HomeMy WebLinkAboutL 12838 P 179 Illifil IV Ilifi Ilifi lll Hill Hill 1111 1111 IV III
1111111 VIII 11111 I I I 11111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/04/2015
Number of Pages : 3 At: 03 :24 : 41 PM
Receipt Number : 15-0153725
TRANSFER TAX NUMBER: 15-09927 LIBER: D00012838
PAGE : 179
District: Section: Block: Lot:
1000 070 .00 08 .00 047.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $100,000 .00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $15.00 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 $400.00 NO Comm.Pres $0 . 00 NO
Fees Paid $650 . 00
TRANSFER TAX NUMBER: 15-09927
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
a 1 2 ! ,
I
0 1
Number of pages ..._P"//17: RECORDED
2015 Nov 04 03:24:41 P(9
This document will be public JUDITH R. OFSCALE
CLERK OF
record. Please remove all SUFFOLK COUNTY
Social Security Numbers L D00012838
prior to recording. P 179
DT# 15-09927
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 I FEES
Page/Filing Fee
____/__,,<_ Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 `S Sub Total
Notation Spec./Assit.
Y or
EA 52 17(County) SubTotal
c Spec./Add.
TOT.MTG.TAX
EA-5217(State)
R.P.T.S.A.
to ii eve[A Dual Town Dual County
I. ,,•..,, ointment
Comm.of Ed. 5. 00 .,h i Transfer Tax : i147i
•'; =:fill ! '.,.:' Mansion Tax
Affidavit I�•
Ther
Certified Copy property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 2 0 c family dwelling only.
Sub Total YES or NO
Other a2-- )
Grand Total If NO, see appropriate tax clause on
/,t page,# Lofthis instrur // /f 1/7
4 Dist. 15030005 5 Community Preservation Fund
1000 07000 0800 047000
Real Property T S Consideration Amount$ /0-0/1-1-01-)
Tax
Agency Service ` RPvrr 20-OCT-1 A IIID III I II liii I HO II I IIIII IIII IIII (TPF ax Due $ 0
Verification
Improved 1
Satisfactions/Discharges Releases List Propperty Owners Mailing Address
6 R CORD&RETURN TO: Vacant Land
Round Hill Title Agency, Inc. I D
32 Field Point Road TD
Greenwich, CT 06830
TD
TD
Mail to:Judith A. Pascale,Suffolk County Clerk7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Ili t`T`{Le ,1 Fst
www.suffolkcoun ov Co.Name rt l
�n V�g clerk/ Title ri
12H- 15.--5b►4J
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached .P_i.,.--C,/ made
by: (SPECIFYTYPE OF INSTRUMENT)
-1-7040 C. ,, , a•ir4 G The premises herein is situated in
AS fr':,X e'C.v�-r SUFFOLK COUNTY,NEW YORK.
AI In the TOWN of RU a1-4
:lothr , In the VILLAGE
1—a 4 rl.e. A. tco.re,op 14_ or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
T —Executor's Deed—Individual or Corporation(single sheet)
'NIS INDENTURE,made the 27th day,of April,in the year 2015
BETWEEN
JOHN C.SPICIJARIC,as Executor under the Last Will and Testament of John Spicijaric,as surviving
tenant of tenants by the entirety with Helen Spicijaric,deceased,Suffolk County Surrogates File#2014-
3393,and in his individual capacity,residing at 1 Saggese Lane,Nesconset,New York 11767,
party of the first part,and
JUDITH GEYER,residing at 22 High Street,#4,Exeter,New Hampshire,New Hampshire 03833 and
JANICE A.DROFENIK residing at 225 48th Street,Lindenhurst,New York 11757
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 7,2014,and by virtue of the power and
authority given in and by said last will and testament, and in consideration of One Hundred Thousand
($100,000.00)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 at Southold,in the Town of Southold,County of Suffolk and State of New York,known and
designated as Lot Numbered Twenty-Five(25) on a certain map entitled, "Map of Section One, Fairview
Park at Southold,New York,dated July 12, 1961",filed in the Suffolk County Clerk's Office as and by Map.
