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Home My WebLink AboutL 12687 P 130SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED N~_~m~_er of Pages: 3 Receipt N~mher : 12-0027957 TRANSFER TAX NUMBER: 11-15755 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 121.00 04.00 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 EA-STATE TP-584 $5.00 NO Notation Cert.Copies $5.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 11-15755 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 03/08/2012 02:25:06 PM D00012687 130 Lot: 007.001 $20 00 $15 00 $125 00 $0 oo $30 oo $0 00 $225.00 Exempt NO NO NO NO NO NO Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2012 Mar 08 02:25:06 PM JUDITH R. PfiSCRLE CLERK OF SUFFOLK COUNTY L D000126~? P 130 DT~ 11-15755 Deed/Mortgagelnstrument Deed/Mo~gageTaxStamp I Recording/Filing Stamps FEES Page / Filing Fee Handling 20. 00 TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.^. CC> Comm. of Ed. 5, O0 Affidavit NYS Surchar4;~' 15, 00 Other Sub Total 4 Dis 12002853 ~ooo ~.2zoo 0400 oo?oo~ .I Real Pro]~ Tax Sen/ Agent Verificm 6 Satisfactions/Discharges/Releases List Property Owners Mailin9 Address RECORD & RETURN TO: Wickham Bresster Gordon & Geasa, P.C. P.O. Box 1424 Mattituck, New York 11952 Ma~ to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY 11901 www.suffolkcou ntyny.gov/clerk Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointment __ Transfer Tax C~ __ Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. Sub Total ~ I YES or NO GrandTota, ~~)/' ,[fNO. see appropriate tax cIause on . ~-"~ I page~°f this instru n~?t:~_.~/ 15 Community Preservation ~und ; Considarafion ~ount $ ~ CPP T~ Due ~ ~ Improved ~ Vacant [and 7 Title Company Information I Co. Name F-'~ t~q 8 Suffolk County Recording & Endorsement Page lhis page forms part of the attached Bargain & Sale Deed with Covenant by: (SPECIFY TYPE OF INSTRUMENT) George E, Jazombek The premises herein is situated in SUFFOLK COUNTY, NEW YORK. made TO In theTOWN of Southold George E. Jazombek and Jane.E:~a. er~f'O{'13 In the VILLAGE or HAMLETof Mattituck BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) Standard NY,B.T.U. Form 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts - Uniform Acknowledgment Form 3290 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the ,~ day of November, 2011 BETWEEN GEORGE E. JAZOMBEK, residing at 2445 Laurel Way (Pvt. Rd. #18), Mattituck, New York 11952, party of the first part, and GEORGE E. JAZOMBEK, residing at 2445 Laurel Way (Pvt. Rd. #18), Mattituck, NY 11952; and JANE EDSTROM, residing at 18 Lincoln Street, Riverhead, NY 11901, as tenants in common WITNESSETH, that the party of the first part, in consideration of Ten and 00/100--($10.00)--dollars, and other good and valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, 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 at Mattituck, in the Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: BEGINNING at a point situate on the boundary line between land of Jazombek and land of Hallock which point is situated the following two (2) courses and distances from a concrete monument set on the southerly line of Sound Avenue: (1) South 21 degrees 30 minutes East 172.50 feet and (2) South 43 degrees 08 minutes 50 seconds East 27.50 feet and from said point of beginning running thence South 43 degrees 08 minutes 50 seconds East 113.65 feet to a point; running thence South 26 degrees 57 minutes 20 seconds East 240.00 feet to a point; running thence South 63 degrees 02 minutes 40 seconds West 200.00 feet to a point; running thence North 26 degrees 57 minutes 20 seconds West 353.61 feet to a point; running thence South 67 degrees 09 minutes 00 seconds West 72.29 feet to a point; running thence North 21 degrees 29 minutes 40 seconds West along land of Sabat 54.00 feet to a point; running thence South 79 degrees 00 minutes 40 seconds East 100 feet to a point; running thence North 77 decrees 30 minutes 40 seconds East 143.62 feet to the point or place of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated 12/1/09 in the office of the Suffolk County Clerk on 2/23/10 in Liber 12617 page 45. 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 party of the first 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 the party of the second part forever. AND the party 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 pad, 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" when ever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: f/deedSayrel [,- (;eor~e -'" · . TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of Suffolk, ss: State of New York, County of Suffolk ss: Onthe 3 dayof November, [n the year 2011, Onthe dayof , in the year, before me, the undersigned, personaBy appeared before me, the undersigned, personally appeared GEORGE E. JAZOMBEK personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within