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HomeMy WebLinkAboutL 13311 P 874 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 10/3/2025 Number of Pages: 4 At: 7 :44 :35 PM Receipt Number: 25-0129658 *ELECTRONICALLY RECORDED* Transfer Tax Number: 25-06889 LIBER: D00013311 PAGE: 874 District: Section: Block: Lot: 1000 053 .00 06.00 021 .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: 25-06889 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 10/3/2025 7:44:35 PM VINCENT PULEO CLERK OF This, d}€.gismo.nt w'ilt be rublic SUFFOLK COUNTY L D0 0 013311 prior to recordhq, 25-0613139 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.TAX 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 25037877 Real Noperty T Cori i.cieratiQz r�.rrourzt$0.00 Tax Service P s R IPA A 0.00 Agency917 412 0 2 5 CPT( Tax Due Improved x � a rs actrons� a�es a eases €s rope Hers a�ts�g Tess RECORD&RE!URN TO-, vacantl.and )Mahon )Mahon Kerins and OBrien TD 10 254 Nassau Blvd Garden City NY 11530 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 DL® -made 4y, (SPECIFYTYP OF INSTRUMENT) The prerniw5 herein issituated in SUFFOLK COUNTY, NEW YORK TO In tt*TOWN of SOUTHOLD 1 n the\ALLAGE or HAMLET of soxEs6 THRU 8 MU7 BE;YPED OF,PRINTED I BLACK INK ONLY PNOR To RECQR0ING OR Ft LING, av —Executor's Deed—Individual or Corporation(single sheet) THIS INDENTURE,made the Z day of 1 u n e in the year 2025 BETWEEN RICHARD C.JENSEN JR.,residing at 18 Tower Drive,Maplewood,New Jersey 07040,as Executor of the Estate of RICHARD C.JENSEN,who died on September 27r",2015,Nassau County Surrogate's Court File No.2015-387375(c), party of the first part,and RICHARD C.JENSEN JR.,residing at 18 Tower Drive,Maplewood,New Jersey 07040,as Executor of the Estate of RICHARD C.JENSEN,who died on September 27th,2015,Nassau County Surrogate's Court File No.2015-387375(c), party of the second part, WITNESSETH,that the party of the first part,to whom letters testamentary were issued by the Surrogate's Court of the State of New York for the County of Nassau on May V 2023,and by virtue of the power and authority given in and by said last will and testament,and in consideration of -0- DOLLAR and/00100 ($0.00) 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, WHEREAS,the Declarant is the owner of certain real property located in the Town of Southold,County of Suffolk,State of New York,Tax Map#District 1000,Section 053.00,Block 06.00,Lot 021.000,which real property is more particularly described in Sche ddt A annexed hereto(hereinafter referred to as the"Property");and WHEREAS,the Property is situated in or adjacent to regulated tidal wetlands which have been inventoried and mapped by the New York State Department of Environmental Conservation (hereinafter ADepartment@), pursuant to Environmental Conservation Law(hereinafter"ECL")Article 25(also known as the"Tidal Wetlands Act")and Part 661 of Title 6 of the New York Cose of Rules and Regulations(hereinafter"6 NYCRR!');and WHEREAS,various activities conducted both in and adjacent to tidal wetlands are regulated by the Department pursuant to ECL Article 25 and Part 661 of 6 NYCRR and require written authorization from the Department prior to being conducted; NOW,THEREFORE,in recognition of the Department's jurisdiction as set forth above,it is the responsibility of a party having any right,title,or interest in the Property,to obtain from the department or any successor organization,a current description of all activities which are regulated pursuant to ECL Article 25 and Part 661 of 6 NYCRR,and to obtain written authorization from the Department prior to such regulated activities being conducted on the Property.Regulated activities include,but are not limited to clearing of vegetation;application of chemicals;excavation;grading and filling; dredging; erection of structures; construction or reconstruction of shoreline erosion structures; and construction and reconstruction of docks and bulkheads. SEE ATTACHED SCHEDULE A Said Premises:4155 Bay Shore Road,Greenport,NY 11944 Section 053.00,Block 06.00,Lot 021.000 Being and intended to be the same premises as conveyed to the Grantor by Deed dated 7/12/2023,recorded 4/10/2024 in Liber D00013243,Page 879 TOGETHER with all right, title and interest, if any, of the party of the first part of, in and to any streets and roads abutting the above-described premises to the center lines