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Home My WebLink AboutL 12882 P 586 I I I I I I I I I I I I I I I l l l SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 10/04/2016 Number of Pages : 4 At: 03:21:52 PM Receipt Number : 16-0156246 TRANSFER TAX NUMBER: 16-07138 LIBER: D00012882 PAGE : 586 District: Section: Block: Lot: 1000 070 . 00 12 . 00 030.000 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 $125. 00 NO TP-584 $5 . 00 NO Notation $0. 00 NO Cert.Copies $5 . 00 NO RPT $200. 00 NO Transfer tax $0 . 00 NO Comm.Pres $0. 00 NO Fees Paid $400. 00 TRANSFER TAX NUMBER: 16-07138 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1❑ `1 RECORDED Numberofpages 201E Oct 04 03:21.52 Ptl JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK C.OUHTYL DWO12882 record.Please remove all P 586 Social Security Numbers @T# 16-07138 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Mortgage Amt. Page/Filing Fee _ !__ 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 5 ub Tota I Notation Spec./Assit. or EA-52 17(County) 5� Sub Total � Spec./Add. EA-5217{State) 125 _ TOT.MTG.TAX Dual Town Dual County _ R.P.T.S.A. � Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit .� Mansion Tax The property covered by this mortgage is Certified Copy f✓ 5 or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total j rj0 YES or NO Other Gra rid Tota I /� If NO, see appropriate tax clause on G� page of this instrument. 0 9 4 Dist. 16029136 1000 07000 1200 030000 10 5 Community Preservation Fund TaxlSerovicet 22-SEP-16 1111111111111111111111111111 IIIIIIIIIIIIIIIIIIIIII Consideration Amount'$ Agency CPF Tax Due 5 Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD IDG a Jennifer B.Gould,Esq. PO Box 988 TD Southold,NY 11971, TD t 'I[ Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name defl www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached deed made by: (SPECIFY TYPE OF INSTRUMENT) Evelyn L,Bergen,surviving tenant by the entirety The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO � IntheTOWNof Southold Evelyn L.Bergen,as Trustee of the Evelyn L�� In the VILLAG€ Trust dated 09-02-2016 or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over Bargain and Sale Deed with Covenants Against Grantor's Acts-Individual or Corporation CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the o?�'� day of ��fthPe , 2016 BETWEEN EVELYN L. BERGEN, surviving tenant by the entirety of NORMAN N. BERGEN, deceased on 02-16-2010 in Suffolk County, New York, residing at 1200 Oakwood Drive,Southold, New York 11971 party of the first part, EVELYN L. BERGEN,as Trustee of the Evelyn L. Bergen Trust Agreement dated 09-02-2016, residing at 1200 Oakwood Drive, Southold, New York party of the second part, WITNESSETH,that the party of the first part, in consideration of ten dollars ($10.00) 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, SEE SCHEDULE 'A' ANNEXED HERETO Being and intended to be the same premises as described in the deed made by Southold Development Corporation, recorded 02-03-1961 in liber 4493 page 571. 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: EVELYN L ERGEN STATE OF NEW YORK: COUNTY OF SUFFOLK)ss: On the e9 W C4 day of .4- >mkr,, 2016, before me, the undersigned, personally appeared Evelyn L. Bergen, 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 executed the same in his/her capacity and that by his/her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. Not 01lublic �P��1. g, Gould JENNIFER B.GOULD Notary Public,State of Now York No.02645024840-Suffolk County Commission Expires March 14,20t$ SCHEDULE A ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Pine Neck, Southold, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the southerly line of Oakwood Drive, 215.0 feet westerly along said southerly line from North Bayview Road; from said point of beginning running along land of the party of the first part, South 6 degrees 54 minutes 30 seconds East a distance of 250 feet, more or less,to ordinary high water mark of Goose Creek; THENCE westerly along said high water mark, 60 feet, more or less,to land conveyed by the party of the first part to Simmons. THENCE along said land of Simmons, 2 courses, as follows: (1) North 41 degrees 13 minutes 40 seconds West a distance of 82 feet, more or less, to an iron pipe; thence (2) (3) North 6 degrees 54 minutes 30 seconds West a distance of 200.0 feet to an iron pipe on said southerly line of Oakwood Drive; THENCE along said southerly line of Oakwood Drive, North 83 degrees 04 minutes 30 seconds East a distance of 105.0 feet to the point or place of BEGINNING. INSTRUCTIONS(RP-5217-PDF-INS),wiew.orps.state.ny.us FOR COUNTY USE ONLY 7 Q New York State Department of CI.,S6S code I 'll T;.12.. 