HomeMy WebLinkAboutL 12730 P 159 111111111111 11111 IIIII IIIII IIIII 11111 IIIII IIIII IIII 1111
1111111 Iflll IIIII 11111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 05/18/2013
Number of Pages: 3 At: 08:53:30 AM
Receipt Number 13-0059743
TRANSFER TAX NUMBER: 12-22985 LIBER: D00012730
PAGE: 159
District: Section: Block: Lot:
1000 064.00 02.00 049.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $15.40 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 $5.00 NO RPT $60.00 NO
Transfer tax $0.00 NO Comm.Pres $0.00 NO
Fees Paid $255.00
TRANSFER TAX NUMBER: 12-22985
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL '
JUDITH A. PASCALS
County Clerk, Suffolk County
• ~ ~ ~ oa
RECORDED y
Number of pages ~ ~
d 13- M~ ~ 6
Judith A. ~ascaie
CLERK OF
This document will be public SIjFFOLKCOt3NTY b
r_~ ~~o f ~~L7 ~
record. Please remove all p
Social Security Numbers L_.~ _
prior to recording. ~T la _ aa~~s
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./Assit.
_ or
EA-52 17 (County) 5_ Sub Totaf Spec. /Add.
~ ~ j TOT. MTG. TAX
EA-5217 (State)
- Dual Town Dual County
R.P.T.S.A. IIJt/ Held for Appointment
' Comm. of Ed. 5. 00 ~ ~ Transfer Tax
a Mansion Tax
Affidavit
' ~ The property covered by this mortgage is
Certified Co or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total O~J S ~ If N0, see appropriate tax clause on
page # of this instrument.
4 Dist. ' - ~ ~ ' " 5 Community Preservation Fund
13013055 iooo oeaoo ozoo oa9ooo
Real Proper Co ideration Amount $
Tax Service' p T S
Verfcatio~ R DTY-A ~(III~II~IIII~I~Ill~ll~llllllll~h~II1IIIII~III CP)~ ax Due S
6-MAY 1
Improved ,I~
_ W
6 SatiSfdRtOnS/UISCnaiyeDl neiea~ercurri~No ~y-.:..,~noo,.m~~.,,y-~...vfe55
RECORD & RETURN TO: Vacant Land
TD
Wickham, Bressler & Geasa, P.C.
P.O. Box 1424 TD
lytattituck, New York 11952 TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co. Name
www.suffolkcountyny.gov/clerk Title # p~ b~7 - ~ D
8 Suffolk Coun Recordin & Endorsement Pa e
This page forms part of the attached Bargain & Sale Deed with Covenant made
by: (SPECIFY TYPE OF INSTRUMENT)
Diane Elizabeth Slavonik The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of Southold
Joseph Slavonik and Diane Elizabeth Slavonik In the VILLAGE
' pr HAMLET of Southold
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
Standard N.Y.B.T.U. Form 8002 -Bargain and Sale Deed, with Covenant against Grantor's Acts -Uniform Acknowledgment
Form 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the~day of , 2013
BETWEEN
DIANE ELIZABETH SLAVONIK, residing at 310 Old Shipyard Road, Southold, New York 11971,
party of the first part, and
JOSEPH SLAVONIK and DIANE ELIZABETH SLAVONIK, residing at 310 Old Shipyard Road, Southold,
New York 11971, party of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten and 00/100--($10.00)--Dollars, and
other good and 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 Southold, in the Town of Southold, County of Suffolk and State of New York, bounded
and described as follows: known and designated as Lot #75 on a reap entitled "Subdivision Map of
Founders Estates, situate at Southold, Suffolk County New York, made by Otto W. Van Tuyle, Engineer
and Surveyor" dated March 18, 1927 and filed in the Office of the Clerk of Suffolk County on May 18,
1927, as Map No. 834, and on said map Founded northerly by Lot #74, easterly by Old Shipyard Lane,
southerly by Lot #76 and westerly by Lot #65 and by a portion of the easterly boundary of Lot #64, being
one hundred and fifty feet (150 ft.) on the northerly and southerly boundaries and seventy-five feet (75 ft.)
on the easterly and westerly boundaries.
