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Home My WebLink AboutL 12977 P 304 l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l 111111 Illll IIIA IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 09/06/2018 Number of Pages : 4 At: 02 :22 : 39 PM Receipt Number : 18-0166813 TRANSFER TAX NUMBER: 18-04260 LIBER: D00012977 PAGE : 304 District: Section: Block: Lot: 1000 070 . 00 12 . 00 030 . 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 $400 . 00 TRANSFER TAX NUMBER: 18-04260 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County oa Number of pages RECORDED 2018 rep 06 02:22:39 PI1 This document will be public JUDITH A. PASCALE record. Please remove all CLERK OF SUFFOLK COUNTY Social Security Numbers L D00012977 prior to recording. P 3,04 DT# 18-04260 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Tota I Notation Spec./Assit. or EA-52 17(County) SubTotal Spec./Add. EA-5217(State) TOT.MTG.TAX �OO Dual Town Dual County R.P.T.S.A. Held forAppointment Comm.of Ed. S. 00 �+ Transfer Tax Affidavit + Mansion Tax G� �— The property covered by this mortgage is rtifiedCopy or will be improved by a one or two 15. 00:�:) family dwelling only. NYS urcharge Sub Total YES orNO OtherLZAJ� Grand Total {J If NO, see appropriate tax clause on Spage# of this instrume 4 Dist,100 18027273 1000 07000 1200 030000 00 5 Community Preservation Fund Real Property P T S Consideration Amount$ Tax Service 5-Au CPF Tax Due $ Verification WIWIIIIIII IWlll Improved Satisfactions/Discharges Releases List Property Owners Mailing Address 6 R CORD&RETURN TO: Vacant Land Jennifer B. Gould, Esq. PO box 988 TID Southold, NY 11971 TD TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.NameFidelity National Title Insurance Services LLC www.suffolkcountyny.gov/clerk Title# Cil.+e — t 8 Suffolk County Recording & Endorsement Page This page forms part of the attached deed made by: (SPECIFY TYPE OF INSTRUMENT) Diane Simeoni, Successor Trustee of the The premises herein is situated in Evelyn L.Bergen Trust dated 09-02-16 SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Diane Simeoni In the VILLAGE or HAMLET of Southold BOXES 6 THRu 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over Gou r- esc — 12-8 Bargain and Sale Deed with Covenants Against Grantor's Acts-Individual or Corporation CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the day of July, 2018 BETWEEN DIANE SIMEONI,as Successor Trustee of the Evelyn L. Bergen Trust Agreement dated September 2, 2016, residing at 2480 NW 87`h Lane,Sunrise, FL 33322 party of the first part, DIANE SIMEONI, residing at 2480 NW 87th Lane,Sunrise,.FL 33322 party of the second part, WITNESSETH, that the party of the first part, in consideration of TEN ($10.00)dollars 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, SEE SCHEDULE'A'ANNEXED HERETO The premises are being conveyed to Diane Simeoni, individually as the beneficiary pursuant to Article Six Paragraph B(1)of the Evelyn L. Bergen Trust dated September 2, 2016. BEING AND INTENDED TO BE THE SAME PREMISES as described in the deed by Evelyn L. Bergen recorded on 10//04/2016 in Liber 12882 Page 586. 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 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 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. IN PRESENCE OF: �DIANE SIMEONI,SIMEONI, SUCCESSOR TRUSTEE STATE OF NEW YORK: COUNTY OF SUFFOLK) ss: On the li" day of 4und, 2018, before me, the undersigned, personally appeared Diane Simeoni, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose names is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. 6-5jry P u b I i JENNIFER B.GOULD Notary Public,State of New York No.02G05024640-Suffolk County Commission Expires March 14,Hap-- SCHEDULE A ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Pine Neck, Southold, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the southerly line of Oakwood Drive, 215.0 feet westerly along said southerly line from North Bayview Road; from said point of beginning running along land of the party of the first part, South 6 degrees 54 minutes 30 seconds East a distance of 250 feet, more or less, to ordinary high water mark of Goose Creek; THENCE westerly along said high water mark, 60 feet, more or less, to land conveyed by the party of the first part to Simmons. THENCE along said land of Simmons, 2 courses, as follows: (1) North 41 degrees 13 minutes 40 seconds West a distance of 82 feet, more or less, to an iron pipe; thence (2) (3) North 6 degrees 54 minutes 30 seconds West a distance of 200.0 feet to an iron pipe on said southerly line of Oakwood Drive; THENCE along said southerly line of Oakwood Drive, North 83 degrees 04 minutes 30 seconds East a distance of 105.0 feet to the point or place of BEGINNING. INSTRUCTIONS(RP-5217-PDF-INS):www.arps.state.ny.us FOR COUNTY USE ONLY Now York State Department of 01.,SVIRS Code Taxation and Finance C2.Date Dead Rocordad (0�/ UIQ/ I Office of Real Property Tax Services lir •�' RP-5217-PDF CS.Book 1 or c4 Page ?