HomeMy WebLinkAboutL 13318 P 644 IIIII IIII IIIII II II I I III III I I I I I I i l l l l l l l l l l l l l!
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/04/2025
Number of Pages : 4 At: 09 :51 : 48 AM
Receipt Number : 25-0156905
TRANSFER TAX NUMBER: 25-12508 LIBER: D00013318
PAGE : 644
District: Section: Block: Lot:
1000 015 . 00 07 . 00 010 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $1 , 010, 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 $5 . 00 NO RPT $200 . 00 NO
Transfer tax $0 . 00 NO Comm.Pres $20,250 . 00 NO
Comm.Pres Fund $16,200 . 00 NO Comm.Housing Fund $4 , 050 . 00 NO
Fees Paid $20 , 650 . 00
TRANSFER TAX NUMBER: 25-12508
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
VINCENT PULEO
County Clerk, Suffolk County
L I
Number of pages
RECORDED
2025 Dec 04 09:51:48 Ali
This document will be public VINCENT PULEO
CLERK OF
record. Please remove all SUFFOLK COUNTV
Social Security Numbers L D00013318
P 644
prior to recording. DT# 25-12508
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee -r Mortgage Amt.
1.Basic Tax
Handling _ 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total DU Spec./Add.
EA-5217(State) I TOT.MTG.TAX
R.P.T.S.A. Dual Town Dual County
Held for Ap of ent
Comm.of Ed. — _5. 00 Transfer Tax
Affidavit • . Mansion Ta
The property, ed by this mortgage is
ertified Copy or will be improved by a one or two
3 1 —
NYS Surcharge 15. 00 family dwelling only.Sub Total w
YES or NO
Other
Grand Total "— If O see appropriate tax clause on
1# of this initrum�nt-,lyl��
4 1 Dist.1000 25045309 ia00 01500 0700 010000
f { � 5 Community Preservation Fund
Real Property R p III�IIII�I�II�II`I�II`I Consideration Amount$
CVA
Tax Service l I
Agency CPF Tax Due $
Verification
ImprovedS
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
David W. Olsen Esq TO f 00
Olsen&Olsen LLP
PO Box 706 TO
Cutchogue NY 11935
TO
Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Fidelity National Title
www.suffolkcountyny.gov/clerk Title#7404-020657
81 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Lawrence C. Provenzano and The premises herein is situated in
Jeanne M. Provenzano SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of Southold
EGN North Fork Holdings LLC IntheVILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Gramor's Acts—Uniform Acknowledgment
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made as of the O� day of OC7o4a-,r-- ,2025,
BETWEEN
Lawrence C.Provenzano and Jeanne M.Provenzano
43 Euston Road
Garden City, New York 11530
party of the first part,and
EGN North Fork Holdings LLC
1270 Wheatland Avenue
Lancaster, PA 17603
party of the second part,
WITNESSETH,that the party of the first part,in consideration of the sum 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 parry of the second part forever,
ALL that certain plot,piece or parcel of land,situate, lying and being in the Town of Southold,County of Suffolk
and State New York,being more particularly bounded and described as follows:
See Schedule"A",annexed hereto and made a part hereof
Premises known as: 555 Three Waters Lane,Orient, New York 11957
SCTM#: 1000-015.00-07.00-010.000
BEING AND INTENDED TO BE the same premises as conveyed to the parties of the first part by Deed dated
December 30,2015 and recorded on January 27,2016 in the Suffolk County Clerk's Office in Liber 12850 Page 201.
SUBJECT TO all covenants,restrictions,easements and agreements of record.
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"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.
