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L 13298 P 464
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 6/17/2025 Number of Pages: 4 At: 7 :16 : 12 PM Receipt Number: 25-0077643 *ELECTRONICALLY RECORDED* Transfer Tax Number: 24-33837 LIBER: D00013298 PAGE: 464 District: Section: Block: Lot: 1000 078 .00 02 .00 028 .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 Comm.Pres Fund $0 . 00 NO Comm.Housing Fund $0 . 00 NO Transfer Tax $0 . 00 NO Transfer Tax Number: 24-33837 Fees Paid $395. 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County RECORDED Numberof pages 4 6/17/2025 7:16:12 PM VINCENT PULEO CLERK OF This, d}€.gi.me.n't w'il't be rublic SUFFOLK COUNTY L D0001329B prior to recordhq, 24-33837 Deod f Mortgage Instrument Deed 1 Mortgage Tax Stamp Recordinrq t Filing Stamps FEES Raga)Filing Fee .00 Mortgage Arnt. 1.Basic Tax --- Handling 20. 00 2. Additional Tax TP-584 5.00 SuhTota1 Notation 0.00 apecJAW, or EA-5217(County) 5.00 Sub Total 50.00 Spec,Add. - EA•5217(State) 125.00 TCT.MTG.TAX R.P.T.&A. 200.00 Dual Town Dual County I-tetd for Appointment Comm.of lWd. S- T tansfer Tax 0.00 Affidavit * �* Mansion Tax 0.00 Certified Copy 0.00 The property covered by this mortgage is or WH be improved by a one or two Nys Surcharge 15, 00 345.00 family dwelling only. Stab Total. _ YES or NO Other 395.00 Grand Total If NO,see appropriate tax cruse on page# of this tnstrumant. 4 1 Dist. Section Block Lot 5 Commun y Preservation Fund 25021907 Real Noperty Corap>i.deration Ammoat$0.00 Tax Service PT s R DTY A 0.00 Agency6/4/2025 CPT( Tax DueVerification Improved x � a rs actrons� a�es a eases €s rope Hers a�ts�g Tess RECORD&RE!URN TO-, vacantl.and Law Offices of David Okrent TD 10 33 Walt Whitman Rd Ste 137 Dix Bills NY 11746 TD TD Mail to: Vincent Puleo.Wfolk County Clerk 71 Title Company 1nformabon 310 Center D ve, Riverhead, NY 1190-1 Co-Name u wwau'ffolkwuntyny.govlclerk Title Suffriolk County cccr ink & Endorsement Page This page forms part of the attached DE® -made 4y, (SPECIFYTYP OF INSTRUMENT) T'he prerniw5lierein issituated in SUFFOLK COUNTY, NEW YORK TO In tt*TOWN of SOUTHOLD 1 n the\ALLAGE or HAMLET of soxEs6 THRU 8 MU7 BE;YPED OF,PRINTED I BLACK INK ONLY PNOR To PECQP0ING OR Ft LING, av CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 01-3 day of a f l l BETWEEN ANGELA F.GORSKY,A/K/A ANGELA GORSKY,residing at 19 Homestead Avenue,Garden City,New York party of the first part,and ANGELA F.GORSKY and MICHAEL E.GORSKY,each residing at 19 Homestead Avenue,Garden City,as Husband and Wife party of the second part, WITNESSETH,that the parry of the first part,in consideration of TEN 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, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the (SEE ATTACHED SCHEDULE"A") BEING AND INTENDED TO BE THE SAME PREMISES CONVEYED TO THE PARTY OF THE FIRST PART BY DEED DATED 05/03/2016 AND RECORDED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON 05/23/2016 AT LIBER D00012865 PAGE 240. SAID PREMISES ALSO KNOWN AS 1020 GLENN ROAD,SOUTHOLD,NEW YORK. 