HomeMy WebLinkAboutL 12737 P 835 11111111 IIII IIIII IIIA VIII VIII VIII 11111 Illll IIII Illi
111111 IIIII IIIII IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED i��Li�E E5 `a �. Recorded: 07/25/2013
Number of Pages: 4 At: 11:09:38 AM
Receipt Number : 13-0090954
TRANSFER TAX NUMBER: 12-28886 LIBER: D00012737
PAGE: 835
District: Section: Block: Lot:
1000 097 .00 03.00 013. 001
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0.00
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 $0.00 NO Comm.Pres $0.00 NO
Fees Paid $255.00
TRANSFER TAX NUMBER: 12-28886
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Fi ❑2
Number of pages RECORDED
2013 Jul 25 11:09:33 AN
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNT/
record. Please remove all L D00012737
P 835
DT# 12-28886
Stamp Recording/Filing Stamps
Page/Filing Fee v�p Mortgage Amt.
l 1. Basic Tax
Handling 20. 00• 2. Additional Tax
TP-584 S Sub Total
Notation SpecJAssit.
or
EA-52 17(County) S Sub Total S Spec./Add.
EA-5217(State) l a 5 TOT.MTG.TAX
Dual Town Dual County_
R.P.T.S.A.
n, Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit ��(Y� IRS Mansion Tax
�l The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15, 00 5family dwelling only.
Sub Total YES or NO
Other
Grand Total SS If NO,see appropriate tax clause on
p of this instrument.
4 1 Dist. 13019458 1000 09-ioo 0300 013001 5 Community Preservation Fund
Real Servic;e R POaPOL A
PT S13 70/ Conside tion Amount $
Tax Service
Agency 2 ( CPF Tax Due $ `�
Verification;- �_ __�— —
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO- Vacant Land
TD
/o
—17 TD
vekAUab',N kj 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#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached J ems` WG E faz made by:
/
(SPECIFY TYPE OF INSTRU ENT)
The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of _::�007H0Z7
In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12mm..1o/oa`x (over)
—Quitelnim Deed—Individual or Corporation(single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE,made the t `e day of I"`a t, in the year W13
BETWEEN
Tilli M.Szymczak residing at 1270 Skunk Lane,Cutchogue,New York 11935 I
parry ofthe first part,and
Eileen Sayre,residing at 1305 Leeward Drive,Southold,New York 11971
parry of the second part,
WITNESSETH,that the party of the first part, in consideration of$00 paid by the party of the second part,does
hereby remise,release and quitclaim 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
See Schedule"A"annexed hereto and made a part hereof
Subject to a life estate for the use and enjoyment of Tilli Szymczak for the balance of her natural life. Further
provided that should Tilli Szymczak vacate the premises for more than 90 consecutive days, said life estate will
terminate.
Being and intended to be,the same premises conveyed to the party of the first part by deed from Anna B.Doroski as
devisee under the last will and testament of Adam V.Doroski,deceased,dated/D�ecember 16, 1983 and recorded on
December 29, 1983 in Liber 9484 page 71. Add )c,) L�BFR 1038 /7
/ 6c /O S
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
party of the second part forever.
