HomeMy WebLinkAboutL 12828 P 200 III1lI liii 11111 11111 III uII DIII till DIII 1111 1111
11111111111 11111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 08/17/2015
Number of Pages: 4 At: 09:56:21 AM
Receipt Number : 15-0110241
TRANSFER TAX NUMBER: 15-01456 LIBER: D00012828
PAGE : 200
District: Section: Block: Lot:
1000 115.00 06.00 022 .000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $25,000.00
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 $250.00 NO
TP-584 $5.00 NO Notation $0.00 NO
Cert.Copies $0.00 NO RPT $60.00 NO
Transfer tax $100.00 NO Comm.Pres $0.00 NO
Fees Paid $480.00
TRANSFER TAX NUMBER: 15-01456
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
u2
1) RECORDED
Number of pages 2015 Aug 17 09:56:21 RM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L 000012828
Social Security Numbers P 200
prior to recording. DT# 15T01456
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording-/Filing Stamps
3 FEES
Page/Filing Fee 0D 7 Mortgage Amt.
1. Basic Tax
Handling 20. 00
2. Additional Tax
TP-.584 5 Sub Total
Notation • SpecJAssit.
or
EA-52 17(County) Sub Total Spec./Add. _
EA-5217(State) 5 TOT.MTG.TAX
R.P,T.S.A. • i �'+C� �A�' Dual Town Dual County
,, Held for Appointment
Comm.of Ed. 5. 00 ; Transfer Tax IOU
Affidavit • J" Mansion Tax
,07
Certified Copy 's,,,,, 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
Oor NO
Other
Grand Total 0 If NO,see appropriate tax clause on
-page# of this instrument.
311 - 7`Y, "if
4 J Dist.(Op0 15002114472 1000 11500 0600 022000 1 5 Community Preservation Fund
Real Property l P S\ 11111111111111111111111111111111111111111111111111 Consideration Amount $2_S 000
Tax Service f R SMI) 111111NIIIII!Ii IN111 I�1 ll0 IHI .
Agency \07-AUG-t CPF Tax Due $
Verification
Satisfactions/Discharges/Releases List Property Owners Mailing Address Improved
6 RECORD&RETURN TO: J
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Vacant Land
W COOK( V{2rfJk c4 lJ�ee P I"V TD 10
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Mail to: Judith A. Pascale, Suffolk County Clerk 7 I Title Company Information
•
310 Center Drive, Riverhead, NY 11901
Co.Name FIDELITY NATIONAL TITLE
www.suffolkcountyny.gov/Clerk -
Title# Ve•kcYpA (i)F3a 4-,Lc-
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached 0 CDA4CY3 beecL made by:
ffll �` (SPECIFY TYPE OF INSTRUMENT)
3I+ ' v�' ((\ I a "!��,J The premises herein is situated in
. Mt a e- ,d l AL SUFFOLK COUNTY.NEW YORK. j
1�r� TO In the TOWN of v1p •
0f K. t f-A Kct In the VILLAGE
• or HAMLET of 6AJt Ah-ll(Y...
BOXES 6 THRU 8 MUST BE TYPED Oft PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12-0101..10/0811
lover)
—Executor's Deed—Individual or Corporation(single sheet) n.5-61g2,31-1-
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT•THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
' THIS INDENTURE,made the 30th day of July,in the year 2015
BETWEEN Capital One,N.A.,
residing at 280 Park Avenue,West Tower,23rd Floor,New York,New York 10017
as executor of the last will and testament of Lorraine W.Drury,late of Suffolk County,deceased,party of the first
part,and Roger K.Siejka,having an address at 130 Willis Creek Drive,Mattituck,NY 11952
party of the second part,
WITNESSETH,that the party of the first part,to whom letters testamentary were issued by the Surrogate's
Court of the State of New York for the County of Suffolk on October 20,2014,
and by virtue of the power and authority given in and by said last will and testament,and in consideration of
Twenty-Five Thousand 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 Town of Southhold,County of Suffolk,State of New York,as more particularly described in Schedule A
annexed hereto and made a part hereof.
Being and intended to be the same premises as described in deed made by Mattituck Estates,Inc.recorded on March 18,
1970 in Liber 6719 page 11.
Said premises and known and designated as District 1000 Section 115.00 Block 06.00 Lots 022.00.