No.3388 on August 9, 1961.
Dist.
1000
Sect.
070.00
Block
08.00
Lot
047.000
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by Deed dated
October 5, 1968 and recorded in the Suffolk County Clerk's Office on October 7, 1968 in Liber 6432 at Page
96.
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.
1N PRESENCE OF:
4/I .li.
Jr :SPICK' C
r
— ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York,County of Nassau, ss: State of New York,County of ,ss:
1'
On the 0.11 day of April in the year 2015, before me, the On the day of in the year ,
undersigned, personally appeared John C. Spicijaric, before me,the undersigned,personally appeared
personally known to me or proved to me on the basis of
satisfactory evidence to be the individual whose name is ,personally known to me or proved to me
subscribed to the within instrument and acknowledged to me on the basis of satisfactory evidence to be the individual(s)
that he executed the same in his capacity, and that by his whose name(s)is(are)subscribed to the within instrument and
signature on the instrument,th .ndividual,or the person upon acknowledged tome that he/she/they executed the same in
behalf of which the individual ed,executed the instrument. 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.
oot.' Public
IC •EL M.LEASE
No : Public,State of New Yo t
No.02LE4800081 �f-A4( • KNOWLEDGEMENT TAKEN OUTSIDE NEW
ACKNOWLEDGEM a,6 IlliatISIU111813111011140NyITNESS YORK STATE
TAKEN IN NEW YISIIIIPPires 8-30-201
*State of ,County of , ss:
State of New York,County of , ss: *(Or insert District of Columbia, Territory, Possession or
On the day of in the year Foreign County)
before me, the undersigned,a Notary Public in and for said
State,personally appeared On the day of in the year ,
,the ,before me the undersigned personally appeared
subscribing witness to the foregoing instrument,with whom I
am personally acquainted,who,being by me duly sworn,did Personally known to me or proved to me on the basis of
depose and say that he/she/they reside(s)in satisfactory evidence to be the individual(s)whose name(s)is
(are)subscribed to the within instrument and acknowledged to
(if the place of residence is in a city, include the street and me that he/she/they executed the same in his/her/their
street number if any,thereof);that he/she/they know(s) capacity(ies), that by his/her/their signature(s)on the
instrument,the individual(s)or the person upon behalf of
to be the individual described in and.who executed the which the individual(s)acted,executed the instrument,and
foregoing instrument;that said subscribing witness was that such individual make such appearance before the
present and saw said undersigned in the
execute the same;and that said witness at the same time (add the city or political subdivision and the state or country
subscribed his/her/their name(s)as a witness thereto or other place the acknowledgement was taken),
Executor's Deed
SECTION 070.00
BLOCK 08.00
LOT 047.000
Title No. R H- 15- 50 141 COUNTY OR TOWN Southold
Estate of John Spicijaric and John C.Spicijaric
TO
Judith Geyer and Janice A.Drofenik RETURN BY MAIL TO:
• Judith Geyer
22 High Street,#4
Exeter,NH 03833
I INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY u- New York State Department of
C4.SYIS Cods ` / as *q.., Taxation and Finance
.
C2.Date Deed Recorded 111 i' X20 lb Office of Real Property Tax Services
Q
°� Tar
RP-5217-PDF
C3.Book i /tA 1'3 10 1♦ I C4.Pepe i , I I ,7 5 I Real Property Transfer Report(8110)
PROPERTY INFORMATION]
1.Property 995 1 Gardiners Lane
Location
•STREET RUMaER •STR¢TNNX
Southold 11971
•CITY OR RYAN vuAOi •7OCaE
2.Buyer Geyer Judith
Naim
•LASI NMIFCOWNM F,RST NATE
Drofenik Janice A.
