HomeMy WebLinkAboutL 13108 P 699 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 06/15/2021
Number of Pages : 4 At: 03 : 37 : 36 PM
Receipt Number : 21-0111377
TRANSFER TAX NUMBER: 20-35696 LIBER: D00013108
PAGE : 699
District: Section: Block: Lot:
1000 035 . 00 08 .00 005 . 010
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $885, 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
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 $3,540 .00 NO Comm.Pres $14, 700 . 00 NO
Fees Paid $18, 635 . 00
TRANSFER TAX NUMBER: 20-35696
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 z
RECORDED
Number of pages 2021 Jun 15 03:37:36 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
L D00013108
record. Please remove all P 69:+
Social Security Numbers DT# 20-35696
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Spec./Assit.
Notation
or
EA-52 17(County) SubTotal Spec./Add.
EA-5217{State) TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held forAppointment
Comm.of Ed. 5. 00 Transfer Tax 3 Syy
Mansion Tax
Affidavit
(6(pal
The property covered by this mortgage is
CertifieclCopy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES orNO
Other c�
Grand Total If NO, see appropriate tax clause on
page# of this instrument.
4 1 Dist.100' 21030674 1000 035m00n 0800 005010 5 Community Preservation Fund
Real Property RT IIlWmillIII CPFTaxConsideration Due Amo$nt$ �'s�S,ODU
Tax Service R SMI I l 1
Agency OQ
Verification 01.1UN-21
Improved
Satisfactions/Discharges Releases List Property Owners Mailing Address
6 R1CORD&RETURN TO: Vacant Land
Mary-Faith Westervelt, Esq. TD
Westervelt& Rea, LLP
50 North Ferry Road, P.O. Box 633 TD
Shelter Island, New York. 11964 TD
Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name OC R re-S 19 6's
� !
www.suffolkcountyny.gov/clerk
Title# A-)77. /'2Osf
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Bargain and Sale Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Gordon J. Haas The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
In the VILLAGE
Zurab Mamukashvili and Manana Mamukashvili or HAMLET of Easy Marion
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual-Corporation(Single Sheet)(NYBTU 8002)
CONSULT YOUR LAWYER BEFORE.SIGNING THIS INSTRUNIENT-THIS INSTRUM1IENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the V day of April in the year 2021
BETWEEN V
GORDON J.HAAS,residing at 275 Marina Drive,East Marion,New York 11939
party of the first part,and
ZURAB MAMUKASHVILI and MANANA MAMUKASHVILI,his wife,both residing at 1
Linda Court,P.O.Box 834,Shelter Island Heights,New York 11965-0834
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 party 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 in the
Hamlet of East Marion,Town of Southold,County of Suffolk,State of New York,and further
described at Schedule A attached hereto and made a part hereof.
Being and intended to be the same premises conveyed to the party of the first part by deed
dated March 16,2010 and recorded in the Office of the Clerk of the County of Suffolk on
March 26,2010 under Liber 12620 of Deeds at Page 303.
TOGETHER with all right,title and interest,if any.of the party of the first part of,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 pan,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 riot done or suffered anything whereby the said
premises have been incumbered 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 ofthe first part will
receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to he applied
first for the purpose of paying the cost of the improvement and will apply Ate 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 he 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 decd the day and year first above written.
IN PRESENCE OF:
Gordon J.Haas
U.S'ACILVOWIEI)CMENTFORMBF.LOIVwITHLVNEWYORKSTATFOmy.- USF.ACKNOWEDGWENTFORMBELOW WITHINNEIYYORK STATE ONLY.
State of New York,County of Suffolk Iss.: State of New York,County ofSuffolk Iss.:
On the (fay of"0.0 (Y t6 Y6A in the year 2021 On the day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
Gordon J.Haas
personally known to me or proved to Ine on the basis of satisfactory personally known to me or proved to me on the basis of satislhctory
evidence to be the individual(s)whose name(s)is(are)subscribed to the evidence to be the individual(s)whose name(s)is(are)subscribed to the
within instrument and acknowledged to me that he/shchhey executed within instrument and acknowledged to me that he/she/they executed
the same in his/her/their capacity(ics), and that by his/her/their the same in his/her/their capacity(ies), and that by his/her/their
signature(s)on the instrument,the individual(s),or the person upon signature(s)on the instrument,the individual(s),or the person upon
behalf of which the i ivdual(s)acted,executed the instrument. behall'of which the individual(s)acted.executed the instrument.
