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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 04/26/2013
Number of Pages: 4 At: 09:24:18 AM
Receipt Number 13-0049108
TRANSFER TAX NUMBER: 12-21069 LIBER: D00012727
PAGE: 70$
District: Section: Block: Lot:
1000 080.00 01.00 018.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $249,000.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $20.00 NO Handling $20.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO EA-STATE $125.00 NO
TP-584 $5.00 NO Notation $0.00 NO
Cert.Copies $0.00 NO RPT $60.00 NO
Transfer tax $996.00 NO Comm.Pres $1,980.00 NO
Fees Paid $3,231.00
TRANSFER TAX NUNIDER: 12-21069
THIS PAGE TS A PART OF THE INSTRUI~NT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
ill`s
-Yr ~ ~
REf:ftROED
NumbeFOfpages , I
'?013 qpr 2b 09:21:12 Rhl
JUDITH q. PgSGRLE
This document will be public cLERI: of
SUFFOLY. 00UNTV
record. Please remove all L p00012727
Social Security Numbers P 70E
prior to recording. DT# 12-210b9
Deed /Mortgage Instrument Deed /Mortgage Tax Stamp Recording /Filing Stamps
3 FEES
Page /Filing Fee Mortgage Amt.
• 1. Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assn.
or
EA-52 17 (County) ~ Sub Total Spec. /Add.
EA-5217 (State) ~ / TOT. MTG. TAX
1N7 Dual Town Dual County _
R.P.T.S.A. ~l
~ HeEd for Appointmen
Comm. of Ed. 5. 00 ~4 ~ Transfer Tax
Affidavit • Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES r NO
Other _
Grand Total ~ ~ If se appropriate tax clause on
age / is nstrument.
- - to ~ -~a-/~'
4 Dist. 130109Q7 1000 08000 0100 018000 00 5 ommunity Preservation Fund
Real Proper T
Tax Service R pOL A
Agency 24-APR 1 II~IIIIE~~I~Ill~lll~l~l~lllulll~llltlll~ ~ CPF Tax Due Amosnt $
Venficat:oi
i Improved_~
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN T0: Vacant Land
Zodiac Title Services LLC TD~_
300 Broadhollow Road TD
Melville, NY 11747
Attn: Post Closing Dept. TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11401 Co. Name Zodiac Title Services
www.suffolkcountyny.gov/clerk Title #
102374
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Sandra Kochan The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO fn the TOWN of
Laurie Bloom and Leonard Thon 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 Covenants against Grantor's Acts ~ ~ O
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD
BF USES BY~LAWYERS ONLY
THIS INDENTiJRE; made the f~ day of October Two Thousand Twelve
SANDRA KOCH_ AN
61 Terrace Lane
Northampton, Massachusetts party of the first part,
AND
LAURIE~a BLOOM and LEONARD ~THON ~ ~ L~~ ~~~P
C 487 North Windsor Avenue r
Brightwaters, New York party of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten Dollars 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, situate,
lying and being
SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF.
DIST:1000 SECT:OSO BLOCK:Ol LOT: 018
SAID PREMISES KNOWN AS: 1690 FARADISE SHORES ROAD, SOUTHOLD, NEW YORK
BEING AND INTENDED TO BE the same premises as acquired by deed dated July 16, 1996 and recorded
August 28, 1996 in Liber 11789 Page 643.
TOGETHER with all right, title and interest, if any, of the party of the first part of, 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 parry 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 incumbered 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 the 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
constructed as if it read "parties" whenever 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:
SANDRA KOCHAN
i
i
STATE OF MASSACHUSETTS } .
ss:
i COUNTY OF ,~-lh.ei ) Outside NYS .
On the 9`~ day of October 2012, before me, the undersigned, personally appeared
• Sandra Kochan
personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose
name is subscribed to the within instrument and acknowledged to me that she executed the same in her
capacity, that by her signature on the instrument, the individual, or the person upon behalf of which the
individual acted, executed the instrument, and that such individual made such appearance before the
undersigned in the County of ,State of Massachusetts.
t?
..,~Ex.,-~.~
e Notary P~.~bfic ~ "
~C'CMiyil?NW'cALTH GF h+aS54CHUS@TTS
~~y h~;Y Co;s•,inl~slnn Expires
"3, 2079
/a~9/z_
"Zodiac Title Services LLC
300 Broadhoilow Road
ilAelvilie, NY 11747
. Attn:: Post. Closing
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Stewart Title Insurance Company
' File No. 102374
Loan No.
