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Home My WebLink AboutL 12905 P 155SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 03/21/2017 Number of Pages: 4 At: 08:12:39 AM Receipt Number : 17-0046940 TRANSFER TAX NUMBER: 16-24838 LIBER: D00O129O5 PAGE: 155 District: Section: Block: Lot: 1000 080.00 04.00 019.001 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 $0.00 NO RPT $200.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $395.00 TRANSFER TAX NUMBER: 16-24838 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 21 ne:12:39 At,1 JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY L D00012505 P 155 DT# 16-24838 Deed / Mortgage Instrument I Deed / Mortgage Tax Stamp I 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) Sub Total Spec. /Add. EA -5217 (State) R.P.T.S.A. Zoe Comm. of Ed. S. 00 AffidavitMansion TOT. MTG. TAX Dual Town Dual County Held for Appointmen Transfer Tax Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 Sub Total Other _ Grand Totak. '^ family dwelling only. YES or NO 1f N0, see pippropriate tax clause on page of this in trume 7E 4 Dist. 17004997 1000 08000 0400 019001 )01 5 Community Preservation Fun Consideration Amount $ Real Propem P T S Tax Service R VIT q Agency 07fE�17 l Verification CPFTax Due $ Improved Vacant 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: TD TD MS. SUSAN TAYLOR 9350 CHESTNUT KNOLLS DRIVE FAIRFAX, VA 22032 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 www.suffolkcountyny.gov/clerk Co. Name Title # 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) SUSAN TAYLOR The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In theTOWN of SOUTHOLD TAYLOR LIVING TRUST DTD 11-9-2016 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 I Warranty Deed NO CONSIDERATION THIS INDENTURE, made the / day of two thousand and seventeen BETWEEN SUSAN TAYLOR, as surviving tenant by the entirety of Keith Taylor, deceased, residing at 9350 Chestnut Knolls Drive, Fairfax, VA 22032 party of the first part, and, SUSAN TAYLOR, as surviving Trustee, or her successors in trust, under the TAYLOR LIVING TRUST, dated November 9, 2016, and any amendments thereto, residing at 9350 Chestnut Knolls Drive, Fairfax, VA 22032 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, c ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, ai lying and being 0 SEE SCHEDULE "A" ATTACHED HERETO 14081MOW 212Y}A91 itAYF 31ldliq y1E10A � �n,�iN Io f111a.5svnVnrn. PtOS Er p�i:•• q�+ BEING AND INTENDED TO BE the same premises as conveyed to the party of the first part by deed dated October 31, 2014, and recorded in the Suffolk County Clerk's office in Liber D00012797, Page 454 on November 25, 2014. N SUBJECT to any state of facts an accurate survey may show. c SUBJECT to any covenants, easements and restrictions of record, if any. 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 parry 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. AND the party of the first part covenants as follows: that said party of the first part is seized of the said premises in fee simple, and has good right to convey the same; that the party of the second part shall quietly enjoy the said premises; that the said premises are free from encumbrances, except as aforesaid; that the party. of the first part will execute or procure any further necessary assurance of the title to said premises; and that said party of the first part will forever warrant the title to said premises. 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: SISICJSAN TAYLOR Standard N.Y.B.T.U. Form 8003 - Warranty Deed With Full Covenants - Uniform Acknowledgment Form 2222 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of ee: State of New York, County of On the day of in the year 2017 before me, the undersigned, personally appeared 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/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. (signature and office of individual taking acknowledgment) On the day of in the year before me, the undersigned, personally appeared ss: 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/she/they executed the same in his/her/their capacity(ies), and that by his/her/their 'signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. (signature and office of individual taking acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State (or District of Columbia, Territory, or Foreign Country) of VIRGINIA ,_y1, SS: On the d day of r�ts$� in the year 2017 SUSAN TAYLOR before me, the undersigned, personally appeared 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/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(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 made such appearance before the undersigned in the U in (insert the City or other political subdivision) taken) =FRANCISHOMPSON licf Virginia 2s Aug 31, 2019 WARRANTY DEED WITH FULL COVENANTS Title No. SUSAN TAYLOR TO TAYLOR LIVING TRUST VIRGINIA (and insert the State or Country or other place the acknowledgment was _ � J (signature and -office of individual taking acknowledgment) STANDARD FORM OF NEW YORK BOARD OF TIRE UNDERWRITERS Distributed by Commonwealth A [ANDAMERICA COMPANY COMMONWEALTH LAND TITLE INSURANCE COMPANT SECTION 080.00 BLOCK 04.00 LOT 019.001 COUNTY OR TOWN SUFFOLK STREET ADDRESS 200 GROVE DRIVE