HomeMy WebLinkAboutL 13009 P 5 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 04/18/2019
Number of Pages: 4 At: 04 : 1.7 : 23 PM
Receipt Number : 19-0077311
TRANSFER TAX NUMBER: 18-29783 LIBER: D00013009
PAGE : 005
District: Section: Block: Lot:
1000 103 . 00 07 . 00 021. 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 $395. 00
TRANSFER TAX NUMBER: 18--29783
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
t
/
Number of pages RECORDED
€ 2019 Apr 18 04:17:23 F'h1
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record.Please remove all L D00013009
Social Security Numbers P 005
prior to recording. DT# 18-29783
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee
Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation SpecJAssit. .
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. f 2-00 Dual Town Dual County
Held for Appointment�_
Comm.of Ed. 5. 00 Transfer Tax
AffidavitQ�N Mansion Tax
ON
Certified Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other _ El 6
Grand Total B If NO, see appropriate tax clause on
page# of this instrument.
4 Dist�� 19010116 1000 10300 0700 021000 -T--D 5 Community Preservation Fund
Real Properq P T S Consideration Amount$
Tax Service VIT 1111111111mili1B11111111 CPFTaxDue $
Agency 04�1PR-1
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Feldman Kramer&Monaco,PC TD
330 Vanderbilt Motor Parkway
Suite 400 TD
Hauppauge,NY 11788
TD
Att:Jennifer Merolla,Paralegal
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title CompaV Information
310 Center Drive, Riverhead, NY 11901
www.suffolkcountyny.gov/clerk Co.Name G
Title# 4(L-11 7--J
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFYTYPE OF INSTRUMENT)
/ r/C /74a;-, The premises herein is situated in
,71VI 29f SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of —5Z �
nli�lG LVC In the VILLAGE
M�Sl,/,� or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
No
Consideration
Deed THIS INDENTURE,made the 31 dayofJ2,IiAAZLCq 2019
BETWEEN
Bennie Pawluczyk, as Trustee of the John G. Doroski Irrevocable Trust, dated July 25, 2016, having a legal
address of 3000 Pequash Avenue,Cutchogue,New York 11935
party of the first part,and
Bennie Pawluczyk, as Trustee of the Wilma C. Doroski Irrevocable Trust, dated July 25, 2016, having a legal
address of 3000 Pequash Avenue,Cutchogue, New York 11935
DISTRICT
1000 party of the second part,
SECTION
103.00 WITNESSETH, that the party of the first part, in consideration ten 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
BLOCK or successors and assigns of the party of the second part forever,
07.00
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
LOT lying and being in the
021.000
SEE DESCRIPTION ATTACHED HERETO
Subject to all covenants,easements and restrictions of record.
Said premises known as 1005 Pequash Avenue,Cutchogue,New York 11935
Being and intended to be the same premises as conveyed to the party of the first part by deed dated July 25,
2016 and recorded August 31,2016 in Liber 12877 page 875 in the Suffolk County Clerk's Office.
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.
Q Avzvsrcr
5
Bennie Pawluczyk,as TrAtOe
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
Form 1000-7
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of ��7 ss: State of New York,County of ss:
S-F-
On the �1 day of LZvc,<t a-f in the year 2019 On the day of in the year 2019
before me,the undersigned,perso ly appeared before me,the undersigned,personally appeared
Bennie Pawluczyk
personally known to 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 individual whose name is (are) subscribed to the within instrument and acknowledged to
subscribed to the within instrument and acknowledged to me me that he/she/they executed the same in his/her/their
that he executed the same in his capacity,and that by his capacity(ies), and that by his/her/their signature(s) on the
signature on the instrument,the individual,or the person upon instrument,the individual(s),or the person upon behalf of which
behalf of which the individual acted,executed the instrument. the individual(s)acted,executed the instrument.
(signature an e f individual taking acknowledgment) (signature and office of individual taking acknowledgment)
IRINA A.KARLOVA
Notary Public,State of New York
No.02KA6221223
Qualified in Sulfolk County
Commission Expires April 26,2L--I--
TO
ik-2TO 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(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,and that such individual made such appearance before the undersigned in the
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
BENNIE PAWLUCZYK,AS TRUSTEE OF THE JOHN DISTRICT 1000
G.DOROSKI IRREVOCABLE TRUST,DATED SECTION 103.00
JULY 25,2016 BLOCK 07.00
LOT 021.000
TO COUNTY OR TOWN Suffolk
STREET ADDRESS 1005 Pequash Avenue
BENNIE PAWLUCZYK,AS TRUSTEE OF THE Cutchogue, NY 11935
WILMA C.DOROSKI IRREVOCABLE TRUST,
DATED JULY 25,2016
BARGAIN AND SALE DEED RETURN BY MAIL TO:
Jennifer Merolla, Paralegal
Feldman Kramer&Monaco, P.C.
FKM File No.:EP-19-4325 330 Motor Parkway, Suite 400
Hauppauge,NY 11778
DESCRIPTION
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected,
situate, lying and being at Cutchogue. Town of Southold, Suffolk County, New York, bounded and
described as follows:
On the North two hundred(200)feel by land of Jeffery Smith;on the East one hundred(100)feet
by land of Ben Horton;on the South two hundred(200)feet by land of John Ennis;and on the West one
hundred(100)feet by Pequash Avenue
BEING AND INTENDED TO BE the same premises conveyed to party of the first part by
Deed dated April 22,1975,and recorded April 28, 1975 in Liber 7831 page 70-77.
