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L 13006 P 118
11111111111 IIIII IIIII IIIII 11111 IIIII Ilial IIIII 1111 IIII I l l l l i l l l l l l l l l l l l l l l l l l l SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 03/28/2019 Number of Pages : 4 At: 11 : 14 :34 AM Receipt Number : 19-0061617 TRANSFER TAX NUMBER: 18-27518 LIBER: D00013006 PAGE : 118 District: Section: Block: Lot: 1000 070 . 00 09 .00 041 .000 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 Fees Paid $395 . 00 TRANSFER TAX NUMBER: 18-27518 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County s -. 12-0104(2/99) 1 2 3 RECORDED Number of pages 2019 Mar 28 11:14:34 AM JUDITH A. PASCALE TORRENS CLERK OF SUFFOLK CO ITV Serial# L DO0413006 Certificate# P 118 DT# 18-27518 Prior Ctf.# Deed!Mortgage Instrument Deed!Mortgage Tax Stamp Recording!Filing Stamps 4T— FEES Page/Filing Fee 00 Mortgage Amt. Handling 1.Basic Tax TP-584 2.Additional Tax Notation Sub Total EA-52 17(County) /s Sub Total Spec./Assit. Or EA-5217(State) Spec./Add. i R.P.T.S.A. .py ��,, TOT.MTG.TAX . Dual Town Dual County Comm.of Ed. 5 00 Held for Apportionment Affidavit � �' � Transfer Tax ?T�� Mansion Tax Certified Copy The property covered by this mortgage is �. or will be improved by a one or two family Reg.Copy Sub Total dwelling only. aa YES or NO Other GRAND TOTAL J U IFNO,see appropriate tax clause on page 'r N of this instrument. .9 s 5 Real Property Tax Service Agency Verification _ 6 1 Community Preservation,Fund 19008206 3.000 07000 0900 041000 Consideration Amount $ Y� Stam PF Due $ Date "A 1 Improved Land 7 Satis., _�.ress TD RECORD &RETURN TO: TD DOUGLAS J. CHU, ESQ. TD HYNES&CHU, LLP 475 Park Avenue South, 26th Floor New York, NY 10016 8 Title Company Information Co.Name Regal Title Agency Title N Inv-19-9440 9 SUFFOLK COUNTY RECORDING Coit: ENDORSEMENT PAGE This page forms part of the attached Life Estate Deed made by: (SPECIFY TYPE OF INSTRUMENT) Helen Judevic The premises herein is situated in SUFFOLK COUNTY,NEW YORK. To Helen Matestic In the Township of Southold Katherine Jurjevic In the VILLAGE or HAMLET of BOXES 5 THRU 9 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) FORM 8007 CAUTION:THIS AGREEMENTSHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE,made the 3 day of rllm " 2019 between Helen Jurjevic,surviving by the entirety of Anton Jurjevic 1590 Custer Avenue Southold,New York 11971 party of the first part, Helen Matesic,residing at 12 Schuele Drive,Wappinger Falls,New York 12590;and Katherine Jurjevic,residing at 236 East 47'Street,419D,New York,NY 1001.7,,,JTWROS ZaCHA 3 YOWAR parties of the second part, A1aV waH!r s1a!8-oitdltq Yis!oVs exvocemto.©.t yInur3 tnaeltl_ni tsitilaug E!!�` ^.Z t9tiCxi ii01Ld)ittfti0�'t:A Grantor reserving a Life Estate --;=�= WITNESSETH,that the party of the first pard,in consideration of Ten Dollars and No Cents($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 in the (See Schedule A Description Attached herewith) Premises commonly known as: 1590 Custer Avenue,Southold,New York 11971 Being and intended to be the premises conveyed to the grantor by deed dated October 24, 1970 and recorded on November 27, 1970,with the Clerk of Suffolk County,in Liber 6847,page 67,68. 