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Home My WebLink AboutL 12944 P 337 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 12/30/2017 Number of Pages : 3 At: 10 :33 : 48 AM Receipt Number : 17-0231977 TRANSFER TAX NUMBER: 17-17549 LIBER: D00012944 PAGE : 337 District: Section: Block: Lot: 1000 015 . 00 05 . 00 024 .011 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $15 . 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 $390 . 00 TRANSFER TAX NUMBER: 17-17549 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1 • ' RECORDED Number of pages 20117 Dec 30 10:33:48 AM JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY This document will be public L D00012944 record. Please,remove all P 337 Social,Security Numbers DT# 17-17549 prior to recording. Deed/Mortgage Instrument Deed/Mortgage-Tax Stamp Recording/Filing Stamps 3 FEES Page/Filirig Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 _ 2. Additional Tax TP-584 Sub Total — Notation Spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-5217 (State) fa.) — TOT.MTG.TAX R.P.T.S.A. C26b Dual Town Dual CountyT Held for Appointment Comm.of Ed. 5. 00 � Transfer Tax Affidavit �� Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total If NO,see appropriate tax clause on TR� page# of this instrument. 4 Dist! 17041751 1000 03.500 0500 024011 11 5 C mmunity Preservation Fund RTal x Servi t1-DEC 1A 11111111�11�11RI1Il�Rl Consi eratigfi Amount$ Agency 1111[�11111111�111� lUl CPF ,e Verificati`o► Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land D TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title CompanyInformation 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# g Suffolk County Recording & Endorsement Pagre This page forms part of the attached Ly-� made b (SPECIFY TYPE OF INSTRUMENT) y The premises herein is situated in SUFFOLK COUNTY,NEW YORK.. TO In the TOWN of In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING 12-OL04AMAk (over) HIS INDENTURE, made the n 3 as of `! —, two thousand and SEVENTEEN BETWEEN obert H. Kollmer,and Lucille P.Kollmer,as husband and wife,residing at residing at 1174 5th Avenue,East Northport,New York arty of the first part,and 10% ten percent Andrea M. Thorstensen; 10%ten percent Lucille¢. Iannone; 30% )_ix thirty percent Robert W. Kollmer; 20% twenty percent Marie P. Ferrante; and 30% thirty percent Carolyn Cricenti, as tenants in common, subject to and reserving a life estate for the benefit of the grantors herein for the term of their natural lives, residing at 3968 Water Oak Road,Apt. 639 Virginia Beach,VA 23452,402 Redfish Court,Emerald Isle NC 8594, 1819 Peck Avenue,Bay Shore,NY 11706,41 Grand Place,East Northport,NY 11731 and'989 Hurds Road,Virginia Beach,Virginia 23452 arty of the second part, WITNESSETH, that the party ofthe first part,in consideration ofTen Dollars and other valuable consideration laid 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 c, the party of the second art forever, ALL that certain lot,piece of land,with the buildings and improvements thereon erected,situate lying and being in the Town of Southold,Suffolk County,New York,known and designated as and by tfie Lot numbered 157 on a certain map entitled,"Map of Orient by the Sea,Section 3',and filed in the Office of the Suffolk County Clerk on October 16, 1974 as Map No.6160. Being known by street address: 175 Uhl Lane,Orient,New York Also known by Tax map designation:Sec. 15,Blk. 5,Lot 24.011. Beingthe same premises transferred to the party of the first part by deed from Melina Vratny on the 13" ay of March 2001,and recorded in the Office of the Cleric of the County of Suffolk,on the 23`d day f March,2061,in liber D00012109,page 404. OGETHER with all right,title and interest if anyy 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 art in and to said premises;TO HAVE AND TO HOLD the premises herein granted unto the party of the second pari,the heirs or successors and assigns of the party of the second pan forever. 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 f 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"parties"where applicable. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: Robert mer Lucille o mer TATE OF NEW YORK ) STATE OF NEW YORK) ss: ss: COUNTY OF NASSAU). COUNTY OF } n thept 3day of/dell-,in the year 2017, On the day of ,in the year , efore me,the undersigned,a Notary Public in and for before me,the undersigned,allotary Public in and for aid State,Personally appeared said State,Personally appeared obert H.Kollmer and Lucille P.Kollmer ersonally known to me or proved to me on the basis personally known to me or proved to me on the basis f satisfactory evidence to be the individual(s)whose of satisfactory evidence to be the individual(s)whose Ede e(s)is(are)subscribed to the within instrument name(s)is(are) subscribed to the within