HomeMy WebLinkAboutL 12799 P 612SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/11/2014
Number of Pages: 5 At: 09:44:09 AM
Receipt Number : 14-0163082
TRANSFER TAX NUMBER: 14-12476 LIBER: D00012799
PAGE: 612
District: Section: Block: Lot:
1000 144.00 01.00 013.000
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
$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
$0.00
NO
Comm.Pres
$0.00
NO
Fees Paid
$260.00
TRANSFER TAX NUMBER:
14-12476
THIS PAGE
IS A PART
OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
y
RECORDED
Number of pages `� 2014 Dec 11 09:44:09 AM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record, P, -, L D00012799lease remove all P 612
Soclal;Security NumbersC?T# 14-124x'6
prior to recording.
:Deed / Mortgage Instrument Deed /:Mortgage Tax Stamp7, Reco ding / Filing Stamps
3 FEES � r
Page/ Filing Fee
!' Mortgage Amt.
i. Basic Tax
Handling 20. 00 2. Additional Tax
TP -584 Sub Total _
Notation SpecJAssit.
or
EA -52 17 (County) Sub Total Spec. /Add.
EA -5217 (State) TOT. MTG. TAX
Dual Town Dual County_
R.P.T.S.A. (6 Held for Appointment
Comm. of Ed. 5. 00 �,� Transfer Tax =1/5f- ...�
Affidavit ',_ Mansion Tax
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 N appropriate tax clause on
P
ge # of this instrument.
4 Dist.i 14035303 1000 14400 0100 013000 i�d0
Real Prope P T
Tax Servi R LPA I ��III� I�I1� I�f I�III I�III ({I�I III III I�I III
A
Agency 10 -DEC -1
Verificatii
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
1601 vekr ns f�eMor
s4e 4zs
Ma15Eg�,Judith Ad► -G 0 �
o
Pascale, Suffolk County Clerk 7
310, Center Drive, Riverhead, NY 11901 Co. Name
www.suffolkcountyny.gov/clerk Title # -44:' 2-01 - — 2 t
oxmragity Preservation Fund
'id anon Ar unt $
Tax Due $ ref
proved G
Vacant Land
TD /b
TD
TD
;omnanv Information
81 Suffolk Coun
This page forms part of the attached
Recording & Endorsement F
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
.-71, f_ , '1 d
made by:
TO In the TOWN of
6 In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12-0104. iaoarx (over)
4'-
2V I - , .),rZ
WARRANTY DEED WITH FULL COVENANTS
(INDIVIDUAL AND CORPORATION)
FORM 8003 (short version), FORM 8008 (long version)
CAUTION: THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
PURCHASER BEFORE SIGNING.
THIS INDENTURE, made the 11' day of November, 2014,
between Mary Ann Wolczok, residing at 32 6th Avenue, Farmingdale, New York 11735,
party of the first part, and
John G. Wolczok, residing at 19 Towne Lane, Centereach, New York 11720, and Janice Aloisio, residing at 37 Jeff Z-t—
Court, Westbury, New York 11590, as tenants in common,
party of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten Dollars and No Cents ($10.00) 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
Schedule A attached hereto
BEING AND INTENDED TO BE the same premises as described in deed dated October 2, 1987 and
recorded in the office of the Suffolk County Clerk on November 9, 1987 in Liber 10464, Page 576.
Said premises also known as 1880 Sigsbee Road, Mattituck, New York 11952
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, 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 costs 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.
AND the party of the first part covenants as follows:
Section: 144.00
Block: 01.00
Lot: 013.000
NYSBA's Residential Real Estate Forms (9100) 0 2014 Matthew Bender & Co., a member of the LexisNexis Group.
FIRST.—That said party of the first part is seized of the said premises in fee simple, and has good right to
convey the same;
SECOND.—That the party of the second part shall quietly enjoy the said premises;
THIRD. --That the said premises are free from encumbrances, except as aforesaid;
FOURTH.—That the party of the first part will execute or procure any further necessary assurance of the
title to said premises;
FIFTH.—That said party of the first part will forever warrant the title to said premises.
