HomeMy WebLinkAboutL 13271 P 576 IIIIIII IIII IIIII IIIII IIIII IIIII 11111 IIIII IIIII IIII IIII
I I I I I I I I I I I I I I I I I I I I I
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/12/2024
Number of Pages : 4 At: 02 : 05 : 36 PM
Receipt Number : 24-0138587
TRANSFER TAX NUMBER: 24-11544 LIBER: D00013271
PAGE : 576
District: Section: Block: Lot:
1000 070. 00 03. 00 015. 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $725,000. 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
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
Comm.Pres Fund $0. 00 NO Comm.Housing Fund $0 . 00 NO
Fees Paid $395 . 00
TRANSFER TAX NUMBER: 24-11544
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
VINCENT PULED
County Clerk, Suffolk County
7
Number of pages RECORDED
2024 Nov 12 02:05:36 Phi.
UINCENT PULED
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013271
Social Security.Numbers P 576
prior to recording. DT# 24-11544
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee .Mortgage Amt.
1. Basic Tan _
Handling 20. 00
2, Additional Tax
TP-594 Sub Total
Notation SpecJAssit. .
or
EA-52 17(County) Sub Total N Spec./Add.
EA-5217(State) ' J TOT.MTG.TAX _
Dual Town Dual County_
R.F,T.S.A. Held for Appointme
Comm.of Ed. 5. 00 �' �
�. � Transfer Tax
Affidavit �� Mansion Tax
w�? The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total ,�-S YES or NO
Other _
Grand.Total 13q If NO,see appropriate tax clause on
page# of this instrument.
10 e f7
4 Dist. 24043779 loon 07000 0300 015000 5 Community Preservation Fund
Tax Servec Ro "z l��jI��II�II��UII�IIJim Consideration Amount$(�A U5�O�+
Agency I III
Q—
Improvedax Due $Verificatioi.
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO:. Vacant Land
// TD
�bp X Cep 33
T D
TD
Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Name % f55 S4.
www.suffolkcountyny.gov/clerk Tide# f! 7 -1Z 3.0
S Suffolk-County Recording & Endorsement Pa e
This page forms part of the attached �� ) _ made by:
1� (SPE(IFY TYPE OF INSTRUMENT)�Ae� cud M�j2iir-A;rea)�e Qf
�/
The premises herein is situated in
--.�oyR,j.J d 4ge-z"ji- 4z, SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of `JD JTf1oL� _
�A/JI�,Cf1 sy t/j6/ In the VILLAGE
or HAMLET of
BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FII.ING.
u-ma..ia 8kk (over)
NY2010 —Execuror's Deed—Individual or Cogomiion(single sheep
THIS INDENTURE,made the /7 7/7
day of &G7D4fif ,in the year 2024
BETWEEN RICHARD WILLIAM GRIM,
residingat P.O. Box 539, Rbmsenburg, New York 11960
31s, 3,e.�a- J y iirco
as executor Of JOHANNA CAROLINE GRIM the last will and testament of
JOHANNA CAROLINE GRIM a/k/a JOHANNA C. GRIM Suffolk County, New York late of
,deceased,
party of the first part,and GEORGE MAMUKASHVILI and MAIA BLIADZE, both ,.presently residing
at 1 Linday Court, Shelter Island-, New York 11964 /
IO"/i1S6A��'
party of the second part,
WITNESSETH,that the party of the first part,to whom letters testamentary were issued by
the Surrogate's Court of the State of New York for the County of Suffolk on March 22, 2023
and by Virtue of the power and authority given in and by said last will and testament,and in consideration of Seven
Hundred Twenty—five Thousand and No/100ths ($725,000.00)--
S,,/Fauc 73jAe riari ficr ND aod�-/�y�i7 ---------------gollars,
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
See attached "ScheduleA"
Dist
1000
Sec.
070.00 BEING AND INTENDED TO BE same premises conveyed to party of the first part by
Blk deed dated December 7, 1978 and recorded in the Suffolk County Clerk's Office
03.00 on December 18, 1978 in Liber 8551 at Page 224.
Lot
n15.000 Premises also known as 475 Jernick Lane, Southold, New York
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 also all the estate which the said decedent had at the time of decedent's death
in said premises,and also the estate therein,which the patty of the first part has or has power to convey or dispose of,
whether individually,or by virtue of said will or otherwise;
TO HAVEAND 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
wri tten.
