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Home My WebLink AboutL 12913 P 86 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 05/18/2017 Number of Pages : 4 At: 01 :53 : 41 PM Receipt Number : 17-0084491 TRANSFER TAX NUMBER: 16-31163 LIBER: D00012913 PAGE : 086 District: Section: Block: Lot: 1000 074 . 00 01 .00 010 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $280, 000 . 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 $125 .00 NO TP-584 $5 . 00 NO Notation $0 . 00 NO Cert.Copies $0 . 00 NO RPT $200 . 00 NO Transfer tax $1 , 120 . 00 NO Comm.Pres $2 , 600 . 00 NO Fees Paid $4 , 115 . 00 TRANSFER TAX NUMBER: 16-31163 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County r. t ❑1 2❑ RECORDED Number of pages 4 2017 Nag 1S 01:53:41 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00012913 Social Security Numbers P Oar CST;€ 16-31163 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee '1/, Mortgage Amt. 1.Basic Tax Handling 20, 00 2. Additional Tax TA-584 45 Sub Total Notation �f Spec./Assit. or EA-52 17(County) 5 Sub Total ✓" Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. WW7 Dual Town Dual County Held forAppointment ff Comm.of Ed. 5. 00 Transfer Tax /too Affidavit • �. Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two family dwelling only. NYS Surcharge 15. 00 Sub Total �0 YES or NO Other a Grand Total J If NO, see appropriate tax clause on page# of this� instrumernt.l'/J "�O�f 1 4 Dist.1001 17016178 1000 07400 0100 010000 5 Community Preservation Fund TReal ax Service� R DH A + if ll�lllJ�r 11 I Consideration Amount$ Agency 15-MAY-1 If J I III lrI I I Jl Ifl I J11�ICPF Tax Due $__ _ CZ 00-- Verification —pp Improved 'Res 6 Satisfactions/DischargR/CORDesList rope yOwners Mailing Address E Vacant Land FREEDOM ABSTRACT 105 MAXESS ROAD TD I— SUITE 121 TD MELVILLE, N.Y. 11747 TD Mail to:Judith A.Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name FREEDOM ABSTRACT www.suffolkcountyny.gov/clerk Title# FR13108819 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) RANDI MCLAUGHLIN FKA RANDI JAYNEi FKA RANDI MASOOD The premises herein is situated in AND VIOLET REICH SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD ROBERT OTANI In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over Bargain and Stile Deed with Covenants against Grantor's Acts CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 21 st day of April Two Thousand Seventeen RANDI MCLAUGHLIN f/k/a RANDI JAYNE a/k/a RANDI MASOOD AND VIOLET REICH, Life Tenant 1395 Henry's Lane Peconic, New York 11958 party of the first part, AND ROBERT OTANI 211 Thompson Street #2-P New York, New York 10012 party of the second part, WITNESSETH,that the party of the first part, in consideration of TEN DOLLARS ($10.00) 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, situate, lying and being SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF. DIST: 1000 SECT: 074.00 BLOCK: 01.00 LOT: 010.000 SAID PREMISES KNOWN AS: 1395 HENRY'S LANE, PECONIC,NEW YORK BEING AND INTENDED TO BE the same premises as conveyed by deed dated April 20, 1994 and recorded May 18, 1994 in Liber 11677 Page 211. TOGETHER with all right, title and interest, if any, of the party of the first part of, 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 incumbered 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 the 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 constructed 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: 6 RANDI L �a AN JA NE a/k/a RANDI MASOOD Vt gxt(ZAL,�_ 9/"" '1**9 i�A'" AJC VIOLET REIC�'H, BY RAN111 MCLAUGH I f/k/a RANDI JAYNE a/k/a RANDI MASOOD,as agent 3 1 is Stewart Title Insurance Company Title Number: FR13108819 Page 1 SCHEDULE A DESCRIPTION ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Peconic, Town of Southold. County of Suffolk and State of New York, known and designated as Lot No. 12 on a certain map entitled, "Map of Peconic Homes, situate at Peconic, Town of Southold, Suffolk County, New York," and filed in the Office of the Clerk of the County of Suffolk on October 14, 1964 as Map No. 4181, being more particularly bounded and described as follows: ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Peconic, Town of Southold, County of Suffolk and State of New York, known and designated as Lot No. 12 on a certain map entitled, "Map of Peconic Homes," and filed in the Suffolk County Clerk's Office on October 14, 1964 under the Map No, 4181. STATE OF NEW YORK, COUNTY OF SUFFOLK: On the 215'day