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 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 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 parry of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF. L� --�� Helen J sic ,I — IVo ary � 1f Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK ) COUNTY OF rJe w 'A o atm )ss.: } On the 3'k day of in the year 2019,before me,the undersigned, personally appeared Helen Jurjcvic,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 she executed the same in her capacity,and that by her signature on the instrument,the individual,or the persons upon behalf of which the individual acted,executed the instrument. RANDY E KROSS Notary Public-stats of New YM* NO,OIKR63307TO OMMM In Qtminl Co otary Public Nly CommSSIN'Expinrs Sep 21,2019 Bargain and Sale Deed with Covenants Against Grantor's Acts Title No. Section Block 9 Helen Jurjevic Lot 41 County or Town Southold Street Address 1590 Custer Ave., To Southold,NY 11971 Helen Matesic and Katherine Jurjevic, JTWROS Return By Mail To: Douglas J.Chu,Esq. Hynes&Chu,LLP 475 Park Avenue So.,26"Fl New York,New York 10016 Reserve This Space For Use Of Recording Office NYSBA's Residential Real rslate Loans(9/00) m 2002 Matthew Bender&Co.,a member of the LexisNexis Group. -2— Schedule A Property Description ALL that certain plot,piece or parcel of land,situate,lying and being at Southold,in the Town of Southold,County of Suffolk and State of New York,bounded and described as follows: BEGINNING at the intersection of the southerly line of Custer Avenue with the easterly line of Mailler Court;from said point of beginning running along said southerly line of Custer Avenue,North 82 degrees 37 minutes 10 seconds East,a distance of 128.39 feet;thence along land conveyed or about to be conveyed by the party of the first part to Radich and Kumbatovic, South 3 degrees 24 minutes 40 seconds West,a distance of 131.84 feet to lot 24 as shown on "Map of Smithfield Park"Fled in the Suffolk County Clerk's Office as Map No.4770;thence along said lot 24,North 86 degrees 35 minutes 20 seconds West,a distance of 129.92 feet to said easterly line of Mailler Court;thence along said easterly line,North 5 degrees 25 minutes 20 seconds East,a distance of 107.91 feet to the point of beginning. �u FOR COUNTY USE ONLY INSTRUCTIONS(RP-521743OF-INS):www.orps.statemy.us C1.SWIS Code I Now York SIaEaD"outrrtant O1 y1 ���8 Taxation and Finance C2.Date Dead Recorded IQ Office of Real Property Tax Services ,."' RP-5217-PDF C3.Book L3_0��C4.Page , 1 1 I Real Property Transfer Report(8110) PROPERTY INFORMATION Preperi1590 LaLocationtlon — __ Custer Avenue •S:RFFl N114RfN .--••—-- --—— —. 'a14LR IMS •—— Southold — 11971 ' CIT,ZR_0_611 —--—_ VILMF — — :•Bayer Matesic -rn.Txx __ Helen Name -'415'NIWFa'aWIIRY � •!]8:WYF. ---_ -•----- Jurievic _ Katherine I Air hFN4daa4LY. --•-- Fpal wlW —.---•--_— — —— I ].Tax Billing IrMlIndicatewixm hilum far Bills are w Ix Jurevi sent J C Helen Addrsss if othel than buyer addresslal balom of form)— ;AST NnvExaarxw--- — — —— --- ro15r NAIL 1590 Custer Avenue Southold NY 11971 SINJ:T WaelLiµe NAYF. a'F IIR 1LwY STI1iL rlF Lap. 4.Indicate the number of Assesemerd Pari al a Parcel (Only if Part of a Parcell Cheek ee they apply. Roll Percale transferred on the dead--N of Panels OR S.Deed 4A.Planning Board with Subdivision Authority Exists Property •F WAT FEFr --X --OR ",C9 OF 34 48.Sa AIVIsert Approval was Required for Transfer Stre •nr.Fm •A1;-Ls 4C.Parent Approved for Subd,vision with Map Prodded 6.301(w Judevic Helen(Reservg life est) —.tis•NAYFlidIrNTi—.