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L 12942 P 761
111111111111 I I I I I I I I I I I Illi.!1111 lilll IIIII IIIII II I I I III 111111 IIIII IIIII Illi IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 12/18/2017 Number of Pages : 4 At: 11 :41 :45 AM Receipt Number : 17-0224142 TRANSFER TAX NUMBER: 17-16312 LIBER: D00012942 PAGE : 761 District: Section: Block: Lot: 1000 139.00 03. 00 038 .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 $5.00 NO RPT $200 .00 NO Transfer tax $0 .00 NO Comm.Pres $0 .00 NO Fees Paid $400 .00 TRANSFER TAX NUMBER: 17-16312 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County uu I Number of pages RECORDED 2017 DeC 18 11:41:45 RH' This document will be p blit ,JUDITH H. PRSCALE record. Please remove all CLERK OF Social Security Numbers ' SUFFOLK COUNTY prior to recording. L D00O12942 F' 751 [,rd i l-I Ic 31 a- Deed/Mortgage Instrument Deed'/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Tota I Notation Spec./Assit. or EA-52 17(County) SubTotal Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. oZI�JQ. OD Dual Town Dual County Held forAppointment Comm.of Ed. 5. 00 Transfer Tax Affidavit . Mansion Tax mID The property covered by this mortgage is _ C ifiedCo or will be improved by a one or two N rchar 15. 00 family dwelling only. Sub Total YES orNO Other j Grand Total If NO, se appropriate tax lause o pa ofthi in r t. 4 1 Dist. 1.00 5 Community Preservation Fund 17042674 1000 13900 0300 038000 Real Propei P T S I� Consideration Amount$ Tax Agency Service 18LPA �_IIIWCPF Tax Due $ Venficatiol Improved 6 Satisfactions/Discharges[Releases List Property Owners Mailing Address CCORD&RETURNTO: Vacant La d Erik J. McKenna, 9sq. PO BOX 912 TD Cutchogue, NY 11935 TD TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title q 8 Suffolk County Recording & Endorsement Page This page forms part of the attached HEED made by: (SPECIFY TYPE OF INSTRUMENT) HELEN K. FOX and THOMAS E. FOX The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold SUSAN M. BENKEN,Trustee In the VILLAGE THOMAS E. FOX,JR.Trustee Mattituck or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 16'"day of OCTOBER 2017 BETWEEN THOMAS E. FOX and HELEN K. FOX, his wife, both residing at 365 Freemen Road, Mattituck, New York 11952 party of the first part,and �"i� THOMAS E.FOX,JR,and SUSAN M.BENKEN,as Co-Trustees of the FOX FAMILY 2017 IRREVOCAAkE TRUST VAsrir OCta6£R t6,20i 1 365 Freeman Road,Mattituck,NY 11952 party of the second part, WITNESSETH,that the party of the first part,in consideration of Dollars 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 in the Town of Southold, County of Suffolk and State of New York being more particularly described according to the attached Schedule A description -------------------------------------SEE SCHEDULE A-------------------------------- Said premises known as 365 Freeman Road ,Mattituck, New York 11952 BEING AND INTENDED TO BE the same premises conveyed to the party of the first part in deed from L. Barron Hill and Adelaide H.Hill, his wife,and Hedvig P.Terry, recorded in Liber 7062 page 229 on December 7, 1971 TOGETHER with all right, title and interest,if any,of the parry 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 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"when ever 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: "fes ,;9:, THOMAS E. FOX 11�L Y HELEN K. FOX Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment Form 3290 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of Suffolk State of New York,County of ss: ss: On the day of in the year On the 16th day of October in the year 2017 before me,the undersigned,personally appeared before me,the undersigned,personally appeared THOMAS E.FOX and HELEN K.FOX personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is satisfactory evidence to be the individual(s)whose name(s)is (are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their me that helshe/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument. the individual(s)acted,executed the instrument. al� ' ;JT (signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) ERIKJ0M3N MOKE NrfA Notary No. 'P9wYork �s0a Qualified In&ftik O=* TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of ss: On the day of in the year before me,the undersigned,personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/shelthey executed the same in his/her/their capacity(ies),and that by his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted, executed the instrument,and that such individual made such appearance before the undersigned in the in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) BARGAIN AND SALE DEED SECTION 139 WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 3 LOT 38 Title No. COUNTY OR TOWN SUFFOLK STREET ADDRESS 365 Freemen Road,Mattituck THOMAS E.FOX and HELEN K.FOX TO TRUSTEES FOX FAMILY 2017 IRREVOCABLE TRUST Recorded at Request of Abstracts,incorporated RETURN BY MAIL T07 i Erik J.McKenna, PC STRACTS, PO BOX 912 Ct7RPORATB©"" Cutchogue,NY 11935 j 585 Stewart Avenue•Garden City,IVY 1 1530 51E3.683.1000�_.