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Home My WebLink AboutL 12926 P 840 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/24/2017 Number of Pages : 4 At: 04 : 41 : 06 PM Receipt Number : 17-0147366 TRANSFER TAX NUMBER: 17-03420 LIBER: D00012926 PAGE : 840 District: Section: Block: Lot: 1000 064 . 00 05 .00 017 . 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 $395 . 00 TRANSFER TAX NUMBER: 17-03420 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County RECORDED Number of pages ) 2017 Hug 24 04:41:06 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record.Please remove all L D00012926 Social Security Numbers P 840 DT# 17-03420 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps j 1 FEES Page/Filing Fee � ��_ Mortgage Amt. 1.Basic Tax Handling 20, 00 2. Additional Tax TP-584 Sub Total Notation SpecJAssit. or EA-52 17(County) Sub Total ✓`�� Spec./Add. EA-5217(State) �� TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit +' + Mansion Tax Certified Copy The property covered by this mortgage Is or will be improved by a one or two family dwelli NYS Surcharge 15. 00 _ ng�"ly. Sub Total ,J YES I/ or NO Other Grand Total �/ t � If NO, see appropriate tax clause on page# - of this Instrume , 4 1 Dist. Section Block Lnt _. 5 Community Preservation Fund / Real Prop. 17025259 1000 06400 0500 017000 Consideration Amount$ Tax Servic VrfcatiC37 A Illll�ll�l��l��ll��lu�llll��llllllllllllllll I CPFTax Due $ Improved 5atis _ ____ _ � • 6 �•—i.c¢vnv-unci vn,ri V. - �, Vacant Land TD 7`D Vallone&Vallone LLP 22-45 31 st Street TD Astoria,New York 11105 TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name N/A www.suffo[kcountyny.gov/clerk Title# 8 I Suffolk County Recording & Endorsement Page This page forms part of the attached Executor's Deed made by: (SPECIFYTYPE OF INSTRUMENT) Anthony Pemper Individually&as Executor and The premises herein is situated in Nicoletta Jarnich,Individually - SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold A131bol3y PPcm_per 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 NO CONSIDERATION �n COiISULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENTS HOULDEE USED BYLAWYERSONLY. HIS INDENTURE,made the 28`h day of February,2017 BETWEEN ANTHONY PEMPER,residing at 22741 Bella Rita Circle,Boca Raton,Florida 33433, Individually, and as Executor of the Estate of Nicoletta Pemper, Index No. 2016-3909, Surrogate's Court,Queens County,and NICOLETTA JARNICH,Individually,residing at 20-28 350'Street,Astoria,New York 11105 party of the first part,and ANTHONY PEMPER, residing at 22741 Bella Rita Circle, Boca Raton, Florida 33433, arty of the second part, ITNESSETH,that the party of the first part,by virtue of the power and authority given and by said Last Will and Testament, d in consideration of TEN(510.00)---------------------._-._-.___ _._....____________________dollars paid bythe arty of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns ofthe arty of the second part forever tbose lots or parcels of land in the `1`n=rn offir lttlyold, Si_ti'folk otlnty, 14e:v York, kr,oian and mistingni.shed as Lot Mumt:er 102. and 'on a mar entitled "Subdivision )dap of Founders Estates,-saturto at Southold, `t-tffolk County, New York made by Otto 17. Van Tuyl, Engineer and Surveyor", dated Plarch 18, 1427, and filed in the office of thq ;lerlt of Suffolk County on May 10, 1927 as t4ap No. 834. TO�•I:�''1?::R with all tho richt, title and interrast n" the belrty of '-he rArst vvrt, if any, in and' to that portion of Old Shipyard Road ,ying in front of and a,'iwent to the Iatt3s oremijws a`Ove lose—ibed to the centre li.ne thareof. STM.T701S to covenants and r,est.ri.tions of recoret, if any, af.,#'ectine.:said Premises,, and 's,ib+ect a1so,to, zoning restricts.ons and ordinances •)1fo73tet7 by any municipal, town, ,vil?.age or Other governmental authority. StMJECT also to the restriction that only one dwelling house ' shall be erected on each of the above lots. This is a covenant running with the land. Said premises being known as and by 575 Old Shipyard Lane,Southold,New York 11971.Block 5 Lot 17 BEING the same premises mentioned and described in a Deed dated August 23,1951,from harry E.King and Gemma King to Antonio Pemper and Nicoletta Pemper,which Deed was recorded in the Suffolk County Register's Office on September 17,1951,in Liber 3265,Page 0& OGETHER with all right,title and interest,if any,of the party of the first pan in and to any streets and roads abutting the above