thereof, TOGETHER with the appurtenances,and also all the estate which the said decedent had at the time of decedent's death in said premises,and also the estate therein,which the party of the first part has or has power to convey or dispose of, whether individually,or by virtue of said will or otherwise; 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: RICHARD C.JEJJEN JR,a Executor of the E: a of Rich d C.Jensen ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of ss: State of New York,County of .ss: On the day of in the year 20_,before me, On the day of in the year the undersigned,personally appeared before me,the undersigned,personally appeared personally known to me or proved to me on the basis of satisfactory ,personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose names)is evidence to be the individual(s)whose name(s)is(are)subscribed to (are)subscribed to the within instrument and acknowledged to me the within instrument and acknowledged to me that he/she/they that he/she/they executed the same in his/her/their capacity(ies),and executed the same in his/her/their capacity(ies), and that by 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 his/her/their signature(s)on the instrument,the individual(s),or the the instrument. person upon behalf of which the individuals) acted, executed the instrument. ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE *State of New Jersey,County of t1r,5&,C�e ss: *(Or insert District of Columbia, Territory, Possession or Foreign County) On the Zkd day of in the year 2025,before me the ytp ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS undersigned personally appeared TAKEN IN NEW YORK STATE RICHARD C.JENSEN JR.,Executor Personally known to me or proved to me on the basis of satisfactory State of New York,County of ss: evidence to be the individual whose name is subscribed to the within On the day of in the year instrument and acknowledged to me that he executed the same in his before me,the undersigned, a Notary Public in and for said State, capacity, that by his signature on the instrument,the individual or the personally appeared person upon behalf of which the individual acted,executed the ,the instrument,and that such individual make such appearance before the subscribing witness to the foregoing instrument, with whom I am undersigned in the personally acquainted,who,being by me duly sworn,did depose and say that he/she/they reside(s)in (add the city or political subdivision and the state or country or other place the acknowledgement was taken). (if the place of residence is in a city,include the street and street number if any,thereof); that he/she/they know(s) "0Vt rc1. to be the individual described in and who executed the foregoing y instrument;that said subscribing witness was present and saw said /v OI 4*y Pub V(, NADA S ABOUZID execute the same;and that said witness at the same time subscribed Commission#50089301 his/her/their name(s)as a witness thereto Notary Public,State of New Jersey My Commission Expires August 29,2028 Executor's Deed SECTION 053.00 Title No. BLOCK 06.00 LOT 021000 RICHARD C.JENSEN JR., as Executor of the COUNTY OR TOWN Estate of RICHARD C.JENSEN Suffolk County TO RICHARD C.JENSEN JR., as Executor of the Estate of RICHARD C.JENSEN RETURN BY MAIL TO: Richard T.Kerins,Esq. Mahon,Mahon,Kerins&O'Brien,LLC 254 Nassau Boulevard Garden City South,New York 11530 SCHEDULE A ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate, lying and being at Arshamomaque in the Town of Southold, County of Suffolk and State of New York, known and described as Lot Number Seventy-five (75) as shown and designated on a certain map entitled "Revised Map of Peconic Bay Estates" Map #1124, which said map was made by Otto W. Van Tuyl, engineer and surveyor of Greenport,New York, and is on file in the Office of the Clerk of the County of Suffolk, State of New York. SAID PREMISES 4155 Bay Shore Road, Greenport,NY 11944 Section 053.00, Block 06.00, Lot 021.000 FOR COUNTY USE ONLY iF-INS):www.orp55-state_r1y-us Cl- SWIS Code 14 i 7 i 3 i 8 i 8 i 9 Now yolrit Stag f1tepartment of C2- Date need Recxurded 1 10 / 3 20251 Taxation and Finance rlonth Day year Office of Real Property Tax Services C3- Book 11.3.3 .11 1 1 C4- Page I 1 18 1 71 4 I RP- 5217-PC3F Real Property Transfer Report(W10) PROPERTY INFDRlfATIDNI t.Property 4155 Bay Shore Road Location -------- ------ -- —... ..._ 'sra�er rM3M6ER •s r rennet Greenport 11.944 •r sTy OR TaWN viu-R-a 'YiP CODE 2.Buy(w ,7c.rxs ri J--., Executor Ricna1:d C Name _ BAST NAME OMPANY ----- o,+ of cr,cu-d [ s cry s e r> l.A.3'E r A.EeC QMPA Y •••.