The URL can be used to link to this page

Home My WebLink AboutL 13193 P 414 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 03/15/2023 Number of Pages : 5 At: 02 :27 : 47 PM Receipt Number : 23-0035922 TRANSFER TAX NUMBER: 22-21151 LIBER: D00013193 PAGE : 414 District: Section: Block: Lot: 1000 141 . 00 01 .00 033 . 004 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 .00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25 . 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 $400 .00 TRANSFER TAX NUMBER: 22-21151 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County a ❑1 F2 Number of�pages RECORDED 2023 Mar 15 02:27:47 PN Vincent Puleo CLEThis document will be public OF p SUFFOLK COUIITY record. Please remove all L :700013193 Social Security Numbers P 414 prior to recording. DT# 22-11151 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Tota I Spec./Assit. Notation or EA-52 17(County) SubTotal Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held forAppointment Comm.of Ed. 5. 00 nA`0 Transfer Tax Affidavit • �. r v` Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 /� family dwelling only. Sub Total YES orNO Other (� Grand Total - `�,n If NO, see appropriate tax clause on page# of thit instru ent. I 4V ; Z'-Z' 4 Dist.100023008408 1000 14100 0100 033004 14 5 Community Preservation Fund Real AgencProperty Z PEB Z Illlllll�IIIIIIIIIIIIIIIIIIIIIIVIIIINIIIIIIIIII CPFTaxDue Amount$ Tax Service R pOL A Verification - -- -- -- - — - — Improved Satisfactions/Discharges ReaeppOwnersMailingAddress 6 RETURNTp Vacant Land Stephen A. Chomicki TD 1661 Old Country Road, Unit#345 TD Riverhead, NY 11901 TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Fidelity National Title www.suffotkcountyny.gov/clerk Title## 7404-015366 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) Forrest 315 LLC The premises herein is situafed in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Stephen A. Chomicki and In the VILLAGE Cynthia A. Seebeck or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) FORM 8002 (short version), FORM 8007 (long version) CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE, made as of the 3:2 day of December, 2022, BETWEEN FORREST 315 LLC, of 1661 Old Country Road, Unit#345,Riverhead, New York 11901, party of the first part, and STEPHEN A. CHOMICKI and CYNTHIA A. SEEBECK, as tenants by the entirety, of 1661 Old Country Road, Unit#345, Riverhead, New York 11901, 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; ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Mattituck,Town of Southold, County of Suffolk, State of New York, more particularly described in Schedule A attached hereto; BEING and intended to be the same premises conveyed to the party of the first part by deed from Stephen A. Chomicki dated the 27'day of April, 2018 recorded on the 15'x'day of August, 2018 in Liber D00012974 page 132; 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 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 first above written. FORREST 315 LLC '_�ie el;'I' ewl By: Sip-hen A. Chomicki, Managing Member IN PRESENCE OF: Acknowledgment by a Person Within New York State (RPL § 309-a) STATE OF NEW YORK ) COUNTY OF 'SA_%�40 r_ ) ss.: On the - day of December in the year 2022, before me, the undersigned,personally appeared STEPHEN A. CHOMICKI, personally known to me or proved to me on the basis of satisfactory evid nce to be the individual whose name is subscribed to the within instrument and acknowledged t me that he executed the same in his capacity, and that by his signature on the instrument, the ndivi or the person upon behalf of which the individual acted, executed the instrument. (signatureindividal aking acknowl gment) ROBERT O ARR1GO Notary Public-State of New York No. 4862988 Oualiried in Suffolk County Commission Expires August 18.20- Deed Title No• District 1000 Section 141.00 Forrest 315 LLC Block 01.00 To Lot 033.004 County or Town Suffolk/Southold Stephen A. Chomicki and Cynthia A. Street Address 315 Pine Street Seebeck Mattituck, New York 11952 Return By Mail To: Stephen A. Chomicki 1661 Old Country Road Unit#345 Riverhead, New York 11901 Reserve This Space For Use Of Recording Office -FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO. 7404-015366 SCHEDULE A-1 (Description of the Land) For Tax Map ID(s): 1000-141,00-01.00-033.004 AMENDED 12/19/22 ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, at Mattituck, County of Suffolk and State of New York, being bounded and described as follows: BEGINNING at a monument on the Southwesterly side of Pine Street, said point being distant 100.00 feet Southeasterly from the corner formed by the intersection of the Southeasterly side of Youngs Avenue and the Southwesterly side of Pine Street; RUNNING THENCE from said point of beginning, along the Southwesterly side of rine Street , South 54 degrees 34 minutes 20 seconds East, 100.00 feet to a monument and lands