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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/14/2016
Number of Pages : 4 At: 03 :22 : 08 PM
Receipt Number : 16-0198760
TRANSFER TAX NUMBER: 16-15029 LIBER: D00012892
PAGE : 646
District: Section: Block: Lot:
1000 078 . 00 07 . 00 039. 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $10 .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 $0 .00 NO RPT $200 . 00 NO
Transfer tax $0 .00 NO Comm.Pres $0 . 00 NO
Fees Paid $395 .00
TRANSFER TAX NUMBER: 16-15029
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
as -
Number of pages 4 RECORDED
2016 Dec 14 03:22:08 Pt9
JUDITH R. PASCALE
This document will be public CLERK OF
COUNTY
record.Please remove all SUFFOLK 12692
L D40012892
Social Security Numbers P 646
prior to recording. DT# 16-15029
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee U Mortgage Amt.
1.Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
— or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG,TAX
R.P.T.S.A. Zo 0 Dual Town Dual County
— Held for Appointment
Comm.of Ed. S. 00 Transfer Tax
Affidavit • . Mansion Tax
RED The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 G / family dwelling only.
Sub Total �S YES or NO
Other _
Grand Total If NO, see appropriate tax clause on
page# of this instrument.
4 1 Dist, 1 C 7+1; 37612 i000 07800 0700 039000 X00 5 Community Preservation Fund
Real Property p T S Consi
Agency aeration'Amount$
Tax
Service 02-D C-A II�I��III® ��I�I�I0 CPF Flax Di4 $ 10"
Verification
- J Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD lodU
Nancy Burner&Associates,P.C.
12 Research Way TID
East Setauket,NY 11733 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 Quitclaim Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Ronald George Dietrich The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Nicole A.Dietrich In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
QUITCLAIM DEED (INDIVIDUAL OR CORPORATION)
FORM 8004(short version),FORM 8009(long version)
CAUTION:THIS AGREENIENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY AT`r0RNEVS FOR SELLER
AND PURCHASER BEFORE SIGNING.
THIS INDENTURE,made the :T,",tip t q ,20_E between
RONALD GEORGE DIETRICH,655 Cedar Drive,Southold,New York 11971,
parry of the first part,and
NICOLE A.DIETRICH,655 Cedar Drive,Southold,New York 1071,
party of the second part,
WITNESSETH,that the party of the first part,in consideration of Ten Dollars and No Cents
($10.00)and other valuable consideration paid by the party of the second part,does hereby remise,
release and quitclaim 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 the Bayview,Town of Southold,County of Suffolk and State of New
York,bounded and described as follows:
BEGINNING at a point on the westerly side of Cedar Lane,distant 632.02 feet northerly from the corner
formed by the intersection of the westerly side of Cedar Lane with the northerly side of Bayview Road;
running thence north 66 degrees 20 minutes 00 seconds west along land now or formerly of Allan
Wahlbert,265 feet to land now or formerly of Julius Zebroski;thence north 25 degrees 05 minutes 30
seconds east along said last mentioned land 75 feet;thence south 66 degrees 20 minutes 00 seconds east
265 feet to the westerly side of Cedar Lane;thence south 25 degrees 05 minutes 30 seconds west along
the westerly side of Cedar Lane 75 feet to the point or place of BEGINNING.
TOGETHER WITH a right-of-way for egress and ingress to Corey's Creek-leading from Bayview Road
to Corey's Creek and running along the lands of Godfrey Koke Estate and lands of Helen J.Fink and
being l rod in width,and right-of-way more particularly running along the westerly line of the lands now
or formerly of Godfrey Koke,South 25 degrees 16 minutes 10 seconds west a distance of 459.87 feet to
the northeasterly corner of the lands of Helen Fink,thence running along the northerly side of said lands
of Helen Fink north 86 degrees 30 minutes west a distance of 50 feet;thence along the westerly side of
said lands of Helen Fink south 18 degrees 21 minutes east a distance of 100 feet,more or less,to Corey's
Creek,
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed
dated August 14,2012 and recorded on September 19,2012 at the Office of the Clerk of the County of
Suffolk at Liber 12705,page 753.
