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11111111 i 1111111111111111111111111111111111111111111111 1111111 l 111111111 I I I 11111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/01/2014 Number of Pages: 4 At: 03:17:04 PM Receipt Number : 14-0100678 TRANSFER TAX NUMBER: 14-00152 LIBER: D00012783 PAGE: 365 District: Section: Block: Lot: 1000 055.00 06.00 028.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $357,000.00 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 $1,428 .00 NO Comm.Pres $4,140.00 NO Fees Paid $5,823.00 TRANSFER TAX NUMBER: 14-00152 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County as RECORDED Number of pages 2014 Aua 01 03-17:04 PN JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record.Please remove all L D00012783 Social Security Numbers P 365 prior to recording. DT# 14-00152 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES /) 0 Page/Filing Fee 2_t�,_-,__ Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-564 Sub Total Notation Spec./Assit. or EA-5217(County) `S� Sub Total 0 Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County _ R.P.T.S.A. Held for Appointment7�` Comm.of Ed. 5, Q0 Transfer Tax !a'9 Affidavit _ Mansion Tax R The property covered by this mortgage is Certified Copy ___ or will be improved by a one or two NYS Surcharge 15. 00family dwelling only. Sub Total YES or NO Other Grand Total If NO, see appropriate tax clause on page# of this instrument. as-1 9 4 pi' 028.000 5 Community Preservation Fund 14019330 1000 05500 0600 028000 Real Pro Consideration Amount$ 357.000.00 TaAgenc x Sery T sd 11111III�N1111111111NI111Nfl1N1111N11IlIllll (GFax Due $ y� � I.PA A Verifical 3l.lu� 1 Improved 6 Satistactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant land TD O Jennifer B.Could,Esq. P.O.Box 988 TD Southold,NY 11971 TD Mail to:Judith A.Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Fidelity National Title Ins. Services www.suffolkcountyny.gov/clerk Title# F14-7404-94460-SUFF 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFYTYPE OF INSTRUMENT) Bruno Jelenkovic and Laura Jelenkovic The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Daniel J.Lillis In the VILLAGE or HAMLET of Southold BOXES b THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the day of July in the year 2014 BETWEEN Bruno Jelenkovic and Laura Jelenkovic 675 Maier Place Southold,NY 11971 " , , party of the first,pgt,,and Daniel X.Lilllsr,. ti',.4Jr,nfe•I. v.t', i c :{ nr„ 265 Inlet Lane Greenport,NY 11944 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,with the buildings and improvements thereon erected,situate,lying and being in the SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF. BEING AND INTENDED TO BE the same premises as described in deed made by Maria Ugricich,as surviving tenant by the entirety,recorded 12-06-95,in Liber 11753 page 68 in the Suffolk County Clerk's Office. 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 pan 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 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 pats 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. IN WITNESS WHEREOF,the party of the first part has duly executed 'this ldeed the {�tday and year first above written. IN PRESENCE OF: J� //C�-� B-rruunno Jelenk/�_ iic Laura Je kovic USEACKNOWIEDGMENTFORMRELOWWITHINNF.WYORKSTATEONLY.• USEACKNOWLEDGMENTFORMBELOW%Tr7nNNEWYORK STATE OAK State of New York,County of Suffolk )ss.: State of New York,County of Suffolk }ss.: On thep"1Sday of July in the year 2014 On theo7Sday of July in the year 2014 before me,the undersigned,personally appeared before me,the undersigned,personally appeared Bruno Jelenkovic Laura Jelenkovic personally known to me or proved to me on the basis of satisfactory 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 evidence to he the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that helshe/they executed within instrument and acknowledged to me that helshe/they executed the same in