instrument acknowledged to me that he/she/they executed the and acknowledged to me that he/she/they executed the in his/her/their capacity(ies), and that by same in his/her/their capacity(ies), and that by s/her/their signature(s) on the instrument, the his/her/their signature(s) on the instrument, the ndividual(s),or the person upon behalf of which the individual(s),or the person upon behalf of which the ndividual s acted,executed the instrument. individuals acted,executed the instrument. F.TWOMEY,Esq. Notary Public,State of New York otary Public State of New York umber 02TW4701836 ualified in Nassau County ommission Expires May 31,2019 QUITCLAIM DEED Section 15 Block 5 Title No. Lot 24.011 Robert H.Kollmer and Lucille P.Kollmer County of Suffolk,Town of Southold TO Andrea M.Thorstensen,Lucille�.Iannone, Robert W.Kollmer,Marie P.Ferrante,and Carolyn Cricenti Return by mail to: Liam F. Twomey Attorney at Law 22 Pound Hollow Court Old Brookville,NY 11545 r * INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us OR COUNTY USE ONLYe . New York State Department of C1.SWISCode t-(;`7 2J22,``Qi g,� Taxation and Finance C2.Dote'Daed Recorded W OfrCe of Real Property Tax Servioes AI" RP-5217-PDF CS.Book Roil.Papa :531Real Property Transfer RapoR(811O) PROPERTY INFORMATION 1-PrOPOe� T-75 Uhl Lane Loca 'erR[ST"IMB JI •STREt1 NNIE Southold 11957 •C•T'DRT• 1 V.UAGF 'aA W7L s.Buyer Cricenti Carolyr. Name W:AIA EgeMPMY FFlm IW1E LAST 11AMIJCO9PANY F PSTNAME 7.Tax Indicate whom future Tax Bills aro to be sera Billing d other then buyer addrass(at bosom of form) LAST MMEICCMPANY Address rater MASE 8n%LLr Mia RMD 1160kYE GTY MT*,— 5-ATF WCODF l Indlrurb Ors number of Asessemerd 1 ff d Pamela OR ❑Pan or•Pamal (Only R Part of■Faucet)Check as they apply: Roll percale transform on the dead 111.Plannrg Bond with Sutxfwieion Authority Fries Lows! XOK 0.92 all.Subdivision Approval was Required for Transfer Properly 'f1IDNT FEET •eErrt„ WKS Stra 4C.Parcel Approved for Subdivraon with Mop Provided Kollmer Robert H. 9.Sailor -LAST hAL ccw`&W F148TNWE Nems Kollmmer Lucille P. WT NAYE1L10M1wI.Y 1`141111NAME •7.Select the deacmpdon which most accumby dacdbn the Check the Mmes'slew es theyapply: use of the propefly stthe time of Nle: S.Ownership Type is Cbndominium A.One Family Residential 9.New Calatrucilon on a Vacant Land 10A.Property LOMM within an Agricultural Dierlet 100.Buyer received a disclosure notice In loving that the properly is In an Agricultural District El SALE INFORMATION 1S.Check one or mom of these conditions n applicable totmnsfen A.Sale Between Relatives or Former Relatives 11.ease Conbm.Y Date B.Sale between Related Compwdes or Partners in Business C.One of tne Buyers a also a Seller 17.Dale of SabRranefor �'t-a.Z \l D.Buyer m Seller Is Goverrnel.Agency or Lending Institution E.Deed Type not warranty or Bergen and Sols(Specify Below) F.Saks of Fradonol or Lees than Fee Interest(Sprdfy Below) •12.Full See Price 0.00 G.Significant Change in Properly Between Taxable Stales and Sake Data (Full Sale Pnoe is the total amour paid for the property including personal property, H.Sale of Business Is Included In Sale Price This payment may be in the form of cosh.other properly or goods,or the assumption of 1.Other Unusual Factors Affecting Sale Pdee(Specify Below) mortgages or other ohllgalien.)Plass round to the neereitt whole dollramamt J.Nolte •Commmrgs)on Caudates: 14.Indk:ato the value of personal property included Inthe Sake 0•00 Quitclaim Decd ASSESSMENT INFORMATION-Data should rallied the latest Final Assessment Roll and Tax Bill 10.Yoor of Asse est Roll from which Information taken(YY( 16 117.Total Assessed Value 6,60 0 •19.Property Class 210 - 1 'it School District Memo Oyster Ponds '20.T■x Map IdmT011er(syRoll Idomlller(s)Pf more than four.attach sherd with additional Idamlaer(s)) Sec 15, Blk 5, Lot 24.11 CERTIFICATION I Certify that all of the Urns of Inforaaon udsrad on this form am true and card foo the best of rey knowledge and bellell and I understand that the making of any willful fain BWAom est of materiel fact herein subject me to theyrovlslialLpf thap iMHf wwraleaw to the making and sling of false Inetrom arils. $6t.1.ER If NAT= 11111AM-90STACT INEMIATION IEmr Irlamamll fardM dryer.Nae II WWI.LLC.wp*.urodson.mMpaskm pmt rad.Wil"My erlrw ant I Jh11 1 /1 parts who u sol sin eldMaue epee a sing go,ansf■Ml UM a aurum ippe phi,m I118s1d11weerpprwgr '�I" 17'�u:r dl/w �� L��/•7 Wer who un rrwer ewreawrreeroing dw Vrmwr mus Meraared TypwPlm elwlyl ML R5.'.ME sir YC /t�u�y� yea @�EkiSIG�AIUf3i: Cricenti Carolyn 1 •I AS NAIL q6 FlRSTr E •MFA 00116 RELLP xx,E r. UER IE..FSrrrwl atI+FR IIIrE WE 989 Hurds Road -SIRLET-Etiv •erREET hAML' Virginia Beach VA 23452 CITYOR TOFM •STA11. •f.YC:�CF DtJYFRS AIMMFy Twomey Liam r I :.LST NEW FWST IW r. (516) 679-6100 4tA C:YX TELLPIOW NUMSER IFr A110 1 f 11