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.
May Ann lczok
Acknowledgment by a Person Within New York State (RPL § 309-a)
STATE OF NEW YORK }
COUNTY OF SUFFOLK ) ss.:
}
On the 11 `t' day of November in the year 2014, before me, the undersigned, personally appeared Mary Ann
Wolczok, 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.
(signatur(ond o1ribe of individual taking acknowledgment)
CINDY RASKIN ROCCO
Notary Public, State of New York
No. 02RA6201929
Qualified in Nassau County
Commission Expires March 9, 20
NYSBA's Residential Real Estale Forms (9/00) 0 2014 Matthew Bender & Co., a member of the LexisNexis Group.
Schedule A
ALL that certain plot, Piece or parcel of land, with the buildings and improvements thereon erected, situate,
lying and being in the at Mattituck in the Town of Southold, County of
Suffolk and State of New York, known and designated as and by the
lot number 38' on a certain map entitled, "Amended Map of Property of
Mattituck Park Properties, Inc., Mattituck, N.Y." made by Daniel ,R.
Young, Surveyor, and which said map is on file in the Office of the
Clerk of the County of Suffolk. f,r)ck_e (,yo,
Warranty Deed
Res
Title No.
Mary Ann Wolczok
To
John G. Walczak and Janice Aloisio
,rve This Space For Use Of Reco
District 1000
Section 144.00
Block 01.00
Lot 013.000
County or Town
Southold
Street Address
1880 Sigsbee Road
Mattituck, New York 11952
Return By Mail To:
Richard A. Weinblatt, Esq.
Haley Weinblatt & Calcagni, LLP
1601 Veterans Memorial Highway, Suite 425
lslandia, New York 11749
NYSBA's Residential Real Estate Forms (9100) 0 2014 Matthew Bender & Co., a member of the LexisNexis Group.
INSTRUCTIONS(RP-5217'PDF-INS): www.ofpsstate.ny.us
)R COUNTY USE ONLY
C7. SW19 Code �, 3 �t d,//✓ I
C2. Delle Deed Recorded 142
M
C3. Book /A P? C4. Page Q
PROPERTY INFORMATION
New Yak State Department dt
Taxation and Finance
Office of Real Property Tax Services
RP- 5217 -PDF
Rea( Property Transfer Report (8110)
1. Property
Location
1880
Siasbee Road
A. One Family Residential
'STRW NIRAEER
'STREET LANAE
10A Property Located within an Agricultural District
Mattituck
New York
11952
•CnvcN hrwa
wLIACE
'2PCODE
2. Beyer
Name
Wolczok
John
' IABT NAYbCDYPANY
FIRST NAMC
11. Sale Contract Dau na
Alois(o
Janice
E. Tax
LASTNME,COAPANY
Indk ete where future Tex Bills are to be sent Wolczok
FOIST NAME
John
' 72. Date or salafcrensaMr November 11, 2014
Bggng
d other than buyer addross(st bottom of form) LAST NAwEreWAM Fear NICE
Address
E. Deed Type not Warranty or Bargain and Sale (SpWly Baker)
32 6th Avenue
Farmingdale
NY 11735
'13. Full Sala Price S0,00
STREET NaeERAND NAME
CfTYDR10WM
STATE WOMB
4. Indicate the number of AssessmentParcel (Only If Part of a Parcel) Check as they apply:
Roll percale transferred on the dead 1 e Part of a of Parcels OR 40L panning Board wdh Subdivision Authority Exists ❑
5. Dead Y OR 0.04 4B. Subdivision Approval was Required for Transfer
Property 'FRONFFEET •013" 'ACRES El
Size
4C. Parcel Approved for Subdivision with Map Provided El
Wolczok Mary Ann
6. saner 'LASTNANEXXORIVOW FnsTNAME
Name
LAST NNIFACOWANY FFIST NAME
17. Select the description which most accurately describes the Check the boxes below as they appy:
use of the property at the gree of sale: s. Ownership Typo is Condominium ❑
*% Prop" Gass 2 1 0 — '10. School District Name Mattituck
•20. Tax Map Idenefierls)IRoll IdenOfiar(s) IN nen than four, affect shad with addWonal Idem lw(s))
1000-144.00-01.00-013.000
CERTIFICATION
I Certify that all of the hams of Information entered on this form are true and correct (10 the bast of my knowledge and belief) and 1 understand that the making of any willful
false statement of material fact herein subject me to 1he.wwlolormof the penal law relative to the making and filing of false Instruments.
