HomeMy WebLinkAboutL 13312 P 920 i
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I I I I I I I I I I I I I I I l l l l l l l l l
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 10/15/2025
Number of Pages: 4 At: 02 :28 :02 PM
Receipt Number : 25-0133839
TRANSFER TAX NUMBER: 25-07775 LIBER: D00013312
PAGE : 920
District: Section: Block: Lot:
1000 059.00 04 . 00 005 . 010
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $800 ,000 . 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 $0. 00 NO RPT $200 . 00 NO
Transfer tax $3,200. 00 NO Comm.Pres $15,000 . 00 NO
Comm.Pres Fund $12 , 000 . 00 NO Comm.Housing Fund $3,000 . 00 NO
Fees Paid $18, 595 . 00
TRANSFER TAX NUMBER: 25-07775
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
VINCENT PULEO
County Clerk, Suffolk County
❑1
Number of pages RECORDED
2025 Oct 15 02:28:02 AI4
VINCENT PULED
This document will be public CLERK OF
SUFFOLK COUNTY
record. Please remove all L D00013312
Social Security Numbers P 920
prior to recording.. 6T# 25-07775 g
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee17
Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. — Dual Town Dual County
Held forAppointmenth
Comm.of Ed. 5. 00 Transfer Tax ocOD
Affidavit • �. Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES orNO
Other
Grand Total ee appropriate tax clause on
ipage# of this instrument.
1D -.;or
4 1 Dist.100 1 25041165 1000 05900 0400 005010 ) 5 munity Preservation Fund
Real Property P T S ` II Consideration AmountTax Service R Uff 2 I II�II
Agency 094=r 1 CPF Tax Due $ s a�
Verification
Improved_Rfs
Satisfactions/Discharges/Releases List Property Owners Mailing Address
6 RECORD&RETURN TO: Vacant Land
AMERICAN DREAM ABSTRACT INC /
180 EAST MAIN STREET TD
PATCHOGUE, NT 11772
TD
TD
Mail to: Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.NameAMERICAN DREAM ABSTRACT
www.suffolkcountyny.gov/clerk
Title#ADA9514-S
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFYTYPE OF INSTRUMENT)
SALLY ANNE MCCORMICK FIKIA SALLY ANNE MCCORMICJ KUMP The premises herein is situated in
CAROL JUNE MCCORMICK COVELLI SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of SOUTHOLD
ANGEL BERGARA CHIMBO 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
BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
THIS INDENTURE, made on the bl� day of September 2025
BETWEEN,
Sally Anne McCormick f/k/a Sally Anne McCormick Kump and Carol.lune McCormick Covelli,
Individually and as sole surviving heirs at law of Susan Gail McCormick who died a resident of
Kings County,NY on August 21,2019,with an address at 565 Harley Lane,Southold,NY 1 1971
party of the first part,and
ch�r,r�b
Angel Bergara"with an address at 105 Oakview Highway 20,East Hampton,NY 11937
party of the second part;
�� WITNESSETH,that the party of the first part, in consideration of$10.00,lawful money of the United
States,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 commonly known as 565 Barley Lane,Southold,County of Suffolk,Town of
Southold, State of New York, District 1000 Section 059.00,Block 04.00,Lot 005.010 and described as
annexed hereto on Schedule"A."
See Annexed Schedule"A"
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 a]I the estate and rights of the party of the first part in and to
said premises,
TO HA VE 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 wi II
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 being and intended to be the same premises conveyed to the grantor herein by deed dated August
24,2001,and recorded on January 2,2002, with the Suffolk County Clerk's Office in Liber 12161 Page 326;
as corrected by deed dated April 25, 2002 and recorded on May 22, 2002, with the Suffolk County Clerk's
Office in Liber 12187 Page 385.
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 execu d this deed the day and year
First written above.
Sally Anne Mc rmick f/k/a
Sally Anne McCormick Kump
Carol June Mc mick Covelli
Acknowledttment
STATE OF NEW YORK )
SS.:
COUNTY OF 046 �� )
On the 2 `day of k�»/3 - in the year 2025 before me,the undersigned,personally
appeared Sally Anne McCormick f/k/a Sally Anne McCormick Kump and Carol June McCormick
Covelli,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/she/they 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.
signature and office ofry�individual taking acknowledgment)
1 AR Pl ti S���NOM lbf!
ft.01&6-iFo t594
GURK440d in Suffolk County
ttmmiaBbon Expires June 29,211
Property Address:565 Barley Lane,Southold,NY 11971
County: Suffolk
Town: Southold
District: 1000
Section: 059.00
Block:04.00
Lot: 005.010
ETURN BY MAI TO:
5�5 � �
F
Schedule A Description
Title Number ADA9514-S Page 1
ALL that certain plot, piece or parcel of land situate lying and being in the town of
Southold, at Southold, County of Suffolk and State of New York more particularly
bounded and described as follows:
BEGINNING at a point on the Westerly side of Barley Lane 454.82 feet Northerly
from the extreme Northerly end of a curve connecting the Westerly side of Barley
Lane with the Northerly side of Greenfield Lane,
J RUNNING THENCE South 68 degrees 39 minutes 10 seconds West 275.00
feet;
i RUNNING THENCE North 21 degrees 50 minutes 30 seconds West 150.00 feet
to land now or formerly of J.J. Donahue;
1 RUNNING THENCE North 68 degrees 39 minutes 10 seconds East along land
now or formerly of J.J. Donahue 275.00 feet to the Westerly side of Barley Lane;
i RUNNING THENCE South 21 degrees 50 minutes 30 seconds East along the
Westerly side of Barley Lane 150.00 feet to the point or place of BEGINNING.
