HomeMy WebLinkAboutL 12713 P 784SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
Number of Pages: 3
Receipt N,,mher : 12-0141713
TRANSFER TAX NUMBER: 12-10182
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
054.00 07.OO
EXAMINED AND CHARGED AS FOLLOWS
$o.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: 12-10182
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
12/14/2012
01:24:09 PM
D00012713
784
Lot:
017.000
$20.00
$15.00
$250.00
$0.00
$60.00
$0.00
$375.00
Exempt
NO
NO
NO
NO
NO
NO
Number of pages
This document will be public
record. Please remove all
Social Security Numbers
prior to recording.
RECORDED
2012 Dec 14 01:24:09 PM
JUDITH ~. Pfl$C~LE
CLERK OF
SUFFOLK COUNTV
L D00012713
P ?84
DT# 12-10t82
Deed/Mortgagelnstrument Deed/MortgageTaxStamp I Recording/Filing Stamps
FEES
Page / Filing Fee / --~
Handling 20,
TP-584
Notation /' __
EA-52 17 (County) ,~. ~--3 Sub Total
EA-5217 (State)
Comm. of Ed. 5. O0
Affidavit
Certified Copy
NYS Surcharge 15. 00
Sub Total
Other
Grand Total
4 IDi
Real Prc
Tax Sen
Agen,
Verifica
12029360 zooo 05400 0700 017000
!7
Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
Maria Sledjeski and Tara Sledjeski
7175 Route 25
East Marion, New York 11939
I
I
Mail to: Judith A. Pascale, Suffolk County Clerk I ? I
310 Center Drive, Riverhead, NY 11901I Co, Name
www. suffolkcountyny.gov/clerk I Title #
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 Appointment __
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 this instrument,
Community Preservation Fund
Consideration Amount
CPF Tax Due $ [2
Improved.__
Vacant Land
TD
TD
Title Company Information
Suffolk Count Recording & Endorsement Page
Patricia A. Sepenoski &
Ann P. Verity
This page forms part of the attached Bargain & Sale Deed with Covenants
by: (SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
made
TO In theTOWN of Southold
Maria Sledieski and Tara Sledieski In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
BARGAIN AND SALE DEED WITH COVENANT AGAINST
GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8007
CAUTION: THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATYORNEYS
FOR SELLER AND PURCHASER BEFORE SIGNING.
THIS INDENTURE, made the C~ day of December, two thousand twelve, between
PATRICIA A. SEPENOSKI, residing at 27965 Route 25, Orient, New York 11957 and ANN
P. VERITY NKA ANN P. SEPENOSKI, residing at 320 Rocky Point Road, East Marion, New York
party of the first part, and
MARIA SLEDJESKI and TARA SLEDJESKI, residing at 7175 Route 25, East Marion, New
York, as Joint Tenants with Rights of Survivorship, party of the second part,
WITNESSETH, that the party of the first part, in consideration ofTen dollars, lawful money of
the United States, 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 had, with the buildings and improvements thereon
erected, situate, lying and being at Southold, Town of Southold, County of Suffolk and State of New
York, known and designated as Lot #6 on a certain map entitled "Map of Oakridge Hills" and filed in the
Office of the Clerk of the County of Suffolk on April 30, 1962 as Map No. 3555.
Being and Intended to be the same premises conveyed to the Party of the First Part by Deed dated
April 5, 2001, recorded April 5, 2001 in Liber 1211 I, Page 810.
TOGETHER with all right, title and interest, if any, of the party of tl~e 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 HA VE 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 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
ANN P. VERITY NKA ANN P. SEPENOSKI
RET067.16
1
NYSBA PRACTICE FORMS 3/03
State of NEW YORK
) SS.:
County of S/~I~
On the ~ ' ' day of December, 2012 before me, the undersigned, personally
appeared PATRICIA SEPENOSKI, 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)
State of NEW YORK
SS.:
County o f~,qOLK
On the (._) c.* ! day of December, 21~12 before me, the undersigned, personally
appeared ANN P. VERITY NKA ANN SEPENOSKI, 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 be/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.
