HomeMy WebLinkAboutL 12828 P 199 Ilifil lU IIIII Ilifi 1111111111111 1111 1111111 1111
III IIIA 11111 III IIII
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: 15-01455 LIBER: D00012828
PAGE: 199
District: Section: Block: Lot:
1000 115.00 06.00 023.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $380,000.00
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 $125.00 NO
TP-584 $5.00 NO Notation $0.00 NO
Cert.Copies $0.00 NO RPT $60.00 NO
Transfer tax $1,520 .00 NO Comm.Pres $4,600.00 NO
Fees Paid $6,375.00
TRANSFER TAX NUMBER: 15-01455
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
r•1 f
4 �'1 2
Number of.pages 4 RECORDED
2015 Aug 17 09:56:21 All
JUDITH P. PPSCALE
This document will be public CLERK OF
record. Please remove all i SUFFOLK COUNTY
L 000012828
Social Security Numbers P 199
prior to recording. DT# 15-01455
•
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording./Filing Stamps
3 FEES
Page/Filing Fee , D Mortgage Amt.
1. Basic Tax _
Handling 20. 00 2:Additional Tax
TP-584 C Sub Total
Notation Spec./Assit.
5 or
EA-52 17(County) Sub Total Spec./Add. •
___
EA-5217(State) / S TOT.MTG.TAX _
R.P.T.S.A. 'CD- .....
C '- r �,�,, Dual Town Dual County_
Comm.of Ed, 5. 00 j Held for Appointment
--- r Transfer Tax SZO
Affidavit 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 C-2 ST If NO,see appropriate tax clause on
page# of this instrument.
,- --0 7—a)-/s
4 I Dist.1CM 15021466 1000 11500 0600 023000 6 5 Community Preservation Fund
Real Property p T 1111111111111111111111#11111111111111111
in iWlnff mnlImltnlmullrif 111111101111111m1111 1111
Consideration Amount$3S�UOv
Tax Service R SMI 'g 1111111))111llll1Ilflllllll�Ill1111ll11ll1ll�ll
Agency
PF 07-AUG-1 Tax Due $ 6Verification — I l
Improved i
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
/ .
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Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901
www.suffolkcountyny.gov/Clerk •
Co,Name FIDELITY •NATIONAL TITLE'
Title# 'FISC cif ci$ 3.55ig
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached EyeCl.t,Ttv5 •Deec} made by:
{SPECIFY TYPE OF INSTRUMENT)
CAVV‘ILA Ore.
Q S O The premises herein is situated in
0I-1 LOrra I nt. VJ DruA/ SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of JDlt-14r1/?la
DP r k- S\J KL In the VILLAGE
• or HAMLET of �a L .
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
a•om...una
(over)
—Executor's Deed—Individual or Corporation(single sheet) FI5-gq,233
CONSULT YOUR LAW'ER BEFORE SIGNING THIS INSTRUMENT-TEES 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,23'd 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
Three Hundred and Eighty 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 Robert L.Bergen recorded on March 28, 1968
in Liber 6324 page 175.
Said premises and known and designated as District 1000 Section 115.00 Block 06.00 Lots 023.00.
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,
W PRESENCE OF: Capital One, NA, as Executor of the
last will and testament of Lorraine W. Drury
4 LORRAINE 6i41.L1161 C&
Fidelity National Title Insurance Company
TITLE NO.F15-7404-98233-SUFF
SCHEDULE A-1 (Description)
Amended 07/27/15
ALL that certain plot, piece or parcel of land, situate, lying and being at Mattituck, Town of Southold, Suffolk County,
New York, known and described as Lot No. 23 on a certain map entitled, "Mattituck Estates, Inc." 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 22 and
23 on the above mentioned described map where same intersects the northerly side of Blossom Bend;
I•
THENCE North 04 degrees 36 minutes 32 seconds West along the division line between Lots 22 and 23,259.88 feet; ,
THENCE South 87 degrees 26 minutes 30 seconds East, 160.00 feet;
THENCE South 7 degrees 43 minutes 50 seconds West,250.00 feet to the northerly side of Blossom Bend;
THENCE South 87 degrees 43 minutes 50 seconds West along the northerly side of Blossom Bend, 18.82 feet to a point;
THENCE westerly along the northerly side of Blossom Bend along an arc of a curve bearing to the left having a radius of •
50.00 feet a distance of 104.72 feet to the point or place of BEGINNING.
•
•
THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which
by law constitute real property.
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 NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
1k-c4, k
State of New York,County o ,ss: State of New York,County of ,ss:
On the 315clay of J.(J in the year 2015, before me, the On the day of in the year , before me, the
undersigned,personally appealed undersigned,personally appeared
Lo ctt/'ne �uIi�
personally known ��to me orpved 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 ehalf of which the individual(s)acted,executed the the person upon behalf of which the individual(s)acted,executed the
instrument. instrument,
CHRISTINA M.ROBAS
Notary Public State of New lbrk
Ghristinai M.Koss No.02 t Suffolk
o
Qualified In Suffolk CoumV
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 to me or proved to me on the basis of satisfactory
or the place of residence is in a city,include the street and street number draw,thcrcol), 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.F15-7404-98233-SUFF LOT:023.00
Capital One,N.A„as Executor COUNTY OR TOWN:Suffolk
TO
Roger K.Slejka
RETURN BY MAIL TO:
DISTRIBUTED BY
^^ Wickham,Bressler&Geasa,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 Mattifuck,New York 11952
•
• • •INSTRUCTIONS(RP-5217-PDF-INS):www.orps.slate.ny.us .