FOR INFORMATION ONLY
premises being known as 565 Barley Lane, Southold, Town of Southold
1000-059.00-04.00-005.010
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.stele.ny.us
FOR COUNTY USE ONLY New York State Department of
C1.SWIS Code I �jl�;�;�t I Taxation and Finance
C2.Date Deed Recorded I / 5 / �J I Office of Real Property Tax Services
MINIM a., 10"' RP-5217-PDF
C3.Book I 1,Z2,3, 1 ,dl C4.Page I , I ,G ,l! I
Real Property Transfer Report(8110)
PROPERTY INFORMATION
I.Property 555 Barley Lane
Location
•S:REEF PNNaER •8711EET NAME
Southold 11971
•err art roves YaLACE •hp cow
2.Buyer Bercara Chj�� ® Angel
Name
LAST NAMECOMPANY FPST NAM
LAST NAIAEP.oM W FIRST NAME
3.Tax frxi cale where future Tax Bills are to be sent
Billing if other than buyer address(al bottoms of form) LAST NAME,coUPANY FIRST HUM
Address
STREET NUMBER AND NAME CITY-RTovN 6TATE 7Jp COOS
4.Indicate the number of Assessment Part (Only if Pan of a Parcel)Chock as they apply:
l a of Parcels OR P
❑ e o!a Parcel ❑
Roll parcels transferred on the deed 4A.Planning Board with Subdivision Authority Exists
S.Dead x OR 0.94 46.Subdivision Approval was Required for Transfer ❑
Property •FRONT FEET 'DEPTN 'ACRES
Size ❑
4C.Parcel Approved for Subdivision with Map Provided
McCormick Sally Anne
a.Seller •LAST NANE/COMPANY FIRST NAME
Name McCormick Covelli Carol June
LAST NAMEICOMrwNv Fatal NAra
7.Select the description which most accurately describes the Chock the boxes below as they apply:
use of the property at the time of sale: S.Ownership Type Is Condominium ❑
A.One Family Residential 9.New Construction on a Vacant Land ❑
10A.Property Located within an Agricultural District ❑
108.Buyer received a disclosure notice indicating that the property is in an
Agricultural District ❑
SALE INFORMATION 15.Check one or more of theso conditions as applicable to transfer:
A.Sale Between Relatives or Former Relatives
11.Sale Contract Date 0 7/0 6/2 02 5 0.Sere between Related Companies or Partners in Business.
C.One of the Buyers is also a Seller
D.Buyer or Seller is Government Agency or Lending Institution
12.Dale of Sale/Transfer — v E.Deed Type not Warranty or Bargain and Sale(Specify Below)
F.Sale of Fractional or Less than Fee Interest(Specify Below)
'13.Full Salo Price 800,000.00 G.Significant Change in Properly Between Taxable Status and Salt Dales
H.Sale of Business is Included In Sale Prix
(Full Sale Price is the total amount pain for the property including personal property. I. Other Unusual Factors Affecting Sale Price(Specify Below)
Tlbs payment may be in the form of cash,other property or goods,or the assumption of J.None
mongages or other obligations.)Please round to me nearest what-dosar amount.
Commengs)on Condition;
14.Indicate the value of personal 0 .00
property included In the sale
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
1S.Year of Assessment Roll from which Information takenlYY) 25 '17.Total Assessed Value 4,500
'18.Property Class 210 _ '19.School District Name Southold
'20.Tax Map Identifier(syRoll Idontifforls)III more than four,aftach shoot with additional Identifierls))
059.00-04.00-0os.020
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 belief)and 1 understand that the making of any willful
false statement of material fact heroin subject me to the_pLwjojgua of lh-pmwl,Tm relative to the making and filing of false Instruments.
SELLER SIGNATURE BUYER CONTACT INFORMATION
IEwM 3ltarmRtian kr the bUym.NO•,a II buyer iS LLC.Soe91y e1-OCI ion,wps-chin.lout Siva eompeny.estaw ar
SNky elan is nm an Indvlduat spent or 5duciery•men o newo and c ntad vftmetion of an ina'WiduasresponsiNp
_ __ / y . �[ pony who can answer quosikw raDerdna L•io transfer must Ire anwad,type or print etaady.t
SELLER SIGfa1TURE (J`(f7��`, fR• J
BUYERSIGNMRE Bergara Angel
•LAST NAME FIRST NAME
(631) 447-5880
.ajAREA COINE •rELEPMWP NUMSER e•:esssslq
BWFA SIONATItRE DA7E
555 Barley Lane
•6rREEr NLMBER 'STREET NAME
( r# Southold NY 11971
'CRY on TOM •STATE •aP cow
BUYER'S ATTORPJEY
' Y
Augi, Esq. Craig
' r I
LAST NAME FIRST NAME
I I I
(631AREA000E 447-5880 TELEPHONE AryMaER tE•:Metals)