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Home My WebLink AboutL 12562 P 420SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 3 Receipt N,~mher : 08-0080655 TRANS~'w-R TAX NUMBER: 08-01767 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 111.00 11.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $9.00 NO Handling COE $5.00 NO NYS SRCHG EA-CTY $5.00 NO EA-STATE TP-584 $5.00 NO Notation Cert. Copies $0.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NLSqBER: 08-01767 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County 08/21/2008 09:52:53 AM D00012562 420 Lot: 022. 000 Exempt $5.00 NO $15.00 NO $165.00 NO $0.00 NO $30.00 NO $0.00 NO $239.00 Number of pages 3 RECORDED 2008 ~ug 21 09:52:53 Judith ~. Pmscale CLERK OF SUFFOLK COUNTY L D00012562 P 420 DT# 08-01767 Deed/Mortgagelnstrument Deed/Mortgage Tax Stamp I Recording/Filing Stamps 3 I FEES 9.00 Page / Filing Fee Handling TP-584 Notation EA-52 17 (County) EA-$217 (State) R,P.T.S.A. Comm. of Ed, Affidavit Certified Copy NYS Surcharge Other 4 Dist, 1006 Real Property Tax Service Agency Verification 6 8 5, O0 5.00 Sub Total 5, 00 Grand Total 08018591 000 022000 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: JOSEPH AND SANDRA CICHANOWICZ 21131 Sullivan Way Saratoga, CA 95070 Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. Spec./Add. , 101. MIG. lAX Dual Town __ Dual County __ Held for Appointment?~___ Transfer Tax )/.2 Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES or NO .~l NO, see appropriate tax on If clause I page # of this instrument. 5 I Community Preservation Fund I C~nsideration Amount $ (~P~ Tax Due $ Improved Vacant Land TD 10 TD TD Mail to: Judith310 A.centerPaScale,Drive,SUffolk CountYRiverhead,ClerkNy 11901 C7o. Lame Title Company Information www.suffolkcountyny.gov/clerk T fie # Suffolk County Recording & Endorsement Page This page forms part of the attached by: J. EDWARD CICHANOWICZ TRUST TRANSFER DEED (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. made TO In the TOWN of RCIflT~4Cl]'.T~ JOSEPH EDWARD CICHANOWICZ, JR., and In the VILLAGE SANDRA R. CICHANOWICZ Trustees of the JOSEPH AND SANDRA CIC~ANOWICZ LIVING or HAMLETof REVOCABLE TRUST BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) RECORDING REQUESTED BY: NAOMI E. PARKER, ESQ. WHEN RECORDED MAIL TO: JOSEPH & SANDRA CICHANOWICZ 21131 Sullivan Way Saratoga, CA 95070 MAIL TAX STATEMENTS TO: Same as above Space Above This Line For Recorder's Use TRUST TRANSFER DEED GRANT DEED The undersigned Grantor(s) declare(s) under penalty of perjury that the following is true and correct: THEREIS NO CONSIDERATION FOR THIS TRANSFER. TRANSFER TO A GRANTOR TRUST - NOT PURSUANT TO A SALE. Documentary transfer tax is $0 St¢ ~ De ermining Tax - Firm Name [] Computed on full value of property conveyed,~r [] Computed on full value less value of liens and encumbrances remaining at time of sale or transfer. [] There is no Documentary transfer tax due. (State reason and give Code § or Ordinance number) r-I Unincorporated area: City of and This is a Trust Transfer under §62 of the Revenue and Taxation Code and Grantor(s) has(have) checked the applicable exclusion: [] [] [] [] Transfer to a revocable trust; Transfer to a short-term trust not exceeding 12 years with trustor holding the reversion; Transfer to a trust where the trustor or the trustor's spouse is the sole beneficiary; Change of trustee holding title; Transfer from trust to trustor or trustor's spouse where prior transfer to trust was excluded from reappraisal and for a valuable consideration, receipt of which is acknowledged. Other: GRANTOR(S): J. EDWARD CICHANOWlCZ, residing at 21131 Sullivan Way, Saratoga, California 95070 hereby GRANT(S) to, JOSEPH EDWARD CICHANOWICZ, JR. and SANDRA R. CICHANOWICZ, Trustees of the JOSEPH AND SANDRA CICHANOWICZ LIVING REVOCABLE TRUST 