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HomeMy WebLinkAboutL 12836 P 111 mmEmmmommmmmmmmmEmmEmm 1111111 111111111 IIIII IIIII HIII 111111111111111110 IIII 111111111111011111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 10/13/2015 Number of Pages : 4 At: 01 :58 : 11 PM Receipt Number : 15-0140544 TRANSFER TAX NUMBER: 15-07410 LIBER: D00012836 PAGE : 111 District: Section: Block: Lot: 1000 115 . 00 06.00 022 .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 $250 . 00 NO TP-584 $5 . 00 NO Notation $0 . 00 NO Cert.Copies $5 . 00 NO RPT $60 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO Fees Paid $385 . 00 TRANSFER TAX NUMBER: 15-07410 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 4 • 1 2 RECORDED Numbi;r of pages 1 701:c 015. Oct 1_+ 01:52:11 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record.Please remove all L 00001283E Social Security Numbers F 111 prior to recording, DT# 15-07410 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 I FEES Page/Filing Feekr Mortgage Amt. �/ 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 5- Sub Total Notation Spec./Assit. or EA-52 17(County) 5 - Sub Total 50 Spec./Add. EA-5217(State) dr.A MI= TOT.MTG.TAX ;.1111! Dual Town Dual County R.P.T.S.A. cr i ��, ,; `, �',, Held for Appointm nt Comm.of Ed. 5. 00 ?,4" T Transfer Tax Affidavit • ... Mansion Tax 3 _ _ . ��. �-?- The property covered by this mortgage is ertified Cop or will be improved by a one or two NYS Surcharge 15. 00 335 family dwelling only. Sub Total J YES or NO Other Grand Total 3� f NO, see appropriate tax clause on Q page# of this instrument. 31 t5 7111:77115028001( 1000 11500 0600 022000 5 Community Preservation Fund Real Property P T s Ill II IIli1 I iiil ler �IR11Consideration Amount$Tax AgeCye 02-OT-A 111IIIIIIIIII IIIIII VIII�IIIII /(C-1;F ax Due $ Verification - - Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD I Wickham,Bressler&Geasa,P.C. P.O.Box 1424 TD Mattituck,New York 11952 TO Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901Co.Name hdelitt1 Natio-flatl Trim w+Nw.suffolkcountyny.gov/clerk Title# 2_06.341 —Zq 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Bargain&Sale Deed w/Covenants made by: (SPECIFY TYPE OF INSTRUMENT) Roger K.Siejka The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Roger K.Siejka and Adam Siejka In the VILLAGE or HAMLET of Mattituck BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) 2053q-i Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment Form 3290 CONSULT YOUR LAWYER BEFORE SIGII�NG THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THISJNDENTURE,made the 3/ day of August,2015 BETWEEN ROGER K. SIEJKA, residing at 955 Blossom Bend, Mattituck, New York 11952, party of the first part, and ROGER K. SIEJKA, residing at 955 Blossom Bend, Mattituck, New York 11952 as to an undivided 99% interest, and ADAM SIEJKA, residing at 1285 Kenny's Road, Southold, New York 11971, as to an undivided 1% interest, party of the second part, WITNESSETH,that the party of the first part, in consideration of Ten and 001100--($10.)--Dollars, and other good and 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, situate, lying and being at Mattituck,Town of Southold, County of Suffolk, and State of New York, known and designated as Lot No. 22 on a 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; said lot being be bounded and described as follows: SEE SCHEDULE"A"ATTACHED HERETO AND MADE A PART HEREOF Being and intended to be the same premises as described in deed dated July 30, 1015, and being recorded in the Office of the Suffolk County Clerk. ecordeck g- t7_ ,Zot L . la8 /5 �, acv 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: fc L � ROGER K. SIEJ44' f/deedsiefka2 • Fidelity National Title Insurance Company . TITLE NO.F15-7404-98234-SUFF SCHEDULE A-1 (Description) • • I 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, 12834 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 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. • SCIIEDULEA-I (Description) Rev.(03/04) • BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN New York STATE State of New York,County of Suffolk,ss: State of New York,County of ss: On the 81 y of August,in the year 2015 On the day of , in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared ROGER K.SIEJKA 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 satisfactory evidence to be the individual(s)whose name(s)is (are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which instrument, the individual(s), or the per n upon behalf of the individual(s)acted,executed the instrument. which the individual(s �d t��instrument 1114 - (signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) Notary Public •GbeiyIStrnona Notary Public Notary Public,State Of New York No.31-4970341 Qualified In Suffolk County 49 Commission Expires February 4,20 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of County of ss: On the day of ,in the year , 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(s) is (are) subscribed to the within instrument and acknowledged to me 