HomeMy WebLinkAboutL 13297 P 919 1111111!I I I I I I I I I I I I I I l l l i i l l l l I I I I I I I I I I I I I I I I I IIIII
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: 06/12/2025
Number of Pages : 4 At: 11 :31 :24 AM
Receipt Number : 25-0075407
TRANSFER TAX NUMBER: 24-33370 LIBER: D00013297
PAGE : 919
District: Section: Block: Lot:
1000 115. 00 06 . 00 022 . 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
EA-CTY $5 . 00 NO EA-STATE $250 . 00 NO
TP-584 $5 . 00 NO Notation $0 . 00 NO
Cert.Copies $5 . 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 $525 . 00
TRANSFER TAX NUMBER: 24-33370
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
VINCENT PULEO
County Clerk, Suffolk County
RECORDED
Numberof pages 2025 Jun 12 11:31:24 At1
VINCENT PULED
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013297
Social Security Numbers P 519
prior to recording. DT# 24-33370
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
z0.0c Mortgage Amt.
Page!Filing Fee 1.Basic Tax
Handling 20. 00 2, Additional Tax
TP-584 S.0C Sub Total
Notation Spec./Assit.
30 or
EA-5217(County) �' Sub Total �0 Spec./Add.
EA-5217(State) Zsd'« TOT.MTG.TAX
R.P.T.S.A. Dual Town Dual County
Held for Appointment
Comm.of Ed. 5. 00 R
Transfer Tax
Affidavit • Mansion Tax
Certified Co �(� The property covered by this mortgage is
py or will be improved by a one or two
NYS Surcharge 15. 00 Sub Total '175 ,0C family dwelling only.
YES or NO
Other
Grand Total SL!5' cc If NO,see appropriate tax clause on
page# of this instrument.
I I & LV
4 1 Dist.1000 25023357 1000 11500 0600 022000 5 Community Preservation Fund
Real K�Property
Tax Service Agency R z IIII�I IIIII lull l�lll III��III CPFSTax Due Amount$
Verification /
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address p 5
RECORD&RETURN TO: Vacant Land f
Attn:Abigail A.Wickham, Esq. TD 160�
Wickham Bressler, P.C.
13015 Main Rd.-P.O. Box 1424 TD
Mattituck, NY 11952
TD
Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Title#
Suffolk County Recording & Endorsement Page
This page forms part of the attached Bargain and Sale Deed with Covenant made
by; (SPECIFY TYPE OF INSTRUMENT)
Rodger K.Siejka,as to an undivided 99%interest;and The premises herein is situated in
Adam Siejka,as to an undivided 1%interest SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of Southold
Roger K. ° r g Siejka,as to an undivided 99/o interest;and In the VILLAGE
Christopher B.Siejka,as to an undivided 1%interest or HAMLET of Mattituck
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
Form 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRU NT SHOULD BE USED BY LAWYERS ONLY
1G0114VA .
THIS INDENTURE,made the /� day ofi',2024
BETWEEN
ROGER K. SIEJKA, residing at 1075 Blossom Bend, P.O. Box 23, Mattituck, New York 11952
as to an undivided 99% interest, and
ADAM SIEJKA, residing at 1285 Kenny's Road, Southold, New York 11971, as to an undivided
1% interest, party of the first part, and
ROGER K. SIEJKA, residing at 1075 Blossom Bend, P.O. Box 23, Mattituck, New York 11952
as to an undivided 99% interest, and
CHRISTOPHER B. SIEJKA, residing at 1075 Blossom Bend, P.O. Box 23, Mattituck, New York
11952, as to an undivided 1% interest, party of the second part,
WITNESSETH,that the party of the first part, in consideration of Ten and 00/100--($10.)--Dollars,and
other good and 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 at Mattituck, Town of
Southold, County of Suffolk, and State of New York, known and designated as Lot No. 22 on a
map entitled, "Map of Mattituck Estates, Inc. and filed in the Office of the Clerk of the County of
Suffolk on September 8, 1965 as Map No. 4453; said lot being be bounded and described as
follows:
SEE SCHEDULE"A"ATTACHED HERETO AND MADE A PART HEREOF
Being and intended to be the same premises as described in deed dated August 31, 2015, and
recorded October 13, 2015 in Liber 12836 page 111 in the Office of the Suffolk County Clerk.
