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L 12928 P 180
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 09/05/2017 Number of Pages : 4 At: 12 :22 : 38 PM Receipt Number : 17-0152938 TRANSFER TAX NUMBER: 17-04466 LIBER: D00012928 PAGE : 180 District: Section: Block: Lot: 1000 079 . 00 04 . 00 020 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $625, 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 $5 .00 NO RPT $200 . 00 NO Transfer tax $2 ,500 .00 NO Comm.Pres $9,500 . 00 NO Fees Paid $12 , 400 . 00 TRANSFER TAX NUMBER: 17-04466 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County F2] Number of pages f?EC:URaEa 2017 Seo a5 12:22:38 PM JUDITH R. PASCPLE This document will be public CLERK OF record. Please remove all SUFFOLK COUN7 Social Security Numbers L a00012928 F 18U prior to recording. Deed/Mortgage Instrument L�]�,ed/ rtgage Tax Stamp Recording/Filing Stamps 3 FEES Mortgage Amt. Page I Filing Fee 1. Basic Tax Handling �Q 00 2. Additional Tax ' Sub Tota! TP-584 Spec./Assn. Notation or EA-52 17(County) S — Sub Total Spec./Add. II � CC� TOT.MTG.TAX EA-5217(State) Dual Town Dual County — R.P.T.S.A. Zw— Held for Appointment --? 5. 00 Transfer Tax _��� Comm.of Ed. .' Mansion Tax Affidavit �� The property covered by this mortgage is Certified Copy or will be improved by a one or two family dwelling only. NYS Surcharge 15. 00 Sub Total YES or NO Other — 00 // If NO,see appropriate tax clause on Grand Total C„hC page of8itnstry nt. 4 1 Dist. V 000 S Community Preservation Fund 17029778 i000 0-7900 0400 020000 aw Consideration Amount$Real � i Tax Service T S �11111 l�hl���111111�111111�k�l�ll�l��l111 SPF Tax Due $ �6 Agency R DTy A Verification OSSEP-17 Improved VV 6 Satisfactions/DischEg6s/Releases LisE Property Owners Mailing Address Vacant Land RECORD&RETURN TO: TD / 0 Richard W. Vandenburgh, Esq. 42155 Main Road TD Peconic, NY 11958 TD Mail to: Judith A. Pascale, Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 [C!o,.'.Name Abstracts Incorporated www.suffolkcountyny.gov/clerk t # 563-S-14502 g Suffolk Count Recordin 8z Endorsement Pa e DEED made by: This page forms part of the attached (SPECIFY TYPE OF INSTRUMENT) LAUREN R. KOLLEN, as Trustee of the Robert T`Fhe premises herein is situated in Albertson Irrevocable Trust and LAUREN R. SUFFOLK COUNTY,NEW YORK. KOLLEN, as Trustee of the Nancie L. Albertson SOUTHOLD Irrevocable Trust TO In the TOWN of JAMES PIERCE and JOANNE PIERCE In the VILLAGE SOUTHOLD or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. Vf BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS(INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8007 CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THISINDENTURE,made the /kt4day of2017 between LAUREN R.KOLLEN,as Trustee of the Robert T.Albertson Irrevocable Trust and LAUREN R. KOLLEN,as Trustee of the Nancie L.Albertson Irrevocable Trust,2330 Brigantine Dr.,Southold,NY 11971 party of the first part,and JAMES PIERCE and JOANNE PIERCE,husband and wife, residing at 6 Birch Lane,New Hyde Park,NY 11040 party of the second part, WITNESSETH,that the party of the first part,in consideration of Six Hundred Twenty Five Thousand and 00/100,lawful money of the United States,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 