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Home My WebLink AboutL 12921 P 484SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 07/21/2017 Number of Pages: 4 At: 01:57:29 PM Receipt Number : 17-0123251 Handling $20.00 TRANSFER TAX NUMBER: 16-37918 LIBER: D00012921 NO NYS SRCHG PAGE: 484 District: Section: Block: Lot: EA -STATE 1000 034.00 01.00 006.000 $5.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Deed Amount: $365,000.00 $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 $0.00 NO Comm.Pres $4,300.00 NO Fees Paid $4,695.00 TRANSFER TAX NUMBER: 16-37918 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 Jul 21 01:57:29 PPI JUDITH A. PASCALE CLERK OF SUFFOLK COUIaTY L D00012921 P 484 DT# 16-37918 Deed / Mortgage Instrument I Deed / Mortgage Tax Stamp I Recording / Filing Stamps 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 Spec. /Add. EA-5217(State) TOT. MTG. TAX R.P.T.S.A. 2-00— Dual Town Dual County Held forAppointment Comm. of Ed. 5. 00 TransferTax Affidavit �+ Mansion Tax The by is Certified Copy property covered this mortgage or will be improved by a one or twc NYS Surcharge 15. 00 family dwelling only. Sub Total Other YES orNO Grand Total J V �J,)7,),ee appropriate tax clause on ofthiisiinstruinent. )0 4 Dist. 1 170206Q munity Preservation Fund 1000 03400 0100 006000 Consideration Amount Ql Real Propert T Tax service R ViT Agency u11 W II�I��®�®�®IIIII� CPF Tax Due $ 21�WN-17 Verification Improved 6 _ Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land J. Kevin McLaughlin, Esq. UU TD J" PO Box 1210 Southold, NY 11971 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co. Name Fidelity National Title Insurance Services LLC www.suffolkcountyny.gov/clerk Title tf F17-7404-104285 8 Suffolk County Recording & Endorsement Page This page forms part of the attached bargain and sale deed made by: (SPECIFY TYPE OF INSTRUMENT) M. Frances Ferguson TO Antheia LLC The premises herein is situated in SUFFOLK COUNTY, NEW YORK. In the TOWN of Southold In the V[LLAGE or HAMLET of Greenport BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. Bargain and Sale Deed with Covenants Against Grantor's Acts - Individual or Corporation CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 1 st day of June 2017 M. FRANCES FERGUSON, residing at 160 Waverly Pace, NY, NY 10014 party of the first part, ANTHEIA LLC, with offices at 455 West 23'4 St. #3E, NY, NY 10011 party of the second part, WITNESSETH, that the party of the first part, in consideration of TEN ($10.00) 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, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at SEE SCHEDULE "A" ATTACHED HERETO BEING AND INTENDED TO BE THE SAME PREMISES as described in deed made by Ruby L. Peterson, as surviving tenant by the entirety, recorded 03-13-1989, Liber 10815 CP 175. 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" whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has d ly executed this deed the day and year first above written. IN PRESENCE OF: FERGUSON Fidelity National Title Insurance Company ,r TITLE NO. F17-7404-104285-SUFF i SCHEDULE A-1 (Description) ALL that certain plot, piece or parcel of land, situate, lying and being near the Village of Greenport, Town of Southold, County of Suffolk, and State of New York, bounded and described as follows: Northerly by North Road or Kings Highway, Easterly by land formerly of Sutton Estate, Southerly and Westerly by land formerly of Horton, said point being 100 feet width front and rear, bounded and described as follows: BEGINNING at a point on the Southerly side of Middle (North) Road (C.R. 48) distant 194.12 feet Easterly as measured along the Southerly side of same from the comer formed by the intersection of the Southerly side of Middle (North) Road (C.R. 48) with the Easterly side of Madison Street; said point also being where the Northeasterly corner of land now or formerly of Moulinos intersects the Southerly side of Middle (North) Road (C.R. 48); RUNNING THENCE North 77 degrees 57 minutes 30 seconds East along the Southerly side of Middle (North) Road (C,R. 48) l 00.00 feet to land now or formerly of Mazzaferro; THENCE along the last mentioned land the following two courses and distances: 1. South 27 degrees 34 minutes East 210.00 feet; 2. South 77 degrees 57 minutes 30 seconds West 100.00 feet to land now or formerly of Moulinos; THENCE North 27 degrees 34 minutes West along last mentioned land 210.00 feet to the Southerly side of Middle (North) Road (C.R. 48) to the point or place of BEGINNING e title to such buildings and improvements on the premises which THE POLICY TO BE ISSUED under this commitment will insure th by law constitute real property. FOR CONVEYANCING ONLY.