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L 13308 P 115
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 9/5/2025 Number of Pages: 4 At: 9:06 :39 PM Receipt Number: 25-0115079 *ELECTRONICALLY RECORDED* Transfer Tax Number: 25-03777 LIBER: D00013308 PAGE: 115 District: Section: Block: Lot: 1000 110 .00 06.00 002 .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 Notation $0 . 00 NO Cert.Copies $0 . 00 NO RPT $200 . 00 NO Mansion Tax $0 . 00 NO EA-CTY $5. 00 NO EA-STATE $125. 00 NO TP-584 $5. 00 NO Comm.Pres $0 . 00 NO Comm.Pres Fund $0 . 00 NO Comm.Housing Fund $0 . 00 NO Transfer Tax $0 . 00 NO Transfer Tax Number: 25-03777 Fees Paid $395. 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County RECORDED Numberof pages 4 9/5/2025 9:06:39 PM VINCENT PULEO CLERK OF This, d}€.gismo.nt w'il't be rublic SUFFOLK COUNTY L D0001330B prior to recordhq, 25-03777 Deod f Mortgage Instrument Deed 1 Mortgage Tax Stamp Recordinrq t Filing Stamps FEES Raga)Filing Fee .00 Mortgage Arnt. 1.Basic Tax --- Handling 20. 00 2. Additional Tax TP-584 5.00 SuhTota1 Notation 0.00 apecJAW, or EA-5217(County) 5.00 Sub Total 50.00 Spec,Add. - EA•5217(State) 125.00 TCT.MTG.T°Att R.P.T.&A. 200.00 Dual Town Dual County I-tetd for Appointment Comm.of lWd. S- T tansfer Tax 0.00 Affidavit * �* Mansion Tax 0.00 Certified Copy 0.00 The property covered by this mortgage is or WH be improved by a one or two Nys Surcharge 15, 00 345.00 family dwelling only. Stab Total. _ YES or NO Other 395.00 Grand Total If NO,see appropriate tax cruse on page# of this tnstrumant. 4 1 Dist. Section Block Lot 5 Commun y Preservation Fund 25033883 Real Noperty - Corap>i.deration r�.rr moat$0.00 Tax Service PT s R DTY A 0.00 Agency812 7 12 0 2 5 CPT( Tax DueVerification Improved x � a rs actrons� a�es a eases €s rope Hers a�ts�g Tess RECORD&RE!URN TO-, vacantl.and Davidow, Davidow, Siegel Stern LLP TD 10 CEO Davidow, Davidow Islandia NY 11749 TD TD Mail to: Vincent Puled,Wfolk County Clerk Title Company 1nformabon 310 Center D ve, Riverhead, NY 1190-1 Co-Name u wwau'ffolkwuntyny.govlclerk Title Suffriolk County cccr ink & Endorsement Page This page forms part of the attached DE® -made 4y, (SPECIFYTYP OF INSTRUMENT) The prerniw5 herein issituated in SUFFOLK COUNTY, NEW YORK TO In tt*TOWN of SOUTHOLD 1 n the\ALl.AGE or HAMLET of soxEs6 THRU 8 MU7 BE;YPED OF,PRINTED I BLACK INK ONLY PNOR To RECQR0ING OR Ft LING, av Warranty Deed with Full Covenants CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 313 day of Two Thousand Twenty-Five BETWEEN DIANE M.BOUCHER,residing at 8 Windmill Court,Smithtown,NY 11787,and DIANA M. BOUCHER,residing at 24 Rhoda Avenue,Smithtown,NY 11787,as Co-Trustees,or their Successors and/or assigns,of the WILLIAM J.BOUCHER REVOCABLE TRUST dated May 23, 2013 party of the first part,and No DIANE M.BOUCHER,residing at 8 Windmill Court,Smithtown,NY 11787,and DIANA M. Consideration BOUCHER,residing at 24 Rhoda Avenue,Smithtown,NY 11787,as Co-Trustees,or their Successors and/or assigns,of the WILLIAM J.BOUCHER APPLICABLE EXCLUSION DISTRICT AMOUNT TRUST under Article II(B)(1)of the William J.Boucher Revocable Trust dated May 1000 23,2013, SECTION 110.00 party of the second