HomeMy WebLinkAboutL 12829 P 202 11111111111111011111111111111111111111111 11111 10111111
1111111 11111 11111 1111 IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 08/24/2015
Number of Pages: 4 At: 09:52 :26 AM
Receipt Number : 15-0113825
TRANSFER TAX NUMBER: 15-02189 LIBER: D00012829
PAGE: 202
District: Section: Block: Lot:
1000 088.00 04 .00 031.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0.00
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 $0.00 NO Comm.Pres $0 .00 NO
Fees Paid $255.00
TRANSFER TAX NUMBER: 15-02189
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 2
RECORDED
Number of pages 2015 Aug 24 09:52:25 AN
JUDITH N. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record.Please remove all L 000012829
Social Security Numbers P 202
prior to recording. Nit 15-02159
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 5. 00
2. Additional Tax
TP-584 Sub Total
Spec✓Assit. •
Notation
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
(a0 6p ; Dual Town Dual County
R,P,T.S,A. .i'•.
Held forAppointment
toComm.of Ed. 5. 00 Transfer Tax
Affidavit M,• j11 :' Mansion Tax
�,'
Certified Copy --` The property covered by this mortgage is
or will be Improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other _
Grand Total 07 If NO,see appropriate tax clause on
U page# of this Instrument.
4 Dist. 150232752000 08800 0400 031000 5 Community Preservation Fund
Real Serovc erty RO R R l�llllll111llllllllllllllllllll� ! Consideration Amount$ Cr
Tax
Agency 21 AUG l>1111Dllllllllll CPF Tax Due $
Verification _ _
—_____, Improved X
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
f( l� TO
I�� TD W
`(zW±L j TD
gvitk1tv, l0'l0 /
Mail to:Judith A.Pascale,Suffol County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name 1-1;14'I-512 32L(2_
www,suffolkcountyny,gov/clerk Title# i.l n IN I p V-6[e-i-
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached I` �/� made
d"' by: (SPECIFY TYPE OF INSTRUMENT)
iounioi �. C The premises herein is situated in
Cl1/1 SUFFOLK COUNTY,NEW YORK.
0 . a rlQ. 1,(Z-A2.
• 0 �/� In the TOWN of iiI LLI.. ��
r , f (U x024, -a, In the VILLAGE
&pl i�tt° or HAMLET of
BOE 6 THRU 8 MUST B TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING!
(over)
—Bargain and Sale Deed,with Covenant against Grantor's Acts—Individual or Corporation(Single Shed)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE,made the 13th day of March,in the year 2015
BETWEEN James F.Monica and Lorraine Mozdziak as Co-Trustees of the"James Monica 2012 Trust"with an address at
35 Taconic Rd,Millwood,NY 10546
party of the first part,and Lorraine Mozdziak and Linda Sparaco with an address at 41•.Cross Rd,Brookfield CT 06804
party of the second part,
WITNESSETH,that the party of the first part,in consideration of
Ten ($10.00)dollars
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 real property and premsies transferred to the party of the first part by deed dated
September 24th,2012 and recorded in the Suffolk County Clerks office on December 13,2012 in Liber 12713 page 698
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.
IN PRESENCE OF:
410Pr
James F. ....o.21/ Co-Trustee
Orc9-4.40-,k-e 3/1(
I'
LorraineMozdziak,Co-Trust-: /
•
•
CHEbULE A
Ali that certain plot piece or parcel of land,with the buildings and improvements
thereon erected,situate lying and being at Bayview near Southold in the Town of
Southold,County of Suffolk and State of New York,known and designated as Lot
Number Forty-Two(42)on a certain map entitled"Bay Haven at Southold,Town of
Southold,Suffolk County,New York",surveyed December 10, 1958,by Otto W.Van
Tuyl&Son,Licensed Land Surveyors,Greenport,New York and filed in the Office of
the Clerk of Suffolk County on the 22nd day of January, 1959,as Map No.2910.
- TOGETHER with the right in common with other owners of the Lots shown on said
Map,to the use of the"Community Beach"as designated on said map.
"The Grantee named herein agrees upon taking title,for himself,his Heirs,Executors,
Administrators,and Assigns,that he will join the Southold Bay Haven Property Owners
Association, Inc.,and will comply with the rules and regulations of said Association as
set forth in its By-Laws"
•
••
•
•
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York,County of Westchester,ss: State of New York,County of ,ss:
On the 13 day of MI�h in the year 2015,before me,the undersigned, On the day of in the year ,before me,the
personally appeared 3eiee�F.Monica and Lorraine Mozdziak undersigned,personally appeared
,personally known to me or proved to me on the basis of ,personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s)whose name(s)is(are) satisfactory evidence to be the individual(s)whose name(s)is(are)
subscribed to the within instrument and acknowledged to me that subscribed to the within instrument and acknowledged to me that
he/she/they executed the s..-,e in his/her/their capacity(ies),and that by he/she/they executed the same in his/her/their capacity(ies),and that by
his/her/their signature( o ent,the individual(s),or the his/her/their signature(s)on the instrument,the individual(s),or the
person upon behalf o' h'�t idual(s)acted,executed the person upon behalf of which the individual(s)acted,executed the
instrument. instrument.
