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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/20/2015
Number of Pages: 4 At: 03 :21 :38 PM
Receipt Number : 15-0162857
TRANSFER TAX NUMBER: 15-11631 LIBER: D00012841
PAGE : 761
District: Section: Block: Lot:
1000 12100 0700 006000
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: 15-11631
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 �
1 2 Submit by E-mail Print Form
RECORDED
2015 Nov 20 O3:21:38 PM
Number of pages JUDITH R. PRSCRLE
CLERK OF
SUFFOLK COUNTY
This document will be public L D00012841
record.Please remove all P 761
DT# 15-11631
Social Security Numbers
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00 2. Additional Tax
TP-584Sub Total
Notation Spec./Assit.
or
EA-5217(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. •� ; WIt Dual Town Dual County
y% Held for Appointment
Comm.of Ed. 5. 00 "� ': Transfer Tax
Mansion Tax
Affidavit •
_'/4� "+ The property covered by this mortgage is
Certified Copy "" or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total , If NO, see appropriate tax clause on
page II of this instrument.
4 Dist. 1 15032868 1000 12100 0700 006000 0 5 Community Preservation Fund
11111111141111111111111111111
RealTaxService Property
SMI P T 111111111111111111
IIIIII��II1I1II11iiiiiii�iiiii�i� ii1ii1iiui�i Consideration Amount S
R
Agency 17 NOV-1 CPF Tax Due S
Verification
—• Improved k
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address is
RECORD&RETURN TO: Vacant Land
Jay P.Quattara"o,Esq. TD
Twomey,Latham,Shea,Kelley,Dubin&Quartararo LLP TD ��
P.O.Box 9398
33 West Second Street TO
Riverhead,New York 11901
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Quitclaim Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
The Robert C.Lazuta'Revocable Trust The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
The Carole Jeanne Martin a/k/a Carole Jeanne In the VILLAGE
Lazuta Revocable Trust or HAMLET of Mattituck
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
NO CONSIDERATION
Quitclaim Deed
This Indenture,made the 28th day of October,Two Thousand and Fifteen
BETWEEN
CAROLE J. LAZUTA a/k/a CAROLE J. MARTIN,as Successor Trustee of THE
ROBERT C.LAZUTA REVOCABLE TRUST u/a/d 12/21/06,having an address of
935 Farmveu Road,Mattituck,New York 11952,
party of the first part,and
CAROLE JEANNE MARTIN a/k/a CAROLE JEANNE LAZUTA as Trustee of
THE CAROLE JEANNE MARTIN a/k/a CAROLE JEANNE LAZUTA
REVOCABLE TRUST u/aId October 28, 2015, and any amendments thereto,
having an address of 935 Farmveu Road,Mattituck,New York 11952,
party of the second part,
TAX MAP WITNESSETH,that the party of the first part,in consideration of Ten Dollars and
DESIGNATION other 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
Dist.: 1000 the party of the second part forever,all of the party of the first part's interest in
Sec.: 121
B t( SEE SCHEDULE"A"ATTACHED.
Lot(s):6
BEING AND INTENDED TO BE the same premises conveyed to the party of the
first part by deed dated December 21,2007 and recorded on December 21,2007 in
the Suffolk County Clerk's office at Liber 12534 page 757.
Premises also known as 935 Farmveu Road,Mattituck,New York 11952
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 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:
(260A-V,
Carole J.
�Lazuta a/k/a Carole J.Martin
as Trustee OA "(/u% g"
STATE OF NEW YORK)
COUNTY OF SUFFOLK)ss.:
On the 28th.day of October in the year 2015 before me,the undersigned,personally appeared
CAROLE J.LAZUTA a/k/a CAROLE J.MARTIN personally known to me or proved to me on
the basis of satisfactory evidence to be the individual whose name is subscribed to the within
instrument and acknowledged to me that she executed the same in her capacity, and that by her
signature on the instrument,the individual,or the person upon behalf of which the individual acted,
executed the instrument.