�, Rea(Prop"Transfer Report(SMO) PROPERTY INFORMATION 1.Property _2�-0 Cakwcod Drive Location •6TnEETM.MBEN •6:PEEi NAM Southold SouLh.o_d 11971 .Cm G TOWN VLAGE '21-0001! 2.Buyer Sirrecini ia_1e Name •{/lel NAyFj(,\yoMY FlRa'NftL LAST W WEAXMIPAIR F MIT HNIM 7.Tax Indcote where fu:ure Tax Bills aro to be sant Billing if other then buyer addrema(N bottom of form) LAST nAYFr_oY1Ain FAST WYE Address SYR-1hr hnNUM AhO 4WE Gil-OR rOWN arAtk PCOOE 4.Indicate the number of Assessment �Pail d a Parcel IOny It Part Of a Parcel)Cheek es they appy: Roll parcels tnumfemed on the deed N d Parcels OR M.Planning Boats with Subdivndon AatMMy Exists GI 5.Dead OR ().57 40.Subdivision Approval was Required for Transfer Property •FRON'FFF.T •DWI. •LREs Size 4C.Panel Approved for SubeiwYon with Map Pmwdetl IJ Simecni Dane Successor T E:ve.yn Berger. S.Serrer LAST wurEAx v raNr FIa011YYL Nome dated 09-02-16 1.1151 WWLICCY-ANY riser hAYE 17.Select No description which most accurotNy describes this Check the boos below as they appy: rI use of die property at the time of sale: S.Ow newhp Type is Condominium u A.One Family Residential 9.New Construction an a vacant Land ❑ 1 aA.Property Located within an Agriculturd Debtor ❑ 106.Buyer received a disclosure notice indicating that the property is in an ❑ Agricultural District SALE INFORMATION 15.Check one or more of theme wndltions as applicable to transfer: ' A.Sale Between Relatives or Fortner Relotives 77.Sale Contract Date B. er Selo between Related Companies or Patrons in Business. C.One of the Buyers is dao a Sailor n I I[1 D.Buyer or Seller is Government Agency or Lending Institution•12.Dene of SdaMransfer " E.Deed Type not Warranty or Bargain and Be%(Specify Below) I F.Salo d Freehand of Less than Fee Interest(Specify Bdow1 '17.Full Salo Price 0.00 G.Slgrvbcant Change in Property Between Taxable Status and Sale Dates (Full Sale Price is the last amoulri paid for the property indudng personal property. I Saler nus Business F is Factors to Sale Price Time payment may be in the form d rain,cher property or goods,lir the assumption d 1 Other Unusual Factors Aseding Sale Pelee(specify Bdovry J.None mortgages or other obligations.)Pfeese round Mere nearest whore doder amount Cammem(s)on Condition: i 1 14.Indicate the value of persona property Included In the Rale _ 0 .OU ASSESSMENT INFORMATION•Data should reflect the latest Fina(Assessment Roll and Tax Bill 16.Year of Assessmo d Roll from which Information talnn(YY) 17 •17.Total Aseessod Value •19.Property Class 7.10 _ .19.School District Name SCu Lho:d '20.Tax Map Wendaer(sNRoll IdalrilMr(s)pf more than four,attach sheat with addltbnal idemMar(sU 1000-070.DD-10.00-0?0.000 CERTIFICATION I Centy,that all of the items of Information entered an this form are true and Correct(lo the but of my knowledge and bat1sQ and 1 understand thot the making of any willful false statement of material fact heroin subject me to theymvlslons.oLtinumnal.lew relative to the making and Sling of lobe Instruments. $j;(,LERSIGNATUjZE AU YE R-C.0 IN T&C LMI It LI&IION w _ (Eater mM•uem 1L s•e buyer' u l a Nota:M oyer Y LLn a to sq,aaeeaaon.corporation.joyssinkmmpmr.carate v meq sun n not an LTolrltlual apes a sp,wry,ttlen a rwma and osraw,rtamron or an inomau.uraspansete I� Wny wtw un mewx 9•YauorY rapamrp me ua•ehr mrY be mYroe Tyrnor prim thinly.) 3B.FR IriNA1 WE ]ATF BUYER slGf (l131; Simeon) Diane •:A6:NANL I Wffr-Cow -L-CODE •IL.LRirn°N.Y9LN Iia:ei9leieU BJ`L,r 9GhA:LRF. G1F 2480 vis 87th I.ano •S'RLLI NUMBER •8-REFTNAYE r I 1 I I I Sunriso =), 33322 r 'CI:YCRTOM •abATE •zP Wok 1 I I BUYER'S AT 1 ) Gould, Esq Jcrnifer 3 1 1,81 Wwc rRsr hAw I n (631) 765-3375 I 1 1 MLACOW TF12PIIChCN11MI F91C,9grAM 1 •l{1 I II I