HomeMy WebLinkAboutL 13112 P 753 l l f f f I f l l l I l l l f I l f f l I I I I I I I I I I I I I I I V I I I I I I I I I l l i I I
I I I I I I I I I I I I I I I
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 07/20/2021
Number of Pages : 4 At: 10 : 32 : 16 AM
Receipt Number : 21-0130765
TRANSFER TAX NUMBER: 20--39028 LIBER: D00013112
PAGE : 753
District: Section: Block: Lot:
1000 110 . 00 02 .00 017 .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 $395 .00
TRANSFER TAX NUMBER: 20-39028
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 2 .
Number of pages 1 2021 Jul E2'J 10:
32:16 AP1
JUDITH A. PASCNLE
CLERK OF
This document will be public c-:UFFOLK COUNTY
record.Please remove all L x97413112
Social Security Numbers r 7517
prior to recording. DI 40-39u28
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
j 1 FEES ajD
Page/Filing Fee Q� Mortgage Amt.
1.Basic Tax
Handling 20. 000 2. Additional Tax
TP-584 5 Sub Total
Spec./Assit.
Notation
or
EA-52 17(County) +�L\ Sub Total Spec./Add.
EA-5217(State) TOT.TOT.MTG.TAX
Dual Town Dual Co my
R.P.T.S.A. Held forAppointment
Comm.of Ed. 5. 00 Transfer Tax
Mansion Tax
Affidavit
�6 The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 �7(�d_JI_J family dwelling only.
Sub Total ttx�yy YES orNO
Other �]�L.Jt�
Grand Total �] ��J If NO, see appropriate tax clause on
page q ofthis instrument.
6-3D-aoa1...
4 Dist 21038204 looa 11000 0200 017000 5 Community Preservation Fund
TaxRealProp�
vic T S Consideration Amount$
Tax Servic R SMI A
Agency 13�1UL-21 CPF Tax Due $
Verificati,
— - Improved
6 Satisfactions/Discharg RECORD e RETUProperty Owners Mailing Address /
Vacant Landy
William C. Goggins, Esq. TD
Goggins&Associates
P.O. Box 65, 13235 Main Road TD
Mattituck, New York. 11952 TD
Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk
Title q
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Bargain and Sale Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Estate of Roman Watroba The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
In the VILLAGE
Tisha A. Watroba or HAMLET of Cutchogue
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
i
NY 005-Bargain and Sale Peed with Covenant against Granloi's Acis Individual or Corporacion(Single Sheet)(NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the day of June in the year 2021
BETWEEN
Tisha A.Watroba as Executor of the Estate of Roman Watroba,deceased,who was appopinted
by the Surrogate's Court of the County of Suffolk,State of New York on April 29,2020 under
file number 2020-998,residing at 2555 Mary's Road,Mattituck,New York 11952
party of the first part,and
Tisha A.Watroba residing at 2555 Mary's Road,Mattituck,New York 11952
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 pan 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 Cutchogue,Town of Southold,County of Suffolk,State of New York and further
described at Schedule A attached hereto and made a part hereof.
Premises known as 70 Pinewood Road,Cutchogue,New York.11935
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 centerlines 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 01 the
second pan,the heirs or successors and assigns of the party of the second pan forever.
AND the party of the first pan covenants that the parry of the first part has not 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 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 pan 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 pan has duly executed this ddQcdd the day and year first above written.
IN PRESENCE OF:
s a A.Wal/trolb�a/,\7a'svExecutor
U.SEACKN0TVLEDrMF.NTF0RMBEL.0WWLTNLNNEWYORKSTATEONLY: U.SEACKNOWLEMMENTFORMBELOWwmoNNEWYORKSI'ATEONLY:
State of?N�Se�wYork,County ofSuffolk Iss.: State of New York,County ofSItffolk ]ss.:
On the d of June in the ycar2021 On the day of in the year
be'ore me,the undersigned,personally appeared before me,the undersigned,personally appeared
Tisha A.Watroba
personally known to me or pmved to me on the basis of satisfactory personallytknown 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 evidence to lx:the individual(s)whose name(s)is(are)subscribed to the
within instrument and acknowledged to me that he/she/they 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/lheir 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 individuate' I(c ed,exec ed the instrument. behalf of which the individual(s)acted,executed the instrument.
