HomeMy WebLinkAboutL 13064 P 955 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 7/23/2020
Number of Pages: 4 At: 8 :48 :50 PM
Receipt Number: 20-0107522 *ELECTRONICALLY RECORDED*
Transfer Tax Number: 19-34446
LIBER: D00013064
PAGE: 955
District: Section: Block: Lot:
1000 107 .00 02 .00 004 .003
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount $100,000 . 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
Notation $0 . 00 NO Cert.Copies $0 . 00 NO
RPT $200 . 00 NO Mansion Tax $0 . 00 NO
EA-CTY $5. 00 NO EA-STATE $250 . 00 NO
TP-584 $5. 00 NO Comm.Pres $500 . 00 NO
Transfer Tax $400 . 00 NO
Transfer Tax Number: 19-34446 Fees Paid $1,420 . 00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Judith A. Pascale
County Clerk, Suffolk County
RECORDED
Number of pages 4 7/23/2020 8:48:52 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013064
Social Security Numbers P 955
prior to recording. 19-34446
Deed 1 Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording 1 Filing Stamps
31 FEES
Page 1 Filing Fee 20.00 Mortgage Amt.
1. Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 5.00 Sub Total
Notation
0.00 Spec./Assit.
or
EA-52 17(County) 5.00 Sub Total 50.00 Spec./Add.
EA-5217(State) 250.00 TOT.MTG.TAX
200.00 CIO., Dual Town Dual County
—
Held Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax 400.00
' _� Mansion Tax 0.00
Affidavit 4�"
The property covered by this mortgage is
Certified Copy 0.00 or will be improved by a one or two
NYS Surcharge 15. 00 470.00 family dwelling only.
Sub Total YES or NO
Other 520.00
Grand Total If NO,see appropriate tax clause on
page# of this instrument.
4 1 Dist. Section Block Lot 5 Community Preservation Fund
Real Property
2DO25131 1000-107.00-02.00-004.003 Consideration Amount $10 0,0 0 0.0 0
Tax Service P r s
Agency €t vG[ n CPF Tax Due $
g Y 717672[12[1 500.00
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land X
Hamlet Title Agency Inc TD 10
601 Portion Rd Ste 207
Lake Ronkonkoma NY 11779 TD
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Comwny Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Title#
g Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of SOUTHOLD
In the VILLAGE
or HAMLET of
BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12-0104..10MId,
over
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 9th day of July,2020
BETWEEN
JEFFREY BRATISAX residing at 8 Rolan Court,Lake Ronkonkoma,New York 11779
party of the first part,and
—ane.
SAILOR'S HAVEN located at 2730 Grand Avenue,Mattituck,New York 11952
party of the second part,
WITNESSETH, that the party of the first part, in consideration of One Hundred Thousand
Dollars($100,000.00)paid by the party oft a seco part,does hereby grant and release unto the party of the
second part,the heirs or successors�r {�95 A�herfe +of the second part forever,
ALL that certain plot, piece or parte!•0i"tf''G1i�f�idddings and improvements thereon erected, situate,
lying and being in the
SEE SCHEDULE A ATTACHED
r� BEING AND INTENDED TO BE the same premises obtained by the party of the first part by deed made by
{�n _j Gregory Simonelli dated 10/07/1995 and recorded on 11/06/1995 with the Suffolk County Clerk in Liber 11749
Page 44.
Q .C}o
gyp,,-��.�[ SAID PREMISES with Suffolk County Tax Map*1000-107.00-02.00-004.003.
`" � SAID PREMISES commonly known as 3400 Grand Avenue,Mattituck, New York 11952.
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 lights of the parry 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"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:
JEFFY X
Standard N.Y-B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
TO RF USED ONLY WHFN THF ACKNOWLEDGMENT IS.MADE IN NEW YORK STATE
State of New York,County of Suffolk Ss: State of New York,County of ss:
On the 9th day of July in the year 2020 On the day of in the year before me,the
before me,the undersigned,personally appeared undersigned,personally appeared
JEFFREY BRATISAX
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(s)whose name(s)is
(are) subscribed to the within instrument and acknowledged (are) subscribed to the within instrument and acknowledged
to me that he/she/they executed the same in his/her/their to me that he/she/they executed the same in his/herttheir
capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the
instrument the individual(s), or the person upon behalf of instrument, the individual(s), or the person upon behalf of
which i ividual(s)acd,a cut the instrument. which the individual(s)acted,executed the instrument.