Said Premises being known as 955 Blossom Bend, Mattituck, New York 11952
SCTM# 1000-115.00-06,00-022.000
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: f/P
ROGER K.SIEJKA
ADAM JKA
re/DeedSiejka2024toChristopher 6-26-24
Fidelity rational Title Insurance Company
TITLE NO.F15-7404-98234-5UFF
SCHEDULE Ark (Description) r
Amended 07/29/15
ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk and
Stato of New York,known,as Lot No, 22 on map entitled, "Map of Mattituck Estates, Ina",and filed in the Office of the
Clerk of the County ofsuffolk on September 8, 1965 as Map No.4453,bounded and described as follows: ;
BEGINNING at a point on the northerly side of Blossom Bend,said point being at the division line between Lots 21 and
22 on the above described map where same intersects the northerly side of Blossom Bend;
THENCE North 25 degrees 20 minutes 39 seconds West along the division line between Lots 21 and 22,265.00 feet;
THENCE North 50 degrees 40 minutes 10 seconds East,77.92 feet;
THENCE South 87 degrees 26 minutes 30 seconds East, 128.74 feet;
"11HF.NCE South 04 degrees 36 minutes 32 seconds East,259.88 feet to the northerly side of Blossom Bend;
THENCE westerly along the northerly side of Blossom Bend along an arc of a curve bearing to the left having a radius of
243.41 feet a distance of 100.00 feet to the point or place of BEGINNING.
i
I i
' ' I
i
THE POLICY TO REISSUED under this commitment will insure the title to such buildings and improvements an the premises which
by law constirure real property.
i
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 adfoining said premises.
.SCIEDULEA-t(DesrrtptionJ
Rev.(01M)
BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN New York STATE
State of New
hYork,County of Suffolk,ss: State of New
ldl York,County of/S�fffollkk,SS
On the i'L day of� i 2024 On the/b day of in the year 2024
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
ROGER K.SIEJKA ADAM SIEJKA
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 helshe/they executed the same in his/her/their
capacity(ies), and that by his/her/their signatures) on the instrument,
ty(ie t and that by his/her/their signature(s) f the
instrument,the individual(s),or the person upon behalf of which
instrument, the individual(s), or the person upon behalf of the individual(s)a I ec t nstrument.
which dividual(s)acted, Necuted the instrument.
(signature and o ice of individual taking acknowledgment)
(Not Pub is NOTARY PUBLIC,STATE OF NEW YGAK t) Notary Public �M Simons
Registration No.52 4942871 N�Public,State of Now York
Qualified In Suffolk County No.31-4970341
Commission Expires September 30,2025 IWonQuell ed In Suffolk Oounty
Cornmisslon Explrea February 4 20?'
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of County of ss:
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/herltheir 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 acknowledgement)
Notary Public
BARGAIN AND SALE DEED SECTION 115
WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 6
Title No. _ LOT 22
ROGER K. SIEJKA,as to an undivided 99% DISTRICT 1000
interest,and ADAM SIEJKA, as to an
undivided 1%interest
TO
ROGER K.SIEJKA,as to an undivided 99%
interest and CHRISTOPHER B.SIEJKA,as to
an undivided 1%interest
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Wickham,Bressler&Geasa, P.C.
P.O. Box 1424
Mattituck, New York 11952
INSTRUCTIONS(RP•5217-POF-INS):wwar.orps.slate.rty.us
FOR COUNTY USE ONLY New York State Department of
C1.SWIS Coda LA ,�,�1;' � I Taxation and Finance
C2.Data Deed Recorded �[ / ILq Of of Real Property Tax Services
'~° °� •�~ C RP-5217-PDF
C9.Book C4.Page Q I Realfice Property Transfer Report(olio)
PROPERTY INFORMATION
I.Propory 955 Blossom Bend
Locsden
•lIPFEI NIIYER •BTREETNMIE
Southold Mattituck 11952
•CITY OF,TOWN VILLAGE •>7P e00E
2.Buyer Siejka Roger K.
