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Home My WebLink AboutL 12898 P 210 �iiii��i ilii 11111 11111��iii 11111 11111 11111 i�iii iiia��ii SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 01/26/2017 Number of Pages : 3 At: 04 :29:22 PM Receipt Number : 17-0016035 TRANSFER TAX NUMBER: 16-19359 LIBER: D00012898 PAGE : 210 District: Section: Block: Lot: 1000 099 . 00 03 .00 011 . 011 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $100, 000 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $15 . 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 $400 . 00 NO Comm.Pres $0 . 00 NO Fees Paid $790 . 00 TRANSFER TAX NUMBER: 16-19359 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County D[2] .� Number of pages RECORDED 2017 Tan 26 04:29:22 FM This document will be public JUDITH R. PRSCRLE CLEP.K OF record. Please remove all SUFFOLK COUNTY Social Security Numbers L 000012898 prior to recording. F 210 DT# I6-19359 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Mortgage Amt. Page/Filing Fee 46 1.Basic Tax Handling 20. 00 . 2, Additional Tax TP-584 Sub Tota l Spec./Assit. Notation or EA-5217 Count Sub Total r (County)_ Spec./Add. TOT.MTG.TAX EA-5217(State) Dual Town Dual County R.P.T.S.A. Held forAppointment Comm.of Ed. 5. 00 Transfer Tax 0 Mansion Tax Affidavit + The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES orNO Other Grand Total �� '� If NO, see appropriate tax cla pa t! of this irs ru nt. / —/ (0s 4 1 Dist. 5 Community Preservation Fund 17000534 �.000 09900 osoo 011011 Real Property /—P I �-1 Illllllllllltllll i1i lltll11111 1111111111 11 Consideration Amount$ Tax Service R SMI f(II��II iii i��Ii 111!111 CPF Tax Due $ Agency O6.lAN-17 , Verification � Improved Satisfactions/Discharges Releases List Property Owners Mailing Address 6 R�CORD&RETURN TO: Vacant Land r TO— od TD TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company information 310 Center Drive, Riverhead, NY 11901 Co Name F www.suffolkcountyny.gov/clerk Title ff 8 Suffolk County Recording & Endorsement Page This page forms part of the attached e-10-1-11 __ made by. (SPECIFY TYPE OF INSTRUMENT) S USRv1 F611P rev The premises herein is situated in SUFFOLK COUNTY,NEWYORK. TO In the TOWN of S0 C4 J NiCh6lpca �j. r,crfevtC� In the VILLAGE or HAMLET of FI 01A414a), BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8007 CAUTION:"11US AGREEMENT SHOULD BE PREPARE])BY AN ATTORNEY AND REVIEWED BY ATFORNF.t'S FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE, made as of the 9th day of December, Two Thousand Sixteen Between SUSAN M. LOVELAND, residing at 91 East Danbury Lane, Brevard,North Carolina 28712, party of the first part, and NICHOLAS J. MORTENSEN, residing at 258 West Pulaski Road,Huntington Station,New York, 11746, party of the second part: WITNESSETH, that the party of the first part, in consideration of One dollar, and other good and valuable consideration, 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, their heirs, and assigns forever, all right, title and interest in and to the premises known as: All that plot parcel and piece of land, with improvements thereon situated, lying and being at Mattituck, in the Town of Southold, County of Suffolk, and State of New York, known and designated on the Tax Map of the Town of Southold, as District 1000 