his/her/their capacity(ies), and that by his/her/their 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 signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,exeeu he instrument. behalf of which the individual(s)acted,executed the instrument. Notary Public ROBERT DE FRES Notar—y Public ROBERT DEFRESE Notary Public State of New Yak Notary Pubhc State of New York No.OtDE5035717 No.DIDE5035117 o Quakled in Suffolk,County Qsion E p Suffolk ober 24 Comrnission Expires October 24,2014 Commission Expires October 24,2014 %r,. . ACKNOWLEDGMENT FORM FOR USE WrTHINNEW YORK STATE ONLY ACKNOWLEDGMENT FORMFOR USE OUTSIDE NEW YORKSTAT EONLY: lNew York Subscribing Witness Acknowledgment Certificate/ lOut of State or Foreign General Acknowledgment Cenificatel State of New York,County of }ss.: .......................... } (Complete Venue with State,Country,Province or Municipality) On the day of in the year before me,the undersigned,personally appeared On the day of in the year before me,the undersigned,personally appeared the subscribing witness to the foregoing instrument,with whom I am personally acquainted,who,being by me duly swom,did depose and personally known to me or proved to me on the basis of satisfactory say that helshe/they reside(s)in t r, 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 (if the place of residence is in a city,include the street and street number, the same in his/her/their eapacity(ies).that by his/her/their signature(s) if any,thereof);that helshe/they know(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 to be the individual described in and who executed the foregoing made such appearance before the undersigned in the instrument;that said subscribing witness was present and saw said execute the same;and that said witness at the same time subscribed (Insert the city or olher political subdivision and the state or couniry or his/herAheir name(s)as a witness thereto, other place the acknowledgment was taken). BARGAIN&SALE DEED Wirn COVENANTS AGAINST GRANTOR'S ACTS TTTLENo, DISTRICT 1000 SECTION 055.00 Bruno Jelenkovic and Laura Jelenkovic BLOCK 06.00 LOT 028.000 COUNTY OR TOWN Suffolk TO Daniel J.Lillis RECORDED AT REQUEST OF Fidelity National Title Insurance Company RETURN B MAIL TO FIDELITY NATIONAL TITLE Jennifer B.Gould,Esq. INSURANCE COMPANY P.O.Box 988 I,NCORPORATCn 1928 Southold,NY 11971 Gf�jt�,,tR Fidelity MembrrNr,r IbrR s+arr Lmut lir/r Auxdmim+ W U LL 0 Z O irO U W LL O W N ¢ O LL W U Q a ar T ¢ t- W W ur W ¢ Fidelity National Title Insurance Company TITLE NO.F14-7404-94460-SUFF SCHEDULE A-1 (Description) ALL that certain plot, piece or parcel of land, situate, lying and being at Southold, County of Suffolk and State of New York,bounded and described as follows: BEGINNING at the southwesterly corner of the premises herein described, said point of beginning being distant 640.49 feet easterly(as measured along the northerly side of a 25 foot right of way) from the intersection of the southerly line of land now or formerly of John J. Delaney with the easterly side of Boisseau Avenue,and from said point of beginning; RUNNING THENCE North 2 degrees 30 minutes 10 seconds East, a distance of 140 feet to a point; RUNNING THENCE South 81 degrees 55 minutes 50 seconds East, a distance of 100 feet to a point an land now or formerly of Rarzac; RUNNING THENCE South 2 degrees 30 minutes 10 seconds West, a distance of 140 feet to the northerly side of a 25 foot right of way; RUNNING THENCE along the northerly side of a 25 foot right of way, North 81 degrees 55 minutes 50 seconds West, a distance of 100 feet to the point or place of BEGINNING. TOGETHER with the right of ingress and egress (in common with others) over said 25 foot right of way from the southeasterly corner of the premises westerly about 740.49 feet to Boisseau Avenue, said 25 foot right of way narrowing to 21.5 feet where it intersects said Boisseau Avenue. THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which by law constitute real property. FOR