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 con-
sideration 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.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF:
Tills M.Szymczak
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State ofNew York.County ot'Suffolk,ss: State Of New York.County of ss:
maq
On the (1(ti day of�&f"MH-in the Year 2013. before me, the On the day of in the year
undersigned,Personally appeared Tilli M.Szymczak undersigned,Personally appeared before me, the
,Personally known to me or proved to me on the basis of
satisfactory evidence to he the individual(s)whose name(s)is(are) personally known 10 me or proved to me on the basis of
satisfactory evidence to be the individual(s),whose name(s)is( re)
subscribed to the within instnInlent and acknowledged to me that subscribed to the within instrument and acknowledged to me th a
he/she/they executed the same in hiS/her/lheir capacity(ics).and that
by his/hcritheir signatu h.n'he'nstNmqlt,,the individual s he/she/they executed the same in histher/their capacity(ics), at
---,-thcpeisonuPoflbchalfibf,W-l��'IcTlrl by his/her/their si nature(s)on the instrument, and that
,v ich the individuaf�s�act�a:'. c.tcd h the individual(s).or
instru 0S d the person upon 8
HELEN J.Rosril_um HELE A ENR instrument. behalfofwhich the iridividual(s)acted,executed the
WARY PUBLIC.SfATI.OF NEW YORK STATE� E W
y',fil Fbi C .,,NTv.1%,0
SUFFOLK CCIT4 61, S � F
*f
ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK
TAKEN IN NEW YORK STATE
STATE
State of New York,County of ss: *State of
On the day of in the year ,County of ss:
I befo re me, the *(OF insert District of Columbia� Territory, Possession
undersigned. a Notary Public in and for said State, personally County) or Foreign
appeared [he
subscribing wimess to the foregoing instrument, with whom I am, 'On the day of in the year before me the
personally acquainted.who,being by me duly swom,did depose and undersigned Personally appeared
say(hat he/shchhey rciide(s)in
Personally known to me or proved to me on the basis ofsatisfaclory
(ifthe Place ofmsidence is in a city,include the street and street number ifany,thereof): evidence to be the individual(s)whose name(s)is(are)subscribed to
that he/she/they know(s)
the with i'n instrument and acknowledged to me that he/she/they
foregoing executed the same in his/her/their capachy(jes), that by hWher/their
to he the individual described in and who executed the signature(s)on the instrument,the individual(s)or the Person upon
instrument;that said subscribing witness was present and saw said bchalfof which the individual(s)acted,executed the instrument,and
execute the same:and that said witness at the same time subscribed that such individual make such appearance before the undersigned in
hisiher/their name(s)as a witness thereto the
(add the city or political subdivision and the state or country or other
Quitclaim Deed place the acknowledgement was taken),
SECTION
BLOCK:
Title No. LOT,
COUNTY OR TOWN:Southold
TO
RETURN RV MAIL TO:
Rosenblum,Esq
He
1 287 F-'M.,n
ve
[h w York I l go,
DISTRIBUTED BY
Ifelen J.Rosenblum,Esq.
"/1*VA/** 1287 East Main Street
YOUR TITLE=EXPERTS Riverhead,New York 11901
The Judicial Title Insurance Agency LLC
-j
8 800 1_Tl,
00-281-TITLE(8485) FAX.-800-FAX-9396
Schedule "A"
/187
BEGINNING at a point on the westerly side of Skunk Land distance 17.69 feet southerly from
the corner formed by the intersection of the westerly side of Skunk Lane with the southerly side
of the Main Road (NYS Route 25) said point or place of beginning being the southeasterly side
of the corner of land now or formerly of Szymczak;
THENCE South 0 degrees 05 minutes 50 seconds West along the westerly side of Skunk Land
90 feet to land now or formerly of Miraglia;
THENCE North 78 degrees 18 minutes 40 seconds West along last mentioned land 200.00 feet;
THENCE North 0 degrees 05 minutes 50 seconds East still along last mentioned Iand40 feet to
land now or formerly of Szumczak;
THENCE South 78 degrees 18 minutes 40 seconds East along last mentioned land 200.00 feet to
the westerly side.of Skunk Lane at the point or place of BEGINNING
S,7vOT.� �Y/
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T ��Tcf/o�Sv� S`� Jr�F �c 1,J D
,� a
Tole,
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM.
