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L 13155 P 139
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 5/8/2022 Number of Pages: 4 At: 7 :42 :52 PM Receipt Number: 22-0079105 *ELECTRONICALLY RECORDED* Transfer Tax Number: 21-33866 LIBER: D00013155 PAGE: 139 District: Section: Block: Lot: 1000 097 .00 04 .00 018 .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 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: 21-33866 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 5/8/2022 7:42:52 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013155 Social Security Numbers P 139 prior to recording. 21-33866 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 22020837 1000-097.00-04.00-018.000 0.0 0 Real Property Consideration Amount $ Tax Servicer s Agency PCTF' i CPF Tax Due $ 0.00 Verification Improved X 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land First International Title - Riverhead TD 10 633 E ]AIIF ST STE 3 R.IVEREEAD NY 11901 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 WARRANTY DEED WITH FULL COVENANTS (INDIVIDUAL AND CORPORATION) FORM 8003(short version),FORM 8008(long version) CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE,made the 12th day of January,2022, between Lorraine J.Blasko,to her 1/4 interest of,655 Leslie's Road,Peconic,New York 11958, party of the first part,and Regina Blasko,Trustee of the Carl and Lorraine Blasko Irrevocabl;e Trust dated December 15,2021, 1543 Stillwater Avenue,Cutchogue,New York 11935, party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and No Cents ($10.00)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, *The Town of Southold, County of Suffolk and State of New York ALL that certain plot, piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the BEGINNING at a monument on the northerly line of Leslie's Road about 600 feet easterly along said northerly line from Bay Avenue,being the southeasterly corner of land of Harold D.Price and the southwesterly corner of land of the party of the first part; from said point of beginning running along said land of Harold D.Price North 7 degrees 00 minutes West 347.0 feet to a monument;thence along land of the patty of the first part,2 courses,as follows: 1.North 83 degrees 00 minutes East 69.36 feet to a monument;thence 2. South 18 degrees 53 minutes East 278.34 feet to a monument on said northerly line of Leslie's Road; thence along said northerly line of Leslie's Road,South 52 degrees,30 minutes West 147.0 feet to the point of BEGINNING. Containing 0.721 acre. BEINGAND INTENDED TO BE the same premises conveyed to Linda M.Meklenburg,Dawn M.Grzegorezyk,Lorraine J.Blasko,and Sandra M.Scott by deed dated July 15, 1999 and recorded in the Suffolk County Clerk's Office on August 3, 1999 in Liber 11980 at Page 208. BEING AND INTENDED TO BE the premises commonly known as 655 Leslie's Road,Peconic, New York 11958.; 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, District: 1000,Section:097.00,Block:04.00,Lot:018.000 NYSHA's Residential Real Estate Forms(9/2000) -1- C 2022 Matthew Bender&Company,Inc.,a member of LexisNexis. 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, 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 costs 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. AND the party of the first part covenants as follows: FIRST.—That said party of the first part is seized of the said premises in fee simple,and has good right to convey the same; SECOND.—That the party of the second part shall quietly enjoy the said premises; THIRD.—That the said premises are free from encumbrances,except as aforesaid; FOURTH.—That the party of the first part will execute or procure any further necessary assurance of the title to said premises; FIFTH—That said party of the first part will forever warrant the title to said premises. 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. G.mGtGic�i By: Lorraine J.Blaskd INPRESENCE OF.• District: 1000,Section:097.00,Block:04.00,Lot:018.000 NYSBA's Residential Real Fstate Forms(9/2000) -2- 0 2022 Matthew Bender&Company,Inc.,a member of LexisNexis. Acknowledgment by a Person Within New York State(RPL §309-a) STATE OF NEW YORK ) ss.: COUNTY OF SUFFOLK ) On the ��day ofiLorr"aineJ. in the year ,before me,the undersigned,personally appearedsko,to her 1/4 interest of,personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is(are)subscribto the within instrument and acknowledged to me that she executed the same in her capacityftes),and that b,�'her sign ture(s)on the instrument,the individual(s), or the person upon��'ehalf of which;bhe indi,.xr`" ual(s) acted,executed the instrument. g .................... (signati re ai d office cel A y 'dyra ak' g acknowledgment) tt � l NotIFER ary Public,State of New York No.01 RA6285437 Qualified in Sires 07 08120.