LEGAL DESCRIPTION
ALL THAT CERTAIN PLOT, PIECE OR PARCEL OF LAND, LYING AND BEING AT PARADISE SHORES, BAYVIEW,
TOWN OF SOUTHOLD, COUNTY OF SUFFOLK AND STATE OF NEW YORK, MORE PARTICULARLY 80UNDED
AND DESCRIBED A5 FOLLOWS:
BEGINNING AT A POINT AT THE NORTHEASTERLY CORNER OF THE PREMISES HERE=1N DESCRIBED AND
WHICH POINT IS AT THE NORTHWESTERLY CORNER OF LOT NUMBER 23 BLOCK C, AS SHOWN ON A
CERTAIN MAP ENTITLED, "MAP OF REYDON SHDRES, BAYVIEW, L. L, N,Y,", FILED IN THE OFFICE OF THE
SUFFOLK COUNTY CLERK;
RUNNING THENCE ALONG THE WESTERLY LINE OF LOTS NUMBERED 23 TO 26 INCLUSIVE AS 5HOWN ON
SAID MAP, SOUTH 20 DEGREES 11 MINUTES 20 SECONDS WEST, A DISTANCE OF 120 FEET TO Ti~E LANDS
NOW OR FORMERLY OF EMIL MASSARELLA;
THENCE IN A GeNERAL WESTERLY DIRECTION ALONG THE LANDS NOW OR FORMERLY OF SAID EMIL
MA55ARELLA, NORTH 69 DEGREES 48 MINUTES 40 SECONDS WEST, A DISTANCE OF 141.58 FEET TO A
POINT ON THE EASTERLY L1NE OF A CERTAIN EXISTING 20 FOOT WIDE PRIVATE ROAD;
THENCE IN A GENERAL NORTHERLY DIRECTION ALONG THE EASTERLY LINE OF SAID ROAD, NORTH 19
DEGREES 06 MINUTES 50 SECONDS EAST, A DISTANCE OF 120.02 FEET TO THE LANDS NOW OR
FORMERLY OF PAULINE BEDN05KI;
THENCE IN A GENERAL EASTERLY DIRECTION ALONG LANDS NOW OR FORMERLY OF PAULENE BEDNOSKI,
SOUTH 69 DEGREES 48 MINUTES 40 SECONDS EAST, A DISTANCE OF 143.84 FEET TO THE POINT OF
BEGINNING.
TOGETHER WITH A RIGHT OF WAY OVER THE SAID EXISTING 20 FOOT WIDE RIGHT OF WAY OR ROAD,
FROM BAYVIEW ROAD TO PECONIC BAY.
1
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS (RP-5217-INS): wtxw.orps.state.rly.us
FOR COUNTY USE ONLY
C1. SWIS Code New Yortc State Department of
Taxation and Finance
C2. Date Deed Recorded / / Once of Real Propeliy Tax Services
y RP- 5217
C3. Book C4. Real Property Transhr Report (8110)
PROPERTY IN R TION /npI (~(\1~
Lacatlon - luhll - - - '
u I
R~TrA ~ N- ~J,A/n /~V~[Rlk
2. Burir Wm Y1~ _
Name ~~n L r r xA''aAAL '
~lat~mta+>;cy I QIl ~`"I..--
3. Ta: Indlcare where future Tax Bllls are m ha seM p , 1 ,~I ,
Bllling if tllhar Than buyer address (at hottam of kxm) ~ _ ~ r--f./o M I 4` ~u ~ ~ I
Addroaf - DIS-ILRE ~
~rmAVT.. _ gPSTwWF - .
~ icl~ AlJ~Syo2 RzE~_,BR.rbrfrwA-r~~ S. i ~1 Y~l/7~
S1PEEr NI.LeER 4R0 S17aiET rdlrt^-._ - _ -t`~dr-'i~H - S'R1F )r`C.nnF
4. Indirsta the numMr of Aasaeamant j~ (Ony If Part of a Paruq Cheek es thoy apply:
Roll partials troneferred on dte dsmf ~ rf of Parcels OR L J Part of a Portal I-!
4A. Plannlnp Boats wM Subdivision AlNronty Exlsts Lr_JI
5 Daad 46. Subdivision Approval was Required for Trensfcr IJ
i Property x L _ pEPrx - ~ OR ~ _ . 4C. Parml Approved for Subdivision with Map Provided
Si=o ~ rA
6. Seller 41V1 d?~ _
Name UIYI I:1wwANr t vAx_
~rt:m I ~ - -
7. CMek the ho: below whoop most abeurotely Msedbos the use of the proporry at the timo 01 solo: Check the boxes 6alow as tMY apply: ?
