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Home My WebLink AboutL 12903 P 537SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 03/06/2017 Number of Pages: 4 At: 05:22:37 PM Receipt Number : 1770039251 TRANSFER TAX NUMBER: 16-23574 LIBER: D00012903 PAGE: 537 District: Section: Block: Lot: 1000 026.00 02.00 039.017 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument JUDITH A. PASCALE County Clerk, Suffolk County 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: 16-23574 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2017 filar 06 05:22:7 PM JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY L D00012903 P 5;, DT# 16-23574 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps 3 1 FEES Page / Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP -584 Sub Total Spec./Assit. Notation or EA -52 17 (County) 5ubTotal J Spec. /Add. EA-5217(State) TOT. MTG. TAX Dual Town Dual County R.P.T.S.A. Held forAppointment Comm. of Ed. 5, 00 Transfer Tax ([ jai Mansion Tax Affidavit The property covered by this mortgage is turcharMae e:dC-6or will be improved by a one or two family dwelling only. 15. 00 Sub Total YES orNO Other Grand Total / r If NO, see appropriate tax clause on page l of this instrument. a7 /7 4 Dist. 1000 17007026 1000 02600 0200 039017 5 Community Preservation Fund T IIIIIIIIIIIIlull lIIIII!III!I�IIIIIIIIIIIIIIIIIIII Real Property R SMI A Consideration Amount $ Tax Service 28 -FEB -17 CPF Tax Due Agency $ Verification Improved 5 Satisfactions/Discharge CRoe e e RETt Property y Owners Mailing Address Vacant Land Jennifer B. Gould, Esq PO Box 988 TD 16 Southold, NY 11971 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 1 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co. Name Fidelity National Title Insurance Services www.suffolkcountyny.gov/clerk Title# ZO 8 Suffolk -County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFYTYPE OF INSTRUMENT) Nancy D Dermody and Peter Robert Douglass The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of Southold Adam Nelson Douglass In the VILLAGE or HAMLET of Orient BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over C00y--.3 �argalA and Sale Deed with Covenants Against Grantor's Acts - Individual or Corporation CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the),') day of January, 2017 BETWEEN NANCY D. DERMODY, residing at 215 Alvahs Lane, Cutchogue, New York 11935, and PETER ROBERT DOUGLASS, residing at 422 King Street, Orient, NY 11957 party of the first part, ADAM NELSON DOUGLASS, residing at 423 Willow Terrace Lane, PO Box 248, Orient, NY 11957 party of the second part, WITNESSETH, that the party of the first part, in consideration of TEN ($10.00) 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 at Orient, Town of Southold, County of Suffolk, and State of New York; and more particularly described and designated as follows: BEGINNING at appoint on the southerly line of Nelson Drive the following two courses and distances from the corner formed by the intersection of the easterly line of Willow Terrace Lane and the southerly line of Nelson Drive, as shown on a certain map entitled, "Map of Willow Terrace, Section One at Orient, Town of Southold, Suffolk County, New York "filed in the Suffolk County Clerk's Office on 11- 28-1969 as Map No. 5407: (1) North 67 degrees 30 minutes East 115.00 feet; and (2) South 88 degrees 21 minutes 50 seconds East, 54.92 feet; RUNNING THENCE South 88 degrees 21 minutes 30 seconds East, 150.00 feet; THENCE at right angles to the last-mentioned course South 1 degree 38 minutes 10 seconds, West 150.00 feet; THENCE North 88 degrees 21 minutes 30 seconds West, 150.00 feet and THENCE North 1 degree 38 minutes 10 seconds, East 150.00 feet to the point or place of BEGINNING. (TOGETHER WITH all that certain plot of land with buildings and improvements thereon being at Orient, Town of Southold, County of Suffolk, and State of New York, more particularly described and designated as Lot 12 on a certain map entitled "Map of Willow Terrace, Section One at Orient, Town of Southold, Suffolk County, New York" filed in the Suffolk County Clerk's Office on 11-28-1969 as Map No. 5407. BEING AND INTENDED TO BE THE SAME PREMISES conveyed by Nancy D. Dermody, Executrix of the Estate of Nancy R. Douglass to Nancy D. Dermody, James R. Douglass and Robert G. Douglass and recorded 10-03-2001 in Liber 12145 page 156; and the same premises conveyed by Robert G. Douglass to Peter Robert Douglass and recorded 10-03-2001 in liber 12145 page 157. `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 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 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: STATE OF NEW YORK: COUNTY