escribed premises to the center lines thereof,TOGETHER with the appurtenances,and also all the estate which the said decedent ad at the time of the decedent's death in said premises,and also the estate therein,which the party of the first part has orhas power o convey or dispose of,whether individually or by virtue of said will or otherwise,TO HAVE AND TO HOLD the premises herein ted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. D the party of the first part covenants that the party of the first pari has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. D 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 he 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 sing any part of the total of the same for any other purpose. The word"party"shall be construed as if it read"parties"whenever e 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. PRESEN 1 EST TE OF NICOLETTA PEMPER Lu L wx l A11H�]OONY PE In iv(i�dlua-lly and asExecutor NICOLETTA JARNICH, dividually • T USE ACKNOWLEDGMENT FORM BELOW WITHIN NEW YORI�TATE ONLY: ACKNOWLEDGMENT FORM FOR USE OUTSIDE STATE OFt EW YORK,COUNTY OF QUEENS ss: NEW YORK STATE ONLY: On the.�� y of February in the year 2017 {Out of State or Foreign General Acknowledgment Certificate} "before,me,the undersigned,personally appeared ..........................................................I....................... ss: ANTHONY PEMPER {Complete Venue with State,Country,Province or personally known to me or proved to me on the basis of satisfactory (Complete Venue with State,Country,Province or Municipality) evidence to be the individual(s)whose name(s)is(are)subscribed On the day of in the year 2016 to the within instrument and acknowledged to me that he/she/they before me,the undersigned,personally appeared executed the same in his/her/their capacity(ies),and that by his/her/their ignature(s)on the instrument,the individual(s),or the personally known to me or proved to me on the basis upon person on be Ifo the individua e ,executed the satisfactory evidence to be the individual(s)whose name(s)is instrdm nt. (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), that by his/her/their signature(s) on the instrument, the individual(s),or the person upon behalfofwhich the individual(s) PAUL A.VALLONE acted,executed the instrument,and that such individual made such Nctaiy Public-State of New York appearance before the undersigned in the instrument. No.02VA5007297 Qualified in Queens County (Insert the city or other political subdivision and the state or My Commission Expires Jan 25,20 f_ country or other place the acknowledgment was taken). USE ACKNOWLEDGMENT FORM BELOW WITHIN NEW YORK STATE ONLY: ACKNOWLEDGMENT FORM FOR USE OUTSIDE STATE QVNEW YORK,COUNTY OF QUEENS ss: NEW YORK STATE ONLY: On the day of February in the year 2017 (Out of State or Foreign General Acknowlkdgment Certificate) before me,the undersigned,personally appeared .................................................................... ss: ,NICOLETTAJARNICH personally known to me or proved to me on the basis of satisfactory {Complete Venue with State,Country,Province or Municipality) evidence to be the individual(s)whose name(s)is(are)subscribed On the day of in the year 2016 to the within instrument and acknowledged to me that he/she/they before me,the undersigned,personally appeared executed the same in his/her/their capacity(ies),and that by his/her/their si nature(s)on the instrument,the individual(s),or the personally known to me or proved to me on the basis upon person u n be If of a individual act xecuted the satisfactory evidence to be the individual(s)whose name(s)is instrume t. (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), that by his/her/their signature(s) on the instrument, the individual(s),or the person upon behalfofwhich the individual(s) PAULA.VALLONE acted,executed the instrument,and that such individual made such Netaq Public-Stale of New York appearance before the undersigned in the instrument. No.02VA5007297 Qualified in Queens County Insert the city or other political subdivision and the stateorcountry My Commission Expires Jan 25,201 or other place the acknowledgment was taken). EXECUTOR'S DEED SECTION BLOCK LOT COUNTY OR TOWN STREET ADDRESS 575 Old Shipyard Lane Southold,NY 11971 Anthony Pemper,Individually and as Executor of the Estate of Nicoletta Pernper, And Nicoletta Jarnich,Individually TO Anthony Pemper RETURN BY MAIL TO VALLONE&VALLONE LLP 22-45 31St Street Astoria,New York 11105 "Exhibit in Legibility" All those lots or parcels of land in the Town of Southold, Suffolk County, New York, known and distinguished as Lot Number 102 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. TOGETHER with all the right, title and interest of the party of the first part, if any, in and to that portion of Old Shipyard Road lying in front of and adjacent to the lands premises above described to the centre line thereof. SUBJECT to covenants and restrictions of record, if any, affecting said premises, 'and subject also to zoning restrictions and ordinances adopted by any municipal, town, village or other governmental authority. SUBJECT also to the restriction that only one dwelling house shall be erected on each of the above lots. This is a covenant running with the land. + a INSTRUCTIONS(RP-5217-PDF-INS):www.orps.stataary.Irs OR COUNTY USE ONLY New Yak State Department of C1.SVWIS code Q Lg/ Taxation and Finance C2.Dam Dead Recorded 0 t� 02 / �77 Office of Real Property Tax Services °f RP-5217-PDF Ca.Book C4.Page Real Pro party Transfer Report(8l10) PROPERTY INFORMATION 1.Properly 575 Old Shipyard Lane Location •eTREET NUMBER •`7REEr NNe Southold 11971 •Crry CRTCWW YIUAE •ZP COW i 2.Bum temper Anthony Name WT WIMM IPAW MRSTWas! LAW WMALEMPANr twat NAME 3'Tax Indlcals whom fulsro Tax BIN@ aro to be sent Billing If other than buyer addreso(d totem of Rem) Mer N om,• AddresssTr'""s IRREET NYYaER AND NWE CII"CRTCWN MATE ZPCmr L Indicate the number of Asssaament 1 p d Poroids PM d a Pm (Ory If Part of■Parce4 Check as they appy; Roll parcels bansferrod on the deed OR 4A,Planning Boare with Subdivision AulhPhy Ekdoo, L Dead X OR 0.37 4B.SubdivisionBSP" •raOW"at •conm 'ACRE6 Approval was Required for Transfer 4C.Forest Approved for Subdlddon with Map Provided ' Pamper Anthony Name Jernich Nicoletta LAW RAYEKOYPA/ Pwm FOUR '7.Select the description which most accurately describes the Check the boxes below as they apply: use of the properly at the time of Nls: a OwnenNp Type Is Condominium El A.One Family Residential L Near Construction on a Vacate Ladd 10A.Propslly Located within an Agdcullu i District 106.BMW received a dsdowe nuke indicating that the property is in an AgriculoW Olabld ❑ SALE INFORMATION IS..Chock one or=mof those conditions as applicable to transfer. A.Sets Between Rat Alm or Former Raise. 11.Sale cocrecl Date 2/28/17 B.ads between Rolled Companies or Pednars In Business. C.One d the Buyers is also a Soler '12.arts of Balsf ftnef or 2 28/17 D.Buyer or Seller Is Govemmerd Agency or Lending Indltullon E.Dead Type not WanaNy or Bargain and Side(Specify Below) ' F.Sale of Fractions!or two Ham Fes Imwst(Seedy BoW* 113.Full Sale Price 00.00 Q Significant Change In Property Between Taxable Status and Sale Dries (Full Sols Price Is the modamount paid rot the property Including personalproperly. H.Sale of Business Is Included In Safe Price This payment may be In the form d cash,0110'Property or goods,or tis assumption d I.Oiler Unused FaOicrs ARadllq Sols Price(Seedy Bel01e) n m%ftm or chor obligations.)Weare road to the named whole obeearamoud J.None Comment(s)on Condition: 14.Indicate the value of personal properly Included in the sale .00 ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Big 16.You of Assessment Roll nom which Information telen(M 16 117.Total Assessed Value 5,300 •Is.Property Class 210 — 1 '1e.Bcho01DkbktNams Southold '20 Tax Map IdeaVib4opW ld=Uft(s)(if more than four,attach shoat with additional Idanttisr(s)) loon 064.00 05.00 017.000 CERTIFICATION I CORIy tilt dl of the Items of lnfmmotion entered an this form aro true and correct(m the bast of my knowledge and hollsQ and I understand thatthe making of any wllful •false statsmest a im erid hct herein subisat me to the provtatese of the nesab fart aladvo te tho making and Ming d false butrumntte. SELLr;R BIGII'ATURE BAYER CONTACT INFORMATION r(` (Enter whna0m for err buyer.Noir.If buyer Is LLC,sodeb.amecuni n,corpomson,pea.kc k eewpmy.ease or I enols gob nus M khehheus aamtwad"T,Van a tutee and weed Wwatm arm ekeNWuatupakatls Parbwmem wwwquaaame regeeft eke tranabr neat be enema.Typeorprim emady.) elks`[A areUT1WE DAM 5 RLVERSI6NATt R pamper Anthony •IAT NAYS ■Rat NAas ab, A7 (561) 221-9250 ,• ' •MMCCM '1elENIp1E NUMerR IEr wlearel elcRAtuas GATE 22741 Bella Rita Circle •STMETNyYMR •ahREETNNE r 1 Boca Raton FL 33433 -c"CA TPR! _RATE , •a COM @1YEB8 AII4BtlEY Vallone Paul LASTWING PWm NNIS (718) 204-2929 I ARMCCM TLtaP110116N11aER ter.asswh I I 1 1