IN PRESENCE OF:
ESTATE OF JOHANNA CAROLINE GRIM
/ JN��RIM
By
' 4RTCHARD WILLIAM GRIM, as Executor
STATE OF NEWYORK,COUNTY OF/0,155110 STATE OF
On the /7 day of 0G7DAv9 in the year 2024, On the
day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
RICHARD WILLIAM GRIM
personally known to me or proved to me on personally known to me or proved to me on
the basis of satisfactory evidence to be the individual(s)whose the basis of satisfactory evidence to be the individual(s)whose
name(s)is(are)subscribed to the within instrument and acknowl- name(s)is(are)subscribed to the within instrument and acknowl-
edged to me that he/she/they executed the same in his/her/their edged to me that he/she/they executed the same in his/her/their
capacity(ies),and that by his/herltheir signature(s)on the capacity(ies),and that by his/her/their signature(s)on the
instrument,the individual(s),or the person on behalf of which the instrument,the individual(s),or the person on behalf of which the
individual(s)acted, cured the instru individual(s)acted,executed the instrument
ledd the following if the acknowledgment is taken outside NY State]
and that said subscribing witness made such appearance before
the undersigned in the (imen the city orotherpoliIicalsubdivision and theSaueor
S PHEN P SPANBURGH country or other ptace the ackrimledgmentwastaken).
PUBLIC,STATE OF NEW YORK
Istratlon No.01 SP4906864
Qualified in Suffolk Courtly
mission Expires Octgber 5,2025
STATE OF ,COUNTY OF
On the day of in the year
before me,the undersigned,a Notary Public in and for said State,
personally appeared STATE OF ,COUNTY OF
,the On the day of in the year
subscribing witness to the foregoing instrument,with whom 1 am before me personally came
personally acquainted,who,being by me duly sworn,did depose
and say that he/shelthey reside(s)in to me known,who,being by me duly sworn,did depose and say
that he resides at
(if the place of residence is in a city,include the street and street number if any,thereon; that he is the
that he/she/they know(s) of
the corporation described in and which executed the foregoing
to be the individual described in and who executed the foregoing instrument;that he knows the seal of said corporation; that the
instrument;that said subscribing witness was present and saw said seal affixed to said instrument is such corporate seal;that it was
so affixed by order of the board of directors of said corporation,
execute the same;and that said witness at the same time subscribed and that he signed h name thereto by like order.
his/her/their name(s)as a witness thereto
[add the following if the acknowledgment is taken outside NY Slate]
and that said subscribing witness made such appearance before
the undersigned in the (insert the city or other political subdivision and
the State or country or other place the proof was taken).
SECTION 070
TITLE No. EA3630—S BLACK 03
Estate of Grim LOT 015
COUNTY ORTOWN Suffolk County
TO
Mamukashvili & Bliadze
Recorded at Request of STEWART TITLE®
RETURN BY MAIL TO:
Distributed by Westervelt & Rea, LLC
STEWART TITLE® 50 North Ferry Road
INSURANCE COMPANY P.O. Box 633
250 PARK AVENUE Shelter Island, NY 11964
1
Smmfy of Co 1=1- NEW YORK,NEW YOR Attn: Mar Faith Westervelt
(212)922-0050 Fax(212)9a}983-1 133 - y—
EMINENT ABSTRACT, INC.
SCHEDULE A DESCRIPTION
Title Number:EA3630-S
Revised 9/2412024
ALL that certain plot,piece or parcel of land,situate,lying and being in the Town of Southold,County of
Suffolk and State of New York,known and designated as Lot Number 21 on a certain map entitled,"Map
of Harvest Homes Estates,Section One",which map was filed in the Office of the Clerk of the County of
Suffolk on July 18,1969 as Map Number 5337,which said lot is more particularly bounded and described
as follows:
BEGINNING at the corner formed by the intersection of the northerly side of Jernick Land and the easterly
side of Grigonis Path;
RUNNING THENCE from said point of beginning,along the easterly side of Grigonis Path,North 20
degrees 56 minutes 00 seconds West,160.22 feet to a point;
THENCE along the division line between Lot 21 and Lot 16,North 69 degrees 04 minutes 00 seconds East,
175.00 feet to a point;
THENCE along the division line between Lot 21 and Lot 20,South 20 degrees 56 minutes 00 seconds
East,148.70 feet to a monument set in the northerly side of Jernick Lane;
THENCE along said northerly side of Jernick Lane,South 65 degrees 18 minutes 00 seconds West,175.38
feet to the point or place of BEGINNING.
