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Home My WebLink AboutL 12906 P 290SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 03/28/2017 Number of Pages: 4 At: 03:11:44 PM Receipt Number : 17-0052003 Handling $20.00 TRANSFER TAX NUMBER: 16-25760 LIBER: D00012906 NO NYS SRCHG PAGE: 290 District: Section: Block: Lot: EA -STATE 1000 123.00 02.00 019.000 $5.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Deed Amount: $410,000.00 $0.00 NO 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 $1,640.00 NO Comm.Pres $5,200.00 NO Fees Paid $7,235.00 TRANSFER TAX NUMBER: 16-25760 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 Mar 28 03:11:44 PM JUDITH H. PASCALE CLERK OF SUFFOLK COUNT,' L D00012906 P 2'3) DT# 16-25700 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp r/ Recording/ Filing Stamps 3 1 FEES Page / Filing Fee Handling 20, 00 TP -584 Notation EA -S2 17 (County) EA-5217(State) �V V R.P.T.S.A. Comm. of Ed. 5. 00 Affidavit Certified Copy NYS Surcharge 15. 00 Other 4 1 Dist. 101 17008781 Real Property P T S Tax Service R CWH Agency t7_MAR-1 Verification 6 Satisfactions/Discharg Is( CORD Rob Fischette, Esq. Fernan & Fischette 320 Hampton Road Southampton, NY 11968 Sub Total Sub Total Grand TotalJkr 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec. /Add. TOT. MTG. TAX Dual Town Dual County Held forAppointment Transfer Tax 166 Mansion Tax The prope covered by this mortgage is or will be improved by a one or two family dwel ing only. YES orNO If NO, see appropriate tax clause on page # ofthis instrument. 1000 12300 0200 0190`010 5 Communit Preservation Fund Consideration o int $,--A .t CPF Tax Due $ 520 - ,—' Improved es List Property Owners Mailing Address i RETURN TO: Vacant Land TD�%Q TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 1 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co. Name South Bay Abstract, Inc. www.suffolkcountyny.gov/clerk Title tt S-15431 W 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFYTYPE OF INSTRUMENT) Windy Bays LLC The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of Southold HSA Holdings III, LLC In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIORTO RECORDING OR FILING. over CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 2 day of MARCH, 2017 BETWEEN WINDY BAYS LLC, located at 500 Center Street, Mattituck, New York 11952, DAVID J. SMITH and VICTORIA A. SMITH, Managing Members party of the first part, and HSA HOLDINGS III, LLC, located at 108 Remington Road, Manhasset, New York 11030, SEAN PETERS and NATALIE PETERS, Managing Members party of the second part, WITNESSETH, that the party of the first part, in consideration of ( TEN ($10.00) dollars 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 Mattituck. Town of Southhold, County of Suffolk and State of New York, bounded and described as follows: SCHEDULE A ATTACHED HERETO SAID premises being the same as those conveyed to the Grantor by Deed dated August 25, 2012 and recorded on December 28, 3012 the Suffolk County Clerk's Office, LIBER: D00012715P PAGE 282 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" when ever 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 THE PRESENCE OF DAVID d. SMITH, Mng. VICTORIA A. SMITH, Mn Standard N.Y.B.T.U. Form 8002 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of NASSAU ss: on the .2nd day of MARCH in the year 2017 before me , the undersigned, personally appeared DAVID J. SMITH AND VICTORIA A. SMITH State of New York, County of ss: On the day of In the year before me, the undersigned personally appeared or proved to me on the basis of satisfactory or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is evidence to be the individual(s) whose name(s) (are) subscribed to the within instrument and acknowledged (are) subscribed in the within instrument and to me that helshe/they executed the same in his/her/their acknowledged to me that he/she/they executed capacity(ies, and that by hislher/their signature(s) on the the same in his/her/their capacity(ies), and that instrument, the individual(s) or the person upon behalf of by his/her/their signature(s) on the instrument, which thip individual(s) act d, executed the instrument. ,- n ,t The individual(s) or the person upon behalf of which the individual(s) acted, executed the instrument. MICHELLE KISS Notary Public, State of New York No. 01 K15065407 Qualified in Suffolk County '� Commission Expires September 3, 2013 (Signature and office of individual taking acknowledgment) (Signature and office of individual taking acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State of County of ss. On the day of , in the year 2016 before me tl,e undersigned personalty 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/shelthey 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(s) made such appearance before the undersigned in the (City or other political subdivision) Signature and office of individual taking acknowledgment) BARGAIN AND SALE DEED SECTION 123.00 WITH COVENANT AGAINST GRANTORS ACTS BLOCK 02.00 LOT 019.00 COUNTY OR TOWN - SUFFOLK STREET ADDRESS:500 Center Street Title No. WINDY BAYS LLC TO Return by mai) to: ROBERT M. FISCHETTE ESQ. P.O. BOX 1283 HSA HOLDINGS III, LLC 320 