Lawrence C.Provenzano
Je nne M. Provenzano
l
e
1
FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO. 7404-020657
SCHEDULE A,
(Description of the Land)
Far Tax Map ID(s): 1000-015.00-07.00-010.000
AMENDED 9125125
ALL that certain plot,piece or parcel of land,situate, lying and being at Orient,Town of Southold, County of Suffolk and
State of New York, known and designated as Lot No. 40,on a certain map entitled, "Orient-By-The-Sea, Section One,
situated at Orient Point,Town of Southold, Suffolk County, New York, owned and developed by Woodhollow Properties,
Inc., Jericho Turnpike, Jericho, New York, Otto W.Van Tuyl &Son, Licensed Land Surveyors,Greenport, New York", and
filed in the Office of the Clerk of the County of Suffolk on November 21, 1957 as Map No. 2777, bounded and described as
fellows:
BEGINNING at a point at the comer formed by the intersection of the southerly side of Kings Farm Road and the westerly
side of Three Waters Road;
RUNNING THENCE along said westerly line of Three Waters Lane South 01 degree 02 minutes 20 seconds West 110.00
feet to the division line between Lots 40 and 41;
THENCE along said division line North 88 degrees 57 minutes 40 seconds West 125.00 feet to a point and land (now or
formerly)of Sands;
THENCE North 01 degree 02 minutes 20 seconds East along last mentioned land 110.00 feet to the southerly side of
Kings Farm Road;
THENCE South 88 degrees 57 minutes 40 seconds East along the southerly side of Kings Farm Road 125.00 feet to the
westerly line of Three Waters Lane, the point or place of BEGINNING.
THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the
premises which by law constitute real property.
FOR CONVEYANCING ONLY: Together with all the right, title and interest of the party of the first part, of in and to the
land lying in the street in front of and adjoining said premises.
END OF SCHEDULE A
i
i
I
Commitment for Tide Insurance Printed: 09.25.25 @ 09:58 AM
ScnLdule A-1 Description NY-FT-FRVH-01030.431004SPS-1-25-7404-020857
State of New York,County of Suffolk ss: State of New York,County of Suffolk Ss: U
On the of day of OGT- in the year 2025,before On the day of_in the year_before me, the
me, the undersigned, personally appeared Lawrence C. undersigned,personally appeared _personally known to me
Provenzano and Jeanne M.Provenzano personally known to or proved to me on the basis of satisfactory evidence to be the
me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and
individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity,
acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument,the individual,or the
and that by her signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the
person upon behalf of which the individual acted, executed the instrument.
instrument.
(signature and office of individual taking acknowledgment)
(signature and office of individual taking acknowtedgmen
Robert DeFrese
Notary Public State of New York
Registration No.01 DE5035117
Qualified In Suffolk County
Commission Expires October 24,2026
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)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 whose name is subscribed to the within instrument and acknowledged to
me that he executed the same in his capacity,and that by his signature on the instrument,the individual,or the person upon behalf of
which the individual acted,executed the instrument,and that such individual made such appearance before the undersigned in the
i in
(insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken)
(signature and office of individual taking acknowledgment)
SECTION:015.00
BLOCK:07.00
BARGAIN AND SALE DEED LOT:010.000
COUNTY of Suffolk
WITH COVENANT AGAINST GRANTOR'S ACTS
title No. 7404-020657 STREET ADDRESS:
555 Three Waters Lane
Lawrence C.Provenzano and Jeanne M.Provenzano Orient,New York 11957
TO
EGN North Fork Holdings LLC
Recorded at Request of
David W.Olsen, Esq.
Distributed by Olsen&Olsen, L.L.P.
P.O. Box 706
Cutchogue, New York 11935
*"onwealth
COMMONWEALTH LAND TITLE INSURANCE COMPANY
RESERVE THIS SPACE FOR USE OF RECORDING OFFICE
A91d.71d7-9577 v 1
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.slatemy.us
FOR COUNTY USE ONLY �� New York State Department of
C1.SWIS-Code , --77, (V7 , ( Taxation and Finance
C2.Date Deed Recorded �4/ /'Z� ( OffiCe of Real Property Tax Services
"°'" •~ Lq RP-5217-PDF
C7.800k i �I ,S C4.Page , �, � Real Property Transfer Report(6110)
PROPERTY INFORMATION
1.Property 555 Three Waters Lane
Location
•eTREET wMatR •sra¢r aAuE
Southold 11957
• .cnwm TOwm w"'N's •ZIP CODE
2.Buyer EGN North Fork Holdings LLC
Name I
•LAST WMFCOVPMIY rIRa:MwE
L"T WA1LVOMPANT FIRST NAME
S.Tax Indicate where future Tax Bras are to be sent
Billing if other than buyer address(a baftm of form) LAST WYExeM Neff FIRST MANE
Address
STREET NUMBER ND NAME an,OR Tom STATE ZIP CODE
4.1rall ato the number of Amseumont 7 Pan of a Parcel 10,111111 Part o1 a Parcel)Chock as they apply:
Roll psraols transferred on the dead e of parcel* OR
$A.Planning Board with Subdivision AuOwriy Parisi El
S.Deed OR 0.31 4B.Subdiaelon Approval was Required for Transfer
Property 'FROMFEEr •W1 'ACRES
SizO
eC.Parcel Approved for Subdivision with Map Provided
Provenzano Laurence C.