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY Now York State Department of
C1.SWIS Code • �`I 3 Taxation and Finance
C2.Date Deed Recorded L L 1/ /�`( I 0111ce of Real Property Tax Services
2 M'Ie y..r RP-5217-PDF
C9.Book I L 712rl L L C4.Page S Real Property Transfer Report(8110)
PROPERTY INFORMATION
1.Property 475 derrick Lane
Location
'SIRTGI hUYDCR •lflE[r NAME
Southold Southold 11971
•ere on%WM VILLAGE •Zr cwc
2.Buyer Mamukashvi4 George
Name FItSI NAME
•LAST NAYCICOMPANr
Bliadze Maia
I.W.MwJCOMPANY FAST NAME
3.Tax Indicate where future Tax Belle are to be sent
Billing it other than buyer address(at bottom of form) LAST wwECOMPAaw FwerNAME
Address
amrFF.THUMM:NANe NAME cry OR Tam STATE Z.P CODE
4.Indicate the number of Assessment Part of a Parcel (Only if Part of a Parcel)Check r s they apply:
Roll parcels lrensfarrod an tho dead a W Pereola OR 4A.Planning Board with Subdivision Authority Exists
5.Deed 175 X 148 OR 0.00 48.Subdivision Approval was Required for Transfer
Property •FRDrfrrrrr •DEPTH •At71E9
sin 4C.Parcel Approved for Subdivision with Mop Provided
Grin: Johanna, Estate of
6.Seller •LAST NAMnCOMPAW nRsT NAME
Name
FRS!NAMC
UST•IAIE}JC4PARY
1.Select the description which most accurately describes the Cheek the boxes below as they apply:
use of the property at the time of sale: 8.Ownership Typo Is Condominium
A.One Family Residential 9.New Cansbue ion an a Vacant Land
14A.Property Located within an Agricultural DIEM
SOB.Buyer received a disclosure nodes Indlooting that the property is In an
Agricultural District
SALE INFORMATION 15.Chock one or more of these condltions as applicable to transfer:
A.Bab Bowen Reladm or Former Rotativos
11.Sale Contract Date 0 8/01/2 0 2 4 B.Salo betwoon Relatod Companies or Partners in Business.
C.Ono of the Buyers is also a Seller
10/17/2 02 4 D.Buyer of Seller is Government Agency or Lending InsabElon
12.Date of SaleMansfor E.Dead Typo not Warranty or Bargain and Sale(Speedy Below)
F.Sob of Fractional or Less than Fee Interest(Specify Below)
•1J.Full Salo Price 725,000 .00 G.Significant Change in Property Between Taxablo Stalls End Sale Dates
H.Sale of Business is Included In Sale Prim
(Full Sale Price Is the total amount paid for the property including personal proporty. I.Other Unusual Factors Meeting Sale Price(Specify Below)
T his payment may be In the form of cash.other property or goods.or the assLnption of x J.None
morlgagas or other obilgabo rs.)Please round to the noarod whale dollar amount.
Commont(s)on Condition:
14.Indicate the vatuo of personal 0 .UU
property Included In the sale
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Yosr of Assessment Roll from which Information taken(" 24 117.Total Assessed Value 5,700
•18.Property Class 210 _ 1 •19.School District Name 05-Southold
•20.Tax Map Werdiear(syltoll Identifier(*)(If more then four.attach shoat with additional Identillor(s))
Dirt 1000 Sec. 070.00 S1 . 03.00 Lot 015.000
CERTIFICATION
I Certify that all of the items of Information entered on this form are true and correct(to the best of my knowledge and bolls)End I understand that the making of any willful
false statement of material fact heroin subject me to tlkeyravlslona.oiths_penal laff_relotivo to the making and filing of false Instruments.
NATURE BUYER CONTAT,T INFORMATION
(Enter Iniomw:on ter the b yer.Nole:If buyer Is LLC.WdM.nsoulion.oopoaaon,loon stock company.nlew Of
/ r entay set Is not an:romd"agent or adudery.awn a no=and contact erkmwJon of on IrNINWralrraepnakte
V/ / _ _ /O 7 d Wy who can snewer yt reek-roearetng Des tnensw mu
st rt be around.Type oriented clearly.)
SE::rR SIONATUAE R.I�I�✓ WIE
N.amukast:vili George
BUYER SIGffATURE
/ � ,,,ff/ �,` ' 'LAV NAME FarSr•AME
V't��l-O(1�t�tA/�1Y'-`NN( \ /0/7/� ARrJ1 CODE -rEtEPKW NUMBER lea'Ise00aer
epMTUIC DATE
475 Jernick Lane
'SINCZTHUMBat •STREET HATE
Southold NY 11971
•cm-Too. -STATE -ZIP Calls
ATTORNEY
) I ( I
r Westervelt Mary-Faith
631�' c 749-020 ,. . ...e.�_...�....