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Home My WebLink AboutL 13112 P 752 1111111111111111111111111111111111111111111111111111111 1111111111!11111 IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 07/20/2021 Number of Pages : 4 At: 10 : 32 : 15 AM Receipt Number : 21-0130765 TRANSFER TAX NUMBER: 20-39027 LIBER: D00013112 PAGE : 752 District: Section: Block: Lot: 1000 125 . 00 01 . 00 019 . 005 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 $250 . 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 $520 . 00 TRANSFER TAX NUMBER: 20-39027 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County d 1 2 RECORDED 2021 Jul 20 10:32:16 Atl JUDITH A. PPSCALE CLERK OF Number of pages SUFFOLK CUIIhJT',' L D00013112 This document will be public P 752 DT# 20--39027 record.Please remove all Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES 5 Mortgage Amt. Page/Filing Fee 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 5 Sub Total Spec./Assit. Notation 1(\4� or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) �� TOT.MTG.TAX Dual Town Dual Co ty R.P.T.S.A. Held forAppointment Comm.of Ed. 5. 00 Transfer Tax 10 (f*polMansion Tax Affidavit41 The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 a�D l�� family dwelling only. Sub Total ALJ YES or NO Other Grand Total 5a0.Oc� 000..�� If NO, see appropriate tax clause on page# of this instrument. 4 1 Dist.100( 21038203 1000 12500 0100 019005 5 Community Preservation Fund Real Property P T c IoilIEllIlI®IflWlI� Consideration Amount$ Tax Service R SMI AIl Agency �3�IUL 27 CPF Tax Due $ Verification Improved Satisfactions/Discharges/Releases List Property Owners Mailing Address V 6 RECORD&RETURNTO: Vacant Land 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 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Titlelf Is Suffolk County Recording & Endorsement Page This page forms part of the attached Bargain and Sale Deed made by: (SPECIFYTYPE 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 NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU SG02) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the �0 t`- 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 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 Mattituck,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 6565 Route 25,Mattituck,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 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 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. 1N WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: —jigW la A.Watroba,as Executor r AQUEBOGUE ABSTRACT CORP. SCHEDULE A TITLE NO:632—MS27 All that certain plot piece nr parcel of land, situate, lying and being in the Town of SOUTHOLD, at MATTI711CK, County of Suffolk and State of New Yurk being bounded and described as follows: BEGINNING at a point on the northerly side of Main Road, which marks the division line between lands now or formerly of Bertsch and premises hereinafter described; THENCE from said point of beginning, north 34 degrees 15 minutes 00 seconds west, 251.08 feet to lands now or formerly of Long Island Railroad; THENCE north 47 degrees 06 minutes 40 seconds east,along said land 141.50 feet to other lands of Mattituck Holding Co.; THENCE south 35 degrees 28 minutes 30 seconds east.along said last mcminned lands, 305.19 feet to the northerly aide of Main Road; THENCE westcriy along the northerly side of Main Road the following three(3)courses and distances: I) south 63 degrees 19 minutes 40 seconds west,28,30 feel; 2) south 69 degrees 19 minutes 00 seconds west.109.6) feet; 3) south 71 degrees 19 minutes 00 seconds west, 12.29 feet to the paint or place of BEGINNING. FOR INFORMATION ONLY: DISTRICT: 1000 SECTION: 125.00 BLOCK; 01.00 LOT:019,005 a USEACKNOWIEDGMENTFORM BELOW WITHINNEW YORKSTATEONLY: USE ACKNOWIEDGMENTFORM BELOW WrLHINNEW YORKSTA TE ONLY: State of New York,County of Suffolk )ss.: Stale of New York,County of Suffolk )ss.: On the 5.0 day of f une in the year-2021 On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared Tisha A.Watroba personally known to me or proved to me on the basis of satisfactory personally known to me or proved to me on the basis of satisfactory evidence to he 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/she/they executed within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), 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 individual(s)acted executed the instrument. behalf of which the individual(s)acted,executed the instrument. WILLIAM C.GOGGINS NOTARY PUBLIC,STATE OF NEW YORK Registration No.4963689 Suffolk County Commission Expires March t2,)#W A CKNOWLEI)GMBNT FORM FOR SE ITHIN EW ORK STATE ONLY: ACKNOWLEDGMENT FORM FOR USE OUTSIDE NEW YORK STATE.ONLY lNov York Subscribing Witness Acknowledgment Cerrificarel /Ont r f Stare or Foreign Genera!Acknawtedgmeru Cerrifiewel Stale of New York,County of )ss: ..................................................)ss.: (Contplere Ventre mrh State,Cmoury,Province or Municiprdity) 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 swom.