SUBJECT to covenants, restrictions, easements and mortgages of record, if any.
TOGETHER with all right, 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; 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 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.
1N WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first
above written.
IN PRESENCE OF: /r~/~a.~-~. ~-a..~¢s`~ .~~~v'Ce
IANE ELIZABETH SLAVONIK
f/deedSlavonik
BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN New York STATE
State of New York, County of Suffolk, ss: Sfate of New York, County of ss:
On the ~ day of in the year 2013, On the day of in the year ,
rind ersonall a eared before me the undersi ned ersonall a eared
before me, the unde s g e, p y pp 9 . P Y PP
DIANE ELIZABETH SLAVONIK
personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s) whose names} is satisfactory evidence to be the individual(s) whose name(s) is
{are) subscribed to the within instrument and acknowledged to (are) subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in hislher/their me that he/she/they executed the same in his/her/their
capacity(ies), and that by hisRler/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the
instrument, the individual(s), or the person upon behalf of which instrument, the individual(s), or the person upon behalf of which
the individual(s) acte x to the in ent, the individual(s) acted, executed the instrument.
j'N~'
(signature and offs of individual taking acknowledgment) (signature and office of individual taking acknowledgment)
Nota Public Cheryl Simon9 Nota Public
ry ry
Nota Public, State Of NewYOrk
ry No, 31-4970341
Qualified In Suffolk County
a 4 20
mission Fx fires Febru ry
Cam P
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State (or District of Columbia, Territory, or Foreign Country) of County of ss:
' On the day of in the year 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, and that such individual made such appearance before the undersigned in the
in
(insen the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken}
(signature and office of individual taking acknowledgement)
Notary Public
BARGAIN AND SALE DEED SECTION 064.00
WITH COVENANT AGAINST GRANTOR'S ACTS
~ L K 2.00
B oc o
Title No. LOT 049.000
COUNTY OR TOWN Southold
DIANE ELIZABETH SLAVONIK
TO
JOSEPH SLAVONIK &DIANE ELIZABETH Recorded at Request of
SLAVONIK COMMONWEALTH LAND TITLE INSURANCE COMPANY
RET RN BY MAIL TO:
Wickham, Bressler & Geasa, P.C.
P.O. Box 1424
Mattituck, New York 11952
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PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS (RP-5217-INS): txww.orpS.atate.ny.us
FOR COUNTY USE ONLY C~ 7 a ry' R
C7. SWIS Coda I ( ` 1 ~ a , i New York Sbb Department of
~j Taxation and Finance
C2. Dab Dead Retarded J / ~d / Oifce of Real Property Tex Services
'w RP- 5217
C9. Book ~ G. Pegs / Real Properly TTanshr Report (8M 0)
PROPERTY INFORMATION
t•p~Ryl 310 I Old Shipyard Road
Locatlon 07PEF1'F~W6
I Southold I Southold 111971 i
rxn OR TOrxrl WW.E L•P x00e
7.Buyar I Slavonik I Joseph I
Name LAB: W1Lb^/
~(S-NR7;W" FIRST NRAE
I Slavonik I Diane Elizabeth I
a41 - nxs~atl~-
9. Tex IrdMab where ftrlure Tax BIOS are to be NM
Billing tl other than 6uyar address (al botlarll of farm) ~Qrwals I naaTW~ I
Address
I 3RfE hVMBER Ar1C STNEkTNNAk I e roTm Isr~ne I zveeo: I
4. Indluh the numWr of AssessmsM ~ 1 ? (Onty H Part of a ParnQ CMek N they apply:
Roll percale eranshmd on IM dead i-`, +J a of Parcels OR Part of a Parcel all Planning Bab with Subdivision Awwdry Exists
S Deed 4B. Subdivisbn Approval eras Required for 7rensler
Prop.Ay X 7I ~ I OR a I 4C. Parcel Approved far Subdmsbn wlth MaP Provided
She
e.sener I Slavonik I Diane Elizabeth I
Name ~~xM,~~R4 Pri51
i I I
~'r'fJ17AE7rAAPA.S
7. CMek the boot below which mat aeeurataty daaerl6N IM we or tlra properly N the tlma of Nh: Chxk the bows bsbw as they apply: ?