part, BLOCK WITNESSETH,that the party of the first part,in consideration of ten dollars and other valuable 06.00 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, LOT 002.000 ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate,lying and being in the SEE SCHEDULE"A'ATTACHED HERETO Subject to all covenants,easements and restrictions of record. Said premises known as 5645 Pequash Avenue,Cutchogue,NY 11935. Being and intended to be the same premises conveyed to the party of the first part by deed dated April 26, 2024 and recorded in the Suffolk County Clerk's Office on October 17,2024 under Liber D00013268 page 704 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. AND the party of the first part covenants as follows;that said party of the first part is seized of the said premises in fee simple,and has good right to convey the same;that the party of the second part shall quietly enjoy the said premises;that the said premises are free from encumbrances,except as aforesaid; that the party of the first part will execute or procure any further necessary assurance of the title to said premises;and that said party of the first part will forever warrant the title to said premises. 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 M.BOUCHER D BOUCHER STATE OF NEW YORK,COUNTY OF SUFFOLK ss: STATE OF NEW YORK,COUNTY OF �L�tTU I� ss: On the u�day ofk~#in the year 2025,before me,the On the 3 day of Jewmig in the year 2025,before me,the undersigned,a Notary Public in and for said State,personally undersigned,a Notary Public in and for said State,personally appeared appeared DIANE M.BOUCHER DIANA M.BOUCHER 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 me that he/she/they executed the same in his/her/their that he/she/they executed the same in his/her/their capacity(ies), capacity(ies),and that by his/her/their signature(s)on the and that by his/her/their signature(s)on the instrument,the instrument,the individual(s),or the person upon behalf of which individual(s),or the person upon behalf of which the individual(s) the individual(s)acted,executed the instrument. acted,executed the instrument. Notary Public Notary Public HARIKLEA D.BAIALARDO HARIKLEA D.BAIALARDO Notary Public-State of New Ybik Notary Public-State of New York No.02BA6160903 No.02BA6160903 Qualified in Suffolk County Qualified in Suffolk County Commission Expires February 12,20-0 Commission Expires February 12,20-J STATE OF NEW YORK,COUNTY OF ss: STATE OF NEW YORK,COUNTY OF ss: On this day of ,in the year before On this day of ,in the year before me personally came ,to me known to be the me personally came ,to me known to be the individual described in,and who executed the foregoing individual described in,and who executed the foregoing instrument,and to me known to be the attorney-in-fact of instrument,and to me known to be the attorney-in-fact of the individual described in,and who by his _,the individual described in,and who by his attorney-in-fact attorney-in-fact executed the same,and acknowledged that he executed the same,and acknowledged that he executed said executed said instrument as the act and deed of said instrument as the act and deed of said by by virtue of a power of attorney