HomeMy WebLinkAboutL 13013 P 639 1111111 I I II II Ilf I I II I I I I I I I I I I I VIII VIII III
I l l l l l 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 Recorded: 05/29/2019
Number of Pages: 3 At: 02 :58 :38 PM
Receipt Number : 19-0102281
TRANSFER TAX NUMBER: 18-33494 LIBER: D00013013
PAGE : 639
District: Section: Block: Lot:
1000 070 . 00 08 .00 042 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 . 00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $15 . 00 NO Handling $20 . 00 NO
COE $5 . 00 NO NYS SRCHG $15 . 00 NO
EA-CTY $5 . 00 NO EA-STATE $125 . 00 y , 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 $390 .00
TRANSFER TAX NUMBER: 18-33494
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County a
7
❑2
. RE+_r,Rnen
2019 Mag 29 02:52:38 Pr9
JUDITH A. PASCALE
Number of pages CLERK. OF
SUFFOLK COU14TY
L D00013013
This document will be public P 639
record.Please remove all i1T# 14-33494
Social Security Numbers
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee _ Mortgage Amt.
1.Basic Tax
Handling 20, 00 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
/ or
EA-52 17(County) tt Sub Total ( Spec./Add.
EA-52171(State) l TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held forAppointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit • Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 _ family dwelling only.
Sub Total YES orNO
Other 1 V n
Grand Total ] y W if NO, see appropriate tax clause on
page#i of this instrume t.
o 0 as IIS
a Dist.10 19015583 1000 07000 0800 0420o0 5 Community Preservation Fund
Real Property p T S Consideration Amount$
Verification 28-M A
Agency
Y-1I��illI1��I�I�IIIWOI� CPFTaxDue $
� Improved
Satisfactions/Discharges/Releases List Property Owners Mailing Address
6 RECORD&RETURNTO: Vacant Land
BROSNAN&HEGLER, LLP TD I
1325 FRANKLIN AVENUE, SUITE 335
GARDEN CITY, NEW YORK 11530 TD
TO
Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk -
Title i►
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFYTYPE OF INSTRUMENT)
Milava Gobic aka Mileva Gobic The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Mileva Gobic,as to undivided 50%interest&Miroslav Gobic, In the VILLAGE
as to undivided 50%interest,as tenants in common or HAMLET of Southold
BOXES 6 THRU 8 MUST SE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
®.r8..&..le deed,.im—.1 gr..t.e.
I—W.o,C.rp.:.i.ye.heel
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS
a ONLY
THIS INDENTURE,made the 22 day f7:T+)A Pi ,two thousand and sixteen.
BETWEEN MILAVA GOBIC, aka MILEVA GOBIC, residing at 12 Roscoe Court, Greenvale, New
York 11548,party of the first part,and
MILEVA GOBIC, residing at 12 Roscoe Court, Greenvale,New York 11548, as to an undivided 50%
interest, and MIROSLAV GOBIC, residing at 12 Roscoe Court, Greenvale,New York 11548, as to an
undivided 50%interest,as tenants in common,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 parry 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 at Southold, in the Town of Southold,County of Suffolk,and State of New York,
known and designated as Lot No. 20 on a certain map entitled, "Map of Section One, Fairview Park, at
Southold,New York dated July 12, 1961,"filed in the Suffolk County Clerk's Office as and by Map No.
3388 on August 9, 1961.
SAID premises known as and located at 80 Clearview Avenue,Southold,New York.
BEING and intended to be the same premises conveyed to the party of the first part by deed dated June 25,
1981 and recorded in the Suffolk County Clerk's Office on July 13, 1981 in Liber 9033 pages 03.04.
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 parry 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 party of the first part has duly executed this deed the day and year first
above written.
