HomeMy WebLinkAboutL 12997 P 928 r
1111111 IIII IIIII I�III IIIII IIIII IIIII IIIII IIII111111111
111111 Illll IIIII IIII Illi
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 01/23/2019
Number of Pages: 4 At: 02 :25 : 51 PM
Receipt Number : 19-0014840
TRANSFER TAX NUMBER: 18-21081 LIBER: D00012997
PAGE : 928
District: Section: Block: Lot:
1000 078 . 00 01 . 00 010 . 007
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $265, 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 $250 .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 $3,800 .00 NO
Fees Paid $4,320.00
TRANSFER TAX NUMBER: 18-21081
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
uu
Num be� r of pages
RECORDED
2019 _Tar 23 02-25.51 PE9
This document will be public JUDITH R, PASCALE
record. please remove all CLERK OF
Social Security Numbers -SUFFOLK COUNTY
prior to recording. L D00012997
P 920
DT# 18-21081
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recoding/Filing Stamps
3
FEES
Page/Filing Fee ��— [Sub
ortgage Amt.
Handling 20. 00 Basic Tax
Additional Tax
TP-584 Total7 —
Notation ec JAssit.
EA-52 17(County) _ or
Sub Total 5 Spec./Add. _
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A, V 4 Dual Town Dual Coua —
ry—
Comm,of Ed. S, 00 Fs Held for Appointment
Transfer Tax; -IT-
Affidavit Affidavit Mansion Tax "
Certified Copy — The property covered by this mortgage is
or willbe improved by a one or two
NYS Surchargel5. 00 '1 Sub Total family dwelling only.
/
Other — YES or NO
Grand Total �� If NO,see appropriate tax clause on
page# of this instrument.
=4Dist 19002278 - I
if oaal 07800 01o0 010007 �•Oo7 5 Community Preservation Fund
Real Pro e( PTS �I®f�t>�
Tax 5ervi( R�� Consideration Amount$ QU()
Agency 18�Igry-� ,
Verification -�_ CP ax Due $ b
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address - Improved
1 I RECORD
n &RETURN TO: (�I nlQ� Vacant Land ✓•
TD /0
TD
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title COMpany I formatimi
310 Center Drive, Riverhead, NY 11901 Co.Na e FNT/cT
www.suffolkcountyrjy.g0v/c1erk
Title# 7 p - 5100 76
81 Suffolk. Cnunty R.ecordin & Endorsement Pagre
This page forms part of the attached made by:
(SP CIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO -In the TOWN of
k In the VILLAGE
or HAMLET of7.ck)
BOXES 6 THRU 8 MUST BE TYPED 0k PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
u•o�o�„iaoekk ,
(nverl
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the /�� day of "� 2018
'BETWEEN G
r� -Bart obbett and Jean Robbett, residing at 76 Hillandale Road, Westport, New-*ei:lt
/ 06880
party of the first part,and
Michael Gaydosik and Maria Gaygosik, residing at 2105 East Mill Road, Mattituck, New
York 11952 o-:o �£-
party of the second part,
WITNESSETH,that the party 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,
ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,
lying and being in the
See Schedule A attached hereto and made a part hereof
Being and intended to be the same premises described in a deed the Grantor(s) made by
Leo Kwasneski and recorded December 19, 1978 in Liber 8748 Page 318
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:
t Robb tt
Jean obbett
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 ss: State of New York,County of ss:
On the day of in the year On the day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
Bart Robbett Jean Robbett
personally known t o me or proved to me on the basis of personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s)whose name(s)is satisfactory evidence to be the individu al(s)whose name(s)is
(are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to
me that helshelthey executed the same in his/her/their me that helshe/they executed the same in his/her/their
capacity(ies),and that by his/herlthei r signature(s)on the capacity(ies),and that by his/her/their signature(s)on the
instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behal f of which
the individual(s)acted,executed the instrument. the individual(s)acted,executed the instrument.
(signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment)
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
I
State(or District of Columbia,Territory,or Foreign Country)of t0 f7 1-71-c-44 ss:V1 `r
On the J�r day of tr in the year'YJ-?) g before me,the undersigned,personally appeared
�j�rt �od6rl�f �e 0 kv&,--7L
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/t heir signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,
exected the instrument Qnd that such individual made such appearance before he undersi ned in the
`tea n 011 eG
(insert the City or other political subdivision) and insert the State or Country or other place the acknowled ment was taken)
(signature and office of individual taking acknowledgment)
Cemlae Remrrrrg
NOTARY PUBLIC OF CONNECTICff
1000 My oem"'ssim EVres 120/1a
SECTION 78
BARGAIN ANDSALE DEED BLOCK 1
WITH COVENANT AGAINST GRANTOR'S ACTS
LOT 10.007
Title No. Southold
COUNTY OR TOWN340Sleepy Hollow Lane
Robbett STREET ADDRESS
TO Recorded at Requestof
Gaydosik
RETURN BY MAIL TO:
DISTRIBUTED BY Deborah Doty, Esq.
670 West Creek Avenue
P.O. Boc 1181
Cutchogue, New York 11935
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SCHEDULE A
(Continued)
ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, County of
Suffolk and State of New York, known and designated as Lot #5 on a certain map entitled, "Sleepy
Hollow" said map filed in the Office of the Clerk f the County of Suffolk as Map Number 6351, Abstract
Number 8002, on February 4, 1976,
For Conveyancing Only
Together with all right, title and interest of, in and to any streets and roads abutting the above described
premises. Our Policy of Title Insurance includes such buildings and improvements thereon which by law
constitute real property, unless specifically excepted therein.