THE PREMISES BEING KNOWN AS 755 Cedar Drive,Southold,NY,also known as 655 Cedar
Drive,Southold,NY.
TOGETHER with a]l 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,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 costs 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 WHE the y of the first part has duly executed this deed the day and
r folltitten.
Ebff—GE15JTRICI�
NYSBA's Residential Real Estate Forms(9100) 0 2016 Matthew Bender&Co.,a member of the LexisNexis Group.
-I-
Acknowledgment by a Person Within New York State(RPL§309-a)
STATE OF NEW YORK )
COUNTY OF NASSAU )ss.:
On the day of in t ear ore me,the
undersigned,personally appeared RONALD GEO E DIETRI a ly known to me or proved
to me on the basis of satisfactory evidence to be th individual(s)whose name(s)is(are)subscribed to the
within instrument and acknowledged to me that h executed the same in his capacity(ies),and that by his
signature n the i strument,the individual(s), r the person upon behalf h the individual(s)
acted, ecut a ins rument.
(si nature and office of individual taking acknowledgm it)
QUITCLAIM DEED
Title Nn• District 1000
Section 078.00
RONALD GEORGE DIET H Block 07.00
Lot 039.00
NICO DIETRICH County or Town Suffolk
Street Address 655 Cedar Drive
Southold,New York 11971
Return By Mail To:
Nancy Burner
Nancy Burner&Associates,P.C.
12 Research Way
East Setauket,New York 11733
Reserve This Space For Use Of Recording Office
NYSBA's Residential Real Estate Forms(9/00) ®2016 Matthew Bender&Co.,a member ol'the Lexis Nexis Group.
-2-
Acknowledgment by a Person Within New York State(RPL§309-a)
STATE OF NEW YORK )
COUNTY OF NASSAU )ss.:
`I )
On the �'I day of _3tA fUZ, in the year 00 1(_Q,before me,the
undersigned,personally appeared RONALD GEORGE DIETRICH,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 executed the same in his capacity(ics),and that by his
signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)
act ,executed the instrument.
KIMBERLYTRUEMAN
(sign ture and office of in rvid !to acknowledgment) NOTARY PUBLIC-STATE OF NEW YORK
N0,02TR6292778
QUITCLAIMDEED QUALIFIED IN SUFFOLK COUNTY
MY COMMISSION EXPIRES 1 1-04-2017
Title Nn. District 1000
Section 078.00
RONALD GEORGE DIETRICH Block 07.00
To Lot 039.00
NICOLE A.DIETRICH County or Town Suffolk
Street Address 655 Cedar Drive
Southold,New York 11971
Return By Mail To:
Nancy Burner
Nancy Burner&Associates,P.C.
12 Research Way
East Setauket,New York 11733
Reserve This Space For Use Of Recording Office
NYSBA's Residential Real Estate Forms(9/00) 0 2016 Matthew Bender&Co-a member of the LexisNexis Group.
-2-
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY ^ ^ ^ F Naw York State Department of
C1.SWIS Codeq. R/ (a}`-// Taxation and Finance
)
C2.Dale Deed Recorded I f q/ 1 I Office of Real Property Tax Services
DOW RP-5217-PDF
C3.Book ` unCd.Page �-L Real Property Transfer Report(SMO)
PROPERTY INFORMATION
I'PfOponly 655 CEDAR DRIVE(AKA 755 CEDAR DRIVE)
Location
'STREET NUMBER •$rBEr NArE
Southold 11971
'CITY OR TOM VLUAOE .ZIR CODE
2.Suver DIETRICH
14ICOLE A.
