HomeMy WebLinkAboutL 12605 P 738SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
N~mBer of Pages: 3
Receipt N-m~er : 09-0129303
TRANSFER TAX NUMBER: 09-08266
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
135.00 03.00
EXAMINED AND CHARGED AS FOLLOWS
$110,000.00
1~/~0/2009
09:54:43 AM
D00012605
738
Lot:
034.000
Received the Following Fees For Above Instrument
Exempt
Page/Filing $15.00 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 $440.00 NO Comm. Pres
Fees Paid
TRANSFER TAX NUMBER:
09-08266
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Exempt
$20.00 NO
$15.00 NO
$125.00 NO
$0.00 NO
$30.0O NO
~ ~.00 NO
J,~/O..O0
JUDITH A. PASC~T.~
County Clerk, Suffolk County
Number of pages
RECORDED
2009 Nov 10 09:54:45 AM
JUDITH fl. PASCflLE
CLERK OF
This document will be public
record. Please remove all
Social Security Numbers
prior to recording.
SUFFOLK COUNTY
L D00012605
P 758
DT~ 09-08266
Deed / Mortgage Instrument Deed / Mortgage Tax Stamp I Recording / Filing Stamps
3 I FEES
Page / Filing Fee
Handling ~ 00
TP-584
Notation
EA-52 17 (County)
EA-5217 (State)
..P.T.S.A.
Comm. of Ed. 5. 00
Affidavit
Certified Copy
NYS Surcharge 15. 00
Other
I
4
I Dist. lOOQ
Real Property
Tax Service
Agency
Verification
8
Sub Total
Sub Total
/'
Grand Total (~ ~
09026428 xooo x35oo 0300 034000
)0
Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
LARK & FOLTS ESQS
PO BOX 973
CUTCHOGUE NY 11935
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec./Assit.
or
Spec./Add.
TOT. MTG. TAX
Dual Town __ Dual County __
Held for Appoint~3~t ~=:~[__
Transfer Tax '-['"'~
Mansion 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 on
page# of/~ i.n~en~) ~
Community Preservation Fund
Consideration Amount $ 110,000.00
CPF Tax Due /$ 1 ~450.00
Improved X
Vacant Land
TD 10
TD
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 71 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co. Name Ch±cal~o Title Insurance Company
www. suffolkcountyny, gov/clerk Tit e # 3809-00496
Suffolk County Recording & Endorsement Page
This page forms part of the attached
ELAINE DOMALESKI
Deed made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
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.
Page I of 3 (over)
N.Y.S.
Real Estate
transfer Tax
;440.00
Form 8002 (9/99) - 20M -- Bargain and Salc Deed. with Covermnts agains! Grantor's Acts~lndlvidua] or Coqx)ralion. (single sheet)
THIS INDENTURE, made the 26th
BETWEEN ELAINE DOMALESKI,
New York 11931
dayof October . 2009 and
residing at 690 Church Lane, Aquebogue,
pamyofthefi~tpan, and
New York 11952
DOREEN SIDOR,
residing at 730 Sigsbee Road,
Mattituck,
party of the second pan.
WITNESSETH, that the party of the first pan, in consideration of ten dollam and other valuable consideration paid by
the party of the second pan, d~s hereby grant and release unto the party of the second pa~, the helm or successors and
assigns of ~e p~yof~i3~se¢ond pan for~er,
unaxvzaea z3A xnterest zn that
ALLthat~e~ainp~(~pi¢ce~rpa~e~f~and~withthebui~dingsandimpr~vementsthere~n~cted~situate.lyingand
being~,*he
at Southold, Town of Southold, County of Suffolk and State of
New York, being more particularly bounded and described as follows:
Q~ 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 northeasteuly 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 rigln, litle and iuterest, if any. of the party of the first part. in and to any streets and roads
aba(ling the above-described premises to the center lines thereof; TOGETHER with the appurtenances and all the
estate and rights of the party of the tirsl 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 t~e party of the second part lbrever.
AND the parly of the first parl covenanls Ihat the party of the firsl part has not done or suffered anything whereby
thc said premises have been encumbered in any way whatever, except as aforesaid.
AND lhe parly of the first part. in compliance with Section 13 of the Lien Law. covenants that the party of Ibc
first part will receive the consideration for this conveyance aud will hold the right to receive such consider-
ation as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply
the same firs( 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 cnns(rued as il' it read "parties" wheaever the sense of this indenture so requires.
IN WITNESS WHEREOF, (he party of the first part has duly executed this deed the day and year first above
Elaine Domaleski
Page 2 of 3
Acknowledgement taken in New York State
State of New York, County of Suffolk
, SS:
On the 26th day of October, in the year 2009, before me,
the undersigned, personally, appeared E[~.INE DOHALESKI
personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s) whose name(s~ is
(~ subscribed to the within instrument and acknowledged to
me that' fle/she~theF executed the same in I'fi~/her~e~r
capacity(fe~, and that by Ifis/her/thuir-signature(s~ on the
instrument, the individual(s) or the person upon behalf of which
the individual(s) acted, executed the instrument.