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 also all the estate which the said decedent had at the time of decedent's death in
said premises, and also the estate therein, which the party of the first part has or has power to convey or dispose of,
whether individually,or by virtue of said will or otherwise;
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 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: Capital One, NA, as Executor of the
last will and testament of Lorraine W. Drury
LO IVE CxA11 AGYI�K
Fidelity National Title Insurance Company
TITLE NO.F15-7404-98234-SU FF
SCHEDULE A-t.(Description)
0:
Amended 07!29!15
ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk and
State of New York, known as Lot No. 22 on map entitled, "Map of Mattituck Estates, Inc.",and filed in the Office of the
Clerk of the County of Suffolk on September 8, 1965 as Map No.4453,bounded and described as follows:
BEGINNING at a point on the northerly side of Blossom Bend,said point being at the division line between Lots 21 and
22 on the above described map where same intersects the northerly side of Blossom Bend;
THENCE North 25 degrees 20 minutes 39 seconds West along the division line between Lots 21 and 22, 265,00 feet;
THENCE North 50 degrees 40 minutes 10 seconds East, 77.92 feet;
THENCE South 87 degrees 26 minutes 30 seconds East, 128.74 feet;
THENCE South 04 degrees 36 minutes 32 seconds East,259.88 feet to the northerly side of Blossom,Bend;
THENCE westerly along the northerly side of Blossom Bend along an arc of a curve bearing to the left having a radius of
243.41 feet a distance of 100.00 feet to the point or place of BEGINNING.
•
THE POLICY TO BE ISSUED under this commioment will insure the title to such buildings and improvements on the premises which
by law constitute real properly.
FOR CONVEYANCING ONLY: Together with all the right, title and interest of the party of the first part, of in and to the land lying
in the street in front of and adjoining said premises.
SCHEDULE A-I (Description) .
Rev.(03104) '
ACKNOWLEDGEMENT TAKEN IN EW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
t1,-
, r
State of New York,County of I ss: State of New York,County of ,ss:
On the 3, day ofj"tAb in the year 2015, before me, the On the day of in the year , before me, the
undersigned,personally appeared �A undersigned,personally appeared
La<ret;,
,personally known to me or prove 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 same in his/her/their capacity(ies),and that he/she/they executed the same in his/her/their capacity(ies),and that
by his/her/their signature(s)on the instrument,the individual(s),or by his/her/their signature(s)on the instrument,the individual(s),or
the person upon behalf of which the individual(s)acted,executed the the person upon behalf of which the individual(s)acted,executed the
Ament, instrument.
CHRISTINA M.ROSAS
Notary NubUc,Stat2H06o535lr York
o.�A Ouallfied in Suffolk County
at 5ZWA 1"b 5 Commission Expires Feb.9,20
ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK
TAKEN IN NEW YORK STATE STATE
State of New York,County of , ss: *State of ,County of , ss:
On the day of in the year , before me, the *(Or insert District of Columbia, Territory, Possession or Foreign
undersigned, a Notary Public in and for said State, personally County)
appeared ,the
subscribing witness to the foregoing instrument, with whom I am On the day of in the year , before me the
personally acquainted,who,being by me duly sworn,did depose and undersigned personally appeared
say that he/she/they reside(s)in
Personally known tome or proved to me on the basis of satisfactory
(if the place or 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
that he/she/they know(s) the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their capacity(ies), that by his/her/their
to be the individual described in and who executed the foregoing signature(s)on the instrument,the individual(s)or the person upon
instrument;that said subscribing witness was present and saw said behalf of which the individual(s)acted,executed the instrument,and
that such individual make such appearance before the undersigned in
execute the same;and that said witness at the same time subscribed the
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).
Executors Deed
SECTION:115.00
BLOCK:06.00
Title No.F15-7404-98234-SUFF LOT:022.00
Capital One,N.A.,as Executor COUNTY OR TOWN:Suffolk
TO
Roger K.Siejka
RETURN BY MAIL TO:
I
DISTRIBUTED BY
^^^ Wickham,Bressler&Geese,P.C.
YOUR TITLE EXPERTS 13015 Main Road
The Judicial Title Insurance Agency LLC P.O.Box 1424
800-281-TITLE(8485) FAX:800-FAX-9396 Mattituck,New York 11952
INSTRUCTIONS(RP-5217-PDF-INS)•www.orps.state.ny.us
FOR COUNT/NSE ONLY New York State Department of
Ct.SIMS Code I_I'31 312.
m P.R 1 Taxation and Finance
C2.Date Deed Recorded I V g/ I 7-/ I S i Office of Real Property Tax Services
MA
°'L' Ter RP-5217-PDF
C3.Book I /,a,$,v, I C4.Page I , r yr�/[}O,HJT I Real Property Transfer Report(1110)
PROPERTY INFORMATION I
1.Property 955 Blossom Bend
Location
•STREET KISSER •SIR ET NEVE
Mattituck 11952
•CRT OR TOM w.r aE •xacnoE
=•Buyer Siejka Roger K.
