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Home My WebLink AboutL 12895 P 755 I IIII I I I IIII iilll IIIII I II II IIIII Ilial fills IIIII IIII fill IIIIIIIIIIIIIIIIIill11II1 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 01/10/2017 Number of Pages: 4 At: 09 :26 : 19 AM Receipt Number : 17-0004037 TRANSFER TAX NUMBER: 16-17464 LIBER: D00012895 PAGE : 755 District: Section: Block: Lot: 1000 070 . 00 05. 00 006. 002 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $750, 000 . 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 $3, 000. 00 NO Comm.Pres $12, 000. 00 NO Fees Paid $15, 520. 00 TRANSFER TAX NUMBER: 16-17464 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ❑t ❑2 Number of pages RECORDED 2017 Jan 10 09:.26,19 RM JUDITH A. PRSCALE This document will be public CLERK OF SUFFOLK COUNTY record.Please remove all L D00012895 Social Security Numbers P 755 prior to recording. DT# 16-17464 Deed/Mortgage Instrument Deed/Mortgage Tax Stam Recording/Filing Stamps 3 1 FEES Page/Filing Fee 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 Dual Town Dual County R.P.T.S.A. .vAHeld for Appointment Comm.of Ed. 5. 00 Transfer Tax 3f 000, Affidavit . Mansion Tax � The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other _ Grand Total 62✓ If NO, see appropriate tax clause on page# of this instrurpent. ✓ (v 4 Dist, 1000 16040149 1000 07000 0500 006002 5 Community Preservation Fund Real Ser perry �' T S 1111111111 iIII JillIIIIII�II�IIIIIIIIII Consideration Atnou i OoO°0000.00 Tax Service R DGR A Agency 27-DEC-1 CPF Tax Due $ Verification Improved ' 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD INJOO William H.Price,Jr.,Esq. P.O.Box 149 TD Greenport,NY 11944 TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name South Bay Abstract, Inc. www.suffolkcountyny.gov/clerk Title# S-15221-w 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) Lisa G.Jerome The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Mertcan Realjy LLC In the VILLAGE or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over NY WS-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 I day of �QC(s� in the year 2016 BETWEEN Lisa G.Jerome 6000 Horton's Lane Southold,NY 11971 23'Vg; - •;,tib )ftGY 003: 1 ;y'Slo!4 party of the first,part,,And., .; t - f- Mertcan'Rdalty LLC 56861 Main Road Southold,NY 11971 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, ALI,that certain plot,piece or parcel of land,with the buildings and improvements thereon elected,situate,lying and being in the SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF. BEING AND INTENDED TO BE the same premises conveyed by Deed dated 3/1/96 recorded 3/18/96 in Liber 11765 page 721 in the Suffolk County Clerk's Office. TOGF.THFR with all right,title and interest,if any,of the party of the first pan 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 above written. IN PRESENCE OF: Ql (�;;Sp,,&Jerome USEACKiVOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLY.- USEACKNOWIEDGMENTFOR.NBELOWWITNINNEWYORKSTATEONLY: State of Ne�w—York,County of Suffolk I ss.: State of New York,County of j ss.: On the INeday of d in the year 2016 On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared Lisa G.Jerome personally known to me or proved to me on the basis of satisfactory 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 evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed within instrument and acknowledged to me that he/she/they executed the same in his/herhheir capacity(ies), and that by his/her/their the same in his/her/their capacity(ies), and that by his/her/their signatures)on the instrument,the individual(s).or the person upon