Nome
'WIIWIGWYP4w Fl11BT Iaa1@
Siejka Christopher B.
LAST NAMECOYPAW Fwer WWE
2.Tax IndCWA where future Tax Blocs are to be soot
Billing 9 other than buyer addreis(al bottom of form) IAeT NNPEIWNPIwr FlRSTRNM
Address
1111111 NUMBER AIDNTWE env OR TOWN 6147E WOODS
4.Indicate the number of Assessment 1 Pad of a Parcel (Only It Part of a Pamsf)Chock se they apply:
Roll parcels tranarmred on the dead e d Parcels O(1 ❑
4A.Planning Board with Subdivision sion Arnha Exials
6.Dad X OR 0.93 40.Subd•Mdm Approval was Required for Transfer
proporty 'FRONT Fur •DEPTH -ACRES
size
4C.ParodAppmwd for Subdivision with Map PrWitlOtl El
Siejka Roger K.
a.Sailor .LAST R-WOmP— FIRST WAS
Name Siejka Adam
TART xwTprANPN/Y MST KW
•7.Select the description which most accurately describe!the Check the became below as they apply:
use of the properly at the time of sale: a.Ownership Type is Condominium ❑
C.Residential Vacant Land 9.New Construction an a Vacant Land ❑
10A.Property Located within an Agricultural District
108.Buyer reosrived a diego$ure rlotioe Indicating that the property,is in an ❑Agricullurel District
SALE INFORMATION 1S.Chock one or more of those condition°as applicable to transfer.
A.Sala Between Relatives or Former Relatives
11.Sale Contrast Data B.Sale between Related Companies or Partners In Buslness.
C.One of the Buyers is @ISO a Salter
'12.Data of SalelTrenebr b a D.Buyer or Sailor Is Govommem Agency or Landing Institution
E.Deed Type not Vhrranty or Bargain and Ste(Speedy Below)
F.Sale o1 Fractional or Lela own Fee Interest(Specify Below)
113.Full Sala Pries 0.00 G.SdgN9cmrt Change in Properly Between Taxable Status and Sale Dates
N.Sob of Business Is Included in Sale Price
(Full Sala Price is the teal amount pold for the property including personal property. 1.Other Unusual Factors Affecting Sale Price(Specify Below)
This payment may be In the farm of matt,other properly or goods,or the outimption W yk
mortgages or When obygadan.)Pleese round to do neareat whole dalaramount Comment(s)J.J.WHO
on Condition;
14.Indkm the value of personal
property Included In the Salo •00
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from which Information token" 24 117.Total Assessed Value 300
•16.Properly Cl°°a 311 _ .Is.School District Noma 12- Mattituck-Cutchogue
'20.Tex Map Identmor(syRall Idemifier(e)pfmore than four,attach shoot with additional IdantM*r(ol)
1000-115.00-06.00-022.000
CERTIFICATION
I Certiy,that all of the Items of Information entered on this form are We and correct(to the best of my knowl°dgo and belief)and I undomlsnd that the making of any wlffiul
7- 70mont--w
t Insmrial fact hotel bject ms to the arevlslens at the renal law mlative to the making and filing of Mse Instruments.
(Eowr rrdoncoado l for the buyer.Now.II buyer is I-I.Geack y,assodwton,mpoestion.dote stock company.Sale or
ogee K b,le a andy ponyywguml�arme r"N tlom regmic Um
name
mct�e orprim warly.) usaewwldNe
i u'R Adam—Siejka 0AiE
Siejka Roger K.
• 'WTNME FIRST N,WE
Roger ie3 a (/�t�
��L 1m- 'ARUCOOE -TErE9ONE MJa®ERIE+'egoWl
ourbN SlexlNelrL' '„r1scop er OATE
Siejka 1079 Blossom Bend
1cam MUYMR 'STREET Ilex[
1 + ' Mattituck NY 11952
-CIA'OR TOMI ZTATE 'aP eom
BUYERS ATTORNEY
Wickham Abigail A.
WT HWIS FIRST RME
(631) 291-1353
IeEACOM TELMONEm11®ERai:OEMM