvs J L e-0lrO .F— •LAST NAME FIRST NME ' 6 (631) 283-3195 'ARCA COOL '7EIE49rE NUMBER IEE 491wwe1 ' 911TER8 G E PO Box 1776 -STREET.-.Ml •STRUT NAPE Southampton _ NY 11969 •CITY on TONG 'STATE 'EaICODE 1 BMFRSAUD13NEY Tuths Susan ` LAST TAME FIRST GSE +, ;63i: 297-0013 AREA COM TELEr-0NF NJwaER 1F•OHNNI