'NAIL
signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment)
Theresa LaPorte
Notary Public,State of New York
Thrrssmt,apoN CotmnlssionNo.OILA4909891
A10W1,Pubk$.,*or Nur Yolk Qualified in Suffolk County
Ouslllfwd SI�W k I Conunission Expires 11/02/2021
C AN&M 1t
fflaam
TO FIF USED ONL.Y WHEN THE ACKNOWLEDGeAENT 15 MADE 01-ITS10F 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/herttheir 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)
BARGAIN AND SALE DEED DISTRICT: 1000
WITH COVENANT AGAINST GRANTOR'S ACTS SECTION: 107.00
BLOCK: 02.00
Title No. LOT: 004.003
COUNTY OR TOWN
STANDARD O BOARD OF TM-E UNDERWRITERS
RETURN BY MAIL TO:
Distributed by
Wayne Sailor
Sailor's Haven
2 e'l bots 317
Mattituck, New York 11952
RESERVE THIS SPACE FOR USE OF RECORDING OFFICE
First American Title Insurance Company
Title Number: HTA-65005
Page 1
SCHEDULE A DESCRIPTION
ALL that certain plot, piece or parcel of land,situate, lying and being at Mattituck, in the
Town of Southold,County of Suffolk and State of New York shown and designated as Lot 3
on a certain map entitled,"Subdivision Map of Gregory Simonelli"which map was filed in
the Office of the Clerk of Suffolk County on September 20, 1995 as Map No.9743.
TOGETHER with an easement over the Easterly 20 feet of Lot No.2 and subject to an
Easement over the Easterly 20 feet of Lot No. 3 for the benefit of Lot No.2 in the
subdivision herein for a common driveway as set forth in Covenants and Restrictions in
Liber 11122 page 65 and as shown on the filed subdivision map.
1
FOR COUNTY USE ONLY
Cl- swi5 Code 14 1 7 1 3 1 8 1 8 1 9 1 DFANS):wwrw.afps.state.ny.us
Now York StWe int of
C2_ nate need Recorded 1 7 / 23 20201 Taxation and Finance
Month Day Year
L4 of Rea[PraPexiy"C'a7C 5BTV1C85
C3_ Book 11,3,0 ,61 4 1 C4_ Page I 1 19 , 51 51 RP- 5217-PDF
PROPERTY INFORMATION I Real Property Trans r Report(8fi0)
1
1.property 3400 Grarid Aveni,te,
Locatlon ................ ..»...
•83A�cT riltiirQeER ''TAFFY riAME•••
Southold Mattatuck 11952
•LkSY i]f2 TdNM1V ___________ ., � XOp e7UF+E
2• r Sailt7r's H..... .«�.�i+�-+Jr
LA3T'HAfAEEGOHPA{W l'£¢SYN�
LAST YAFFY,.m.,.. PA%T KAP1%
3,Tex Ftldbca€a wnem futures Tax Bills Aro to be send
a€king if other tAan buys+'add,ass(at bottom of form) IJ14-F rIrV. 1S�PMr'lJ3Y ......._ FtesrlrAaae
Addms9
- STR�Tr1E3M�A3H]SS0.rXE [rTr rx3 T[W1YJ ••.�••••••,.••••••••••••• 83A3E DOPE
4.Indlcxle stn number of Assessrna nt �. f§f.of pafcels OR ❑Part 4f a.Fattest [Only if Part of a Parrcel)Chcc. »a they apply:
Roll pproels txla�nsfanrrerl an shs dead 4A.Pllanrtin g Board with SubdMslon Auf lrorlty Exists ❑
S.flood X OR 1-39 46..SubdarVS9[on Approves was Requim t for Transfer ❑
Property 'rRCW •i1EF`rH •M.AtEfi
Size 4C.F area€App"wed W Su6dKftion with Map Provided M
Br�.tis3}L i7t?��.Y��
8_Seaar �i.aFHAaRF;7GGInPAr�+y A2Yrr.' ...... ..
