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Home My WebLink AboutL 13056 P 695 1111111111111111111111111111111111111111111111111111111 I I I l l l l l l l l l l l l SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 04/23/2020 Number of Pages : 4 At: 03 : 33 : 59 PM Receipt Number : 20-0063915 TRANSFER TAX NUMBER: 19-27726 LIBER: D00013056 PAGE : 695 District: Section: Block: Lot: 1000 102 . 00 05 . 00 020 . 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 $395 . 00 TRANSFER TAX NUMBER: 19-27726 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ❑1 ❑2 Number of pages RECORDED 2020 ADr 23 03:33:59 PM JUDITH H. PASCALE This document wilt be public CLERK OF record. Please remove all SUFFOLK COUNTY Social Security Numbers L D00013056 prior to recording. P 695 p dig• bT# 19-2727r'2b Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. 70— Dual Town Dual County Held forAppointment Comm.of Ed. S. 00 Transfer Tax _ Affidavit + + Mansion Tax y{®� The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES orNO Other �(� Grand Total 1 S [i?fo, see appropriate tax clause on e ofthisinstrument. �uj 0 4 Dist 20013271n20.00 5'taTKmounity Preservation Fund 1000 10200 0500 020000 Real Pro{ PTS 111 l Consideratioc Duen Amount$ Tax Servi R o PR 111111Illllllll�lll�1111111CPF Ta $ Agenc 08 Verifical / pp Improved t� 5 Satisfactions/Discharges CORD&RET ListRN yOwnersWilingAddress Vacant Land Valerie Shivers, Esq. 140 Lakeland Avenue TD / Say4ille, NY 11782 (631)569-4334 TD TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Zenith Abstract LLC www.suffolkcountyny.gov/clerk Title# ZA-7734-19 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) THERESA ORLOWSKI 2016 IRREVOCABLE TRUST The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold PAUL C.JABLONSM In the VILLAGE 0\ Go I�- � nsk r or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over QUITCLAIM DEED (INDIVIDUAL OR CORPORATION) FORM 8004 (short version), FORM 8009 (long version) CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER�B�]E,FFO(R,, e$ E SIGNING. THIS INDENTURE, made the _day of '"eember 2414, 2vzo between PAUL C. JABLONSKI, as Trustee of the THERESA ORLOWSKI 2016 IRREVOCABLE TRUST,dated October 24, 2016, residing at 28565 Main Road, Cutchogue,NY 11935, party of the first part, and MICHAEL C. JABLONSKI, residing at 9 Rua Principal, Casais Do Norte,2460-108 Alfeizerao, Portugal, CARL J. JABLONSKI, residing at 8 B Daisy Way, Paramus,NJ 07652, and PAUL C. JABLONSKI, residing at 1070 Waverly Avenue, Holtsville,NY 11742, as tenants in common, each with an undivided 113 interest, party of the second part, WITNESSETH,that the party of the first part, in consideration of Ten and 00/100 Dollars,lawful money of the United States, paid by the party of the second part,does hereby remise, release and quitclaim 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, situate, lying and being in Cutchogue, in the Town of Southold, County of Suffolk, and State of New York, as more fully described in Exhibit A attached hereto. SAID PREMISES being known as and by 28565 Main Road, Cutchogue,NY 11935. 