��••••�---- "3RST rirv.Mt; .. -••••••••••••••••••••••••••••• 3.Tax In4cate where future Tax Bills are to be sent _ efll€ng if other than tluyer address(at bottom of form) LAST NAMPICOL�PRt3Y -----------F3RST NAME ^. Address --- .- -- ....-.....-. G-ATE 21P GC OE. aTTiEET NUMBER AND NAME C3TY OR TaWiJ 4.Indicate the number of Assessment of Parcels ❑Pan of a parcel (Only It Part of a parr,al)Check as they apply= Ro€t parcels transferred on the deed # s Qft 4A PlannIng Board with Subdivision Authonty Exists S.Deed X - OR C'-2 4W Subdivi store Approval was Required far Transfer El Property -FRONT FEE.7 ^cEwrsi Rcrara S€ze 4C,Parcel Approved for Suhd€vision wi€h Map Provided Jensen Sr., Executor q-f 'CG]i i" Ri-chard•'•C.- ••--.•'•' •' ...._._._.___..____.—_._.........._._ ......— 6.Seller �^F f�a C•1 GLY C.{ C• ��YI�E r Z • •••••••' _.._._._ ._._.._ Name •••••LAST N.A.m K.^ai6W�ANY .••••f IRSf 3•WME �•M••-�••V�••• *7.Seleet the description which most araurately describes the Check the boxes below as they apply: use of the property at the time of sale: 8.Ownershlp Type is Condom€ni unt A. One Farnily Residential S.Now Construction on a Vacant Land -----•------. ........w------.. IOA.Properly t^exaled within an AgrictAtura{District 108_Buyer reoe€ve r a€disclosure notice indicating that the property Is In an ED AgrIcultura[[3IW-ci SALE INFORMATION1 IS.check one or more of those conditions as ap pftable to transfer: A.Sale Between Relatives or Former ReMves _ Tt.Sate Contract Data B-Sale between Related Companies or Partners in Business- C.One of the Buyers is also a Se€Ier • f 0,auyar or Seller Is Government Agency or Lending Instltutlwa `12.Rats of SaleCrransier j .� �.5 -.._._._._. .._._..._._ ._....._..._._.............. E.bead Type not Warranty or Bargain and Sa€e(Sperafy Saktw) F,Sale of Fracllona€or Less than Fee Interest(Spa cify Below) 'I a.Full Sate Price .Qa G Slgnlfiaant Change in Property Setwgan Taxable Status:and Sale hates H.Sale of Business is Included€n Sale Price (Full Sale Price is the total amount paid for the progeny inGuding personal property, � ... i- Other Unusua{Factors Affecting Saks Price{Specify Below) This pav mesnt may be In the form of v4sh,other property or gacds,ar the assumption of , mortgages or other onllgat[vns-)Plassa round fa the mean w whod daifar am oust. L f.None "'- commenttsl on condition- t a.indtonte the value of perscin.f property Inohtded in the sale -00 ',YranB'fer to executor ......._................ -...�.....__.. .._........_-. ..__- ASSESSMV.NT INFORMAT10N-Data should reflect the Latest F Ina I Assessment hall and Tex Rill 16.Year of Asslessment Roll from which informatkm taken(YY) 26 "17-Total Assessed Value 2 -7-+ *M Property Class 250 j:.•,.... *19.School Plstrict Name Grc--Bnj?Or t. '20.Tax Mail ldentfpar(s){Ro"Identifiev(s)(if more than font,attach shout with add€tlonaI rdrn tl ser(ay) ..' ....-..........__..........__........................__.......... 053.00--06.00--021-000 CENTIFICAT€ON I Certify that all of the items of Information entered on this form are true and correct(to the best of my knowledge and belief)and€understand that the making of any WiHut false statement of material fact herein subject rite to the.prorfa of►Ile perrltLlatacrelative to the making and tiling of false Instruments. $ELLgR_SrjQNATt1RE $UYER CONTACT I}tiIFdRN[q]- f!1 {Enter irdormaHrm for the buyer.Note:if buyer Is LLC,sodary-assacia"i ,mryaratian,lQillt SIOCk c7rnparry,astafe or f entity that Is not an i?Sdividun--n,cmt or fidudery,than a name and sort�rf-`.arrnation of sr=lhglYldN��rpgrrpr?n(A€e pwty who f n ari vl r QiuoC was ra> arding Lke tranalE-rri t be Ankared.Type or pilot ClE91i�Y•F .� - -........... ..........-......v .. VA-- .............. 8FL-Eii SFGNAT1isF YxR erzsen jr. Richard C. NATURE .I.. Y3RGr l ................................... L .. _...._.... ...... .............................. •PAER CODE •1 949n3] re i8 Tnwex' Drive -s mrw r N,,Mi vk 'STRE�NAM[ T-^'--••-- -- r E 1 N#apewot7d NJ 07090 'a='l'r ow TowN ........ ....... _ •aTATv •ate coot 15MY.RR-a MORNEY I KEr].Yl3 R3.Ck'aard T_ 1 � 1.4FiT NNMF. FxFr6F Nu.]hF (S16) 538-7.111 t AREA Coale..�........... TEL14-Hat'M M.EMmA ice:s so"a1 1 '