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Home My WebLink AboutL 12892 P 616 1111111 I I I I I I I I I I I I I I I I I I I I I I I I I I 111 I I I I I I I I 1111111 IIIII IIIII Illl 1111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 12/14/2016 Number of Pages: 4 At: 02 :23 :56 PM Receipt Number : 16-0198642 TRANSFER TAX NUMBER: 16-15014 LIBER: D00012892 PAGE : 616 District: Section: Block: Lot: 1000 126. 00 06 . 00 007 .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: 16-15014 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 2 RECORDED Number of pages 201E Dec 14 02:23:56 PM TUDITH A. PASCALE TORREPIS CLERK OF SUFFOLK COUNTY Serial H L D00012892 F' 616 Certificate H DT# 16-15014 Prior Clf.If ----^� --~-- Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Fill'19 Stamps FEES f -- Page/Piling Pee Mortgage Ain(. Handling 1.Basic Tax TP-584 2. Additional Tax Notation Sub Total -- -- ' r LA-52 17(County? Sub Total _. Spec./Assil Or Spec./Add_ -- I.A-5217(Stale) - +tr- 1t.P'f.S.A. TUT.MTG.TAC — SS Dual Tokvn Dnal Colu,ly Conn,1.of Ed. 5 QO Y� Held for ApportiomnenlAffidavit Transfer Tax 'V9, Mansion Tax Certified Copy _ The properly covered by this n,nrlKage is»r will be improved by a one nr Iwo family Reg.Copy dwelling only. / Sub Total YES-- -nr Ulhcr J- / Gee ahpropriale tax clause nn page 11 GRAND TOTAL f Lb 15 II15hlImP.11t. to 5 Real Property Tax Service Agency Verification 6 uTll;lnity Preservation F1111d Cells icleracion Aniount $__ _._.--_--- 16038985 1000 12600 0600 007000 D0 CP-r- Tax r_,rle _ _- Stamp II jj ll II `` II --=�_---- Date R DGR A Illl�l�l�llllllllllll)IIlllllllllllllllllll�llil� Inyiroved 14-DEC-1 vacant Land _ Initials — i Satisfactions/ Barges/Releases List Property Owners Mailing Address ID RCCORD&RETURN TO; -rrr -- Deborah Doty, Esq. .f1) PO Box 1181 Cutchogue, NY 11935 8 'Title Company 111fo>I-mation Co. Name Title!t -------_- Suffolk County, Recording & JEndorseMM Page This page lorms part of the attached bargain & sale deed (SPECIFY TYPE C.)F rNSTRUMENT I Susan Forrest Chambers The premises herein is situated in S!TF(}LI,C:OI-tNTY_NEW YQRV,- Southold ro h;the Toffldlip Susan Chambers & Inlhe VILLAGE Charles Jason Foster ni-FIA Nll_,1Tof Mattituck BOXES 5-rFIRCI 9 MUST BE TYPED OR PRINTED IN BLACK.IVIG ONLY PRIOR TO RECORfDINI,OR FILING. (OVER) Standard N.Y.B.T.U.Form 8002--Bargain and Sale Deed,with Covenant against Grantor's Acts—Individual or Corporation(single sheet) CONSULT.YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made this JZ!�'day ofcer', two thousand and sixteen BETWEEN SUSAN FORREST-CHAMBERS (n/kla SUSAN FORREST), residing at 2999 Sigsbee Road Mattituck, NY 11952 party of the first part, and SUSAN FORREST (f/k/a SUSAN FORREST-CHAMBERS), residing at 2999 Sigsbee Road Mattituck,NY 11952 and CHARLES JASON FOSTER,residing at 1473 Pacific Street, Apt. 4 Brooklyn,NY 11216 as joint tenants with right of survivorship, 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 the SEE SCHEDULE "A" ANNEXED HERETO. BEING AND INTENDED TO BE the same premises described in the deed of the parties of the first part herein by deed dated February 21, 1997, recorded in the Suffolk County Clerk's Office on February 27, 1997, in Liber 11818, Page 263. 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 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 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: SUSAN FORREST-CHAMBERS (n/k/a SUSAN FORREST) STATE OF NEW YORK, COUNTY OF SUFFOLK SS: On the 12— day of in the year 2016, before me, the undersigned, a Notary Public in and for said State, personally appeared SUSAN FORREST-CHAMBERS (n/k/a SUSAN FORREST) personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed same in her capacity,and that by her signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument. Notary Public DEBORAH DOTY Notary Public, State of New York No. 02DO4829478-Suffolk Coun Commission Expires February 28,20 h SCHEDULE A ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being at Mattituck, in the Town of Southold, County of Suffolk, and State of New York, bounded and described as follows: BEGINNING at a concrete monument set at the Northeast corner of the property this day conveyed to Jeremiah Robinson which is 46.29 feet easterly of Sigsbee Road, and running parallel to Sigsbee Road South 20° 38' East 217.04 feet to Peconic Bay; THENCE along Peconic Bay,North 53° 52' East 48 feet; THENCE North 20° 38' West 206.08 feet to another concrete monument; RUNNING THENCE parallel with Peconic Bay Boulevard 46.29 feet to the place of beginning. TOGETHER with a right of way fifteen feet wide along the north side of this property to Sigsbee Road to