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 al I the estate and rights of the party of the first part in and to said premises, TOHAVEAND TOHOLD 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, 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 costs 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. NYSBA's Residential Real Estate Farms(9100) 0 2009 Matthew Sender&Co.,a member of the LexisNexis Group. Title Number: ZA-7734-19 SCHEDULE A DESCRIPTION Amended 3/11/2020 ALL that certain plat, piece or parcel of land, situate, lying and being at Cutchogue, Town of Southold, Suffolk County, New York, bounded and described as follows: BEGINNING at a concrete monument set on the Northerly line of Main Road 80.21 feet Easterly along said line from a monument at the Easterly line of North Street, said point being the Southwesterly corner of the premises and the Southwesterly corner of the land now or formerly of Blanche Chugin; from said point of the beginning; RUNNING THENCE along said land now or formerly of Blanche Chugin and land now or formerly of John Wickham North 40 degree 17 minutes 40 seconds West 303.89 feet to a concrete monument and land of School District No. 12; THENCE along said land of School District No. 12 North 34 degrees 28 minutes 10 seconds East, 116.72 feet to a concrete monument and land now or formerly of Isabelle Samohel; THENCE along said land now or formerly of Isabelle Samohel South 39 degrees 46 minutes 30 seconds East, 307.74 feet, deed, South 39 degrees 46 minutes 34 seconds East, 307.76 feet, actual, to a concrete monument on the Northerly line of said Main Road; THENCE along the Northerly line of said Main Road, South 35 degrees 59 minutes 00 seconds West, 113.06 feet to the point of BEGINNING. District 01000 Section 102.00 Block 05.00 Lot 020.000 FOR INFORMATION ONLY: Premises commonly known as: 28565 Main Road, Cutchogue, NY 11935 BEING AND INTENDED TO DESCRIBE the same premises as conveyed to the Grantor herein by Deed in Liber 12927 page 51. 1 IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. T0,v3i�' G PAUL C. JAB NSKI Acknowledgment by a Person Within New York State(RPL § 309-a) STATE OF NEW YORK ) ss.: COUNTY OF SUFFOLK ) k aaab On the day of In the year 444.9, before me,the undersigned, personally appeared PAUL C. JABLONSKI, 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 executed the same in his capacity(ies), and that by his signature(s) on the instrument,the individual(s), or the person upon behalf of which the individual(s)acted, executed the instrument. 0��L �k lI MICHELLE L DURAN ✓✓ NOTARY PUBLIC-STATE OF NEW YORK ignature and office of individual taking acknowledgment) No,01 DU6366601 Qualified in Suffolk County Deed My Commission Expires 10-30-2021 Title No. District 1000 Section 102.00 THERESA ORLOWSKI 2016 Block 05.00 IRREVOCABLE TRUST Lot 020.000 To County or Town Suffolk MICHAEL C. JABLONSKI, Street Address: 28565 Main Road CARL J. JABLONSKI, and Cutchogue,NY 11935 PAUL C. JABLONSKI Return By Mail To: Valerie A. Shivers, Esq. Shivers Law Group 140 Lakeland Avenue Sayville, NY 11782 Reserve This Space For Use Of Recording Office NYSBA's Residential Real Estate Forms(9100) 0 2008 Matthew Bender&Co.,a member of the LexisNexis Group. INSTRUCTIONS(RP-5217-PDF-INS):www.orps.stats.ny.us FOR COUNTY USE ONLY Now York Stift Depettmestl of I�I�IL31V 1 1 I C1.awls code Taxation and Finance C2.mate Dood Recorded L i4 /�/ 2-0 I Ofllm of Real Property Tax Services =A - RP-5217-PDF C3.Book , O C4.Pago IF ((/—{ I Real Property Transfer Report(IIM0) PROPERTY INFORMATION 1.Property ?f 565 1143-In Road Location 97 11111—NWE Cul.chogue '. 1935 .ciiYEP roi" waJh:E •-PCME a.Buyer Jablor.=k'. Ce_1 J. Name p�r r r -- •-"INAVIJ:rJMAAtir Flan;r1A� abr.