MELISSA DORIS
Notary Public.State of New York
No.02006241716 1 ,
Qualified in Suffolk CountyQ Notary blic
Commission Expires 06/06/20_0_
QUITCLAIM DEED DISTRICT: 1000
SECTION: 121
Carole J.Lazuta a/k/a Carole J.Martin,as BLOCK: 7
Trustee of The Robert C.Lazuta Revocable LOT: 6
Trust
COUNTY OR TOWN:SUFFOLK
TO TAX BILLING ADDRESS:
Carole Jeanne Martin a/k/a Carole Jeanne RETURN BY MAIL TO:
Lazuta as Trustee of The Carole Jeanne JAY P.QUARTARARO,Esq.
•
Martin a/k/a Carole Jeanne Lazuta
Revocable Trust Twomey, Latham, Shea, Kelley, Dubin &
Quartararo,LLP
33 West Second Street
P.O.Box 9398
Riverhead,New York 11901-9398
•
Page 2 of 2 Pages
•
SCHEDULE A
SCTM No.: 1000— 121 —7—6
935 Farmveu Road, Mattituck, New York 11952
•
ALL that certain plot, piece or parcel of land, with the buildings and
improvements thereon erected, situate, lying and being at Mattituck, Town of Southold,
County of Suffolk, State of New York, known and designated as Lot No. 32 on a certain
map entitled, "Map of Farmveu Associates," and filed in the Office of the Clerk of
Suffolk on September 1, 1989, as Map No. 8808, together with mandatory membership in
the Farmveu at Mattituck Homeowners Association, Inc., (hereinafter called the
Association).
TOGETHER with an easement of ingress and egress by vehicle or on foot in and
to any streets or roads as shown on the filed map; RESERVING to the party of the first
part, its successors or assigns the fee of all land lying in the bed of any and all such
streets and roads; and FURTHER RESERVING the right to convey the fee title to said
streets and roads together with natural drainage areas shown on the filed map to the Town
of Southold or any other municipal authority, without the consent of any lot owner,
mortgagee or any other party, at which time the easement of ingress and egress shall be
automatically extinguished.
AND TOGETHER with the benefits and subject to the burdens, covenants,
restrictions, by-laws, rules, regulations and easements, all as set forth in the Amendment
to Declaration (setting forth Covenants, Restrictions, Easements, Charges and Liens),
dated June 7, 1993, and recorded in the Office of the Clerk of the County of Suffolk on
the 8th day of July, 1993, in Liber 11635 of Conveyances at Page 684 and other
Covenants, restrictions, easements and rights-of-way of record.
INSTRUCTIONS(RP-5217-PDF-INS):www.otps stale ny.us
FOR COUNTY USE ONLY f 2) s vp Cil O New York Slate Department of
CI.SWIS Cede i I IR II , i Taxation and Finance
C2.Date Deed Recorded L 1 I / dqD/ I 3i Office of Real Property Tax Services
� 'r' Dayr '� RP-5217-PDF
I
CL.Book , , ICO.Pape I 1,C,) I Real Property Transfer Report(8110)
PROPERTY INFORMATION I
1.Property 935 Farmvou Road
Location . ___
•SPIES!IMMO •STREET NAYE
Southold Mattituck 11952
•at.on 1pmr - - - MADE •a MOE
2.Buyer Martin, as Trustee Carole Jeanne
Nemo
•IAT 1 MtCOMPNir FEST MAMi
LAST NAUOCCYPMEV SPIT SArlE
3.las Indicate whore future Tan Bills em lobe sent
Billing A other than buyer address(al bon=of form) MMT NEuCoIPAm• TMST HAM
Address
StetET N&laER AND NAME CRYOR TOWN TATE ar Coot
4.imOeete the number of Assessment 1 parted.Pwtwt IOnh B Part o1 a Parcel)Check es they apply:
Roll parcels transferred on the deed e d Percale OR U4A.Plambg Board with Subdwision Authority Exists ❑
S.Dead ' X OR 1.08 10.Srbdwision Approval was Required for Twirler 0
Properly •rex:'LET •DEPTH •ACRES
5iso IC.Parcel Approved for Subdivrwon with Map Provided ❑
Lazuta, Trustee Carole J.
