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Home My WebLink AboutL 12911 P 297 111111f IIII IIIII 11111 IIIII VIII VI II Il 111 VIII 11111111 111111 I I I I I11111 I I I I1111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 05/04/2017 Number of Pages: 4 At: 01 : 49 :05 PM Receipt Number : 17-0075780 TRANSFER TAX NUMBER: 16-29724 LIBER: D00012911 PAGE : 297 District: Section: Block: Lot: 1000 048 . 00 02 . 00 023 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 .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 $5 . 00 NO RPT $200 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO Fees Paid $525 . 00 TRANSFER TAX NUMBER: 16-29724 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1❑ 2❑ RECORDED Numb,\,of pages 2017 May 04 Ot:43:0` PM JODITH P. PRSCHLE CLERK OF SUFFOLK COUNTY This document will be public L D00012911 record. Please remove all P 297 Social Security Numbers DT# 16-23724 prior to recording. 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 Notation Spec./Assit. _ or EA-52 17(County) Sub Total '50 Spec./Add. EA-5217(State) 95D TOT.MTG.TAX — ''11� Dual Town Dual County R.P.T.S.A. Held for Appointment Comm.of Ed. 5. 00 Transfer Tax — ` Mansion Tax Affidavit '�+P,7�0 Certified Co The property covered by this mortgage is Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total 47S- YES or NO Other s� Grand Total �d� J If NO,see appropriate tax clause on page# of this instrument. 4 Dist. 17014428 1000 04800 0200 023000 5 Community Preservation Fund Real Prove; R LPA CPFSTax Due Amount Tax Servii VIII I 1'I•�IIII it Agency 01-MAY-1 I Verificatic ' Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land 1V, n�o(lOLy Q)f'11 /// TD 10 35 -Zw'�o�ht tk TD 4'x'L-ADYA�o i N� �1a 3 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information .310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Pa e This page forms part of the attached 102i made by: rn n t (SPECIFY TYPE OF INSTRUMENT) USrCU 0 The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN61�maA4 bZ In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12.0104_10108 (over) t Quitclaim Deed-Individual or Corporation.(single sheet) 1 THIS INDENTURE,made the day of I1 �,Two-Thousand and BETWEEN �q CCOUJCI S}#��i-� C Q MUCO Q i C1W N N t � wa party of the first pail,and 35 3P� Momma del 1 oke N4 k t 331 party of the second part, WITNESSETH,that the party ofthe first part,in consideration of o dollars paid by the party of the second part,does hereby remise,release and quitclaim unto the party of the second party,the heirs or successors and assigns of the parry of the second part forever, ALL that `rtain Iot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the County of in the State of_ cwJ to wit c ou,( x maP 'numbCc TOGETHER with all right,title and interest,if any,of the party ofthe 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 ofthe patty ofthe first pan in and to said premises;TO HAVE AND TO HOLD the premises herein granted unto the parry of the second part,the heirs or successors and assigns ofthe 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 parry first pan 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 ifit read"parties"whenever the sense or this indenture so requires. IN WITNESS WHEREOF,the parry ofthe first part has duly executed this deed the day and ye a ove ' en. AN6AEA 7nN0A_ . Publlc,State New York No.01T - 6253 r�aliP� ;In Kinds Count 10t'i �IUCCAlc_l_ {Grantor) (Witness) Schedule A All that certain plot, lying and being in the Town of southold, county of Suffolk, State of New York, more particularly described As Greenport Driving Park, filed map no. 369, lot no. 85 filed 1211109. