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Home My WebLink AboutL 12995 P 3 11111111 IIII IIIII IIIII IIIII VIII ttlll VIII Illlk IIII IIII „L. z. 1111111 IIIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 01/02/2019 Number of Pages: 3 At: 11 : 48 : 10 AM:._;4 Receipt Number : 19-0000359 TRANSFER TAX NUMBER: 18-18726 LIBER: D00012995 PAGE : 003 District: Section: Block: Lot: 1000 076 . 00 02 .00 005 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $450 ,000 .00 Received the Following Fees For Above Instrument Exempt Exempt f r• Page/Filing $15 . 00 NO Handling $20 .00 NO.q 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 $1 , 800 . 00 NO Comm.Pres $6,000 . 00 NO Fees Paid $8, 190 . 00 TRANSFER TAX NUMBER: 18-18726 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County , F1 2] Number of pages RECORDED 2019 Jan 02 11:48:10 AM JUUIM A. PASCALE This document will be public CLERK. OF record. Please remove all SU401-K COUNTY Social Security Numbers L crp0013 . P OOT prior to recording. DT# 18-18725 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee �� -� Mortgage Amt. 1.Basic Tax. Handling 20. 00 2. Additional Tax TP-584 �-�— Sub Tota I Notation Spec./Assit. or EA-52 17(County) SubTotal — Spec./Add. 2 TOT,MTG.TAX Dual Town_ Bull County R.PJAA, 2`v� Held forAppointment Comm.of Ed S. 00 Transfer Tax /Roo A6davit + + Mansion Tax Certified CopyThe property covered by this mortgage Is or will he Improved by 8 one or two NYS Surcharge 15. 00 family dwelling only. Sub Total �� YES orNO Other '1 Grand Total If NO, see appropriate tax clause on page k of this instrument. /d-3-/8S . a/0 4 Dist.1000 180282 1000 07600 0200 005000 5 Community Preservation Fund Real Tax VITA II®I�IIWIII®�III�IIII Consideration Amount sDDOa Tax Service R A Agency 28-OEC4 CPF Tax Due S Verification g tt —J Improved;3 6 Satisfactions/DisthargeRs[C�IR�5g RETIJRNL)OrtyOwners Mailing Address C & 7 Vacant Land HELEN J. ROSENBLUM, ESQ. TD /0 1287 EAST MAIN STREET RIVERHEAD, NY 11901 TD TD Mail to:Judith A.Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name STEWART TITLE INSURANCE www.suffolkcountyny.gov/clerk Title q {yp,q4&286.q �p A01"Z.6 8 Suffolk County Recording & Endorsement Page Thls page forms part of the attached_Bargain and Sale Deed made by: (SPECIFYTYPE OF INSTRUMENT) The premises herein is situated in MONICA S.SUROZENSKI SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD DAVID S. SUROZENSKI In the VILLAGE or HAMLET of SOUTHOLD BOXES 6 THRU 6 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over --neraain anti Sale Dad.with Co�onent apWit Gmfltor'm Aaty—Individual or Corporation(Single Sheet) • CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS O{�NLY. fiGT(J d4 )I}TE CC�nQEe 3, �/ d THIS INDENTURE,made the 1 st day of December,in the year 2018 BETWEEN MONICA S.SUROZENSKI,residing at 39765 Route 48,Southold,New York,11971, party of the first part,and DAVID S.SUROZENSKI.residing at 1635 Smith Drive North,Southold,New York,11971, party ofthe second part, WITNESSETH,that the parry of the first part,in consideration of - ten 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, PARCEL ONE: ALL that certain plot, piece or parcel of land;with the buildings and improvements thereon erected, situate, lying and being on the northeasterly side of the Main Bay View Road, at Bay View, near the Village of Southold, in the Town of Southold. County of Suffolk and State of New York, being known and designated as Lot#33 on a certain map of"Goose Neck, situate at Bayview,Town of Southold, Suffolk County, New York, owned by G.W. Smith &Sons", made by Otto W. Van Tuyl,• Licensed Surveyor, Greenport, New York and filed in the Suffolk County Clerk's Office on November 22, 1948 as and by File#1663, said premises having a frontage on Smith Drive North of 25.76 feet. PARCEL TWO: ALL that certain plot, piece