/�'8 C �
RIAN A.ANDREWS
Notary Public,State Of New York
No. 02AN5014509
Qualified In Suffolk Count
Commission Expires 07/15/ 't l
ACKNOWLEDGWNTFORMFOR USI'WITHINNFrvYORKSTATEONLY- ACKNOIVIYDGMF.'NTFORKFOR USE Ou7sIUFNh'WYORK S7ATEONLY:
(Nen'York SuNcrihing WhiiessArkwnNedgnrew Certificate/ l ou n/SLae or Foreign Generr I Arknem•ledgme w Cerlifientel
State of New York,County of I ss.: ---........................................ I ss.:
(Cunrplese Venue with Suue,Cnumrv,Prorinre ur Munit:it til.")
On the day of in the year
W-'ore me,the undersigned,personally appeared On the day of in the year
before me.the undersigned,personally appeared
the subscribing witness to the foregoing instrument,with whom I an;
personally acquainted,who,being by me duly swum,did depose and personally known to me or proved to me on the basis of satisfactory
say that he/she/they reside(s)in 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
(ifthe place ofresidence is in a cite,include thestreet and street number, the same in his/herAheir capachy(ies),that by his/her/their signature(s)
if any,thereof;that helshelthey know(s) on the instrument,the individual(s),or the person upon hehalf of which
the individual(s)acted,executed the instrument,and that such individual
to be the individual described in and who executed the foregoing made such appearance bulbru the undersigned in the
instrument:that said subscribing witness was present and saw said
execute the same-and that said witness at the same time subscribed (Insert due cit),or other•political subdivision and the state orcoaran or
histher/their name(s)as a witness thereto. other place the ackirowledbment utas taken).
BARGAIN&SALE DEED
Willi COVIiNADr1;Y AnAINS I'I:RANI IIR'S ACTS
TITLE NO. DISTRICT
SECTION
BLOCK
LOT
COUNTY OR TOWN
TO
RECORD@DAT RF,QUFST OF
Fidelity National Title Insurance Company
RETURN BY MAIL TO
FIDELITY NATIONAL TITLE
INSURANCE COMPANY
IhcnxrTIR,1Tr:n 1918
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Weslcor Land Title Insurance Company
SCHEDULE A
DESCRIPTION OF PREMISES
Title No. W-ADA-1708-S
Policy No. LP-36-NY 1201-11478632
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon
erected, situate, lying and being near the Hamlet of East Marion, Town of Southold, County of Suffolk,
and State of New York, known as Lots 6 on the Map of"Summit Estates, Section 1" filed in the Suffolk
County Clerk's Office on November 22, 1993 as Map No. 9426 and more particularly bounded and
described as follows:
BEGINNING at a point on the southerly side of Marina Lane distant the following 2 courses and
distances from the extreme easterly terminus of a curve which curve has a radius of 40 feet and a
length of 62.83 feet and which curve connects the southerly side of Marina Lane with the easterly side
of Chios Lane:
l`
1. North 54 degrees 15 minutes 38 seconds East 100.17 feet;
2. Along the arc of a curve bearing in an easterly direction having a radius of 2855 feet a distance of
20 feet to the point or place of BEGINNING.
RUNNING THENCE South 36 degrees 08 minutes 27 seconds East 190.07 feet;
RUNNING THENCE along the following two courses and distances:
1. North 69 degrees 05 minutes 45 seconds East 90.15 feet;
2. North 52 degrees 14 minutes 08 seconds East 62.93 feet;
RUNNING THENCE North 37 degrees 45 minutes 52 seconds West 215.00 feet;
RUNNING THENCE along the southerly side of Marina Lane and the following two courses and
distances:
1. South 52 degrees 14 minutes 08 seconds West 62.93 feet;
2. Along a curve to the left having a radius of 2855.00 feet and a distance of 80.90 feet to the
point or place of BEGINNING.
