HomeMy WebLinkAboutL 13118 P 782 1111111111111111111111111111111111111111111111111111111
111111 I I I I I I I I I i l i l l l l l l
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 09/07/2021
Number of Pages : 3 At: 11 :20 : 33 AM
Receipt Number : 21-0158443
TRANSFER TAX NUMBER: 21-03632 LIBER: D00013118
PAGE : 782
District: Section: Block: Lot:
1000 070 . 00 09 . 00 004 . 001
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 . 00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $15 . 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 $390 . 00
TRANSFER TAX NUMBER: 21-03632
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
❑1 ❑2
Number of pages
RECORDED
2021 Sen 07 11:20:33 Ali
JUDITH A. PASCALE
This document will be public CLERK OF
record. Please remove all SUFFOLK COUNTY
Social Security Numbers L D00013118
P 782
prior t0 recording. DT# 21-03632
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES 2!0
Page/Filing Fee 15,00 Mortgage Amt.
1.Basic Tax.
Handling 20. 00
rr 2. Additional Tax
J
TP-584 5,00 Sub Total
Notation Spec./Assit.
45'04 or
EA-5217(County) 5-00 SubTotal Spec./Add.
EA-5217(State) a5,o0 TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held forAppointmt
Comm.of Ed. 5. 00 Transfer Tax
Affidavit * • Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 003�5 �0family dwelling only.
Sub Total D YES orNO
Other
Grand Total ��� oO If NO, see appropriate tax clause on
GG page# of this instrument.
4 Dist.100 21047102 1000 07000 osoo 004001 00 5 Community Preservation Fund
PT TReal ax Servicerty R30C�4UG-2 Ill�llll�ul�lllllll�I�III�WIIIWIW Consideration Amount$
Agency 11 1 I WIIIW W IW W CPF Tax Due 5
Verification _ _ -- - -- -- - --
/,
Satisfactions/Discharges Releases List Property Owners Mailing Address improved
Vacant Land
TD D
Jean Hegler, Esq.
Rivkin Radler LLP TD
926 RXR Plaza
Uniondale, New York 11556 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#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by; (SPECIFY TYPE OF INSTRUMENT)
Radmila Kokot,as Trustee of the Ante Lonic and Ljubica The premises herein is situated in
Lonic 2021 Irrevocable Trust dated January 26,2021 SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Radmila Kokot In the VILLAGE
or HAMLET of Southold
BOXES 6 THRu B MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
Form 3290
Standard N.Y.B.T.U.Farm 9002-Bargain end Soh[lad a
With Co—nnt against Granloes Acts
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS
ONLY.
THIS INDENTURE,made as of the �V-4 day of Jt.,,iy two thousand and twenty one.
BETWEEN RADMILA KOKOT,residing at 72 Fifth Street, Hicksville,New York 11801,as
TRUSTEE OF THE ANTE LONIC AND LJUBICA LONIC 2021 IRREVOCABLE
TRUST DATED JANUARY 26,2021,hereinafter called the"Grantor",
party of the first part,and
RADMILA KOKOT, residing at 72 Fifth Street, Hicksville, New York 11801, hereinafter
called the"Grantee",
party of the second part,
WITNESSETH,that the party of the first part, in consideration of ten---------------------00/100 dollars
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,
Dist. ALL that certain plot, piece or parcel of land with the buildings and improvements thereon
1000 erected, situate, lying and being at Pine Neck, in the Village and town of Southold, County of
Sec. Suffolk and State of New York,and being more particularly bounded and described as follows:
070.00
Block Beginning at a point on the southerly side of Pine Neck Road distant 417.05 feet westerly from
09.00 the corner formed by the intersection of the southerly side of Pine Neck Road with the westerly
side of Oaklawn Avenue; Running Thence South 5 degrees 25 minutes 20 seconds West along
1""� the wester] line of land now or former) of Cain 200.00 feet to the norther] line of Zori;
uoa.000 Y Y � Y
Running Thence North 84 degrees 47 minutes 00 seconds West along said land, 100.00 feet to
the easterly line of land now or formerly of Christensen; Running Thence north 5 degrees 25
minutes 20 seconds East along said land 200.00 feet to the southerly side of Pine Neck Road;
Running Thence south 84 degrees 47 minutes 00 seconds East along the southerly side of Pine
Neck Road 100.00 feet to the point or place of Beginning.