SELLER SIGN_ATURE OuTtN GUNTACT INFORMATION
I WA i To. Winn for The buyor Note: It buyer b LLC.eorduty, sscadirdon, corporation. joins stock ceepare, sales, or
entry Set a not an Individual agent or fiduciary, Sen A none and cancan Nwne en of an vsBvidayreap ralble
(/%/( party who cer araaer eraesms regarding the Tmana must be entered. Type or prlydcleaty.)
scuFAaCNA/ CATE /%
13UYER SIGN TURF
u heTelrtFE DATE
M1
John
roar NaAc
•TQEyIaNE MMUR do. 9 WMI
Towne Lane
•erect- Team
Richard
FIRST NAME
NY 11720
'STATE WCO E
(631) 562-5151
AREACDDE YCLENOW. NuMM t& NNMR
S. New Construction on a Vacant Land
A. One Family Residential
10A Property Located within an Agricultural District
108. Buyer received a disclosure notice indicating that the property is in an
❑
Agricultural District
SALE INFORMATION
15.
Check one or more of these conditions as applicable to transfer.
A. Sale Between Relatives or pointer Reladvss
11. Sale Contract Dau na
B. Sole betweon Related Companies or Partners N Business.
C. One of the Buyers is also a Seller
' 72. Date or salafcrensaMr November 11, 2014
D. Buyer or Saller Is Government Agency or Landing Institution
E. Deed Type not Warranty or Bargain and Sale (SpWly Baker)
F. Sale of Fractional or Less Then Fee interest (Specify Below)
'13. Full Sala Price S0,00
G. Significant Change in Property Between Taxable Status and Sala Dittos
H. Sale of Business Is Included in Sale Priya
( Full Selo price is the total amount fad for the including personal property.
Pa a P Pam/-
I. Other Unusual Factors Affecting Sale Price (Specify Below)
property ds
This payment may he in Na lam of cash. ether property or goods, or the assumption of
X J. None
mortgages or other obligations.) pines round to the nearear whole dollar amount.
Commant(s) on Condition:
14. indicate the value of personal 0.00
property Included In the sale
ASSESSMENT INFORMATION - Data should resect the latest Final Assessment Roll and Tax Bill
15. Year of Assessment Roll from which Information taken(YY) 14
'17. Tofat Assessed Value 987
*% Prop" Gass 2 1 0 — '10. School District Name Mattituck
•20. Tax Map Idenefierls)IRoll IdenOfiar(s) IN nen than four, affect shad with addWonal Idem lw(s))
1000-144.00-01.00-013.000
CERTIFICATION
I Certify that all of the hams of Information entered on this form are true and correct (10 the bast of my knowledge and belief) and 1 understand that the making of any willful
false statement of material fact herein subject me to 1he.wwlolormof the penal law relative to the making and filing of false Instruments.
SELLER SIGN_ATURE OuTtN GUNTACT INFORMATION
I WA i To. Winn for The buyor Note: It buyer b LLC.eorduty, sscadirdon, corporation. joins stock ceepare, sales, or
entry Set a not an Individual agent or fiduciary, Sen A none and cancan Nwne en of an vsBvidayreap ralble
(/%/( party who cer araaer eraesms regarding the Tmana must be entered. Type or prlydcleaty.)
scuFAaCNA/ CATE /%
13UYER SIGN TURF
u heTelrtFE DATE
M1
John
roar NaAc
•TQEyIaNE MMUR do. 9 WMI
Towne Lane
•erect- Team
Richard
FIRST NAME
NY 11720
'STATE WCO E
(631) 562-5151
AREACDDE YCLENOW. NuMM t& NNMR