HomeMy WebLinkAboutL 12586 P 319SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
Nl~mher of Pages: 3
Receipt ~mher : 09-0044022
TRANSFER TAX NUMBER: 08-19972
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
135.00 03.00
EXAMINED AND CHARGED AS FOLLOWS
$60,000.00
Received the Following Fees For Above
Exempt
Instrument
Page/Filing $15.00 NO Handling
COE $5.00 NO NY$ SRCHG
EA-CTY $5.00 NO EA-STATE
TP-584 $5.00 NO Notation
Cert. Copies $0.00 NO RPT
Transfer tax $240.00 NO Comm. Pres
Fees Paid
TRANSFER TAX NUMBER: 08-19972
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Judith A. Pascale
County Clerk, Suffolk County
04/22/2009
03:01:08 PM
D00012586
319
Lot:
034.000
Exempt
$20.00 NO
$15.00 NO
$75.00 NO
$0.00 NO
$30.00 NO
$450.00 NO
$860.00
Number of pages
This document will be public
record. Please remove all
Social Security Numbers
prior to recording.
Deed / Mortgage Instrument
RECORDED
2009 Apr 22 05:01:08 PM
Judith A. Pascale
CLERK OF
SUFFOLK OOUNTV
L Q00012586
P $19
OT~ 08-19972
Deed / Mortgage Tax Stamp · I Recording / Filing Stamps
31
FEES
Page / Filing Fee
Handling
TP-584
Notation
EA-52 17 (County)
EA-521 ~ (Sti~te)
R.P. TS.A.
Comm. of Ed.
Affidavit
Certified Copy
NYS Surcharge
Other
~ 00
_~ Sub Total
15. O0
Sub Total
Grand Total
Real Pi
Tax Se~
Agen,..,
Verification
09008899 xooo ~.35oo 0300 034000
6
8
;atisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
LARK & FOLTS ESQS'
PO BOX 973
CUTCHOGUE NY 11935
Mail to: Judith A. Pascale, Suffolk County Clerk
310 Center Drive, Riverhead, NY 11901
www. suffolkcountyny, gov/clerk
5
Co. Name N/A
Title # N/A
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec./Assi~.
or
Spec./Add.
TOT. MTG. TAX
Dual Town __ Dual County __
Held for Appointment
Transfer Tax
Mansion Tax
The property covered by this mortgage is
or will be improved by a one or two
family dwellin~ only.
YES- or NO
If NO, see appropriate tax clause on
page#, of this ins( tr~_.me0/, t~
Community Preservation Fund
Consideration Amount $ 60,000.00
CPF Tax Due $ 450.00
Improved
Vacant Land
TD 10
TD
Suffolk County Recording & Endorsement Page
This page forms part of the attached
GWENDOLYN GAJESKI
Deed
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
made by:
TO In the TOWN of Southold
DOREEN SIDOR In the VILLAGE
or HAMLET of Southold
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
Page 1 of 3
~N.Y.S.
iReal Estate
~Transfer Tax
15240.00
Fo~'m 8002 (9/99) - 20M -- Bargain and Sale Deed, with Covenants againsl Orantor's Acts--Individual or Corporation. (single sheet)
THIS INDENTURE, made the 13th day of April 2009 and
BETWEEN GWENDOLYN GAJESKI, residing at 5403 Sound Avenue, Riverhead,
New York-11901
party of thc first pan, and
New York 11952
DOREEN SIDOR, residing at 730 Sigsbee Road,
Mattituck,
party of the second pan.
WITNESSETH, that the party of the first part. in consideration of ten dollam and Other valuable consideration paid by
the pa~y of the second Pan. does he,by grant and ~lease unto the party of the second part, the hei~ or succes~ and
assigns of the pa:,n, y of the second pan ~rcvcr. ·
undiviaed 25% interest in that
~ing-hrth~
at Southold, Town of Southold, County of Suffolk and State of
New York, being more particularly bounded and described as follows:
~ BEGINNING at a monument on the northeasterly side of Mill Creek Drive
at the southwesterly corner of the premises about to be described and the
southeasterly corner of land now or formerly of Jeanne & Lawrence Hall;
running thence along said last mentioned land North 49' 50' 00" East 138.91
feet to the mean high water mark of Arshamomoque Pond (Mill Creek); running
thence along the mean high water mark of Arshamomoque Pond (Mill Creek)
on a tie line which is South 69' 00' 23" East 64.46 feet to land now or
formerly of Pamela Dietz & Leila Erhardt; running thence along said last
mentioned land South 49' 30' 00" West 139.28 feet to the northeasterly side
of Mill Creek Drive; running thence along the northeasterly side of Mill
Creek Drive North 68' 22' 40" West 65.00 feet to a monument at the point or
place of BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed by deed dated
June 3, 2008 and recorded in the Suffolk County Clerk's Office on August
25, 2008 in Liber 12562 page 768.
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 parly of the firsl part in and to said premises: TO HAVE AND TO HOLD the premises herein
granted unto the party of the second parl. thc heirs or successors and assigns of the party of the second part forever.
AND the parly of th~ first part covenants th'at the party of the firs( part has no( done or suffered anything whereby
the said premises have been encumbered in any way whatever, excepl as atbresaid.