8.Ownerehip Type is Condominium
A a Family Residential L• AgrrcrtlWral 1 ~ Communrry Service 9. New Construclwn on Vacant Land
2 or 3 Femlty Rtnrdential F Cannrcreisl ] : IndusMal t aA. Progeny Located wlthrn en Agnaltural DlsVlct
Residential Natant Land G Apenmem Il _ Public Serviar 70B. Buyer recrvetl a disdasure notice indicating
Non-Residential Vacant Land H Enlenainment I Amuslanenl L i Forest that the progeny is in an Agricultural Disbicl
SALE INFORMATION , / 15. Cheek one or moro of these condNlone ae applleabla to tronshr:
h 17. Sale Colrb'act Date / ~ A I Sale Belwlren Relatives a Former Ralaltves
car L; Sab BeMreen Ralakld Companies br Pa1NCro in Business
C One of the Buyers is also a Seller
tz. Dato of Solo I Tranafar i / ~o~ J D l Buyer [x Seller la I;ovemmem Agenry or Landing InsltNlion
Nmm ony ~ Deed Typa not Wartanly or Bargain errtl Stile ISpedty Beknr 1
F ~ Sale of Fractanal or Less than Fee Interest (Speedy Below )
73. Full SaN Prln I I r fJ ~ G ' Significant Chango in Property Between Taxable SIGNS end Stile Dates
yv ~ J ~ ~ y r. ~ • U I FI Sale of Buslness is Included in Sale Pnce
(Full Sale Pdea rs the total anltwm paW 1'a the property Inctutlirg personal property. 1 Odler Unusual Factors Afiactirlg Sale Pdce (Spedty Bekwr )
This payment may 6e in tiw form W wsh, alhor properly or goods. or tho assumption of ] ~ Nano
mortgagee ar odler ablgationa-) Phase rourM to clearest whole doasrgmounr.
7 a. Indleale the value of paroonal I U n
property Included In eke sak - ~ _ _ _ _
ASSESSMENT INFORMATION -Data should reflect the latest Final Assessment Roll and Tax Bill
78. Year of AseesemsM Rall from ty, Tohl Aaesssotl Value (of all parcels In 4aneforl. , I
whlbh llrfonnalion fak^m ` -f'~ y
18. Property Class , Ol ~ uJ-U 7B. lkchad DlstrMt Namo L_ ~ V `J I
20. Ta: Map Idantlflar(a) t Roll IdenWlar(a) (N moo Than Tour, attach epee! wkh additlonal Itlentlflarya) )
(J - I~oo S-DSO 6- ~ L-ISr I -i
I ~ I
CERTIFICATION
1 prtNy tlr¦t ¦a o1 tlr Imrru a1 Mmnmtisn enmrad an Ihh lane en Irrro end oorroot Ito aro 6o¦t d my knewl¦da¦ ¦d MY¦1) rd 1 urld¦nt¦rd drst tM makkra of cry vvlltlel
lelo smmnmM of mamrlel lest Imroln war srmloot reo w W yaaehlonr d eko IM¦!1 law ralsWo m dro maklrra tied mlrg d Ioloo Irmer¦rwrrea
1 SELLER SIGNATURE BUYER CONTACT INFORkWT10N
i
(Emir i~rnm:a5m tar rw boyar. hbu: rf d.yer a LLC. aodab. aswcietm, r+rPrx¦rlorl. pre rmd.
company. CXRxr ar mnry nut a not an nmm~ual .pets ur hlwiary. ann a nnnlo artl otlnrau raorrrletlon
_ . I of an iMivHaN,'mapmelnN parry who rxrl arremr queanns mpama~ Cw tromlm must ba arxerW.
ssurxs ' L aA;E yyPa xpdnt el¦arly.)
B SIGNATURE
~ /O / /d -I------• -
rA.vi vArt wxsr xArt
• R'sicxA~ wa I
BUYER'SATTORN r~/ ~ ;_~,vp~~p~R
~ n2'rNrF ^ ~j~FIRSTNAr~ STREETNIIaBEA SIIIEET:UYI'e
LX J~aE J_ ,Er~I~tmF'N'a«R'~ • I
I I
NEW YORK STATE I enr oRTOwA srAllr nF moe
COPY