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HomeMy WebLinkAboutL 13009 P 860 11111111 IIII IIIII IIIII IIIII IIIII IIII!IIIII IIIII IIII Illi I l l l l l l l l l l l l l l l l l l i i i l l l SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 04/25/2019 Number of Pages: 9 At: 03 :52 : 16 PM Receipt Number : 19-0081564 TRANSFER TAX NUMBER: 18-30427 LIBER: D00013009 PAGE : 860 District: Section: Block: Lot: 1000 125 . 00 04 . 00 014 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $487, 500. 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $45. 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 $6, 750 . 00 NO Fees Paid $7, 170 . 00 TRANSFER TAX NUMBER: 18-30427 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ' RECORDED 2019 Apr 25 03:52:16 F11 Number of pages ` JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY L D00013009 This document will be public F record. Please remove all DT# 13--30427 Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recofding/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax _ Handling 20. 00 2, Additional Tax TP-584 Sub Total _ Notation Spec./Assit. or EA-52 17 (County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town : Dual County_ R.P.T.S,A. Held for Appointment Comm.of Ed. 5. 00 '' Transfer Tax0— ,` Mansion Tax Affidavit — kyr, ,,,.� _ The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other �J Grand Total `"t If NO,see appropriate tax clause on page# of this ins ent. ' 3 a 4 II)ist7070 19012122 1000 12500 0400 014000 P T S 5 Community Preservati' Find Real Property R SMI A IC sideration Amount$ 0 Tax Service 23-APR-1 m Agency CPF ax Due $ 7�� Verification --- —— 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address Improved �fl aREC07&RETURN TO: Vacant Land G pSS A✓t—� TD TD rack, D Mail to: Judith A. Pascale, Suffolk County Clerk 71 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co,Name FNT/C%T-- www.suffolkcountyny.gov/clerk Title# T y©q — 3� 8 Suffolk. County Recording & Endorsement Page This page forms part of the attached D6CT made by: d (SPECIFY TYPE OF INSTRUMENT) Iw�l"I i�TkeVV0/I �j'" A /A The premises herein is situated in _.9/-W, SUFFOLK COUNTY,NEW YORK. TO -In the TOWN of In the VILLAGE �� /�''e►���'�/l N t /.. or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING u-oiw_ioioskk (over) BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) S'T'ANDARD NYBTU FORM 8007 CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. ,J „I�-V ^z, 3-9A-1 q THIS INDENTURE,made the 19`h day of March, 1 rch,201 _19 l Between KEVIN J.DICKERSON,residing at 125 Jakes Lane,Calverton,NY 11933 DEBORAH A.ROHLA,residing at 640 Columbine Ave.,Lisle,IL 60532 DIANE M.KOKES,residing at 227 North Lucia Ave., Redondo Beach,CA 90277 DAVID C.DICKERSON,residing at 9350 North Bayview Road,Southold,NY 11971 party of the first part,and ERIC KLODNICKI AND JENNIFER KLODNICKI,residing at 165 Gin Lane, Southold,New York 1 1971 party of the second part, WITNESSETH,that the party of the first part,in consideration of 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 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(DESCRIPTION OF PREMISES) da d ;a-DO- BEING AND INTENDED TO BE the same premises described in a deed iba , and recorded , in Liber 4% at Page B33,'\31 1a- a8-�,oII Ia680 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 parry 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. IN PRESENCE OF.