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Home My WebLink AboutL 13212 P 922 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/08/2023 Number of Pages : 5 At: 04 :15 : 16 PM Receipt Number : 23-0100868 TRANSFER TAX NUMBER: 23-00830 LIBER: D00013212 PAGE: 922 District: Section: Block: Lot: 1000 128 . 00 03 . 00 012 . 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 $400 . 00 TRANSFER TAX NUMBER: 23-00830 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County / RECORDED 2023 Aug 08 04:15:16 PN Vincent. Puleo CLERK. i iF SUFFOLK COUNTY Number of pages L D00013212 P 922 DT# 23-00830 This document will be public record. Please remove all Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-5217(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. Dual Town Dual County Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit Mansion Tax Certified Copy �� The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total o If NO,see appropriate tax clause on page# f thih instrument. 4 1 Dist.101 23028216 4 5 Community Preservation Fund 2000 12800 0300 012004 Real Property P T S rCPF ideration Amount.$ Tax Service R DTYJUN A fAgency 28�11N u�1�111�1 ax Due $ Verification Improved � 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land David B. Prokop, Esq. TO 131 Route 25A, Suite 2 Rocky Point, NY 11778 TO TD Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name North Star Title Agency,Inc. www.suffolkcountyny.gov/clerk Title# Ctsy.#NSA-23-708 8 Suffolk County Recording & Endorsement Page This page forms part of the attached B&S Deed with Covenants made by: (SPECIFYTYPEOF INSTRUMENT) Gerard Matovcik&Veronica Matovcik The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO I n the TOWN of Southold Gerard M.Matovcik,as Trustee of the Gerard M.Matovcik Revocable Trust In the VILLAGE dated 5/19/23&Veronica E.Matovcik,as Trustee of the Veronica E.Matovcik or HAMLET of Laurel Y cw P` PA }}-OED a _j t-.73 BOXE THRU 8 MUST BE TYOR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over NO CONSIDERATION J�COiN§ULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 19th day of May 2023 GERARD MATOVCIK and VERONICA MATOVCIK 3495 Peconic Bay Boulevard Laurel, New York 11948 party of the first part, AND GERARD M. MATOVCIK, as Trustee of the GERARD M. MATOVCIK REVOCABLE TRUST DATED MAY 19,2023 and VERONICA E. MATOVCIK,as Trustee of the VERONICA E. MATOVCIK REVOCABLE TRUST DATED MAY 19,2023, each as to an undivided fifty percent (50%) interest 3495 Peconic Bay Boulevard Laurel, New York 11948 party of the second part WITNESSETH, that the party of the first part, in consideration of TEN DOLLARS ($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, situate, lying and being SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF. DIST:1000 SECT: 128.00 BLOCK: 03.00 LOT: 012.004 SAID PREMISES KNOWN AS: 3495 PECONIC BAY BOULEVARD, LAUREL,NEW YORK BEING AND INTENDED TO BE the same premises as acquired by deed dated April 16, 2001 and recorded May 1, 2001 in Liber 12116 page 140. 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. TOGETHER with the appurtenances, AND ALSO all the estate which the said Trustee had in said premises, AND ALSO the estate therein, which the Grantor has power to convey or dispose of, whether individually, or by virtue of said Trust, or otherwise. 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 the 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 4 improvement before using any part of the total of the same for any other purpose. The word "party"shall be constructed 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 PRESENCE OF: Ger rd Matovci ryy� Veronica Matovcik _— 1 1 4 r STATE OF NEW YORK, COUNTY OF SUFFOLK: On the 19th day of May 2023, before me, the undersigned, personally appeared Veronica Matovcik personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual,or the person on behalf of which the individual acted, executed the instrument. DAVID S.PROKOP Notary Public Notary Public,State of New YOrk Qualified in Suffolk county No.4977533 My Commission Expires Feb.o4,2Q L STATE OF NEW YORK, COUNTY OF SUFFOLK: On the 19th day of May 2023, before me, the undersigned, personally appeared Gerard Matovcik personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity,and that by his signature on the t trument, th individual, or the person on behalf of which the individual acted, executed the instrument. oAvla B.PROKOP Notary Public Notary Pu bile,State of New York QualMed in Suffolk County No.4977533 4Ay Commission Expires Feb.04,20 1 ALL,that certain plot, piece or parcel of land, with the buildings and improvements thereon erecter, situate, lying and being at Laurel,Town of Southold, County of Suffolk and State of New York, known as Lot 91, as shown on the Minor Subdivision Map for Cecil T. Young and filed in the Town of Southold on September 15, 1969 and being more particularly bounded and described as