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L 12894 P 136
1111!!11 IIII IIIII IIIII III11 IIIII IIIII IIIII IIIII III!IIII 1111111 IIIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 12/27/2016 Number of Pages: 4 At: 11 : 58 :25 AM Receipt Number : 16-0204868 TRANSFER TAX NUMBER: 16-16200 LIBER: D00012894 PAGE : 136 District: Section: Block: Lot.- 1000 ot:1000 014 . 00 02 . 00 003.012 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: 16-16200 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1 I 1 I I L 1 Number of pages RECORDED 2015 Dec 27 11:58:25 ANI This document will be public JUDITH A. PASCALE record. Please remove all CLERK OF $ocial;Secur'ity Numbers SUFFOLK COUNTY L D00012894 prior to.recording. P 136 DT 16- ��QO :Deed/Mortgage Instrument Deed/;Mortgage Tax Stamp Reco Wng�Filmg Stamps 3 FEES . Page/ Pa Filin Fee % Mortgage Amt. g gO— 1. Basic Tax _ Handling 20. 00 2. Additional Tax 7 TP-584 Sub Total _ Spec./Assit. Notation or EA-52 17.(County) Sub Total Spec./Add. _ EA-5217 (State) d, S7) TOT.MTG.TAX _ • •.�,,,�, Dual Town Dual County_ R.P.T.S.A. _ n Held for Appointment—/ Comm.of Ed. 5. 00 Transfer Tax t.' R;: 1 Mansion Tax Affidavit The property.covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 (4" )G' family dwelling only. Sub Total }ES or. NO Other C Grand Total J If NO,see appropriate tax clause on age# of this instrument. 4 is . 16039025 1000 01400 0200 003012 ,/L 5 Community Preservation Fund Real Property R VIT A Consideration Amount Tax Service l Agency �4oec-� PF ax Due $ [� Verification Improved b Satisfactions/Discharges/Releas6s List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land (-061e- TD �v- COl�e ,-n� 8©ac( TD (loy Om TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title ComiDanvInformation 31 Q Center Drive, Riverhead, NY 11901 iCo.Name �', U M www.suffolkcountyny.gov/clerk Title# g ' Suffolk County Recordin & Endorsement Page This page forms part of the attached , made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK. 1 TO In the TOWN of I C 1r/1 fjLe In the VILLAGE A) HAMLET of BOXES 6 THRU S MUST BE TYPED ORP IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 110104-1010W (over) EXECUTOR'S DEED (INDIVIDUAL OR CORPORATION) FORM 8005(short version),FORM 8010(long version)ROVc— 7016 - 1 f 53, J CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND �� PURCHASER BEFORE SIGNING. THIS INDENTURE,made the U °6 -12016 . betweee Serena N.Moehring,as Executor under the Last Will and Testament of Fred J.Moehring,who died a resident of Suffolk County on July 5,2016,under File No.2016-2884 in Suffolk County Surrogate's Court,residing at 33 Foxglove Row,Riverhead,NY 11901 party of the first part,and Serena N.Moehring,as Trustee of the Serena N.Moehring Family Credit Shelter Trust,residing at 33 Foxglove Row,Riverhead,NY 11901, party of the second part, WITNESSETH,that the party of the first part,to whom letters testamentary were issued by the Surrogate's Court, Suffolk County,New York on August 8,2016,and by virtue of the power and authority given in and by said last will and testament,and/or by Article 11 of the Estates,Powers and Trusts Law,and in consideration of Ten Dollars and No Cents($10.00),lawful money of the United States,paid by the party of the second part,does hereby grant and release unto the party of the second part,the distributees 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 the Town of Southold,County of Suffolk and State of New York,more particularly described in schedule A attached hereto; See Schedule A attached BEING AND INTENDED TO BE the same premises as described in deed dated December 31, 1986, recorded January 6, 1987 in Liber 10210 Page 496. The grantee herein is now a tenant in common with Serena N.Moehring,who acquired her interest by deed recorded in Liber 10210 Page 496. Serena N.Moehring has disclaimed her interest as a surviving tenant by the entirety in the above probate proceeding pursuant to Disclaimer dated October 18,2016,and filed with the Suffolk County Surrogate's Court on October 28,2016. SAID premises known as and by 1950 Grandview Drive,Orient,NY 11957. 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 also all the estate which the said decedent had at the time of decedent's death in said premises,and also the estate therein,which the party of the first part has or has power to convey or dispose of,whether individually,or by virtue of said will or otherwise; 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. 4SerN.Moehring,as Executor NYSBA's Residential Real Estate Fortes(9/00) 0 2002 Matthew Bender&Co.,a member of the LexisNexis Group. Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK ) COUNTY OF SUFFOLK )ss.. On the /S day of 0012,,� in the year,before me,the undersigned, personally appeared Serena N.Moehring,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 she executed the same in her capacity(ies),and that by her signature(s)on the instrument,the individuaks or the person upon behalf of which the individual(s)acted,executed the instrument. o aryPublic MICHAEL C.MCCARTHY Notary Public,State of New York No.01MC5025875 Qualified in Nassau CountV�l e rj Commission Expires April 4,_2 O (000 Executor's Deed SECTION 014.00 TITLE NO. G0 BLOCK 02.00 LOT 003.012 COUNTY OF SUFFOLK,TOWN OF SOUTHOLD Serena N.Moehring,as Executor STREET ADDRESS 1950 Grandview Drive Orient,NY 119.57 TO Serena N.Moehring,as Trustee Return by Mail to: Grabie&Grabie,LLP 162 Terry Road Smithtown,NY 11787 NYSBA's Residential Real Estate Farms(9/00) ®2002 Matthew Bender&Co.,a member of the LexisNexis Group. -2- r Serena N.Moehring,as Executor to Serena N.Moehring,as Trustee Premises: 1950 Grandview Drive,Orient,NY 11957 SCHEDULE A ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Orient in the Town of Southold, County of Suffolk and State of New York shown and designated as Lot No. 8 on a subdivision map entitled "Subdivision Map of Grand View Estates at Orient, New York", which said map was filed in the Suffolk County Clerk's Office on June 8, 1982 as Map No. 7083." 'This Do arc content i title �Inodatioex . p ols berg icor respol, am'nation y Without the b� as 'In bility for or ass.,Pir ne$t of ��ec�ess°r►'alidi�,,,oP INSTRUCTIONS(RP-M7-PDF-INS).www.orps shde.ny.us FOR COUNTY USE ONLY Now York State Department of C1.SMS ewe 14,-7 , 3, 9 Taxation and Finance C2.Dam � t Wed Recorded � �of / /OW r6 Office of Real Property Tax Services p [� Itme CR, •� RP-5217-PDF C3.Book ; O I CAT.Page , ,3 , Real Property Transmr Report(eri0) PROPERTY INFORMATION 1.Prolwrb 1950 Grandview Drive Locstietr 'STREET NUe -pmahT NANF Orient 11957 CRY OR 1CwTA w.LAW •2P CW. 2-Buyer Moehring Serena N., as Trustee Name _ .,Aar„A„ECOMIAµ,. 1IRer NAAR LAST NAMEhMWP FIRST NAME 3.Tax Indicate where future Tax Bills aro to be sant _ Billlno s othert him buyeraddrosslet Ixlftom dlorm) LAST NAWX=PANY FIRST N'wE Address WREETNIIYBiRAMNARE CITY 09 TPMY STATE COCK a.Indkato to ndnber of Amseesmwit (Only if Part of a PorMl)Cheek as they apply: Rail petceb transferred on the dead 1 a d Paroele OR ❑Pan ai a Parcel ❑ eA.Planning Board with Subdvtalon Authority Exists LOW x __OR 0-99 hire.SulxaYtoon Approvd was Required for Transfer El Property •FRONTFEET •CEp,N -ACRES sin aC.Power Approved for Subdivision with Map Provided 0 Moehring Serena N., as Executor 6•Sellar 'LABTNAI["LPAW MSTRJIIL Name LAST NAIICXWPANT — FIRST RAIR . 17.selecttlls description which most accurately describes the Cheek the boxes below as they appy: use of the property at the time of eels: a.Ownership Type Is Cdudomtrsum C.Residential Vacant read a.Now Construction on a Vamd Land ❑ 10A.Property Located within an Agricultural District 100.Buyer received a disclosure nobce indIaWng that the property is in on r' Agdeultural District LJ SALE INFORMATION 16.Check one or more of trees coTMitions as appticobto to transfer. A sale Between RalaSLes or Former RelaLvas 11.Salo Cenireet Dam N/A B.Sats belween Related CompMies or Partners In Business. C One of the Buyers is also a Seller • D Buyer or Seller Is Government Agency d Lending Institution 92.Date O(salferrrensfer 11/15/2016 E Deed Type not Wanmay or Bargain and Sale(Spactly,Below) F.Sale or Fractional or Less than Fee bnarod(Specify Below) •13.Full Sob Prim 0.0(l G.Signtncard Change in Property Between Taxable Status and Sale Dates H.Sale of Business rs Included in$ale Price (Fd Sde Prim Is the JIM amount peld for the property including persdid property. 1.Other Unusual Factors Affecting Sale Price(specify Below) This payment may be in the form or mh,other property or goods,or the assumption of J.None matgagas or other obligations.)Phase round to ore nearest while dollar amount •Commsngat on Condltlon: 14.Indicate aro value of personal ��r� Property to the male x ty In •00 no consideration - tLanster to trust. ASSESSMENT INFORMATION-Dam should reflect the latest Final Assessment Roll and Tax Bill 16.Year ol'Assessment Roo from which Inyamradon taken(VY) 16 117.Total As sed Value 3,600 •18.Property Class 311 _ •19.school District Man* Oyster Ponds •20.Tax Map IdsmMar(s)IRoll IdedlMr(a)(N more tlron four,annh sheat with additional IdentflesinD - - 1000-019.00-02.00-003.012 CERTIFICATION 1 Csr ft dwt as of dm rams of irforma0m oo.tm on this torn aro true and correct tet the best of my luhowladge and b@IMQ and 1 understood that the making of any vdfiful false mhim.ad of mabMd fed herein subject me to tMyroYla1g96 9LtE9 MB94law relative to tuns making and filing of false Instmnwnts. RFL r ER,$tONATURE BUYER CONTACT INFORMAWK (rids Irawmabbn for ea buyer Nate II Ahyer n LLC,rooery,association ceparam.John nark eCmpi try.@I=w 1-r j-f a"mea not i9 mawdual ager or hduory,tlwn a name end cwrAd mkmalrm d m kdmd.YBredpadmLle pally Mho u,curer M e ams mgedinp irm i m ser mW be emwed.Two Sr prod cinrty1 L 6EL1ER T CA:E BLIYERSIGNATURE Moehring Serena N. •LASTNAME FAST RAW f (631) _122-9875 _ ' � � •MEA G]OE 'TCLLMTOTE ra1rBER,r.Llrraarai BN'EN 941 OAIE ' 33 Foxglove Row •STKLL:WARE--R 'STRLV hAW.. Riverhead NY 11901 •SRT OR-OM 'STATE •LP CME )j�FR•S ATTORI� Grabie Jeanette LAST MARC FIRS 11 (631; 360-5600 MEACOGE TELEPI*;NE.WANDER ht..arrMi I