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Home My WebLink AboutL 12798 P 665SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 12/03/2014 Number of Pages: 3 At: 04:28:00 PM Receipt Number : 14-0159645 TRANSFER TAX NUMBER: 14-11743 LIBER: D00012798 PAGE: 665 District: Section: Block: Lot: 1000 074.00 02.00 028.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument JUDITH A. PASCALE County Clerk, Suffolk County 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 $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 $250.00 TRANSFER TAX NUMBER: 14-11743 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2014 Dec 03 04:23:00 PM JUDITH A. PASCALE CLERK OF SUFFOLK C:O INTV L D00012798 P 665 DT# 14-11743 Deed / Mortgage Instrument I Deed / Mortgage Tax Stamp I Recording /Filing Stamps 3 1 FEES Page/ Filing Fee I= \ �j Mortgage Amt. 21. Basic Tax Handling 00 2. Additional Tax TP -584 Sub Total Notation Spec./Assit. EA 17 Sub Total S or -52 (County) 7 ) Spec. /Add. EA -5217 (State) TOT. MTG. TAX / ,� R.P.T.S.A. —uLL� Dual Town Dual County _ Held for Appointment Camm. of Ed. S. 00 Transfer Tax Affidavit + . Mansion Tax The by is Certified Copy property covered this mortgage or will be improved by a one or two NYS Surcharge 15. 00 ��%S family dwelling only. Sub Total YES or NO Other _ Grand Total 711., n— If NO, see appropriate tax clause on page # of this instrument. I 10 4 1 028.00 74033297 5 Community Preservation Fund 1000 07400 0200 028000 -----"` R deration AmoSnt $ o 2 11111111111111111111111111111111111111111111 Tax Ag NOV 1 Veri1 CPF Due - I �j ,/ „3 � l.l��-L� Improved Y �' _ 6 Sat isfadionslDischargeslReleases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land TD Anne Marie Goodale, Esq. Twomey Latham Shea Kelley Dubin & Quartararo, LLP TD P.O. Box 9398 Riverhead, NY 11901 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 Quitclaim Deed made by: (SPECIFY TYPE OF INSTRUMENT) CATHY HATZI The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of Southold HATZI FAMILY TRUST In the VILLAGE Peter J. Hatzi and Cathy Hatzi. Trustees or HAMLET of Peconic BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over NO CONSIDERATION TAX MAP DESIGNATION Dist.: 1000 Sec.: 74.00 Blk.: 02.00 Lot(s): 028.00 Quitclaim Deed This Indenture, made the 44 day of 0Jf&(/#' , Two Thousand and Fourteen, BETWEEN CATHY HATZI, residing at 8564 Yohr Court, Manassas, Virginia 20110 party of the first part, and party of the second part, PETER J. HATZI and CATHY HATZI, as Trustees of the Hatzi Family Trust, dated September 30, 2014, with an address at 8564 Yohr Court, Manassas, Virginia 20110 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, in ALL that certain plot, piece or parcel of land, with buildings and improvements thereon erected, situate, lying and being at Peconic in the Town of Southold County of Suffolk and State of New York, known and designated as Lot 27 on a certain map entitled, "Map of Peconic Homes, Section One" and tiled in the Office of the Clerk of the County of Suffolk on October 14, 1964 as and by Map #4181. PREMISES ALSO known as 1050 Henrys Lane, Peconic, New York BEING AND INTENDED TO BE the same premises conveyed to the Grantor by Deed dated May 23, 2011 and recorded in the Suffolk County Clerk's Office on May 25, 2011 in Liber D00012661 page 027 the Grantor being the same person described as the Grantee in said Deed. 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 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. n Witness Whereof, the party of the first part has duly executed this Deed the day nd year first above written. ►`!91111. 106 MIN I STATE OF \I E'6 Y OF UAAk44 WO.: u On the 2°! day of Vim'✓ in the year 2014 before me, the undersigned, personally appeared CATHY HATZI 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 she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. 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 upon behalf of which the individual acted, executed the instrument. Notary Public QUITCLAIM DEED CATHY HATZI TO HATZI FAMILY TRUST Peter J. Hatzi and Cathy Hatzi, Trustees DISTRICT: 1000 SECTION: 74.00 BLOCK: 02.00 LOT: 28.00 COUNTY OR TOWN: Southold TAX BILLING ADDRESS: 8564 Yohr Court Manassas VA 20110 RETURN BY MAIL TO: Anne Marie Goodale, Esq. Twomey, Latham, Shea, Kelley Dubin & Quartararo, LLP 33 West Second Street P.O. Box 9398 Riverhead, New York 11901 Page 2 of 2 Pages R �'t Notary Public o oNMo Andrea Morlsi ¢�'^ Fir NOTARY PUBLIC Commonwealth STATE OF ) or Virginia U OF i Reg. #159751 COUNTY OF ) ss.: 2o�1ROrN My Co mission Expires rgRy eLl Sit 241S On the day of in the