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Home My WebLink AboutL 12968 P 687 11111111111 VIII VIII 11111 VIII VIII VIII VIII 1111 IIII 1111111111111111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 07/09/2018 Number of Pages: 3 At: 04 :25 :28 PM Receipt Number : 18-0125258 TRANSFER TAX NUMBER: 17--36888 LIBER: D00012968 PAGE : 687 District: Section: Block: Lot: 1000 126 . 00 11 . 00 015 . 000 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 $390 . 00 TRANSFER TAX NUMBER: 17-36888 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County RECORDEDNumber of pages 2018 Jul 09 04:25:28 Ph1 JUDITH A. PASCALE This,document will be publicCLERK OF , SLIFFOLK: COUNTY record. Please remove.all L 000012968 Social Security Numbers P 687 prior to recording. 0T# 17-36888 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 _ 2. Additional Tax TP-584 C'j Sub Total Notation Spec./Assit. or EA-52 17(County) ..� SubTotal L Spec./Add. EA-5217(State) r TOT.MTG.TAX R.P.T.S.A. �� Dual Town Dual County Held forAppointment Comm,of Ed. 5. 00 Transfer Tax Affidavit • . Mansion Tax Certified Copy YOMThe property covered by this mortgage is _ or will be improved by a one or two NYS Surcharge 15. 00 7— family dwellin nly. Sub Total ✓ YES orNIO Other Grand Total D /if NO, see appropriate tax clause on page# ofthis 4 instrument. z[o lg Rl—k-i 1 nn Lot 015.000 5 Community Preservation Fund Real 18020001 1000 12600 110o o15000 Consideration Amount$ VeAt rgf ° _A Illlllllllllllllllllllllllllllfllllflllllll�lllll CPF Tax Due $ Improved 6 Satlsractlonsiuuu,a,��a ,r.�� ..,.-._ gAddress R�CORD&RETURN YO: Vacant Lannd(//�/ STEVEN D.BLOOM ESO. TD-� AKERMAN LLP 666 FIFTH AVENUE,20TH FLOOR NEWYORK,NY 10310 TD TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name CHICAGO TITLE INSURANCE COMPANY www.suffolkcountyny.gov/clerk Title# — Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) STEVEN D.BLOOM AND SUSAN F.BLOOM The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD STEVEN DkOOM AND SUSAN F.BLOOM In the VILLAGE 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 3rd day of April, 2018 BETWEEN STEVEN D. BLOOM and SUSAN F. BLOOM, his wife, as tenants by the entirety, residing at 7800 Peconic Bay Boulevard, Laurel, New York 11948 party of the first part, and STEVEN D. BLOOM and SUSAN F. BLOOM, his wife, as tentants in common, residing at 7800 Peconic Bay Boulevard, Laurel, New York 11948 party of the second part, WITNESSETH,that the party of the first part,in consideration of TEN DOLLARS AND 001100 ($10.00)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 Laurel,Town of Southold,County of Suffolk and State of New York, being bounded and described as follows: BEGINNING at a point in the southeasterly side of Peconic Bay Boulevard where the same is intersected by the southwesterly line of land now or formerly of Wingate; THENCE South 25 degrees 38 minutes 30 seconds East along said land now or formerly of Wingate 311.08 feet to the Peconic Bay; THENCE South 40 degrees 39 minutes 10 seconds West along Peconic Bay 145.20 feet to land now or formerly of Bray; THENCE North 39 degrees 52 minutes 20 seconds West along said land now or formerly of Bray 291.24 feet to the southeasterly side of Peconic Bay Boulevard; THENCE North 41 degrees 17 minutes 00 seconds East along the southeasterly side of Peconic Bay Boulevard 222.34 feet to the point or place of BEGINNING. TOGETHER with all the right, title and interest of the party of the first part of, in and to land lying below the bank and the present or former high water mark and under the waters of Peconic Bay adjacent to said premises. TOGETHER with all right, title and interest, if any, 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 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, 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. 