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 the person upon behalf of which the individual(s)acted, executed the instrument,and that such individual made such appearance before the undersigned in the in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgement) Notary Public BARGAIN AND SALE DEED SECTION 115 WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 6 Title No. LOT 22 COUNTY OR TOWN Mattituck ROGER K.SIEJKA TO ROGER K.SIEKJA,as to an undivided 99%intererst and ADAM SIEJKA,as to an undivided 1%interest STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Wickham, Bressler&Geasa, P.C. P.O. Box 1424 Mattituck, New York 11952 • LU • U LL 0 C7 2 O K 0 U W C LL O W H 0 0 LL W U Q a <a N_ 2 H W C N re R' I ' INSTRUCTIONS(RP-5217-PDF-INS):www.orpa.state.ny.us FOR COUNTY USE ONLY New York State Department of ,. Cl.SIMS code I Lin 1 r 3:3 S I Taxation and Finance 0 ?j Office of Real Property Tax Services C2.Date Deed Recorded I / / I S Q more n� Y... RP-5217-PDF C9 Book i t�m I�X i C4 Page T n `t �r i Real Property Transfer Report(SI10) PROPERTY INFORMATION I 1.Property 955 Blossom Bend Location •STREET NWIER •MEET NAME Mattituck 11952 •CtTYa TORN VLIAOE •aFCODE 2.Buyer Siejka Roger K. Name •LAW NAYECOTWNIY ROSTRUM Siejka Adam LAST NAMEICOUPIAY FOIST NAME 3.Tax Inflate where future Tax Site are to be sant Billing If other then buyer addrees(at bottom d fano) par NAIECMAPANY MIST NAME Address S TREET ISMER ANDNAME CITY OR TORN STATE TP COOL 4.IndIaate the number of Assessment 1 s d PWds ❑Pen d aarce Parcel (Only If Pert of a Parcel)Check as they apply: El percale transferred on the deed OR 4A.Planning Board with Subdivision Authority Exists e.Deed _XXXK 0.93 X OR 4B Subdivision Approval wee Remind for Tranalr El Property •FRONT FEET •DEPTH galas Sin 4C.Parcel Approved for SubSviala with Map Plaided Siejka Roger K. S.Seller •LAW NmeOOOp . FIRST NATE Nome LAST NArs.COMPN Y Air NAME •7.Select the descrlpllen which most accurately describes the Cheek the boxes below as they apply: • use of the property at the time of sale: S.Ownerehrp Type le Condominium 0 residential vacant land a New Construction on a Vacant Land 0 10A.Property Located within el Agricultural datdd ❑ 10B.Buyer received■6sdosure notice Indicating that the property is in an Agricultural D(stnd 0 ISALE INFORMATION' 10.Check one or more of these conditions as applicable to transfer: A.Sale Between Relatives or Former Relatives 11.Sale Conhad Deb _ B.Sale between Related Companies or Penner'in Business. ! _ C.Onsdthe Buyers is also a Seller •12.Date of SalsiTrensM 0 it = D.Buyer or Selly u Government Agency a Lenale ng(Sp Institution J E.Deed Type not Warranty or Bargain and Sala(Spedly Below) _ F.Sale of Fractional or Leas than Fee Intermit(Specify Below) •17.Full Bale Prim .00 _ G.Sigrifica t Change in Property Between Taxable Status end Sale Dates H.Sale Cl Bualnes is Included In Sale Price Pd (Full Sale os is the total amount paid for the propertyincluding including personal property. — I.Other Unusual Fedora Matting Sale Price(Specify Below) The payment may he In the form at cesh,ether pmpeNty or goods,or the assumption of X .1None mortgages or other obligations)Please round to the nearest whole cigar amount Camment(el on Condition: 14.Indicate the value of personal property Included In the sale .00 I ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I 10.Year of Assessment Roll from which Infownetoa takes(YY) 15 •17.Total Assessed Value 300 •10.Property Class 311 _ •1e.School Dlsbkt Rome Mattituck/Cutchogue 10.Tea Mop IdMLSser(sfRoll Identifier(s)(1f more than lour,attic!'sheet with additional Identif e,fs)) 1000-115-6-22 CERTIFICATION I I Carey that as of the Mems of Information entered on this farm are bus and correct(to the hest of my knowledge end belief)and I understand that the making of any willful fats*statsnem of motorist fact herein subject me to the orovlakne of the gene jJew relative to the malting and filing of false lestmmenta. -LB r,l,; IMIXER.O.QMEASELRECIBMAIION glEs (Elarednnn■tlonta tie toyer.Note:*buyer Is LLC,eodery,mneoa■er,mrpaesm.pin ewd.m.pwry,eaaes sr — �� anal)maonMen helMltalepeem Othiab mens mete rdmeedkdolnacon dinlr maearoeeponeaI. pray who Can anew0mM:oereUwdnp Ow Milds mud be altered Typo r print dearly.) R.:-. f . �� �.; Siejka Roger K. - 7 •IASTNAME FOST NAME og • 'rte,/ - 631 298-8353 AP_.._ �./7/ AREA CaaG •TELEOHONEnumosn E•perm Adam e�L1ia DATE P.O. Box 23 •CRAW NUM&Cp •STREETNAME 1 Mattituck NY 11952 li 'r J}, 1 I�,,,`1' I' ;,� 1 �I 'n I nl nl II I 1' i i I1'i 1 I II ,j 1 � i;i, I'kI 'Ili it •aTYORTON. SATE •apmx 11 11'I1101'1 IJ1�� S�� ill, 1� ��1'i?Ito'. �i 'n11 ' �1ir 1'I i 11Lnr SUYER'SATTORNEY )I 1'1 }}�l�e 1) 1111 }�fri1 r1 T II T �IP,11.,piii 11o��1I'i�.i �Ilif�l+I'r l'(II� I1�.'f�lr`AnI pi1tel ylIl�.1.1 , Wickham Abigail A. II J 1II'f(f133r i�IIlill iI 77iIliWT NML ROSTRATE 11 1 '1q114711 1 �,1 r . e.1 1 I I,ijt I 1,I1 '��'II r1 . Aril l�rM , ) �r'r 'r{If l�lj+ 631 298-8353 'Jl1{Iyi' / l'. ISI ire I �,'1'� Ih�l {r1 11 h}1��iII 1 l ARCA CODE TELEPHONE MAWR it.BOOM J 1f1.y.i1 c,i, II 1iII .i, f IL 11r11 ,1i I 'i1{�i II 1I111,1�II1