�..._ rc SCHEDULE A ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate lying and being in the Town of Southold,County of Suffolk and State of New York,known and designated as parts of Lots Numbered 45 and 46 as shown on a certain map entitled,"Map of the Garden Heights,situated at Mattituck,L.I."and filed in the Office of the Clerk of the County of Suffolk on June 24, 1929 as File Number 577,which said parts of lots when taken together as one parcel are more particularly bounded and described as follows: BEGINNING at a monument on the Northerly side of Freemen Avenue where the division line between Lots 44 and 45 as shown on the above-mentioned map intersects the Northerly side of Freemen Avenue,said point also being situate 318.86 feet Easterly as measured along the Northerly side of Freemen Avenue from the corner formed by the intersection of the Northerly side of Freemen avenue and the Easterly side of Wickham Avenue; Running thence along the last abovementioned division line North 14 degrees 02 minutes 50 seconds West 180.37 feet to lands now or formerly of the County of Suffolk;Thence along the last abovementioned lands the following(2)courses and distances: (1)North 68 degrees 16 minutes 10 seconds East 87.30 feet to a monument; (2)North 44 degrees 24 minutes 20 seconds East 15.52 feet to a monument and the division line between lot 46 and lands now or formerly of Gertrude B.Raynor;Thence along lands last abovementioned South 14 degrees 02 minutes 50 seconds East 193.03 feet to a monument and the Northerly side of Freeman Avenue;Thence along the Northerly side of Freemen Avenue,South 71 degrees 51 minutes 40 seconds West,100.00 feet to a monument at the point of place of BEGINNING. v 1.ovno w,.{ItRr 4_'I / f 3f�9OI J I II OIAYIIHI I 4311111161 r than 1%M C2.Date Deed Regarded I /�lI / 7 I Office of Real Property Tax Services w.r / RP-5217-PDF C3.Book C4.Page Real Property TramTer Report(81110) PROPERTY It$O221-0N 1.Pmperly 365 ?reeman road Location •STREET NnraeR •87REET NATE matzi::uck 11952 .crr'yoR TOM VILLAGE •MPCODE 2.Buyer Fox, Thomas, E. Trus,-cc Noma •tA$TrLWFjC0AV4H FIRS'FNIE Benken, Susar. M., Trustee LAST NiAMLCOMPAN1' FAST NME 3.Tax Indicate where future Tax BIW are to be sent Bitting If odw than buyer addmss(al bottom of form) LAW wuEloo►p.Nr rotor NArE Address UMETMMeERALONALE C.TYDRTOwr STATE DAP scot 4.Indicate the number of AssNamem 1 a Part or a Parcel (only N Part of a Parcel)Check as they apply: Roll parcels transfemad on the deed d Panoelc OR 4A.Planning Board with Subdivision Authority Exists !.DeedO.5 C ] .FIM FEET X •DEPTH OR 40.Subdivision Approval was Required for Transfer Property She 4C.Parcel Approved for Subdivision with Map Provided Fox Thomas E aSeller •LASTNAENCO1PANv FIRST MWE Name Fox Ilelen K. LAST NAMIICOMPAW FRSTNME Check the boxes below as they appy: '7.Sahel the description which most awureley describes the use ofthe ppropertyg,Ownership atthe time of sale: p Type is Condominium A.One Family Residential !.Now Construction on a VacmA Land 10A.Property LoTEtad within an Agricultural District 108.Buyer received a disclosure notice indicating that the property is In an Agricultural District SALE INFORMATION1 15.Check one or more of these eondlaons as applicable to transfer. 10/1/17 A.Sale Between Relatives or Former Relatives 11.Sale Contract Data B Sale between Relaid Companies or Partners in Business C.One of the Buyers is also a Seller 10/16/17 D.Buyer or Seller Is Goverment Agency or Lending Institution '12.Date of Satefrrensfer E.Dead Type not Wenmmy or Bargain and Sale(Specify Below) 0 F. l or Fractional tinal or Leas than Fee Interest(Specify Below) '13.Full Sale Price .� G.Significant' Change in Property Between Taxable Status and Sale teles H.Sale or Business is Included in Sale Price (Full Sale Price is the total amount paid for the property including personal property. I. Other Unusual Factors Affecting Sale Pnoe(Specify Below) This payment may be In the knn Of Cash,other property or goods,or the assumption of J.None mortgages or alter obligations.)Plasm round to the nearest whols doaar amount. Comment(ti)on Condltlon: 14.Indicate the value of personal C .00 property Included in the eels ASSESSMENT INFORMATION-Date should reflea the]steel Final Assessment Roll and Tax BIII 18.Tear of Assm..wm Roti hon which Infwnmgon taksn(YY) 17 '17.Tont Assomed Value 4200 *18.Property Class 21C _ '1l.School District Name MattitL-Ck—C::zchoaue '20.Tax Map Wandaar(eyRdl kkndfler(s)IN more then four,attach sheat with addltionel IdeMHler(s)) /39. 0 - o 3,60 — 0 3F, goo CERTIFICATION 1 Certify that all of the Items of Information entered on this form are true and Correct(to the beat of my knowledge and belief)and 1 understand that the making of any willful Was statement of mafsdat hot herein subject me to Iha-SmYlekms of gta,pansi raw,elative to the making and filing of false Instruments. RFI 1 CR$l(� gE BUYER CONTACT INFORMATION (Ener ifmrwetan for ate boyar Noir mixyw is LLC.saLiRy,arraowiorl corWriM join sioGt corn eft.estate or "ri nW a ner on rwwiam news Or hardly,then a name end=W Verelan of an iteividLis*W nebie oli�l� ror.yrhowne 4ueNtoranpwdnaewebam!mmWi mm Type Sir print dearly.) SFLLERwGNwTIIRE DATE F—r Ber.ken Susan M. BUYER SIGNATURE ��� •LAST MISE FlRST W WE -r r6sjn /0 •AREA GOOE -rE3EPIQAE NUMBER ob ONOM a Tune DATE 365 Freeman Road •STFIW NWEER •91REET KVM + Mattituck N`: 11952 -CITYORTDWI 'STATE -opCODE I BUYER'S ATTORNEY I LAST NWE FIRST NAM I I �. AREA CODE 7ELFJarONE PAaIER Cc MwBaw