• J Zi� Kevin J.Dickerson Deborah A.Rohla Diane M.Kokes Da Id C.Dickerson Deborah A. Rohla ACKNOWLEDGMENT State of Illinois ss.: County of Q%,A- '� tee_ On thel;21916day of March, 2019 before me, the undersigned, personally appeared DEBORAH A. ROHLA 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_ 'Z f S�-e , _ (1 i n a� S (Insert the city or other political subdivision and the state or country or otter place the acknowledgment was taken.). Notary Public TERESA L FiTZHUGH OFFICIAL SEAL Notary Public.State of Illinois My Commission Expires August 03.2019 NYSBA Residential Real Estate Forms on HotDocs'(9/00) Copyright Capsofl1D Development -2- Diane M.Kokes ACKNOWLEDGMENT State of California ss.: County of On the day of March, 2019 before me, the undersigned, personally appeared DIANE M. KOKES 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 (Insert the city or other political subdivision and the state or country or other place the acknowledgment was taken.). See Gj,&ACjAad Notary Public CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the : document to which this certificate is attached, and not the truthfulness,accuracy,or validity of that document. State of California ) County of Los Angeles ) On March 20, 2019 before me, Brittany F. Pickett Notary Public, Date Here Insert Name and Title of the Officer personally appeared Diane M. Kokes Name(s) of Signer(s) --------------------------------------------------------------------------------------------------- who proved to me on the basis of satisfactory evidence to be the person(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 authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. sRrrrANv{.PltWITNESS my hand and official seal. - � icr:rr . Notary Public-California z Los Angeles County i-E Commission#224276 Signature My Comm.Expires May;,202z ature of Notary Public O,e# Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual❑ ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE §8202 ❑ See Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) 1- ----------------------- 2------------------------------------------------------- ------------ 3------------------------------------- -----------8------------------------------------- ----------------------------- 4---------------------- ----------------------------4------------•---------- 6--------- ---------------------- Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy, or validity of that document. State of California Subscribed and sworn to (or affirmed) before me County of Los Angeles on this 20th day of March , 20 19 by Date Month Year (1) Diane M. Kokes (and (2) ------------------------------------------0. ), Name(s) of Signer(s) r BRITTANY F.PICKETT Notary Public-California proved to me on the basis of satisfactory evidence Los Commission #22412 to be the person(s) whoa eared before me. Commission q 224t27b p ( ) appeared ' My Comm.Expires May 5,2022 Signature Sig Lure of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: ©2014 National Notary Association `www.NationaiNotary.org ` 1-800-US NOTARY (1-800-876-6827) Item #5910 State of New York} ss: County of Suffolk On thisdA day of March, 2019 before,the undersigned, personally appeared, KEVIN J. DICKERSON personally known to me or proved to me on the basis of satisfactory evidence to the be 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 instrum t. N tary Pu BETSY A.PERKINS Notary Public,State of New York No.01PE6130636 Qualified in Suffolk County) State of New York) Commission Expires July 18,x, ss: County of Suffolk On thisAC6y of March, 2019 before,the undersigned, personally appeared, DAVID C. DICKERSON personally known to me or proved to me on the basis of satisfactory evidence to the be 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 in ividual(s), or the person upon behalf of which the individual(s)acted, executed the instrum t. otary Pu BETSY A.PERKINS Notary Public,State of New York No.01PE6130636 Qualified in Suffolk Couj,,�/ Commission Expires July 18,f� SCHEDULE A (Continued) ALL that certain plot, piece or parcel of land, situate, lying and being at Laurel, in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot 36 on a certain map entitled "Map of Laurel Country Estates", and filed in the Suffolk County Cleric's Office on June 22, 1970 as Map Number 5486. END OF SCHEDULE A r 4 f' AMEAkCAN Copyright American Land Title Association. All rights reserved. LAND nni A,tlCIAIlUN 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. - ALTA Owners Policy(06117/2006) Printed: 03.26.19 @ 11:45 AM NY-FT-F RVH-01030.431004-SPS-27306-1-19-7404-00 