6.Seller •LAS,OIASCCMPE4 FIRST NAMr
Name
LAST MAIIccOYAMIY lmsi NATE
1.Select the description which mos Lily describes the Check the boxes below es they apply:
use of the property at the time of sale: 8.Ownership Type is Candomkrkm ❑
A.One Family Residential ' 9.New Construction on a Vacant Land 0
10A.Property Located within an AgricdMTal District 0
100.Buyer received a disclosure notice krdicasng that the property is in an ❑
Agdeulbral Detiict
1 SALE INFORMATION' 15.Check one or more w of theconditions is applicable to transfer:
1 A Sale Between Relatives or Former Relatives
11.Seln Contact DareB.Sale between Related Companies or Partners in Business.
C.Ono of the Buyers is also a Seller
12.Dale o1 Satef i render10/28/2015 D.Buyer or Seller is Government Agency Or Lendng/asylum
E.Deed Type not Warranty or Bargain and Salo(Speedy Below)
_ F.Sox d Fractional or Less Wm Fee Interest ISpeely Below)
'13.Full Sale Price 0.00 G.Significant Change in lhapery Between Tamable Sues and Salo Dates
H.Sale of Business is Included in Salo Price
(Fut Sale Price is the total amount paid for Me property includng personal Property. _ OtherPriv I Unusual Factors Affecting Salo (Speedy Below)
lam his payment maybe in the leat cash,carr property or goods•or the assumption d J.None
mortgages or other obligations.)PIERRE WE/to the neared whole dab,amount —
'Comment(s)on Condition:
14.Indkale the rake of personal cele Clain Deed: a . - r to trust pursuant to R2TA
properly lndudedln the sale 0.00 oFinion C! Counsel. ==sec retsina grantor's tax
IASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 1
16 Year of Assessment Roll tram which Information taken(YY) 15 '17.Total Assessed Value 5,400
'18.Properly Class 210 _ 19.School Dlsirict Name 973812-99
•20.Tax Map Identtflor(syRoll Mentifsr(s)(II mare than lour,attach sheet with additional idenelter(s))
10(i'i-121.00-07.40-006.000
I CERTIFICATION'
I Certify that all of the hem of information entered on this form are wee end correct(lo the best of my Imes/ledge and bdld)and I understand that the making of any willful
!also statement of malarial fact heroin subject me to the provisions of the penal law rotative to the making end filing of false htstlumrds.
dwilit SELLER SIGNATURE BUYER CONTACT INFORMATION
Meer HonWon eN lobster.WO raves.LLC,romaq,amedelket ewearaaert per lead CamenY.wenn m
now area suer pea weaeery.manle ore arecannelamrmalem Wen RemdehaamECe/EIew/owl.
�Q5 pall wee cal awes aeewm raednmag leeVerses st MImese typos Mot Clearly.)
scucRSW14T g
Martin Carole Jeanne
BUYER SIGNATURE - -_
{I IN�E}rm;JV(��/�•I.P\� yL( •LAST NNE NIST NEE
•��' ,,A,/('1 WC.COOL •Tc.EPumec smeon OE.eeeeew
WWIaq, ,......A..f
OAIF t/
935 Fa:mveu Road
•STREET NUMBER •STREET NW
r II ' ( � I 1 ',I'll Mattituck NY 11952
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TIT/e,rawR -- .suTE :Pecos
I `r I,C I tEr� !l R4YEBS.AII4RNEY
kI h r {)1,,;f(11#r�1 4� 1 p _
1 i 1�1rA� � 1 ,,� T ��� I�� Quartaxaro Jay P.
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�It'!, R , �j+1 h i�1 � l i 1 5 ; ''�'f/ LAETeWE 'I aTeollE
?i }1 11, '1' II,' '�F�s4i' I1,,1l � � ' s� ,r (63l) 7.7 21x0
i � AREA CaOF iMFA1CLE WARIER Mc MCWM1
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