HomeMy WebLinkAboutL 12936 P 711 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/06/2017
Number of Pages : 4 At: 10 : 13 : 13 AM
Receipt Number : 17-0196212
TRANSFER TAX NUMBER: 17-11456 LIBER: D00012936
PAGE : 711
District: Section: Block: Lot:
1000 107 . 00 11 . 00 003 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $360,000 . 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 $0 . 00 NO RPT $200 . 00 NO
Transfer tax $0 . 00 NO Comm.Pres $4 ,200 . 00 NO
Fees Paid $4 ,595 . 00
TRANSFER TAX NUMBER: 17-11456
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
❑1 ❑2
RECORDED
Number of pages 2017 Nov 06 10:13:13 AM
JUDITH A. PASCALE
CLERK OF
SUFFOLK COUNTS'
This document will be public L DOID012936
record. Please remove all P 711
Social Security Numbers DT# 17-11456
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recoding/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 5— Sub Total
Notation SpecJAssit.
or
EA-52 17(County) 5 Sub Total S0� Spec./Add. _
EA-5217(State) /21_ TOT.MTG.TAX
R.P.T.S.A.
��n J Dual Town Dual County
—rte_
Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit �� Mansion Tax .�I
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 'l family dwelling only.
Sub Total �7 5
Other YES or NO
Grand Total ��j �� If NO,see appropriate tax clause on
page# of this instrument.
/G .
4 1 Distl2 17035887 l000 10700 1.1.00 003000 5 Community Preservation Fund
Real Pro P T111111111111111111111111111111111111111111111111
Tax ro R C T A Consideration Amount$ 0 Od
Agency 23-OCT-17 CPF Tax Due $ t/Z00
Verificatioi __ ✓
. Improved
6 Satisfactions/Discharges/Releases List Property owners Mailing Address
I,I /RECORD&RETURN TO: Vacant Land/
A) TD
'TD
Mail to: Judith A. Pascale, Suffolk/County Clerk 7 Title ComDany Information
310 Center Drive, Riverhead, NY 11901 Co,Name F,X-1/ �Q�jiL
www.suffolkcountyny.gov/clerk . Title# I f 3
8 Suffolk, County Recording & Endorsement Papre
This page forms part of the attached made by:
(SPECIFY TYPE OF INSTRUMENT)
L �yY e ash The premises herein is situated in
4y,. k J SUFFOLK COUNTY,NEWYORK.
T?/" In the TOWN of
yA-W AI �� �'��j In the VILLAGE
or HAMLET of 1 I
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK WK ONLY PRIOR TO RECORDING OR FILING.
12-0104-10loak
lnverl
fi7- 10 332--
Executor's Deed
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT
SHOULD BE USED BY LAWYERS ONLY .0' '
THIS INDENTURE, made the 29th day of September Two Thousand Seventeen
SHERYL ANN FIORE, as Executrix of the Estate of Anita J. Fiore,who died a resident of Suffolk
County,Suffolk County Surrogate's Court File##2016-3677.
1605 Village Lane
Mattituck,New York 11952 party of the first part,
AND A
SHAWN A4W4H4NV WILLIAMS
405 South Drive
Mattituck, New York 11952 party of the second part,
WITNESSETH, that the party of the first part, in consideration of THREE HUNDRED SIXTY THOUSAND
DOLLARS($360,000.00)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, situate, lying and being
SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF.
DIST: 1000 SECT: 107.00 BLOCK: 11.00 LOTS: 003.000
SAID PREMISES KNOWN AS: 1605 VILLAGE LANE,MATTITUCK, NEW YORK
BEING AND INTENDED TO BE the same premises as conveyed by deed dated October 6, 1978 and recorded
October 13, 1978 in Liber 8513 page 400.
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 the 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" shal I be
constructed 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:
Sheryl Ann ire, as Executrix
STATE OF NEW YORK,COUNTY OF SUFFOLK:
On the 29th day of September 2017, before me, the undersigned, personally appeared
Sheryl Ann Fiore
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, and that
by her si the instrument, the individual, or the person on behalf of which the individual acted, executed
th strument.
Not
John J:Jurck
Notary^Public State of;New;York
No. OTT;U6105593
Qualifi%_) Ct
i459
CommisonExpires
Feb. 9,10.19
P
13.2 3
N441�agk' IVY
/6 6a
/0 7
42
Fidelity National Title Insurance Company
TITLE NO. F17-%04=105382-SUFF
SCHEDULE A-1 (Description)
ALL that certain plot, piece or parcel of land, situate, lying and being at Mattituck, Town of Southold, County of Suffolk
and State of New York, known and designated as Lot 12 on a certain map entitled, "Map of Village Manor at Mattituck"
and filed in the Suffolk County Clerk's Office on 10/24/62 as Map No. 3669.
THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which
by lmv constitute real property.
