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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 09/04/2014
Number of Pages: 5 At: 03:56:26 PM
Receipt Number : 14-0116755
TRANSFER TAX NUMBER: 14-03383 LIBER: D00012787
PAGE: 549
District: Section: Block: Lot:
1000 097.00 02.00 019.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $570,000 .00
Received the Following Fees For Above Instrument
Exempt Exempt
.Page/Filing $25.00 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 $2,280 .00 NO Comm.Pres $8,400.00 NO
Fees Paid $10, 940.00
TRANSFER TAX NUMBER: 14-03383
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
a nF27
Number of pages RECORDED
2014 Sep 04 03:56:25 Ptl
JUDITH A. PASCALE
This document will be public CLERK OF
record. Please remove all SUFFOLK COUNTYOi27??
Social Security Numbers --, r P L DOO012
549
prior to recording. DT# 14-43383
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recofding•/Filing Stamps
3 FEES
Page/Filing Fee /„ Mortgage Amt.
l(J 1. Basic Tax _
Handling 24. OQ 2:Additional Tax
TP-584 Sub Total
Notation Spec JAssit.
or
EA-52 17(County) Sub Total_ Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. _
Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax -oZ� g 0=
Affidavit �, ' Mansion Tax _
Certified Copy The property covered by this mortgage is
or will be improved by a One or two
NYS Surcharge 15. 00 Sub Total family dwelling only.
Other YES or NO
Grand Total If If NO, aopnate tax clause on
age ' is instrumept.
JOoa
4 Dist. 14021495 loon 09700 0200 019000 5 Community Preservation Fund
Real Property PTS I I�IIIIIII����VIII If�I lail ILII II��IIII II� Consideration Amount $ •°
Tax Service R VIT A 1 I
Agency 21-AUG-1 CPF Tax Due $
Verification
—_
6 Satisfactions/I7ischarges/12eIeases List Property Owners Mailing Address Improved
RECORD&RETURN TO: Vacant Land
s s,
C)E-A, I+ �c.�r� TD 10
TD
-J; c_l.cad e N J 1 9 3 TD
tMail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901
W".Suffolkcountyny.gov/clerk Title# G.1 `t —7v
8 Suffolk County Record in & Endorsement Page
This page.forms part of the attached E E u made by:
i (SPECIFY TYPE OF INSTRUMENT)
" ' c,�. `"� S '.F T. The premises herein is situated in,
c l o 3, 61 , 1 `R-r 7 y SUFFOLK COUNTY,NEwYORK.
TO In the TOWN of
In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED 012 PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12,D/D4..10/08kk
(over)
Nrgain and Sale,Deed with Covenants against Grantor's Acts
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD
BE USED BY LAWYERS ONLY
-r!z
THIS INDENTURE, made the day of r- Two Thousand Fourteen
FREDERICK G.SEIFERT,JOHN G. SEIFERT AND PETER SAWICKE
875 Eugenes.Road
Cutchogue,New York party of the first part,
AND
JEROME KOHN AND GERARD HOOLAHAN,
404 E. 55" Street V i�''
Apartment 13E
New York,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: 097 . BLOCK: 02 LOT: 019
SAID PREMISES KNOWN AS: 875 EUGENES,ROAD, CUTCHOGUE, NEW YORK
BEING AND INTENDED TO BE of the same premises as acquired by deed dated July 20, 2005 and recorded July
26, 2005 in Liber 12399 page 823.
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 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:
FRERIC1SEIFERT
JO N G. SEIFERT
0 4
TER SAWICKE
by F,-eaerlc K
STATE OF FLORIDA, COUNTY OF ss: Outside NYS
On the day of 2014, beforendersigned,personally appeared
Ie U
personally known to me or proved to me on t asis of satisfactory evidence to be the individual whose name is
subscribed to the within instrument an nowledged to me that he/she executed the same in his/her capacity,that
!du 1�c
by his/her signature on the instru t, the individual, or the person upon behalf of which the individual acted,
I
such
individual
idual made
0
17Florida.executed the instrument, an at such individual made such appearance before the undersigned in the County
of State of Flori
Notary Public
STATE OF NEW YORK,COUNTY OF SUFFOLK:
On the day of '�� Jau 5 i— 2014, before me, the undersigned, personally appeared
FREDERICK G. SEIFERT
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 he executed the same in his capacity, and that by
his signature on the instrument, the individual,or the person on behalf of which the individual acted,executed the
instrume
KUMOWS)Q
Notary Public J N,111-'Y Public,state of New York
No.01KO4870006
V' Cxk-�jfiqd in S&otk Couln ,,8
Comm.Exp. 2,20
STATE OF NEW YORK, �OUNT OF&(i�lk
On the ICSlik day of /+,-, 2014, before me,the undersigned, personally appeared
JOHN G. SIEFERT
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 he executed the same in his capacity,and that by
his signat U on the instrument,the individual,or the person on behalf of which the individual acted, executed the
instrumenj.