HAMPTON ROAD SOUTHAMPTON, NY 11969 5-15431W amended 2/21/17 AMENDED DESCRIPTION ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Mattituck, Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described as follows: BEGINNING at a point on the southerly line of Center Street distant 254.6 feet westerly from the corner formed by the intersection of the southerly line of Center Street and the westerly line of Bungalow Lane; RUNNING THENCE south 4 degrees 18 minutes 10 seconds east along the westerly line of lands now or formerly of Peter Scholl a distance of 233.00 feet; RUNNING THENCE south 85 degrees 41 minutes 50 seconds west 100 feet; RUNNING THENCE north 4 degrees 18 minutes 10 seconds west a distance of 233.00 feet to the southerly line of Center Street; RUNNING THENCE north 85 degrees 41 minutes 50 seconds east along the southerly line of Center Street a distance of 100.00 feet to the point or place of BEGINNING. INSTRUCTIONS(RP-5217-PDF-INS): www.orps.statemy.us IRC , OUNTY USE ONLY Now York State Department of C1. wIS Code I 3 Ic� ,� 1� I Taxation and Finance C2. Date Deed Recorded I /Z 8 /� I Office of Real Property Tax Services ` /� !�M— D" V q RP- 5217 -PDF C9. Book 11 ,2 6 i, 0 I WnI C4. Page I 1, f � I Real Property Transfer Report (8110) PROPERTY INFORMATION 1. Property 500 center street Location ' MEET NUMBER '13i9E01 NAPE southh.o_'d MattiL•uck . axon Toa&` VILLAGE . y cam 2. Buyer HSA HOLDINGS III, LLC SEAN PETERS, Mng. Member Name ' LAST hALC,1CDIAPANY FIRST NAME LAer NAMISCOMPANY FIRST RAW 7. Tax Indicate where future Tar Bit%are to be Sem -LAST NAME use of the property at the time of sale: Billing Address if other than buyer sddroa(ol bottom of form) LASThAM6CCUPANY FIRST NAME 9. New Construction on a Vaunt Land 108 reinin ton road 10A. Property Located within on Agricultural District ❑ STREET KINEI ANO NAME CITYOR-OVA STATE iiPCODE 4. Indleat@ the number of Assessment 1 Parcels ❑ Pan ora Parcel (Only if Part of a Pareal) Check as they appy: Roll;:Mole transferred on the deed e of OR 4A. Planning Board vhth Subdivision Authority Exists ❑ S. Dead \OR 0.53 40. Subdivision Approval was Required for Transfer 1-1' Property ' FRma FEEL OEPM 'ACR® Sian 4C. Parcel Approved for Subdwlsom with Map Provided El ' 12. Dau o1 SaleRrensler 03/02/2017 WINDY BAYS LLC David J. Smith,Mng. Mmbr. 6. Seller .LAST MNEICyPµY FIRST MME Name F Sob of Fractional or Less than Fee Irderssl (Specify Below) LAST NNIEACOMPA.VI FIRST E '7. Select the description which most accurately describes the Check the boxes belowas they apply: -LAST NAME use of the property at the time of sale: I. Ownership Type Is Condominium 283-3510 A. One Fdrnily Residential 9. New Construction on a Vaunt Land 108 reinin ton road 10A. Property Located within on Agricultural District ❑ manhasset 100. Buyer recelved a dlslelosu a notice indicating that the property is in on ❑ 'MAI -LP CODE BUYER'S ATTORNEY Agricultural District SALE INFORMATION 16. Chock one or more of these conditions as applicable to transfer. • A. Sins Between Relatives or Former RalatNee 11. Sale Contract Date 01/25/2017 B Sale between Related Companies or Pallas In Business. C. One of the Buyers is also a Seller ' 12. Dau o1 SaleRrensler 03/02/2017 D. Buyer or Seller IS Govemment Agency a Lending Institution E Deed Type not Warranty or Bargain and Sala (Space Below) F Sob of Fractional or Less than Fee Irderssl (Specify Below) Full SEN Price 410, 000 ,()0 G. Significant Change in Property Between Taxable Status and Sale Dates N. Sale of Business Is Intruded in Sale Price ( Full Sale Price is the total amount paid for the property including personal properly. 1.Other Unusual Factors Affecting Sale Price (Specify Below) This payment may be in the form of rash, other property or goods, or the assumption of J. None mortgages orother obligations.) Please round tome nearest what@ darer amount Commehit ) on Condition: 14. Indicate the value of personal property Included In the sale .00 ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 16. Year MAseessment Roll from which Information taken(YY) 17 '17. Total Assessed Value 4,900 '16. Property Class 210 _ 0 '19. School District Name N.attituck '20. Tax Map Identlfier(syRoll Identifier(s) (N more than four, attach sheet with additional Identmegs)) sec.123 block 02 1ot019 CERTIFICATION I Certify that all of the Items of Information enured on this form are true and correct (to the beet of my knowledge and beIIM and I understand that the making of any willful Ise statement of momrlal fact heroin subject me to the,pmvulens of the.00n§UULreletive to the making and filing of fain Instruments. 1(.QE BUYER CONTACT MWDWa MQN (Emir nkmaaon for da buyer. Note M Buyer is LLC earxgt asmdmon mlpere'sn Pint ewer amps ry assts a ////// anmry uwl n cwt m rwWauam epaxa hsnary, awn a Gomes sun mKaa Inkmaoon ofen ridmaYeesponsbo party son Lal E-wer a-efli"regardlq ms Similar must Do wrasc.Type arpdta clary.) DATE peters sewn -LAST NAME FIRSTNMS. (631) 283-3510 'AREA CODE -TL.MKTmm uMMMIE. a sees) 108 reinin ton road 'STREE.NNMBER 'STREET NAME manhasset rte+ 11030 •CITIONTVNr 'MAI -LP CODE BUYER'S ATTORNEY fischette robert FIPSTrYJ1E (631) 283-3510 AREA CODE TELEP1101E NUECR I& Nesta