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Home My WebLink AboutL 12824 P 858SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 07/22/2015 Number of Pages: 4 At: 11:22:16 AM Receipt Number : 15-0097290 TRANSFER TAX NUMBER: 14-31335 LIBER: D00012824 PAGE: 858 District: Section: Block: Lot: 1000 069.00 03.00 024.007 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 $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: 14-31335 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County I T r Number of pages q This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2015 Jul 22 11:22:16 All JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY L D00012824 P 853 DT# 14-31335 Deed / Mortgage Instrument I Deed / Mortgage Tax Stamp I Recording / Filing Stamps 3 I FEES Page / Filing Fee d 1 J j Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP -584 7 Sub Total spec./Assit. Notation /11 5 �� or EA -52 17 (County} Sub Total Spec. /Add. EA-5217(State) a� TOT. MTG. TAX R.P.T.S.A. Dual Town Dual County Held forAppointment Comm. of Ed. S. 00 Transfer Tax Affidavit + Mansion Tax The by this is Certified Copy property covered mortgage or will be improved by a one or twa NYS Surcharge 15. 00 �1 O family dwelling only. Sub Total p( YES or NO Other Grand Total OC If NO, see appropriate tax clause on page q ofthisinstrument. / `S -d,- 4 Dist. 10G ! 1501f219 ' 5 Community Preservation Fund 1000 06900 0300 024007 Consideration Amount $ Real Property P T S� Tax Service R VITA III ILII IIII IIII Agency IIIVI IIIII IIIN IIIII IIIA IIIII II 23IIUN-15 CP1 ax Due $ Verification Improved 6 Satisfactions/Discharges Releases List Propperty Owners Mailing Address R�CORDa & RETURN TO: Vacant Land M-4KK- 0 a—A•61c'f TD � 1-395-cJ G 5M► /%Z w^',p— TD TD Mail to: Judith A. Pascale, Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co. Name JUDICIAL TITLE www.suffolkcountyny.gov/clerk Title## 120276FI-S 8 Suffolk County Recording & Endorsement Page This page forms part of the attached SIV5,0bl1 GA o 513LC A<A-( made by: (SPECIFY TYPE OF INSTRUMENT) 1MI�wk 0-AUCT" The premises herein is situated in SUFFOLK COUNTY. NEW YORK. TO In the TOWN of SOUTHOLD MA>L1C 0• Z�)CTiu.1 In the VILLAGE 1L(LI A- Z-061or HAMLET of SOUTHOLD BOXES 6 THRU S MUST BE TYPED OR PRINTEDIN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) FORM 8007 CAUTION: THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE, made the 21" day of May, 2015 between Mark D. Zablotny, 1385 Jasmine Lane, Southold, New York 11971 party of the first part, Mark D. Zablotny and Kerri A. Zablotny, 1385 Jasmine Lane, Southold, NY 11971 party of the second part, WITNESSETH, that the party of the first part, in consideration of TEN DOLLARS ($10.00), lawful money of the United States, 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, SEE ATTACHED SCHEDULE "A" BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated 08/19/2014 and recorded on 08/28/2014 in Liber 12786 Page 720. 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 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. 70 1 OU0 Section • oto 4 • ottle # • I D-oD--t e Black • U vvCounty • So J-4. Lot • oa`:7 Town/City• steotk THE JUDICIAL TITLE INSURANCE AGENCY LLC 800 WESTCHESTER AVENUE SUITE S-340 RYE BROOK, NY 10573 914-381-6700 J Mark D. Z blotny State of New York County of Suffolk , ss: On the 2151 day of May, in the year 2015, before me the undersigned, personally appeared Mark D. Zablotny personally known to me or proved to me on the basis of satisfactory evidence, to be the individual(s) whose name are subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her capacity(s), and that by his/her signature on the instrument, the individual or the person upon behalf of which the individual(s) acted, executed the instrument. SUSAN R. MAHONEY Notary Pubic State of New Yak N n. 0-1 ht,A4818834 Qualified in Suffolk CouM�l /; commission Expira9 Feb 28 A State of County of , ss: NOTARY PUBLIC On the day of , in the year 2015, before me the undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory evidence, to be the individual(s) whose name are subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her capacity(s), and that by his/her signature on the instrument, the individual or the person upon behalf of which the individual(s) acted, executed the instrument. NOTARY PUBLIC L 1 THE JUDICIAL TITLE INSURANCE AGENCY LLC Title Number.120216FI-S SCHEDULE A ALL that certain plot, piece or parcel of land, situate, lying and being in the Village of of- Southold, County of Suffolk and State of New York, known and designated as Lot No. 7 on "Map of Southold Villas, Section 2" and filed in the Suffolk County Clerk`s Office on August 4, 1993, as File No. A-434, bounded and described as follows: BEGINNING at a point on the southerly side of Jasmine Lane, distant 714.99 feet westerly from the westerly end of the arc of a curve connecting the southerly side of Jasmine Lane with the westerly side of Blossom Lane; RUNNING THENCE south 31 degrees 01 minute 