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L 12932 P 570
!1111111111111111111111111111111111111111111111 1111 1111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 10/05/2017 Number of Pages: 4 At: 12 : 06 : 14 PM Receipt Number : 17-0175243 TRANSFER TAX NUMBER: 17-08104 LIBER: D00012932 PAGE : 570 District: Section: Block: Lot: 1000 102 . 00 02 . 00 005 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $400, 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 $250 . 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 $5,000 . 00 NO Fees Paid $5,520 .00 TRANSFER TAX NUMBER: 17-08104 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1 2 RECORDED Number of pages 2017 Oct 05 12:06:14 PM TORRENS •JUDITH A. PASCALE CLERK OF Serial# SUFFOLK COUNTY L D00012932 Certificate# P 570 DT# 17-08104 Prior Ctf.# Deed.Mortgage Instrument Decd/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee O� ^ /� Mortgage Amt. �y( I.Basic Tax _ Handling HYD QQ_ 2.Additional Tax T TP-584 � Sub Total Spec./Assit. Notation or EA-5217(County) Sub Total Spec./Add. _ TOT.MTG.TAX EA-5217(State) Dual Town_ Dual County Held for Appointmcnt_ R.P.T.S.A. ® 4A Transfer Tax Comm.of Ed. 5. 00 r Mansion Tax •4.� deo , Affidavit �� ���� The property covered by this motgage is or will be improved by a one or two Certified Copy family dwelling only. / wdS S ord%a ne �� — YES or NO 1/ V e V J Sub Total If NO,see appropriate tax clause on Other Grand Total Page# f this instrument. 5I )r,-I(, 4 District 1001 17032393 1000 10200 0200 005000 00 5 1 Community Preservation Fund Property 25 EPs, IIII IIII III 1111111 111111 111111 111111 Consideration Amount $ esov — TCPF Tax Due Tax Service $ rJ Agency _ J Improved Verification Vacant Land 6 Sat i sfact i on/D i scharges/Re tease List Property Owners Mailing Address TD _ RECORD&RETURN TO: TD DAVID JUDE JANNUZZI,Esq. P.O.Box 1672 TD Mattituck,New York 11952 7 Titl Company Information Co.Name %* Title# 1t h- (45 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Bargain and Sale Deed made by: MkKIO (SPECIFY TYPE OF INSTRUMENT) Maridtn Columbus Club,Inc The premisis herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the Township of Southold North Fork Community Club,LLC In the VILLAGE or HAMLET of Cutchot:ue BOXES 6 THROUGH 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) I —Ali, . AUANWTION i Pana M002*-I targam and SaIc I)ecd,Nv IIh Cuvcnant against(44it mlh Aeh-Lulindual ur C-pmaI wn. (>mg1,,heel Y I i CONSUTA'YOUR I.AWYER nEFORE SIGNING THIS INS"IRUNWN -THIS INSTRUMEXI' S1!O11-1)BF HSFD RY LAWYCiRS ONLY. _ _ I 'I'I IIS INDfiNTURL, made the 25th clay oh August.T%V0'I housancl Scvcntectz ` I 13 f_1'\tJ li l;�d i 7 MARIAN COLUMBUS CLUB INC, 2050 Depot Linc.CUtchoguC,Ncw York 11935. party of the first hart.and NORTI I FORK COMMUNITY CLUB. LLC doing htltiilleSS at 1510 Scawood Drive, Southold, Nc\v York 11971 party ol'tile second part W1TNL;SSI?'I'tl,that the party of'thc first Dart,in consideration 014400000. ,Ind othCr valu,lhlc consideration paid 11%'1110 party of the SCarlxl par'(,dQCS Itcr•Chy grant and rcicase unto the party 01' the Second earl,the heirs or successors and assigns ol'the party ol,the second part 1,61-ever, f AIJ,that certain plot, piece or parcel olland,with the buildings urtd improvements i thereon erected,situutC. lying and being in the hamlet of IMatti(uck.'Down of Southold. County of SUIT01k.State of'Nett York SII:,property description attached hereto and made a part hcrcol'as Schedule A. �tc%W Ao t� `This cowtpan't i M,.