the north of the property conveyed to Jeremiah Robinson. BEING a part of Lots 118 and 119 on Map of Mattituck Park Properties, Inc., surveyed July 11, 1924 by Daniel R. Young, Surveyor,Riverhead,NY,which said map is on file in the office of the Clerk of the County of Suffolk. TOGETHER with the right of the said party of the first part to the use in common with other owners of lots shown on said map,the tract shown on said map as Sigsbee Park for park purposes,under such conditions,limitations and restrictions as the Mattituck Park Properties Inc. may impose. Such use to be such as in the unrestricted judgment of the Mattituck Park Properties Inc. will not reasonably interfere with the use and enjoyment of said Sigsbee Park by the other owners of lots on said map. TOGETHER with a right of way over Sigsbee Road shown on said map and over a right of way three rods wide running from Peconic Bay Boulevard over premises shown on said map, to Peconic Bay. INSTRUCTIONS(RP-5217-PDF-INS):wwrmorps.state.ny.us FOR COUNTY•USE ON!:Y New York SWte Department of C1.SWIS coda I �' �' a, I Taxation and Finance C2.Dae Dead Recorded I Office of Real Property Tax Services (]. RP-5217-PDF C4.Papa 03.Book �j Real Properly Transfer Report(8f1o) PROPERTY INFORMATION 1•PFapeKy 2999 Sigsbee Road Location •STREET NWSEs •BTIIEkI NAYE Southold Mattituck 11952 'WY OR TOMM WTUArE •sup COeE 2.Buyer Forrest Susan Name 'LAaT NALaLCarpwT epeTAWIE Foster Charles Jason uaT NAMEIDOMPAAN FRET NAME ].Tax Indicate where future Tax Bills are to he sem Mit d other than buyer address(m ballon of fare) LAST NA Address MELCOA PANY POST NAME STREET MANOR ANDNA\E CIT-ORTOaq STATE ZP CAE 4.Indicate the number of Aussamerd 1 e d Parcae OR F-1 par,of a Parcal ( N PAA of■PaTat1 Cheek n they appy: Roll parcels transferred on tiro deed 4A.PI—ng Board with Subdivision AUftMy Edflts ❑ fL r }( OR 0.2 2 P4B.Subdiwmon Approval was Required to Transfer El*levy •PgpMr T♦:ET -DEPTH •AfxlfA $lie 4C.Peke!Approved for Subdvtsian with Map Provided ❑ Forrest-Chambers Susan 6.seller •LAST NAIEA-.aFANY FRET NATE Name LAST HAMECAMftT PRIT Man 7.Select the description which meet aceumeay,describes tine Check the boxes below an they appy: use of dw properly at the time of eels: 6.Ownership Type is Condominium ❑ A.011P Family Residential 9.Now Construction an a Vrem Land 1.A.Property Located within an AgriodWrN Dialrlot 16@ Buyer neoeNtl*disclosure notica indxAting that the property is in an Agricultural District ❑ SALE INFORMATION 16.Chock one or more althese eondreom n spplleabls m transhr. A.Sale Between Relatives or Former Relatives 77.Soh Contract Date B.Soh between Related Companies or partners in Businget. I C.One d the Birom is also s Seller '12.Date of SolerTmnslsr Is I j mId D.Buyer or Seller is Government Agency or Lending lnw Won E.Dead Type reef yy mWy or Bargain and Sale(Spa*Below) F.Sale of Fractional or Lou than Fee latera!(Bps*Blow) '12 Fell Sale Prka 0,0U G.SgrAcent Changs In Property Between Taxable Salus and Sala Dohs (FW Sts Phos ie the WWemouat paid for tie progeny including perwnol H.Sale d Business is Included in Sale Rica This pay—may be in the form d cash,other wmpbo I.Other Unusual Parlors—ng Sao Pdoe(BAacsy Oda.) moRgpnaalMrohlgabofa)Please murdro rrmnwwhole doyeramorm d J.Nor* Comment(a)on Condition: 14.Indicate the value of personal Propertir Included In fir sale 0.00 ASSESSMENT INFORMATION-Data should reflect the latest Final Asaeatarfent Roll and Tax Bill 16.Year of Asaeamnem Roll from which 6 t sdm taken[M 16 '17.Total Amused Value 3,700 •16.Property Class 210 - •16.School Dhtrlot Name Ma L t i tuc k '20.Tax Nap ldsniffler(aYllolt Idondfb4s)pf mom Own four,.Bach*heel with additional W@nU m(s)) 1000-126.00-06.00-007.000 CERTIFICATION I Cartiy that ell M the b m of Inlomueon entered on tMs farm are true and conaot per the best of my knowledge,and Well mrd I understand that the me"of my wisful hha atlmmem of matsMl fad human subject me to the yrorislom d tiro PfMdVyr whtive to the making and filing of false Instruments. W 1 CR SIGNATT IRC u BUYER CONTACT INFORMATION WAN r 101,aft,lar Ire buyer.sera.if cuyer IE LLC,eooey,maODesn.' ,-9,.pre FIoO coroparrr,same or �7 � mny wt i net ren YgMdW as 14..1iFig me.tlyn a mune and swell an or m of STI Idy.) wemponMtle //•f_.�I petty who on ruwr Questions Ieaudne tlw auMlw map w elated type air Dred aW�r.) SELLER BaeiAT E DATE ' IGi Forrest Susan 'LAST NAME FIRST NAME (631) 298-57.96 'AREACODE •TEL EP40 E kUa RIE.Palms! EVMT7TSGNATMRE e11}E 2999 Sigsbee Road 'STREET NWGCR 'SIIRETTTAYE r Mattituck NY 11952 'drTORTOM 'STATE -AP CODE BUYER'S ATTORNEY Doty Deborah LAST NNE PNS'N4,E I (631) 735-6648 AREA CODE TELEPIQE W MKP r&sass) I r