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L 13070 P 464
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 9/9/2020 Number of Pages: 4 At: 9:24 : 01 PM Receipt Number: 20-0139148 *ELECTRONICALLY RECORDED* Transfer Tax Number: 20-03896 LIBER: D00013070 PAGE: 464 District: Section: Block: Lot: 1000 095 .00 01 .00 012 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $342,000 . 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 $125. 00 NO TP-584 $5. 00 NO Comm.Pres $3,840 . 00 NO Transfer Tax $1,368 . 00 NO Transfer Tax Number: 20-03896 Fees Paid $5, 603. 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 9/9/2020 9:24:01 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013070 Social Security Numbers P 464 prior to recording. 20-03896 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) 125.00 TOT.MTG.TAX 200.00 CIO., Dual Town Dual County — Held Held for Appointment Comm.of Ed. 5. 00 Transfer Tax 1.368.00 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. 00 345.00 family dwelling only. Sub Total YES or NO Other 395.00 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 2033364 '# Consideration Amount $342,000-095.00-01.00-012.000 0 0 0.0 0 Tax Service r s Agency sr4i�2�i� CPF Tax Due $ 3.840.00 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land 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 NY 014-Full Covenant&Warranty Deed Individual or Corporation(Single Sheet)(NYBTU 8003) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the�C� day of August,in the year 2020 BETWEEN VIRGINIA M.SUROZENSKI,as Trustee ofthe HENRY I.VOMALESKI REVOCABLE TRUST,residing at 1.525— uicho ue co, {v� ©((3:)C)(-\ oAcno 0,ft �x, Ny L tq party of the fust part,and JASON McCARTHY,residing at 1128 Decatur Street,Brooklyn,New York 11201 party of the second part, ✓Vj" TgRF-E )4unlDTZED o�T y-Ttn 1D c�sA1�F� C 3t f Z,000 oo��d l�vio WITNESSETH,that the party of the first part,in consideration of id other valuable consideration paid by I 00c) 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, OQ`D' W ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the Town of Southold, County of Suffolk and State of New York, being more particularly bounded and •�J described on Schedule"A"attached hereto and made a part hereof. 012.000 (SEE ATTACHED SCHEDULE"A") Being and intended to be the same premises conveyed by deed dated 1/23/2018 recorded in Liber 12966 page 357, 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 fust 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 fust part,in compliance with Section t3 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. AND the party of the first part covenants as follows:that said party of the first part is seized of the said premises in fee simple,and has good right to convey the same;that the party of the second part shall quietly enjoy the said premises;that the said premises are free from incumbrances,except as aforesaid;that the party of the first part will execute or procure any further necessary assurance of the title to said premises;and that said party of the first part will forever warrant the title to said premises. 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 fust part has duly executed this deed the day and year first above written. IN PRESENCE OF: irginia M.Sfirozens i, s Trustee First American Title Insurance Company Title Number: HTA-6477-S Page 1 SCHEDULE A DESCRIPTION AMENDED ALL that certain plot, piece or parcel of land, lying, situate and being in the Town of Southold, County of Suffolk, State of New York, more particularly bounded and described as follows: BEGINNING at a point on the Northwesterly side of Oregon Road,distant 718.87 feet, more or less, Southwesterly as measured along the Northwesterly side of Oregon Road from the corner formed by the intersection of the Northwesterly side of Oregon Road with the Southwesterly side of Duck Pond Lane; RUNNING THENCE from said point of beginning along the Northwesterly side of Oregon Lane, South 53 degrees 31 minutes 10 seconds West, 156.00 feet; RUNNING THENCE North 37 degrees 06 minutes 10 seconds West, 125.00 feet; RUNNING THENCE North 53 degrees 31 minutes 10 seconds East, 156.00 feet; RUNNING THENCE South 37 degrees 06 minutes 10 seconds East, 125.00 feet to the Northwesterly side of Oregon Road at the point or place of BEGINNING. 