HomeMy WebLinkAboutL 13117 P 339 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 8/24/2021
Number of Pages: 4 At: 10 :03: 45 PM
Receipt Number: 21-0152185 *ELECTRONICALLY RECORDED*
Transfer Tax Number: 21-02480
LIBER: D00013117
PAGE: 339
District: Section: Block: Lot:
1000 126.00 06.00 003 .001
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
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 $0 . 00 NO
Transfer Tax $0 . 00 NO
Transfer Tax Number: 21-02480 Fees Paid $395. 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 8/24/2021 10:03:45 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013117
Social Security Numbers P 339
prior to recording. 21-02480
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 0.00
' _� 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
21439494 1000-126.00-06.00-003.001 0.0 0
Real Property Consideration Amount �
Tax Service P r s
Agency €t PAK n CPF Tax Due $
g Y 7i2Q72f121 0.0 0
Verification
Improved X
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Coach Title Insurance Agency TD 10
24 Woodbine Ave Ste 20
Northport NY 11768 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 005-Bargain and Sale Decd with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 15th day of June in the year 2021
BETWEEN
Cindy Ahlers-Zameryka residing at 43 Exeter Street,Williston Park,New York 11596
party of the first part,and
Louis Zameryka and Cindy Ahlers-Zameryka residing at 43 Exeter Street,Williston Park,New York 11596
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
****SCHEDULE A ATTACHED
Being and intended to be the sa,e premises conveyed to the party of the first part herein by the deed dated June 29,2016
recorded August 11,2016 with the Suffolk County Clerk in liber 12875 page 152
Said Premises also known ans 2815 Sigsbee Road,Mattituck,New York
1000-126.00-06.00-003.001
TOGETHER with all right,title and interest,if any,of the party of the first pari 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 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 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 fust above written.
IN PRESENCE OF: C,.w�y
Cindy Ahlers-Zameryka
USEAcKivowLEDGMENTFORMBELowwiTnINNEWYORKSTATEONLY. USE4CRNOWLEDGMENTFORNBELOWWITH17VNEWYORKSTATEONLY:
State of New York,County ofN assa�Iss.: State of New York,County of )ss.:
On the 15tVay°f J u n e n the year 2021 On the day of in the year
before me, a undersigned, personally appeared Cindy Ahlers- before me,the undersigned,personally appeared personally
Zameryka,personally known to me or proved to me on the basis of known to me or proved to me on the basis of satisfactory evidence
satisfactory evidence to be the individual(s)whose name(s)is(are) to be the individual(s) whose name(s) is(are) subscribed to the
subscribed to the within instrument and acknowledged to me that within instrument and acknowledged to me that he/she/they
he/she/they executed the same in his/her/their capacity(ies),and that executed the same in his/her/their capacity(ies), and that by
by bis/her/their signature(s)on the instrument,the individual(s),or his/her/their signature(s)on the instrument,the individual(s),or the
the person upon behalf of which the individual(s)acted,executed person upon behalf of which the individual(s)acted,executed the
the instrument. instrument.
ACRNOWLEDGMENTFORMFORUSEWITAINNEWYORKSTArEONLI: ACKNOWLEDGMENTFORMFORUSEODTSIDENEWYORKSTA TEONLY:
New York Subscribing Witness Acknowledgment Certificate) (Oat of State or Foreign General Acknowledgment Cerhficaiel
State of New York,County of )ss.: ____UQds:43_____Mir�ltiAdd�__________________.)ss•:
On the day of ill the year (Complete Venue with State.Country,Province or Municipality) �
before me,the undersigned,personally appeared On the 15 day ofJune in the Year 2021 e.IN°v ntQs.gAy t)e�a
the subscribing witness to the foregoing instrument,with whom I before me,the undersigned,personally appeared Cindy Marie ZamerYkA
am personally acquainted, who, being by me duly sworn, did ! personally known to me or proved to me on the basis of satisfactory
depose and say that he/she/they reside(s)in 1 evidence to be the individual(s)whose name(s)is(are)subscribed
to the within instrument and acknowledged to me that helshelthey
(f the place of residence is in a city,include the street and street number,if executed the same in his/her/their capacity(ies), that by his/her/
any,thereof);that he/she/they kODW(S)to be the individual described their signature(s)on the instrument,the individual(s),or the person
in and who executed the foregoing instrument;that said subscribing upon behalf of which the individual(s) acted, executed the
witness was present and saw said instrument
execute the same;and that said witness at the same time subscribed ARo�o,s_s
his/her/their name(s)as a witness thereto.