N ath •UST NAME OI/NIT FlSsT NAM
LAST NALEICOMPANT FIRST SAME
3.Tex Indicate where future Tax Bins are to be sent
Billing if other than buyer addreas(et bottom of form) ;Aar weEicoweNv FIRST acro
AddTeas
STREET RARER AND MASE CRY OR TOnic STATE TICOOE
4.Indicate Me number of Assessment 10 PRd al a Pare, (Only If Part of a Parcel)Check as they apply:
Roll parcels tremrr
feed on the deed e al Penal" OR 0
4A.Planning Board with Subdlvison Authority Exists
L Deed X OR 0.93 48.Subdivision Approval was Required for Transfer ❑
Property •FROM:FEET •OEPTN 'ACRES
She 4C.Parcel Approved for Subdivision with Map Provided 0
Capital One, N.A. as Executor of the Last
6.Seller •LAW NMIEICOT/Nr iRBI NINE
N ame Will and Testament of Lorraine W. Drury
u5'NAe5FCOA/NS'. FIRST RASE
•7.Select the description which most accurately describes the Check the boxes below as they apply:
u se of the property at the time of sale: a.Ownership Type is Condominium 0
C.Residential Vacant Land 9.New Construwon on a Vacant Land 0
10A.Property Located within an Annipltural District 0
10B.Buyer received a disclosure notice indicating that the property la men ❑
Agricultural District
ISALE INFORMATION' 1S.Cheek one or more of Mose conditions as applicable to transfer:
-A.Sale Between Relatives or Former Relatives
11.Sale Contract Date 05/21/2015 — B.Sale between Related Companies o Partners in Business.
C.One al the Buyers is also a Seller
•12.Date of Salolfrnnfer 07/30/2015 _D Buyer or Seller is Govenanem Agency or Lending Institution
—E Deed Type not Warranty or Bargain and Sate(SpecifyBelow)
_F.Sale of Fractional or Less than Fee Interest(Specify Below)
93.Full Sale Price 25,000.00 _G.Significant Change in Property Between Taxable Statue end Sale Dales
M.Sale or Busnese is included in Sole Price
(Full Sole Price is the tots amount paid for the property Including persona Pmpedy. B I.Other Unusual Factors Affecting Sale Price(SpeBelow)
This payment may be In the form of cash,other property or goods•or the assumption O J.None
mnrlgapes or other obligations)Please mune to the neatest whale dotter amount
'Comment(*)on Condition:
14.Indicate the value of personal 0 AD
• Included In the sale
I ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bit I
19.Year of Assessment Roll from which Information taken(YY) 15 •17.Total Assessed Value 300
111.Property Class 311 _ •19.School District Name Mat t i tuck/Cutchogue
10.Tax Map IdendfensyRoll Idendi er(s)(If more then four,attach sheet with additional!dentitler(s))
1000-115-6-22
I CERTIFICATION I
I Certify that all of the Item of Information entered on this form are true and correct(to the best of my knowledge end belief)end I understand that the mekleg of any willful
false statement of material fact herein subject me to Me.ar0YI91oee.of.0114111MlJew.relative to the making end filing of false Instruments.
Cap QI Ohne A114,0SELL.ERSIGNATUBE BUYER CONTACT INFORMATION
(ErerilMmeton for the pryer.Note:If buyer Is LLC.ERaay.aseodawr.ErMpweson.loinr star[OMNI%estate or
1/24/45--'
/ oral teal Is notennowirml agent w adiomy.Men a none end CMaa eOomirae GT en ndTsu leeepmeete
�ya'5�� / /5 pub are can Eimerqumtsns resorting tie transfer mut Se entree.Type or prim clearly
SEM.MOW �/ aunt
BUYERS)gyAI(gE Siejka Roger K.
';AST E FIRST NAME
7315(631) WOE
298-8353
J •MEA a]CE •rELETANE RAMER;E.Sasrel
MOVER&Mallet (.ITE
1075 Blossom Bend
•WREST WRIER •STREEI MANE
1'R� l T ,1 � r i, y Mattituck NY 11952
�1' r
' � r ' I �r 1 lli F 1 i' orraorosu •STATE uproar
'l )I1'}{11 '' Ii'�1, 1Til1 1 III' i11BUYERSATTORNEY
f 1 '!'1'1 I+.1111,61.'''1,' f 1 I ti I JI! Wickham Gail
.� '+y11r '�{ f 1111'1�iIiifip+1}! �11� JJ1 {Li`1ii • IFSTWWE rear ewe
'1 11 to sIrl �� t, lo f' qi,1rli, (631) 298-8353
r { ,1V ARCA CODE IElER101E M1eaEe lET.eleeweY
� rl 1 ,¢ I d 11