\Jz tW4 the ur)oil,ftlovS Collcltal A AS i+t�ht 04v1,� COUrse 6� hv$►►,cs5.. TOGI 1'I It:{R wil11 all right,title and interest, it any,ol'the party of the f first earl in and to any streets and roads ahulting the above described premises to the center lines lher'eol-:T0Gjl,: i 11"R with file appurtenances and all the estate and rights ol'thc party ol'the first part in and to said premises;TO I IAVF.AND'TO 110LD the premises herein granted 111110 the party of'thc second part,the heirs or successors and:Issigns ol'the party ol'the second part Ihrever. AND the party of'the first part covenants that the party ol'the lirst part has not done or suffered anything whcrchy the said premises have been CnOumhered in any way wh:nevcr,except as aIi)resaid. AND the party ol'the first part,in compliance with Section 13 0"tile Lien L-aw,covenants that the party ol'the firs( pati will receive the consideration lm this conveyance and will hold the right to rcccive such consider:Mics as a trust Rind 10 he applied first For the purI)OSC of paving the cost 01- tile fthe inlprovemCnt and will apply the sank first to IhC payment ol'the Cost ol'thC improvement heiOre using any part of-the total ol'the same l'or any other purpose. The word"party"shall he construed as il'it road"parties" whcnevcr the sense ol'this indenture s0 rCyuires. IN WlTNF.SS WI II?REOF,the party ol'the first part has tial Cccculcd this decd tits day and year first ahove writicn. N COLUMRU ' ' . 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A'1.4'Qf.LVfS'.YNQ{AIVAINIAllit AIO'Li/l//YNOa.LA'fLN"X/FTIAf O,\!Y.JYi)S(] .1"INQ iL).Y,LSYN(/�A1:IA7 A'!/LL/AI AfO'IJNIS'N/LLIN;If1'.'X/if/AtOh:Y,7 Vitt'(] Old Republic Title Insurance Company Title Number: HTA-4569-S Page 1 SCHEDULE A DESCRIPTION AMENDED ALL that certain plot, piece or parcel of land, situate, lying and being at Cutchogue,Town of Southold, Suffolk County, New York, bounded and described as follows: BEGINNING at a point on the Easterly side of Depot Road where the Southwesterly corner of land now or formerly of Gekee Y.Wickham and the Northwesterly corner of the premises hereinafter described intersects same; RUNNING THENCE from said point of beginning along land now or formerly of Gekee Y. Wickham, North 45 degrees 47 minutes 50 seconds East 453.52 feet to land now or formerly of Louis Edson, Town of Southold; RUNNING THENCE along said land, South 39 degrees 44 minutes 00 seconds East 200.00 feet to Lot No. 1, on Subdivision Map of Deborah Edson, filed June 7, 1988 as File No. 8537, reserved for future dedication to the Town of Southold; RUNNING THENCE along said land, South 45 degrees 51 minutes 30 seconds West 458.75 feet to the Easterly side of Depot Lane; RUNNING THENCE along the Easterly side of Depot Lane, North 38 degrees 13 minutes 30 seconds West 200.00 feet to the point or place of BEGINNING. i _ 1 INSTRUCTIONS(RP-5217-PDF4NS):www.orps.state ny us FOIA COUNT!USE ONLY Now York State Department of C11.SWlsCode 8 ,J Taxation and Finance Cz.Dam Deed RecordedOffice of Real Property Tax Services �/. / /� � I EM RP-5217-PDF C3.Book C4.Page I 1 1 /I O Real Properly Transfer Report(8110) PROPERTY INFORMATION 1.Property 2050 L)e:ao_ Lanc Location - -- MEET MIYaER Ahr �-x•Prl 1 n FOI:I.told cutC:hog� iP 119 3-5 •il'�Ii,'1lrR. ___ YrIFJ ____ •Sx'OODE z.Buyer Nortii Fo_k Coca•;)nity