SOUTHOLD, NY RETURN BY MAIL TO: MS. SUSAN TAYLOR 9350 CHESTNUT KNOLLS DRIVE FAIRFAX, VA 22032 SCHEDULE A 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, -known and designated as Plots number 17, 18 and 19 in Block H on a certain map made July 22, 1930, by Daniel R. Young, P.E. and L.S. entitled, "Map of Reydon Shores, Inc., Bayview, L.I., New York in the Town of Southold, Suffolk County,'N.Y." and filed in the office of the Clerk of Suffolk County, Riverhead, New York, on July 31°C, 1931, as Map Number 631. Together with all the easements, rights, licenses and privileges contained in two Deeds: (1) dated May 23, 1958 to Katherine T. de Bruin and Nancy M. de Bruin by John H. Beach recorded in the Suffolk County Clerk's office at Liber 4464 cp 387 and (2) dated July.5, 1968 to A. James de Bruin by M. Lillian Beach recorded at Liber 6381 cp 322 on July 15, 1968 and the premises conveyed herein are the same as ' described in both deeds and in L 10571 pc 430. Premises' known as 200 Grove Drive, Southold, New York and designated or the Suffolk County Tax Map as follows: 1) Lots 18 and 19 in Block H on the aforementioned filed map are District 1000 Section 80 Block 4 Lot 18; 2) Lot 17 in Block H on the aforementioned filed map is District 1000 Section 80 Block 4 Lot 19. INSTRUCTIONS(RP-5217-PDF-INS): wwvr.orps.stats.ny.tis OR COUNTY USEONLY �7 c� Naw York Stab DapartnNlM of C1. stt'ils Cede D /J Taxation and Finance C2. Date Dead Recorded I 3/ �- l / t -7 I oRloe Real Property Tax Services T� WA Lq f RP- 5217 -PDF C3. Book L C4. Page I�I s� Real Property Transfer Report (Oils) PROPERTY INFORMATION 1 -Property 200 Grove Drive Loeatlon '8TpEC7NWRFR - '8:911.[' WYE Name Southold Southold 11971 1 ANT AME -COMPANY .&.. oq Tom! wIIAGE -y POmpE 2. Buyer Living Trust dtd 11-9-16 Taylor Name - LAS-NAMFCN+ OYI'A , HE-xAME 1ASTNAMLCOMPANY •IPS%NAI F 3. Tax Indicate where futuo Tax Bills are to be sent BRling it other then dryer addnasalal bottom of form) r AAT NAVE COMPAW FAB' NAME Atl- ATRFFTH.MBL-ANDNAYE GI. OR TOWN ST -1.1. >y r.Lx]F 4. Indicate Bre number of Aasnamud 1 ❑ Pan of a Parcel (Oray It Part of a Paroall Cheek as they appy: a ai Paroeb OR ❑ Rall parasb frernfslvad as tiAe deed 4A. Planning Board with Subdivintlon Authority F�klab 5. Dsod . \ Olt 0.49 41L Subdivision Appro al was Rogt*M for Transfer ❑ Prepsrty •Psohr i'DOT •DEPTH WRFS She 4C. Parcel Approved for SubdiwitiDn Wilk Map Provided ❑ TAYWR SUSAN S. Better -1.4911 N ME1COMPAN• -.PSI AWARE Name 1 ANT AME -COMPANY RPSI%AYF Cheek the bones below se they apply: -1. Sabel the Tksdtpttan which most accurately da rlbn On S. Ownership Type is Condominium ❑ use of the property at the New of cab: A. One Family Residential A New Construction on a Vacant Lard ❑ — 16A. Property Located within an Agricultural DnbIU ❑ 10B. Buyer received a disclosure notice Indicating than the property Is In an ❑ Agdwllurel District SALE INFORMATION 15. Check ons or mon of these conditions as appaeeWo to tr for: A. Sob Between Relation or Former Rebttves . 1 11. Sale Contract Dao N B. Sale betwoon Related Companies or Parmors in Business. C. Ono of the Buyers Is also a Seller / / //' ' 12. Date o} BslsRraasbr Government Agency or Lending Insdkn D. Bator or Seller b Ats E. Dead Type not Wamrny or Bargain and Sale (Specify Below) F. Sets of Fractional or Less than Fee Interest (Specify Below) '13. Full Sala Price 0 .Iy) G. Significant Change In Property Between Taxable Status and Sale Dates H. Sob of Buenas In Included In Sale Price ( Full Sale Price is the total amount paid for the property including personal property. I.Other Unusual Factors Affecting Sate Price (Specly Below) This paymoTa may be in the form of rash, other property orgoods, or the assumption Of J. None mortgages or other obligations.) Pbsas round to the neansat chats dollar amount. 'Comment(e) on Condmon: 14. Indleale the value of persona( _� property Included In the Sale 'Transfer :.o 'frust u/no conRLAeration ASSESSMENT INFORMATION - Date should roSeG Ble latest Final Assessment Roll and Tax Bill 16. Year of Assassmem Rail from which Information taker" 16 y T. Total Aesasasd Value 6,900 '1a. Property Class 210 _ '1e. School Dlatrtot Name Southold '20. Tax Iwo Idmtlfbr(syRotl (dentMar(s) pt mors Men four. attach sheat wRb addabnal (de nMar(■)) 1 080.00-04.00-019.001 CERTIFICATION 1 Certfy that all of thoHams of immmaeon srto an eda term are bus and coned (to the but of my knowledge and bsllvQ and 1 understand that the making of any wllMtl( lobs staMasnt of ma[edal tad herein subtlest w to the prw4lika s.of this panel lowtrolafte to the making and filing of tales InstnmsMs. SELLER SIGNATURE BUYER CONTAOT INFORMATIM (Erbr kiOrmabon tax the Wier. NOW N buyer Is LLC.&PanY, wsadelon. aTNPreOM. (Pall Snook O Pwry, WIM W waft this Is not an Wkidoal agent a aa4ary. ton a new wd Oersted intonation or an ekdivAmUrerporuble _ It" oro can oswer Time" retardng to tender muY be entered. Type ar print cleay.) ELLER !GNAT' - -- DAA " BUYER SIGNATURE/ Q 117 �. if R aNAlll GAIL Taylor -I AST RA4E Susan FIRST %AARC {703) 945-4386 'MFA r.Or:F 'TF1 EPRONE NUasLR IL.. anrme061 9350 Chestnut Knolls Drive -STRFFT NWBER-S-RFFTYAME Fairfax Kobrick BUYER:$ ATTORNEY Saul 111191 HAIRL VA 22032 -STAT- E •2a COMP (516) _ 248-9500 AREA C,OaE :ELEN•ONE MAKER IL. enaeern