50 seconds west, 303.69 feet to land now or formerly of Flower Hill Bldg. Corp.; THENCE along land now or formerly of Flower Hill Bldg. Corp., north 75 degrees 43 minutes 10 seconds west, 80.00 feet; THENCE north 31 degrees 01 minute 50 seconds east, 295.39 feet to the southerly side of Jasmine Lane; THENCE along the southerly side of Jasmine Lane, the following courses and distances: Along the arc of a curve having a radius of 50.00 feet, a distance of 21.98 feet; Along the arc of a curve having a radius of 20.00 feet, a distance of 17.45 feet; South 66 degrees 58 minutes 10 seconds east, 47.58 feet to the point or place of BEGINNING. SAID PREMISES being known as 1385 Jasmine Lane, Southold, NY. The policy to be Issued under this report will Insure the title to such buildings FOR and Improvements erected on the premises which by law constitute real CONVEYANCING P'P"y- ONLY TOGETHER with all the right, title and interest of the party in the first part, or, in and to the land lying in the street in front of and adjoining said premises. INSTRUCTIONS(RP-5217-PDF-INS): www.orps.state.ny.us 'OR COUNTY USE ONLY Q p Now York State Department of C1.SWISCode I `t;1 ,3 ,L7 ,� ,, I I Taxation and Finance C2. Data Deed Recorded 1 0 /"'1 /� E1 I Office of Real Property Tax Services (� ' 41- 11" Y- m RP- 5217 -PDF C3. Book O(v L1 C4. Page 1 , , �, ,� I Reel Property Transfer Report (8110) PROPERTY INFORMATION 1•Prop" 1385 Jasmine Lane Lowden G Part of a parcel (Only 11 Part of n ParcaQ Check as they appy: Roll Pamela transferred on 0a deed ' 9TPEET NMMRER ' wrvtr wME S. and X Southold Sol::hold 11971 PFop" •FRONT FEET •01! . QIY OR TOWN va.—. • civ CODE LBuyer Zablotny Mark D Noma • LMT MMeCOMP.Wy F.PST NWE a. Seller •WTlLYEax1YFWr Zablotny Kerri n Nome LAST MMEMMPWV •rrei NAME a. Tax indicate whom future Tax Bills are tobesent Zablotny Mark D Billing Address if other elan buyer address(al bottom of form) WT NaMECOMPWy F Rm NWF STREET y,NSER A Qra nE C.Ti Or TCNe et AlL ba WINE 4. Indicate the number of AsssasmeM 1 G Part of a parcel (Only 11 Part of n ParcaQ Check as they appy: Roll Pamela transferred on 0a deed a of Parcate OR 4A. Planting Beni with Suhdwtsion Authority Exists ❑ S. and X OR 0.59 40,SubddsionApprovolwas Required for Traroler PFop" •FRONT FEET •01! : •/LRCS slam 4C. Parcel Approved for Subdivision vfhh Map Provided Zablotny Mark D a. Seller •WTlLYEax1YFWr FIRST NN,E Nome Lae? RAMEICOLIPWT •y. Soleal the description which most accurately doeeribw the use of the property attract time of sale: A. One. Family Residential 11. Sale Contract Dab ' 12. Date of Salarrmnsfor 05/21/2015 05/21/2015 43. Full Selo Price 0.00 ( Full Safe Price is the lebi amomd paid Covers property including personal progeny. Tits Psymem may be In the form of rash. other property or goods. or the assumption Of mortgages or other oblrge5ono ) Pleaw round to ma roams! whole dotlar amount. Check the boxes below as they apply: a. Ownenship Type is Cordomnium a. New Construction on a Vacant Land 111A. Property Located within on Agricultural District 109, Buyer received a disclosure nodco indicating that the property is in an ❑ Agricultural District A. Sole Between Relatives or Farmer ReWhas B. Sole between Related Companies o Parmens In Business, C Dow of the Buyers is also a Sayer D Buyer or Sailer is Government Agency or Lending Institution E. Deed Type not Warranty or Bargain and Sale (Specify Below) F. Sok of Fractional or Lou than Fee Interest (Specify Below) G. Sigmflum Change In Property Between Taxable Status and Selo Dales H. Sale of Business is Included in Sala Price I. Other Unused Fractions Affecting Sale Price (Spectty, Below) J. None imontlol an Condition: 14. Indicate the value of personal 0 , 00 property Included In the sato ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax BIII 10. Year alAssomment Roll from which infonnatkn bben(YY) 15 •17. Told Assessed Value 4,300 Fla. Property Class 210 _ 1 16. School District Name Southold '20. Tax Mop Idedlllerie)IRdI IdendtRerls) (if more then four, reach sheat with additional Ider41fiegs)) 1D00 -069.00-03.00L024.007 CERTIFICATION 1 car" that all of the llama of inbrmatbn omansd on this form are true and correct (to the best army knowledge and beller) and I understand that the making of any willful false stoWnem of material fact heroin subject me to Iha.ptovlelons gfthe. penal Itt r_relatve to the making end filing of false Instruments. SELLER SIGNATURE BUYER CONTACT INFORMATION (Enter nllomution for and b,ew. Nob N mye•,t LLC.Fooear aYwY'an, Lm WMM. I-4 peel company. allay or Story Nadi is »t on+tlmduel spam n fiduciary. tlwn a name and aonlact Norna4on of on -rd nevaftaxi nPOM Wry aPa on wwwwquwamw mgam ng sw nndar mull be smwed Type cur matt randy 1 b R SG E DATE Zablotny Mark D • IART NWE F.RST MMC ;031) 248-7267 'WGeoOL •TIMM ME M:eaLRCC. awwwl 1385 Jasmine Lane •BtRCE: MRRIER 'STREET NWE Sout'`lold NY 11971 'CI•r OR TOWN 'STATE •ZPCNE BUYER'S ATTORNEY. BUYER SIGNATURE LASTNA,E 1 Par •LME TELFP k NW KPI.E. Sdwrw,