SCHEDULE A
A.L.T.A 2006 LOAN POLICY
INSTRUCTIONS(R?5217-PDF-INS):www.orps.s�te.ny.us
FOR CpUNTY USE ONLY Now York Stale Department of
C; I Lt-7.SMS Code 13I,R/ /91 Taxation and Finance
C2.Dab Deed Recorded 11,!51 Office of Real Property Tax Services
Per a" Y— RP-5217-PDF
C3.Book LQ C4.PageL 91Real Properly Transfer Report(6110)
PROPERTY INFORMATION
1.Property 275 Marina Lane
Loealhn 'STREET MASER SMUT MINE
East Marion 11939
•CRY OR fovm VILLAGE 'LIP CODE
2.Buyer Mamukashvili Zurab
Nagle FIRST PLUS
•1A47 NALFICOYPANY
MamuKashvili Manana
LAW NALEIOOMPANT FMT NAME
a'Tax Indicate where future Tex Bills aro to be awl
Billing If other than buyer eddress(st bodom or form) LAST xMErcCOMPANY FIRST rough
Address
SINF.TMAORANDNAME rlryORrom STATE ap CODE
4.Indlm to the number of As ow t 1 g P�Cele Part or a Penal (Only B Post d*Psneel)Cheek w they appy:
Reil parentstranslim on the deed 4A.Planning Board with Subdhrision Authority Exists
S.Dead X OR 0.50 413.Subdhrlslon Approval was Required for Transfer
Property 'FRWgT FEET 'DEPT 'ACRES
NEW IC.Parent Apprmled for SubdMWm with Map Prwlded
Haas Gordon J
e.Selly LASTPARAWCOMPAm• FIRST NANF
Name
WT NMER•AMPANY FIRST NICE
'7.Selact the description which meet accurately describes the Cheek the boxes below as they apply:
use of to property all the time of sale: 6.ownership Type Is Condominium
A.One Family Residential El e.New Consauctlon on a Vacant Land
10A.Property Located within an Agricultural District
106.Buyer racalved a disclosure notice Indicating Sul the property Is In an
Agricultural District
SALE INFORMATION 15.Check one or moa of time conditions u applicable to transfer.
A.Side Between Raising or Former Relot ran
17.Sib Contrail Dah
9-d r'a/ B.
PartnersSale betwo IT Related Companies or Pars In Business.
he&rye
C.One of sM is also a Seller
ding Massillon
•12.Date of BoWT ante
04/29/21 E.Dead Type riot W Orurany ore Ba
rgain a d Sor ale(spocfh Below)
F.Sale of Fractional or Less than Fee Interest(Spa*Below)
•13.Full Silo Price 885,000 .00 G.Significant Charge in Property Between Taxable Stales and Sob Data
H.Sale of Business is Included In Sale P.
(Full Sale Price Is the total amount paid for the property Including PWKMOI propwily. 1. other Unusual Factors Affecting Sale Price(Specify Below)
This payment may be In the form at Doh,other properly or goods.or the assumption of J.None
mortgages or other obligations.)Ph/ round ta The named whoa daw mrowd.
Commands)an Condition:
14.Indicate the vslus of personal
property Included In the sate .00
ASSESSMENT INFORMATION-Date should reflect the latent Final Assessment Roll and Tax Bill
1a.Year alAomsmad Rog from whMh Infamaton t dmn(YY) h7.Toll Assessed Value
'15.Property Clew 210 _ Me.School District Name
'20.Tw Map lden0w(syRoll Idsntlffer(al(ff more then four,attach sheet with additional Identrads))
/0,06 3 T—
CERTIFICATION
I Csrtty that a0 of the Rome of Information wored on this Torn are trus and correct(to the beat of my knowledge and hot"and 1 understand that the making of sly willful
false statement of mfhriel fact herein aubjict me to t of elMene.OLta�e-^sl hew mletva to the making and Ming offals Instrunnnb.
3EL L-EP g OMTURE 5MFkCONTAGLWM.NATION
lE nbr rr ionwiion for this suyw.Now:If later Is LLCAwdey.Meadd m-corporation.joint elect Company.sales or
I /� snap am in not an IMNdni'sem or edudary.Drees a name and comM infamreftn or an imnvkhn oq melee
parly who sen nw.er a»eDorw r*Web g the awnfar Mrsf be amnerl Type or Irdm ob--b•)
SELLER SIGNATIAE DATE {
AMR SIGN %Fr MAW TAi�I LLf RD
r/� •LAST rLAIIF FIRSTNAYF.
G.r o •ARkll CODE 'rFLkPHONE NUMER IFs:eSwereI
MWER SIGNAT— CA
'STREET xuMaER 'BTREETNAME
'p7Y 'STATE •TB CODE
1 I BV�R'S ATTO�yEY
bjf I
LAST wwE FIRSTNmFj
I I r I e (A4J 744-OaW