or parcel of land,with the buildings and improvements thereon erected, situate, lying and being at Say View, near the Village of Southold,in the Town of Southold, County of Suffolk and State of Now-York, being known and designated no the easterly one-half of Lot 032 on a certain"Map of Goose Neck,altuate at Sayview, Town of Southold; Suffolk County,New York, owned by G.W.Smith&Sons", made by Otto W.Van Tuyl, Licensed Surveyor,Greenport, New York, and filed in the Suffolk County Clerk's Office on November 22, 1948 as and by File No. 1663, said premises having a frontage on Smith Drive North of 25.76 feet. Being and intended to be the same premises conveyed to the party of the first part by deed recorded in Liber 12214 page 766 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 pan 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 par[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 WITS WHEREOF,the party of the first pan has duly executed this deed the day and year first above written, 1N PRESENCE OF- Monica S.Surozenski ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of Suffolk,ss: State of New York,County of ss: On the ist day of December in the year 2018,before me, the On the day of in the year ,before me, the undersigned, personally appeared Monica S. Surozenski, undersigned, personally appeared personally known to personally known to me or proved to me on the basis of me or proved to me on the basis of satisfactory evidence to be satisfactory evidence to be the individual(s)whose name(s) is the individual(s)whose name(s)is(are)subscribed to the within (are)subscribed to the within instrument and acknowledged to instrument and acknowledged to me that he/she/they executed me that he/she/they executed the same in his/her/their the same in his/her/their capacity(ies), and that by his/her/their capacity(ies), and that by his/her/their signature(s) on the signature(s) on the instrument, the individual(s), or the person instrument,the Mvidual(s),or the person upon behalf of which upon behalf of which the individual(s) acted, executed the the individual(s) ded,executed the instrument. instrument. N®TARY PUBLIC NOTARY PUBLIC EDVIARD JOHN BOYD 5th Notary Public State of New York CZC00376625 Suffolk County Commission Expires April 30, 2019 p�goo 3�G�2� ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK TAKEN IN NEW YORK STATE STATE State of New York,County of , ss: State of ,County of , ss: On the day of in the year before me,the On the day of in the year before me, undersigned,a Notary Public in and for said State,personally the undersigned personally appeared personally known to appeared , the subscribing witness to the foregoing me or proved to me on the basis of satisfactory evidence to be instrument, with whom 1 am personally acquainted, who,being the Individual(s)whose name(s)is(am)subscribed to the within by me duly swom,did depose and say that he/she/they reside(s) instrument and acknowledged to me that he/she/they executed in (if the place of residence is in a city,include the street the same in his/her/their capacity(ies), that by his/her/their and street number if any,thereot);that he/she/they know(s) signature(s) on the instrument, the individual(s) or the person to be the individual described in and who executed the upon behalf of which the individual(s) acted, executed the foregoing instrument;that said subscribing witness was present instrument, and that such Individual make such appearance and saw said execute the same;and that said witness at before the undersigned in the (add the city or political the same time subscribed his/her/their name(s) as a witness subdivision and the state or country or other place the thereto. acknowledgement was taken). NOTARY PUBLIC NOTARY PUBLIC Bargain & Sale Deed COUNTY:Suffolk With Covenants TOWNICITY:Southold PROPERTY ADDRESS:1635 Smith