Name
I/L•ir riAhAF.CO1�'Atn1' FFST nArnE
17.Sols ct the deacript3w+which nnxrst apaatrwliely Aeasvvllb lr the Check the boxes below as they apply:
nae of the properly at the tkne of sales: 8.Owrleaxtoo Type is Condominium
C.Resid£dl[W Vmmt Land 8.N3 Consbuction on a Vacant Land E3
I0A.Property Located wtthln an AgrieuihT42i District
108.Buyer mcell® a din lasum notice€a rsg tfesd the property is in an F1Agriwiftirat f3tstr ct
SALE INFORMATION 15.Check one or Drone of these cond®lions as appNmfle lea transfer:
A.Saks Between ftoWt Vas or Fortner R&laeY
11.Sale Contract Dade 07/09/2020 B.Sale bafwson!elated Cornparues or Pam In Business.
---- C,One of the a"yom Is also a Seller
"T2.[fate of SaleMntnsfer 07/09/2020D,Buyer or Sellar is CQanrTmoent Agency or Lending€ruHfuUon
................,,,................._.... ... E.Deed Type not Warranty or Bargain and Sale(Specify aakyw)
F.Sale of Fraconal or Lossthan Foo Interest(Spoci€y Seiow)
'13.wn saw Price 100,000.00 S-Signtficant Chargo In Property t3aUveast Tax aNl etsilts and Seta gates
H.Sade of BcnInvss is Included m Sale Price
[Fut€Sa€a PNCe is the tote€arrKwnt paid for Hen penporty irodudireg personal pro rorty, I, gtEw€JnusuaF Faetors Affoc&vB Sale Price(SpecdY Below)
form Tats payment may be In the of cash,ovu properly or goods,or the assumptionof J.elan
moduages or offs®r owigat�,)Alense mr.rnd to the rmarasf who&do-TW sVrK7u"t
Cnramanl(s)an CsmdHWn:
14.Ind€cats the value of personal
properly included in the sale _ _ �_-
ASSEFSMENT INFORMATION-Data uhuutd reflect the latest Final Asusessment RoII asld Tax Bli l
IS-roar of Asnamenwwd Rall from which inlermation takerl(M 20 "17.Total Assn*ed Value 1,400
'1s.Prc+tpe+ty Claws 311 *is-School oftttfct Name Mattituck
'TO.Tax Map iderRH"amr(a')€Roa ldenttitor(s)(Momenta than four,attach ahaet with ads#Yional kienfifier{s))
lOOO-lO'7.DO-O2.0O-004.003
CF-RTIFICATION
I Carry that alt of the Hems of informat• ntomd on this farm are true and correct(lo the bast of my kmnW edge and bcJ"-.Pd I understand that"m r€tal*W of any wA ful
fates sLaterrrerlt of rfrutal'tsil f&m herein u rdl ma to late tlroviaions cif lee ad.la "wdve to the rm*d lg and Tiling of false lnstru rnen19.
GNATURE ( J,)MR QQNTACT INFORMATION
(Ureter i.0--tion for ire taw .Mots:If txryrw is 1AK',.s0ciety.aswcfatfon.oDrpcxs kn R)ad cue rnm+puny.e>arslu w
-nary m I9 Dox an Indwiduat-gena orfdk-k-y.men-name and-,&..t-Ibn Me.of an 3nesi.ia,.auvsspnnsx,le
c �c� 'who can ar ver rIUMWI"s rr+aaPdW,0'I%-* WW mum noa arroulua-type or poMdaArry-)
Sailor W83.V e,
Q •usrrmar� �9�sr ruAu�
-air.OOM [r-.sassays7
2730 Grand Avenue
•"Yf�TTR1bRR'�Z •srl�esrlWAE
rr I I } P at t tuc.7c......_._..... ...._._._._._._._... NY 11952
+ �carrari�viiiQi_. -slurs zw�
F��[�, �tlRYtEY
tl `T.rannni E'.1.io
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