END OF SCHEDULE A
�r
AMERICAN
Copyright American Land Title Association. All rights reserved. LAND TITLE
ASSOCIATION
The use of this Form (or any derivative thereof)is restricted to ALTA licensees and ALTA members in good standing as
of the date of use. All other uses are prohibited. Reprinted under license from the American Land Title Association. IF WE
ALTA Owner's Policy(06117/2006) Printed: 12.18.18 @ 02:14 PM
NY-CT-FRVH-01010.431074-SPS-72306-1-1&7404-00
0764
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLYNow York State Department of
C1.SMS Code :14;-1,5,g,tT q I Taxation and Finance
CT.Date Deed Recorded Office Of Real Property Tax Services
"°^` ar w• q RP-5217-PDF
C3.BookI(2y R,QL7jC4.Page Z Q I Real Properly Transfer Report(9110)
I
PROPERTY INFORMATION
I
i
I.Property 3 4 C ;leeoy Hol--ow Lant:
Location
'51W-L1 h-WOLN •sTREE-WWF
Southold 1.971
'fJrf ON on. VILIAM Ga OWE
2.Buyer Casdosik M:chae_
Name _
'1A51 SAIL-RpAVANY FPbr I:A1AL
Gay[igs 1 k Marza
LA5:NAYL'•.aLPAIi• ARST NAAei
3.Tax Indicate*hare 1 Luis Tao Bills are to be sent GBSCIOS_k Mi Chso1
BIIIIng if otter thunr address(at bottom of form _
Address �Yb ) ..:AaI NAL•LY'CJAPAti" 1,451 HAVE
STREE W. El AND IwE ci I GI IpVA STA•E .`a•L:MIF.
4.Indicate the number of Assessment p Q 1 Part of a Parcel [Only if Part of a Parcel)Check as they apply:
Roll parcels transferred on the deed p of Parcels OR
4A Planning Board vn:h S1.bdivisian Authority Exists
5.Deed Prop" FRarRFFEi K OR 0.93 4B.Suodivision Approval was Requlrec for Trans:er
'LEPTH 'Ac4LS
sloe
4C.Parcel Approved for Subdivision'Mlh Map Preceded
Rohhetc. 3arL
6.Sailer ,LASI HAMCCN-.NV. ... ..
FAST RAYL'
Name Robbett Jean.
.A51 KWMMVM- ••• Ri5•HAML •— _•••
'7.Select the doncrlptlon which most accurately describes the Check the boxes below as they apply:
use of the property at the time of sale: 8.ownership Typo is Condominium
C.Rhsidential Vacant Land 9.New Construction on a Vacant Land
10A.Property Locamd within an Agdculleral Dhcricl
10B.Buyer received a disclosure notice indicating that tho property Is in an
Agr"Itural Oislncl
SALE INFORMATION 15.Chock one or mon of these conditions as applicable to transfer:
A.Selo Between Relakves or Fomwr Relatives
11.Sale Contract Date (r •I 1 B.Sale between Rolacad Companies or Partners in Business.
C.One of the Buyers is also a Saler
12.Date of SaldTranafor 12 [- 10 1 D.Boyar or Seller Is Govemmon:Agency or Lending InstilWon
E.Dead Type not Walremy or Bargain and Sale(Specify Below)
F.Seel of Frowond or Lou then Fee Interest(Speo.ly Below)
'13.Full Sale Price 2.6 5 r O a C•C a ,011 G.Slgnflcant Change In Property Baween rexabte Status and Sale Dates
M Sale of Business is Induuod In Sale Price
(Full Sale Price is the total amount paid for the propory ;in
,ndrg personal property. I.Other Unusual Factors A9eeling Sob Pow(Specity Below)
Ths payment may ho,n the form of cash.other propony,or goods.or the assump:•on of X J.None
mortgages or other oblgationa.)Ploass round to arse neamar LVhote dollar amoure
Comment(&)on Condition:
14.Indicate the value of pareenel
property Included In the sale _ •01JI
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tox Bill
16.Year of Assessment Roll ham which Information taken(YY) 17 '17.Total Assessed Value 1400
'18.Property Class i-1 _ •79.School District Name
'20.Tax Map Idontif[er(s)Rtoll Idsntifierts)(If more than four•attach sheet with additional Idontllior(&)) .
_ILEO- 07S.00- 01-0- 010,00-7
CERTIFICATION
I Certify that all of the Items of Information entered on this form aro true and cornet(to the best of my knowiadgo and belleQ and 1 understand that the making of any willful
false statement of material fact heroin subject me to the provisions of It a penal ItrWroladve to ilia making and filing of false instruments.
SELLER 9 ONATUBE BUYER CONTACT INFORMATION
�••� (Crcw nru,rreuan 7w Ilia byer.No:u.X boyar Ix LLGeode•,y,as—A,on,"Wooa:1, 1dnl Ywl rempany,tie aY a
W11ws mr anargw.Soingeerne:gaue:rq w@ b.s men4r eI .t na'Iearroon'a=Type or prnlm t erlaenerly.)dr.al•ebpunislr
SF:.Fb S,IiNAI ••• IMTL
Gaydos_ Michael
—
, •�LSIvwI: F�Rsl nArve
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•NiL'A:Oa1 •ILLLPrXINE M1V&FR IF.,'aaxay,
FRai;U4G W.c
• 2105 Garr p??1] I;oa^
STRL11 NUM3151 •SHUXT SAME
Matc-:tuck NY -195.2
1 I 1 YIIV d17nwN _—
i •S*ADE •LV GOpE
rI , i I i 11S[Y.ER'$ATTORNEY
i I I I t Doty Debora-
,1 IAXTAAME FIRSThAL<
y t (ill 73466AS
t , Ni 4cwE •— TrAAMNiNLYali,r.ukav :