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Standard N Y_BT. U Form 8002 n Bargain and Sale Deed, with Covenant against Grantor's Acts - Indiyidual or CDrporation (single sheet) 5 ti )-1 ().. 0 5" ;?--
CONSULT YOUR LA WYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
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THIS INDENTURE, made this /J '\ day of January, two thousand and two
BETWEEN
HELEN A. SLEDJESKI, residing at
370 Village Lane, Mattituck, NY 11952
party of the first part, and
JENNIFER NEMSCHICK, residing at 12) (uQs\d:Jutr\. ~ r-eot
P.O. Box 299, Lake Grove, NY 11755
party of the second part, Two Hundred Twenty-Seven Thousand and NO/lOa ($227 000.00)
WITNESSETH, that the party of the first part, in consideration of leJ;j,(lollars 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, with the buildings and improvements thereon erected, situate, lying and
being at Mattituck, Town of Southold, County of Suffolk and State of New York, bounded and described as follows:
SEE SCHEDULE "A" ANNEXED HERETO.
BEING AND INTENDED TO BE the same premises described in the deed of the parties of the first part herein by deed
dated 03/28/69, recorded in the Suffolk County Clerk's Office on 04/07/69, in Liber 6530, Page 145.
Said premises are known as 370 Village Lane, Mattituck, NY
11952
TOGETHER with all right, title and interest, if any, of the party of the Ilrst part 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 and
rights of the party of the first part in and to said premises; TO HA VE 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 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:
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. HEL A.~E SKI, by HELEN S. BRUSH
~ -ce~~7~d
'-'an:: .'tal UUI J ILlt:: J-\yt:llt;y, LlU.
Schedule A
Title Number SH212052
Underwriter FN
Page 1
ALL that certain plot, piece or parcel of land, situate, lying and being at Maltituck,
Town of Southold, County of Suffolk and State of New York, known and
designated as lots number 23 c1n a certain map entitled, "Map of Village Manor at
Mattituck", filed in the Office of the Clerk of the Suffolk County Clerk's Office on
1 0/24/63 as Map No. 3600. Said lot is more particularly bounded and described
as follows:
BEGINNING at a point on the easterly side of Village Lane distant 343.81 feet as
measured northerly along said easterly side of Village Lane from the corner
formed by its intersection with the northerly side of Main Road (Route 25);
RUNNING THENCE north 20 degrees 00 minutes 00 seconds west 110.00 feet;
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RUNNING THENCE north 70 degrees 00 minutes 00 seconds east 225.59 feet
the following two course and distances:
1) south 17 degrees 00 minutes 00 seconds east 36.53 feet;
2) south 17 degrees 00 minutes 00 seconds east 73.56 feet;
RUNNING THENCE south 70 degrees 00 minutes 00 seconds west 220.23 feet
to the easterly side of Village Lane and the point or place of BEGINNING.
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For Conveyancing Only, if intended to be conveyed.
Together with all right, title and interest of, in and to any streets and roads abutting the above described premises,
to the center line thereof.
(l\ Safe Harbor Title Agency, Ltd.
-
STATE OF NEW YORK, COUNTY OF SUFFOLK
To BE USED ONLY WHEN THE ACKNOWLEDGMENT Is MADE IN NEW YORK STATE
SS,
SS,
On the I~ day of January in the year 2002, before me, the
undersigned, a-Notal) rubl~\" ~u aFu:i fBf .'laid State, personally
appeared
HELEN S. BRUSH
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 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) aCled, executed the instrument.
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(signature and office of the person taJ8hg acknowledgment)
DEBORAH DOlY
No\aI'f Public, State 01 Naw Yorl<
No. 02004829478 . Sutlolk County
CMm1in~ Expires February 28, ~~
Bargain and Sale Deed
WITH COVENANT AGAINST GRANTOR'S ACTS
TITLE NO.
HELEN A. SLEDJESKI
TO
JENNIFER NEMSCHICK
STATE OF NEW YORK, COUNTY OF SlJFFOLK
On the day of January in Ihe year 2002, before me, the
undersigned, a Notary Public in and for said State, 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 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 indivldual(s) acted, executed the instrument.
(signature and office of the person taking acknowledgment)
DIST.
SECTION
BLOCK
LOT
COUNTY OR TOWN
1000
114.00
06.00
020.000
Suffolk/Southold
RECORDED AT REQUEST OF
RETURN BY MAIL To:
Edward Vitale, Esq.
1 Linda Lane
Setauket, NY 11733
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TORRENS
RECC@ED
2002 Feb 23 08: 19: 54 At1
Ed1,.lard P.~~omaine
CLERK OF
SUFFOLK COUlnl'
L DOD012170
P bet.
DT# 01-27793
Number of pages
Serial #
Certificate #
Prior etf. #
Deed I Mortgage Instrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
4
FEES
Page I Filing Fee
M0I1gage AmI.
Handling
----
I. Basic Tax
TP-584
2. Additional Tax
Notation
----
Sub Tolal
EA-52 17 (County)
Sub Total
RPTS.A.
30-
Spec.lAssit.
Or
Spec. /AJd.
EA-5217 (State)
Conun. of Ed.
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TOT. MTG. TAX
Dual Town Dual County
Ileld for Apportiollment
Transfer Tax 9'CY?-
Affidavil
Certified Copy
GRAND TOTAL
f7-
Mansion Tax
The property covered by this mortgFlge is or
will be improved by a olle or two family
dwelling only.