2. J7 I Taxation and Finance E C2.Data need Recorded I d/0 7/ `D I Office of Real Property Tax Services ay "' RP-5217-PDF C3.Book / G.Page Ser Real Property Tranafar Report(8M0) PROPERTY INFORMATION 1.Propsriy 1200 Oakwood Drive Location •STREET NUMBER .STREET NAWE Southold Southold 11971 •CIIV oR TQMN VR:AGE •2PCom 2.Buyer Bergen Evelyn L. as Trustee Name 'lABT NAMECOMPAh rEtS'NAME Evelyn. L. Bergen Trust dtd 09-02-2016 LASTNAVEWWAN-r Yarm RW[ ].Tex Indicate where fmure Tax Bills are to be sant Billing it other than buyer s ldress(el bottom of farm) --AST NAMECOMPAHT FAB7 NAME Address a7aEE:MIYERANaXAYE Cm'CRTaVm STAIE r/CoDE 4.Indicate the number of Assosamenl 1 N of Parcels OR ❑Pod of o parcel (only Ir Part ora Parcell Cheek as they apply: Roll pareds transforred on the dead 4A.Planning Board with Subdivision Authority Exists ❑ e.now Properly OR 0.57 46.Subdivision Approval was Required for Transfer 11 •DEPTH 'ACRES she 4C.Forest Approved for Subdivision with Map Provided ❑ Bergen Evelyn L. 6.Seller 'LA.NAMMnpANY FIRSTNAY1 Name u91 N WF1CCrBANY FAST NAME •T.Select the description which most accurately describes the Chock the boxes below as they apply: use of the property m the time of sale: I.Ownership Typs rs Condominium ❑ A.One Family Residential 9.Now Construction an a Va®m Land ❑ 110A.Property Located within an Agricultural District ❑ 100.Buyer received a disclosure nobea indicating the the property in In an AgdotdJund Digend ❑ SALE INFORMATION te.Chock one ormom ofthemeConditions asapplfubletotramfar. A.Sale Between Relatives or Farmer Relatives 11.SoW Contract flats B.Sala between Related Companies or Partners in Business. C.One of the Buyers is also a seser n O 1 I D.Buyer or Seller is Government Agency a Lending Institution tt.Dela of SeleRreltsler L b E.000 Type not warranty or Bargain and Sale(Specify Below) F.Sale of Frac4onal or Less Then Fee Interest(Spectly Boar) 'IS.Full Bob Price 0.00 G.Signiscent Chop in Property Between Taxable Status and Sale Data H.Sala at Busmese N Included in Serie Price (Full Sea Price is the total amount paid Ice the property Including pots ply. 1.Other unusual Factors Affecting Sale Price(Spedly Below) This payment may be In the form of cash.other property or goods.or the assumption of mortgages or other obligations)Presse round to the nearest whole dclleramount. J.None Commom(e)on Condition: 14.Indicate the value of personal property Included In the sale .00 ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roil and Tax Bill 19.Year of Assessment Roll from which informslion takan(YY) 16 IT.Total Assessod value 5,100 •1S.Property Clean 210 _ •19.School District Namo Southold Tax Map IdentlMgsyRoll Identi Ms)(if more than four,attach sheet with additional rdertethr(s)) 1000-070.00-12.00-030.000 CERTIFICATION I Cordy that all of the Items of Information entered on this form are true and correct(to the Hest of any knowledge and beileQ and I understand that the making of any willful fa4msMterial fast herein subject me to Neyrevislons.9Lthe gone)Iity.rofative to the making and filing of hiss Instruments. RFL LER SIGINATURE BUYER CONTACT HFORMATION _-- -'---_ — (EneriHamwanforthe auyr.Note:aourarIRLLCnoaa4.eraodobmn.caporeheL AkR smriowsany.wIw or meet'dart d TaronedrdCuat atlanxor fiduciary.earna Tome Ed conWINmmabm dan idividusyrnaaude TE Bergen Evelyn L. ,%(/ • .LAST NAME FAST NAME •AREACCCE 'TELEPHONE NUMBER r[r norm BmER1 MATE 1200 Oakwood Drive .mREE7 NUMBER •STREET KWA ' 1 Southold NY 11971 •rJTr MAR rppN sure -a-CODE r I BUYER'S ATTORNEY I l Gould Jennifer B I I 1 LAST AAIE FinaT RAYS I (632) 765-8375 r l I 1 r MIA LxxE TFire.eI.v MUMN TEx session