OF SUFFOLK) ss: wo On the dT day of January, 2017, before me, the undersigned, personally appeared Nancy D. Dermody, 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 he/she executed the same in his/ her capacity, and that by his/her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. N ry Public jemAr u�L� JENNIFER B. GOULD Notary Public, State of New Yank No. 02G05024644 -Suffolk County Commission Expires March 14, 20 is, STATE OF NEW YORK: COUNTY OF SUFFOLK) ss.: On the z27day of January, 2017, before me, the undersigned, personally appeared Peter Robert Douglass, personally know 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 acknowledge to me that he/she executed the same in his/ her capacity, and that by his/her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. ' ' L JENNIFER B. COULD Notary Public, State of New York No. 02G05024640i-Suffolk Coun Commissiori Expires March 14, 2f) 'OR COUNTY USE ONLY C1. Sm Collie' C2.06 Deed Recorded �t/ /CJ�/ Mae. ar y— C3. Book q 0 3 C4. Page 5 PROPERTY INFORMATION 1. Property 423 Location • mRrFT NUMBER r New York State Department of 11LAP 3 Taxation and Finance Office of Real Property Tax Services RP- 5217 -PDF Real Property Transfer Report IBM 0) Wi l l OW orrace iaine -sm u NAME Southold Orient 11957 • cffv OR TOM wJYE . ap com 2. Buyer I)ouglass Adam NeI sort Name • lAi ra.MFA:O1MFAnN' I x187 RAMS WT pANy rater RAMF 3. Tax Indicate where future Tax BIN are to be sant BlBing if other than buyer addrem(al bottom of loan) LAer NAMxCeBPAw FIRST NATE Address eTRFFr FAU AMNAW. CnV M TOM STATE 21pCcom 4. Indicate the number of Ams wont 1 a d ParcelsOR ❑ Pari of a Parcel (Only 9 Pan or a Pomi) Check as they appy: ❑ Roll parcels transferred on the dead 4A. Planning Board with Subdivision Aulhomy Exists 6. Dead XOR 1.30 4B. Subdivision Approval was Required for Transfer ❑ Property •FRONTFECT •com •ACRW SW 4C. ParcelAppmved for Subdivision with Map Provided ❑ Dermody Name Douglass Nancy D Fwsr IMNC Peter Robert uAarNANECOMPANr IT. Select the description which mos accuratsy describes the Check the boxes below m they appy: use of the properly at the time of Gale: 0. Ownership Type is Condominium ❑ A. One Family Residcrilial a. New Construction on a Vacant Land ❑ 10A. Properly Located within an Agricullunll District ❑ 1013. Buyer received a disclosure notice indicating that the properly Is in an ❑ Agricultural Detrict SALE INFORMATION1 16. Check one or more of tem conditions as applimbf* to transfer: A. Sok Between Relatives or Famher ROMOves B. Sale between Related Companies or Partners In Business. 11. Sale contract Dae • C. One of the Buyers is also a Seller 0. Buyer or Seller is Government Agency or Lending Institution 12. Data of SoleRrensfer 1 Z- li E. Deed Type riot ftneny or Bargain and Bob (Specily Below) F. Sale of FracOenal or Less then Fee Interaal (Speay Below) •17. Full Sale Price .00 G. Significant Charge in Property Between Taxable Status and Sale Dass N. Sas of Business is Included in Sale Price ( Fun Sale Price is the trial amount pad for the properly including personal property. I. Other Unusual Factors Affecting Sas Price (Specify Below) This payment may be in the form of cash. other property or goods. or the assumption of J. None mortgages or other odtgaOcns.) Palms round to due nearest whole doAer amount. Comment(s) on Condition: 14. Indices the will* of personal (Xl property Included le the Bob ASSESSMENT INFORMATION - Data should rafted the latest Final Assessment Roll and Tax Bill 16. Yearof ABoessment Roll from which Intorina lon token(YY) 16 •17. Total Assessed Value 1,600 •16. Property Close 260 _ •19. School Dtstrlot Name or i en I: '20. Tax Yap tdsmlfler(syRoll ldwffl ler(s) (n mow then four. attach sheat with Midland Idemlfsr(ap 1000-n26.00-07..00-039.017 CERTIFICATION I Certify that at Blithe Bene of Information entered on this rows are true and coma (so tie asd of my knowledge and bellal( and 1 understand that the making of any wlltiul false satemant of material fact herein sub)ect me to the provktbni! il.gNi final Ipls relative to the making and Bung of fess instruments. $;LL91MGNATURE flUYER C?9NTACT INFORMATION (Flror Brenna w kr eve Buyer Nnhr• a Buyer is 1 L C.Mooly. auDOWM erpaWwk pia skmk mmYNe, onwe a EM lush's rloi an kKbn&W egwK Or fdudsy, ern a delve sit Cendant Yrerl Wn or an ndndl6n'alpordible perry whit can answer gmWns raprtlug ave brWN mum be entered Tree or prim COUSIN.) LLETL SIGaMpATL• BUYE&sIc srANATLOL DATE Doug Lass Adorn Nelson Fmff NN E -M FF"ONF NUMBER lri WWOR PO BOX 248 STREEI NUMBER -arRffT NAME Orient NY -aryon TOwe 'STATE JWCBbc RUYE10 ATTORNIY Could Jennifer B. LAW h A E I IRST NAME (631) 765-8375 AREA CcbE TELFPROMEMM (rs.eWWry