YES or NO
If NO, see appropriate tax clause on page #
of Ihis instrument.
Reg. Copy
Olher
Sub Total
---
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Real Property Tax Service Agency Verification
Dist. Section 8 lock
Lot
6 COffill1Unity Preservation Fund
Consideration AITlOllnt $alJ....Z-O D,tJ[J
j 0LrCJ
ESQ.
$ \ '5'1/0- CD
I
Improved X
'l-OV
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O;;;'O.cW
CPF Tax Due
Vacant Land
Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
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8 Title Company Information
Co. Name Safe Harbor Title Agency, L
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Title # :S tt ;). I '^ o::;-;J..
Suffolk Count Recordin & Endorsement Pa e
lllis page fonns part of the attached tJEEi.\
(SPECIFY TYPE OF INSTRUMENT)
made by:
I:-I.elel\. H Slfr(je::,l:::..,
111e premises herein is situaled in
SUFFOLK COUNTY, NEW YORK
In the Township of ;SL9 ~O ~d
In the VILLAGE
or HAMLET of Me<>+-+-7 t-uc I(
TO
\rellf\(~E" 10 c M.~~c.Il
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PJUOR TO RECORDING OR flUNG.
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111111111111 1111I1111I1111111111 11111 1111111111 1111 I11I
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 4
TRANSFER TAX NUMBER: 01-27793
Recorded:
At:
LIBER:
PAGE:
02/23/2002
08:19:54 AM
D00012170
686
District:
1000
Section: Block:
114.00 06.00
EXAMINED AND CHARGED AS FOLLOWS
$227,000.00
Lot:
020.000
Deed Amount:
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $12.00 NO Handling $5.00 NO
COE $5.00 NO EA-CTY $5.00 NO
EA-STATE $25.00 NO TP-584 $5.00 NO
Cert.Copies $0.00 NO RPT $30.00 NO
SCTM $0.00 NO Transfer tax $908.00 NO
Comm.Pres $1,540.00 NO
Fees Paid $2,535.00
TRANSFER TAX NUMBER: 01-27793
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
PLEASE TYPE OR PRESSFIRML Y WHEN WRITING ON FORM
INSTRUCTIONS: http://WW\I.4orp::;.!l1.ate.ny.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD ,OF_~EA~,PROPERTY SERVICES
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1. Property I
Location
370
\lillage Lane
SlllEETNAME
i'l\;lilj
STREET NUMBER
Southold
Mattituck
"
,
11952
CITY OR TOWN
VilLAGE
:^ i ~. I, '
ZIP CODE
2. Buyer
Name
Nemsclri.ck
lAST NAME I COMPANY
Jennifer
FIRST NAME
LAST NAME I COMPANY
FIRST NAME
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
Address
LAST NAME I COMPANY
FIRST NAME
STREET NUMBER AND STREET NAME
CITY OR TOWN
ST~TE
ZIP CODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
1 I # of Parcels OR
D Part of a Parcel
(Only rf Part of a Parcel) Check as they apply:
5. Deed
Property
Size
I X I
lOR I
'ACRES'
. 5
61
4A. Planning Board with Subdivision Authority Exists
48. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
o
o
o
FRONT FEET
OEPTH
6. Seller
Name
3ledjesKi
LAST NAME I COMPANY
Helen A.
FIRST NAME
LAST NAME I COMPANY
FlRSTNAME
A~ One Family Residential
B 2 or 3 Family Residential
C Residential Vacant land
D Non-Residential Vacant Land
E~Agricultural
F Commercial
G Apartment
H Entertainment I Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant land
10A. Property Located within an Agricultural District
108. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
o
o
o
o
7. Check the box below which most accurately describes the use of the property at the time of sale:
SAlE INfQSMAtfON
15. Check one or more of these conditions as applicable to transfer:
11. Sale Contract Date
11 I 13 I 2001 I
Month Day Year
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I J I I
Month Day Year
A
B
C
D
E
F
G
H
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Sale Between Relatives or Former Relatives
Sale Between 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
12. Date of Sale I Transfer
13. Full Sa'e P,;ce , 2 , 2, 7 , 0, 0, 0 , 0 , 0 I
, , .
(Full Sale Price is the total amount paid for the property including personal property.
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
property included in the sale
F~"
$l\PUI&
, 0 , 0 I
.
ASSE
FlnIII AmSs .
. RPlI ..<I"11,,1IUI
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16. Year of Assessment Roll from I j ,;
which information taken
'~I 17. Total Assessed Value (of all parcels in transfer) I
,
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18. Property Class
), 1, li-U 19, School OI.t,;ct Nama
M;::t rr.i hl("<k-f"l1t-~hngJ1A
20. Tax Map Identifier!s) I Rollldentifier{slllf more than four. attach sheet with additional identifierlsll
1000-114.00-06.00-020.000
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I certify that all of the items of infonnation entered on this fonn are tnIe 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 oenallaw relative to the making and filing of false instruments.
BUYER
BUYER'S ATTORNEY
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Vitale
LAST NAME
reward
FIRST NAME
BUYER SIGNATURE
DA"
STREET NUMBER
1'~N~2~~ ~
631
AREACOOE
852-1667
TELEPHONE NUMBER
'311)
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CITY OR TOWN
fV'JJ-
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ZIP CODE
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SELLER
SELLER SIGNATURE
OATE