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Home My WebLink AboutL 12917 P 307 f 1111111 IIII Ilfff Ilfff Ilflf IIIII IIIII IIIII Illi l flll 1111 I I I I I I I I I I I I I I I I I I I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 06/19/2017 Number of Pages : 4 At: 12 :21 : 04 PM Receipt Number : 17-0103120 TRANSFER TAX NUMBER: 16-34571 LIBER: D00012917 PAGE : 307 District: Section: Block: Lot: 1000 064 . 00 05. 00 019 . 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 $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 $395 . 00 TRANSFER TAX NUMBER: 16-34571 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County [1 [2 Number of pages RECORDED 2617 .Tran 19 12:21:04 PI-1 JUDITH R. PASCALE This document will be publicCLERK OF OF OLK COUHTr record.Please remove all L D00012917 Social Security Numbers P 307 prior to recording. DT# 16-34571 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee / Mortgage Amt. 1.Basic Tax Handling 20. 00 _ 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total �V Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held for Appointment Comm.of Ed. 5. 00 Transfer Tax p4al Mansion Tax Affidavit Iva_ 9/0 The property covered by this mortgage is Certified Copy or will be improved by a one or two family dwelli1 . NYS Surcharge 15. 00 ng o Sub Total YES I or NO Other Grand Total ,J If NO, see appropriate tax clause on �M�p( page# of this instrument. 7� 6,-`ts'/7 4 Dist. 1702027$ 5 Community Preservation Fund 1000 06400 0500 019000 Real Propert RT S Consideration Amount$ 0 Tax Service R LPA g Agency ��111�I��WIff llII��J1�UW®j�l� 1JUN_1uu CPF Tax Due $ 0 Verification —19- _ Improved ✓ 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD to William D.Moore, Esq. 51020 Main Road TD Southold,NY 11971 TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Peconic Bay Title Insurance Agency www.suffolkcountyny.gov/clerk Title# Cis Y s Suffolk County Recording & Endorsement Page This page forms part of the attached Deed /�-�r a �S i,9,� made by: (SPECIFY TYPE OF INSTRUMENT) John Fredric Martin The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Courtney L.Martin 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 NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 8 day of June in the year 2017 BETWEEN John Fredric Martin,as surviving tenant by the entirety of Linda M.Martin,deceased,a resident of Suffolk County 815 Old Shipyard Lane Southold,NY 11971 , party of the first part,and Courtney L.Martin 1565 Bray Avenue Laurel,NY 11948 party of the second pan, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration paid by the parry 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 the SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF. BEING AND INTENDED TO BE the same premises conveyed by Deed dated January 10,1987 and recorded January 31,1987 in the Suffolk County Clerk's Office in Liber 10236 page 327. RESERVING unto John Fredric Martin a life estate in the above described premises for and during the natural life of John Fredric Martin and upon his death,the remainder shall vest in Courtney L.Martin and her assigns. 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 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: / J01in Fredric'Martin USEACKNOWLEDGMENfFORMBELOWWITlIINNEWYORKSTATEONLY: USEACIUVOWLSDGMENTFORMBELOWWITIIINNEWYORKSTATEONLY. State of New York,County of Suffolk )ss.: State of New York,County of }ss.: On the 8 day of June in the year 2017 On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared John Fredric Martin personally known to me or proved to me on the basis of satisfactory 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 evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that helshelthey executed 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 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 signature(s)on the instrument, the individual(s),or the person upon behalf of which the individual(s)acted,exWN. stru it. behalf of which the individual(s)acted,executed the instrument. WILLIAM D.MOORE Notary Public.state of New,York Prnic No.02MO4832728 Qualified in Suffolk'County 'Commission EXpires Mai-ch 10, 2016? William D• Moore ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONLY. ACKNOWLEDGMENT FORM FOR USE OUTSIDE NEW YORK STATE ONLY. (New York Subscribing Witness Acknowledgment Certificate/ (Our of Stare or Foreign General Acknowledgment Certificate! State of New York,County of }ss.: ..................................................}ss.: (Complete Venue with State,Country.Province or Municipality) On the day of in the year before me,the undersigned,personally appeared On the day of in the year before me,the undersigned,personally appeared the subscribing witness to the foregoing instrument,with whom I am personally acquainted,who,being by me duly sworn,did depose and personally known to me or proved to me on the basis of satisfactory say that he/she/they reside(s)in 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 (if the place of residence is in a city,include the street and street number, the same in his/her/their capacity(ies),that by his/her/their signature(s) if any,thereof);that he/she/they know(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 to be the individual described in and who executed the foregoing made such appearance before the undersigned in the instrument;that said subscribing witness was present and saw said execute the same;and that said witness at the same time subscribed (hrsert the city or other political subdivision and the state or country or his/her/their name(s)as a witness thereto, other place the acknowledgment was taken). BARGAIN&SALE DEED WITH COVENANTS AGAINST GRANTOR'S AM TITLE NO, DISTRICT 1000 SECTION 64 John Fredric Martin BLOCK 5 LOT 19 COUNTY OR TOWN Suffolk TO Courtney L.Martin RECORDED AT REQUEST OF Fidelity National Title Insurance Company RETURN BY MAIL TO FIDELITY NATIONAL TITLE William D.Moore,Esq. 0 INSURANCE COMPANY 51020 Main Road INCORPOVTED 1928 Southold,NY 11971 b i,A-Fidelity Member New York Slate rand rine Ajw!2n W V_ Ll- 0 O Z 0 Q O U w LL O W N cc O LL tit U Q 0. V1 W 7 S W N W ft 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, Suffolk County, New York, known and distinguished as Lots numbered 104 and 105 on a map entitled "Subdivision Map of Founders Estates, situate at Southold, Suffolk County, New York, made by Otto W. Van Tuyl, Engineer and Surveyor", dated March 18, 1927, and filed in the office of the Clerk of Suffolk County on May 10, 1927, as Map No. 834, being two hundred sixteen and sixty-eight hundredths (2.1 6.68) feet on the northern boundary, one hundred fifty and two hundredths (150.02) feet on the eastern boundary, two hundred nineteen and twenty-six hundredths (219.26) feet on the southern boundary and one hundred fifty (150) feet on the western boundary. TOGETHER with all right, title and interest of the party of the first part in and to that portion of Old Shipyard Road lying in front of and adjacent to the lands and premises above described to the center line thereof. w.K INSTRUCTIONS(RP-5217-PDF-INS):Evirmorps.state.ny.ue • FOR COUNTY USE ONLYI � ^ `/9 Nsw York Stats Dspartmant of C7.SWIS Coda - !Q �Ty Taxation and Finance 4 C2.Date Dead Recorded 10J/01 / 7/ / , Office of Real PrWarty Tats Services • r RP-5217-PDF C3.Book C4.page L41Real Property Transfer Report(8110) PROPERTY INFORMATION 1.Property 815 Old Sh_pyard Lane Location •6miEET MJYeER •SZiFF-.IAMF. Soulhu_d Southo_ci 11971 -C I-CH laws, y-LAW •by LCD: 2.Buyer N.arLin Cour=:ley L. Name •LAST NA11=100VPAAY FIiST hA1E LAST NAICAx:YeANY F1461 Mw. E.Tax Indents where future Tax One are to be sent Bllling If oto than buyer address(at bottom of form) LAsr we=•CeY'ANY •RIFT NAME i Address WNW hJMXP ANDNAA[ CRY OR TOM IFTA.E Zee" 1 4.Indicate the number of Assessment T Pan of a pares, (Only Ir Part of a Parcel)Check as they apply: ❑ Reil parcole transferred on the dead Al or Pacela OR 4A.Planreng Board will Subdivision Authority Exists a aeea X OR 0.74 41L Subtlmalon Approval was Required for Transfer I Property •FITCYr FEE' •CEP:1• 'KBPS also 4C.Parcel Approred for Subdivision with Map Provided Marlin John ( t C- 6.Seller LASTNAeaecwPAM' =PSTNWE Name IAST M%1E1C011RANY 1 Nei RAVE 7.Select the description which most acaurM*deserite s the Cheek the boxes below as they appy: use of the property at the time of sale: a.Ownership Type is Condarrnum A.One Family Residential 9.New Construction on a vacant Land 19A.Poopedy Located within an Agdwkural District 10B.Buyer received a dadosure notice Indicating that the property,is In an ❑ Agricultural District SALE INFORMATION 1L Check ono or mom of thew conditions as applicable to transfer: I A.Sale Between Relatives or Former Relatives r 11.Safe Contract Date B.Sala between ReloW Companies or Pannone in Business. C One of the Buyam is also a Setter /_. D.Buyer or Satter is Government Agency or Lending Institution '12.Date of S%IalTranafar (Q E.Dead Type not Warmrdy or Bargain act Selo(Specify Below) F Selo of Fractional or Less than Fes Interest(Specify Below" i 17.Full Sale Priv C,p0 G.Significant Change in Property Between Taxable Status and Sate Drees Fnl1 Sale Price is the tool amount x!for the including croons, H Sec d Business is Included In Sale Prix r [ poi Property g P Property. I Other Unusual Factors Affecting SNB Prix(Specify Below) This payment may be in the form of trash.other property or goods.or the assumption of J None mortgages or other obegatians.)Planar round to the r a Taal whore dollar amount Commor tfs[on Condition: 14.Indicate the value of personal property Included In the wit U •00 Se1=er is cemainina !ife estate ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Rall and Tax Bill 1e.Ysar of Assessment Roll from which Informetbn takenlYl') 17 •17.Total Assessed Value 5,70C •16 Property Class 210 •19.School District Nanta Southold I Tex Map Ideldttler(sYRoll Identlllelfs)f11 more than four.attach%heat with additional Idenggels)) 1000-6;-5-19 CERTIFICATION I Certify,that all of the Items of Information entered on this form aro tnrs and correct(to the Mat of my knowledge and bellet)and I undersand that the making of any witMrl false steI merit of matoriol fact herein subject meta the,provletom d tits oeesl law ralattro to the making and filing of false Instruments. SELLER SIGNATURE BUYER CONTACT INFORMATION IErler mAommxn ler the buyer.Now:Ybuyerls LLC aoasly.seNewbo l comwaticn•PN rwrJr cunpary.now or r� ani b UM it no:car Pdmdual agim,or Seytyy t101 a none ala carves rnametion of an oawldua romonsow tl as N whom armnraussrwns regiro le aw wm%%r must be er-tered Type er palm CINdy.i E: s •LwE CA•i• i BUYERSIGNATURE [!art'_n Courtney •111x1 hAVL 1a6T WE _ {fes •F •AN:AC:x! •ItLL-I :ENU SER:,Sam6Y1 TERMOMIUQE TE 1565 Bray Avenue .STREET-?--M '6-METrAWF I Laurel yY 119:8 :JTT OP-OWY .&TATE YAP e07E BUYER'S ATTORNEY Moore vi:lliam D. I I ,AST HAVE F RS:NMV I 1 (531) 765-5663 AREA CODE TC_Ey0KEaJ4W1ER1E1 S GWiRl1 r I I I 1 I