Online Notary
Notarized online using audio-video communication
BARGAIN&SALE DEED
WITH COVENANTS AGAINST GRANTOR'S ACTS
DISTRICT 1000
TITLE NO.CR-529 SECTION 126.00
Cindy Ablers-Zameryka BLOCK 06.00
LOT 003.001
COUNTY011TOWN Mattituck
TO
Lows Zameryka and Cindy Ahlers-Zameryka
RECORDEDATREQUESTOF
Fidelity National Title Insurance Company
RETURNBYMAILTO
LGITis&nayka andCmdy Ahlem-&tnerylm
FWELTPY NATIONAL TITLE 43 Exeter Stred
INSURANCE COMPANY wdlistmftk,New yolk 11596
ISOMroRAM 19W
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MaaBn Nw Pork Sbtr fmd rmrAuadaam�
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COACH TITLE INSURANCE AGENCY
as Agent for
Chicago Title Insurance Company
OWNER'S POLICY
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 Stale of New York,known and designated as and by the Lot Number
115 and part of Lot 107A,on a certain Map entitled,"Amended Map of Property of Mattituck Park,
Properties,Inc.,Mattituck,N.Y.",made by Daniel R.Young,Surveyor,and which said Map was filed in
the Office of the Clerk of the County of Suffolk on 1/12/26 as Map No.801,which Lot and part of Lot
which taken together are more particularly bounded and described as follows:
BEGINNING at a point on the easterly side of Sigsbee Road distant 100 feet southerly as measured along
the easterly side of Sigsbee Road from the corner formed by the intersection of the easterly side of
Sigsbee Road and the southerly side of Peconic Bay Boulevard;from said point of beginning;
RUNNING THENCE North 65 degrees 07 minutes 40 seconds East 140.39 feet;
THENCE South 20 degrees 38 minutes East 104.55 feet;
THENCE South 66 degrees 59 minutes West 140.13 feet to the easterly side of Sigsbee Road;
THENCE North 20 degrees 38 minutes West along the easterly side of Sigsbee Road,100 feet to the
point or place of BEGINNING.
ALTA Owner's Policy Schedule A Description Page t or t
FDR COUNTY USE ONLY
Cl- SWIS Cade 14 1 7 1 3 1 8 1 8 1 9 1
C2- nate need marded I S / 24 / 2021
Month Day rear INS):www.arps.siate.rtytss
C3_ Soak 1 311 1 11 7 1 I I 13 1 31 9 1 Taxation and Department
ir ance
1 1 C4_ Page
PROPERTY INFORMATION - Office of Real Property Tax Services
_ RP- '5277-PGF
CS.L3oofc �� _t l ]C.4 Page j €______€_______t_______ Regi Property Transfer Report(8110)
PRoprinTy INFORMATION
I.Property 283.5 Si.gsbee Road
Location . ------ ........ ........................................ .........i;FE-�
•5TRF.FT NLHAHES! 'STRfETHan�
Mat=r-atuck 11952
'orvm TCwN ..... .............W Vqs err •.7,1P COFlc
2.sayer A.hlers-Zatneryka Cindy
Nems _s RAW=- NMTA-y �gr NAIVE
Zamerylca LoL±s
W5T HAh11ElCCIi�FPA*F1' rIRST NAk1L
-------------- --- -------------------- --
3.TalLouis
6Dkrrg vc.... indil:ste wherre...,.flrElxs Tax 8ghi are to G�sent 2anle 'yk3 ii uFhar tftarS txsyer addrs$atat 4ot[ce,of tarot] LAST NA3AEiO�MMFL NY -R51 NAME
Address
43 Exeter Street Williston Park NY 1_1596
'ta1'REET 1WiM6Ep Rkip btAR1£ .......•CrTy 0 Tmw3A..,,.,.,m., STATE. 2&cooe
4.indleale the number of Assitftemorn Ia or Pan�a ❑pan of a Parcel I I Ian pr a Nwcell Check as they apply:
Reil parcels w anaterred on the deed ts OR 4A.Punning Dowd with Subdiv€Rlmn Authwity Exists ❑
S.Treed X OR Q•3 2 48,SuCdlvision Approval Was Required for Trander ❑
Property -'F'RQ>ST FLET 'nErTtl 'ArM ES
Size 4C.Parcel Appma d for Sublyrision with Map Provided ❑
Ahl e r e-Zalne ryka Cindy
C$Alter — """' _ ....... .............._. ........ ...................................................