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 helshchhey executed (if the place of residence is in a eh)�include the street and street number, the same in his/her/their capacity(ies),that by his/her/their signature(s) ifany,thereof):that 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 that such individual to be the individual described in and who executed the foregoing made such appearance before 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 the city or cher political subdivision and the state or country or his/her/their name(s)as a witness thereto. other place rhe acknowledgment Was taken). BARGAIN&SALE DEED WITH COM4AWS AGAINST GRANTOR'S AC'IN TITLENO. DISTRICT SECTION BLOCK LOT COUNTY OR TOWN TO RECORDED AT REQUEST OF Fidelity National Title Insurance Company RETURN BY MAIL TO FIDELITY NATIONAL TITLE INSURANCE COMPANY lNcnRrr,RAnn rvzx ,.� 4(.Fidelity ,." Mn.Jxr Nn-York Smu ImW Tine,lrux'imnm W U LL LL O t7 Z D 0 O U W LL O W N 7 ' R 0 LL W U Q a y U W cc Q W N W INSTRUCTIONS(RP-5217-PDF-INS)www orps state ny.us � FOR COUNTY USE ONLY New York State DepartrlleM of Cf.sw)s colo ��''] -1/�1 / Taxation and Finance C2.Date Used Recorded 0! /f-_ `0 �/ I �e of Real Property Tax Services / N6 Ia• RP-5217-PDF G9.Book [ C4.Page i—L 17: Real Property Transfer Report(8110) PROPERTY INFORMATION I t.Property Location65ti5__Rrilla,aniq _25y_Mattit•tlrle� Nov York'Y:irfr MJar¢a •BreEE'LWE Ma tt,1,x]ask .err•1P•am wilAL• •r P C:wN 2.Bayer Watroba Tiaba Name --• — —— r•err r/•N ILOarutir =.RaT tiW= 4br N•wE•:W W!r 1 alw I N•w s.Tax Indirale where future Tax Bills are In be sent Bluing II otllrr than buyer adaesslal botlorn of forth)—atr:—iue;:twn.x.�•� •--••"•• •—--•-- I lis:tical. Address 2555 Mary's Road Mattituck, New York _ 11452 %'.1171RNmu W:a•rP -'—'—.----- U.,OR lam '----' SDE AP Cm 4,Indicate the number of Assessment 1 t of Petals OR ❑Part or a Pwul (Only If Poll of a Parcell Check as they apply: Roll parcels transferred on the dead Oo 4A.Planning Board with SabdMslon Authority Exists S.Bead \ f)Et Gw d 46.Subdivision Approwl was Required for Transfer CI Property ••FRONTFEE' •;;I r.1X •iQHS Sire 4C.Parcel Applowd he Subdivision with Map Provided I__I Tiaba Wat.rc•liv as Executor of the Estate of Roman Watroba 6.Sailor .,•sr N•rcte.w�•a. rmiamwE Name ••R'LYfS;wP•tir •FweT N•It •7.Select the description which most accurately describes the Check the box"below as they apply: use of the property at the time of sale: S.Ownership Type is Condominium ❑ 6.New Construction on a Vacant l and commercial n IDA.Property Located meter Agricultural DIs111c1 100.Buyer recurved a disclosure notice Indicating mat tits property Is In all ❑ Agnladlural District SALE INFORMATION 16.Check one or more of thsse conditions as applicable to Donator: A.Sale Between Relatives or FormerNelobvos 11,Solo Contract Date B.Sale between Related Companies or Partnere it Business. i C.One of the Buyers Is deo a Sager D.Buyer or Seller Is Government Agsngl or Lelning Institution 17.Dau of SalaRrensler .Tune -10, 2021 E.Dead type not Warranty or Bargain and Sale(Specify Below) F Sala of Fraclond of Less than Fee Interest(Specify Brow) •1 S.Full Safe Price .clot G Slgnalumt Change In Plopery,Between Taxable Status wed Sete Dales H Salo a1 Business 1s Incudal in Sint Prix 1 Full Sale Prix is the total amount pail for the properly including personal property. 1.Other Unusual Faison Affecting Sale Price[Specify Below) f hla payment may be in the form of carr,otla r property Or goods.or IM assumption of J None mongaps or other obligations)Prease round tothe nearestwhole dotaram0dnf Cornmengs)on Condition: 14.Indicate the value of personal property Included in the sale 1111 ASSESSMENT INFORMATION•Data should reflect the latest Final Assessment Roll and 72;7111 16.Year of Assessment Roll from which information taken(YY) () '17.Total Assessed Value •1t.Property Clean 435 _ •19.School District Noma Mattituck Cutchogue Tax Map IdentltNr(sygall Ideldlfier(s)(t more than four,attach shoot with additional identithw(a)) p OJ /Qoo �1---- CERTIFICATION I Coniy that all of the Items of information enured on this form are true and correct(to the beat of my knowledge and belief)and I understand that the making of any whllfal false statement of material fact herein subject me to the provisions of_the penal low relative to the making and filing of false Instruments. SELLFJ2•$IGNATURE BAYER CONTAC7INFORMATION fEemrounann I&Iia Inver.?me If burr n LILC fbea:y en Nion rarpaalon,tea work to ,,.aaww a w,161wl lhal a ml an rndeeud agent a ldwary,then a nwra and m 11ad rwamabon of an nd43uwnponrbis path/Wro sae a•waw anima regardnp Ili nnWr mil be arravia Type or pmt ch allyl ro. ER SIGNATURE --•L115r ti•Vr I NSI N•1a. �. 'MI•Cr1: -IF,..-. C..`_ •.—• TEP .W-UK•—_••� ;�-, ///(� I SSS A'��/• 'x14,11 lyrwy@b4 •e'Pt L•1 We, l XA4-rrz uro tuc-f •C•ITCN Ir.YW ----_-- RI• •rP CnpE BUYER' S.AITORNEY i L"T cow[ rw61%"1 I 1 V+s•fem -- ---- 1111•wW M.Y1111:I.9wrww I J II