— —..---.-- —--.— Name FIRST NAME '—•— _— — 11181 hWe[ILaW'AW ---•--- FIrRT NNE --�---•-- 7.Select the description which most accurately describes the Cheat the boxes below as they appy: sea of that property"a time of"o; S.Omtershlp Typo Is Condominium—I S.New Construaior an a Vai;anl Land� �� —•---' 7001.Property Located within an Agricultural District 108.Buyer recewod a disclosure notice"icoang nine the property Is It,an Agricultural District SALE INFORMA TION 15.Chock one or mon of these conditions as applicable to transfer; + Sok Beloomer•Relatives or FTrmor Relatives It.Sae Contract Bale � D 3( pZ.® .Sale behmen RNIated Companies or Partners on Business C one of the SWers Is also a Seller •12.Date of Sala froster &IJ a 3 A',g D.Buyer or Seller•s Govemmen:Agency or Landl.•If!InsllfuSon E.Deed Type not Warranty or Bargain and Sale(Spodfy eclow) F Save of Fractional or Leu than Fee Interest f Sondly Berlw) •17.Ful!Sols Pries _0.00.00 G.Significant Change in Property Between I oxide Status and Sale Dates (Full Sale Price Is the Mtal amount paid for the pmpLv: IIIduTh H.Bab d Business is Included in Sulo PTILro Thus Y ng pZ.n.1 property' 1.Other Unusual Factors Affecting payment may be m the loon of with,other Ixapeny or goods.To,the assumption W 9 Sala Pr¢a(Specify Below) 11011911983 OF other abligatiors)PMase round to I."roma wlkp local amour. J.None Commeritls)on Condition: 14.Indicate the value of personal Property included In the sale ___ Au ASSESSMENT INFORMATION-Dara should reflect the latest Filial Assessment Roll and Tax Bill 16.Year o1 Aseeasmem Roll from which Information taken(VY) 1 97.Total Assessed Value 7,400 "18.Pro"Claes -— 210-- _ --_ .19.echos District Name Southold —----—' -28.Taa Map IdeTdlSof(syRolt IdentMer(s)(N more than four,attach shout with additional identifier(s)1 —•——— B 1 e9?(00o p oo G/ i r vo 0 CERTIFICATION — ——— — — — — - — — — — -- — — I Certify that ell Of the Items of Into., entered on this form are true mild correct(to the best of my knowledge and bollen and 1 understand that the making of any willful false slutemmm cf material fact heroin subject me to tlre,preW,I9ns_of the.pom&I.IFw relative to the making and Sling or false Instruments. SELLE(i SIGNATURE BUYER CONTACT INFORMATION IrnN,r Anim:rill Y141r Ih•bluer.h p e.II luno e l I C.e ,.!.WT'e3atllrl rrFinaell n Ff'1 altar em goy.eeuci.- PNIV IM!IN n01 W.nd:eduv 06seer fic6 li.ISL'IIA-b•learw a,AAd,.dT L'p.: an.'ervA.Laaeyaereele I•Allf rl--Corr u--A`11-elrkW.1 a rrgm':eng the b.TrIF'er onF.l ba rFNJ9e Tyae car Prim clearly! ;F.ILat Sy urF Ti. ATUBE I Julevic Katherine •�r�Nwc ----'-- — Iasi nNiE— —'——'-- ' 212 4214130 •-kla+lYFkr.r:apF—__— rxn .-- ---'Z LV .— --..— •Tr--1W-NFYJeaF_PJ.A1R.'Lenl -- ---- 236 East 47th St..#19D 'SZreFr nl/!•e ':.IRBE I hAIIL _—• --.—. ___.—--— New York _— NY 10017 i 'J1Y ON lewh —••--•--_——•— -.grA.�. •7'frieC•— BUYEIZ$ATTORNEY Chu— — — -- — -- — Douglas J. LMINAYF FIaSi1W. ---- -- - 212 643-111 ++ 14 rRF'hL e1.1aV�•,F.MIIC0.1M1r 101111 I