INSTRUCTIONS: http:/AYww.crps.state.ny.us or PHONE(518)474-6450
FOR COUNTY USE ONLY ' -7
C1.SWIS Code I`T/ .3,S RS NekrLwREAL PROPERTY TRANSFER REPORT
�'1 1 STATE OF NEW YORK
C2.Date Deed RecordedSTATE BOA
I O 1/�� / ►,J I RD OF REAL PROPERTY SERVICES
w RP As 5217
C3.Book C4.Page I (�13 I — RP4217 Rav 3W
PROPERTY INFORMATION Cy /
1.Property //E:9 70 �J,-I),jX A N
=adrs
LoeSIRCCT NUMBC BTREET NAME
I
7
Cl/[7
c"GR MANS- VILLAGE MCGDE
2.Buyer I -"5 yew- I
Name LMTN ICGMPANV FIRST'
I I I
LAST NAME I COMPANY FIRST NNE
3.tax Indicate whore future Tax Bills am To be earn
Billing if other then buyer addross lot bottom of folml I I I
Address LAST NwNE I COMPwYT r IRST NAME
I I I I I
STREET NUMBER AND STREET NAME ISIY DR TOWN STALE Zr CODE
4.Indicate the me Than of Asessemem ` E] Part
B Part of a Parson Check as they apply:
Roll psxsIn wamfwmd on the deed I I a of Parcels 011 Part or a Parcel ❑
UL Planning Board with Subdivision Authority Exists
B Dead V411.Subdivision Approval me Required for Transfer
P-Pody I r FEET I X I I ORI a
•DEFTH S I 4C•Forest Approved for Subdivision with Map Provided ❑
Rica
6.Sellar I ..=yi ez'q I _71-441
41 M I
Name LAT NAME/COMPANY rust nwMC
I I I
LAST MINE ICOMPANY FIRST NAMF
7.Check the box below which most accurately describes the use of the property at the time of eefe: Cheek the boxes below as they apply.
S.Ownership Type is Condominium
ArOno Family Residential K Agricultural 1 Community Sorvico 9.New Construction on Veram Land
B2 or 3 Family Residential F Commercial J Industrial 10A.Property Located within an Agricultural District
CResidential Vacant Land G Apartment K Public Service 10B.Beyer received a disclosure notice indicating E]DNon-Residential Vacant Land H Entertainment l Amusement L Forest that me property is in an Agricultural District
SALE INFORMATION 15.Check one or mom of Theca conditions o applicable,to transition.
11.gale Convect Dm I / / I A Sala Between Relatives or Former Relatives
MLRxh Day year R Sale Between Related Companies or Partnere in Business
L� C Ona of the Buyers is also a Seller
12 Data of Selo/Transfer I J / jq / 3 I D Buyer or Seller is Government Agency or Lending Institution
Month Bey Year Is Deed Type not Warranty or Bargain and Solo(Specify Bolowl
F Sale of Fractional or Lw than Fee Interest(Specify Below)
+ G Significant Change in Property Between Taxable Status and Seto Dates
12.Full Sale Pries Iy R 0I 1 f Selo of Business is Included in Sale Price
e
(Full Sale Price is the total amount paid Its the property including personal property. I Other Unusual Factors Affecting Sale Price(Spedfy Below)
This payment may be in the form of cash,other property or goods,or the assumption of J None
mortgages or other obligations.) Please round to the nearest whole dollar amount 64
14.bidlou the value of paraoral r 0 0 I
property Included in the We e
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16•Year of Assessment Roll from
which irdorm&Non taken �J 17.Total Assessed Value Id all poreels In tmaderl I IfI
1B.Properly pass I� �I—L—J 19.School Dirbiall Name
20.Tex Mop IdentMwlsl I Rog Identifier al IN mon then four,avach shoat with additional idenffiods)l
- 3 - Ui 3.ovi I I 1
I I I I
CERTIFICATION
f certlly 1hu1 all or Me item,or information entered cm this from are true and nmact Ito the lest rrf my kmmIDdge and bLiiefl and I understand Ihut the making
of any willhd fuLve 4atement at material feet herein will sublIecl me to the prolidmts d the penal low relulhe to the making and filing or faLw i.Mm mmts.
BUYER BUYER'S ATTORNEY
BUYER SIGNATURE —V UST NARK 1-1451'NAME
11I1N2T NUMBER snEET NAME IAFLER RAL61 ARC&CGDE TCLCPINDW NUMBER
73)1)7h'y � I /��I 1147,21
err DR Towel srATE ZIPtxxx:
SELLER -- [:NEjWY0RK STATE
-t ��,
rru L -�"G �--
ATLME s /y/3 COPY
BELIER BgMBgN