HomeMy WebLinkAboutL 12111 P 810Standard 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 INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
T~-ilS INDENTURE, madethe ~ day of April, 001
ANTONE P. SEPENOSKI, JR. AND PATRICIA A. SEPENOSKI, residing at 27965 Route 25, Orient, New
York 11957 the party of the first part, and
PATRICIA A. SEPENOSKI AND ANN P. VERITY, residing at 27965 Route 25, Orient, New York 11957, as
joint tenants with right of survivorship, party of the second part,
WITNESSETH, that the party of the first part, in consideration of TEN and 00/100 ..................................
......................................... ($10.00) ...................... 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 Southold, in the Town of Southold,
Courlty of Suffolk and State of New York, known and designated as Lot #6 on a certain map entitled "Map of
Oakridge Hills" and filed in the Office of the Clerk of the County of Suffolk on April 30, 1962 as Map No. 3555.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated
3/5/65, recorded 3/31165 in Liber 5722 page 93.
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 fi,rst 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" when ever 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:
N~mber of page!
· ' '; TORRENS
Serial #.
Certificate #
Prior Ctf. #
41
Deed / Mortgage Instrument
Deed / Mortgage Tax St~mp
FEES
RECORDED
2001 Apr 05 04:47:21PH
Eduard P.Romaine
CLERK OF
SUFFOLK COUHT¥
L D00012111
P 810
DT~ 00-33114
Recording / Filing Stamps
Page / Filing Fee
Handling
TP-584
Notation
· EA-52 17 (COunty)
Sub Toml
EA-5217 (State)
R.P.T.S.A.
Comm. of Ed.
Affidavit
Certified Copy
Reg. Copy
Other
500
SubTotal
GRAND TOTAL
Real Pr~
Dist.
~rty Tax Service Agency Verification
Section B lock Lot
054.00 07.00 017. 000
$ o~
[ Satisfactions/Discharges/Releases List Property Owners Mailing Addres.,
RECORD & RETURN TO:
I 6
AbigailA. Wickham
Wickham, Wickham & Bressler, P.C.
P.O. Box 1424
Mattituck, New York 11952
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec./Assit.
Or
Spec,/Add.
TOT. MTG. TAX
Dual Town , Dual County
Held for Apportionment __
Transfer Tax -~
Ivlansion Tax
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES~ or NO
If NO, see appropriate tax clause onpage #
~ of this inslmment.
C0ramunity Preservation Fund
Consideration Amount $
CPF Tax Due
$
Improved
Vacant Land
TD
TD
TD
I o.IName Title Company Information'
Title #
Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed
(SPECIFY TYPE OF INSTRUMENT )
Southold
Antone P. Sepenoski. Jr. and
Patricia A, SeDenoski
TO
P~icia A. Seoenoski and',
Ann P. Verity
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the Township of Southo ld
In the VILLAGE
or HAMLET of
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
made by:
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Nua%ber of Pages: 3
TRANSFER TAX NUMBER: 00-33114
'District: Section: Block:
1000 054.00 07.00
EXAMINED AND CHARGED AS
$0.00
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
FOLLOWS
Received the Following Fees For Above
Exempt
Page/Filing $9.00 NO
COE $5.0O NO
EA-STATE $25.00 NO
Cert. Copies $0.00 NO
SCTM $0.00 NO
Comm. Pres $0.00 NO
TRANSFER TAX NUMBER: 00-33114
THIS PAGE IS
Instrument
Handling
EA-CTY
TP-584
RPT
Transfer tax
Fees Paid
A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
04/05/2001
04:47:21 PM
D00012111
810
Lot:
017.000
Exempt
$5.00 NO
$5.00 NO
$5.00 NO
$15.00 NO
$0.00 NO
$69.00
FOR COUNTY USE ONLY
C1. SWlS Code
C2, Date Deed Recorded
C3_Beok
PROPERTY INFORMATION
1 Property 5505
Location STREET NUMBER
P~.EASE.'~PfPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: hep://www.orps.state.ny.us or PHONE (518) 473-7222
REAL PROPE ,RTY TRANSF,ER REPORT
~' STATE OF NEW: YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP '5217
RP-5217 Rev 3/97
Horton Lane
I Southold
I Southold I11971 t
2. Buyer
Name
Sepenoski
Verity
VIL~GE ZIp CODE
I Patricla A.
FIRST NAME
I Ann P.
L~ST NAME / COMPANY
3. Tax indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
Address
STREET NUMBER AND STREET NAME
4. Indicate the number of Assessment
Roll parcels transferred on the deed I
5. Deed
Property [ I x l
Size FRONT FEET
, ,1 I # of Parcels OR ~--~ Part of a Parcel
IoRI , , ,5, 01
DEPTH ACRES
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists []
4B. Subdivision Approval was Required for Transfer []
4C. Parcel Approved for Subdivision with Map Provided []
6. Seller I Sepenoski I Antone P., Jr.
I Sepanoski I Patricia A.
LAST NAME / COMPANy FIRST NAME
7. Check the box below which most accurately describes the use of the property at the time of sale:
A[~ One Family Residential
B ~ 2 or 3 Family Residential
C ~_~ Residential Vacant Land
D [J Non-Residential Vacant Land
I SALE iNFORMATION I
11. Sale Contract Date
Commercial Industrial
Apartment Public Service
Entertainment / Amusement Forest
I / / I
Month Day Year
12. Date of Sale / Transfer
14 /5 /ol I
Month Day Year
13. Full Sale Price I , ~ ~ , , , , , 0 , 0 , 0 }
·
(Full Sale Price is the total amount paid for the property including personal preper[y.
This payment may be in the form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Please round to the nearest whole dollar amount.
14. Indicate the value of personal I I I I I I i i 0 i 0 I
property included in the sale ~ ~ ·
ASSESSMENT iNFORMATION ' Data Sh0U~ ~eflect the latest FiAa! Ass~t R~!! ~hd Tax
16. Year of Assessment Roll from 0¢)/{~] I 17. Total Assessed Value lot all parcels in transfer)
which information taken ~ v~
la. Property Class I 6, 1 , OI-u 19. School Distrist Name I Southold
Cheek the boxes below as they apply:
8. Ownemhip Type is Condominium []
9. New Construction on Vacant Land []
1BA. ProperW Located within an Agricultural District []
10B. Buyer received a disclosure notice indicating []
that the property is in an Agricultural District
15. Check one or more of these conditions as applicable to transfer:
Sale Betsveen Relatives or Former Relatives
Sale Betsveen Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Less than Fee Interest (Specify Below)
!
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
20. Tax Map Identifier(s) / Roll Identifier(s) (if more than four, attach sheet with additional identifier(s))
[ 100-054.00-07.00-017.000 J I I
[ J I I
l certify that all of the items of information entered on this form are true and correct (to the best of my knowledge and belief) and I understand that the making
of any willful false statement of material fact herein will subject me to the provisions of the penal law relative to the making and t'ding of false instruments.
~, ~ / BUYER BUYER'S A'n'ORNEY
BUYER SIGNATURE Patridia A. Sepeno~k~AT~
STREET NUMBER STREET NAME (AFTER SALE)
CI~ OR TOWN STATE ~IP CODE
SELLER
Abigail A.
631 I 298-8353
AREA CODE TELEPHONE NUMBER
ICITY/TOWN ASSESSOR
cOpy