signature(s)on the instrument,the individual(s),or the person upon behalf of which the individuals)acted,ex ted the insiru t. behalf of which the individual(s)acted,executed the instrument. MICHELLE KISS Notary Public Notary Public,State ofNew Y0* No.01 KI506W7 Ouatified in Suffolk COunty Commission Expires September 3,20 ACKNOWLEDGMENT FORM FOR USE WITALNNEw YORK STATE ONLY: ACKNOWLEDGMENT FORM FOR USE OUTSIDE NER,YORK STATE ONLY. lNew York Subscribing Witness Acknowledgment Certificate) tOut of Stare or Foreign General Acknowledgment Certificate) State of New York,County of j ss.: ..............................I...................I Ss.: (Complete Venue with State,Country,Province or Municipality) On the day of in the year before me,the undersigned,personally appeared On the day of in the year before me,the undersigned,personally appeared the subscribing witness to the foregoing instrument,with whom I am personally acquainted,who.being by me duly sworn.did depose and personally known to me or proved to me on the basis of satisfactory say that helshe/they reside(s)in evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that hetshe/they executed (ifthe place of residence is in a city,include the street and street number, the same in his/her/their capacity(ies).that by his/her/their signature(s) if any,thereon:that helshe/they know(s) on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument,and that such individual to be the individual described in and who executed the foregoing made such appearance before the undersigned in the instrument;that said subscribing witness was present and saw said execute the same;and that said witness at the same time subscribed (Insert the ci),or wher political subdivision and the state or country or his/her/their name(s)as a witness thereto. other place the acknowledgment was taken). BARGAIN&SALE DEED wrm covr3NAN'rs A(;A1NSr(IRANn1R'3 AM. TrrLL IVO. DISTRICT 1000 SECTION 070.00 Lisa G.Jerome BLOCK 05.00 LOT 006.002 COUNTYORTOWN Suffolk TO Mertcan Realty LLC RECORDED AT REQUEST OF Fidelity National Title Insurance Company RETURN H MAIL TO FIDELITY NATIONAL TITLE William H.Price,Jr.,Esq. 0 INSURANCE COMPANY P.O.Box 149 INcaivroAATrf1 192M Greenport,NY 11944 C Fidelity LU � mnrr•✓� W U LL 0 t� z a 0 U W L1. O w O ' LL W V Q a fn g� F x w fR W 5-15221W DESCRIPTION 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, bounded and described as follows: BEGINNING at a monument at the intersection of the southerly line of Jockey Creek Drive with the easterly line of the Main Road from said point of beginning running along the said southerly line of Jockey Creek Drive, south 79 degrees 00 minutes 50 seconds east a distance of 90.00 feet to the land now or formerly of Hart; RUNNING THENCE along said land now or formerly of Hart south 10 degrees 59 minutes 10 seconds west a distance of 75.00 feet; RUNNING THENCE south 7 degrees 07 minutes east still along last mentioned land 110.39 feet to the average high water line of Jockey Creek; RUNNING THENCE southwesterly along the average high water line of Jockey Creek along a.tie line bearing south 58 degrees 59' 37" west 30.00 feet to the land now or formerly of Nar Development Corporation; RUNNING THENCE north 79 degrees 00 minutes 50 seconds west along the last mentioned land 102 feet to the easterly side of Main Road; RUNNING THENCE north 10 degrees 59 minutes 10 seconds east along the easterly side of Main Road 200 feet to the point or place of BEGINNING. INSTRUCTIONS(RP-5217-PDF-INS):www.orps.statemy.ua FOR COUNT!'USE&&Y %.A, � Mnlf York g�tata Department of C1.SwIS Code 14 1q I SI'9I I I Taxation and Finance C2_Data DOW Recorded 10 ( / I C /go I 1 I Office of Real Property Tam Services ' "n Y"• RP-5217-PDF Cs.Book aV Q Q I 3 C4.Pegs L , , + ,J,�� Real Property Transfer Report(8110)PROPERTY INFORMATION 1.Property 50000 Route :5 Location •rxLL"Na.MaEa •sTabar NAMc Southold Southold 1197; •CRY OR TCr VL-40E •aF Dace LBuyer McXLcan Realty LLC Nome LAS NAMErCOMP— Trott h111E LA51 SAIEKCweANY r RF.NWE 9.Tam Indicate where future Tax Bills we to be sent Billing y apeY than buyer address(at txxfom of form) ;Ag-,A,CG„ew,. Address veer NAUE STREETNJTEFRASa NAW C"OR Tillie OWL 2VCGDE 4.Indicate the number of Assessment ] aParcels Pen of a Parcel (Only if Part of a Parc4q Check as they appy: Rail parcels transferred on the dead ❑ 4A.Planning Board with Subdivision Authority Exists ❑ 5.Deed X -OR 41L Subdivision Properly •rRON-FEEr •ter„ Approval was Required far Transfer ❑ slse '"hs 4C.Fiscal Approved for Subdivision with Map Provided ❑ Jerome Lisa G. 6"Seller 'LAST SAtEA.OMP&W FRST MVL Nome LAST NAMECCMFANY FRST NAME 7.Select the description which most accurately describes the Check the boxes below an they appy: see Draw property at the time of sale: S.Ownership Type is Condominium ❑ F.C01Ttinerclal a.New Carob on on a Vacem Land ❑ 116A.PropMy Located within an Agdeui and Dlwlid ❑ 100.Buyer received a disclosure notice indicating them the property is in an Agricultural District ❑ SALE INFORMATION 1G Check ore armors afthese coMldoro es applicable retransfer. A.Sade Between Relatives or Former Relatives 11.sew Contact Date 07/25/2016 B.Sale between Related Companies or Partners in Business. C.One of the Buyers is also a Seller D.Buyer or Seller is Govemment Agency or Lending Institution 12.Dow of SalaRYansfor 12J t 0® E.Deed Type not Warranty or Sargan and Sole(Specy Below) F Sele of Fractional or Less than Fee Interest(Specify Below) '13.Full Sale Price 750,00 0,no G Signfiaml Change in Property Between Taxable Status and Sale Dales (Full Sale Pelee is the total amount pard for the property including personal properly. H.Sale dl Business is included in Saw Price ThThisI.Other Unusual Factors Affecting Slue Price(Spsdfy Below) payment may be in the form of cash,ether property or goods,or the assumption of None mortgages or other obligations.)Please round to the nearest wrote dollar amount. Comment(s)an Condkion: 14.Indicate the value of personal property Included in the sob 0 .00 ASSESSMENT INFORMATION-Date should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assmemerd Rall from which Information taken(YY) 16 '17.Total Assessed Value 9,630 '76.PropsrtyClass 455 - '10.School District None Southold 120.Tam Map Idwdtiflsr(syRon Idemfller(s)pt mom than four.attach sheet v4M addl6onal Norhtiger(s)) 1000-070.00-CS.00-006.002 CERTIFICATION I Certify that all W the Rams of Information entered on this form are true and correct(to the boot of my knowledge and began and I understand that:the making of any willful hive stetemant.of material fact herein subject me to Ns mowhbna_6f,Na necet irw•rolndm to Ste making end Sling of fetse Instruments. BUYER CONTACT INFORMATION w (Enter information for the buyer.New if blyerls LLC.sadsty,auneason.Tmpwabon,16x6 dwk mnpwry estate or or"ewt Is net an 0`400101 MOM w fiduciary Nen a nwre No cdraal kftMrim of W 4111MANY aeponade 1/ party*no can.mw Da cit— na ne sir gebra.sea must be emceed.Type or print clearly D I'll EIRSIGNATURF AlL•intoprak Bilal .UW KNMh PRS'NAW. 16311 680-5708 •WCACOGE ,LLEPM E WMIOJ+Ift arFew: a Tu TE 56861 Mair Road •eraEET M aIER •mrEEr Nisi: Southo-d NY 1197. •CRTaq laws 'STATF 'Da 0011E BUYER'S ATTORNEY Price William I LAST NIIT¢ FIRST NAME I 1631; 977-'1116 I ARIACON T61r.PTLw.EWWl pIrA"MmN 1 I 1 I