M.\
Notary Publi
F )"v
CL
9 -7-7 S Q�
fl--i IN
Chicago Title Insurance Company
TITLE NO.C14-7474-15535-SUFF
SCHEDULE A-1 (Description)
Amended
ALL that certain plot, piece or parcel of land, situate, lying and being at Cutchogue, in the Town of Southold, County of
Suffolk and State of New York, being bounded and described as follows:
BEGINNING at a point on the northeasterly side of Eugene's Road distant 929.36 feet southeasterly from the corner
formed by the intersection of the southerly side of Main Road (N.Y.S. Route 25) and the northeasterly side of Eugene's
Road;
RUNNING THENCE along land now or formerly of &J Nicolini, formerly of Ahlers,North 26 degrees 48 minutes 40
seconds East, 159.35 feet to land now or formerly of G.R. and P. Watson, formerly land of Doroski Estate;
THENCE along said land of Watson, formerly land of Doroski Estate, South 64 degrees 29 minutes 00 seconds East,
100.03 feet to land now or formerly of I. and R. Strimban, formerly Mullen;
THENCE along said land now or formerly of Strimban, formerly Mullen, South 26 degrees 48 minutes 40 seconds West,
161,61 feet to the northeasterly side of Eugene's Road;
THENCE along said northeasterly line of Eugene's Road, North 63 degrees 11 minutes 20 seconds West, 100.00 feet to
the point or place of BEGINNING.
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 parry of the first part, of in and to the land lying
in the street in front of and adjoining said premises,
SCHF,DULEA-1 (Description)
' ftt INSTRUGCTIONS(RP-6217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY ( r�1" I 1 I Now York State Department of
Cf.SWS code tJ ( Taxation and Finance
C2.Date Deed Recorded I / N / I 1 I office of Real Plnperty Tax Services
^^� ' oft Twr RPw 5217-PDF
C3.Book I I `Y ,,FJ,' CO.Page 15,L/ ,�I , , I Real Property Transfer Report(8110)
PROPERTY INFORMATION
1.P-PWV 675 Eugenes Road
Locotierh 'STREET rA.MBEor 'STREET NAW_
Southold 1 ) 9 rsa
•C.TIORTOM V.LAdE •ZPCooc
2.Buyer Kohn, Jerome
Name
•UST XAYErCCYPAW FRET NAME
Hoolahan, Gerard
1S'NA„eoCONIPA10 FIRST Wm'
3.Tax Indicate where future Tax Bills are to be sore
ellling y other than buyer address(at bottom or form) LAST SAYERLwPAW rpsT t.K
Address
STREET MJ RMC WNE Cdf OR TOM STATE Zt CODE
4.indlcam the number of Ase swotPan of a Parol lordly d Part of a Parcel)Check as they appy:
Roll parcels transferred an the deed LAP of Parcels OR 4A.Planning Boom with Subdlwaon Authority Exists (�
6.Dead X QR Q`( a �b 48.SubdWFalon Approval was Required for Transfer L'r
Property •FRCP FEST •CEPTR '.shL9
Sim 4C.Parcel Approved for Subdivision with Map Provided
Seifert, Seifert, Frederick G. S Jahn G.
a.Sell" •LAST wwFA.'OYPNlf (RSI GAME
Name Sawicke, Peter
LAST RAM COMPAW FRET NAVE
h.Seloot the description which most accurately describes the Check the boxes below as they appy:
we of the property at the time of sale: S.Ownership Type is Condominium El
A.One Faintly RtKidentlal S.New Construction on a Vacant Land Q
10A.Property Located within an Agricultural District
108.Buyer received a disclosure nodoo Indicating that the property is in an
Agricultural District
ISALE INFORMATION 15.Check ono or more clithose conclithords as applicable to transfer:
A.Selo Between Relatives or Former Relatives
If.saw Conant oew 06/27/2014 B Sete between Related Companies or Partners in Business.
C.One of the Buyers is also a Seller
12.Date of 9aleRrsnsfer ( D.Buyer or Sailer is Government Agency or Lending Institution
E.Died Type not Warranty or Sargon and Sale(Spectry Below)
F.Sale of Fractional or Less than Fee interest(Speoty Below)
•13.Full Sale Price "•7 (' pOG3 .00 G.Sigrificant Change in Propehty 8otween Taxable Status and Saw Dates
H.Sale of Business is Included in Sale Price
I Full Saw Price is the taws amours paid far the propeky Including personal Property. 1.Other Unusual Faidem Affecting Salo Pnce(SperAy Below)
This payment may be in Ore form of cash,other property or goods,or the assumption of HJ.None
morleag rs or other obligations.)Pwase round to the nearest whole dollar amours
Cammam(sI on Condition:
14.Indicate the value of personal ,00
property Included In the axis
ASSESSMENT INFORMATION-Data should talked the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from which in(armxtlon taken(YY)_) 4 C5 ',J ,.
'1a.property Class _0_ 1 0 _ •19.School District Name 7^•�3 l?i z 4-,^Y♦"I C o r 0.1,
120.Tax Map Idondbdsyftll IdontMer(s)fit more than four,attach sheat with addtibnel ktenttilee(s))
torso Q$7.00 a400 C5tIll.Irmo
CERTIFICATION
I Certify that a9 of the Items of I he Teflon entered on this form are We and correct(w the host of my,knowledge and belief)end I understand that the making of any willful
false statement of mawrisl fact herein sub)ect me to the IlrovlslgnRgtMLOOOal.iaw,relative to the making and filing of(also Instruments.
$ BUYER CONTACT INFORMATION
tf:. i h onw ler Cow buyer.Nce if"roe I.W.soaee.oaoos'ran.Cooperation.lorh Sick Company Race or
.T,antl a rad Sn incer4ur agent Cr aeucery.new.S..Pra Mei(Cows vii—anon of an,ne nd.wevlpenaMe
Far,wo/*eta/�,�M aa,�niev�--
quoW��anod,YOpa drip LM aMaw mm be entered.Type M prim Cindy)
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@1L ER'SATTORNEY
Doty, Deborah
-ASI V WL RRST WWF
(631) 734-6648
AREACOOE TELSWONENUMBER1.90M1