3868 _72) P p O i J %0ov g(c (l Y F/ f 1 INSTRUCTIONS(RP-5217-PDF-INS):www.orps.statemy.us FOR COUNTY USE ONLY �y/ New York State Department of Cl.SWIS code ' r l 3,FI aqq I Taxation and Finance C2.RBts Deed Recorded I /2,_J/ 19 1 Once of Real Property Tax Services 7" 386 RP-5217-PDF C3.Book 13 o G�r 1 C4.Pae rw I ' 9 ' ' V 1 Real Property Transfer Report 18!10) PROPERTY INFORMATrON 1.Property 222; DELMAR DRI-W. Location 'ETRE_:WYVLR •S-RFF-NAVE Salm;'_ '(J:.D LAUREL 1195, .CIT•OR-OVl^I '%.A*L .t Rc•JCF 2.Buyer K:,ODNICK: ERIC Nems •L•s-vAr,EteowAw •usr vAYE KIODNICKI JENNIFER LAhThAV_1COeaa%V Ileal WAR` 2.Tax Indaate where future Tax Bills are to be sent Billing If cher then buyer addreaalat bonorn of fo•m) LAST WsxcV'htre I Rs:IUYE Address N I-LLT LAMM.Mr7 iwll or,CR TSrm STAIL .•RCOW 4.Indicate the number of AssessmentI ri part o'a Paras' {only If Part of a Parch)Check as they apply: Roll parcels transferred on the dead a d ParoMs OR ❑ 4A.Planning Board with Subdivision Avlhairy E,rists 5.Deed X( OR J•51 49.Subtimslon Approval was Required'or Transfer G Propel ,1 ROY IEE- •DF-T+ •Yw-a Slxs 4C.Parcel Approved for Subdiwsion with Nap Prwlded D_Cr KR3UN, KEY=V J. ROKA, D=P.CKAH A. 6.Seller •_-a-IlAracOVRlvr L RS-wwE Name KOKFS, DIANE -4. DICK7.11SON, DAV' C. LIST NAVECCVPAti "9­4AVE •7.Select the description which most accurately describes the Check the boxes below as they apply: use of the property at the time of sale: 9.OwnersNp Type is Condo ninium A.One I'arrlily Residential 9.New Cratnxtion on a Va®m Lrd 10A.Property Located within a+Agncu'lurnt District F� 109.Buyer received a disclosure naive Ind tong that the prosertv's in an Agricultural Dlatrtct `l SALE INFORMATION 16.Check are or more of those conditions as applicable to transfer: I�A Sale Between Re'alivasor Fom•er Relatives 11.Salo Contract Doh 03/07/21319 I-�B.Sale betwea•r,RNaxd Companies or Partners in Business. C.One d the Bu"m•s Woo s Sel'r 03/29/2019 D.Buys,or Siler Is Gave-men:Agency or Lending Instite:son • 12.Data of 8alerhanahrE.Dead Tires not Womanly o•Bargain and Sale ISpeofy Beim) F Sale of Fractional o•Less than we*Interest(SPedry Below) '10.Full Sale Price 48-7,5D0.00 G.Significant Change in Property Between Taxable Stalus atld Sole Dales H.Site d Burness is Included m Sale P,Ica (Full Sate Price is the total amount cas for the properly or goWs personal property. I.Other Unusual Factors Affecting Selo Price(Spedfy Below) This payment may be in the him or eels,other property or gook,or tic assumption of J Nre mortgages or oiler obligatlore)Please round f0 the risamsf whale dbb,amount. Commentle)on Condition: 14.Indicate the value of personal properly Included In the sale `• •00 ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which Information taken(YY) '_9 '17.Total Assessed Volvo 5,C:, '16.Property Class 1; _ '19.School District Nemo •�q.µl.FT 1/K ��-4•fh A 7fir 10 •20.Tax Map Identi6er(syRoll IdntMer(s)(if more than your,attach sheBat with additional IdenUffer(sfff tVV��CAAA��` tt1/!/[ 1.�- :033-125.03-04.00-0:4.1000 CERTIFICATION I Certify that all of the Items of 1 lite is an emend on this form are true and correct(to the test of my knowledge and beIIM and 1 understand that the making of any willful false statement of material fact heroin subject me to the ProvlslPne of the Pmol law relative to the making and filing of raise Instruments. Ser r eR SIQNerURE BUYER CONTACT INFORMATION ------ -_ - (E•I:e•i+'armalion'p Pe emit IFaI la nota,rtlhMs.vl,pert!a aLS.C'ary . mdm"pom. s o• m.1oTD .O eeIanemsatlml:Ac:•rpmrmofa9 nde iiia ray a•rsAvr e, nWO resalpre:-e t'im'er nm,be emend Typo of prim cl-ly.) IU L tLl(x�QS1 Q KLDCNICKI, ERiC t �73vtv7173R BWER9IGNATURE •�•// t\ .WT NAVE ."T NAYe 1`+ctGt4.OfY •4+L-S07E •IL"EI'•1ati9 MJVN V:L.a'Jrwpi• ER a1pWT1TF 711TE 1_65 GIN LANE •,'REE-'heYS •SI.Ee NAVE it SOU' HOLD 4'i i:Q71 'CI•Y O:TOM 'STA-- •JRM E i I I BUYER'S ATTORNEY ROSE DANIEL C. •1 LAST MWE BRAT MAV! I � I ;E31' 299-1"O^ MEA COLE TELFDIIO•a:W VEER IE,9100A !• i ' I It II "r