AND the party of the firsl part. in compliance with Section 13 of (he Lien Law. covenanls Ihal Ihe parly of Ihe
first part will receive the consideration for this conveyance aud will hold the right 1o receive such consider-
ation as a trust fund to be applied firs( for the purpose of pgying 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 il' it read "parties" whenever the sense of this indenture so requires.
IN WITNESS WHEREOF, the parly of the first part has duly executed this deed the day and year first above
written.
Page 2 of 3
Acknowledgement taken in New York State
State of New York, County of Suffolk
, ss:
On the 13th day of April , in the year 2009, before me,
the undersigned, personally, appeared GWEt~DOLYN GAJESKI
personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s) whose name(e) is
(em) subscribed to the within instrument and acknowledged to
me that --h~/she/i'hey executed the same in -his/her/t~,~g,r
capacity(!cc), and that by-h~s/her/~-signature(~) on the
instrument, the individual(e) or the person upon behalf of which
the individual(s~ acted, executed the instrument.
Notary Public
BARBA,~OIA~UN rk
Notary put~c. ~ta~ of N~ Ye
N0 ot 014635190 - suflo~Co_.u~
Commission Expires Oct. 31
Acknowledgement by Subscribing Witness taken in New
York State
State of New York, County of
, ss:
On the day of , in the year
the undersigned, personally appeared
, before me,
the subscribing witness to the foregoing instrument, with whom
I am personally acquainted, who being by me duly sworn, did
depose and say, that he/she/they reside(s) in
that he/she/they know(s)
to be the individual described in and who executed the
foregoing instrument; that said subscribing witness was
present and saw said
execute the same; and that said witness at the same time
subscribed his/her/their name(s) as a witness thereto.
Acknowledgement taken in New York State
State of New York, County of
On the day of , in the year
the undersigned, personally appeared
, before me,
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/her/their signature(s) on the
instrument, the individual(s) or the person upon behaif of which
the individual(s) acted, executed the instrument.
Acknowledgement taken outside NewYork State
· State of , County of
· (or insert District of Columbia, Territory, Possession or
Foreign Country)
, ss:
On the day of , in the year
the undersigned, personally appeared
, before me,
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), that by his/her/their 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
(add the city or political subdivision and the state or country or
other place the acknowledgement was taken). ·
Title No.:
GWENDOLYN GAJE SKI
DOREEN SIDOR
TO
Distributed by
Chicago Title Insurance Company
I
Page 3 of 3
SECTION
BLOCK
LOT
COUNTY OR TOWN
RETURN BY MAILTO:
LARK & F0~TS ESQS
PO BOX 973
CUTCHOGUE NY 11935
Zip No.
=. ook , , 3,1] I
PROPERTY INFORMATION [
1. P. awW~on[ 645 [ Mill Creek Drive
ST~[ET NUMBER STR~k? NAM~
I Southold I Southold
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http~/www.orps.state.ny.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPEKrY SERVIrJ:S
RP -5217·
z saw I Sidor [ Doreen
I
3. Tn Indicalo wham future Tax BiIJs sro to be sent
Billing if other than be~r addrera [at pe~em of form)
Addre~e
[ P.O. Box 601
! NAME
Domaleski
I Aquebogue
[ Elaine
FIRS1 NNV~
IN,¥ I11931 I
Ix[ IORI · .2 41
g.s,,b I Gajeski
(Oofy if Pm't OF a Petal) Chedt es they app..
I Gwendolyn ]
I I
[ SALE INFORMATION
Agricultural I [] Community sarvi~e
Commercial J ~ Industrial
Apaflment K~ Public sawic8
EnMrtainmem ! Amusement LL~ Forest
4 /9 /09 I
I 4 / 13 / 09 I
13. Full Sm Prke [ , i , , 6[ 0 , O, 0 . 0 , 0 , 0 I
! ! ·
(Full'Sale P~co is the total amoum paid for the property including personal property.
This payment may be in the form of ca~h, other prope~y or goods, or the a~umption of
mortgages or other obligations.) P/caM round to the ;~amat whom dollar amount.
14. fodintb'm.,vn[ueofpemm.[ I , ',N/,A .... 0 , 0 I
ASSESSMENT INFORMATION - Data Should reflect the lates~ Final Assessment Roll and Tax 8ill I
It ¥~r of An~umont RaH from I 0 8
J None
undivided 25% ~nterest ~
· 5.4 . 0.0 i
½ '
ltP,opa.vc~. I 2, 1,0 I-l-I It~oMOlotn%tName I Southol~
20. Ta~ Map Idmltlfl~a) I RaH IdnntisarIM (ff mine tha~ four, attach sheet with atkRlonal IdentNlef(s))
135 - 3 - 34 J I I
I CERTIFICATION I
[ (wrlJfy Iht 'ti OF the JMES OF [of'or.milan k'fifolT(I ml dlLs form BIT true and coFreot (Io Ihe In.ed (d' m.v knowledge mad b~ mid i underb'tql~ that the makinE
~ any willful fabe stattmenl or nmterfol fact heMn wig abject me to the provtdotq d the pt'ual hw relalhe to the nmkin~ and fiUnE or false instrumeofs.
BUYER
aUn(mC, N~TUBt Doree~ Sider ~TE
730 I Sigsbee Road
Mattituck I NY I 11952
SELLER
~ I 4/13/09
BUYER'S ATTORNEY
Lark I Richard F.
631 [ 734-6807
I NEW YORK STATE
COPY