HomeMy WebLinkAboutL 13026 P 429 11111111111111111 IIIII 11111 IIIII 1111111111 IIIII IIII IIII
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 08/29/2019
Number of Pages : 3 At: 04 :28 :12 PM
Receipt Number : 19-0163479
TRANSFER TAX NUMBER: 19-03298 LIBER: D00013026
PAGE : 429
District: Section: Block: Lot:
1000 070 .00 09 .00 025 . 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
COB $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 $390 .00
TRANSFER TAX NUMBER: 19-03298
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 2 Submit by f-mail Print Form
r
Number cf pages RECORDED
2019 Aug 29 04:28:12 Phi
JUDITH A. PASCALE
This document will be pubCLERK OFic SUFFOLK COUNTY
record.Please remove all L D00013026
Social Security Numbers P 429
prior to recording. DT# 19-03296
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 I FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. 2 �5 Dual Town Dual County
Held for Appointment
Comm.of Ed. S. 00 Transfer Tax
Mansion Tax
Affidavit
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total q O-- see appropriate tax clause on
age of is instrument.
FO
4 Dist. 100 5 Community Preservation Fund
19026859 1000 07000 0900 025aoo
Real Proper', F T SConsideration Amount$ 0.00
R
Tax Service VIT A
II®KIWIIL�W�
Agency CPF Tax Due $ NIA
Verificatior 23-AUG4
Improved X
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&:RETURN TO: Vacant Land
Laura 1. Dunathan, Esq. TD
TWOMEY,LATHAM,SHEA,KELLEY, DUBIN AND
QUARTARARO,LLP TD
P.O. Box 9398 V/ TD
Riverhead,NY 11901
Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Quitclaim Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
ANTOINETTE M.DOROSKI The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
THE ANTOINETTE DOROSKI In the VILLAGE
IRREVOCABLE TRUST#1 or HAMLET of Southold
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
NO CONSIDERATION
Quitclaim Deed
This Indenture,made the 17th day of July,Two Thousand and Nineteen
BETWEEN
ANTOINETTE M. DOROSKI, residing at 375 Breitstadt Court, Southold, New
York 11971,
party of the first part,and
TONIANN SINNING,residing at 555 Beebe Drive,Cutchogue,New York 11935,
as Trustee of THE ANTOINETTE DOROSKI IRREVOCABLE TRUST #1, u/a/d
7/17/19,
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
TAX,MAP the party of the second part forever,all of the party of the first part's interest in
DESIGNATION
ALL that certain plot,piece or parcel of land situate, lying and being in the Town of
Dist.: 1000 Southold,County of Suffolk and State of New York, known and designated as Lot
Scc.: 070.00 Numbered Twelve (12) on a certain map entitled, "Map of Smithfield Park," and
Blk.: 09.00 filed in the Office of the Clerk of the County of Suffolk on December 27, 1966 as
Lo(s):025.000
Map#4770.
BEING AND INTENDED TO BE the same premises conveyed to the Grantor by
Deed dated December 3, 1998 and recorded in the Suffolk County Clerk's Office on
December 4, 1998 in Liber 11932 page 271, the Grantor being the same person
described as the Grantee in said Deed.
Premises also being known as 375 Breitstadt Court,Southold,New York 1 1971.
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 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:
ANTOINETTE M. DOROSKI
STATE OF NEW YORK)
COUNTY OF SUFFOLK)ss.:
On the 17th day of July, in the year 2019, before me, the undersigned, personally appeared
ANTOINETTE DOROSKI 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 person upon behalf of which the individual acted,executed the instrument.
CHRISTINA M.NOON
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.02NO6312294
Quail=in Suffolk County
Commission Ex 'res Se ternber 29,20 22
Notary Public
QUITCLAIM DEED DISTRICT: toxo
SECTION: 070.00
ANTOINETTE M. DOROSKI BLOCK: 09.00
TO LOT: 02 .000
COUN"IY OR TOWN:Suffolk
TONIANN SINNING,as Trustee of
THE ANTOINETTE DOROSKI TAX BILLING ADDRESS: P.O.Box 1661
IRREVOCABLE TRUST#1 u/aM 7/17/19 Southold,NY 11971
RETURN BY MAIL TO:
LAURA 1. DUNATHAN,Esq.