Drive North,Southold MONICA S.SUROZENSKI SEC`10N:076.00 TO DAVID S.SUROZENSKI BLOCK:02.00 LOT:006.000 Title No.ADA-03368-S RETURN BY MAIL TO: DISTRIBUTED BY HELEN J.ROSENBLUM,ESQ. 1187 EAST MAIN STRURT JUDICIAL TITLE RIVERHEAD,NEW YORK 11901 T:800-281-TITLE F:800-FAX-9396 FOR COUNTY USE ONLY New York State Departmarit of C1,9MS Coda ,3 , 8, 9 Taxation and Finance C2.pats Dead Rseonded i_Q /9 Office of Real Property Tax Services RP-5277-PDF CS.Book 9 7 ✓ C4.Page � , � Q O,�I Real Properly Transfer Report(111114 0) PROPERTY INFORMATION e•Laoe� 1635 Smith Drive North •amff7 NUMBER •amEEMNIM Southold "1971 -CnYCA TOM vuwes aP CODE L Buyer Surozenski David S. Nome LAST 1E40115000MPAW Fam mum LAW RNIFJ001run FIRSTNAGE S.Tax Indicate where hore Tax Bills are to be sent Alnh g it over than buyer addre m(at bottom d" LAW 11,x, FeteTNNle 61REET MasER AND NN! My OR TOM WAVE aPCGM a.Indicate the number of Assessment 1 ¢d Parcels OR ❑Pad d a Parcel (Only B PER d o Parent)Cheek ns they appy: Roll parcels transtorred on the dead aA.Planning Hoard with SubdMakin Aul"Exists ❑ Dsed A Property •morrim X .'DEMUR 0.34 E9 s8.SubilMsion Approval was Required for Transfer El S aC.PamelAppmved for Subdivision with Map Provided ❑ Surozenski Monica B.Sellar 'LUTNATEeC01PW FparNlLq I Name :ASTNAIEVOURlwY rerenear '7.Sheet the description which most accurately describes the Cback the bows below as they appy: use of the properly st an time of sab: S.Ownership Type is Cah I nium A.One Family Residential a New Consbucbm on a Vacant land ❑ 10A Property Located within an Agricultural District 108.Buyer received a disclosure nodee indicating that she properly is in an Agricultural Distrix ❑ SALE INFORMATION 16.Cheek one or more dthsee randtbne es appBh"to transfer: A.Sub Balwaen Relations or Former Rekdm 11,!isle contract Dale B.Sale badwnsn Releled companies or Partnere In Budness C.One of the Buyers is also a Seger 12/03/2018 D.Buyer or Seller Is Government Agency or Lending Institution '1 t.Date d SablTrensM E Deed Type not Vbnany or Bargain and Salo(Speedy Below) F.Sob of Fractimal or Lep than Fee Interest(Spa*Below) '13.Full Sob Price 450,000.00 G.Significant Change In Property Between Taxable Statue and Sale Dates H.Sale of Business is Included in Sale Price (Full Sale Prim is the total amount paid for the property including personal properly. 1. Other Unusual Factors AReeOng Sale Price(Specify Below) This payment may be In the form d Cash.o0ler I;%arlyorgoods.orthe assumption d J.None mortgages or other obl%mdms.)Please round to His narrow whole da6eramounf. Comment(@)on CondMorh: 11.Indicate Me vahm of personal property Included in the wale .00 ASSESSMENT INFORMATION-Data should rated the latest Final Assessment Roll and Tax Bill 1s.Year of Ansessmant Roll from which Information token(YY) 18 117.Total Assessed value 4,300 '18.Property Class 210 _ 119.School Obb Name Southold '20.Tax Nap IdendNMs)IROIi Ident Ws)(lf more than tour.such shoe with additional k nroser(e)) 1000-076-D2-005 CERTIFICATION I Cerily that at of the Berm of letformston entered on this form are true and eomict(m the best of my knowledge and belled)end I urderatand that the making of env willful false statement of material fact herein subW mo to ilhe.provhlollw Of VMMaS law relative to the making and Mine of totes Instruments. SgLI ER SIGNATU F BU ER CONTACT INFORYATlM (Er r krbaneaw for ew bVpw.NM'r blew a LLG,sadey,ere000M.ralpwabrL Ibee s1orA haarlwM.erlale D on °1 prlfatnmlr gLMMWW aoWi ale afore nrm be cased 11CfM,y� ^y�VBFyyF7iI�R•w`Qe1G-•TlxiEr� ORTEE o Surozenski David BUYER SIGNATURE •LAW NNW FIWNAW �/,yi/� /�•�'/CJ •AREACOOE glUPH01E/Ra®OMON M WLXFM axhwATnhRE DATE 1635 Smith Drive North •UT wrsalCR •errlw RAISE Southold NY 11971 Cm OR Taw 4TATE 'aP Cue ONYEfC$ATEORM Rosenblum Helen LAST NAME FSWK%W (631) 727-1010 AREA seat TELEPFKM hesmT WE sonata