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Home My WebLink AboutL 12688 P 248SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Ty~e of Instrument: DEED ~m~er of Pages: 3 Receipt N~m~er : 12-0032927 TRANSFER TAX NUMBER: 11-16611 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 022.00 01.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 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 ~A-STATE TP-584 $5.00 NO Notation Cert. Copies $0.00 NO RPT Transfer tax $0.00 NO Co~.Pres Fees Paid TRANSFER TAX NUMBER: 11-16611 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 03/21/2012 10:42:22 AM D00012688 248 Lot: 014. 000 $20 00 $15 oo $250 00 $0 oo $30 00 $0 oo $345 00 Exempt NO NO NO NO NO NO Number of pages R~'COROED 201.2 I'l.~r 2t 10:42:22 .!U[>ITH A. PflSCALE This document will be public record. Please remove all Social Security Numbers prior to recording. CLERK OF SUFFOLK COUNTY L D00012688 P 248 DT~ 11-1661I Deed / Mortgage Instrument Deed / Mortgage Tax Stamp I Recordingl / Filing Stamps 3 I FEES Page / Filing Fee i.-~, Handling 20. 00 TP-584 ~ __ Notation EA-52 17 (County) --~__ Sub Total EA-5217 (State) _Ff)~'~ R.P.X.S.^. Er3 Comm. of Ed. 5. 00 Affidavit Certified Copy NYS Surcharge 15. 00 Sub Total Other 1 120061'18 Real ~ Ta~ Vet 1000 02200 0100 01.4000 )t 014.000 5 Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County__ Held for Appointme,~.,. 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 appro~,riate tax clause on page # of thi~ instrument. Community Preservation Fund Consideration Amount $ -0- , PelF/Tax Due $ -0- ........ X/ Improved Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: ~ X LARK &-FOLTS, ESQS. PO BOX 973 TD 10 CUTCHOGUE, NY 11935 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk I 71 Title Company Information 310 Center Drive, Riverhead, NY 11901 I -- .. I ~o. ~ame www. su~ToIKcountyny, gov/clerk ITitle # ' N/A Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) KIM DZENKOWSKI and BETSY DZENKOWSKI The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of So,H-hnld ANDREW W. DZENKOWSKI In the VILLAGE or HAMLET of East Marion BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) ~a~e I or 3 Form 8002 -- Bargai~ and Sale Deed. with Covenant agai~t Grantor's Acts -- Individual oc Corporation (Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTROMENT--THIS INSTRQM~NT SNOULD BE USED BY LAWYERS ONLY. NO N.Y.S. REAL ESTATE TRANSFER TAX REQUIRED THISINDENTURE, madethe 12th dayofM~ch, intheyear 2012 BETWEEN KIM DZENKOWSKI and BETSY DZENKOWSKI, his wife, residing at 1000 Cedar Drive, East Marion, New York, 11939, pany ofthefirstpm, and ANDREW W. DZENKOWSKI, residing at 1000 Cedar Drive, East Marion, New York, 11939 party of the second part, WlTNESSETH, that the party of the first part, in consideration of ten dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second pan, 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 in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot Number 13 on a certain map entitled, "MAP OF AQUAVIEW PARK AT EAST MARION", filed in the Suffolk County Clerk's Office on July 30, 1971 as Map No. 5621. BEING AND INTENDED TO BE the same premises conveyed by deed dated December 28, 1984, and recorded in the Suffolk County Clerk's Office on January 15, 1985, in Liber 9716 Page 406. TOGETHER with ali' right, rifle 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 party of the first pan 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 the party of the second part forever. AND the pari'y 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 the 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 pan has duly executed this deed the day and year first above written. IN PRESENCE OF: Kim Dzenk sk~~l ' Betsy D~en kow~ki Page 2 of 3 ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE Stateof NewYork County of Suffolk , ss: On the 12th day of March, in the year 2012, before me the undersigned, personally appeared KlM DZENKOWSKI, personally known to me or proved to me on the basis of satisfactory evidence, to be the individual(s) whose name(s) is (a~e) subscribed to the within instrument and acknowledged to me that (he) (she) (they) executed the same in (his) (he~) (!he!r) capacity(iai), and that by (his) (he~ (the!r) signature(s) on the instrument, the individual(e) or the person upon behalf of which the individual(s) acted, executed the instrument. Nota~' Public 0emmlsslon ~ '~-'~, ~' .... - ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of NewYork County of Suffolk , ss: On the 12th day of March, in the year 2012, before me the undersigned, personally appeared BETSY DZENKOWSKI, personally known to me or proved to me on the basis of satisfactory evidence, to be the individual(~.) whose name(s) is (ar~) subscribed to the within instrument and acknowledged to me that (she) (~:~) executed the same in (.his) (her) (the!r) capacity(ies), and that by ~ (her) (thc!r) signature(s) on the instrument, the individual(s) or the person upon behatf of which the individual(~ acted, executed the instrument. B.