WILLIAM C.GOGGINS
NOTARYPUBLIC,STATE OF NEW YORK
Registration No.4963699
Suffolk County
Commission Expires March 12,
ACKNOWLvx,-mENT FORM FOR VVEWrTIMNEW YORK3TATEONLY.- ACKNDIVLEI)GMENT Foitw FOR USF OU7sLDE NEty YORK STATEONLYr
lNnr York Sub.u-rihing Wil—,A,knmrtedgmc•,n Cerril&nrel /Out,('Stam,r F—vign General Arkn,wledgmew Ce,rii/irarel
State orNew York,County of i ss.: ..................................................I ss.:
(Cmpipfeie Venue wide Siwe,Cointrn•,Pr,rinreur-Muuidt"llip'l
On the day of in the year
before 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 am
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/shchhey executed
(ifthe place ofresidence is in a city inch4de the street and street number, the same in his/her/their capacity(ies),that by his/her/their signature(s)
if any.Nhereqfithat he/she/they know(s) on the instrument,the individual(s).or the person upon behalf of which
the individual(s)acted,executed the instrument,and[hilt such individual
to be the individual described in and who executed the Ioregoing made such appearance before the undersigned in the
instrument;that said subscribing witness was pn sent and saw said
execute the same; and that said witness at the same time subscribed (hlsert the cite•or other political,cubdivis on and the state or coranry or
his/her/their name(s)as a witness thereto. other place the acknowtedgmenr was taken).
BARGAIN&SALE DEED
Willi l:/l VI NANI S AGAINS'rlllANI IN S AUJ S
TITLE NO. DISTRICT
SECTION
BLOCK
LOT
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RECORDf.'DAT REQUM—OF
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RETURN HY MAIL TO
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INSURANCE COMPANY
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MEDIULE A (Description)
TITLE 1: 563-S-9941
All thaw OffWn Plot,puce or parcel of lend,with the buildings and impmvcrncnts thcreon
Suffolk lk a Awldlying
S ate hof New Yorkin the , at Fleets Neck, nearown Of Southold, tCof
utchogue,
bounded and described as follows:
BEGINNING at a monument at the intersection of the southerly
side of Midwood Road with the westerly side of Pinewood Road;
RUNNING THENCE along said westerly side of Pinewood Road south
24 degrees 19 minutes 50 seconds east, 121.23 feat to land now
or formerly of Raleigh;
THENCE south 65 degrees 40 minutes 10 seconds west along the
last mentioned land, 141.70 feet to land now or formerly of
McDonald;
THENCE north 21 degrees 11 minutes 00 seconds west along last
mentioned land and land now or formerly of.Burger, 121.41-feat
—t'o-*aaYd- oiitherl'y's'liie"of'14idrood Road;
THENCE along said southerly side of Midwood Road north 65
degrees 40 minutes 10 seconds east, 135.00 feet to the corner
aforesaid at the point or place of BEGINNING.
INSTRUCTIONS(RP-5217-PDF-INS)www brps.state ny.us
FOR COUNTY USE ONLY New York State DepartRMRt of
C1.SVAS Code ����! Taxation and Finance
CZ Date Deed Recorded I �/ �. 1 J Office of Real Property Tax Services
/ 7 RP-5217-PDF
C9.Book LFL _f t + C4.Page , �J i Real Property Transfer Report(3110)
PROPERTY INFORMATION
1'
Location ]O _
Pinswoad-.Roams-.----•illi.,._..
