HomeMy WebLinkAboutL 13317 P 334 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 i l l l l l l
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/20/2025
Number of Pages : 4 At: 01 : 43 : 48 PM
Receipt Number : 25-0150957
TRANSFER TAX NUMBER: 25-11439 LIBER: D00013317
PAGE: 334
District: Section: Block: Lot:
1000 126 . 00 04 .00 012 . 004
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 $0 . 00 NO RPT $200 .00 NO
Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO
Comm.Pres Fund $0 . 00 NO Comm.Housing Fund $0 . 00 NO
Fees Paid $395 . 00
TRANSFER TAX NUMBER: 25-11439
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
VINCENT PULEO
County Clerk, Suffolk County
ti
..........
RECORDED
2025 Nov 20 01:43:48 PPI
VINCENT PULED
Numberof pages 4 CLERK OF
SUFFOLK COUNTY
L D00013317
P 334
This document will be public DT# 25-11439
record. Please remove all
Social Security Numbers
prior to recording.
Deed I Mortgage Instrument Deed/Mortgage Tax Stamp Recording I Filing Stamps
7� FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec.[Add.
EA-5217(State) �ZS TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held for Appointment
Comm.of Ed.' 6. 00 er Transfer Tax
Q�
Affidavit Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other Grand Total If NO,see appropriate tax clause on
page# of this instrument.
:4] D i s�tl 0 25()45233 1000 12600 0400 01.2004 5 Community Preservation Fund
j
Real ecyert
yp T SsAmont$axSR CVA AP
Ag C, F Tax Due $
Verification
— Improved
Setsf actions!Discharges/Releases List Property Owners Mailing Address
6 RECORD&RETURN TO: Vacant Land
James R. Klein, Esq TD ler0ra
276 Jericho Tpke TD
Floral Park, New York 11001 TD
Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Philip O'Hara Nassau Associates, Inc
www.suffolkcountyny.gov/clerk - Title# Pohn-2025-
d R97 2
ng 8t Endorsement Page Suffolk County Recor
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Carol Lynn Baglivi formerly 'known as The premises herein is situated in
Carol L. Worth SUFFOLK COUNTY, NEW YORK.
To In the TOWN of Southold
Scoff Edward Worth In the VILLAGE
or HAMLET of Laurel
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR Fl LfNG.
over
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS
ONLY II
HIS INDENTURE, made the FT day of October, Two Thousand Twenty Five
BETWEEN CAROL LYNN BAGLIVI, formerly known as Carol L. Worth, residing
at 180 Masters Road,Laurel,New York 11948,
party of the first part, and
SCOTT EDWARD WORTH, residing at 555 Broadwaters Road, Cutchoque, New
York 11935, Trustee of the CAROL LYNN BAGLIVI ASSET MANAGEMENT
TRUST DATED OCTOBER 2,2025
party of the second part,
WITNESSETH,that the party of the first part, in consideration of ten dollars and other
good and valuable considerations 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
cod t Y,SEE DESCRIPTION ATTACHED HEREWITH AS SCHEDULE "A"
PREMISE being known as and by the street address of 180 Masters Road, Laurel,
New York 11948 and on the Suffolk County Tax Map as Section 126, Block 04.00,
O'f.oo Lot 012.004.
BEING and INTENDED to be the same premises conveyed to the Grantor here in
T Deed dated December 8,1998 and recorded in the Suffolk County Clerks office on
December 22, 1998 at Liber 11935, Page 429.
This conveyance is made subject to any state of facts an accurate survey would show.
This conveyance is made subject to all covenants, restrictions, conditions, agreements and
easements of record(if any).
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 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 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' when ever 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:
CAROL LYNA BAGLIV Grantor
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
Form 3290
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York, County of✓ Sv f--Col kc- SS:
On the I day of October, in the year 2025 before me,the undersigned, personally appeared
CAROL LYNN BAGLIVI
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/theirsignature(s)on the instrument,
the individual(s), or the person upon behalf of which the,individual(s)acted, ex cuted the instrument.