INSTRUCTIONS(RP-5217-PDF-INS):wvrw.orps.state.ny.us
FOR COUNTY USE ONLYQ New York State Departrflent of
C1.SVAS Code I�,1,3,9, U ,9 I Taxation and Finance
C2.Date Deed Recorded Office of Real Property Tax Services
�, '_• RP-5217-PDF
CO Book �i ION �C0.Page �-�(/�F J � Real Properly Transfer Report)8110)
PROPERTY INFORMATION
1.Property :^05 Puquash Avenue
Location
•s:NLL-.N..wi; •91a•L1 6wL
;:ul.chogUe 11935
•Cut_Z I 3h;;— VL'AM •:Ia CCL:
2.Buyer B,~:
Name al =ust..t of !:LL Wilt:a C.
-
'iAe:YAVFCeSPA•e FIRE?I:A1E
Doroski irrevocable -rust
IAM YweMTYaAAY MET AUWt
3.Tax Indicate where future Tax Bills are lobe Beni !.,,Y:'C {1 Wilma C.
Billing If other than buyer oddress(at bottom of form) LAST 4WFMMnAr.Y Fie,AAME -—--—
Address
1DOC Peuuasl: Avenue CuLc;hcquc yY 11935
SMET i,AVE.14 AND NAWL 1:1'S f:41JNh 9:A:L .YCWL
4.Illdlcate the number of Assessment 1 a ol Percale OR El Part of a Parch (Onty If Part of■Percafl Check as they apply:
Roll parcels transferred on the dead 4A.Planning Board with Subdivision Authority Emote
S.Deed _
X OR 4B.Subdivision Approval was Required for Transfer
Property •W-11 FF.FT aLr'�`I •ACMLe
Size 4C.Parcel Approved for Subdivision with Map Provided
Boni:iu ilewluc,wk, as Trustue of t!tu Juhn G.
6.Sailer •LAE-NAVEICOVFAh. •IRsi MRL '---------
Name r o a Q 1 q
).t�sr: Tri v•Lr.t:_, 'i=1:tit
J9'_":Ma F RIFT•rAY_
'7.Select the description which most accurately describes the Check the boxes below as they appy:
use of the property at the limo of sale: 8.Ownership Type Is Condominium
A.t)nv Fatniiv Rcsidclillal 8.New Construction on a Voeant Land CI'❑'I
ICA.Property Located within an Agricultural Distrix LJ
10111.Buyer mosived a disclosure notice indicating that the property is in an
Agricultural District
SALE INFORMATION 15.Check one or more of theso conditions as applicable to transfer.
_ A.Sole Between Relatives or Fanner Rela:,ves
11.Sale Contract Dote B.Sale between Related Companies or Partners In Bus.ness.
/ C.One of tide Buyers is also a Seller
12.Dato of S.tertrensfer 3 a< D.Buyer at Seller Is Govemmenl Agency or Lending Instilueon
E.Dead Type not warranty or Bargain and Sale fSpecify Below)
F.Selo of FreLtional or Less than Fee Interest(Specify Below)
•1].Full Sala Price 0,(lV G.Significant Change in Property Between Taxable Staim and Sale Dotes
H Sale of Business is Included in Sale Price
j Full Sale D•rr.:s the total amount paid for the property including personal property. i I Other Unusual Factors Affecting Save pries(Specify Belowl
This pay'rtiorl may he to the form of cash.other property or goods,or the assump'aon of J None
nio•tgagcs dr other obligations.)Freese round Jo the nearest whole dollar amount -'
•Comment's)on Condition:
14.Indicate the value of personal
property Included Inthe sale 0 '0o Transfer :a Trust
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from which Information token(YY) !C •17.Total Assessed Value 4,200
-18.Property Class ".10 — •18.School District Name ma t t i tuc i
•20.Tax Map Idendael(syRoll Identifler(a)(If more than four,attach sheat with additional Identifier(s))
G 3.(:c-07.as-W 1.000
CERTIFICATION
I Certify that all of the Items of Information entered on this form aro true and correct(to the beat of my knowledge and belief)and I understand that the making of any vdltful
false statement of mandal fact herein subject me to the.pr0yletgns.01I.th0.lffmal law relative to the making and filing of false Instruments.
j�ELLER �yNATURE BUYER CONTACT INFORMATION
(Enxr rramiamn for file buyer hC.a It tx yer is LLC society as ocalani.falpCniaen.joint sa ck mclperry.wwo or
wM3y mr.le nal an ildwdaal EWA or:a: wt'.Olen a.wme ane faA•xl IMannaeon of an ridvdualAespenshle
party wm can snare.Riusu L'Iw mead no ew vansfor inJFi Le w:aYW Type or prim clearly 1
BEL.a:s ar1A-�9 7ATF '--
BUYERSIGNATURE FA'rrlu:zfk Her.r.:e_._.._ .._. .___..._. .._.__._
•SAB•I.wE FIRST r.AME
.?_1a' (631; 734-6614
/-3i
'ARCA-_ •TEI EF.aiNF wmpr+d.scars.
V:•ate FIF'rA�.RE GATE
::iUUu Frquas:t Avenue
•al:F:1 N.WR:a •ST--FE-.NAME —�
i t I I I j I 1 1 jCiazchsque vy 1.935
1 rl 1 j ':Ir.Ju!MN 'STA-F •71Pf'atlE
I1UY KtA WRNEY
I
rjtr_cyva -ri na
I 1 LAST NAME - 1 ore'h"L
I I
,
(F3•SRLACOx ,k.El^1LYtYMIIIu1L.aFansal