B. Ownership Type b Condominium
A X One Famly ResWantial G Agdwllurel 1 Community Service B. New CensWCtion an VaCBM Land
B 2 a 3 Family RNidemral F Commensal 1 Industrial 10A. Property Located within an AgdalNral DwtrRx
C Roslderroal Vacant Lard G Apartment ti Public Service 108. Buyer received a disGOSUre notice indreatirlg
D NonResldenal Vacant Land Enbrtelnmem I Amusemem L Forest that the property Is In an Agdwlturel Disbiet
SALE INFORMATION 75. Cheek ono or moro of NeN eondltlona n eppllcable h trenahr.
77. Ssle Contreet Doh L T I A X Sala Between RalaOvas ar Farmer Relatives
~m~~aY 'ice B Sale Betxxten Related Compenlos or Partners In BusirKSs
~ C One of the Buyerc ie also a Salbr
7Z. Deb of Sale! Trenahr / D ~ / D Buyer or Seller is Govemmanl Agenq or Landing Instxulan
March ay E DoLM Type not Warranty or Bargain and Selo (Specfy Bolow )
F' Sale d FreCdonal W Less Ihan Foe Inbrost (Speciy Below )
SigmOmm Change m Property Between Taxable SbWS and Seb Dabs
13. Full Soh Price _i ~ a ~
~ J 11 Sale of Business is Included in Sob Prise
(Full Sele Pdm Is the total amount paid for rho properly including pereonal propory. I Other Unusual Factors Affecting SaW Prico (Specify Below )
Thrs payment may lie in lha loan oT rash, o0+er popery or goods, or the assumption of J Nae
mortgages or other obllgadans.) Pleeye round ro the n9areaf whole doyen amount.
11. Indicate the va1Lm of personal T - 0 Q I -
propony Included In the saN _
ASSESSMENT INFORMATION -Data should reflect the latest Final Assessment Roll and Tax Bill /S
16. Yser or Assasamant Roll ham. ~1w, i~ty 7otsl Assossod Value (or all parcels in trans/ar)~` ~L/ , Q
which Inhrmatlon taken`fLp~7(r/
t0. Property Class L2
1
~ J'u 79. SchoolDlstACtNama I Southold ~
20. Tax Map WemMar(s) I RWI IdantlOer(s) (H more than four, attach sheet wtlh addtllonal Idantl0sr(s) )
I 1000-064.00-02.00-049.000 ~ I I
L-... _.J I - J
CERTIFICATION
1 eerctly that alt a1 eM lama ae hdaerlletlen aMennl a lhle term ere trw and eerraet (TA tM e.se K my knewladpe end belle}) ere 1 undenuml caret the mehhq oT arty w1eNl
Ia1N elabmaet a1 materiel Tee! herein will whJeel me le the pwlabna a1 tlr pant law relmNn fs tb msalne and mine M uMn inatmmnnu.
SELLER SIGNATURE BUYER CONTACT INFORMATION
1 , ~ I (Enwr mfon:WiM rw Na 6uylr. NMe. II h.ryr a LLC, laiay, Rmatlnrnn. [aparatgn. pN aSG
r'1 comprury, eatow w anNY Na: n nd e~ inenduW seem a fgeary, tlwn a nnmo and cantaC inlw~:ra:inn
of an Indiddua'LrcspaneGe peywho inn ararsr xurs:xns rcgara np lrs aanstcrmull h anrored.
-"DiJ6Reruanl;tZa a oni rW11E Type KPrklt ClNrb.)
BUYER SIGNATURE JOSe h
e Elizabeth Slavonik - -~rS~
vonik I Fmsrrw~
X Joseph S~avonils
BU S MiE GIE
BUYER'S ATTORNEY ,IREaconE IEILPtgrcerclNBER
Wickham I Abigail A.
u:slrwrn - rlRStNRLa 310 I Old Shipyard Rd.
- STREET NYLwER BrREEr IVM1E
631 I 298-8353 I
IWE11000E rlLCPnOrSH,MBER Southold I NY I 11971
CEW YORK STATE utroaTOYN autE aocopE
COPY