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Home My WebLink AboutL 12718 P 450SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 5 Receipt Number : 13-0009370 TRANSFER TAX NUMBER: 12-13896 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: O68.00 04.0O EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $25.00 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 Corm. Pres Fees Paid TRANSFER TAX NUMBER: 12-13896 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 01/24/2013 11:49:39 AM D00012718 45O Lot: 017.000 $20.00 $15.00 $250.00 $0.00 $60.00 $0.00 $388.00 Exempt NO NO NO NO NO NO Number of pages This document will be public record. Please remove all Social Security Numbers prior to recordino. RECORDED 2013 J~n 24 11:49:39 AM .JUDITH fl. PASCALE CLERK OF SUFFOLK COUNTY L D00012718 P 450 DT# 12-13896 Deed/MortgageInstmment Deed/MongageTax Stamp I Recording/Filing Stamps 3 I FEES Page t Filing Fee Handling r~ 00 TP-584 Notation EA-52 17 (County) EA-5217 (State) G R.P.T.S.A. Comm. of Ed. 5. 00 Affidavit Certified Copy NYS Surcharge 15. 00 Sub Total Sub Total 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 Grand Total ,_ see appropriate tax clause on I " ;.ooo ,_, '. 4 Dist. 12030300 ~.ooo 06800 0400 u $ ICommunity P~eservatton Fund Real Prope~y ~,~ ~ Considera~on ~ount $ Tax Service Agency CPF T~ Due $ ~ Verification , ~ ' . 'Improved . _ I Satisfactions~ischarges~eleascs List Prope~y Owners Mailing Address 61 ~co~ & ~TU~ TO: / Vac~t Land / ~ TD-- --' I~a, to: 0~aith ~. ~a~o, S~.o~k ~o~tv ~k f ¢ I Titl~ Company Information I 310 Gont~r Drivo, ~iv~rhoad, NY ~01 [Co Name ~'~~ ~'~ t~ I www--ff-I ................... ~ . ' r u/~/ tr//~ ;,J~ Suffolk County Recordin & Endorsement Pa e This page forms pan of the attached ~ ' made by: (SPECIFY TYPE OF INSTRUMENT) SUFFOLK COUNTY, NEW YORK, TO In ac TO~ of ~ 2 c~ ~~ ~ ~/ c~ ~n ~h~ W[~*~ / or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR ~ING. (OVeF) BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) FORM 8002 (short version), FORM 8007 (long version) CAUTION: THIS AGREEMENT'SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SION-lNG. /'H/S/NDENTURE, made the ~ ~ ., 20~__._,~ BETWEEN John B. Sepenoski, Jr., sole heir at law of Julia Sepenoski deceased who died a resident of Suffolk County on 5/27/2000. John B. Sepenoski died a resident of Suffolk County on 8/t 7/1971. of 33385 Country Road 48, Peconic, New York. party of the first part, and SZCZEPANKOWSKI, LLC of 33385 Country Road 48, Peconlc, New York, party of the second part; WITNESSETIt, that the party of the first part, in consideration ofTen Dollars and No Cents ($10.00) 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; ~ILL 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; TOGETHER with all fight, 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, TOGEict-IER ~viih tile ~;ppm'tenahc~s and'~.lt th~ estate arid righis of ~he party bfthe' first part in and to said premises, TO HA VEAND TO HOLD the premises herein 8ranteA unto the party of thc 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 I3 &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 &the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be cons~ecl as if it read "parties" whenever the sense oft. his indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this de~ the day and year first above written. NYSBA's Resic~atial P. aml ~ Forms (9/00) O 2012 ~ I~ndrt & Co., a member oflhe LexisN~ Group. IN WITNESS WHEREOF, the party of the' first part has duly executed this deed tiao day and year first above written. John BI gepenoSki, J-r~ ' IN PRESENCE OF: Acknowledgment by a Person Within New York State (RPL § 309-a) STATE OF NEW YORK ) COUNTY OF ~ f~" f-"'ff--~L) ss.: ) On the ~( day of ~ in the year ~lO / 7~, before me, the undersigned, personally appearexl John B. Sepenoski, Jr., 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 executed the same in