IN PRESENCE OF:
MILAVA GOBIC,aka MTLEVA GOBIC
,a
C
0£SII xroA AIONJ',5)!a u3P.1eq
S££alms'anuaA V U113JURIJ SZ£i
d-I'I1aal3aH 7g ueusoag
u0ww03 ut slueual se
'lsaaalul%0S PaplArpun 01'31909 AVIS 0111W PUe
-O.L'IIVIN AS NI21fllaH lsaialul%OS PaPtAepun 01'DIU09 VAa'IIL1I
OZ
N'Ioaans Nmoiao kiRno0 31800 VA:'IM`v Iu`OIg00 VAV IIW
00'Zt7o S101
0080 NDO IS S1Jd SMO1NVKD 1SNIVOV 1NVN3AOD H1I/A
00,00 33S paa(I algs pug ulL'2.Igg
•olalagl ssaultm ss aweu q pogtjosgns awtl awns oq)le •13pio mpI,Cq olajayl aweu g paSuts ay oq)pue`uot)
'ssaultm ptes`aq leyl put`.awl's ogl alnaaxo -eiodaoo ptes jo sioloattp jo p1wq oql jo japio,Cq poxljje
mus pun wasaid sem'ssau)tm Sutgtiosgns ptes'aq 1e741 os sem 11 1eg1`.leas ale.Iodioo Bons st luawnilsut ptes of
`luOwn.Ilsw 5uto9ajo3 aq1 palnoaxa oym pun ut pare leas oql legs`uotlmodioa ptes}o Ieas ogl smoul
pagyosop Ienptniput ag1 aq 01 074 lEgl`.luownalsut Outo$aaod aq1 palnoaxa gotgm pun ut
pagposop uotlelodhoo ayl
smou7l aq 1eg1 JO
oql st oq )eql
-ON in saptsw aq 3qj Xus pun asodap ptp'uioms `.
Inp ow,Cq Sutaq`oym`palutenboe,Clleuosiod we I wogm -ON le sapisol ay leyl,Ces
gltm`luown.Ilsut Ow020jej aq)of ssoultm Swgtlosgns aql pun asodap ptp`uaoms SInp aw,Cq Sutaq'oym`umou7l aw of
oweo,Clleumod awed,Cpeuos.tad
aw a.rojaq` £I0Z 3O,Cep oq1 u0 aw aa03aq`£I0Z .. .I°Xep aql u0
:ss 30 A1Nn00'SINOA M3N 40 31V1S 0 HLlOA M3N d0 31V1S
' 0Z'g qac sa�idx�uoi�d4
d)unoo nesseN ui paI}I!anp
S£89b6t,#
yioA maN to a1s13'oijgnd Delo
�ttgnd Aa��oN NVNSO I �i qnd 2 oN .
lS�
'luaumalsut ayl-palnoaxa'paloe uosiad _ 'luownalsw'agl palnoaxa
oql go,gm jo jiegoq uodn,Cliluo oql jo`uosiad aql `polos(s)uosiod aql gatgm jo jlegoq uodn,C1t1ua oy1 jo
`luawnrlsut aq1 uo 0inleuidts jay,Cq)eg)pue'iCltoedeo jaq `suosiad 0y1'luawnllsut aq1 uo sainleuVts atagl,Cq legs Pug
ut awes aql palnoaxa ays legl ow of po2p3l `satltoedeo Rayl ut awes oyl palnoaxa Xoq)ley)ow of
-mouiIoe pun wownilsut utgltm oyl of paquosgns st pa5palmouNoe pun luawnjlsut utglim 074)o1 pagtaosgns oae
aweu osogm uosaad oq1 oq 01 03u0ptn9,Ca0l3e3siles soweu asogm suosiad ayl aq o1 aouaptna,Goloeistles
Jo stseq agl uo aw 01 pano.Id to ow of umouN,Clleuosaad 3o Stseq 0741 uo aw 01 pOAold 10 aw o1 umoul XIleuosaad
DISOJ VA3-11W'e)Ie`D180J VAVIIIN
pajeodde,Clleumad`alels ptes pa.teodde,(Ileuosiad'olEls ptes\
ao3 pun ut atlgnd,CJeloN a'pou3tsjapun agl'aw ajojaq joI pun ut otlgnd X.telolN a`poufftsiapun 0741'ow 0jojoq
'b)OZ JeoX 0741 ut 30,Cep aql uo 910Z Iea,C aql ut` �� 30 Ce�2a41 u0
:ss d0 AlNnoo`AHOA M3N d0 31V1S :ss J « p/r/ d0 A1Nnoo NLIOA M9N 30 31b'1S
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.Iy.us
FOR COUNTY USE ONLY Now York State Department of
C1.SVYIS Code [�� Taxation and Finance
Cs.Oate oa0t1 Recorded 2-q I I office of►deal Property Tax Services
•- RP-5217-PDF
C3.Book O C4.Page Real Property Transfer Report(BM 0)
PROPERTY INFORMATION '
11-Properly 80 Clearview Avenue
Location
'SCREE:MIYrJR 'STREET NAME
Southold 11971
'CITY of TOMI VL.AGE .SP CGDE
2.Buyer Gobic Mileva
Nellie •LAST NALEICOMPANY FIRS-w1ME
Gobic MiroBlav
LMT NAeCICCMPMn FIRST NAM
3'Tax Indlrale where future Tax BILIS am to be send
Ming ti other than buyer addrsss(al bottom of form) LAST NAMLCOMnWY FIRST NME
Address
