HomeMy WebLinkAboutL 12718 P 451SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
Number of Pages: 5
Receipt N~mBer : 13-0009370
TRANSFER TAX NUMBER: 12-13897
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
068.00 04.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Received the Following Fees For Above Instrument
Exempt
Page/Filing
COE
EA-CTY
TP-584
Cert.Copies
Transfer tax
$25 00
$5 oo
$5 oo
$5 oo
$o 00
$o 00
TRANSFER TAX NUMBER: 12-13897
NO Handling
NO NYS SRCHG
NO EA-STATE
NO Notation
NO RPT
NO Comm. Pres
Fees Paid
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
451
Lot:
018.000
$20 00
$15 00
$125 00
$0 oo
$60 oo
$0 oo
$260 O0
Exempt
NO
NO
NO
NO
NO
NO
Number of pages
This document will be public
record. Please remove all
,Social Security Numbers
prior to recordinD.
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
3 ] FEES
RECORDED
2013 Jan 24 11:49:39 tim
JUDITH fl, PflSCflLE
CLERK OF
SUFFOLK COUNTV
L D00012718
P 45t
~T# 12-15897
Recording / Filing Stamps
Page / Filing Fee
Handling
TP-584
Notation
EA-52 17 (County)
EA-5217 (State)
R.P.T.S.A.
Comm. of Ed.
Affidavit
Certified Copy
NYS Surcharge
Other
5. O0
Sub Total
Mortgage Amt.
I. Basic Tax
2. Additional Tax
Sub Total
Spec./Assit.
or
Spec./Add.
TOT. MTG. TAX
Dual Town __ Dual County
Held for AppointmenJ,sl~
Transfer Tax '~
Mansion Tax
The property covered by this mortgage is
or will be improved by a one or two
15. 00 family dwelling only.
Sub Total YES . or NO
Grand Total /~~ I ~e appropriate tax clause on
"~' -- /~J,.,~,[~age~ ~' ~ of ~is inst~ment~
4 Dist./0~' 1203029~'1oo~ o~aoo 0400 oieooo 5 unity Prese.ation Fund
Re~ Propeay ~P~H~ ~ Consideration Amount $
Tax Service
Agency ~ [ CPF T~ Due $ ~ .
Verification
. x ....... ~ ~ Improved
~ [ Satisfacdons~isch~ges~eleases List Propeay Owners Mailing Address ~
O [ ~CORD & ~TU~ TO: Vacant Land
] ........
[Mail to: Judith A. Pascalo, Su,olk Oounty Olork [ 7 [ Title Company Information
I 310Center Drive Riverhead, NY 11901 Ico Name ~/ .... '
I ~ .... ~' . , . I · / Old(M7 (~ .
.su~olKcountyny. gov/clerK ;.~ ~ ~.t~/ ~ ~ ~ _ .. ~
8
I Suffolk County Recor&ng & Endorsement Page
This page forms pad of ~e attached ~~ made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the TOWN of S-~° ~77~
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)
FORM 8002 (short version), FORM 8007 (long version)
CAUTION: TI-IlS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
~URCH^SER BEFORE S~aNrNO.
THIS INDENTURE, made the ~ 8 ~ 201 '~,
BETWEEN John B. Sepenoski, Jr., sole heir at law of Julia S. Sepenoski deceased who died a resident of
Suffolk County on 5/27/2000,
of 33385 Country Road 48, Peconic, New York,
party of the first part, and
SZCZEPANKOWSKI, LLC
of 33385 Country Road 48, Peconic, New York,
party of the second par~;
I4'ITNESSETH, 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;
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;
TOGE_THER.with all righ.t, title and interest, if any, of the party of the first part in and. m ..any strcc~
~nd 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 fwst part in and to
said premises,
TOHAFEAND 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 ]3 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 fu'st for the purpose of paying the cost of the improvement
and will apply the sa,me first to the payment of the cost of the improvement before using any part of thc
total of the same for any other purpose.
The word "party" shall be cons~xued as if it read "parties" whenever the sense of this indenture so
requires.
NYSRA% Residential Real E.xtn~ Forms (9/00) (} 2012 MaRl~'w Bc'ndc'r & Co,, a mn~ber of the LexisNexis Group.
IN WiTNESS WtIEREOF, thc party of the first part has duly executed this deed thc day and year
first abovo written.
John B. Sopenoski, Jr
IN PRESENCE OF:
Acknowledgment by a Person Within New York State (RPL § 309-a)
STATE OF NEW YORK )
Onthe ~'~ dayof ~ intheyear ~)4~l'~,beforeme, the..
undersigned, personally appeared 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 capacity(les), 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.
("signatu~kinl ;cknowledgment)
JOHN S. ERWIN
Notary Public, S of New York
No. 02ER6047t87
Oualified in Suffolk County "~ t q
Commission Expires August 28.