ClutaLLC Name -- ----- •IAST hAYEIC'J1FANr FPBT NI1rd hAA-NN,oC:1,RAM Flab'YAY_ •••• - — 3.Tem Indicate whom fub,re Tax Bills am ID be sent Billing If Omer than buyer address(al bottom of form) ,AST%WrlC0VP-N1 eras."ME Address aT5EeTMwllka ANIIVYI Dlrs rl•fW. - - su:l. 1, iF 4.Indicate the number at Assessment ,Pon of aS PI (Only it Part of a Pa scall Check as they apply: parcels arcels transfemd on the dean !of Freels ORrLJ ❑ 4A.Planning Bcam rral SubdMdon Authority Enda 6'Deed UR 2.00 40.Subdivision Approval was Required for Transfer Property JFGOYT —Ar. -orp•Naes Size /11[ 4C.Parcel ApprovM for Subdivision with Map Provided G1 Marifi1 Columbus C::at, Ire. 6.Seller •r/Ibl whERta✓Axr rrlsl awl. Name hASTrUUfr.WaAY• �• F19s-Me; -7.Select the description which most eccuralery,describes the Check the boxes below as they apply: use at the property at the dere of sale: a.Ownership Type is Condominium 1.l:ommunily Srrviry 9.New Construction on a Vacant Land IRA.Property Located within an Agricultural District 100.Buyer received a disclosure notice Indicating that the property Is In an ❑ Agricultural District SALE INFORMATION 16.Check one or more of these conditions as applicable to trenater: A.Sale Bolwreen Relatives or Former Relatives If.Sole Contract Dab 07/07/2017 B.Sale between Related Companies or Partners in Business -- •-• C.One of the Buyers is also a Seller 12.Dan at SalsRmnsfer 08/25/2017 D.Buyer or Seller is Government Agenic or Lending Institution E.Dead Typo not Warranty at Bargain and Sale ISpadly Below) F.Sale of Fractional or Less than Foo Irdotosl(Speary Below) '13.Full Bob Price 4 00,000 l IU G.Significant Change In Property Between Taxable Status and Sale Dates H Sale at Business is Included in Sale Pit= 1 Full Sale Price Is the tetsl amount pow for the property Including personal property. I.Other unusual Farre Afiomhlg Sale Prix(Speoly Below) This payment may be in the form of cash,other propeny or goods.or the assumption or J.Nona mortgages or other oblgatlons.i Presse round to dere noisiest whole tfoaremount. Comment(s)on Condidon: 14.Indicate th value of personal ,D(1 properly Included In me sale _ ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Yei rof Amessmem Roll from which information laken(YY)1� '1r.Total Assessed Value G Q©c) •ter.Property Clam 534 _ '1B.School Dlstrlet Name Mattituck-Cumchoque '30.Tax Map IdandMor(syRoll Id-atlller(a)IN mom than four,attach sheet with additional Identifier(s)) 1COU-:U�.JU-0::.00-:1Uri.u(1C CERTIFICATION I Gley that all at the Items or Information snbmd on this form are We and correct(to the best of my knowledge and b@IWQ and 1 understand that the making of any willful false statement at material fact herein subject me to me•pmislons at the penal low mlathre to the making and filing at him Instruments. ATURE BUYER gONTACT INFORMATION Irl!YrIldoirnxa on forth.burs,Nob If euye. pu a,a LLC soc".ionaoshon,corpom join!mck cur, ry•eebb or r� )ZJ�7 _1 mar h not an In wdins-pare oradulary,tlwn a nageane cwftcL rilwmsen or annlor diodlerearlatN para rxw un terror quern-repwdng the amWr mux Ea aweM-TyMrPdnleluwY1 W&11 Y•31ATURE NII P:c,rE.`r Fork r_orenu:aity 1=i:] BUYER SIGNbT.URE �1.r��/��y 'IAST WAVEIIVsI NSM iY—yF Z -ME-com •11.1P•{11f MNReIIr x1WwK. �1-1-/�rEP bCHslMe MII ' I i Southold NY 114.11 YIT,OR TCM •eTATa -2-,:ODE BUYER'S ATTORNEY ,;arr_uzzi David ..w:tiAue nrxl�wC (t.31► 294-4:1:4 Aur Afx:=! -Ill,nxxA N_wll Ir,l•aYWwi; 1