HomeMy WebLinkAboutL 12142 P 632
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THIS INSTRUMENT PREPARED BY
and RETURN TO:
MALCOLM R. SMITH, ESQ.lmdm
9550-2 US Highway 19
Port Richey, Florida 34668
(727) 845-8131
QUIT-CLAIM DEED
THIS QUIT-CLAIM DEED, executed May 7, 2001, by NICHOLAS J. MANDUSIC and
HELEN A. MANDUSIC, his wife, , whose post office address is 11704 Holly Ann Drive, New Port
Richey, Florida 34654, first party, to NICHOLAS J. MANDUSIC and HELEN A. MANDUSIC,
as Trustees of their Trust Agreement dated May 7, 2001, whose post office address is 11704
Holly Ann Drive, New Port Richey, Florida 34654, second party:
WITNESSETH, that the said first party, for and in consideration of the sum ofTen Dollars
($10.00), in hand paid by the said second party, the receipt whereof is hereby acknowledged, does
hereby remise, release and quit-claim unto the said second party forever, all the right, title, interest,
claim and demand which the said first party has in and to the following described lot, piece or. parcel
oflrd, situate, lying and being in the County of SUFFOLK, State of NEW YORK, to-wit:
ALL that certain lot, piece or parcel of land situate, lying and being at New Suffolk,
Town of Southold, County of Suffolk and State of New York, bounded and described
as follows:
BEGINNING at a point on the Easterly side of Third Street, distant 100.81 feet North
of the comer formed by the intersection of the Easterly side of Third Street with the
Northerly side of Main Street;
RUNNING THENCE North 5 degrees 02 minutes East along the Easterly side of
Third Street, 96.71 feet;
THENCE South 87 degrees 14 minutes East along the Southerly side ofland now or
formerly of Malinowski, 86.13 feet;
THENCE South 5 degrees 01 minute West along the Westerly side ofland now or
formerly of Roussan, 98.94 feet;
THENCE North 85 degrees 45 minutes West along the Northerly side ofland now
or formerly of Robbins, 86.10 feet to the Easterly side of Third Street at the point or
place of BEGINNING. '
Subject to easements and restrictions of record.
;'
FULL POWER AND AUTHORITY is granted by this deed to said Trustees or the Successor
Trustee of said Trust Agreement to protect, conserve, sell, lease, improve, to convey either with or
without consideration, to mortgage, pledge or otherwise encumber said property, and to manage and
dispose of the real property or any part of it described in this recorded instrument.
: TO HAVE AND TO HOLD the same together with all and singular the appurtenances
thel]eunto belonging or in anywise appertaining, and all the estate, right, title, interest, lien, equity
and claim whatsoever of the said first party, either in law or equity, to the only proper use, benefit
and behoof of the said second party forever.
IN WITNESS WHEREOF, the said first party has signed and sealed these presents the day
and year first above written.
SIGNED, SEALED AND DELIVERED
IN PRESENCE OF:
@/~Mi'~~C-
NICHOLAS J. NDUSIC .
WITNESS -
I
J72ax~J!) /1, nf'j}~fu)
WITNESS - MARIE A. Di MATTIA
7~ d. /J(~
HELEN A. MANDUSIC
STATE OF FLORIDA)
COUNTY OF PASCO)
On May 7, 2001, before me, the undersigned, personally appeared NICHOLAS J.
MANDUSIC and HELEN A. MANDUSIC, his wife, personally known to me or proved to me on
the basis of satisfactory evidence to be the individuals whose names are subscribed to the within
instrument and acknowledged to me that they executed the same in their capacity, and that by their
signatures on the instrument, the individuals, or the persons upon behalf of which the individuals
acted, executed the instrument, and that such individuals made such appearance before the
undersigned in Pasco County, Florida.
~~
A
ll.0l0- ~o #:10
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NOTARY PUBLIC - MAL
State of Florida
Title: Attorney
My commission expires:
M R. SMITH
Zt>TZI000G 1
,\It.1nOJ :::nO.:l.:lflS
.:10 >krn:)
alj~E.I.UOd'd PJE-iilP:3
[,jd to i:?,Z :;::0 61 das JOO;:
(]30dC(i]d
)'
__'~W:.,:';j;.,., Malcolm R. Smith
..5"'~":(\ MY COMMISSION # CC61176BB EXPIRES
'~""~-';} November 22, 2001
."Y~~~~..'<f;'.." BONDED THRU1ROY FAIN INSURANCE,INC
",..9f,,~~""
[i2
3
Serial #
PECOP[IE[)
":':UUl 5ep 1'3 02:2::::01 Pt1
Edl\lard P.ROfl).3ine
CLERK OF
SUFFOLK COUtH'l
L [>00012142
P f,32
[,n 01-07071
Number of pages
TORRENS
Certificate #
Prior Ctf. #
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
4
FEES
Page / Filing Fee
Cf
s
Mortgage AmI.