Southold,Town of Southold,County of Suffolk and State of New York. SEE SCHEDULE`A' ATTACHED HERETO AND MADE A PART HEREOF The grantor(s)herein being the same party as the grantees)and the premises same as described in deed recorded in Liber 12877 CP 240. �. cn%lf.C�� l� � TO ETHER with all right,title and inter t,if any,of the party of thefirst part in and to a 1�Jstree s and roads 9� utting 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 duly executed this deed the day and year first above written. AWOY2y&y, L URE���N R.KQ EN, Trustee for Robert T.Albertson C) LAUREN R.KOLLEN,as Trustee for Nancie L.Albertson NYSBA Residential Real Estate Forms on HotDocs®(9/90) Copyright CapsoR Development .1. STATE OF NEW YORK } COUNTY OF SUFFOLK ) On the /�day of AL-R,",a.,T` ,in the year 2017,before me,the undersigned personally appeared Lauren R. Kollen,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 she executed the same in her capacity,that by her signature on the instrument,the individual,or the person upon behalf of which the individual acted,exec d the instrument. NOTARY UB C LYNNE M.CONNORS Notary Public-Stata of New York No.Dt C04950BU Qualified in Suffolk County tbmmission Edi.,May e.Z0� DEED Title No. j-4 2 Section 079.00 Block 04.00 ALBERTSON TRUST Lot 020.000 County or Town SUFFOLK To PIERCE Return By Mail To: Richard Vandenburgh,Esq. 1405 Oak Drive Southold,NY 11971 Reserve This Space For Use Of Recording Office NYSBA Residential Real Estate Forms on HotDocsm(9/00) Copyright Capsoft"Development -2- BSTRACTS, INCC�RPC7RATE©' Rosidantial�.Cpmmercial Titles Insurance sincca 'l".3>�4 as agent for First American Title Insurance Company SCHEDULE A DESCRIPTION Title Number: 563-5-14502 Page: 1 ALL that certain plot piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot No. 61, as shown on a certain map entitled "Map of Harbor Lights Estates, Section Three, Bayview, Town of Southold, Suffolk County, N.Y." made by Otto W. Van Tuyl & Son, Licensed Land Surveyors, Greenport, N.Y. and filed in the Office of the Clerk of the County of Suffolk on August 7, 1968, as Map No. 5147, bounded and described as follows: BEGINNING at a point on the westerly side of Brigantine Drive distant 270.00 feet northerly from the corner formed by the intersection of the westerly side of Brigantine Drive with the northerly side of North Bayview Road; RUNNING THENCE North 72 degrees 58 minutes 10 seconds West 200.00 feet; THENCE North 17 degrees 01 minutes 50 seconds East 100.00 feet; THENCE South 72 degrees 58 minutes 10 seconds East 200.00 feet to the we side of Brigantine Drive; THENCE along the westerly side of Brigantine Drive, South 17 degrees 01 minutes 50 seconds West 200.00 feet to the point or place of BEGINNING. I _r' INSTRUCTIONS(RP-52117-PDF-INS):www.orpa.etale.ny.us OR COUNTY USE ONLY , ) N&W York Stats Depertntent of t:,.awls Ooae I'"'G Z,13a, 5--, I Taxation and Finance dL"Diad Recorded I —1/ 5 / ' / I L4 Of=of Real Properly Tax Services Moro 0" RP-5217-PDF C3.