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. IN PRESENCE OF: ANGE F.GORS AIK/ GELA GORSKY Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment Form 3290 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of 50ja:F 44- as: State of New York,County of SS: On the 2-j5 day of A PR/'t in the year zQ_S On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared ANGELA F.GORSKY,A/K/AANGELA GORSKY personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is satisfactory evidence to be the individual(s)whose name(s)is (are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their 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( ,or the person upon behalf ofwhich instrument,the individual(s),or the person upon behalfofwhich the individua a ecuted the in the individual(s)acted,executed the instrument. (Signs re a ice o vidual taking acknowledgment) (signature and office of individual taking acknowledgment) OKRENT NOTARY PUBLIC-STATE OF NEW YORK No.020K4993814 Qualified in Suffolk County My Commission Expires on 3.23.2026 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of as: 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 name(s) 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) DISTRICT 1000 SECTION 078.00 BLOCK 02.00 BARGAIN AND SALE DEED LOT 028.000 WITH COVENANT AGAINST GRANTOR'S ACTS Title No. COUNTY OR TOWN SUFFOLK ANGELA F.GORSKY,A/K/A ANGELA GORSKY STREET ADDRESS 1020 GLENN ROAD TO Recorded at Request of ANGELA F.GORSKY AND MICHAEL E.GORSKY, THE JUDICIAL TITLE INSURANCE AGENCY LLC HUSBAND AND WIFE RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by THE JUDICIAL TITLE INSURANCE AGENCY LLC LAW OFFICES OF DAVID R. OKRENT 550HA HARRISON, CKA528 33 WALT WHITMAN ROAD, SUITE 137W HARRISON,NY 10528 914-381-6700•800-281-TITLE DIX HILLS, NEW YORK 11746 W v 0 0 2 O K O U W K 0 O W W 7 0 W U Q a y it w w y w SCHEDULE"A" DEED DESCRIPTION DISTRICT: 1000 SECTION: 078.00 BLOCK: 02.00 LOT: 028.000 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 No. 12 on a certain map entitled, "Map of West Creek Estates at Southold" and filed in the Office of the Clerk of the County of Suffolk on August 19, 1963 as Map No. 3848, being more particularly bounded and described as follows: BEGINNING at a point on the southerly side of Glenn Road said point being distant 201.47 feet westerly from the corner formed by the intersection of the southerly side of Glenn Road and the southwesterly side of Sheppard Drive; RUNNING THENCE South 7 degrees 55 minutes 00 seconds East, a distance of 284.99 feet to a point; THENCE South 78 degrees 05 minutes 40 seconds West, a distance of 130.00 feet to a point; THENCE North 2 degrees 47 minutes 10 seconds East, a distance of 246.34 feet to the southerly side of Glenn Road; THENCE easterly along the southerly side of Glenn Road along the arc of a curve to the left having a radius of 129.83 feet and a length of 62.71 feet and continuing North 41 degrees 40 minutes 00 seconds East along the southerly side of Glenn Road a distance of 37.29 feet to the point or place of BEGINNING. FOR ODUNTY USE ONLY Cl_ SRIS Code 14 3 7 3 3 3 8 3 8 3 9 '-INS):www_arr}s.sfate.ny.us C2_ Date Deed Re.xmded I 6 17 202,51 New Ybrk State Department of tfonth Day year Taxation and Finance: C3_ Dock 111 312 1 91 8 1 C4_ Page 1 1 14 1 61 4 1 Offl`a Of Real Property Tax Services RP- 5217-PDF PROPERTY INFORKATION I Real Property Transfer Repoli(8)10) PROPERTY INFORMATIO 1,property 1020 GLENN ROAD Location GykKv,r Num2ts[ —EaF NAME SOUTHOLD 11971 -CVI QR Td WBAg8 •T1P Cdri 2.Buyer GOIR SIKY ANGELA F_r WIFE Name 'LA 4T NAME/COMVANv FGtST NAME GORSKY MICHAEL, E., 14USSAND LAST WMr .QMPr Y flF—NA—. S.Tax Indicate where"ure Tax 131ft are to Ste 4 nt S10ing if at11*r than buyer address(at bottom of form) s_Asr w.rwr•rc:os��nxdr IFRSrNME Address 19 HOMESTEAD AVENUE CARDEN CITY NY 7.1Si] 3TREFT NurnAti:R nNf]NFlPAE •••• c1Tv a.R'IOVviJ .mr... sIArE Lap Cdi]F 4,indicate the number of Assessment 1 OR �pelt of a parcel (only if Part of a Parcel)Check as they apply; Rol[Pamela transferred on the dead #of Parcels „lA.planning Board with Subdivision Author€ty Bxists S.Deed M._.