f�feele
.••••3A8F HAh(FJC4MPRM' .•-••F�i6'r DFAME -
17.SeFBCI tllo descriplan w1Hoh most.accurately AeserKrae lira
l:heo:k the bowAX bklOW AIR they apply: ❑
use of Urn property at the tune of sale: S.Ownership Type is Condwnktium
A. One Family,Residential 8.New Construction on a Vacant Land
-- 10&Property Located within an Ag tcuffural I7istdot
108.Buyer wwAvad a d{Aciosure nation IndicattkV that this property In In an
Agriouhu al Dist"
SALT= INF2!ft4AMN IS.check one or more of those condTHens as appiloswe to transfer:
R.Sate t3etwaert RelaHvaa or Former ftlatiVeS
11.$ata contract DOWB.Safe balwaen Reiated Cornpanies or Partners In Susinees.
- O.one of the"Ors is ofsm a 30110r
O�1 C' ` 7..�7 t - .t I7.Buyer or Sefte Is Gowanxi's*M Al envy or L. nd€ng tns{ituffon
'12.Data of SalatTra nsfer 1 •.] {6.LJF. { t?.Lleed 7yPa rwt warramw or 8argaln and Salo(Specify Below)
-- .... t=.Sefie Of 9cV0nj0 or Less than Fee Interest(spooky Sermw]
"13.Full sale Price 0 00 a G.Sigrtiflcaatt Ohm in Property Between Taxable Status and Sale Delos
i...._?i.Sale of Buss is tncrvOed 1n Saie Prlce
{Bull Sale Price is the tmW amot rit Pahl 1br lila Ply incfudfng personal proparlY. I. Other Unusual Factors Affect"Sala arise€Specify Bolew)
This peymank may he In the forrn of cash.other property or goods.or the assumption of .. j.None
rlsarigages or other obligations.)i FAmsm round ro rhe rrearear whale dollar amount.
COnanont(a)on condition-
11A.bldleate the value of porsuaael 0 Q0
ptwpsrtyr lnctudad In Ow axle
ASSESSMENT INFORMATION-[Sato should reflect the tatest Final Assessment toll and Tax 8€11
fR.Year 01 Asaesarrren!ROD Prem•ItIt4Ch lsrfvrnraffon tackort(YY) 2l '17.Tote$Assessed Vakuc 7,900
-1$•Property claire 1[1 ..... ._..._...._. "78.school Imetrict Nanta 12-Matt:i..'tuc-k Cut chogu,-,�t
'2e.Tarr Nla p identlDar{e]>Ftng Wont1flsr{H4(ff e,om than Baur,attach sheet whir additional idantlHer(s)I ....•__--..._______
3.COl]-.3.25_pn--a5_#y6-6Q3.L301
CEFZTI FICA7IC3ht.....
I Certify that all of the U..of kftrruallon enterod on this tare,arm bee and carroct(to The best of toys knowied"and tasllefl and i understand that Ow maktng of any v dmf
faiso statement Of nuft"f0d hereln Subject die to the reiaRwe to the making and lMng of fate ineewniertta-
4 1,t. rl Sl[nNATUR ,R4,CY CONTACT.INE QRMATJ N
{Embr Sa9mr1 for M.bayror•NOW.K twW ip E.LRandety. .yalwn.C*rob tlm,10int suck cam P�y,e6t9te Or
coley lila{is tat tel Fntrlwtdwst agent or f1ductwy,men a names mw Contact bAa mseon of on k-§Aduawm mnmblt
[ i pwly waw man an ,,auesatlans MarClrm the trgnetar moat 6e—b-oe.Typo m pekla Olpany-)
SELLER SI IvpTLriE """ L•J` -
.Zarrle: ylea Louis
BUYER_@i!.RATl1RF
..... —
•LAST HAere FInsT aAr��
1 (347) 33[1-8044 ..
.,�^ L.j �� C •A33FAC�E ':EEEVHONE T&3lT8fin(Es-�A9>iYPaRf
��..9Vrs�•:�n3s�tE' LATE - I
143 j:xeter Street:
` --'37T7EE'r Tfk�BE� •••••••••. -&TR6STtJAMF •••.•.••-•
' 1WiI2JAton Park NY 11595
_-•I,13Y aFi'16w4�••• •••••••� ..w •STATE '21P CrJDE
f>rq-see
1 F LAST'NAfTE m Ea�BT NA1.SE
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