(slgnatu ice d indiv i taking acknowledgment)
TIFFANY J BEREZNY
Notary Public-State of New York
No.01SE6264112
Qualified in Suffolk County
My commission Fxpires 0 611 7/2 0 2 9
State of New York, County of ss:
On the day of in the year
before me,the undersigned, personally appeared
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 of individual taking acknowledgment)
SECTION 126.-u
BLOCK 04.00
BARGAIN AND SALE DEED LOT 012.004
WITH COVENANT AGAINST GRANTOR'S ACTS COUNTY OR TOWN Suffolk
CAROL LYNN BAGLIVI STREET ADDRESS: 180 Masters Road,
To Laurel,New York 11948
SCOTT EDWARD WORTH, Trustee of
the CAROL LYNN BAGLIVI ASSET
MANAGEMENT TRUST DATED Recorded at Request of
OCTOBER 2,2025
RETURN BY MAIL TO:
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by DAMES R. KLEIN, ESQ.
r� Commonwealth 276 Jericho Turnpike
AGAxo R�a�oMPavv Floral Park, NY
ZIP CODE: 11001
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SCHEDULE A
AMENDED 12f3/98
4
ALL that certain plot, piece or parcel of land;situate, lying and being in Laurel, Town
of Southold, County of Suffolk and State of New York, shown and designated on a
certain map entitled "Map of Property of A.L.'Downs, Laurel, L.Y., N.Y." made by
Daniel R.Young, and filed in the Suffolk County Clerk's Office on August 14, 1929 as
Map No. 21 as and by Lot No. 20.
TOGETHER with a descriptive parcel which lot and descriptive parcel, when taken
together, may be more particularly bounded ;nd described as follows:
BEGINNING at a point on the easterly side of a private road where the same is
intersected by the dividing. line between Lots 20 and 21 as shown on aforesaid
map;RUNNING THENCE North 50 degrees 39 minutes 10 seconds East along the
dividing line Between lots 20 and 21 a distance of 174.54 feet to a point on the westerly
side of Lot 30 as shown on the aforesaid map;
THENCE South 26 degrees 15 minutes 30 seconds East along'the westerly line of lots
30 and 31 a distance of 69.54 feet to a point on the northerly side of lot 16;
THENCE South 47 degrees 05 minutes 10 seconds'West along the northerly line of lots
16, 17, 18 and 19 a distance of 177.45 feet to a point on the easterly side of a private
road;
THENCE North 26 degrees 15 minutes 30 seconds West along the easterly side of a
private road a distance of 80.88 feet to the point or place of BEGINNING.
TOGETHER with the right to use in common with others a certain right of way 19.34
feet in width along the westerly line of lot 20 and the premises hereby conveyed to the
northerly line of Peconic Bay Boulevard.