now or formerly of Corwin; THENCE South 39 degrees 29 minutes 20 seconds West along said land 160.00 feet to a monument and lands now or formerly of Tesser; THENCE along last mentioned lands and lands now or formerly of Scaramucci, North 54 degrees 34 minutes 20 seconds West, 100.00 feet to a monument and lands now or formerly of Waloski; THENCE along said lands, North 39 degrees 29 minutes 20 seconds East, 160.00 feet to a monument on the Southwesterly side of Pines Street, the point or place of BEGINNING. THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which by law constitute real property. FOR CONVEYANCING ONLY: Together with all the right, title and interest of the party of the first part, of in and to the land lying in the street in front of and adjoining said premises. END OF SCHEDULE A E i commitment for Title Insurance Printed: 12.28.22 C 01:29 PM Schedule A-1 Description i NY-FT-FRVH-01030.431004-SPS-1-22-7404-015366 INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.nY.US FOR COUNTY USE ONLY New York Stats Department of C1.SVWS Code L`�,�] � 6,�s I Q I Taxation and Finance C2.Date Deed Recorded I 3 / 1J -� Office of Real Property Tax Services MM,. AW RP-5217-PDF C3.Book t t l-,IA-15i C4.Page I I _f Real Properly Transfer Report(6110) PROPERTY INFORMATION I.Property 315 Fire Street Location - — '5rHFFT WMSN •5ZrF2:yAN: S At ir,1� Ma_t,t uc.k 11552 •61.1.:2 iJlR- N1RA 'n+:ooE 2.Buyer C ,};r.:C):i SCep)tL:?n A Name — F•Rs•vANt: Beet•^Ck Cyr.:ni:: 11 LAST`IAA`'J1:Y+PMI ••— i N51 1A1l2 3.Tax Indicate where future Tax Pills are to be sem _ Billing if other then buyer address(m bottom of form) Address slarr-T.we wa`IwF LITrpRiNv sure +Stipa 4.Indicate the number of Assessment ] r`Pal:of a Parcel tOny B Part of a Pamoll Check as they appy: Roll parcels transferred an the dead_ a at Parcels OR 4A•Planning Board with Subdivision Authority Exists s•Deed \ _ (7 R 0•37 _ _ 4B.Subdivision Approval was Required for Transfer Property -rw.: %,i os-N •a.^exit Slse 4C.Parcel Approved for Subdivision with Map Pmwded _:o:-et: 3'S L-I B.Seller -1AS*wNrrainA.w =Pit-vAVL Name rR5•NAVL LAST HAM AA AM-AV- -7.Select the description which moat accurately describes the Check the boxes below as they appy: use of tho property at the time of sale: 8.Ownership Type is Condominium ❑ A.Ont:Family Re,ldrNtial B.New Construction an a Vacant Land G IDA.Property Located afhin an Agricultural District El 108.Buyer received a disclosure notice indicating that the property is in an ❑ Agricultural District SALE INFORMATION 1a.Check one or more of these conditions as applicable to transfer: P A Saes Between Relatives or Former Relatives 11.Sale Contract Data e 1 B.Sala between Related Companies or Partners in Business C.One of the Buys%Is also a Seller 12V/2022 D.Buyer C Sailer Is Government Agency ar Lending Institution 12.Date of Salefirsnsfer E.Deed Type net Warranty or Bargain and Sale(Specify Below) F.Sale of Functional or Less than Fee Interest(Specify Below) '13.Full Sale Price .(11] _G.Significant Change in Property Between Taxable Status arra Sale Dates H Sale of Business is Included In Sole Price (Fill Sale Price is the total amount paid nor the propeny mdud.ng personal property. I Other Unusual Factors Afleding Sale Price specify Below) This payment may be it the form of rash.ober property or goods,or the assumption of J.alone mortgages or other obligations)Proase round to the nearest whole dollar amount [aminal(-)on Condition: 14.Indicate the value of personal property Included In the sale •�0 oi.+'�e.st�al+h.Arsai ASSESSMENT INFORMATION-Data should reflectthe latest Final Assessment Rolland Tax Bill 1S.Year of Assessment Roll from which Information takenlYY) ?2 'iT.Total Assessed Value ;,500 Property Class 210 _ '10.School District Name Ma z :;:UL'k 120.Tax Map Identillsr(sNRoll Identifier(s)(If more than four•attach sheet with additional Identiflehe)) 1CGC-151.CC-r11.44-C?3.��4 CERTIFICATION I Certify that ell of the Moms of Information entered an this farm are true and correct Its the best of my knowledge and belbQ and I understand that the making of any wlltiul false statement of malarial fact herein sub]act me to the•provlelons-o(the penal lavcrolative to the making and filing of false Instruments. SELLER 91GNATURE BAYER CONTAI T INFORMATION tEnne•rte: oaon for a,A P.bcr News 7uval IS Ll.c.marr.aafeeaum mrpm:v:e Fanl sb3 m wrr•o las or •nary wat s rw.on imiod:61 April.or sk wry.Iron a norre arae a2rJG nes-natim of P,Ins vicuamemam,ble e/7 ,4G®ay war fan answs cuwf ns Tae2reRa des NansW ncal be entered Typo w prim elasrly) ;t_, %_.on:-;cStephen: RE --1.sT.AVL 6H4:N WE -27P •AYLa {? -TELLWSAd H-arSF.T nE•OWAYMi _R LIG ,xr_ IATF t•6': 0:_ v:T tie r ry rc);ld Unit 1:14 'S1NI,M1IINrdi 'WRILUT-YNR h i i R_yi rhead _ vt — ,1 10 1. OR-MN -5141[ "P cum BUYER'S ATTORNEY, I ` rr-du"o .lames 1 I ASi tiAMe •RR7 MYc 47i-7700 I wr+cac 76L 111 r 1wRY.3 w.voca;r.earervn 1 r L n dI a e