STREET ICJMBER AIVNAML CN OR TOM STATE ZP CODE
4.Indicate,elm number ofAsseaament 1 a d Palods OR ❑Part d a Parcel (Only B Part of a Parch►Check as they apply: ❑
Roll parcels transferred the e deed 4A.Planning Board with Subdivision Authority Fxista
a'Pmnd .FROK FEET rrrN X OR 0.46 411.Subdivision Approval was Required air TlBnderPeft ❑
Stte 4C.Parcel Approved for Subdivision with Map provided ❑
Gobic Milava aka Mileva
8.Sellar 'LMT NAMERCMPMIY FIRST NIUE
Name l
LMT NMM+CO WFIRST NAME
17.Select the daserlptirm which molt agtuntety desedhes the
Check the boxes below es they appy:
use of the properly atthe time Of eels: e.Ownership Type is Condominium ❑
A.One Family Re-siduKn Lal a.Now Construction an a Vaeam Land
10A.Properly Located within an Agricultural Dietrid ❑
14B.Buyer received a disclosure notice indicating this the property is in an ❑
Agddaluml Dgrld
SALE INFORMATION 11£Check one or more of thoss conditions as applicable to transfer.
A.SW Between Re akvss or Former Relatives
11.Salo contmd Dots B.Sell between Rdaled Companies or Pannem in BudneSL
C.One d The Buyers is also a Sager
•ter.care of Sawrransf n, 06/22/2016 D.Buyer or Sugar in Government Agency or Landing InKkdion
E.cued Type rat VVermMr or Bargain and Sale(Speciy,Below)
F.Sale or Fractions!or Lou then Fee Interest(Spook Below)
'I&Full Sale Price 0.00 G.Significant Change in Properly Between Taxable status and Sale Dain
H.Sale of Business Is Included In Sale P.
(Fut Sale Price In the total uTlGum paid for the property Including personal property. I.Other Unusual Fecddm Affecting Sala Price(Specify Below)
This payment may be In the term d cash,other pr eery or goods,or ver assumption d J None
mortgages or other obllgotbns.)Pimm round to the nanoid whore dollarannrmt.
Commsot(s)on CrmdlUm:
14.Indicate On value of palsrtal
properly Included In the sale 0 .00 transfer front wife to husband and wife
ASSESSMENT INFORMATION-Dales should reflect the latest Final Assessment Roll and Tax Bill
1e.Year of Assessment Rall from which IMrmation taken(YY) 15 '17.Total Assessed Value 500,000
•18.Property Class 210 _ '19.school DistactRam Southold School
W.Tex rap Memtibr(spRM Idsntlfier(e)Pf mom"hen four,attach ehoet with additional medmerfs)l
070.00-08.00-042.00
CERTIFICATION
I Carey that all of the%erns o1 information entered on this form am true and correct(10 the best of my knowledge and bdkM and I undsratand that the making of any vdifful
false statement of metrial hu heroin subject me to t1M nrom■renes efrkVgng(law mlative to the making and filing of false hnstrumante.
LIEU ER SIGNATURE BUYER CONTACT INFORMATION
__ _ ____ __ dEraxr reamaem cur SAM pryer.Now.P WFerw UC.LRdey�eaeodetlln.oxpw>tlln.pm aatlt mmParyr.amle or
/ l aroty mar,a rot M InaxMLIN Lew r IdUe".VISA a name ant mntex aLrdrrmVwn d SA hawduwNoopwmm
Pam who rrR SAeeAr RVeWPes regwWg Vo inneh.raum be wlmva.Tree erprint clearly.)
SELLER IRONATURE BUYER SIGNATURE DAT[
Gobic Mileva
/ .MET W WE FAST NAME
(516) 625-1527
�/ ' �` i I •MEACODE •TLLCPHONr MINSEd:Fo awsiFfr]
BUYER&W ATURE CTE
12 Roscoe Court
.STREET NUr6ER •ST1EET.4AME
milli
Greenvale NY 11548
:nv OR TOAVN 'STATE 'err cam
RQ BUYER'S ATTORNEY
Ur01e%V krAfK
LAST LI NAME FIRST MA
5 k LA
MEA CODE IEIEPFIOrE NUYBERIeI aamWel
1