Twomey, Latham, Shea, Kelley, Dubin &
Quartararo,LLP
33 West Second Street
P.O.Box 9398
Riverhead,New York 11901-9398
INSTRUCTIONSfRP•5217•PDF-INS):www.o•ps.slato.ry.us
FOR COUNTY USE ONLY I New York State Department of
Cl.Swls Cade q_7rjq��_ J Taxation and Finance
C2.Dale Deed Recorded d �/_[• Office of Real Property Tax Services
LI
RP-5217-PDF
C3.Book L-1 Real Property Transfer Report(8110)
PROPERTY INFORMATION
1.Property ?7-5 Cour:
Location
'S�+EEr YJNa--? __ 'S'•rL.I N.Y. _ _ .___._.__. _ ... _ .. _ i
•crrcNuwn vwak •:ocaiE
Z.Buyer Lr:"J ':r 5T .;r.LC•j:eLk.p - :•f3ISl
Name - -
•U5:nIFLP:dLrPAra F F8-SFVE
UST Na1EG0Y�FNr •_•_-_- Fear YYE
7.Tax Indicate wime fuhlre Toa Bills a•F to be s•rel
Bllling •1 other than buyer addrags{at Wom M term) �•:au•Ea+CYrLN' FIRST-ME
•-_-
Address
ST^CCT SLVJCP opal NFL[ r'IY,-..r".lLy4 •_• -_ a:i'k •i:ODE
4.Indicate the aumher of Assessment r Fla-.M a I+rcel (Only d Part at a Parcel)Check as they appy:
Rall parcels bansferred on the deed-. __._°of aa•oplk OR I r
4A.r•a^n.ng Baa'a wall 5r.:rdlws'On Ar.;rrcrlly,Exists LJ
3.Deed .__..__ )l --- --OR :.47 46.3.i'virvisan Approval was Roomed".0 I la•Lstel
Property
dy •FFm_r FEET •;:LF•1 'A'CES El
Size
tie.Fa'cel Appnwea la•4.triwlsa•r an:h Mad r•byidbtl C
Dv.OSKI M.
6.Bolter •us-vY=txeay -._._.._... rnsT ITFLE ------ --'-
Name
lAS'NFY;{CVaFNY -- FR3r NFLE •_.___- __..
1.Select the description which most accurately describes the Check the boxes below as they apply: r
use of the property at the does,of sale: S.awrelkhip Two is Co wornmlum I__.I
A.Onr Rimil_y R.+sirltnit ial 9.New--oast:ml an on is V.Tcant La:d C_l
I OA.HoCedy Loca'ed wtivi an Alpic rural Davic:
TOB.Buyer ro xiv:+d a d sdxurc notice mdlrat-g:Pa:the property a In an
Vire.-.Xurn PSSIU
SALE INFORMATION 15.Check one or more of these conditions as applicable to transfer:
A Sale Ust een rielM ves of FV--rel Rel'aaw.K
11.Sale Contract Datea B.Sale be aoen Rnafed CnTp.inies n•Partners•n Business.----•••• _ C.One or the Buyurs s also a Sc or
07/1-7/2019 •D Pllyer+I Selle1 is Govemme.,r Agency o,Lond.'+g Innado•
'12.Date of SalellPanskrr I E.Deed Type not Warta-1y in 3arpa re dead Sa'r(Spcaly 13e1awl
_ F.Sale of Fro Aicel'al u 1 ess C•an Frr:Interest(Spray Below)
'13.Full Bak Price .oil C.Syn f ran:Change in Piobeny BehwL•en laxatae Status tear,Sale Davis;
---•••-- I I Sale o'Rus.^ess Is Included In Set-nice
1 I.1:1 Sale pnce.s this exal amount pail for dr-property mGLa:ng persaral plbpe•ty. _ 1 bibs,•11nus.Lal FaLxma Alfer.:ing Sac liu!1£pbdry pb wr)
The pay'renl may lie m dle form of cash,ccher Farprdy w goods.or Ira assumption of J.Nana
mortgages or other oWgalrons 1 Please rouna ra I.m rearesf whale dollar amount
'Commeoe(s)on Condition:
14.Indicate the value of personal r:•.1 i A 1•I - P•:r•: .,TA J:+>.: :1 I: .II•:.:I 7: i I:.
properly Included In the sale _ •fill ;i r r xvr ix••al.:.: w; Ir :II^ ;•:•+:.r•;•- _
ASSESSMENT INFORMATION-Data should reflect the faros:Final Assessment Roll and Tam Bill
16.Year of Assessment Roll from which information IakeMYYI 17 '17.Total Assessed Value
Property Class �_0 _ •19.School District Nome 2iuthc1d UFSD
'20.Tax Map IderdlllerlsNRoll Identlller(s)(R more than lour,attach sheet with additional Identifrerlsl)
10nh-r47.]C:-07.CC.-,11 3.CCS
CERTIFICATION
I Certify that all of the Items of enformotlon entered on this form see true and correct Ito the best of my knowledge and belief)and 1 understand that the making of any willful
false statement of material fact herein subject me to the.provistons ol the penal law relative to the making and filing of false Instruments.
SELLER SIGNATURE BUYER CONTACT INFORMATION
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:lar5'win cert-q..n. la;:111 Jdle':nrlyyr r-um W viraser Type Or pint ClNrly:
6t•Grri...j'� Q
BUYERSIGNATURE Sinn'ng - '4niann -
'J.e-aAYS :IeS-MAPF
call.r;I:r• _. ._._- L.L_„.L[FYral:•r l.iGrFi�4. _ .._._
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3c09 * North Rudd, 41.93
'I.."In NINUM
S=uthC_A- !di' 1197_
4{{{L��� n i I Y:Y cu•_hti _ .. ..._ -- L'1 •xPr' E
e 1 ( BUYER:A.ATTORNEY
9 D.:.r.athan Lau-a T.
f .FaT aAYE r 10�MNF
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