dated and virtue of a power of attorney dated and filed filed simultaneously herewith. simultaneously herewith. Notary Public Notary Public Warranty Deed WITH FULL COVENANTS DISTRICT:1000 SECTION: 110.00 DIANE M.BOUCHER&DIANA M.BOUCHER,as BLOCK:06.00 Co-Trustees of the WILLIAM J.BOUCHER REVOCABLE TRUST LOT:002.000 To COUNTY OR TOWN:SUFFOLK DIANE M.BOUCHER&DIANA M.BOUCHER,as Co- TAX BILLING ADDRESS: 5645 Pequash Avenue Trustees of the WILLIAM J.BOUCHER APPLICABLE Cutchogue,NY 11935 EXCLUSION AMOUNT TRUST RETURN BY MAIL TO: Hariklea D.Baialardo,Esq. Davidow,Davidow,Siegel&Stern,LLP 1050 Old Nichols Road,Suite 100 Islandia,NY 11749 SCHEDULE`A' A,LL that certain lot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in tx Fleets Neck, own of Southold,County of Suffolk and State of New York,more fully bounded and described as follows: BEGINNING at a point on the Easterly side of Pequash Avenue distant 50 feet Southerly from the corner formed by the intersection of the Southerly side of Stoutenberg Road,and the Easterly side of Pequash Avenue,and which point of beginning is marked by a concrete monument; RUNNING THENCE Northerly 61 degrees 09 minutes East 199.90 feet to a concrete monument in the dividing line between lands hereby conveyed and Lot Number 3,Property of Ravatone Realty Corporation; THENCE Southerly 32 degrees 18 minutes East,and along said land of Ravatone Realty Corporation,50 feet to another concrete monument; THENCE Southerly 61 degrees 09 minutes West and along land of J.Brower 199.90 feet to a concrete monument on the Easterly side of Pequash Avenue; THENCE North 32 degrees 15 minutes West along the East side of Pequash Avenue,50 feet to a concrete monument at the point or place of BEGINNING. Said premises being known as and by 5645 Pequash Avenue,Cutchogue,New York. Being the same premises conveyed to Grantors hereby by deed dated March 10,2000 and recorded April 11,2000 in the Suffolk County Clerk's Office in Liber 12033,Page 779. FOR ODUNTY USE ONLY Cl- SWIS Code 0 1 7 1 3 1 8 1 8 1 9 1 C2_ Date need Recxmded 19 / 5 20251 F-lN5}:www.drj7S.skiEe.tty.Us Houck Day year New York State Department of Taxation and Finance C3_ Dock 11,3,3 ,0, 8 I C4_ Page 1 .1 . 1, 5 1 C]flire of Real Property Tax Sefvir:es PROPERTY INFDRlIATION RP- 5217-P©F sa.WDOX L___ , 3 t I I—-.Ia. I^ _I_____E____-€_.._J Heal Property Transfer Report(8110) PROPERTY INFORMATION 1.Property 5645 Pequasi-t Avenue Locattan _m '91 of E>nl,w(fErx sTrtf�-rv.nMf C:uLc:tic]uuv "L I�735 r_3FY LHZ'f OVdIS VILLAC-, CUOE ° ar Diane M.Boucher&Diana M,Boucher as Co-Truss es of the W3II i air�.I30lFC€F¢:T l:�1�1I1L`i3tlie I�:KClE33 tors.A€tSVt1i�F Tr'I�s€ Name ^i ST IS"EVCOMRAHY FntS,1 rvnME.. LAST Nc.AIFf.YRkY � Fla RF NnMF •••••••"•••••••••�� ••••••. ....... 3.Tax Indicate where future Tax Biiis are to he sent Rifling K ether than addi&s €buyer al bottom of form FI Address Y tn�l'NAlnFJGOrJb'.SrdY �mm^ FiSF dIAME ^.1fi3;Ld Ni-MAEFt,�NQ rcAME Ctry cm'pyvN C.1A3'Y_ ZIICOD] 4.Indtcete the number of Assessment 1 pan of a Parcel (Only€€Part of a Parcel)Check as"toy apply: Rot;parcels fransferred on the deed #❑F FrarCCSs OR ❑ 4A.F'Ianryng Board with Suf7div€sion Authority Existel 5.Deed X OR 0,23 48,Subcilvislon Approval was Required for Transfer Property FRn=,T Ee_.T -rEnrH nc:xEs St-e ❑ 40-1'aror�Approved For Sutxlivisiurs wi th Map Provided D lA ne M.8ouc her,&D£ttrilt Nl.Bouc Fitt as Cu-Trustees of the Wi II lath J f3o uc her Revocahie Trust a.Seller I.AS'f rvAh M A Y �,. ^^ [IRs3 yn aE Name ta.,T nauuev¢nr'.