CONVEYANCING ONLY- Together with all the right, title and interest of the party of thefrrst part, of in and to the land lying in the street in front of and adjoining said premises. SCHEDUGEA-1 (Description) INSTRUCTIONS(RP-5217-PDF-INS):wend orps.state.ry.us FOPR COLWTY USE ONLYU^ p�! Now York State Department of C1.SWIS Coda I 1,©1, `p,�d 11 I Taxation and Finance C2.Data Dead Recorded I A / I/ IV I Office of Real Property Tax Services a°� Der T lye RP-5217-PDF CS.Book I I I C4.P.q. I�1" Real Property Transfer Report(8110) PROPERTY INFORMATION 1.Property 675 Maier Place Loestbn 'STREET NUY*FN 'atREET NANE Southold Southold 11971 CITY a TOW" vAlADE •Drs CODE 2.Buyer Lillis Daniel J. Name •LAtT—ECOWANT nun PLANE Wr N hIMOYnANr rover NNE a.Tax Indicate wlwfe Mum Tax Sift we to be$ant Silting If olfler than buyer addmsa(al ban=of hem) wr WASUCOMPAW Fater NAME Adorns 31REEINUMERARDRWE c'Tra TOvm STATE LP CODE 4.malathe e number of Assessment 1 Pan of a Pahl (Only It Pott o1 a Parcel)Check as they appy: Roll parcels transferred on the deed •of Porch OR ❑ 4A,Plwlkrg Board with Subdlwbn Authority Exists L Deed K UR 0.32 40.SubdMsbn Approval was Required for Transfer Property •PAafFEEt •orsN -ACRES Slat 4C.Parcel Approved for Subdkdsion with Map Prowded Jelenkovic Bruno g.Seller •wTNAYFr.OY- NRar NAPE Name Jelenkovic Laura LAW—6,00 0— FeaT YEYE 17.Selma the description which most aceu My describes the Check to based below Dee they apply: use of the property N Me time of sale: s.Ownership Type is Condominium A.One Family Residential g.Now ConWuctlon on a VwAnt Land 10A.Popery Located wehio an Agneusural CREW 108.Buyer received a dlselooure notice Indicating and the property w In an ❑ Agricultural District SALE INFORMATION ts.Cheek one or more of baso conditions as applicable to transfer. A.Sacs Between Ralswaa or Faum AoMbw 11.sale Contract Date 04/15/2014 B.Sols between RdOW Componl s or Partners in Busi ew C.One of the Buyers a also a Seem D.Buyer or Sears is Govmmmom Agency or Lending malsolon •12.Dab at salafTmedlor �_a?�T, E.Dead Type not Wlemedy,or Bargain and Sale(Speedy Below) F.Salo of Frocamm!or Lew than Fes Interest(Speedy Be" M2.Full Sale Prra 357,000.(X) G.Significant Changs In Property BeMMn Taxable Status and Salo Dams H.Salo of Buelnew is Included it Sale Pries (Full Sale Pries is Inc mtel amount paid for Dew property Excluding pemrdg property. 1.Omar Unusual Factors Affecting Sole Price(Speedy Be" This payment may be In The farm of cash.other Property m goods.or am awmnption of J.Now mortgaged or other obligations.)Pbesa round to dm nmiM whoa dm1wmn oust Comment(*)M Condition: 14.Indicate the value of personal 0 00 property Included In the sem ASSESSMENT INFORMATION-Data should reflect Ote latest Final Assessment Roll and Tax Bill 16.Year of A000"ment Roll Som which omrmadon taken(YY) 14 97.Tout Assessed Value 4,000 •18.Property Class 210 _ •Ice.School District Name Southold •20.Ted Nap WmmReltayRoll Idatmflor(s)(lf more than four.atteeh sheat with oddmonel dentmags)) loon-os5.00-06.00-028.000 CERTIFICATION I Carey tat all of Ns items of Infmmolon entered on this form are oua and comet(to the beat of my knowledge and beat)and I understand that the making of any willful false statement of material fact heroin subject me to the grolslons of the Banal law rel that to Ne making and filing of false instruments. SELLER SIGNATURE BUYER CONTACT INFORMATION I rDaw raanlaem Ter the buyer.Near.II"r N LLC.wosly.YudKw.eawormon,ions sleet rmnpny,aslew or amq awl h ata an iMarawl*gem w aduwry,tlwn s wnrs was wnrao.vamMea Dei N urarwwrnsponsele / z„/ nn,�.` �� 7„•LS'20I Awry TRANS uR RRRrwr q�aEaou ngemnp Der erutr mum bR RmwAd 7yp Der pram eNAdy.) ✓ SELLERaor+Av •7s+V` r BUYER SIGNATURE ATT Lillis Daniel J. W l •J , U /JAI —sA CooE •TCLCwNENUYREAn•9=6”. eUrrR SNmAfWP •aTAyi SYYwA •nAEETPLAYE T, fr laT[cnpor(' AH 94 •Cure TOIM -STATE 'P.WK I BUYER'S ATTORNEY Gould Jennifer B.AAN LAST E FIRST NAPE (631) 765-8375 I I AREA COaH TEIEFMNEN..Y*ER fEr IMrwsl I 1 1