Name
•LAST NA ECOMPANO FIR97 NNIC
LIST NAMMOIFANY RRST NAME
7.Tax Indicate wham future Tax Bills are to be sent
BIIMe i other than buyer addresslat bottom of form) LAST NANWIcowAln FIRST NAME
Address
STRCCf NVMDRANONME GTYOa TOW! STATE. ZO OODE
4.Indicate,the number of/WessmentParcel (Only If Pan of a Paresl)Check as they apply:
Roll perasle the Panora transferred on
e deed 1 If of Parcels OR 4A.Planning Board with SLdxWslon Authority FxIsts
a.Deed 0.45
Proparty .FRONT FEET OR 48.Subdivision Approval was Raquimd for Transfer E]'ACRL9
SIZO
4C.Parcel Approved for Subdivision with MNP Provided
DIETRICH RONALD GEORGE
a.seflw LAW NAULCO 1PANY FIRST NAME
Name
LAST 11I MECOe'AW FIRS7 NALC
h.Select the description which most accurately describes the Check the boxes below as they appy:
use of the properly at the time of soft: B.Ownership Typo is Condominium
0.New Construction on a Vacant Land E]A.One Family Residential IDA,Property Located within an Agricultural District
IDB.Buyer received a disclosure notice Indicating that the properly is in an
Agricultural District
SALE INFORMATION 15.Chock one or mom of these conditions as applicable to transfer:
A.Sale Between Relatives or Former Relobves
11.Sale Contract Dab B.Sale between Related Companies or Partners in Business.
C.One of the Buyers Is also a Seller
IZ.Dab of BaINIYansfN / (
O6 1 `,1,t /Iling Institution
' X E.Deed Type not Warranty or Bargain and Sale(Specify Below)
F.Sale of Froclonal or Leas than Fee Interest(Specify Below)
•13.Full Sale Pries $D•00 G.Significant Change In Property Between Taxable Statue and Salo Dates
H.Sale of Business is Included in Salo Plies
(FullSale Price is the total emoum paid for the property Including personal property. 1. Other Unusual Factors Affecting sale Price(Specify Below)
This poymr:nt may be In the form or cash.other prop"or goods,or the assumption of
mortgages or ooer abiigaMm.)Pimm round fo rho neoreaf whefe d7YlaramoMlr. J.None
Commenl(s)on Condition:
14.Indicate,the value of personal
property Included in the sale $0.00 QUITCLAIM DEED
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
10.Your of Assessment Roll from which Information taken(YY) 16 '17.Taal Ammm*d Value $2,550.00
'19.Property Class 2 1 0 _ '19.School District Name
Southold
'20.Tax Map Idendfler(e)IRoll Idemifler(s)(If more then four,attach sheet with additional Identifier(s))
1000-078.00-07.00-039.000
CERTIFICATION
I Certify that all of the Items of Infdrmstton s den til form are tree and sorest(to the bast o1 my knowledge and bollen and t understand tlet the making of any willful
fe of material tact heroin subject to the Itlit of the asnat,Nty,ralatiw to the making and Sling of false Instruments.
BELL BUYER CO MCIINFORMATION
lEatw nblmNon hue rue�1'w•NOB ff I%W is LI.Csocaty,association.mnwM M.pia Pock®^pray.astuto or
aML•y Out Is not se h0"al sash or adudsy,own a nems end IBrreat Womm m of an inHkxwwasismoble
AV16 POMYwho on ones Ruesbars Needing We I ander min be anlwed.Type or Print clearly.)
ar„ro'JUK%TURF NATE 1
�iG Tl! DIETRICH NICOLE A.
��� /
LMT NOM FIRST NAVE
MG
.._ !!j// 1 ' CODE •TELLMOPE WINNER IPM"MM
d�A DATE6Z Y L
655 CEDAR DRIVE
Ia I �ti ra 1 I al •9MET NUMBER 'STRkk7 WALE
F SOUTHOLD NY 11971
I t 1 N 'GTYORTOM
'STATE OF CODE
BUYER'S A]TQLIM
' I '
a t Nancy Bumer and Assoc.,PC
N r U,ST NMIE FIRSTNMIE
1 r
r � 941-3434
AW
TELEPHONE NUMBER(E..eewaar