his eapacity(ies), and that by his 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) JOHN $. ER1NIN Notary Public, $ of New Yorll r~o. 02£R60~7187 Oualified in Suffolk County Commission [xpires August 28, NYSBA's Re~idenlial Real Estate Forms (9/00) O 2012 Mat~ew lkander & Co,, a nmmb~ ofth~ LexisNexin Group. -2- SCHEDULE A ALL that tract or parcel or woodland situate lying and being at Peconic, in the Town of Southold, Suffolk County, New York, bounded on the North by lands now or formerly of S.F. Overton Estate; on the East by lands now or formerly of Conway; on the South by lands now or formerly of Stepnoski; and on the West by lands now or formerly of Overton Estate and Westland. Containing 5 acres, more or less. Deed John B. Sepenoski, Jr., sole heir at law ofJutia Sepenoski deceased who died a resident of Suffolk County on 5/27/2000 To SZCZEPANKOWSKI, LLC District ] 000 Section 68 Block 4 Lot ! 7.000 County or Town Street Address Southold 800 Sound View Avenue Pcconic, New York Ret_urn By Mail To: John S. Erwin, Esq. Hill, Ullman & Erwin, LLC 825 Third Avenue, 4th Floor New York, New York 10022 Reserve This Spate For Use Of Recording Office NYSBA's Resident/al Real Esta~ Fo~ms (9/00) 0 20] 2 Mam~w Bender & Co., a m~nber or,he L~xi~N~xis Group, FOR COUNTY USE ONLY C1. aWlS Code C2. Date Deed Recorded c,.sook, PLEASE T'YPE OR PRESS FIRMLY WI-tEN W~ITING ON FORM. INSTRUCTIONS: http://www.o~s.stete.ny.us or PHONE (518) 474-6450 "" RP-5217 PROPERTY INFORMATION I 3. Tm~ Indicate wher~ fulur~ Tax Bills are to be ~Ant B~lingilcthartflanhuyeraddre~(~tbettomofform) I I STREET NUMBER AND STREET NAME I , I 4. Indleste tho number of Wont Rog parcels trendefl~ on the rind I Dead P,op,r. 4 Ixl I ~l (OMy if Pert of m PamM) M ce they N~- I. M of Patois ORPa~ of a Parcel ~. Rannino__. B~ ~ SuMi~sion ~N Exim ~ ~. Sure,on A~al ~s ~ui~ ~r Tmn~ ~ I 7, Cheek tho box below whish most accurately deserbee the use of tho property et tho time of eels: A I~ One F,mily R.identia, E [~ AgdculhJral ,~]Co ....... ity Service B I~ :~ Or 3 Family Rea,clentlal F I~ Commamial J ~1 Industrial C L..~,Rflidant(al Vacant Land G ~,J Apaflmeet K~I Public Sawica D,~ Non. Residential Vacant Land H I ~ Eflla~laJnmanl I Amus0ment gu Forest Cheek the boxe~ below aa they appltc & Ownomhip Type is Condominium [] ~. New Construction on Vacant Land[] I~A, Propert~ Leeated vv~thin an Agricultural D~stfict [] lOB, Buyer rocelved a d~sclosum notice indkafing [] that Tho propm~ ia in an Agricultural Diat~cf SALE INFORMATION ~ ~y Yw F ~3. ~. Ba[, ~ I , , ~ , , ~ , , - 0 , 0 [ Il (Full Sals PrIM Is the total amount ~id ~r the papaw including pe~onal pmpe~. I This payment may ~ in the fo~ ~ cash. ~her pm~ or 9~s, or the assum~ion of J mot Igeges o r other obligations.) I , , ,0 0 0 I 1~ ~ the xalue ~ ~aM ~SESSMENT INFORMATION - DO~ Should mfle~ the later Final ~essment Roll and Tax Rill 1S. Chad[ oeo or mm of the mm~Tdom ms epldi~ale to I~end~. Sale Between Relatives or Former Relatives Sale Between Related Companies or Panners in Business O~e of the Buyers iS also e SMIor Buyer or Seller is Governme~lt Agency or Lending Institution Deed Type ret Wel~anW or Bargain end Side ($pe~:ifv Salqw) Sale of Fractional or Let4 than Fee Interest (Speei~ Below) Significant Change ;n ProperP/Between Taxable Status end Sale Dates Sale of BUSIness ls Included in Sale Price Other Unusual Factors Affeeting Sale Price (Specify Below} "INorm 20. Ta MAI) IdllTtlflef(e) I ~ Ideofifilfl~T (Il ntMe that four, attach sheet with addlllonil Idefltifleriel) ' g-V- /7.000 ,, I I I CERTIFICATION I mrtJf)' that all ~' the ItcnLq d InbrmstJea enten~d ore th[q rorm arc true u~d cee'ecl (tn the hast ixl' my knowl~ffe sad ~ a~d I madenaa~d tirol the m~klnff of' any walr, a ral~ ulatem~! st nmterbd fa~t I~rdn will ~hject me to th~ prmlduns el' Ihs ix'md law relatl*~e h) the rnakinR Mad rdiLl~ st I'al~ instrument~ BUYER BUYER'S AI'rORNEY NEW YORK STATE COPY