FOR CONVEYANCING ONLY, Together with all the right, title and interest of rhe party of the first part, of in and to the land lying
in the street in front of and adjoining said premises. {
SCHEDULEA-1 (Description)
INSTRUCTLONS(RP-5277-PDF-INS):Www.orps.statemy.us /D7 3 t91� S
FOR COUNTY USE ONLY W I- L/ • . New York State Department of
0"SWIS""a / i Taxation and Finance
C2.Data Deed Recorded i /0 w/ �i Ol�lr a Of Real Properly Tax ServiceEq s
i j � 3 ' RP-5217-PDF
C3.Book , I C4.Pape Real Property Transfer Report(8170)
PROPERTY INFORMATION
11-Property 1605 V1 Llage Lane
Location
•9raFti%JYBEe •aIiCET NAME
Southold Mat-.iLuck 1-952
•crN aft- VLLAar
•SPCOBE
2.Buyer W i1ia.ns, Shawn Ar- �
Name
LASr NAMFx:Cw•ANY F RST 44M:
IAS-NAME&IMPAW FI+ST.-LAME
3.Tax Indcale where future Tax Bills we to be sent
Bitting if other than buyer address(ot bottom of form) LAST 4AWF"11-AM! I MaT%AYE
Address
GTREE:NUMBER AND"ME GT-OR TOM STML =PooDr
4.Indicate the number of Assessment - a of Parcels POR or a Parcel (Only a Part of a Parcel)Check as they apply:
Roll permits transferred on the dead - OR 4A.Planning Board with Subdivision Authority Exists ❑
L Deed X O R v•4 6 4B.Subdivision
Property -FRONT FEE: Uteri 0.4 Approval mise Required tier 7rensfer ❑
ohm 4C.Pascal Approved for Subdivision with Map Provided
Escate or Anita J. Fiore
a.Seller •LAffi MANE COMPAW FIRST MIe
Name
LAST NAarF:CMPAI% FIRST M1AVL
•7.Select the description which most accurately describes the Check the born below as they apply:
use of the Property at the time of wit: 8.Ownership Type is Condomrsum ❑
n 01 mr.racily Resident ml 0.New Construction on a Varam Land )�
10A.Property Located within an Agricultural District
100.Buyer received a asdwure notice indicating that We property is In an
Agricultural District ❑
SALE INFORMATION I L Check one or more of these conditions as applicable to transfer:
A.Sale Between Re litives or Former Ralelives
11.sale Contract pate 08/23/2017 B Sere between Railed Companies or Partners In Business
C One of the Buyers is also a Seller
12.Data of Saleffrawfor 09/29/2017 D Buyer or Seller in Government Agency or Lancing Institution
E.Deed Type not Warranty or Bargain and Sale(Specify Below)
F.Sala or Fractional or Lasa than Fee Interest(Specify Below)
'13.Full Safe Price 360,000.00 G.Significant Change In Property Between Taxable Status and Sale Dates
(
Full Sale Pdee is the total amour paid for the property intludin H.Sale at Business in Included in Sale Priya
This mem be in the icer nt rash,elle g personal Property. I Other Unusual Factors Affecting Sale Price(Specify Below)
pay may property or goods,or the assumption d 'J None
mortgages or other obligations.)Pime round to the nearest whole doter amount.
Cemmontfs)on Condition:
14.Indicate the value of personal
property Included In the sale f) .00
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from which Information takmfYY) 1'/ 117.Total Assessed Value 4,200
118.Properly Class 210 - •19.School District Name Matti CLcr-Cut-cheque
120.Tax Map Idetlfiet(syRoll Identaer(s)(if more than four,attach shoat with additional IdemiBer(a))
!L%00/107.00/11.00/003.000
CERTIFICATION
I Certify that allot the Items of Information entered on this form are We and correct(to the beat of my knowledge and belleQ and I understand that the making of any willful
false statement of material fad herein subject me to the,arwisions of the.PeaWJ.w relative to the making and filing of false Instruments.
SELLER BIG ATURE BUYER CONTACT INFORMJ)TION
SELLER__ IEnter m matinrl far the buyer NON a buys:M LLC,eeesly,aubneem,mrporwDri Ant acick ompriv Geeta a
entity Inal ra nbl an IMMduel apern or haJparr,awP a Mme alar mdsci ragamew or on anviduaAespmuble
parry whom anx rwquwme regentsp the trental muat be anted Type er prke Shady)
8EL_ER S+rJUTIR. :.ArL/����
BIJYERSIGNATURE Williams, Shawn Ali themr—
�r�/PP��•L�J (//ff •LViT ort qa}.m—LL
>f17
'n.Cr:4:ti , ..�n.:VA4 L.•w HRni
!` •CR SpWn'JRE ,]ATE
1605 Village Lane _
•STREi WMA- 'STRCLT%AME •R
IMattituck, Ny 11952
-CM Ce TVM •$-ATF •a-CODE
BUYER:$�Q$NFY.
f
I Goggins, nillid:D
LASI NM kNSI NAVC
i
It:37; a"98-4918
ATd:Ah.ODL TL.Ir-r0%ENUMBERIE•ING M.r
11
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1 1 1