1 USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLY: USEACKNOWLEDGMENTFORMBELOWW/THINNEWYORKSTATEONLY: State of New York,County of Suffolk)ss.: State of New York,County of )ss.: On the 2A day of August in the year 2020 On the day of in the year before me, the undersigned, personally appeared VIRGINIA M. before me,the undersigned,personally appeared personally SUROZENSKI, personally known to me or proved to me on the known to me or proved to me on the basis of satisfactory evidence basis of satisfactory evidence to be the individual(s)whose name(s) to be the individual(s) whose name(s) is (are) subscribed to the is (are) subscribed to the within instrument and acknowledged to within instrument and acknowledged to me that he/she/they me that he/she/they executed the same in his/her/their capacity(ies), executed the same in his/her/their capacity(ies), and that by and that by his/her/their signature(s) on the instrument, the his/her/their signature(s)on the instrument,the individual(s),or the in 'vidual(s),or the person upon behalf of which the individual(s) person upon behalf of which the individual(s)acted,executed the ante .executed thei s ixment. instrument. f No P lic 8E08 r Anft s Motery Public State of New Yofk Registration No,01AN6295435 Qualified In Suffolk County My COrttrtilsslon Expires:Jan6ary 6,2022 ACKNOWLEDGMENTFORMFOR USEOUTSIDENEWYORKSTA TEONLY. A CKNO WLEDGMENTFORM FOR USE WITHINNEWYORKSTA TEONLY. (Out of State or Foreign General Acknowledgment Certificate) (New York Subscribing Witness Acknowledgment Certificate) )ss.: State of New York,County of )ss.'_ (Complete Venue with State,Coun634 Province or Municipality) On the day of in the year On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared the subscribing witness to the foregoing instrument, with whom I personally known to me or proved to me on the basis of satisfactory am personally acquainted, who, being by me duly sworn, did evidence to be the individual(s)whose name(s)is(are)subscribed depose and say that he/she/they reside(s)in to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), that by his/her/ (fthe place ofresidence is in a city,include the street and street number,if their signature(s)on the instrument,the individual(s),or the person any,thereoj);that he/she/they know(s)to be the individual described upon behalf of which the individual(s) acted, executed the in and who executed the foregoing instrument;that said subscribing instrument. witness was present and saw said execute the same;and that said witness at the same time subscribed his/her/their name(s)as a witness thereto. WARRANTY DEED MTtr FULL COVENANTS) DISTRICT 1000 TITLENO.HTA-6477-S SECTION 095.00 BLOCK 01.00 VIRGINIA M.SUROZENSKI,as Trustee of HENRY 1.DOMALESKI LOT 012.00 REVOCABLE TRUST COUNTY OR TOWN TO JASON McCARTHY RECORDEDATREQUESTOF Fidelity National Tide Insurance Company RETURNBYAWL TO PpOI Qo1.T as FOR COUNTY USE ONLY Cl- SWIS Cade 14 1 7 1 3 1 8 1 8 1 9 1 INS}:www•orps.staft.ny_us Nevlhr Yllxk state ritment of C2_ nate need Recorded 19 / 9 20201 Taxation and Finance Moath nay Year Office of Real Property Tax Services C3_ Book 11,.31.0 ,7, 0 I C4_ Page 1 , 14 , 6, 4 1 RP- 5217-PDF Real Property Transfer Report(W10) PROPERTY INFORMATIONI f.Property 8745 0-regon Road Localkon .... .......................................................... •4yV,W'C N[Jt CR 'STREET NAME Svutho1d Cutch.nCgue 71935 -CITY OR TOWN VIL GE -2tP CODE a.Buyer WCaYt'.tty Jason Home .......................................................................................... 