__ X C.)R 0.70 49.Subdivision Appmvai was Rsqulred for Transfer Property •moray 9ELr •oaPrH •AcnEr< Size 4C,Parca€Appmvsd for Subdivision with Map Provided GORSKY ANGELA, E., A/K/A GORSKY, ANGELA G.Seller 'W•'iA.ST PJ,4MF.lCCMPANY FERa1'NnrtaF m Nance I.ReT NpME/CDMPAN�' A':RtLl'r'inana. '7.Select the description which most accurately dascrIbes the Check the boxes below as they apply- use of the property at the Lime of sale: 8.0%vaership Type Is Condominium A, One Farnily Residential S.New Construcilon on a Vacant Land 10A.Properly Located with In an AgrlcuHural Olstrlct ❑ I QB.Buyer received a disclosure natiue indicating that the property is in an Agricultural DiStrict SALE INFORMATION 16,0heck one or mare of these conditions as applicable to transfer: A.Sale Between Relatives or Former Relatives 11.Sale Contract Date 8-Sete b erween Related Companies or partners in Business_ C,one of the Buyers is elso a an tier *12.Dam of SalelTransfwar 'E.l 9 3 x y3 0 5 D,Buyer or Seller 4s Government Agency or Lending Institution mm7 C ^�^^-^^ ^^^m B.€3eeq Typ*not Warranty or 9argain and Sale(Specify Below) F,Sale of Fractional or Less than Fee€nterest(Speegy Below) 113.Full Sale Price AK) G-Significant Change in Property Between Taxable Status and Sale Data$ I-t.Sall Ufu5ineSS is Inchlded in S"IB Price (Fuil Sale Price is the total amount paid for the property including personal Property, I- Other Unusual Factors AVectlrlg Sale Price(Specify Below) This payment may he in the form of cash,ot"r prape rty or goods,or the as emniation of J.3 tone mortgages or atirer CpljgaY-rt]Yrs,]pl>ma3ra found to the nearest whole Lfallar+nmounl. 'Comment(s)on Cvhditinn; 14.Indicate the value of personal property included in the sale •00 r30 CON5TL1'c".rtATY CtJ T?SILtUST'};ri ASSESSMENT INFORMATiOi+f-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Poi)from which information taken{YY) 25 •17.Total Assessed Value 7,700 "18.property Class 210 w .......... "19.School District Name SOU T HOLD 120.Tax Map ldentif€er{a)1Rpli tdentitier(s)(If more than four,attach sheet wFth additional ldamlfier(s)) �Qa9-078.❑d•-02.❑D--028.OD❑ CERTtFICATtON €Certify that all of the items of infor rutUan entered on this form are true and C*Yreot(to the Best of my knowtedg:e and ballef)and t understand that the making of arty witlftil false statament of material fact herein au d)eCt me to the nrovlsions o1 gJ7g pg,{��J„)�yg,re{atWe to the making and filing of false instruments. cars LERrySE f!EAT 3 UUY-ER.00-NT.A.CT__{NFSLRMA'f1QN (`Wer or-radon For the buyer.Note:H buyer Es 1.LC,society,association,corporstlon,joint snick c pany,estate or eamry met Is not an 1ndi,kivap egent or�duc;ery,t""'a name and cowed In}ormerion of an 1ndFt idueihsspons9iEe i ��i V 5 party who can answer quesl4ons repardirxg Fhe Franarer must he errtered.Typ or Print dearly-y as.z a stoNAnaR� 'T ,'E 4 GC]EtSKY ANGELA F.r WIFE R T •i.Aar NAME r1R.sT NnM� {516 .398-5854 4!� •RR EA CODE 'r'nuPHCNF NVM©Cj!fn[:9B99a99) a eN srcrunruu dArs 19 HOMESTEAD AVENUE •ETREL I'riL m6LR 'RTRe�T Nq E i S GARDEN CITY NY 3.1.530 ctTv cR rowN -arnr>" •Lev rrx]E BUYER'S ATTORNEY S OKRENT DAVII), R- t [Aar.-r cexar N-n 1 tl (6317 42.7--4 600 i t V �� M1fiCA C��L •�••��-��� TELEPHONE NUMBER(GI 999P9961 l i