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Home My WebLink AboutL 12696 P 870SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 3 Receipt Number : 12-0070524 TRANSFER TAX NUMBER: 11-23184 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 123.00 05.00 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 $0.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 11-23184 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 06/20/2012 12:36:40 PM D00012696 870 Lot: 023. 000 $20.00 $15.00 $125.00 $0.00 $60.00 $0.00 $250,00 Exempt NO NO NO' NO NO NO Number of pages This document will 'be public record, Please remove all 'Social Security Numbers prior to recording. ' . RECORDED 2012 Jun 20 12:36:40 PM JUDITH A., PF~$CI~LE. C:L~RK OF ' SUFFOLK COLINTV L D000126% P 870 DT~ ~-2318~ , i · Deed/Mortgage instrument · Deed / Mortgage Tax Sta}np i FEES Page / Filing F~e Handling TP-SS~ Notation EA-52 17 (Cc~unty) EA-5217 {State) · Comm. of Ed. Affidavit Certified Copy NY5 ~urcharge 20. 00 5. O0 ' 15. O0 'Sqb Total SubTotal . Recording/Filing Stamps l. BaslcTax. ' · ' 2. Additional Ta~ : SubTotal ; Spec./Ass'lt. or Spec./Add. TOT..MTG. T~,X D * -- Dual Town - ua[County Held for Appointmen ,t/,~J%.~ TransferTax · · fQ~.~.. _ Mansion Tax The 'property Covered byithis mortgage.is or will lie improved b)~ a one or two family dwelling only, Other I .YES orNO , Grand Total.. ~ ~ Ill, NO, see appr0'~r[ate tjx clause on ' ' ae# ' 12013148 10OO 12300 osoo 023000 _j~/~ [pg .- Of WiSin~trument. ' ' ~3- fi tCommunit; PresJrvat?n Fund · -- ' ~eal Prop{ TaxServ[o ~ Con'sidera[ion ~O' "* _ ..' .. '.. ' 6 1Satisfa~ions/Oischarges/Releases List ~rope~Owners Ma in Address 4 ~/ ] Impro~d~ ' ' ' - " 'l · /Vacant'Land ' [ . . ~~,~s . / lTD m Bayld% ~ 1~61 - '~ ' TD ~ ' ' · , o,~ Cou,~ cme~k ~ I ~ia~ CO . 310 Center Drive' Riverhead NY ~nn~ .~ mpanylnformabon ' , ,,ou~ Co Nam ' ,. . .. .. '~ 'SuffOlk Ceun~ ~ec~,&Endorse~ent~ - This page forms part of the attached ~ by: '~% : (SPEEIFY~PE OF INSTRUMENT). ' mad'e The premises herein is situated In qh~< CDn% ~ SUFFOLK COUNTY, NEW YORK. "TO ~ ' . In t'he VILLAGE ~ ~ ' ~ VHIN I kD iN BLA~( I~1( ONLY PRIO'~ TO RECORDING OR FILING. ' CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 23'~ day of March, 2012 BE'I'WEEN ROBERT CZENSZAK and THERESA CZENSZAK, his wife, both residing at t0 Summerhill Drive, Downingtown, PA 19335 party of the first part, and ROBERI~ZENSZAK as trustee of the Revocable Trust of Robert A. Czenszak dated March 23, 2012 as may be amended, as a fifty percent (50%) interest as a tenant in common, and THERESA M. CZENSZAK, as trustee of the Revocable Trust of Theresa M. Czenszak dated March 23, 2012 as a fifty percent (50%) interest as a tenant in common. IO ,~'o.~,~_~k~lt-i~,--, 'bC::x~i~,~-Io-,~ -~/~ ~fl:~ party of the second part, WJTNESSETH, that the party of the first part, in consideration cfc doliars and other 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 in the At Mattituck, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at an iron pipe on the southerly line of a 30 foot right of way distant 717.08 feet westerly along said line from the westedy line of a 25 foot right of way said point of beginning being the northwesteHy corner of ~and cf Milligan; RUNNING THENCE along last described land south 7 degrees 33 minutes 20 seconds west, 150 feet to the ordinary high water line of Great Peconic Bay; THENCE along the said ordinary high water line of Great Peconic Bay along a tie line course of south 75 degrees 22 minutes 30 seconds west, 61.82 feet to land of Cahill; THENCE north 6 degrees 05 minutes 40 seconds east, along said land of Cahill 150 feet to a monument in the southerly line of said 30 foot right of way; THENCE north 76 degrees 35 minutes 40 seconds east, along said 30 foot right of way 65.40 feet to the point or place of BEGINNING. Being the same premises conveyed to the party of the first part by deed dated September 5, 1989 and recorded in the Suffolk County Clerk's Office on October 5, 1989 in Liber 10943 page 419. Said premises known as and by 4365 Camp Mineola Road, Mattituck, New York 11952. 