year 2014 before me,,the undersigned, personally appeared 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 upon behalf of which the individual acted, executed the instrument. Notary Public QUITCLAIM DEED CATHY HATZI TO HATZI FAMILY TRUST Peter J. Hatzi and Cathy Hatzi, Trustees DISTRICT: 1000 SECTION: 74.00 BLOCK: 02.00 LOT: 28.00 COUNTY OR TOWN: Southold TAX BILLING ADDRESS: 8564 Yohr Court Manassas VA 20110 RETURN BY MAIL TO: Anne Marie Goodale, Esq. Twomey, Latham, Shea, Kelley Dubin & Quartararo, LLP 33 West Second Street P.O. Box 9398 Riverhead, New York 11901 Page 2 of 2 Pages )H WUN 1 Y USE ONLY New York State Department of C1.SWISCO& I y7, 3,�5'", g,,, `T /1 Taxation and Finance C2. Date Dead Recorded I /62 j (},3/ I Dry Yea Office of Real Property Tax Services 7 q RP- 5217 -PDF C3. Book I A, , , I C4. Page I l , l� , I Real Property Trander Report (8110) PROPERTY INFORMATION I. Property 1050 Henrys Lane Location •stivEnAawot '#TnEErwvE Southold Peconic 11958 •ewMeRTOYM MILAN •zvcow 2. Buyer Hatzi Family Trust Peter J. Hatzi, TTE Name , LAST RVAEO LVAwr FMTNN,E Cathy Hatzi, TTE LA#TNAW-COWANY nRSTNAK 3. Tax Indicate whom future Tax BillearotobeSan, Hatzi Peter •LAST NUE Bitting If other than buyer addmss(st bottom of form) LAWNAeVCOpdy Address FWT NAME 7 11 2 8564 Yohr Court Manassas VA 'TCLCRgK,A.TEER,N: Tei ) #TNEETMaBERANDMU@ CMYORTOxe STATE LPCODE 4. Indicate the number of Assessment 1Pan of a Parcel forty N Part of a Placid) Check as they appy: Roil parcels nfemd on the dead e d Parcels OR tra K Planning Board with Subdivision Authority Exho El a. Deed X OR 0.00 48. Subdmsion Approval was Required for Transfer -S ATTORNEY Property •FRDTfTFEVT •DEPTH 'AMER Slee 4C. Parcel Approved far Subdivision with Map Provided O Hatzi Cathy e. Beller 'LAST NwMpAryy FrwTNAAE Name /ASTNAWJCOWAW FIRSTNAME '7. Select the description which most accurately describes the Check the bons below as Ihey apply. use of the property at the time of wit: a. Ownemhip Type Is Condominium A. One Family Residential e. Now construction on a vacant land ICA. Property Located wlthin an Agricultural District ❑ 108. Buyer received a disclosure notice indicating that go property Is in an ❑ Agricultural Disbid SALE INFORMATION 1A Check one or mora at these conditions an applicable to transfer: A Be% Between Relatives or Former Relatives 11. Solo Contract Date 09/22/2014 B. Sale between Related Compenies or Partners In Business. C. One of the Buyers is also a Sailer lT 1 i '" –t D. Sup or Seller Is Government Agency or Lending Ineduri n ' 12. Date of BeleRransley — 1 E. Doe.) Type not Warranty or Bargain and Sole (Specify Below) F. Sale of Fractional or Less than Fee Interest (Specify Saba) 1113. Full Sale Price 0.00 G. Significant Change in Property Between Taxable Status and Sale Dates H. Selo of Business Is Included in Sale Prion ( Full Sale Prim is sea total smorit paid for the Property including personal property. I. Other Unusual Factors Affecting Sale Price (Speciy Below) This payment may be in the form of Cash, other property or goods, or the assumption of J. None mortgages or other obllpatlotw.) Pbon round to the nearest w1urb dollar amount 'Comment(e) on Condition: 1e. Indicate the value of personal property Included In the sale .00 Quitclairn Deed ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roil and Tax Bill 14. Year of Assessment Roll from which Information bken(YY) 14 117. Total Assessed Value 3,900 •18.Property Class 210 _ N&School District Name Southold 120. Tea Map IdsnUper(glRolt IdsnpMr(s) 01 more than four, attach shoot with additional Identinefjs)) 1000-74-2-28 CERTIFICATION I Certify that an of the Items of Information entered an this form am true and comat (to the best of my knowledge and bollef) and I understand that the making of any willful raise xk m rd of material fact herein subject me to the provteheas ar thilprnsl hew mle8ve to the making and Sling of false instruments. SELLER SIGNATURE BUYER CONTACT INFORMATION CaiA! JYaia rol�9Jf�d>>� SEUER DATE I yBUYER SIGNATURE ,F �l , 7r�s�e� jol�gJy BUYER SIGMA DATE (Enter idolmdon for In. buyer. Nora If oyer i LLCAodely. samdadwl. mrpma#mr, joint.Iod omq ny, mtde w eoft the Is row lim"u a agant w rduonry, than a name and curled admmatiBr arm trrdtritud oW .. Box Body wan Tarr amwwqua dmB repenlap the llaMer mod be Brand. Type or prim wary.) Hatzi Peter •LAST NUE FOOT UME 70 3 3 61: ig 7 11 2 'ARFACODE 'TCLCRgK,A.TEER,N: Tei ) 8564 Yohr Court •SRBET MU G •STREET NAM Manassas VA 20110 TJ"OR TOWN 'STATE WCODE BUYER -S ATTORNEY Goodale AnneMarie LASTNNE FvWtUUWE (631) 721-2180 AREA CODE TEIEPmou#NnmEm eu, awwts