inst[ument and acknowledged to (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/their capacity(/es), and that by his/her/their signature(s} on the capacity(/es), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which instrument, the individual(s), or the person upon behalf of which the~strument, the individual(s) acted, executed the instrument. the individual(s) acted ,,,~e c~d (signature and offic'L~"~of~cT'~al taking' a~"~wledgment) (signature and office of individual taking acknowledgment) Notary Public Che~Jl Simons Notary Public Notary Public, State Of New York No. 31-497034t / Qualified hi Suffolk County ~Z Commission Expires February 4, 20/~ TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State (or District of Columbia, Territory, or Foreign Country) of County of ss: On the day of , in the year 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(/es), 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, and that such individual made such appearance before the undemigned in the (inser~ the City or other political subdivision) in New Jersey . (a---~d insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgement) Notary Public BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS Title No. GEORGE E. JAZOMBEK TO GEORGE E. JAZOMBEK !AND JANE EDSTROM STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by Commonwealth COMMONWEALTH LAND TITLE INSUR, ANCE COMPANY DISTRICT 1000 SECTION 121.00 BLOCK 04.00 LOT 007.001 COUNTY OR TOWN SOUTHOLD STREET ADDRESS Recorded at Request of COMMONWEALTH LAND TITLE INSURANCE COMPANY RETURN BY MAIL TO: WICKHAM, BRESSLER, GORDON & GEASA P.O. BOX 1424 MATT TUCK, NEW YORK 11952 ;0~ COUNTY"USE ONLY C1~ SWIS Code C2. Date De~l Recmded C3. Book ~ C4. PaGe PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http:l/www.orps.state.ny.us or PHONE (518) 474-6450 STATE BOARD OF REAL PROPERTY SERVICES RP - 5217 PROPERTY INFORMATION t.P.~.v 2445 Location $1flEET NUMBER Southold Laurel Way (PvC. Rd. ~18) [ Hatti~uck [ 11952 z. cove' I J'azoabek [ Georse E. I Edstrom Jane Billing if other then buyer adclre~ (et bottom of farms I I I &. Indicate the numbe~ of Aase-dment Roll pamofl trafllfe/Tm~ on the de~ I ~ ~d ~1 Ixl Sizl rp0flr FEEl 6. Seller I Jaz~bek , I I #ofPs~cels OR O Pan of sPares1 IoRI t. 6 . 5 I (Omfy ff Pm~ of · Parnell Chec~ as they apply: 4A. Planning Board with Sldxl[vlslon Authod,'v Exists [] aB. SulxJivisie~ Approval was Required for Trsnsf~r [] 4C. Pamul Approved far Subdivision with Map Provided [] Ceorl~e E. 7. Check the box bMow whid~ molt i,~urately describes the use of the p~o~fty at the time of alfa: B J.~ 2 or 3 Femiht Residential F [~ Commercial Indumrial C [~[ Residemiel Vacant Land G~ Apartment Public Se~ice DU Non-Residential Vacant Land HU Entertainment/Amusement Forest Cheek the hoses below as'lisa/app¥ g. Ownership Type is ~ndominium 9, NM Construe;on on VKa~ Lend 1~ Pm~ ~ ~in an ~r~ultural Di~r~ 1~ B~r r~l~ a de.losers noti~ i~imbng · at the pm~ is in as ~dcultural I SALE INFORMATION I 11. ~afa Conlra~ Date lZ. Dmte of Sale I Transfer I / / I , /// 3 / //, 13. Full Sale Price [ ....... .C../. 0 . 0 I I' ! · (Full Sale Price is the tot. el amount paid ~or the property including personal property. This payment may be in the form of rash, other property or goods, or the assumption of moflgages o r other abligatians. I P/asSemundMfbenearostwholedollaremoun& 14. fadlMtetbevalueofparsonel I , ~,"~), 0 , 0 [ properly hcludap in the asia ~ ' ~ ' ~ · 15. Cheek one or more d thin amdldons as apldathle to Iron,dec Sale Betwson BelativtlS or Former Relatives Sale Between Belated Companies or Parlnem in Business One of the Buyers is also · Seller Buyer or Sailer is Govemment AgenGy er Lending InsMution Deed Type n~ Warranty or Sa~gein end Sale (Specify BelOw) Sale of Fractional or Less than Fee leterost (Specify Below) Significant Change in PmperW Sar.~en Taxable Status and Sale Dates ? ~ Sale of Business is Included in Sale Prise ethel' Unusual Factors Affa~ing Sale [Nice (Specify Below) None I ASSESSMENT INFORMATION - Data should reflect the tatest Final Assessment Roll and Tax Bill le. Yasr ofAs~e~ament RollfTom I 0 9 I 17. Total AWVdue(ofdlpered~inbansferl [ which iMonnation token r 18.~t~am I 2, l, 01_1 IlO. SshoolDimrktName [ NaCtituck ½ , , ½ , , 7, 3, 5, Ol ! ZO. Tax Map Identifim(s) / RoB Idandrmr[el iff mm than four, attach sheet wiSt eddJtionel IdemWmfle)) I 1000-121.00-04.00-007.001 j [ I .[ I I CERTIFICATION I ~,flit'.v thai aD. Ed' lite Jlem.K or i~erflmlbm tmtL'r~d on thb tom art* true and ¢'urr~t (to the I~t of' flay kmm'ledlKe and Ix. lief) aAd I undL~,land thai the nmkie~ of anj~willFul false slatemml or qOitedal fa1 hcfzdn ~A[] mbj~ me to the prmL~mx oF Ihe peual law rebdve to the maklt~ and gtUn~t ot r~,ie bl~trumem~ ~ ~~ I . t'[~tt Wickhe= , Abigail 2445 I Laurel Way (Pvt. Rd. #18) lv~Ct truck I NY I 11952 SELLER 631 I 298-8353 I NEW YORK STATE COPY