Section 099.00 Block 0300 Lot 01 1.01 1 and known by street address of 1560 Bailie Beach Road, (formerly 5 Bailie Beach Road) Mattituck,New York, 11952, which premises is more particularly described as follows: BEGINNING a point on the easterly side of Bailie Beach Road at the southwesterly corner of the premises about to be described, said point of beginning being distant 68.84 feet northerly as measured along the easterly side of Bailie Beach Road from its intersection with the northerly side of Bailie Beach Road; RUNNING THENCE from said point or place of beginning along the easterly side of said Bailie Beach Road,North 7 degrees 16 minutes 30 seconds West 65 feet. THENCE North 82 degrees 43 minutes 30 seconds East 105.27 feet to the"Park and Recreation Area"; THENCE along said last mentioned land, South 7 degrees 16 minutes 30 seconds East 55 feet; THENCE South 54 degrees 01 minutes 40 seconds West 20.82 feet; THENCE South 82 degrees 43 minutes 30 seconds West 87 feet to the easterly side of Bailie Beach Road to the point or place of BEGINNING. Said premises being the same premises conveyed to grantor and grantee by deed of Nicholas R. Mortensen and Susan E. Mortensen dated August 27, 1990 and recorded in liber 1 l 146 cp 037 on October 3, 1990. Said Nicholas R. Mortensen having died on November 14, 2000 and said Susan E. Mortensen having died on February 16, 2016. Said premises also being the same premises set forth in deed in Liber 8644 cp 364. TOGETHER with the appurtenances and all the estate and rights of the parry 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 parry of the second part forever. NYSBA PRACTICE FORMS 3198 RE067.16 -11- AND the party of the first part, covenants f6t 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 parry 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: SUSAN M. LOVELAND STATE OFrotirlo) ss.: COUNTY OFi!rEor-j ) On the ,41day of T)ECeffteve, 2016 before me,the undersigned, personally came SUSAN M. LOVELAND, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)are subscribed to the within instrument and acknowledged to me that she executed the same in her capacity and that by her signature on the instrument the individual or th erson on behalf of which the individuals acted, executed the instrument. 1 � Notary, �uttlilor�,,, ' Na TA,9 BARGAIN & SALE DEED MY Comm. Expires = October 1.2018 U Z LOVELAND - rn z - '20 AUBLIG A, : "',/ION 9�. TO ',/IONCpy,,S%%. i MORTENSEN Town of Southold,Suffolk CoSuy District 1000 Section 099.00 Block 0300 Lot 011.011 STREET ADDRESS:F ailie Beach Road, Mattituck, New York 11952 RECORD AND RETURN TO: JEFFREY J. KANE, ESQ. 200 Katonah Avenue Katonah,New York 10536 RE067.16 NYSBA PRACTICE FORMS 3198 -2- FOR COUNTY USE ONLY INSTRUCTIONS(RP-5217-PDF-INS):www-OfPs.statamy.us L Now York State Dapartmelttaf tutled I B �,�, I Taxation and Finance 11---x'-17_! 1 +wc L„ ( Office of Real Property Tax Services ;�, �}� -•� � I RP-5217-PDF ATION L- -J (_LOJ Real ProPerty Transfor RoPort Can 0) 1.Property y i0 BF-i-ch r?:_.;rj -__----.------ 'dn4L�lrnYF ---- 'Cir aYl MR. --__---_- 7.Buyer - wrL"•:I• -------_ "-! ti .TH7EtsM1}G,:a ---� --� Nem. --------------- ..[•Ic71.r... •.a� x=- •r.err. yr•• �c 's+o:4wF ------ O IAM:rr•w_ryw.4. -------------• - 3.Tax A4-4wL--------------- Billing Indicate where hilum la.arse are t0 be sora ------------- Address It Other than buyer address(m lxtllpn of feint--�•3�.,xr.:9erVr.