ANDRIJ CICHOWLAS t
Notary Public,State of New York
No.n1 O14672668
Qualified in Westchester County
Commission Expires October 06,20/
TY•
•
ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK
IN NEW YORK STATE STATE
State of New York,County of , ss: *State of ,County of , ss:
*(Or insert District of Columbia,Territory,Possession or Foreign
On the day of in the year ,before me,the County)
undersigned,a Notary Public in and for said State,personally appeared
,the subscribing witness to the foregoing instrument,with whom On the day of in the year ,before me the
1 am personally acquainted,who,being by me duly sworn,did depose undersigned personally appeared
and say that he/she/they reside(s)in
Personally known to me or proved to me on the basis of satisfactory
(if the place of residence is in a city,include the street and street number if any,thereof); evidence to be the individual(s)whose name(s)is(are)subscribed to the
that he/she/they know(s) within instrument and acknowledged to me that he/she/they executed the
same in his/her/their capacity(ies), that by his/her/their signature(s)on
to be the individual described in and who executed the foregoing the instrument,the individual(s)or the person upon behalf of which the
instrument;that said subscribing witness was present and saw said individual(s)acted,executed the instrument,and that such individual
make such appearance before the undersigned in the
execute the same;and that said witness at the same time subscribed
his/her/their name(s)as a witness thereto (add the city or political subdivision and the state or country or other
place the acknowledgement was taken).
Bargain and Sale Deed
With Covenants
SECTION:088
BLOCK:4
Title No. LOT:03100
COUNTY OR TOWN:545 Bay Haven Lane,Southold,NY
TO
RETURN BY MAIL TO:
DISTRIBUTED BY John L.Bond,Jr.,Esq
/S/‘ 125 Corpoate Blvd, Suite 301
Yonkers,NY 10701
YOUR TITLE EXPERTS
The Judicial Title Insurance Agency LLC
800-281-TITLE(8485) FAX:800-FAX-9396
f
e . INSTRUCTIONS(RP-5217-PDF-INS):www.orps.etate.ny.us
FOR COUNTY USE ONLY New York State Ds)attrtment of
CI.SIMS Code I 1 l/ , 3, erg 39 ,
Taxation and Finance
C2.Date Dead Recorded , D / a l,9016-1 New of Real ProperlyTax Services
��77 °� ^N Q RP-5217-PDF
C7.Book I l r a, b 1 ��I C0.Pa8° l i 45O I al Real Property Transfer Report gin o)
PROPERTY INFORMATION I
1.Property 545 BAY HAVEN LANE
Location
•MEET warnER •STREET NAME
SOUTHOLD 11701
•CITY ON Town WAAGE •tl.009E
2.Buyer NOZDZIAH LORRAINE
Name nest NAME
•LAST NANECOMAAW
Spa ra t.a G l nd-14)
LAP NANE/CONAwf/ PEST NAME
3.Tax Ind eats where future Tax Bills are to be sent
Billing d other then buyer address(at Salem 0110rm) LAST YAMF2roNPAW MEI NEVE
Address
arNEo,MOM AND NAME CAYOR TOM STATE BACON!
4.Indieute the number of Assessment 1 p Cl ParcelsOR 0 Part of a Parcel (Only if Pert of a Parcel)Check en they apply:
Roll parcels lmnsferred on the deed 4A.Ptenning Board with Subdivision Authority Exists 0
S Deed X OR 4B.Subdlvialon Approval was Required for Transfer 0
Property •wow rear •0EPT4 •ACElS
Stu 4C.Percet Approved for Subdivision with Map Provided 0
JAMES MONICA 2012 TRUST
8.Salter •;AST erect oete n• FIRe1 NAME
Name
• LAST wNFJCOYPANY Feder NAME
'7.Select the deseripton which most eeouretaly describes the Check the boxes below as they apply:
.use of the property at the time of sale: &Ownership Type is CaWorrdmum ❑
A.bne Family Residential 9.New Conabudion on a Vacant Land 0
10A.Property Located wsltdn an Agricultural District 0
10B.Buyer received a dedoeure notice indicating that the property is In an ❑
Agricultural Diabid
!SALE INFORMATION 10.Check one or more'tithes.conditions Re applicable to transfer.
A.Sale Between Relatives or Former Relatives
11.Sale Contract Date 03/10/2015 _B.Sale katween Related Companies or Petters in Business.
_C.One of the Buyers is also a Seger
r� 112\1
5 __D.Buyer or Stiles is Government Agency or Landing Inatit:don
12.Date of SalelTnrely J ` '/ E Deed Type not Warranty or Bargain and Sale(Specify Blear)
F.Sale of Fractional or Leas than Fee Interest(Specify Bawd
13.Full Sala Price 0.00 —G.Significant Charge In Property Between Taxable Status and See Dates
H.Sale of Business Is Inducted in Sale Price
(Full Sole Price is the total amount paid for the properly including personal properly. — L Other Unusual Factors Meeting Sale Price(Specify Blow)
This payment may be in the form of ash.other properly or goods,or the assumption of 8 .i.None
mortgages or other adigabons.)Please round to ley nearest whole eager mouth Commenge)on Condition:
14.Indicate the value of persons) .00property Included In the sale
I ASSESSMENT INFORMATION•Data should reflect the latest Final Assessment Roll and Tax Bill I
18.Year of Assessment Roll from which infomiation taken(YY) 15 '17.Total Assessed Value 5,300
'19.Property Class 210 — '19.School Dlsblee Name SOUTHOLD
no.Tax Map Idengiler)s)IRoll tdenUOer(al Ill more then four,attach sheet with additional Identiflert))
1oov 0$8vo ()k-f0O 0311.)c,0
I CERTIFICATION
I Certify that all of the hems of information entered on this farm are true and correct(to the beet of my knowledge and belief)and I understand that the making of any willful
le Cement of material fact herein subject me to the eravlelens of the aepal.k LreleOve to the making and cling of(else Instruments.
BELLER SIGNATUREBUYER CONTACT INFORMATION
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