Handling
TP-584
I. Basic Tax
2. Additional Tax
Notation
Sub Total
EA-52 17 (County)
EA-5217 (State)
Sub Total
Comm. of Ed.
50~
Spec.! Assit.
Or
Spec. / Add.
RPTSA
IS~
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment
Transfer Tax
Affidavit
Sub Total
Mansion Tax
The property covered by this mortgage is or
will be improved by a one or two fam ily
dwelling only.
YES or NO
If NO, see appropriate tax clause on page #
_ of this instrument.
Certified Copy
Reg. Copy
Other
GRAND TOTAL
Real Property Tax Service Agency Verification
Dist. Section Block
Lot
6 Community Preservation Fund
Consideration Amount $
;000
Oat /1 0) I
//7,00
oB. (Xl (3(j7,(}(){) CPF Tax Due
$
Improved
Initials (Y)
7 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
Vacant Land
TD la
,
MALCOLM R. SMITH
ATTORNEY AT LAW
9550-2 U. S. HIGHWAY 19
PORT RICHEY, FL 34668
TD
TD
v
8
Title Company Information
Co. Name
Title #
9
Suffolk Count Recordin & Endorsement Pa e
This page forms part of the attached
Q'lll ('~lf\\YY\ tJI"E\:>
(SPEOFY TYPE OF INSTRUMENT)
made by:
NIC-\-\olF\5 ,~, \'(\1'\"'''1)~\C:-
\-\ to L" l~ \\, \'f\ '\C\ 1'..\\-,1) S) <::.
TO
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK
IntheTo~hipof SC;\"l-t 0 l-'D
,
~ \~ \',n \-I"Ic, -;;S, \\,\",,,,,,,,c, \ "--+ \4"\-I'T" 'ii, \\If\N,,,,&,~ln the VILLAGE
-Y;",,,,,,,,,,,,,,, ()\O' \1'\\osT 1\1G-t\\:J;\'fIE\l' >:>In 5h/~, or HAMLET of
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
IOVFRI
.
1111111111111111111111111111111111111111111111111111111
11111111111111111 11111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBER: 01-07071
Recorded:
At:
LIBER:
PAGE:
District:
1000
Section: Block:
117.00 08.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Deed Amount:
Received the Following Fees For
Above Instrument
Exempt
NO Handling
NO EA-CTY
NO TP-584
NO RPT
NO Transfer tax
NO
Fees Paid
Page/Filing
COE
EA-STATE
Cert.Copies
SCTM
Comm.Pres
$9.00
$5.00
$25.00
$0.00
$0.00
$0.00
TRANSFER TAX NUMBER: 01-07071
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
;'
09/19/2001
02:28:01 PM
D00012142
632
Lot:
007.000
$5.00
$5.00
$5.00
$15.00
$0:00
$69.00
Exempt
NO
NO
NO
NO
NO
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: h p:11 www.orps.state.ny.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
,,"<,0
RP - 5217
RP.5117 ReT 3IfJ7
1. Property I
Location
?~'JD
SlllEETNUMSER
(0'
,) ()/.Jrl J () L /J
6I'PM)PtTOWN
-rill/{ U
STREET NAME
TIll )~: L~'
1
I Nt:7JJSUFrOL K
VILLAGE
I 1/95t,
ZlPCODE
," ,.~,'
,.,,_~?-.,B.ltyQJ'^
- Name
IIYJ(;#{)/ti~J. 1'/FI/;)iJC'1 (~ + J/J.=/..kN II. t>fJii/V I)VC,II:, II",
LAST NAME f COMPANV FIRST NAME ~
7l~' {)"':;1 IEr.5'
() F-
TlII:~1 I
LAST NAME I COMPA
3. Tax Indicate where future Tax Bills are to be sent \. J L .... I II 1
Billing if other than buyer address (at bottom of form) I / V ,(;,11 /J ~, r:.J. '+' E' E / l J
Address LAST NAME {COMPANY
cO
If
/y,
1))4/;0 C,Ii'
FIRST NAME
-'/~
I-~
I j~ (), j~'()X ;;{A' 7
STREET NUMBER AND STREET NAME
(>
.1 /YE~.) JuFFflL)<
CITY OR TOWN
1/\1. )/1 /ICfS/" I
STATE ZIP CODE
5. Deed
Property
Size
FRONT FEET
Ixl
lOR I
'ACRES'
. \ .9 I
(Only if Part of 8 Parcell Check . they apply:
4A. Planning Board with Subdivision Authority Exists D
48. Subdivision Approvalwss'Requiredior Transfer D
.ce. Parcel Approved for Subdivision with Map Provided D
4. Indicate the number of Assessment
Roll parcels transferred on the deed
I D. n.