follows: BEGINNING at a point on the westerly side of-Peconic Bay Boulevard where some is intersected by the division line between premises herein and land now or forinerly of I Myron Yotang and Joan Ymog (Liber 5678.cp 396): RUNNIN�l THENCE along said land, the following two(2)courses and distances: 1)North 18 degrees 36'20" West,.267.25 feet; 2)North 71'degrecs 23' 40" Fast,47.40 feet to lot 02 on aid Minor Subdivision; RUNNING THEWS along said lot#2, the following two(2)course and distance: 1)South 18 degrees 36'20" Bast, 23.98 feet;2)South 61 degrees 23'00" Fast,146.36 feet to the westerly side of Peconic Bay Boulevard,THENCE South A8 degr•, 3700" West, along the westerly side of Peconic Bay Boulevard, 200 feet to the point or place of BEGINNING. INSTRUCTIONS(RP-5217-PDF-INS):www.orps.statemy.us FOR COUNTY USE ONLY �y New York State Department of 01.IS Coda �bj �^ Taxation and Finance C2.Data Dead Recorded L �/ p / d Office of Real Property Tax Services RP-5217-PDF C3.Book C4.Page j I , ,a Real Property Transfer Report(8110) PROPERTY INFORMATION 1.Property 3495 PPconic gay Boulevard Location STPEET R-J WSP •al NUT NAME Southold Laurel =1948 •CTr OF TOM VtLAGE •L Y G7L= 2.Buyer Soo ALtacned Adderdurn Narna •.AS'NAVFAl YaANr FART NAVL --LAST r,AMCGOC r rmv-N E �•� _�•- 3.Tax Indicate where future Tax&IIs are to be sent Billing if other than buyer addressta bo6om of form)�.ni n.ir.�r:GM��v.r F PS'NAPE Address I ST;FET NI.YBFP ANTI NAYL CITr OR'MN - STA-E IL•GGx, 4.late-ae tits number of Assessment I a d Pantie DR I__I Pad of a Parcel (Only N Part of a Parcel)Check as they appy: Rau parcels transferred on the deed_ 4A.Planning Board with Subdivision Authority Exists ❑ S.Dead 0.49 PropertyF.ww.Fn 1 \ Olt4B.Subdivision Approval was Required for Transfer ❑ Site •Dc". •AfPEb 4C.Parcel Approved for Subdlviawn with Map Provided Matownik Gerard 6.Seller ',Ml M1ALaeoup— Par.NAYF Name Ma L9vCik Veron-ca IA%T NAVEA;W MARY 1 RST—WE '7.Selecttlra description which most accurately describes the Check the boxes below n they appy: use oft property at the time of Sale: 11.Ownership Type Is Condominium ❑ A.One Family RL•.idenlial 9.New Construetron on a Vacant Land Cl 10A.Pmpedy Located within an AgriWtural District ❑ 10B.Buyer received a disclosure notice indicating that the property is in an Agricuttural District ❑ SALE INFORMATION 15.Check one or mom of these canditbns as applicable to transfer: A.Sale Between Relatives or Former Relatives 11.Sale Contract Date N/A B.Sale between Related Companies or Partners In Business. C.One of the Buyers is also a Sonar 05/19/2023 D.Buyer or Seller is Government Agency a Lending Institution 12.Date of SalalTranafor E Deed Type not Womanly or Bargain and Sale(Specify Below) F.Sale of Fractional or Less than Fee Interest(Specify Below) •13.Full Sale Pelee .UU G Significant Charge in Property Between Taxable Status and Sole Dales (Full Salo Price is the tonal amount paid far the property including personal properly. M.Sale d Business Is Included in Sale Pace The payment may be In the form of cash,other property or goods.or the assumption d I.Other unusual Fatten Affecting Safe Pelee(Specify Below) mortgages or char obligations 1 Please round to sire neereaf whole dalsr emormf. J.Nae Comment(s)an Condition: 14.Indicate the value of personal property included In the Sale 0 on ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which Information tnken(YY) 23 '17.Total Assessed Value 5,200 IL Property Class 7.10 _ •19.School District Name Matt 1 tuck '20.Tax Map Idonlifler(syRall Identaler(s)(If mom than four,attach shoot with additional IdantiSer(s)) 1 CUU/12£.t'•4/C3.U1/L•1".U4.1 CERTIFICATION I Certify that all of the Items of information enteral on this form aro true and correct(to the best of my knowledge and belteQ and I understand that the making of any willful false statement of material fact herein subject me to tha.RWvlflons.cLth9.psnal law reladve to the making and filing of false instruments. SE!(.ER St3NATIM BUYER CONTACT INFORMATIQK (Emyr Infarmatoforaleauger Norm,abuyer.tan's MG and CWaon,mrpwa.fYAtap)XWWUWI..p1Y.ae:ReR .-illy'Zi n not on NLMdwI aeon a Ldudery.than's runs rue oraYJq arermaaon M an n3Fduawaapmahte 5/19/23 p°Tfi w"°un anaaerquw;ane rapwd eg Ione wvW P.p a Many ryes.w pint chary I Gei�a�" iev�t LALTL f Ma Lovcik Gerard & Veron_ca '1(1 •(ANT r.Mf•_ �— --ST awL /�"-�'-!/t®lielri/"— V•'F1 �F • 5/19/23 •..FA.Y •I ELEF4041AMLLP lE+WNW0 WE vu � Le7T10lI9VGcK vmMmg PJAVIIA 3495 Peconic Bay boulevard ( -sm- 'VI.Y�Le •A•m.c NAME :,acral rely :194;; 'CI:r CSP 1 •STAT[ 7V:A7C I 1 I 13UYEWSAUORNEY 1 1 Prokop Javier LAST wWE FRS(NNIS I I iisli 87.1-1314 1 I APER[O7E II LCPLG.E wYBFN IL•wFtea771 P. azo ADDENDUM A CORM RP-5217 f GRANTEES f iSMYEA45; GERARD M.MATOVCIK,AS TRUSTEE OF THE GERARD M.MATOVCIK REVOCABLE TRUST DATED MAY 19,2023 VERONICA E.MATOVCIK,AS TRUSTEE OF THE VERONICA E.MATOVCIK REVOCABLE TRUST DATED MAY 19,2023 i