=k'. Michael C. !a'N-AErr"PAW Flog}vAYa 3.Tax Indicate where future Tax Bills are to be sant Bfiling i!othe•than buyer addmss(atbottom dbrm) I-SThrW1.nVPkW naxrxwl: Address hl W'F I hJWFa Ane NWF. EF c-Toren 16141% 4.Indicate the number of Aasmement 1 ❑Pad of a Pa., (Only N Part of a Portal)Check as they appy: Roll reels transferred on the dead s d Parcels OR ❑ Pa 4A.manning Board with Subdivision Alr_hodly Exists e'Daad \ OR /9 41L Subdivision Approved was Regtred Tor 7ranarer Property +en.l•r I 1 •rrvi- 'AxrFX size 4C.Parcel Approved for Subdivision with Mao Provided Theresa O-lowsk'. 2016 lrre:o=ab_e --un_ S.Seller •us1 VAMJ:ae+Aw I.va:-4-- Name AYhName I AST\Ampecou"Hy Fri.:MVb '7.Select the descripsco which most accurately describes the Check the boxes below as they appy: use of the property at the time of sale: 8.Ownership Type Is Condomurum A.One I aunly RusidenLial 9.New Concoction on a Vacant Land 19A.Properly Located within an Agocuhurel Disirlat 19B.Buyer received a disclosure.,afire inoNxing that the property Is in an Agnc&Aural District Li SALE INFORMATION 1a.Chock one or more ofthsse conditions as applicable to transfer. A.Sole Between Relatives Cr Former Relatives 11.Sala Contract Dau 03 / 73 1 2,EV B.Sale between Related Companies or Partners In Business. l C.One of the Buyers is also o Seller ' D.Buyer or Sayer is Govemrrem Agency or Lending Instmt.Icn 12 Dau of SalaRmnstor (Q1 11312020 E.Deed Type not Waranty cr Bargain and Sale LSped!y Below) F.Sale of Fracbenal or Less than Fee Interest(Specify Below) •13.Full Sale Price v.O(t G Significant Change in Property Between Taxable Status and Sae Date. H.Sale of Business Is Included in Sale Price (Full Sale Price is the total amount paid for the prop". Including persorl8;property. Other Unusual FaC.ors Affecting Sale Price(Specify Below) The payment may be in the form of Cash,other pmW.y or goods.Cr the assumption of ri INoce mortgages m other obllgedons.)release round to the wai eat whole doferemwnr. •Commam(a)on Condition; 14.Indicate the value of personal property Included In the sale x '00 ^u=:c_a'-m ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 1e.Yosr M AesmsmentRotl from whlch Infonnadon takon(YY) 19 '17.Total Assessed Value 5,500 48.Property Clam 2110 _ •19.School District Name Ma L L;.::::c k 129.Tax Map IdmdMr(sltRall Idendflm(s)(If more than four,attach sheat with additional Idsldiflor(s)) 03n—.0:'.00-C 5.03-'C20.0:10 CERTIFICATION I Certify Mat all of she Items of Ilrformmillion entered on this form am tram,and correct(re the best of my knowledge and beast)and I understand that the making of any wlltiul false statement of material fact horein subject me to the nmvislons oftho ooafj.lnw mistive to the making and filing of false Instruments. NJ—LER SIGNATURE BUYER CONTACT INFORMATION 1FwerInt—Rhor!ar e-0 buyer.Note.f buYar is LLC.a aty.aaux5r ri,wp"tm;ori nb k wiiprq,estate cr ante_feel s tet W i—duel penl or!dctiry,"_res a came v.-W wAara vxon•weon of an oUioJWrespmYr. pe,1Q.G gQj�lrl� 34 eery who car an—quer.aim merdictawInumewman benvwlsa Type twprint clearly) 5kLLwi�tiAZTr- _ _ JAna j�V]rER SIGNATlJ$E 1;ab_01L.SkI Carl �. "J.I tic YF -Ira'NAVL •rPFACY.nF ^?I'Iti:Y NIYaea l-,iAM1Negi wrrEa sawn.ar 8 Dainy Way •a1VLL1VLM51-R WIMPTWAMF Pa Nr 0'1$52 I` C.10fM 6T�T? J`CtlL gIIYER,S ATTORNEY ' Shivers Va-'nr i•'^ A. I I AST hAwC neST RAV. ` ; I '63", 569 334 I I I AP.CA{COL• ItiPJeaE M.aYNIFr Wlin r1 I I r I I ) I qp wao L, 13nso RP-5217 Addendum Premises: 28565 Main Road,Cutchogue, NY 11935 �t Sellers: • THERFSA ORLOWSKI 20161RREVOCABLE TRUST, residing at 28565 Main Road, C'utchoguc. NY Purchasers: • MICHAEL C. JABLONSKI,residing at 9 Rua Principal.C:asais Do Norte.2460-108 Allbizemo. Portugal • CARL J.JABLONSKi,residing at 8 li Daisy Way, Paramus, NJ 07652 • PAUL C. JABLONSKI, residing at 1070 Waverly Avenue,I-loltsvilie, NY 11742