1N PRESENCE OF: Stev D.Bloom Susan F.Bloom Standard N.Y.S.T.U.Form 8001-Bargain and Sale Deed,without Covenant against Grantor's Ads—Uniform Acknowledgment Form 3264 ACKNOWLEDGEMENT TAKEN IN NEW Y017K STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE 'State of New York,County of New York,ss: State of New York,County of New York,ss: On the 3rd day of April in the year 2018, before me, the On the 3rd day of April in the year 2018, before me, the undersigned, personally appeared Steven D. Bloom, personally undersigned, personally appeared Susan F. Bloom, personally known to me or proved to me on the basis of satisfactory known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me subscribed to the within instrument and acknowledged to me that that he/she/they executed the same in his/her/their capacity(ies), he/she/they executed the same in his/her/their capacity(ies),and and that by his/her/their signature(s) on the instrument, the that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s), or the person upon behalf of which the individual(s)acted,executed the instrument. individual(s)acted,executed the instrument. NOTAV PUBLIC NOTA�y PUBLIC T ELIZJIBETH C.GAHAGAN ELIZABETH C.GAHAGAN Notary Fabric,State of New York NAY go..State of New York Reg..No.01GA4804450 Reg,No.OIGA4804450 nty Qualified In rings County Comm Vitw V brigs ne COrlv�on Explres June 30,2018 June�.2018 ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK TAKEN IN NEW YORK STATE STATE State of New York,County of ss: State of County of ss: On the day of in the year before me, the On the day of in the year before me, undersigned, a Notary Public in and for said State, personally the undersigned personally appeared personally known to appeared , the subscribing witness to the foregoing me or proved to me on the basis of satisfactory evidence to be instrument,with whom I am personally acquainted,who,being the individual(s)whose name(s)is(are)subscribed to the within by me duly sworn,did depose and say that he/she/they reside(s) instrument and acknowledged to me that he/she/they executed in (if the place of residence is in a city,include the street the same in his/her/their capacity(ies), that by his/her/their and street number if any,thereof);that he/she/they know(s) signature(s) on the instrument, the i9dividual(s) or the person to be the individual described in and who executed the upon behalf of which the individual(s) acted, executed the foregoing instrument;that said subscribing witness was present instrument, and that such individual make such appearance and saw said execute the same; and that said witness at before the undersigned in the (add the city or political the same time subscribed his/her/their name(s) as a witness subdivision and the state or country or other place the thereto. acknowledgement was taken). NOTARY PUBLIC NOTARY PUBLIC Bargain & Sale Deed COUNTY:Suffolk Without Covenants TOWNICITY:Laurel,New York 11948 PROPERTY ADDRESS:7800 Peconic Bay Boulevard Steven D.Bloom and Susan F.Bloom,as Tenants by the Entirety SECTION:126 TO Steven D.Bloom and Susan F.Bloom,as Tenants in Common BLOCK:I I LOT:015 DI (b � Title No. RETURN BY MAIL TO: Sleven D.Bloom,Esq. DISTRIBUTED BY Akerman LLP ^ ^ ^ 666 Fifth Avenue,20"Floor New York,New York 10310 JUDICIAL TITLE T:800-281-TITLE F.800-FAX-9396 r Is INSTRUCTIONS(RP-5217-PDF-INS):www.orps.statemy.us FOR COUNTY USE ONLY Now York State Department of Cl.SW IS Code I q 71 3 Si�_� Taxation and Finance C2.Date Deed Recorded I U7/0 ! / IS I Olflce of Real Property Tax Services Cy >" RP-5217-PDF C2.Book + C4.Page I I er I6I`],f I