�------------- _ w�n. --------------- 4.Indketethe number ofAssessment _ VAR. W1`a* - Rall Perceb transferred On tlIa dead_-J _#d Parcels OR L Pnrt ot a Parcel (only If Part Of■1`81`091)Check as U"apply; L Dead 4A.Planning Board with Subdlwsron Au Ihrlmy Exists r Property -iucyr:1`i--- x -- —.()R l?_''r, �� Slav •':crli+ - •kRL s------- 4&Subdivision Approval was R9pulred for Tmn.W 1`1 4C.POrCd Approved lir Subdivision with Map Pmwded 0 LorE:�_�v r, LI G.Seller -LVrfdVCWr•r --—----- S l.'.;'4 M. mom --- -- --4 7..r 461`r.WIXC.Yna.r ------- •7•Soled the deo"lpt,watch moat_Or"desedbsa 111) Chock lila boxn below cath apply, -------- use of the Property It the ems of•ole: /y 8,Ownership Type re Condominium l.()IIV['Illrnily'RL'shlerrtial --------- 9.New Construction on a vacant Land 1`l IOA.PIOPerty Locatod wllhln an Aglkuhurel Dioldcl 19B.Buyer MOelved 0 disclosule notice Indicating that the Property Is In an SALE INFORMATION Agnarle11 u 11 ral D1aInd L J t&Check Dna or mora of thMo eonditlom as applleabb to trandor: 11.Sob contract Orta I A Sale Between Relatives or Former Relatives --------- J B.Sole baw9m Related Companies or Partners in Business •12.Date of S@Wrransf r '(210 91 T.O 1 6 C One of the Buyers is also a Seller D.Buyer or Seller Is GOvemmam Agency or Lending Institution ----- E Dasd Type not Warranty or Bargain and Sale(SDsc ire Below, ,'17.Full Sola 1`f. '-%U,L li;; r�i�F.Sole of Fractional or Less than Fee Interest 15per fy Below) G Slgnticonn Change In Properly Between Taxable Status and Sole Dae. 1 Fur Sob Price re the total amount pad for the Properly Including personaly. I"I Soh d Business Ia Included in Sal•Price Ties Payment may be In the form of rash Other Property or goods.or the assumption of 111` I Other Unusual Factors Mortgages or other obligations 1 Please round to the now"whole doter am0uni I J Novo ��'^g Sale Pneo{Spevly Below) 'Corhmam'51 OR Condition: 14.Imtlub yrs value of personal Property Included In the sale _ 0.0() ASSESSMENT INFORMATION-Data should reflect the latest. Assessment Rall anti Tax tjill1•-! ^CI:ANT: ,tI r,CM!Ln.N 18.Year al Asessament Roll tram which Infomaalon tok9n(YY) !6 •17.Total Assessed Value •18.Property Clow 2 1n ---- ------------------ •19.School District Name HS!:L L.u C x—C4f 4:)4i:l itfF ;,rc$f1 7as Map ldentlfl•1(•NRott IWIrSRens)(S moo than hwr�a9aeh sksat with additional ldemiflar(sl) ----- -- ------ CERTI ---- ------------- FICATION --------_.----- I Certify that all Of the items of InfunnWon entered on this form are true end OOrmct(to the best Of my knock lga and belief)and I understand that the making of any vdllful fake etatomom of malarial fad horoln subaact me to the pMvlsW,of the panel law-mlative to the making and Sling of fake Inetmmsrrot. 41.EB 81SrNAT_URE I yB Y ERa eaQrNe wred rr'aon'J�rt'FrQMRMAorUpQ.Nttmor r"Irlen for the at"-y es q hesxIsin•'xrir,Ai aa1`I'buyer Is LI. a "'Ouag11001n nr eo'- any.8MM c1` nuemawe {.rill w'x.aa'103•YI G4pF'YPrrr row.lNna tlw tlaneMr Tr.91 err e1lMnrtl typo u1`gla ellarly r YER QrU11E nJ• 5•a.•r.qE -•- wt ----•rE.lii era Y.ulL.;l.1'wle•vr - 'E'N-ar'mrwaF4 -.7 naw) -- 1 I 'eT•'o •;yr.OGI ByYER$k".0"Eyy f Kiirie' :E:l':'RE'f - 1 •nv•G:'te ----- TIr�:MN:4E cru an—ieya�n ---- I