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 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 part, in compliance with Section 13 of the Li~n 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: ROBER~CZENSZAK ~ ("~ ~ Standard N.Y,B.T.U. Form 8002 - Bargain And Sale Deed, with Covenant against Grantor's Acts - Un[form Acknowledgment State of New York, 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(les), and that by his/hedtheir signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, 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(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, (signature and office of individual taking acknowledgment) (signature and office of individual taking Acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLED_GMENT IS MADE OUTSIDE NEW YORK STATE State (or District of Columbia, Territory, or Foreign Country) of /~5'~ ~yr~ ~ j ~. ss; On the o~.~.'d day of /Jl~y~.~ in the year ~ / 2-~ before me, the undersigned, personally appeared ROBERT CZENSZAK and THERESA CZENSZAK 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, and that such individual made such appearance before the undersigned in the (insert the City ~ other political subdivision) NOTARIAL ~ ! BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS Title No. CZENSZAK TO CZENSZAK in ' (and insert the State or Country or other place the acknowledgment was taken) (signature '~' ' and,office~l taking acknowledgment) SECTION 123 '. BLOCK 5 LOT 23 COUNTY OR TOWN ~d · STREET ADDRESS: 4365 Camp Mineola Bird:'. j~. Mattituck, N.Y. '11952 ~. STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWriTERS Distributed by New York Title Research Corp www. nytitle.com Recorded at Request of New York Title Research Corp RETURN BY MAIL FRANK A. POLACCO, ESQ. THE LAW OFFICES OF JEFFREY S. SHEIN & ASSOCIATES, P,C. 575 Underhill Boulevard-Suite 112 Syosset, New York 11791 PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: hEp:fl www.orps.state.ny.us or PHONE {518) 473-7222 Fb. cou.T~ USE ON'V I ~ REAL PROPERTY TRANSFER REPORT STAI~ OF NEW YORK SI'A~ BOARD OF REAL FROPERTY SERVICES RP - 5217 4. ImBeate the number of Aeee~tent Roll pereel~ tranofel~ed on Fha deed Deed PropertyI Ixl Ls,,. I C?_,~_,,,J~:~4-~/-, I ~_~ [ IOrdy If BErt OF e Pam.l) Chedr ns they eppl~. . i I 0 el Parcels ORPeri of a Parcel 4A. Planning Board with Subdivision ^uthenty Exim [] 4B. Subdivision Approval ,Ama Required for Transfer [] I OR I , t .~.ns. . . I 4C. P~Kel Approved ~Or Subdivieien with Map Provided [] F~ST WE FbR~'r NAME 7. Check the box below wflleh most eeeur~tely deegn*hes tho ule M the i~efmrtv el the time d eela: oreck the boxns bstow as they I~RdlK 8. ~nemhip T~ is Condominium ~ A~ One Family R,i*ntiai E ~ ~ricultur.i ,~C ..... ~ SO~Ce ,. N* ~n~ru~i .... V~nt ~nd ~ B~ 2 or 3 Fami~ Residential ~ ~mmemial J ~ Indu~rial 1~ ~ ~ within an ~rel Distfi~ ~ C~ Re~dential Vaunt ~ Apa~ment K~ ~blle ~i~ 10g. B~ r~ a digitate fl~ i~liflg D~ Non-Beside~al Vaunt ~nd E~e~einment I Amu~ment L U Forest th~ ~ ~ is rn an ~rlcukuml O~r~ ~ SALE INFORMATION I 15. C~ ~e m m~ d ~ ~1~ ee ~ ~ ~ 11. S~Ie Contract Date I / / I Month D0y 1ZDltldsall/TrlnltM I0~ /~ / /Z..I 13. Full Sale Ih'ke I , ,_ ,_ / [Full Sale flins ia tho mL.l amount paid for the property ieerudi.0 personal property. This Mymeet may be ;n the form of cash, other property or goods, or the assumption of mortgagee or other obligations.) PleaMroundtofhenearestwho/edolMramount. 14. In~ea~ the v&lu~ M F~'~nal I ~,_ 0 , 0 I I ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill I Sale Between Relatives or Former Relatives sere Wen Related Compeniee or Paftnem in Business One of the Bayem [s also a ~eller Buyer or Boiler is GeYernment Agency or Landing Ir. sdtution Deed Type riot Warranty or Bargain end Sale (Speci~ Below) Sale of Frictional or Lens then Fee Interest tSpeci[y Below) Significant Change in Properly Between Te~.able Status end ~ale Dates Sale of Business is Included in ~ale Price Other Unusual Factom Affecting Sale Price (Specify Below) NCona 16. Year at Aaeamem ~ bm I ] ) r 17. Total AJMaeed Value let all p~ree~ in tmnsfM) I .m .q. oo.0, I I I t I CERTIFICA'IION I - I ee~l'~ t~l all e~' die itelm OF inremmtion referee (m thk rom ~n~ tom and ~ Im lite be,I OF my kno~ledl~ and bdiefl and I ullde~Laod tit the makin~ ~ miy willrul fnl~ Matemen/d rnntt~hl Fad heroin will ~ubjed rfl~ to the prox~nns OF the penal la~ rdad*~ to the mnkinR and FIBOS of rat~ in.dmmenL~. c~ oq TOWN ' sr&T~ ?Jo COK SELLER BUYER'S ATTORNEY I NEW YORK STATE COPY