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part and Hayward Johnson, deceased, by deed dated April 16,1981 which has been recorded in the office of the clerk of the county of Suffolk on June 17, 1981 in Liber 9019 at page 166. Unifwm Fam Certifkate of AduwwUdgemeai For use in New York State 09/1999 STATE OF NEW yYORK COUNTY OF On the Vf day of jy� m�year `lid j before ane,the undersigned, C personally appeared 1 0 tea_ I ju C4 V a f K! personally known to me or proved to me on the basis of satisfactory evidence to be the Vis)whose mss)khme=bserbed tv dw a h3ft UIRMt and edged to me that helshetthey 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. otary Public Notary pubis!,Stat N C en No.Of 7i620B2r q, York p f - --- UalMission n in Kin 53 - Com 9s County � 1 Expires Jan.27,2018 FOR COUNTY USE ONLY , f, New York Stale Department of Cl.SVWS Cade �,1�] I Taxation and Finance CY.Dala Deed Recorded I S / /( 1 I Once of Real Property Tax Services LLq n/ /� 1 ep1N Do V., -1RP-5217-PDF C3.Book I 1 1—1 1 1 1' I C4.Page Real Property Transfer Report(8110) PROPERTY INFORMATION 1 C ,.Progeny Location NO Q 1 1` 1\ VVee—r •BTTiEEr NUMBER •6mEETNNE Sw4A A cnc ee (1 vuAOE OPCODE L Buyer Mcn Narse — kJ __ llV — • LAST NMI@ICGLPANY FIer NA►E LAarNAANETx71PAW FIRST NNE 3.Tax Indicate where future Tax Bills are to be sen Bluing if other than buyer address(at bottom of form) LAST NAUECCIMMW FIRST NAME Address STREET NOwxa:r ANDUNE CITY OR TOWN STATE rP CODE 4.Indicate the number of Aria:sant t Of Parcae OR ❑Part of a Parcel (Only If Part of a Parcel)Check as they appy: ❑ Roll parcels transferred on the deed 4A.Planning Board with Subdivision Aothortty Exists Il.Deed xOR 0.4,�1 j Property •FRONT FEET 46.Subdivision Approval was Required Tar Transfer IJ DEPTH •AGREE Size 4C.Parcel Approved for SubdNlslon With Map Provided ❑ MuccAk(\ i a B.Boller •LASTNAIECCLP-ley FPSTNANS Name LAST NAIEICOwPF'W FIST NATE '7.Select the description which most accurately describes the Check the boxes below as they apply: use of the property at the Bled of sale: S.Ownership Type IS Condominium ❑ .. !^C^_ \ 1 a<\ 9.New Construction on a Vacant Land ❑ �J lA Ll(�('j• \ d 19A.Property Located within an Agricultural District ❑ 106 Buyer recewad a disclosure notice Indicating that to property is in an Agricultural District ❑ SALE INFORMATION 15.C one or more afthese conditions as applicable to transfer: A,Sale Between Relatives or Former Relatives 11.Sale Contract Dale B.Sale between Related Companies or Partners in Business. C.One or the Buyers is also a Seller 12.Dale of SetelTransfer ' D.Buyer or Seller is Government Agency or Lending Institution E.Deed Type not warranty or Bargain and Sale(Speciy Below) F.Sale of Fractional or Leas than Fee Interest(Speay,Below) •13.Full Salo Price 0,00 G Srgnacanl Change in Property Between Taxable Status and Sale Dates H Sale of Business a Included in Bob Price (Full Sale Price is the total amount pall for the property including personal property. 1. Other Unusual Factors Affecting Sale Pries(Specify Below) This payment may be in the ram of cash,other property or goods,or the assumption Of J None mortgages or other obligations.)PL-53e round to the nearest whole dollar amount. Comment(s)on Condition: 14.Indicate the value of personal property included In Use sale 0.00 ASSESSMENT INFORMAT1011-Data should refled the latest Final Assessment Roll and Tax Bill 19.Year of Assessment Roll fram which Information taken(YY) •17.Total Assessed Value ?i 5`19 —T 118.Property Class 311 _ •19.School Dlatrkt Name one enQ0 6 ' it•_..�1 '20.Tax Mop IdI errtlfier(!JrRorl IdarrBBer(s)(N more than four.attach sheat with additional idenlBor(s)) It Xll t Ns.-a-a3 CERTIFICATION 1 Certify that all of the item of In%ormatkn entered on this farm are true and coma(to the beat of my knowledge and bellal)and I understand that the making of any willful false statement of materlel foot horoln subject me to the_provisiona oliha Banal kw relative to the making and filing of false Instruments. MIERBIGNMRE 9UYEfLC�NTACT INFORMATION (Erow nromwrion for dla buyer.Nota a eL w isLLC.saiely,ebnlds iorl oarpaaTarA lata sack co Awry,sorts or rA L /SS� • el r 17 anal)I o c not an lMNdml ns o to hdgery.tins a must and corxad ype or iiri a k intlmdvYraspdue" �r.LaC_ 1f10 can wawar quawima lamp car Ina�ar murt ha arsarad type w prYn eraerry.r e� aarAleM DATE \' "UYERSIGNATURE k noL`1 'AREA CODE -FELIPmONE NuMER Mx 00000% eurwexvrA DATE 35 3A •STREET NOLB-R •STREET NAMRJ TY 'CITY OR TOIArI I STATE WOODS BUYER'S_ATSORNEY. ^i J : I LADTNNNE F'IRSI NMm r 7' AREACOM TCIZMMENMBERIFiaaaNON It ' 1 f