NYSBA's Residential Real Estate Forms (9/00) O 2012 MaU_hew Bend~ & Ce,, a nm-nber of thc Lexis_NgMS Group,
SCHEDULE A
ALL that tract or parcel of land situate lying and being at Peconic, in the Town of
Southold, County of Suffolk and State of New York, bounded southerly by North Road;
westerly by land formerly of Lewis R. Case; northerly by the several lands of Samuel C.
Sweezey; land late of William J. Conway and land late of Charles E. Hayes, and easterly
by land of the estate of William Austin Haynes. Supposed to contain forty (40) acres,
more or less.
Deed
Title No.
John B. Sepenoski, Sr., sole heir at law
of Julia S. Sepenoski deceased who
died a resident of Suffolk County on
5;27/2000
To
SZCZEPANKOWSKI, LLC
District 1000
Section 68
Block 4
Lot 18
County or Town
Street Address
Southold
33385 C. R. 48
Peconie, New York
Return By Mail To:
John S. Erwin, Esq.
Hill, Ullman & Erwin, LLC
825 Third Avenue, 4th Floor
New York, New York 10022
Reserve This Space For Use Of Recording Office
NYSBA's Residential Real ~ Fmms (9/00) 02012 Ma~leW Rcnder& Co., a mcn~cr of tho LcxisNcxis Group.
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM.
INSTRUCTIONS: http:l/w~M.orps.state.ny.uo or PHONE (518} 474-6450
PROPERTY INFORMATION ~
. ,u., ~ _.~ :z¢~..~,eo3o_c£./ (-d.6 ~
I I
$. Ta~ Indicata where future Tax Bills ate W be ~elR
Biffing if other than l)G~or address (at ~ of form) i
4, Indicate the number of Ammant
BMI pamela 1TanMMTed on the dMM I ,
P.p..~ [ J x l
I
7. Che~k the box below whld~ most aesurntel~ desaribos the uu of the property at the time of ~ila:
A [~ gna Family R.ideotial E [~Agricultuml i~ Co itySewies ....
B ~1 2 or 3 Family Residential F I~1 Commercial Industrial
C I~1 Residential Vacant Land GI~I Apartment PubliG Sotvica
DU Non. Residential Vacaot Land ~-]L_I I:otertalnmeotlAmusemeot FOreSt
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
I
lowly if Pat of n Pared) Chesk es they qqdy:
, JI. # of Parcel. OR Part of a ParGel 4A. Planning Board with Subdi.Aslen Authority Exists []
4B. Subdivision A%opmval WBS Required for Transfer []
& O#nerehip Type ia Condominium []
9. New Conatruction on Vacant Land []
1aA. PtopeKy Located ~thin an ~u~uml Di~
1~. B~r ~i~ a di~l~um n~i~ indi~ino
Ihat the pm~ il in an ~d=lm=l Oiar~
SALE INFORMATION
12. Data of Sate / Tlanlfor
//.,-/ ~ / ~)/~'"
Month Year
13. Full Sale Price I , , , , , , . , Q 0 · 0 I
! ! ·
(Full Sale I:~ca is ihs total Gmounl: paid for tho propa~ly including paraonal
mo~ag~ or Mher oblig~ions.) ~ mu~ ~ the nM~ ~ ~[ar amunt.
ASSESSMENT INFORMATION - Data should refl~t the latest Final ~s~sment Roll and Tax Bill
15. Check ~e or mom of these c~edkleos aa N~lieable to ~
~le ~n ~lati~ or Fo~er Rel~s
~le ~n flelo~ ~m~nim or ~nom in BuM~
One ~ the Bu~ i8 ~lso · ~ller
B~r or ~ller is G~mm~t ~ or ~i~ In~i~tion
~ Ty~ ~ Wa~en~ or ~ein end Sale IS~i~ ~l~l
~her Unusual F~om Aff~ing Sade ~i~ IS~iN
1k Var d Amnmt Roll hem I ] ~
wMdl Infownntion taken! , I 17. Total Assessed Value (of ofl pamela In tTenSfor} ~
,,.,.,.,,c,. , .¢ou /o
20. Tax Map MrmtlflerleI I Roll IdrmtHlerlM {if rno~ then four. nttech sheet with acIdltlot~d identffior(a))
,,
I I
CERTIFICATION l
[ e~rllr). Ihat all eT the ikon eT inl'~rmntba ;ak, roi (m IbM tim am In~ end a)l~l,'l,1 il,) Ihs ~ nr mS kn~'led~ sad bdleO and I tmdam'fe~i thai Ibc owking
eTAOV v, IU~ul raL~e statement eT mntedld ~ herebt BIO suhJ~t me lo IM pr~J~zl al'lhe penal law mlnth~ to the I1]akblg and Rlhl~ M' fatv lmtrmmn~
BUYER
SEL~
BUYER'S ATIORNEY
~.ST WE FIP~T WE
I NEW YORK STATE
COPY