. MARY L0U FOLT8
Acknowledgement by Subscribing Witness taken in New
York State
State of New York, County of
On the day of , in the year
the undersigned, personally appeared
, before me,
the subscribing witness to tl~e 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
, 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
(ara) subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their
capacity(les), and that by his/her/their signature(s) on the
instrumdnt, the individual(s) or the person upon behalf of which
the individual(s) acted, executed the instrument.
Acknowledgement taken outside New York 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
(ara) subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their
capacity(les), that by his/her/their signature(s) on the
instrument, the individual(s) or the bemon upon behalf of which
the individual(s) acted, executed the instrument, and that such
individual made such appearance before the undemigned in the
(add the city or political subdivision and the state or country or
other place the acknowledgement was taken).
Title No.:
ELAINE DOMALESKI
TO
DOREEN SIDOR
Distributed by
Chicago Title Insurance Company
Page 3 of 3
SECTION
BLOCK
LOT
COUNTY OR TOWN
RETURN BY MAIL TO:
LARK & FOLTS ESQS
PO BOX 973
CUTCHOGUE NY 11935
Zip No,
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM.
INSTRUCTIONS: http://www.orps.state.ny, us or PHONE (518) 474-6450
IFOR COUNTY USE ONLY
Cl. svws Code . ~ I ~ REAL PROPERTY TRANSFER REPORT
I ~ IA (~'~J ~ ST&TEOFNEWYORK
C2. Date Deed Recorded ~ I ~' STATE BOARD OF REAL PROPERLY SERVICES
· , ' RP - 5217
t.~o~v 645 I Mill Creek Drive
I Southold I Southold I 11971
z auw, I Sidor I Doreen I
I I I
~illlng Ifotbertbenlx~eradd~ss(stbettomoffo~m) I ~i~or
[ 645 Mill Creek Drive I Southold
I Doreen I
11971 I
, I I #of Parcels OR I~ Pan ofeParcel
S. Deed
~ I IxL ]eEl ..... 2.4 I
(Only If Pert of a Pmedl Chedz as they ~
4~. Planning Board with Subdivi~on Anth~ity Exists []
48. Subdivision Approval was Required for Transfer []
4~. P~rcel Approved for SubdivLsfon with Map Provided []
g.~,., I Domaleski I Elaine
B ~ 2 or 3 Family Residential
C ~ Residential Vacant Land
DI I Non-Residential Vacant Land
I S^,E I
11. Sale Contract Date
Agricultural [ [] Community Sawi~e
Commercial J I~1 Industrial
Apeflmsst KI,~ Public Service
Entofiainmant I Amusement [.I I Forest
8 /3 /09I
I 10 /26 / O9 I
8. Ownership Type is Condominium []
9. New Construction on Vacant Land []
A
B
C
D
E
F
1 1 0 0 0 0
13. Fulm ~km Pd. I . , ~ . . ~ . , _, 0 , 0 I
(Full Sale Price is the total amount paid for the pmberty including personal property. [
This payment may be in the form of cash, other property or goods, or the assumption of J
mortgages or other obligations.) P/ease round M the nearesf who/e dollar amount.
14.1ndlaatlthevlluedpmlenM [ N/A F-
pfaperW Indnded In the Mb I . . ~ . . .. 0 , 0 I
~ ASSESSMENT INFORMA~ON - Data should reflect the latest Final Assessment Roll and Tax
l~YwofAmsa,m.tnd, f.,,. i0 9
Sale Between Relatives or Fenner RMedves
Sale Between Related Companies or Pannem in Business
One of the Buyers is also a Sailer
Buyer or Seller is Government Agency or L{mding Institution
{)end Type m~t Wa~enty or Sa~gein and Sale (Specify Below}
Sale of Fractional or Less then Fee Interest (Specify Below)
Significant Change in Property Salween Ta~able Status and Sale Date.
Sale of Business is Included in Sale Price
Other Unusual Factors Affesting Sale Price (Speeify Below)
None
undivided 252[ interest
5 4 0 0I
t~,~c:,~ 12 , 1, 01.I I l~.~eheMOist~tNeme [ Southold J
/~/135 - 3 - 34 I I J
I I I
I CERTIFICATION I
I certJ~ (lint aS of the [tenTq o1' inFonllntJ(m entered at1 IIIL,; retie a~ line amd correct (to the Itek of m~r knowledf~ and fxliefl and [ undefMnnd Ihat the nlakJnB
d* un)' w;dtfM ra[~ statement d' material ruc~ berdn ,,*ill ~l~d me to the p~tdo~ o~ the pg~nd fow rel~e to the nuldt~ and rdfo~ ~ fol.qe imtmmenls.
BUYER
Doreen Sidor
730 I Siqsbee Road
I ~0/26/09
Mattituck [ NY I 11952
SELLER
10/26/09
BUYER'S A1TORNEY
Lark I Richard F.
631 [ 734-6807
I NEW YORK STATE
COPY