LAST NATFA•AIPANY sum NAME
S.Tax
Indicate where future Tex Bills are to be sent
Billing if other then buyer address(at bottom of form) LAST RANEIcoISANY FwnT NAME
Address
STREET MASER ANOMIE CITY CR TORN STATE woos
4.Indicate the number of Assessment 10
Pmt ct a Poral (Only N Check as of■Forced)Cheas they apply:
Roll parcels transferred on the deed a or Parcels OR ❑
4A.Fleming Board with Subdivision Authority Exists
6•Deed X OR 0.4 6 4B.SubdMelon Approval was Required for Transfer ❑
Property •FRONT FEET •DEPTH ORES
Size
4C.Parcel Approved for Subdivision with Map Provided ❑
estate of John Spicijaric
O.Seller •IAS5 NNIaaCOMPNIT Mr RAW
Name Spicijaric John C.
LAST NnsLco IPw1Y Feer nun
•7.Select the description which most accurately describes the Check the boxes below as they apply:
use of the property at the time of sale: 11.Ownership Type la Condominium ❑
A.One Family Residential e.New Construction on a Vacant Land 0
10A.Property Located within an Agricultural Drsbld 0
106.Buyer received a disclosure notice indicating that the property Is In an ❑
Agriculture'District
ISALE INFORMATION' 15.Check one or mom of these conditlone as•pplIcable to treader:
X A.Sale Between Relatives or Fortner Relatives
11.Sale Contract Date _ B.See between Related Companies or Partners in Business.
C.One of the Buyers Is also a Saler
04/27/2015 — D.Buyera Government Seller is Goveet Agency Lending Institution
ti Data of Sale/TransferE.Deed Type not Warranty or Bergen and Sale(Specify Below)
_ F.Sale of FmdiaW or Less than Fee Interest(Specify Below)
93.Full Sale Prig 100,000.00 _ G.Significant Charge In Properly Between Taxable Status and Sale Oates
_ H.See of Business is Induced in Sete Price
(Fut Sets PACO is the total amount paid for the property Including motional properly. I.Other Unusual Factors Affecting Sols Price(Spedty Below)
This al
s pent may be in e form of cash.other property or goods• the assumption of — J.None
mortgages or ether obligations.)Please round to the neatest whole dollar amount.
Comment).)on Condition:
14.indicate the value of personal
properly Included In the sale 0 .00
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I
IS.Tsar of Assessment Roll from which tafer talion teket(YY) 15 97.Total Assessed Value 4,100
'18•Properly Class 210 - 99.School District Name Southold
•20.Tarr Map klentlMr(s)IRoll!dentiner(e)(If more than four,Merck @hest with additional IdentaNr(s)
1000-070.00-08.00-047.000
I CERTIFICATION'
I Certify that all of the Items of Information entered on this form are true and coma(to Ms best of my knowledge and belief)and I understand that the making of any Meru!
false statement of material fact herein subset me to the orovlelans of the nenal law relative to the making and sling of false Instrument.
SELLER SIGNATU$E BUYER CONTACT INFORMATION
/ (Enlar 4aameilnn far els surer Not II Wyeria LLC.RNuoy.aaappaler,uoperaem.late Ft.dr emptily.s.•...Or
�• wiy Bollsn.ts,tdMdual epwdwmrrdSY.tied•earee a maad edwmam al•n imSoidNMaewmaak
OPIAl D�-oR7 /J 'pony ane un Eimer rseardhs tin awaler mum Se MOW Type or odor deny.)
w lud mooDATE
Geyer Janet
R.SIONATURE
•I.Asr NAME FRT NAME
deI (603) 315-1293
_..,..-A40,„___,10.4 .�.. .Gi .2 7./ •APEAmYE TELERIME NUMBER MAR
-SIDNA�. - DATE
22 High Street
••TREET NUMBER •STREET RAMS
II II yli , . 1Exeter NY 03833
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!(11 I tI i,111 t Il4r1�11�'lr};I ,' r(Iiil VI L1 Lr ti �'�'�I' @UYER'6ATTORNEY
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II 11I�� ,'�,�j I� I , qI{ rl�{�1 r` •(i AREA COX rutwwEwreExn..sent
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