�..:� Commission Exp District: 1000,Section:097.00,Block:04.00,Lot: 018.000 NYSBA's Residential Real Estate forms(9/2000) -3- 0 2022 Matthew Bender&Company,Inc.,a member of LexisNexis. FDR COUNTY USE ONLY Cl- SWIS Cade 14 . 7 . 3 . S . S . 9 I F-INS).www. .%tate.ny.lm C2- nate need marded 15 S 20221 r W, Month Day Year ""03110frummm_ C3_ Book 1L1.3 151 -5j C4_ Page I , 11 1 3, 9 RP- 5217-PVF PROPERTY INFORMATION I Roal Property Tranofer Report{8141 PROPERTY INFORMATION 1:Rfntn�Ur 6535 Leslie's Road Loca'tban '"""'•srra>asr eaa�ri'"" '"�frriaaisr '"'" Peconic 11958 .crrY eat TgWN +z,p oma 8,ttuyer R ina Blasko Trustee of the'"'".,...... e Carl and Lorraine Slasko Irrevocable Trust dated January 12.2022 Norris . r.m..............................m.m.........r...----.......----....--- •utaswuaP.�arv�Atar ��irmr wain LAW MUdECOMPAW RIM kAmr. a.Taxsistlndlaate where future-tax Bos are m be sem Blasko Cart and Lorraine Address rg 4 other than buyer addra&s[at bettorh of fosrn# i.Aaraw AW m FWJWr KPM5 mm Add 420 Little Neck Road Cutch lie NY 11935 WTWET H13MW-A AM NAME cm on TOWN aYATE zw CODE 4.Indicate the number of Ra3asamontPart of a Paras€ {Orrfy If Pat of a Parrsal)Check as they trttpty: Rat€parrbets transferred on the deed 1 0 of Parous OR 4A.planning Board wish Subdivision Authority Exists IL need XOR 0.63 48.Subdivision Approval was Required for Transfer PrCWarty •PFWW�r •ahem, M •AWWS a e 40.Pard Approved for Sub;llv,slvih wish Map ProOded, Lorraine J. Btasko to herr 114 interest tt_salterWANYCOMPAW_.._.... .....-.. eesT arae Name LA rrtiAMFKWaPANY FIRWr NN.E !'.8r€act the dexertptian which most accurataiY-daRcelbxs file Check the boxes below as they ajMW- ural of the property at the arm of sate: 8.ownership Type to Condominium A. One t=sfnily Residential g•Now Construction on a Vacant Land 1(IA.Property Lcfcated within an Agrloultural District 0 IOM Buyer received a disclosure notice indicatng that the Property is in an F-1Agricultural District Lt�E INFORMATION 18.Check one ors ons of thaaie cond Mons as apple to transfer. A Sale Between Relatives or Former Relatives 11.Sale Com Data B.Sft Ga between Related Companies CT Partners in Brrsrrveaa. ----- C-One of the Buyers is also a Seller —12,nate of b3AWTvanster Januar '1 202.2 6"Buyer at Seller is Government Agency or I_envding Inatttufton _......�_.... 1=,Deed Type not Warranty or Bargain and Salm(Specify Below) F.Sale of Frartonsl or Le"than Fes Interest(Specify Below) 113•Put Sale Prtee $0.00 G.SignHtcant Change In Property Between-Taxable Statue and Sale[Batas ------ -- H.Gale of Huadrless is Included in Sale Price (Pug Sate Price 16 the Wuxi,amount pard for'Ste property irhe€udhhg personal property, i. Cather Unusual Faciors Affecting Sele Price(Specify Below) This payment may be in the,form of casts,other.pmperty or good&.or the assumption of � 3 None morWgeas or other obilgatons3 Please PoLrod to doe nearest whole Sedlaram KW. admmart(sl an CanOiffpn: 14.,1ndlosto the vel us of personal prop"Included In the sate $13M ASSESSMI NT INFORWA-n5N=Data shoum reflect the latest FH1at Assessment Rot and Taos 8311 18.Year of AssesimmM Rall framvNnlch inforrrratfori takerr(YY1 21 '17.Total Assessed Value 5 000 -I&Property Cmas 2 1 0 � — ___ -10.SOKKA 131012ftt Na"M Southold UFS© `Z0.Tax Map Identif9er(*yNall ldantHlai(a)(If mons than four.atfneh shaotwtth addttfenal identiflor(s]) 1000-097.00-04.00-018.001 CERWICATION I CeniKy uaarall of tfre Items of htfdrrrsation entered on this form ale t rus and oorranct Ota the bast of my knowledge and beftco and i understand tW the rnaking of any wllfful false statement of material root harem autrleet me to theme"1[�lESdf9m.flvBl W.ktlw.rMatW*to the leaking and Ming of false Instruments. BUYER CONTACT INFOEMAI]ON. (EraarWormaLton far the hspyer.Note:b bulrarIs t.t.C.soo€e ,ase .aorporalicn,boind sto l Company,Galata or artily that€s nes an swnvsduau scorn or aWrWy.uhan s mune and cancafx WatmoMin of an*4,Aduel oW0r hta (' part'y4w can answer questions recording raw tnwWor Faust be erlorad.Type or print clearly.) l3ttYER,atSilill4Ttlti E3�me R WME `µE.A9'C!NAME ririsr llAM� y 631 506-8440 W. urE- ���r� � [3)� nsesA aaas -Tet.r�+l+oe� rcl�r:sreas� 1543 Stillwater Avenue •s;ROWT"WEER '9va r r{iairx"�" CLdchGgue NY 11835 'CiIY aR Tawq¢ 'WATE -op CWG • r '� NONE C tAsr wrrsrrmawe . r t. a 6 A � . f '�. AWCACaQE zt�ePraaara�flaraaESi fee.awaaao)