^.riv 'iRSt Dore.= `P.Select tha dacer€pt€on which mast accurately descriteas the Check the taxes below as they apply: t€xe of the property at the time,of sate: a.Ovsnefsrlap Type is Condorrinkrm A.One Family Residential S.New Consituclian on a Vacant€..and ❑ ---- 10&Prcpwly t.ocalsd mthln an Agricultural 058€riot I W3.Buyer received a d5sciosure notice indtcatirig that the properly is in an Agrinuftural 0 strict SALE INFORMATION IS.Check nos or more of these cand#lonx ae applicable to tnmsfer. A.Safe 8etw n FRclauves or Fortner Reialives 11.tale Contract note S.Sale coat dried Rol sled Carnpahies or Fartmf-in Sussneas. ■■■ C,one of the Btdyers is also a Seller D,Buyer or Seiler is 3overnman€Agency or Lgndl ng Ins€€tut€nn "12.Bata of Saleffransfar ti3 E maned Type not Warrar"or Bargain and She(`-Specify Below) F.Sale of Fractions€or€.ess Evan Fee lrlt&mst(Specify Below) '13.Full Safe Price 0,00 G.S€grapcan€Change in Property Between Taxatl a Status and Sale Dales H_Sale of Business is tR duded in Sala pricey (Full Sale Frioe Is She total amount paid for the property ifw€fad-ng personal property. I- Other Unusual Faclots Af€eatin This payment may to in the form of cash,other proper nr goads,ar the assum tion of 9 Sale Price(specify Sc-lrxvy Y p J,None rclnngagm or ether�igat€pea,}P7casa round to the nearest w7re17e d'otlar amount. •Comrnenf=s)an Condemn: 14.1adicate the val lie of persona€ property included in the sale -DO Trust dis rrzbuci urn ASSESSMENT 04FORMATION-Data should reflect the latestFinal Assessment Roll and Tax Bill 16.Yaw of Assesssinant Roli from whtch€nforrrIatlort tak"YY) 24 117.Total Assessed Value 3 e 20 D "78.Property Class 210 _, "79.School District Hems wda t L i.,s tic k *20.Tax Mall€dortt€fier(gl7ftol€€deraii€-wis)(If more than four,attach shoot with additional identifier(st) �. ----- CERTIRCAT ION I Certify that all of the Rams of in€armatton enter ad on this tone arm true and correct(to the hest of my knowiedge and Wief#and€understand that the making of any Willf-ut false statehsei+t of material fact herahl subject me to that psav€siarns of the Doom law ralaEiye to Rise making and flung M false inmirament_ SELLER SIG NA'ttifLE BUYER.CONTACT I WA"ATt,S,H �rVtaIT{Awp for"Auyw NwW It bwer is LLC,aoaety,e2S06aLo,cerporat M join€Stotk celrnlM0,a tRte o* -sky u^at m not an indM&vat Rg;t or fl�Ury,"n a dame and Cdfit2Lt WOfMalron&an Is dIVAUSL ApOnSlb� "arty Whu pan arsrer 4uevions roga�dmW the vsnsrer must he entered Type nr WFne of eartr.r �- SEx LER SK,NKIIAL OAT r EklA7E£l ttANAT3IRE I3auc 3 r, Tru5t urte Diane M. '€AST TiaMk immiRiT aipiTr 5/3 f,531} 301-34 70 rkR ..rf+�ti_R2E 'n� 8 rAT1I7dmi-.l Coti4t 1 3 1 ) SmiLhtown NY 11787 YtSY oft YOW4J nFF 'rim�•P:+� I � ki1LY.�.l3S 1€kTT9RTrIEY 1 € ■ I 1 .E3aza�.ardc� Hariklea D. l d 1 f ,A9T HAVE V,RST rvAMA I ' 1 f 1 � 55311 �34--3C33❑ i(;LErxnniyE K:rMl.M_W Ft=r:99�49N}