# of Parcels OR D Part of a Parcel
DEPTH
6. Seller
Name
I I lit/v I) S J i..:..
LAST NAME f COMPANY
IVI elfOL- II ::.
FIRST NAME
1'/IMv 0:', I (~
LAST NAME f COMPANY
y ~)
FIRST NAME
/-1/3 LE IV
a~
/-Ii
A~ne Family Residential
B 2 or 3 Family Residential
C esidential Vacant Land
D on-Residential Vacant Land
E ~ Agricultural I ~ Community Service
F Commercial J Industrial
G Apartment K Public Service
H Entertainment / Amusement L Forest
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
1OA. Property Located within an Agricultural District
10B. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
D
D
D
D
7. Ch,eck the box below whic" most accurately describltS the use of the property at the time of sale:
........
11. Sale Contract Date '
15. Check one or more of th.. conditions as applicable to tr,nsfer:
f. ~e Between Re~ptivll:s 'Or tormer Relatives
B Sale Between Related Companies or Partners in Business
C One of the Buyers is also a Seller
D Buyer or Seller is Government Agency or Lending Institution
E Deed Type not Warranty or Bargain and Sale (Specify Below)
F Sale of Fractional or Less than Fee Interest (Specify Below)
G Significant Change in Property Between Taxable Status and Sale Dates
H Sa~ of Business is Included in Sale Price
I Other Unusual Factol1(iAffecting Sale Price (Specify Below)
J None ">: t
71< II/v S. Ie, II 7/~ u:;;, r
14_. Indicate ~e value ~ personal I I I I I I () I () I 0 I 0 I
,~ I
I ;:0 if 14'0 7I'I:i ,'0 II.
Month - Day Year
't
12. Date of Sale/ Transfer
051
Month
o '/ / 200 II
Day Year
13. Full Sale Price
, " I, D, 0,0 I
, , .
(Full Sale Price is the total amount paid for the property including personatWoperty.
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.
16. Y~r ~ ~ent Roll from [ 0 I J I 17. Total Assessed Veluelof all parcels in transfer) [
which Information taken ~
. J 7.7,- g ~ 7 . :3. it. o. 0 I
, , ,
18. Property C1a..
I). I .Ol-U 19. School DIstriot Nom. I
/..... ;::;
20. Tax Map ldentifierlsl! Rollldentifierls) IIf more than four. attach sheet with addltlonalldentifier(sll
11'1 V r~
<:;/~~- 6 /11700 _ otcJd _ 0; * OChY
---
.
-~"*
j
..
..
I certify that aU of the items of information entered on this fonn are fn1e and correct (to the best of my Imowledge ,a04,beUef) and I understand that the making
of any willful false statement of material fact herein will subject me to the Drovisions of the oenallaw relative to the making and filing of false instruments.
BUYER BUYER'S ATIORNEY
IV/C)
//l/dd--- d
BUYER SIGNATURE /
/
01~<, .. I 5/1/0 I
DATE
('1'
~ ) nJl TH
LAST NAME
) j)j-j 1 (, IlLm ;2'.
FIRST NAME
_,I
II!()#
STREET NUMBER
/-10/ LY liHN /)kl vE
STREET NAME (AFTER SAlE)
7;{iJ
AREA CODE
,
YJ-j-/7-RI3/
TELEPHONE NUMBER .
/VEW 0)I<T A,',CII.E'Y I
CITY OR TOWN
FL
STATE
3Jft 5' Jj
ZIP CODE
SELLER
;//;d"/M. J. )}.h,..i~c-
SELLER SIGNAT;~E
5/7/0 I
DATE