of April 2017, before me, the undersigned, personally appeared RANDI MCLAUGHLI;N f/k/a RANDI JAYNE a/k/a RANDI MASOOD 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 executed the same in his capacity, and that by his signature on the instrument,the individual, or the person on behalf of which the individual acted, a 7 ted the instrument. Notary Public DAVID H.PROKOP NOWY Public.State of NewYork Qualified in Suffolk County No.4977533 Myt:exrrmiss!on Expires Feb.04,20_�A INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY New York Stale Department of C1.SV1IS Code -[;�, ��/ 1 Taxation and Finance C2.Date Deed Recorded Lp / 1- Office of Real Property Tax Services II �2� 1� RP-5217-PDF C7.Book ( ,�, 1 ,3 C4.Page v O� Real Property Transfer Report(8110) PROPERTY INFORMATION 1.Property i345 Henry's Lane Location 'STREET raIYER •8iaF.FT xAw Southold Peccnic. 11550 .r•ITV Oo 7OW4 Y.AGE .D-Ccm 2.Buyer Ota;_ Robert Name •4"s-wYcx'cunwn F1a97 x•rE .Aa:IIAUL00111IFAY• I RST r...0 3.Tax Indicate where future Tax Bills are to be sent Otani, RC O C t Billing it other then buyer oddFOW9 bottom of form) Address xr LAST NAYEIecIr+AF PST NAVE 7.11 Thompson SL=eet, Aon. 2-P New York NY 100:22 8'PEETNUMBER AVD NAME CI•YW IeM. BAIL ap core 4.Indicate tiw number ofAssesement0 d Percale F-1Pat of a Parol (Only B Part of a Parcel)Check as it"apply: Roll Parcels transferred on the deed OR 4A.Planning Board with Subdivision Authority Exists ❑ a.Dead X OR 0.49 48.Subdivision Approval was Required for Transfer 1:1Property 'FRONT FEET •L1cTN •AOFC9 Size 4C.Parcel Approved for Subdivision with Map Provided ❑ McLa-ighlin, Randi 9.Salter •asTNANWONM, FPR-NAYL Name Re I Ch, V:Olct LAS NWi RrCcu- FRS-NWF '7.Ssleot the description which most accurately describes the Check the boxes below as they appy: ruse of the property at the time of sale: S.Ownership Type is Condominium ❑ A bile Family Residerdial 9.Now Construction on a Vocrent Land ❑ ---- 10A.Property Located within an Agricultural District ❑ 10B.Buyer received a disclosure notice Indicating that the pTopMy a in an ❑ Agriculture!District SALE INFORMATION 16.Check one or more ofthess conditions as applicable to transfer: A.Sala Behveen Relatives or Fenner Relatives 11.Salo Contract Ditto 03/01/2017 B.Sale between Related Companies or Partners in Business. C.One of the Buyers is also a Seller '12.Date of Salarrmnsfer 04/21/2017 _ D.Buyer or Seller is Government Agency or Lending Institution E.Deed Type not Warranty ty or Bargain and Sale(Specify Below) F.Sale of Fractional of Less than Fee Interest(Sped ly Below) '13.Full Sale Price 2.3 U,U U'.'.00 O.Significant Change in Property Between Taxable Status and Sale Dates H.Sok of Business Is Included in Sala Price • (Full Sale Price Is the Mal amount paid for the property including personal property. I Other Unusual Factors Affecting Sala Price(Specify edmj This paymism kd the may be in the in cash.other property OF goods.or e assumption of 1 None mortgages or other obligations.)Please round to the nearear whole dam amoFmt Cammom(s)on Condition: 14.Indicate the value of personal property Included In the sale •00 ASSESSMENT INFORMATION•Data should reflect the Latest Final Assessment Rol)and Tax Bill 15.Year of Assessment Rall from which Information taken(YY) 17 117.Total Assessed Value 3, 0. '1a.Property Class 2:v - _ •19.School District Nome .Southold '20.Tax Map IdarFSflartayRoll Idemllh r(s)(g more than four.such shoot with additional WomMer(a)) 1000/074.UC/01.U0/010.000 CERTIFICATION I Cerny Wet all of the hems of Information entered on this form are true and comet(to the beat of my knowledge and ballet)and I understood that the making of any will tui false statement of material het heraln subject me to the provisions.oLthe ponaLlow rela0ve to the making and filing of false Inatrument. SELLER SIGNATURE BUYER CONTACT INEQItMATIO14 (Emor d1ornI don for tie dryer.11010a darer a LLC•saeety.suxsbm•corp-ton Pew stockTan'porry.ass..or GRAY tlNx IS let an nerAreau seem""so.Cay rail a nares a`Nd earcata avamase:or en-0dI %rjrssponebe 1 } perry he con rarer..Sdona aamng Lie earner be W40M Type Or amullprint cludy.i _ f I a iSra14:44 :E -Rcb-ert BUYER SIGNATURE 'LAST NAVE F PST NAM /� .aL•':i I'I"�..i, Ir wl...l foe..I„ Ea 9::N.T4aF DATE i395 _ Henry's Lane •STREET rrJYaFR 'S-RFFr Vow Y Peconic, NY 100': •r1H OR'OWN WATE 4W CODE BUYER'S ATTQRNEy r 71 cca rdi, Ma L Lliew 1 .JWTrAVE FNSI NAW' 1 (iia) 328-2810 �• MEACC-0E 11ILN•rMLNJkRXAi IC.0059M: -• •- I ( 1 II