Real Property Transfer Report(all 0) PROPERTY INFORMATION I.Property 70 i•0 Pecar..ic icy P.oulevard Location 'STREET IA111e[R 'STRUT AA1M SO T Etc).0 1_948 .GTT cq Tom VILLAGE .dF CODE 2.Buyer BLOOM ST�;VLN 1). Nems •LAST M'ECOAPANr FIRST rMeE B:,:AM SUSAN F. LAST NAYEELOMPAIN FIRST NAME a.Tax Indicate where future Tax Bills we to be sem BLOOM SUSAN F. Billing it other than buyer address(a bottom of form) LASTmwErGNPAw FIRsr ewe Address F.O. BOX 157 MATTITUCR VY 119h2 STREET NUMBER AhD WYE CIIYd1 T014% STATE aPcooE 4.Indicate the number of Assessment iPan of a Parow (Only 11 Pan of a Parcel)Check as they apply: Roll parcels transferred on the deed a of Parcells OR ❑ W 4A.Planning Board with Subdivision Authority Exists LJ 8.Deed x OR 1•25 40.Subdivision Approval was Required for Transfer ❑ Property 'FRON'FEV 'DEPTH 'ACRES Slee 4C.Parcel Approved for Subdivision with Map Provided C BLOOM STEVEN D. a.seller 'LASI HMECnaPAwFIRST NAYE_•- Name BLOOM SUSAN E. _ MST FIRS:NAME e '7.Select the description which most accurately describes the boxes below as they apply: bos the I use of the property at the time of sale: 8.Ownership Type is Condominium ❑ l .Now Construction an a Vacant Lend A.One Fandly Rcsldenpnl 8NCtr ❑ 1 GA.Property Located within an AgneUltuml District yi 188.Buyer received a disclosure names Indicating that the property Is in an ❑ Agricultural District r SALE INFORMATION 1S.Check one or mon at theme conditions as applicable to transfer. I A.Selo Between Relebves or Former Relafi os 11.Selo Contract Date 04/03/2018 B.Sale between Related Companies or Partners in BYsness C.One of the Buyers is also a Seller '12.Dab of SelelTrensfer 04/03/2018 0.Buyer or Serer Is Government Agency or Lending Institution E.Deed Type not Warranty or Bargain and Selo(Specify Below) F.Selo 01 Frecironal or Less mer Fee Interest ISpecey Below) '12.Full Sale Price .00 _ G.Significant Change in Property Between Taxable Status and SBIe Dates H.Sale of Business Is Included in Sae Price 1 Full Sale Price Is the hotel amount paid for the property including personal property. 1.Other Unusual Factors Affecting Sale Prix!(Specey,Below) This payment may be in Lis form of cash.other property or goods.or the assumption of mortgages or Cher obleations.)Please round tome nearest whore dollar amount. J.Nona Comment(s)on Condition: 14.Indicate the value of personal .00 property Included In the sale ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Yearof Assessment Roll from which Information taken(YY) _'y '17.Total Assessed Value 21,700 -18.Property Class 210 _ '1e.School District Name MATT:Ti:CK '20.Tax Mop Identlfler(syRolk IdentLlBsl(a)(If mon than four.attach sheet with additional Identiller(s)) -- i26.-11-__• ['DI CERTIFICATION I Certify that all of the Items of Information entered on this form are true and correct(to the best of my knowledge and bollen and 1 understand that the making of any willful false statement of material fact herein subject me to the prO.YIfIOfie.Of tla paDBLIaaLTelativo to the making and filing of false Instruments. SELLER SIGNATURE BUYER CONIMT INFORMATION IEmor i9 ri-moon for the buyer.Note a tRyw a L.0 aooay.assoc euoowr eaabor.IoM Wm%mlgwy.state e eT..7 her IS ror.d t sr. ogles or 11"".Nen a none and[Grad esnelr dexm or ed w1ee7TBaDOroae Pertly wro sen ewe QLMbore reglidrg the tw der=W.be W.orod Type or prim eleerly) i BEL:ER L&gew�taaa T I �hObMti �. �uy�RS�CENATl1RE 3,�� !BLOOM •LAST DIME FIRST"ME ��,.r� ' (63i; =98-0047 'AREA CODE 'WLER•ONE NLMOER rE,.NMIDI 1.11n Ser h�WE TE 7800 ?:C.^VIC [3A1' B JL JAetiS •STREET NUMBER •STREEiNM1E j LAURFI. 948 S-VORT01Mr 'STATE OF COOS , � BVYER'S ATTORNEY I I MST wwE FIRST NAK I I I i AREA CODE TELEFI476 NUMBER IE.•wNNFI