· __ I~[0. 0 IWA6140448
Qualifim:l in Suffolk CmJnl~ ...~,, ,A
(signature and office of individual taking acknowledgment) ~ ~l~ ,~t~ 303]4')! ~-~
Acknowledgment by a Subscribing Witness
State of )
) SS.:
County of )
On the day of in the year 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 resides in .(if the place of residence is in a
city, include the street and street number, if any, thereof); that he/she knows
to be the individual(s) 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 name as witness thereto.
(signature and office of individual taking acknowledgment)
RECORD AND RETURN TO:
Julia M. McGivney, Esq.
175 South Road
Wading River, NY 1 1792
RET067.16
2
NYSBA PRACTICE FORMS 3103
PLEASE TYPE OR PRESS FIRMLY WHEN WRitING ON FORM .................
INSTRUCTIONS: hEp'J/www.orps.state.ny.us or PHONE (518) 473-7222
Cl. aWlS Co. I ~1'~,3 ,~ ,B ~C~ ~ REAL PROPERTY TRANSFER REPORT
STATE OF NEW
C2. Date Deed I~eorded , M[ th~/ D! ['{'jr ~e~rj ~I'&TE BO--OF REAL I~OPERTY SERVICES
1.2,-1, , ,
PROPERTY INFORMATION I It '
alllln, if mher man ~r ~d~ (K ~m of f~) I I
~ ~Ma tra.~ ~ the d~ ~ ~ J of Panels OR Pg~ of a
' ~ ~ ~anni~ ~rd Mh Su~ion ~o~ Ex[~
~. Su~i~ion ~p~al wes ~ui~ ~r T~r
5,~
~pe~ I I xL I~1 , , .~,.
L~ll~ I ~T.~P~ I 1
7. ~k the ~ ~ow which ~ m~r~ ~ ~e u~ M t~ pmpe~ M t~ time ~ ~1~ ~k 1~ ~ ~ ~ ~W ~
8~ ~e~ip T~ is ~n~mlnium
B ~ 2 or 3 Family R~i~ntial Comme~ial Indumrial I~ ~ ~ ~in an ~r~ral DI~
~idential V~nt ~nd Ape~nt ~bl~ sa~oe 1~ 6~r ~ a di~m n~b i~ting
D~ Non-R~ldential Vaca~ ~nd Ente~ainment I ~eseme~ Fo~gt th~ ~ ~ is in an ~ri~l~ral
~LE INFORMATION I 16. Ch~k ~e ~ mm d ~ ~ u ~b to
'l. Full Sale P~ I , . ; . . ; , L~,_ o , o I
(Full Sale Pries il the total amount paid for the property irmludioO personal properly.
This payment may be in the form of cash, mher progeny or goods, or the assumption of
14. Im~e, ata tim value of personal I [~,~, 0 , 0 I
.'"~"V~"d~d~i.~hes'~. ~ ' ' ~ ' ~.
iSale Be[ween Relatives or Former Relatives
Sale Between Related Companies or Pertnem in Business
One of the Buyent ia also a Seller
Buyer or Belier is Government Agency or Lending Institution
· Deed Type not Warranty or Bargain and sale (Spaerfy Batov~l
Sale of Fractional or Less Ihafl Foe Interest ISpe~f~ Below)
SigniBcant Change in Property Bemme~ Taxable Status end Sale Dates
Other Unusual Fsctom Affecting Sale I~fi:e ISpm:ify Dal~wl
ASSESSMENT INFORMATION - Data should refleot the latest Final Assessment Roll end Tax Bill
l&
Rail
Imm
J . J 17. Tet. I Aaaad Value (of dl parade in Izembrl'l . .
whieh lefemtatien taken
,:J. t,t,-,,
20. Tax Map IdantiBerfa) I Rail Identmm~s) LIf mom than four, Bttaeh sheet with eddillonat idmd~s}J
, ,
I I I I
CERTIFICATION
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BUYER'S A'rrORNEY
LAST mB