21131 Sullivan Way, Saratoga, CA 95070 the following described real property in the Town of Southold, County of Suffolk, State of New York: MAlL TAX STATEMENTS AS DIRECTED ABOVE. ALL that certain plot, piece or parcel of land, with the buildings and improvements thereof erected, situate, lying and being in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot No. 402 on "Amended Map A of Nassau Point 'owned by Nassau Point Club Properties, Inc., situate in. the Town of Southold, Long Island, N.Y.", and filed in the Office of the Clerk of the County.of Suffolk, New York, on August 16, 1922, as Map No. 806. Date: · antor - Transferor(s) State of California County of Santa Clara On I1'0'1-Zoo'1 beforeme. ~i~p~ ~V{~,NotaryPublic personally appeared J. EDWARD CICHANOWICZ ~ personally known to me -OR- [] proved to me on the basis of satisfactory evidence to be the person(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 authorized capacity(ies}, and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal. ~NOTARy pIJ~UC-CAUFO~ ~ S~NTACL~ACOUN~y 0 ~ ~'~' _ .co~u. ~xP. FEB. 3, 2ooa -, CAPACITY CLAIMED BY SIGNER ~J INDIVIDUAL(S) r-I CORPORATE OFFICER(S) [] PARTNER(S) r-I ATTORNEY-IN-FACT [] TRUSTEE(S) '[] SUBSCRIBING WITNESS [] GUARDiAN/CONSERVATOR [] OTHER: SIGNER IS REPRESENTING: NAME OF PERSONISI OR ENTITY{lES) PLEASE TYPE OR ~R'ESS. FIRMLY ~I'i'IFtG'O'N'FORM INSTRUCTIONS: hep://www.orps.state.ny.us or PHONE (518) 473-7222 IFOR COUNTY USE ONLY ,L -'-, .'~ ~, ,~ ct I REAL PROPERTY TRANSFER REPORT C1. SWIS Code I ~ I[ I ~ I ~ I '~ It I I ~ STATE OF NEW YORK (:2coteCoedRecordedlC'(~/~'~'[/('''~1 I ':~ STATE BOARD OF REAL PflORERTY SERVICES · ,-- _ ..--RP - ---- I SOU~HOLD I I JOSEPH ED~ C~C~O~ICZ, J~. ~ S~D~ R. CIC~NO~ICZ~ T~USTEES OF THE IJOSEP~ A~ RAN~A CT~RANO~I~Z T,TVTN~ R~VO~AR~,~ TRIIRT I I ~. if~rt~nbu~re~omof~rmll CZC~O~[CZ J JOSEPH ~ S~ [ 21131 S~LIV~ WAY ] S~TOGA [ C , A [ 95070 e, Saser I ~Tt~llA~nt~T~7 I ,T erltaA1m I I I I B ~ 2 or 3 Family Resident.al F I~ Commercial Industrial C I~ Residentisi Vacant Land G I~ Apartment Public Sewice DIXI Non-ses[(:leatial Vacant Land Hi I Enteoainment/Anlusemeat Forest I SALE INFORMATION I B. Ownership Type is Condominium [] 9. New ConMnJction on Vacan~ Land [] 1BR. Prpeerly Located within an Agricultural Dist~ct [] 11. Sale Contract Date I / / I 12. DatewiSale I Transfer I II / ~7 /?no71 13. ruff SaleFdee [ [ [ ~ , [ , , ,(~ , 0 , 0 [ ! ! · (Full Sale Price is the tat~l amount paid for the property including personal property. This payment may bo in the form of cash, ether property o~ goods, or tho assumption of A B C D E F Sale Between Relatives or Former Relatives Sale Batwes~ Related Companies or Partnem in Business One of the Buyers is also u Seller Buyer or Seller is Governmam Agency or Landing Institution Deed Type not Warranty or Bargain end Sale (Specify Below) Sale ol Fractional or LMS than Fee Interest (Specify Below) Significant Change in Property Between Taxable Status and Sale Dates Sale of Bualnaes is Includnd in Sale Price Other Unusual Factors Affecting Sale Price (Specify Below) None TRUST TRANSFER DEED 14. Indicate the value of pemonal I . . . , I I 0 , 0 . 0 I property included In the ~ala [11 [I · ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill l& Year of W Rolllrom I t I 17. Total AsMaand Value (of all I~rUls In ~arederlI , , , [ wMeh I~omtefioe taken ' ' ~ ½ ' ' ~ ' 11000 11100 1100 022000 I I I L J I I CERTIFICATION I ceftin, that all el' Iha Iterm M' infommlion entered on thLq form are true and cm~.ct (to Ih· had of m~' 'knoMt~Jge and belief) and I understand thai. the nndd]lg al'iuD' I*illful raL~,Mamnem el' mat·tM] rm Imx-ln ~.tg Mthje~t nt~ to Iix' prmidnlm of the penal 'law ri. ladle to the maJdnll ~ rdlnll of fa~.. in. mm·nlq. 21131 [ SULI~IVAN WAY i08 I 559-3489 SARATOGA CA 95070 I I SELLER I NEW YORK STATE COPY