B.Sailor •LAST Mµy,coupANw FIRST NAME
Name Provenzano Jeanne M.
LAST NAVVCGWAN• POST NAME
'7.Select the description which moat accurately describes the Check the boxes below as they apply:
use of the property at the time of Selo: 8.Ownership Type is Condominium
A.One Family Residential 11.Now Construction an a Vacant Land
10A.Property Loeeted within an Agricultural District
100.Buyer received o disclosure notice irdlce:ing that the property is in an ❑Agricultural District
SALE INFORMATION 1S.Cheek one or more of theso conditions as applicable to transfer:
A.Sale Between RelaSves or Former Relellves
11.Salo contract Date 0 9/0 2/2 0 2 5 B.Sale between Related Companies or Partners In Business.
C One of the Buyers Is ice a Saior
12.Oita of 9alefTransfor �0/a 9 La S— D.Buyer or Salar is Government Agency or Lending Institution
E.Deed Type not Warranty or Bergin and Sala(Specify Below)
F.Sale of Freclionoll or Less then Fee Interest(Specify Below)
'13.Full Sala Price 1,010,000.00 G.Sigrifieant Change In Property Between Taxable Status and Sale Dates
H.Sate of Business Is Included in Sale Price
(Full Sale Prim is the total amount paid for the property including permed property. 1.Other Unusual Factors Affecting Selo Price(Speary Below)
This payment may be in the form d cash,other property or goods,or the assumption o1 J.atom
mortgagee or other obligations.)!base round tothe merest wbdd dolisramount.
Comment($)on Condition:
14,Indicate the value of personal
property Included In the safo 0.00
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from which information takonlYY) 24 '17.Total Assessed Value 6,200
'18.Property Class 210 _ _ •19.School District Name Oysterponds
'20.Tax Mop Identifierl$pRoll Identlflorls)(If more than four,attach shod with additional ldontiRe4s))
1000-015.00-07.00-020.000
CERTIFICATION
I Certify that oil of the Items of Information entered on this form are true and correct Ito the best of my knowledge and bellafl and 1 understand that the making of any willful
false statement of material fact herein subject me to the provisions of the Donal Iaw mlative to the making and filing of false Instruments.
BUYER CONTACT INFORMATION
(Erear uuIRrnotian for a'w buter.Nols:a buyarb LLC,aodery,mump ion evIonaten,John clad!company.sarera or
unary the[Is not an nndrausr seem or Wuciery.Sewn a name and carnal klrmmnsln of an kmMduearespo ndms
-�� Fry Iran pnexer aweaone mpudnp Ns banaY must be Olnwed Type or prim clearly.)
�—
U,rut SQWT E DATE
Warfel Anne N.
BUYER SIGNATURE
`)1\ q/\] '6 •LAST NAME FIRST aAa'E
•V�/4/ '�/ Z '•FJACOJC •TELEFK:I.E NMMhlR(G:05AUM3
awwEe eGMT11RE DATE
1270 Wheatland Avenue
•STREET NUMBER 'STRUS r E
Lancaster PA 17603
.07r OR TOWN .STATE 'apcom
1�) INYER'S ATTORNEY
Olsen David W.
I I Seer NAVE FIRS:xAMe
+ (631) 513-3788
J y ARFACCm TELEPxoNExuesEaaa warrnl