Said premises being commonly known as and located at 2000 Pine Neck Road, Southold,New
York 11971.
Being and intended to be the same premises as conveyed to party of the first part by Deed
dated January 26, 2021 and recorded in the Suffolk County Clerk's Office on March 2, 2021 in
Liber D00013093 Page 185.
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 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 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 first
above written.
IN PMSLNCL 01
RADMILA KOKOT
TO BE USED ONLY WHEN ACKNOWLEDGMENT IS MADE IN NEW YORK
Slate of New York,County of 1Jass014 ss: State of New York,County of ss:
On the X-a-day of �J--_d in the year 2021 On the day of in the year 20_
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
RADMILA KOKOT
personally known to me or proved to me on the basis
personally known to me or proved to me on the basis of of satisfactory evidence to be the individual whose
satisfactory evidence to be the individual whose name is name is subscribed to the within instrument and
subscribed to the within instrument and acknowledged to acknowledged to be that she executed the same in
me that she executed the same in her capacity,and that her capacity, and that by her signature on the
by her signature on the instrument,the individual or the instrument,the individual,or the person upon behalf
person upon behalf of which the individual acted, of which the individual acted, executed the
executed the instrument. instrument.
(signature and office of individual taking
(sig lure and office of individual taking acknowledgment)
ac wledgment) JA5ENKA MAZOR
Notary Public-State of New York
NO.01MA6144520
Qualified in Nassau County
My Commission Expires Apr 24.2022
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of ss:
On the day of in the year before me,the undersigned,personally appeared
personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose names)
is (are) subscribed to the 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 signature(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 made such
appearance before the undersigned in the
in
(insert the City or other political subdivision)(and insert the State or Country or other place the acknowledgment was
taken)
(signature and office of individual taking acknowledgment)
Bargain and Sale Deed SECTION 070.00
BLOCK 09.00
WITH COVENANTS AGAINST'GRANTOR'S ACPs LOT 004.001
COUNTY ORTOWN SUFFOLK
TITCH NO,
RECORD AND RETURN BY MAIL TO:
RADMILA KOKOT,TRUSTEE OF THE JEAN HEGLER,ESQ.
ANTE LONIC AND LJUBICA LONIC 2021
IRREVOCABLE TRUST DATED JANUARY RIVKIN RADLER LLP
26,2021 926 RXR PLAZA
TO UNIONDALE,NEW YORK 11556
RADMILA KOKOT
5254372.0
INSTRUCTIONS(RP-5217-PDF-INS):twvw.orps.state.ny.us
FOR COUNTY USE ONLY - t.--,. New York State Deparirttent of
C1.SMS Code ( Taxation and Finance
' C2.Data Dead Recorded I O q/.07/CPL/ Ofllce of Real Property Tax Services
""' RP-5217-PDF
C3.Book /, C4.Pepe 9 Real Property Transfer Report(6110('
PROPERTY INFORMATION
1•PmPwV 2130C P-4ne Neck Road
Location
'b-RE"'A.Y3-cR •fiTREF.i r4Y[
Southold Southold -1971
-CRT Cq TLVA V:LLAfE
J-C;AE
2.Buyer Kokot Radmila
Name
•LAST NAMCKOYPAY+ r cob'WE
LAST NAIEItOk~ MET NAME
3.Tax Indicate where future Tax Bills are t0 the Sant -KC k O t Radm i i a
Billing if other than buyer addrese(at botlorn of form) LAST NAMECCYPMT FRST NAHE
Address
72 F-f:h Strect Ilicksvil'-e 6'v , 901
SIR[C-HUMBER-p-L C 1.0417m1 STATE
zr CODE
4.Indicate the number of Assessmeld 11 pad ot a Parcel (Only trPart of a Parcel)Chock as they apply:
Rall parcels transferred an the dead a ot Parcels 4A.Planning Board with Subdmsion Authority Exists
L Dead 0.4 6
Property -FRehT FEE- k OR 48.Subdivision Approval was Required for Transfer El
Sin Met.- -ACaES
4C.Parcel Approved for SubdrAsion with Map Provicad ❑
Ante Lo_t:c b L4ua7ica Radmila Kokot,as _'rusted
6.861101 •LM I NALECOMPAAM1
F NST WEName
..orbic 202: Irrev. Trust
Jia:'aWF4.PMPANT I RST riAME
•7.Select the description which most accurately describes the Chock the bases below es they apply:
use of the property at the time of Salo: a Ownership Type is Condominium ❑
A.One-family ReAdcnrial 6.New ConstrlMion on a Vacant Land
10A.Property Located within an Agricultural District
108.Buyer received■disclosure notice indicating that the property is in an
Agricultural District ❑
SALE INFORMATION 16.Chock one or more of these conditions as applicable to transfer:
A.Sats Between Relatives or Former Relatives
11.Sale Contract Daft B.Sal;between Related Companies or Padmrs In Bus mss.