~mN~UN .. 01 DI46~5 ' ??_.~"k.~/,, ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN IN NEW YORK STATE Comm~n E~plre~ Oct ;.,-zw~ ? State of County of , ss: On the day of , in the year 20 , before me the undersigned, personally appeared 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 OUTSIDE NEW YORK STATE * State of County of , ss: * (or insert District of Columbia, Territory, Possession or Foreign Country) On the day of , in the year 20 , before me the undersigned, 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 the same in (his) (her) (their) capacity(les), and 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. BARGAIN AND SALE DEED Title No. KIN DZENKOWSKI and BETSY DZENKOWSKI, his wife lo ANDREW W. DZENKOWSKI RETURNBYMArLTO LARK & FELTS ESQS. PO BOX 973 CUTCHOGUE NY 11935 District: 1000 Section: 022.00 Block: 01.00 Lot: 014.000 Ce'-'.-,,"; er Town: Southold Distributed By Chicago Title Insurance Company Page 3 of 3 FOR COUNTY USE ONLY . l ..o..~ INFORmTION I l.~~__. I Southern s~,~r~- --- Boulevard t $outhold Bast Marion New York State Depa~mmnt of Taxation and Finance Office of Real Property Tax Services RP- 5217 Real Property Transfer Report (8]10) miSs/or I Dzenkowski I Andrew W. I Tax I nd~..ate where forum Tax BiUs are to be sent Billing if Mher Ihan buyel' address (at betlom of faire) 1. I 11939 I 4. IIldlc~te Ihs number of All,lament Rollpareeletraee~odeethed~d [ I i I I #ofpar~J.~ ORI I Part of a Parcel LDesd 6. Solbr I Dzenkowski I Klm [ Dzenkowskl [ Betsy 7. Cheek the box ~olew which at aoonretely describes tho uge ~ I~ pm~ at I~ time ~ ~M: A ~O~ Family ~ide~al ~ ~ ~d~ I ~ ~munl~ ~1~ ~2m3Fa~y~nfi,l V ~mm,~,i J ~ I~u~qal C ~ ~ibe~ V~nt ~d ~ ~t K ~ ~bllc ",~ ~ ~No~Resl~nUal Va~N ~nd ~ ~ E~lnment I ~u~nt ~ ~ F~t J (Ollly If Part of a Parael) Cheek as they al)ply: 4A. Planning BO~TCl ~lth Subdmsion Authod~J Exists [] 4~. 8ub(:l~f, sk~t Approval was Required for Transfer [] 4C. Parcel Approved kw BubeMslof~ Mth Map Providnd [] gl New CM~WUCI~n on ViIKmnl l.end [] 10A. ProperLy Located iMIhir, 8/1 ~GulbJral Dtstrid [] 10Si Buyer received a disclom~re notice indicating [] the! the property i8 in gn Agdcullurel Oist~t SALE INFORMATION ...,fo com:l Dm ./A I / / I l~'.",teof",laJTranaf~w I 3 / 12 / 12 I N/,A 0.0 I 13. Full Sale P~ce I I I--~..-. ' ~ i ( Full Sale Pdce is the Iotal amounl paid let the properly inrJuding personal property. Thy peymar4 rn~ be In the ~rm ~ cash, o~er property or goods, or me essumptlen of nmrtgages or otber obligaUons.) Pfo~e mu~ te t~e nesraat wflo/e doEar emounL 14. Indicia the value of peramtM N/A 0 O I pre~er~ Ii,eluded In the esle I .; ~ . . 15. Chalk aaa M raora o~ tha~e conditions aa apMleable to I~lti ~': H| I Gift Bale Betvraen RelaUves o1' Framer Relatives Bale B~t, iman Raie[mJ Companies or Pall~em in Business One of the Buyem is else · Seller Buyer or Seller Is Government Agency m' Lendmg Insbtulfon Deed Tylm not Wananty or Bargain and Bale (SpadTy Be)ow ) Bale of FmclK~al (x Less than Fee Inlerall ( Specify BMOW ) Signir~nsnt Change in Properly Bah#eon Tremble Stah'S and Sale Dates Sale of BusinsM is Induded in Bale ~ Other Unusual Fac~ora AffectJng Bale Pltns ( Specify Below ) None ASSESSMENT INFORMATION - Date should reflect the latest Final Assessment Roll and Tax Bill 16. Year of Asaesasmnt R~I = whlnhlr4b~Tnlt~ontakln I 1l ~ I 17. T~lMwoedVllul (Mell~lllln~n~r~ i i t6. ~Cless I ~, Il 1 I'~ lg. Sth~DtstddNaml [ ~y;r~dB~._ ~. Tlx ~p Ide~fle~l) I Roll Ide~l) { ~ mom ~an ~r, l~Ch s~t M~ ldditlo~l ~l~s) ) I 1000-022.00-01.00-014.000 I I I I I CERTIFICATION I 5E~ER ~GNA~RE BUrR CONTACT INFORMA~ Kill: D [ e :t kOWSl~JYEn BiGNATURj~ Andrew W. I 3/12/12,' I _3/.12/12__ 631 I [ichard F. I 736-6807 NEW YORK STATE COPY Dzenkowski Andrew W. I 631 I 445-5405 1000 ] Cedar Drive S/-~ET NUNBER S~F-ET K4ME East Marion NY 11939 I