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Home My WebLink AboutL 12730 P 841 11111111 IIII IIIII IIIII IIIII IIIII IIIII IIIII Illll IIII IIII 1111111 flfll IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 05/24/2013 Number of Pages: 3 At: 09:28:58 AM Receipt Number 13-0062395 TRANSFER TAX NUMBER: 12-23494 LIBER: D00012730 PAGE: 841 District: Section: Block: Lot: 1000 022.00 01.00 014.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $15.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $250.00 NO TP-584 $5.00 NO Natation $0.00 NO Cert.Copies $5.00 NO RPT $60.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $380.00 TRANSFER TAX NUMBER: 12-23494 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALS County Clerk, Suffolk County , ~ ~ ?1 ?2 Number of pages 3 ? t?EOOF.GEtr` . 013 May _4 09;'5.58 AM JUDITH A, PASG~ALE CLEF.K OF This document will be public 5LlFFOLI~ COUNTY record. Please remove afl L l:~o~,oi~rao F' 541 GT# 12°23454 Stamp Recording / Filing Stamps Page /Filing Fee ~ Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax _ TP-584 J Sub Total Notation Spec./Assit. or EA-52 17 (County) a~ S Sub Total ~ Spec. /Add. EA-5217 (State) dSO TOT. MTG. TAX % / Dual Town Dual County R.P.T.S.A. 1111L $ Held for Appointment Comm. of Ed. 5. 00 ~ ~ Transfer Tax i~,,, ~ Mansion Tax Affidavit ~ ~ The property covered by this mortgage is Certified Copy S or will be improved by a one or two NYS Surcharge l5. 00 3~fJ family dwelling only. Sub Total YES or NO Other ~j Grand Totat ~ ~p ~ ~ If NO, see appropriate tax clause on page # f tlti instrument. rs 4 Dist.lo~ 13013812 looo o2zoo 0100 014000 000 5 Community Preservation Fund Rent Property 2 MAY 1 I~IIllllllll{Ifll~llllllllllllllll~~IIIIIII~~II~I Consideration Amount $-o_ -0- Tax Service Agency CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land R TD 10 LARK & FOLTS ESQS PO BOX 973 TD CUTCHOGUE NY 11935 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Com an Information 310 Center Drive, Riverhead, NY 11901 Name N/A www.suffolkcountyny.gov/clerk Titte # N A g Suffolk Count Recordin & Endorsement Pa e This page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) ANDREW W. DZENKOWSKI The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of Southold ANDREW W. DZENKOWSKI and In the VILLAGE JESSICA MARIE DZENKOWSKI or HAMLET of East Marion BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. i:-aia_ioroau {over} 'Page• 1 of 3 Form 8002 -Bargain and Sale Deed, wish Covenant against Grantor's Acts -Individual or Coryorauon (Single Sheet) CONSULT YODR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. NO N.Y.S. REAL ESTATE TRANSFER TAX REQUIRED THIS INDENTURE, made the 15th day of May , in the year 2013 BETWEEN ANDREW W. DZENKOWSKI, residing at 1000 Cedar Drive, East Marion, New York 11939 party of the firstpart,and ANDREW W. DZENKOWSKI and JESSICA MARIE DZENKOWSKI, his wife, residing at 1000 Cedar Drive, East Marion, New York 11939 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 re]ease 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, known and designated as Lot Number 13 on a certain map entitled, "MAP OF AQUAVIEW PARK AT EAST MARION", filed in the Suffolk County Clerk's Office on July 30, 1971 as Map No. 5621. BEING AND INTENDED TO BE the same premises conveyed by deed dated March 12, 2012, and recorded in the Suffolk County Clerk's Office on March 21, 2012, in Liber 12688 Page 248. TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting fhe above described premises to the center lines thereof; TOGETHER with the appurtenances and all [he 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 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 cos[ of the improvement before using any part of the total of the same for any other purpose. The word "party" shalk be construed as if i[ 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. [N PRESENCE OF: v~ ` Andrew W. Dze owski Page 2 of 3 s- . ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York County of Suffolk , ss: On the 15th day of May , in the year 2013, before me the undersigned, personally appeared ANDREW W. DZENKOWSKI, 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} rapacity(ies), 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. ~ Q l~tJr+GCR [.9 Notary Public PIAABARA DIAi~idtr puppc, 01 Nrrw York No 01 I1895190.3uMok Camrrdssbn E~Irea lkl 31, ~ y ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York County of , ss: On the day of , in the year 20 ,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 (she) (they) executed the same in (his) (her) (their) capacity(ies), 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. Notary Public ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN IN NEW YORK STATE State of County of , ss: On the day of , in the year 20 ,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) (they) reside(s) in ;that (he) (she) (they) know(s) to be the individual 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) (their) name(s) as a witness thereto. ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE `State of County of , ss: ' (or insert District of Columbia, Territory, Possession or Foreign Country) On the day of , in the year 20 ,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(ies), 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. BARGAIN AND SALE DEED RETURN BY MAIL TO Title No. LARK & FOLTS ESQS ANDREW W. DZENKOWSKI PO BOX 973 CUTCHOGUE NY 11935 To ANDREW W. DZENKOWSKI and JESSICA 1vIARIE DZENKOWSKI Oistrict: 1000 Section: 022.00 Block: 01.00 Lot: 014.000 S~afy-er Town: Southold Distributed By Chicago Title Insurance Company Page 3 of 3 YLCA.IC 1 it~C UK YKCtiii hIKMLi WKCN WKI I INIa UN FORM INSTRUCTIONS {RP-5217-INS): www.orps.sfate.rry.u6 FOR COUNTY USE ONLY • C1. BWIB Code New York State DepaRMerlt of Taxation and Finance C2. Data Dead Ree:otded S / 2 / ORce a Real Property Tax Services '7 ~ 2 av RP- 5217 ' C3. Book I 1 ~C~ , 1 r J~O I C0. Pape 1 Reel PropeAy Transfer Report (8170) PROPERTY INFORMATION f•P'~'bl 1050 I Southern Boulevard I Locetlon ~n ~_Southold I East Marion 111939 I urr n term vurae avenue z.6uyer I Dzenkowski ~ Andrew W. I . Name ~1'I rwrE ~ sun viasr ~~Dz~enkowski I J~etsstca Marie I S. Te: Indeare where Wture Tax &ts are to he aeM Bnnng it otMr then buyer address (at boeem of form) ~w~r I I Addrne 611gET rTiiEiF~'iTlff61 I Irop I ~I Indluta are number o} AaassemeM (Ony M PeR of a Pereoq Cheer ae Utey apply: Rdl percale tranefarrad on the deed I 1 I a of Paroab OR ? Pert d a Peraet Plennlnp eoartl witlt SubdNbion Auabdy Edsb ? S. Oasd IB. Subdirnebn Approval was Raqulred ter Tmwlar PrOPerty iii X L~„t~ OR I a ~ • 5 ~ 10. Paroel Approved for samiebian wlth Map Pradaed ? SW 0.s.ll.r I Dzenkowski I Andrew W. I Nemo r r~"N'r r r ~ oanma>flm~ I 7 I 7. Check the bos baba whleh most ueuratey dnedbss Uw ova of the pmpmly at the tlrw of ash: Cheek the bexee below o they appy: S. OwnareNp Type is Cddpnlnium ? A Ona FeMy Reeidentlal E AOdtadWrel 1 Commurdty Sevin e. New Construction on Vatxml Land ? B 2 a 3 FamTy Raeidenam F Canmerdal J Induetrbl 10A. property Located rdtltN an Agfxxraural Disbid ? C Reeldardial VeaM Lard G Apartrwnl K Public Servln 106. Buyer renlvad a dladoetne notice Indintlrrp ? p Non-Reelderred VanM Land H Erttortaiwrem / Amueemem L Forssl that the properly b In an ApdnlWral Diatriet SALE INFORMATION 1a. Cheek one ar more of Urses eandabne a epplkrebm m trew(er. T 1. Bab Conaaet Deb 1\ /A I / / I A Sale Bohvaen Ratatives a Famar Remtivae ~f set R Bab Boxeean Related Canpanias ar Pamrm In Busirbea C One d the &ryw- b also a Selbr 7 z. Dam W 8eb ~ TrsnsM I 5 / 15 / 13 I p Buyer or Sslbr b Government Agarwy ar Landing Instatdierr . sw E Deed Typo not Warranty a Bargain and Seb (Seedy Below ) p Bab of Ftacdorrel or Lees than Fee Iraaresl (Spaciy Below ) 13. Full Bela Prke N /A G f3grdnratt Cttertge in Property Beterean Taxable SIaWa and Sale Detee • ~ ~ ~ H Selo of Buslwes is Indrded In Bab Prln ( Full Sale Prka Is the Wml amount paid Tar Na popery Indudinp perrowl property. 1 Otlbr Unusual Fadore Affecting 3ele Rla (Seedy Below ) This payment may be in the form M nah, otMr property or goods. a are assumption of 1 Now rtwrpaaea or other oWlpaeone.) Abeae rowrd ro the nearest wlaN doaerarnormf. 1a. tndleem aro vetw of psmon¦I I N/A - ~ ~ I creation by tenancy by the entirety property Included In tlr eeb ~ ASSESSMENT INFORMATION -Data should reflect the latest Final AaeessmeM Rdl end Tax &II to Yur or M.estewm Ron from 1 2 17. Told AeeseeW Vdw (of NI (mrwle In tnw/erll~~ 1 4 0 0 I whkh lMermetlen tetcan I~J 18. PreparyClafe 31 . 1 11'U 10.8ehodDletrktNama I Oysterponds I ea. Te: Yap IdsntlNsr(a) I Roll kMntlMr(s) (N mom aren four, aWeh sheaf with sddlaorrel IdemMSr(s) ) {0 I 22-1-14 I L I CERTIFICATION 1 aAwtr IM rr a tea rtaen of Yrrareretlaa aataad an fhb tore era tnra end settees (m the ear ae r.y e.ewrea..ne eattaQ errs r ueeereterrd Mp are mMba d arty Moral rates atee.e..e of reetarlat fees hwab ado augaet M to tlra pe.l.rew et the seer bw Erww to ura melwp rr torq M trw twlrwrerrle. SELLER SIGNATURE BUYER CONTACT INFORMATION (FiAar Infomruen br 1M truyw. Nde: If er9'er ¦ LLC, radsp, eeeseellm, aapsraawr, iu:n emdr y~ ~ 15/15/13 a.~°""indwta°`°°tY~.e: oho wq"".d"w:rvop~irmYq aemsrw~r .gym °~„~aexeun+aE Andrew zen owski?"+~ iyP--rt~+rMdra BUYER SIGNATURE Dzenkowski I Andrew W. r dl..L 15/16/13 tAesrw,E rwarwtr~ eJ1Ea~TM~ Jess~Ca arse D a"~ 631 445-5405 BUYER'S ATTORNEY ze nkows k i I ~noE a++-.ameEa I R.1~Crhr,Erd F. 1000 I Cedar Drive ar1eET Mllelei emEET e"eE 631 I 734-6807 ,vro,woe tetEVrroxaxtrwera East Marion I NY I 11939 NEW YORK STATE °1YOeiOYH1 $`"'E aPC00E COPY c,