[took 11 1,2,9,-"C`4-few L I I ` I M Real Prop.ny Tr rW-RsPcart PRO) PROPERTY INFoWW- ON f•ry"-y 2330 Brigantine Dr.. Location •sTNLEr NLl1aEN •srISET NAPE Southold Southold 1'971 •QIYORTOM1 VILLAW -EACDDE =-Buyer Pierce James .IAar NAMELCOYPANY FrrTMa Pierce Joanne LAST NANWOWN KIST NMF 7.Ta Indents where futurerax 6db aro N bs sent Billing d dhertben buyer addrms(d bmtDrrl d faRn) WTNAImCO1FANY r661 NAML Address r cls -erns` t NeLj uyde P,, (c WL o, emrfrxW�rAhDIwE CIrYp1Il1Nr STATE MPCLOE 4.Indicate#in number of Assessment 1 Pad d e Pic (�if Part of a Partial)Check n they appy: Roll par caN ti nsimd on the dead a d 4A.Planning Board with Subdivision Au#wft 6rift L Deed X OR 0.46 a&Subdivision Approval tree Required for Transfer Prapany •FROM FEET •OFPIII 'A17r8 Sd 4C.Ps Approved for Slbdivision with Nap PffAM Kollen Lauren R. as Trustee L Salkr -L.wr NSYEICOYMNr FMT NAM Nam Kollen Lauren R. as Trustee LAST NA IEA:DaPAW FIST hLAME 7.Select the description which monk oceumealy,describes do Check the tenses bWow an they appy: use of tie p open 4F at the time of calx L ownership Type is Condonilwm A.One Family Residential L New Construction on a Vaunt lard 10A.Propady Lauded whin an Agdctderd DMdct 10B.Buyer —1 - a didosra nrLtiee indleadrg tla dlo plopeny is n an ❑ Agricubiral DisM SALE INFORMATION I L Check ons or mom of dr conditions a sppueabM b traTmNr A.Sills Bakens Relatives or Fornrr Relatives 11.Sde Contrad Dab 06/30/2017 B.Sale balrlaen Ron Campania or Partners in Budnes. C.One of We Buyers in ala a Sailer 1t.Dab of SalefTFlehefM s (l$ (� D.Buyer or Saler Is Gausmmere Agency or L.andlrlg Institution E.Deed Type not wamny or Bargain and Sera(Spoory Babw) F.Sale of Fmctlerhai a Loa dhwn Fa Nerd(Speoy 11dow) '1L Full Bob Price 625,000.00 G.51-111 'Change N Property Bahrain in TaaNe Status and Sate Dales H.Soled Badlnas Ie Indudad In Sala Price (Full Sate Prim is are total around paid fbr the property including personal property. 1.Oliver Unusual Factors AlNding Sala Pain(Bps"Bebw) Tlis psy na may be In Worm d cash.carr propertim godu,a the assumpdm d J.Nana manpages or miler oalgidiar.)Pfau nKM to rhe rheereat wholeedlaramarr. t:omhnent(a)an Cohdltlon: 14.Indicate,On value of personal 0.00 pmpsry Included In the ala ASSESSMENT INFORMATION-Data should refled the labet Final Assessment Rol and Tax Bill IL Yew of Assessment Ran train which InfamLdlon Wlon(M 16 117.Tom A.r...d Value 61000 •IL Property Class 210 - 119.Bis haul n....Nna Sou th o l d •Z0.Tors Yap MmdWor*YM IdenDBer{s)10 more than four.attach about with mMMonal Identlner(a)) 1000-079.00-04.00-020.000 CERTIFICATION I Cort i tet all afthe Mata of letan anion anNrad an this,firm ore ba and coned(b the bemef my Nhow bdge am bd vQ end 1 mmersbnd thele tM making of any wOMI fabs sbbmem of material bet lhatafn supero ra b dle limblipna Of da,pMMI hay.mhdvo b the making and gig offlew bwbmards. SELLER Ea BIGNATr M BUYER m"TiACeT N'IEOf�IIATION — (EAhrmkmraem kr ea bupr.Nob:If bLWw N L IPC ebdwy.a ilmoli rL crpsleeM pad ardr awswab'.«mar Neo'rm IS rot N kN Mduw epNhw seren+day.d ■sans Wd mMa wh MDM anon nLeMwrr I§oMmww ( �/,j j.> pwrty.m ran rr.argraarrsprdrgsrtrrmwnNmhrwrorsd.T"NwprWdmdy) WE DATL Pierce James BUYER SIGNATURE •LAST nlla• neW NAYE (631) 513-9019 tg (� -AMA CODE 'R.LFmrrF.NLr al@MOM h 6 Birch Lane -WRFErhela •STREUNME i New Hyde Park NY 11040 THY OR lam - -- BrATE 7r CODE BUYER'S ATTO[�):y Vandenburgh, Esq. Richard W. LAW NN/L NRBr ram. (631) 513-9019 IN 1 MEDE A COrMERIOEMLa R elm®) r