FOR.COUNTY USE ONLY , 9 New York State Department of
q
Ci.MS code I , , , I Taxation and Finance
C2.Date Deed Recorded I o jS/ t?-/ /6"--11/..30 Office of Real Property Tax Services
g oZ9
25 RP-5217-PDF
C3.Book I r , 1 C4.Page I I 1 I t I Real Property Transfer Report(8110)
PROPERTY INFORMATION I
1.Propatly 1075 Blossom Bend
Location
•STREET NUMEM •MEET NAE
Mattituck 11952
•CITY OR TORR VILLAGE •RP CON
2.Buyer Siejka Roger K.
Name
•LAST NIMEROFIPNft FRIT NAE
LIST NANSICGAINANT gear NAME
3.T°f Indicate where future Tax Bea ere to be sem
Billing if enter than buyer address(al bottom el form) LAST NMg1WYPMw FIRST NAE
Address
STREET RANEE MO NAME CITY 01.TONT STATE yes cam
4.lndkate the number of Assawment 1 ❑Pan of a proal (Only If Part of a Parcel)Check as they apply:
Roll parade transferred on the deed a a Parcels OR El4A.Planning Bond with Subdivision Aldhomy Edits
6.Deed X OR 0.73 4B.Subddirition Approval was Required for Transfer ❑
Property •FRan FEET •DEPTH WEN
She 4C.Parcel Approved for Subdviaion web Map Provided ❑
Capital One, N.A. as Executor of the Last
6.Beller •LAST NM,cCONER0 TMST.neac
Name Will and Testament of Lorraine W. Drury
u5•NANDLOMPAR, FEST NAME
'7.Select the description which most accuratelydescribes the Check the boxes below as they apply:
use of the properly at the time of sale: 8.Ownership Type Is Ccndenirsum 0
A.One Family Residential 6•New Construction on a Vacant Lae ❑
10A.Property Located within an Agricultural District ❑
108.Buyer received a disclosure notice Maestri);that the property is in an ❑
Agnedtaral Dlsnct
ISALE INFORMATION' 16.Check one or more Waage conditions as applicable to transfer.
_A.Sale Between Relatives on Former Relatives
• 11.Sale Contract Date 05/21/2015B.Sale between Related Compania or Partnere in Business
:
C One of the Buyers Is also a Seller
•12.Date of Sale/Transfer 07/30/2015 _D Buyer or Seller Is Government Agency or Lemmng Insitwon
_E.Deed Type net Warranty or Bargain and Sale(Specify Below)
_F Sale of FraWonal or Lees than Fee Interest(Specify Below)
•13.Full Bale Price 380,000.00 _G.Significant Change In Property Between Taxable Status and Sale Dates
N.Sale a Business Is Included in Sale Price
(Futi Sale Prigs is the total amount paid for the property Including personal property. - I.Other Unusual Factors Affecting Sale Price(Staidly Below)
TATs payment may be in the form d cash,cher property or goods,or the asumpeon Cl J.None
mortgages or Sher obhgadons.)Please round to the narest while ebleramcunt
'Comment(o)on Condition:
14.Indicate the value of personal 0
property Included In the sale
.00
I ASSESSMENT INFORMATION-Data should retied the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll front which Information sakaM') 15 •1T.Total Assessed Value 4,400
'16.Property Cods 210 _ •19.School Dishful Name Matt ituck/Cutchogue
'20.Tax Map ldentiller(s)Roll identifier%)(if more than four,attach sheet with additional!dentitler(s))
1000-115-6-23
(CERTIFICATION'
I Certify that all of the Items of Infonsatlon entered on this tem am true and correct(to the best of my knowledge and belief)and I understand that the nuking of any willful
false statement of material fact herein subject me to thepmmylsiaa of the(yedl riy relative to the making and filing of false IMWta
men .
C017)4-I One/AO j t f SELLER SIGNATURE BUYER CONTACT INFORMATION
1' (Enver sdonwaon for IN burse Now Il wpr%LLC marry,aemeaoan.mr°orexan.load szdA manpny.Meta or
Q C may the la INTI en inde)orcommvw
mduel estenemy.Syn a name ace ae mr.cn St an-tT
meuefeufwo-a
u� 9/S�/� WO erne un answer gasowy MORNme SINN nut bew red Type or pita chanyl
LER nouNATUN DAN
Siejka Roger K.
aTE •4WOE se neonRARE
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7.3 145'(631) 298-8353
RAWER M
•ME11 CeoE •TELERCNI RARIE,SWI
IES s o sruE OATS
1075 Blossom Bend
•STREET MINER •STREET NAME
I y ' Mattituck NY 11952
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1l BUYER'S ATTORNEY
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,ril
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LAST wRE ,esn NAME
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