'L4rsF NAWE, OMPA.MY PGT NAME ......................................................................................................... LA.SF NAMElGOMRANY P1RR"r NAW.. s.Tax lndicate where future Tax Bills are to be sent Blil€ng if other than buyer a ddress(at bottom 0 form) ----- Address y ) I.A4T e�tAh9EJCOMPANY FIRST tdAr. -------- ... ... ..... .....,,... STREET NIUMHER AND NA E CITY OR TOWN STATE ZP COOP. a.Indicate the number of Assessment ❑Pall of a Parce€ (Only if Past of a Parcel)Check as they apply: Roil parogia transferred an the deed #aF Parcel. C)H 4A.Planning Snard with Subdtvislon Authority Exists ❑ S.Deed X <)R4 ----- --.----------------------------w___-- 4B,Subdiv€sian Approval was Required for TranSf®r p Prvehty rrF 'PTH ACR[5 Size 4C.Parcel Approved for Subdivision voth Map Pmvided 6.Nailer 'LAST�ANY FMST NAME Name LAsr N�: mpAw .IR T NAme. '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- R.OwnemNp Type is Condolra'nium ElA.One,Family Residential s.New Construction on a Vacant Land ❑ IRA.Properly Located wAh€n an Agrt u turW f isiWct t013-Buyer reaaivesd a dl solosum notice indicating that the property is in an Agricu€tura€DFalrict ❑ SALE INF0RMA ICSN I6.Check one or m,nm of these conetkiorne as applicable to transfer: A-Sale Between Rein i€ s ar Former Re€athma tt.Saie Contract Data 01/02/2020 B-SaW between Related Companies or Flannels in Business. C-Cane of she Buyers is also a Sellar 08/28/2020 O-Buyer or Sellar€s Govemnaa d Agency or L.ipn6rtg institution h x_Clete of Sa1e1TC0nSfRr ....._......._...........,,,................_.....,,,._........... E.Deed Type not Warranty or Bargain and Sale(Specify Below) F.Sale of Fractional or Less than Fre interest(Specify Below) _ *13.Full saw Price 3 4 2,0 0 0 .�© G-S€gni5cant Change in Property Between Taxable Status and Sale hales H-Sale of Business is included in Sale Price [FuII Saha Prices is the total arnount pal for the property induding personal properly, € Other Unusua€Factors Affecting SaFe Price(Specify Below) This payment may be in the form of cash,other property or goods,or the assumption of J.None n-Kalgagers or other obligations,)please round ro the nearest wtto;&"or arnaunr. Comment(s)on Condition-. 14.indicate the Value of personal property included in the sale 0 _00 ASSESSMENT INFORMATION-Data shouid reflect the latest Ficial Assessment Rall and Tax Bill 16.Year of Assessment Rall from which information taken(YY) .1-9 "17.Total Assessed Value -1,200 'I9.Property Class 210 ... -19.Schaal r4str€ct Name .1.2 Mat.E"-.7,.t'-L7Ck–CLltCYlP gi7C `20.Tax Me Ident€f`rer(s)TRoll Mentii"or(s)(B mans than four,attach wheet with additional€dentlfier(s)) .. 1000-095.00-03..00--03.2.000 ERTI FICATION €Certify that all of the items of information entered on this farm are true and correct(to the best of my knowledge and beilef)and€understand that the making of any vAliful false stafemant of material fact herein subject me to the�ror€sIvrhs a€thf Hanel taw re€atIve io Hhe making:and irtg of false ineltrtrments. SELLER Sli3N[ATUM BUYER CONTACT INEOSMATION (neer irrt—son tar the buyer Note:N buyer is LLr.sneiaty,as,00stan,corporat—,pont,tot.oampany..,Vale ar entity that is not art€rdivldual agent or idudary,mea a seame�d oontact 4niomlati"or an h161Ydu�7aspan9ibfe Party whw can a—,q.—U.na regarding me,const r must be.neared.Tyne w prIssr c€es ty 7 ��.F.>2 E u^anYl�R car McCarthy Jacor_ '3h4T N� FAST NAME• 'AREA C6PE •T[LEPI•ICME N[1Tt[1x=F1 iEK�498&398} Bu�E 5iGN0.F[1%2E G rz J •31'At;.E'rvu M1;RF 'STRF':T IFE 1, 1 �irr ala rcrwN tf•� }�'e A y�y �yyr y� -sra •ric rarer: I F 1 r Janntzzzi David J. r 1 1 ?A81 NAIW. FmsT NAME 1 (631) 298-8065 J1 f 11 .••.••.••.••••.•NItA L:OLY . TELEPHONE A MBER[G:98899993 1 I r 1 1! t t