C.One of the Buyers is also o Sailer
12.Dab of SalefTrmnsfer 0 'j0 QOLI D.Buyer or Sellar is Government Agency or Lending Institution
E.DOW Type not Warranty or Bargain and Sale(Specify Below)
F Sab of Fractions!or Less then Fee Interest(Specify Below)
'13.Full Safe Price 0.0o G.Significant Change In Property Between Taxable Status and Sate Dates
(Full Sale Pace is the total amount paid for the property InGud rip peraeThal propen. H.Sale of Business is Included in Sale Price
T I.Other Unusual Factors Affecting Sale Price(Speofy gabivi
This payment may be In the form of cash,other property at goods.or the assumption of x J.None
mortgages or other obligations.)Please roundfo the nearest while dower amount.
Commeat(sj an Condalon:
14.Indicate the value at personal
property Included In tin sale 0 .00 I^nip
ASSESSMENT INFORMATION-Dale should reflect the latest Final Assessment Rall and Tax Bill
16.Year arAsesssment Roll from which lnfommeon taken(YYI 20 *W.Total Assessed Value b,000
'18.Property Class 210 _ l '19.SchoolDistrictName Southold
Q '20.Tex Map IdentMl(syllit. IdantlllsT(a)(Rmom then four,a sch shoot with additional Mantlllerpsp
C70.03-0.9.00-009.001
CERTIFICATION
I Certify that all of the Items of Information entered on this form aro cos and act so(to the best of my knowledge and bellof)and I understand that the making of any willful
falso statement of material fact heroin subject me to the Provisions of the Penal raw rolativo to the making and filing of false Instruments.
SELLER SIGNATURE BUYER CONTACT INFORMATION
(Enter cntcJmatim'ar hie buyer Neta.Ir buyer LLC.wmiy association.LelpenPoil joint ex id Cmpany estate,or
envy Pal a xa an individual agent er Saeans fern■Ione am.Type+Tprmatan rl an rd.T,aAuraeperMlde party
luno can newer mostione repe.•arp nr Icens'w must M enlaced.Type cur prim eharryJ
SELLERS GWTaIS CA-F
Koko t Radlni;a
BUYER SIGNATURE
'LAST YAML rnST 4AME
Zjla- K 14*
Sib (o(ap - 55 22 --
•AU1G[CPE •iE-E°F:hE ha4i.F.P IE.9'Yfiaa7
e.hu br3NA:LA1b 74I1.
72 ?iftrl Screet
•aiRSFI NUMBER •eI-E-NAME
r5 H_cksville NY i1502
T ` 'CITr'JP TWR! •S-ATE •LrCGJE•
BUYER'S ATTORNEY
9eg:cr Jear-
LASThAME FOS'h1AME
I
(:T16i 357-3396
M;A=4 -.ELMi:M YJMOCR;EA e9tiexrel