• •SINI I I MWIe.N •S-BEET NWB
Cutchogue
2.Buyer Watroba Tisha
Name
•[AFI I.AM-eS.�MPA\• FlabT xWE
lAbl gAYI COYYW r :Nb:blue
].Tse indicate where Future Tax Bills are to be sent
a' ng 11 other than buyer address(at baoom of form) InE'NAYLA:nMI'M1 If YT ILII:- - —
AAeresa
2555 Mary's Road _Mattituck, New York
RTREET NUMBER AND 4LR_ [R Y 4--rM, bill: I P[•.VE
4.Indicate the number of Assessmentpari of a Parcel (Only d Part or a Parcal)Cheek as they apply:
Roll parcels transferred on the deed_1 .-_a or l'anails OR 4A.Plenninq Board won Subdivision Authority Cwas r
S.Melt 121 a 141 OR %1.00 40,Subdlneon Approval was Required for Transfer I__I
Property '•I"I FELT •IJ'r"X W.F IS ---- l--1
SMe 4C.Finical Approved for Subdivision Wh Map Prended I 1
Tisha Watroba as Executor of the Estate of Roman Watroba
e.Seller •IJl1�ti�ME/:IN'AN, - .. -- -AS's ME ---^.- ---
Nmne
..LRTwMF.SdIPalr Nal tical - -
•7.Sleet the description which most accurately describes the Check the boxes below as they apply:
use of the property at the tma of sale: B.Ownership Type Is Condominium
9.New ConNludion on a Vacant Land
Res i dent iai 10A.Property Located wllhin an Agricultural Distad
fee.Buyer received a disclosure notice mtllratng that the properly is In an ❑
Agricultural Distinct
SALE INFORMATION 19.Check one or more of these Conditions as applicable to Irsnsfer:
A.Sale Between Relatives or FomMr Relatives
11.Sale Contract Date B Sale betwaon Rebind Co.Pontus or Partners i1 Suriname.C One of the Buyers Is also a SenorV.Buyer or Soler ,
tion
12.Onto of SaNRransfer June 30, 2021 E Dodd typo not walreary e.�any ert,�e�leasr ry eelowt
1 F Side of Fradmnal ar Lines than Fee InlNmat Specify Below)
-17.Full Sob Price .fill C.Significant Change in Pmpenly Retween 1 arable Status and Sale Dams
Ir.Sale Of Business is Included in SW Plica
f Full Sale Price is tie Intel amount paid for Iho property including personal property. I Other Unusual Factors Atedmg Sale Price(Specify Below)
1 his payment may to In tho term or dash.other property,or goods,or the assumption of J.None
mortgages or other obligations)Please mune to tae neamar whore doaar amount
Comment(s)an Condition:
14.Indicate the value of personal
property Included In the sale .Ix)
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax BIII
19.Year of Assessment Roll from which information taken(YY) 20/21 '17.Total Assessed Value
•1e.Property Class 910 _ •19.School District Nome Mal.tituck Cutchogue
•211.Tax Map IdentifiarlsyRoll ldentiflel(s)(11 more than four.■inch shoal with additional Idantifier(s))
iq moo f, d D _0( 7 cC-VIC)
CERTIFICATION
I Certify that all of the lima of information entered on this form are We and correct(to the hest of my knowledge and belbQ and I undarstend that the making of any wllllul
false statement of metert■1 fact herein subject me to the provisions of the penal Isw.mbave to the nuking and filing of false Instruments.
SELLER SIGNATURR/E BUYER CONTACT iNFORMAT10N
ansiv rnAlmb:in ne huNer Nd o li ewK o teri a om a d claimed
rLrPnDwn Film nFCL far4eM tlme er
enxry INI a not n individual e9eM p IEudwy Iller■reme eM mesad kIPomW an of an MIMJwaldGlaGe
pa iii lino Fal anseer qu,mbms lapa ding IM o,ndw mai M anleld Type m prim elaedy I
a'LLINaff.A•IFP ----MT
BUYER SIGNATURE -in,%W I F IRS'—1
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1 '.FLFR RnEH.Y3El•�E•riwYW,
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'SiM.r'-ti.Lll Y 'XI
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T.IIY . J SiAr LPCedE
BUYER'S ATTORNEY
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