- Together with all the right, title and interest of the party of the first part, of in and to the land lying in the street in front of and adjoining said premises. scHEDULL' A-1 (Description) STATE OF NEW YORK: COUNTY OF SUFFOLK) ss: On. the ( day of June 2017, before me, the undersigned, personally appeared M. FRANCES FERGUSON, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose names is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. -,-,-7 Notary Publico" koLW+ b -e, CSB ROBERT DE7=RESE Notary Public State of New Yok No. 01 DE5035117. SufFotk Coumv Commission Expires October 24.2048 INSTRUCTIONS(RP-5217-PDF-INS): www.orps.state.ny.us 'OR COUNTY USE ONLY C1. SWIS Code 3 $ $ •7. Select the description which most accurately desarlbn the New York State Department of Taxation Taxation and Finance C2. Date Dodd Recorded I / 7-1/ 1-7 1 Lq Office of Real Property Tax Services I Oft r.e C3. Book C4. Page Z A. One Family Residential RP- 5217 -PDF � , .' I - Real Property Transfer Report (8110) PROPERTY INFORMATION 108. Buyer received a dkcIOSI ra Ilobbe indicating that the p.'operty is In an 1 -Property 690co County Road 4F Agricultural District Location SALE INFORMATION 16. Chock one or Moro of these conditions as applicable to transfer. • 6TpEF NJYr1'cN • Si-WF.I iYVL Southold Greonpr_rt ... _ 11544 'CCT CN TRS`! 61116$ •IFfX:eA 2. Buyer Antheia LLC Name B Sale between Related Companies or Partners In Business. _ _ ' I6S' VM1'JLbyPAr:+ F AST 'r6M1 ' C. One of the Buyers Is also a Selter .AST VAMUMWAW 3. Tax Indicate where future Tax Bills are to be sem Billing I IV61 MSE y other Olen buyer addmes(lat bottom ofform) LAT- NANEF:LWPANY Address FAST r.6y! 614LE7 NJMB=R ANRNAML rl-Y[M TVAN STF-F rp 1:0.7E 4.lndlts' the number of Assnsment 1 I—I Part of a Parcel (Only If Part of a Parcel) Check as they appy: Roll parcels transferred an the dead p of Parcels OR L, 4A, Planning Board with Subdivision Authority Exists s. Dead OR 0.48 Property Pbr.l FEET I��t oLP —p 4B. Subdieston Approval was Required for Transfer 01 • I SW KLS t --t 4C. Parcel Approved for Subdivision with Map Provided IJ Ferguson 5. Seller 1 A91 N6MFKoMPAW Name X. FLantes 1 STWW= LAS-er WCOW'AW "pT^ •7. Select the description which most accurately desarlbn the Chock the bases below AS they appy: use of the property at the time of ASIA: 8.OwmNship Type is Condominium I A. One Family Residential 9. New Construction on a Vacant Land G - 10A. Property Located within an Agricultural District ❑ 108. Buyer received a dkcIOSI ra Ilobbe indicating that the p.'operty is In an ❑ Agricultural District SALE INFORMATION 16. Chock one or Moro of these conditions as applicable to transfer. A Sole Between Relauves or Former Relatives 11. Sala Contract Data 03/28/2017 B Sale between Related Companies or Partners In Business. ' C. One of the Buyers Is also a Selter ' 12. Date or SsldTransfar 06/01/2017 D. Buyer or Seller is Government Agency or Lending Institrrion _ E Dead Type net Warranty or Bargain and Sale (Speciry Below) _ F. Sale of Fractional or Less than Fee Intemsl (Specify Below) •13. Full Sale Price 365, 00 •()I) G Significant Change in Property Between Taxable Status and Sate Dates ( Full Sala Pace is the total amount pod for the Properly including personal property H Sale of Business is Included in Sala Pica I. Other Unusual Factors Affecting Sae Price (Specify Below) This payment may be in the form of rash, other properly or goods, or the assumpaon of J. Nene mortgages or other obligations) Please round io On nares, whole dollar amount Camment(s) on Condition: 14. Indicate the value of personal 0 proportr Included In the sale ,U0 ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 10. Year of Assessment Roll from which information taken(YV) 16 '17. Total Assanod Vales 3, 5.-0 '10. Property Class 2 10 _ •19. School District Name 120. Tax Map IdenO9er(sllRoll Identifier(s) (if more than four, at&wh sheet with addhlonal IdonDBer(s)) 1000-034.00-01.00-006.001 f reerport CERTIFICATION I Certify that all of the Items of Information entered on this form are true and correct (to the best of my knowledge and belIAf) and I understand that the making of any wlMul false stotwnent of matadsl fact herein subject me to the,prOvI5IQr e_gM@.pOnal la icralative to the making and riling of false Instruments. $ELLER SIGNATURE BUYER CONTACT INFORMAT)QB (Eider 1ap:ms:aOlu N! Iw.yw. Nate. ahl.yar 4 LLC wooly, and canes, rpl."NiOn r M d vidwmpeny, caeca cur �y alY.6y tl1e1 a use: Pres x1p.Yldl:ei palm W hOlaery 11'{n a none aNd wMad Im0:a1100n d cel rM ntll.lwrlep'IMd! -ZO I r I — �n "wear oxnxns ngronp the WSW'or mus pe arce'sp Type or sdpl cMady r Ant}:ei a LLC — •.A6' NAM1 FR 3T �/I /OVI / I 'AReA CTxI: -• •ILSF.GhF NUVIIL'i :� ta6mar� CA'L 455 West 23rd St. 113E ST•YC1HM=ER 'S:RLLI hWE •� by NY 10011 ':ITT nit I:W^ -6167E -LP lX HUYER'$..AMRNEY M: La•:ghlin IMIt NAME j. Nevin FMSI N6M6 (63:7 765-6085 -MCA:x. itLLr•Mx:E NJMSF.p t4 T//rtr61