4•
i
• INSTRUCTIONS(RP421 T-PDF-INSI:www.orps.statemy.us
FOR COUNTY USE ONLY
���� Now York State Department of
ct.swig coda i `1 I Taxation and Finance
C2.Date Dead Recorded I { / / I Cditce of Real Property Tax Services
?� Ca. year +� RP-5217-PDF
Q.Bock 11 t ,�I I l I04.Page I I r �I-1 I
Real property Transfer Report(8110)
PROPERTY INFORMATION
I.Propsrty 180 Masters Road
Location
•STREET ellTwEn •STREET NMIE
Laurel 11948
•01YORIOM VAAADE -aPCWE
2.Buyer CAROL LYNN BAGLIVI ASSET MANAGEMENT TRUST DATED `
Name — -
•wrNAveoouFAxr Fwar xAME
SCOTT EDWARD WORTH,Truste
LAST MMI COMFANT Fwsr NAME
3.Tax indiraw wham fNum Tax Sies are to be Sent BAGLIVI CAROL LYNN
Blting If oher than buyer addreas(al bottom of loner) IAarwWEIWMPAPff FOWMANE
Address
180 Masters Road Laurel NY 11948
STREET NUMBER ANDNAME emoRTowa STATE 23pcm
4.frlditme the number of Assessment 1 �Pat or a partial IOny ti Pan of a parow)Check as they apply:
Roll parcels transferred on the dead e d Parools OW 4A.Planning Board with Subdivitiat Authority Exists
5.Dead X OR 0.28 4B.Subdivision I was
Property •r TAgET •DEPTH -AORes Approval RequiroalW7rendar
Biro 4C.Parml Approved for subdivision with Map Provided
BAGLIVI CAROL LYNN
6.Seller •LAST lMuwhdampAw real Kee
Maine
TAsr WMEMONAAW F,asrNAME
•T.Saint the description Which most accurewly,destrftras the Chock the boxes below as they apply:
use of the proporty at the time of sale: 8.Ownership Type is Condominlum
A.One Family Residemial B.New Construction an a Vacant Land
ICA.Properly Located within an Agricultural District
t
708.Buyer received a disclosure notice Indicating that the property is in an ❑
Agriclkurat District
SALE INFORMATION is.Check one or mom of those conditions as applicable to transfer:
A.Sale Between Relatives or Former Relatives
""Salo
Contract Date B.Sale between Related Companies or Partners in Business.
C.One of the Buyers is also a Sager
`0 p— D.Buyer or Seller Is Govemmom Agency or Lending Insituaon
•t2,pate of SelelTranafer 7 E.Deed Type not wadamy or Bargain and Sale(Specify Beomr)
F.Sale of Fractional of Lass Than Fee Interest(Spook Below)
43.Full Solo Price0,[)Q G.Significant Chilies inproparty Bateman Taxable Status and Saw Daces
H.Sale at Business Is Included in Sale Price
1 Full Soo Pnee is the total amount paid for the properly including personal prop". I,other unusual Factors AHeding Saw Pries(Specify Below
This payment may be in the farm of cosh•other properly or goods-or the assumption of J.NOW
mortgages or other obligations.)✓Meese round to the nearest wapk Eb6eremoYnl.
CommarM(s)on Condition:
14.Indicate the value of personal
property included In the ule 0 Trust with Life Estate
ASSESSMENT INFORMATION-Data should reflect the latest Fillet Assessment Roll and Tax Bill
is.Year of AssassmaM Roll from which Intervention taken(YY) 25 '17.Tonal Assessed Value 3,600
•18.property class 210 _ 1 •19.School District Name 328 Mattituck
120.Tax Map tdandfier(ayRoa ldanuner(s)411 more than four.each shoot with additional Wandfier(s))
SEC126,BL04,LT012.004
CERTIFICATION
I Cortify that all of tbo Items of Information entered on this form are coo and correct Ito the bast of my knowledge and tralwQ and I understand that the making of any willful
false statement of nmtorfal fact haraln subjecl me to thaiwd Is ms litthojetap 1(mmYdve to tint making and filing of false Instruments.
I SELLER SIGNATURE BUYER CONTACT INFORMATION
IEnWfWWMM ntarcwaaw.llwx Y.twrxw 1LGsDdsb,MCd&M.CMPWMitn,take IRS*Sampling,Carol
emib rolls net an lwhAwl again a rAlmry,then Searle ant apmad MwmuSon ar an InaNauWoapmdkw
party rro m,e.•mwar aasmm leading the w.Slar—n be angled.Tws or Rana want.)
AF..ER Sh uruR DATE
Baglivi Carol Lynn
'why NAME nasr NAME
s.c 19Qg _ 3y3'!)
ucoDE 'TErE wWTA tEA:sMeMt
an'ER DATE
180 Masters Road
•mRCETNYWER -BTKEr NAME
Laurel NY 11948
1
PITY ea TewUl 'SrATC •APCDUE
BUYER'S ATTORNEY
Klein James
' rAsr Imwe Filer NAME
(516) 408-3452
AREA COIE TELEPHONE NUMBER 10 WIMM)
I