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Home My WebLink AboutL 12847 P 312 1111111111111111111111 11111!1 illi 111111101111111111111111111111111111111111 11111111111101111111 I I I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 01/05/2016 Number of Pages: 4 At: 11:50 :36 AM Receipt Number : 16-0000856 TRANSFER TAX NUMBER: 15-15804 LIBER: D00012847 PAGE: 312 District: Section: Block: Lot: 1000 088 . 00 04.00 033.000 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 $125 . 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 $260.00 TRANSFER TAX NUMBER: 15-15804 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1 2 Number of pages ' RECORDED 2016 Jan 05 11:50:36 AN JUDITH A. PASCALE This document will be public CLERK OF record.Please remove all SUFFOLK COUNTY Social Security Numbers L 000012847 prior to recording. P 15 DT# 15--1J504 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 I FEES Page/Filing Fee ....7- Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 :j- _ Sub Total Notation J — Spec/Assn. or EA-52 17(County) '— Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. bin a) -',,•"'+„,-.,. Dual Town Dual County '' Held for Appointment Comm.of Ed. 5. 00 T; Transfer Tax Affidavit � ;' 4.1 I.' sTax _ 1;-.2:11. 07� Mansion'' The property covered by this mortgage is ertif)ed Cop _ or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total_ � 0 If NO, see appropriate tax clause on page# of this instrument. 4 I Dist 15037792 033.000 5 Community Preservation Fund 1000 08800 0400 033000 Real Prop PTS Consideration Amount$ T Age q 28-DEC-1 11E1 _111111 CPF Tax Due $ -. Venficatl X.,_---- - - — Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: / Vacant Land Y/ TD /0 Brian J.Hughes,Esq. P.O.Box 866 TD Southold,NY 11971 TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 I Title Company InformationI----ri-itte— www.suffolkcountyny.gov/clerk Center Drive, Riverhead, NY 11901 Co.Name 'i c o ke__ www.suffolkcountyny.gov/clerk Title# 3 r,'Th - , 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Executor's Deed made by: (SPECIFY TYPE OF INSTRUMENT) Helen J. Wynne Estate The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Jane Kaminski In the VILLAGE or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) • EXECUTOR'S DEED STATUTORY FORM E THIS IS A LEGALLY BINDING INSTRUMENT.IF NOT FULLY UNDERSTOOD,WE RECOMMEND ALL PARTIES TO THE INSTRUMENT CONSULT AN ATTORNEY BEFORE SIGNING. THIS INDENTURE,made the 41 day of Novembbeim er, , between Jane Kaminski and Barbara Wynne,of 805 Bay Haven Lane,Southold,New York 11971,as executor of Helen J.Wynne Estate,the last will and testament Helen J.Wynne,late of 805 Bay Haven Lane,Southold,NY 11971,deceased, party of the first part,and Kaminski,Jane,of 3 Pond Meadow Place,Middlefield,Connecticut 06455, party of the second part: WITNESSETH,that the party of the first part,by virtue of the power and authority to him given in and by the said last will and testament,and in consideration of 10.00 dollars,lawful money of the United States,paid by the party of the second part,does hereby grant and release unto the party of the second part,her heirs,successors and assigns forever,all at Bayview,near Southold,in the Town of Southold,County of Suffolk and State of New York,known and designated as Lot No.44 on a certain map entitled,"Bay Haven at Southold,Town of Southold, Suffolk County,New York,"surveyed December 10, 1058 by Otto W.Van Tuyl&Son,Licensed Land Surveyors,Greenport,New York,and filed in the Office of the Clerk of Suffolk County on the 22nd day of January, 1959,as Map Number 2910. . BEING AND INTENDED to be the same premises conveyed to the party of the first part herein by Deed bearing date the 27th day of July 1984 and duly recorded in the Suffolk County Clerk's Office on the 16th day of August, 1984 in Liber 9622 of conveyances at Page 212.; TOGETHER with the appurtenances,and also all the estate which the said testator had at the time of his decease 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,her heirs, successors and assigns forever. AND the party of the first part covenants that he has not done or suffered anything whereby the said premises have been encumbered in any way whatever. AND the party of the first part/grantor,in compliance with Section 13 of the Lien Law,covenants that the party of the first part/grantor 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"or"grantor"shall be construed as if it read"parties"or"grantors" whenever the sense of this document so requires. IN WITNESS WHEREOF,the party of the first part has hereunto set his hand and seal the day and year first above written. 0 YVVIA-Alkill e Kaminski,Executrix,Seller it &ULUa Wtyl►te_ Barbara Wynne,Exiikutrix,Seller In presence of Karen C. Ger ,,c No* PI4Ait. garbar, nnt) KA EC N data ao,06TAR r R eL,c (f i)-/39gg (-09 N N/C') NYSBA'a Residential Real Estate Forms(9100) C 2015 Matthew Bender&Co.,a member of the l exisNexis Group. Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK COUNTY OF SUFFOLK )ss.. On the 30th day of November in the year 2015,before me,the undersigned,personally appeared Jane Kaminski,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 she executed the same in her capacity(ies),and that by her signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)act executed thejns ent. j� BRIAN J. HUGHES 6 5, ke. �(\�y� Notary Public,State of New Mork \N rv`4t�✓ No.02H 87, (si a alum and office of individual taking acknowledgment) Qualifiedissonx Suffolk June2,County. Commission Ex7ir=s 2,2�� J Acknowledgment by a Person Outside New York State(' ' ,309-b) STATE OF CALIFORNIA - 'G COUNTY OF )ss.: x` 5° On the 30th day of November in the year 20 -,before f the undersigned,personally appeared Barbara Wynne,personally known to me or proved to m .n the basis of satisfactory evidence to be the individual(s) whose name(s)is(are)subscribed to the wi instrument and acknowledged to me that she executed the same in her capacity(ies),and that by her signa - s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,execu the instrument. (signature and office of dual taking acknowledgment) DEED Title No.NA District 1000 Helen J.Wynne Estate Section 088.00 To Block 04.00 Jane Kaminski Lot 033.000 County or Town Suffolk/Southold Street Address 805 Bay Haven Lane Southold,New York 11971 Return By Mail To: Brian J.Hughes,Esq. Office of Brian J.Hughes P.O.Box 866 Southold,New York 11971 Reserve This Space For Use Of Recording Office -z- $ • C.QS? `rye `r r.-rr,r.r 'rx`3r 1S_ -r r-,-- 1 r- :r X1T ._7j479_.<: .,v,V.,r;ADO ,oe_a ,iAA ,A: :AA r:L:ig,g~:T is : CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIC CODE§1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the 0. document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. r State of California .v; `? County of Orange }SS. ,. r On November 19, 2015 , before me, Karen C. Gerardo, Notary Public ; Date Name and Title of Officer(e.g.,"Jane Doe,Notary Public") ci .; personally appeared Barbara Wynne '" Name(s)of Signers) 5 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) `_5 `; is/arc subscribed to the within instrument and acknowledged to me that he/she/they bt executed the same in his/her/thele authorized capacity(ies), and that by j his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s)acted, executed the instrument. Ll certify under PENALTY OF PERJURY under s; KAREN the laws of the State of California that the ,;' ;,,.,i'•_ Commission•211awocourgy12x40 foregoing paragraph is true and correct. I rte,:., f. Notary Public-Calbornia r, ,, 1.14:::iimmumpar comaWITNESS my hand and official seal. j 4 /01/LeAt �,/ , / // 61 1 , • Signature of Notary Public ' Place Notary Seal Above KA l?t17'L) C. 6ry�' -bD . , OPTIONAL Though this section is optional,completing this information can deter alternation of the document or fraudulent g reattachment of this form to an unintended document Description of Attached Document =, Title or Type of Document: r, Document Date: Number of Pages: i Signer(s)Other Than Named Above: ,, 1 ,:; Signer's Name: , Capacity(ies)Claimed by Signer('s) L :, ❑ Individual ❑ Individual ❑Corporate Officer—Title(s): ❑Corporate Officer—Title(s): :; `:: ❑ Partner--❑Limited ❑ General ❑ Partner—❑ Limited ❑ General ci ❑Attorney in Fact ❑Attorney in Fact `-, c. e, El Trustee ❑Trustee , r• El Guardian or Conservator C1 Guardian or Conservator `, 0 Other: CIOther:_ • Signer is Representing: Signer is Representing: .", N L N '1 :, ,., •‘S•7 g.y.iRIDs3IdK.ps. i6¢b77 59Ddhzi&l L c,,, `9F..cs F`469. INSTRUCTIONS(RP-5217-PDF-INS):vArw.orpe.state.ny.ue OR COUNTY USE ONLY New York Stele Department of c,l;tanls cdde I , , , , , { Taxation and Finance C2.Date DeedINFORRecordedMATION I G f / os/r�/�I7 Nw of Real Property Tax Services C!.Book I / ,p?,O r� 17 I G.Pape L , ,o/,i I F Real Property TRP- ransfer ReportD (�a1 PROPERTY INFORMATION I Property1. La805 Bay Haven Lane Location '9r1Ef NUMBER 'SrhkeT NNE Southold Southold 11971 •CRY OR Taw MARE •ar CODE L 11 4 r Kaminski Jane Name •LAE NATRR:a4PArry Rim NINE Mgr romsCoNPANY FIRST NNE 3.Tax Indiab where future Tax Bis are In be sent BIO4mS Ifo0er Oen buyer eddreee(at bottom damn) LAST NuiscaWwry RReTNNE Addling STREET NYL'R NOME CRY OR law STATE MPOORE 4.Inditate the number of Assessment 0 part of a prod (Only If Part or a Parcel)Cheek a Bay apply: Rall woo tramhmd no the deed 1 A tete Parcels OR 4A.Planing Board with Subdiwhion Authority Exists El 5.Deed X OR 0.35 4B.SubeviebnApproval was Required for Transfer 0 RoPry •mom rem -mom vexes She IC.Parcel Approved for Subdivision with Map Provided ❑ Helen J.Wynne Estate 5.Seller •urNANSOCrmANY rest Nile Name urNaNrOarPAxr FIRST NNE Check the boxes below as they apply: •T.Salad the dan:dpllon which most accurately describes he use of the property at the Oma of ash:: 5.Ownership Typo is Condominium 0 0.New Construction on a Vaunt land 0 A.One Family Residential 10A.Property boated within en Agricultural Nutria O. 10B.Buyer meshed a dedoern notice indicetrrg that the property is in en ❑ Apiculture!Disbid SALE INFORMATION' 15.Check one or mon of these conditions as applicable to transhr: A Sob Between Relatives or Forcer Rebhan 11.Bale Cmtraat Date November 30.2015 _ B.8.1.between Related Comprise or Parsers in Business C.One of the Buyers is Oho■Seller D.Buyer or Salter h Goverment Aeency ar Landing Institution •1:Dale ofa■h►rmnahr November 30,2015 X E.Deed Type not Warranty or Bargain and Sate(Specify Below) F.Soh of Fmceonal or Lees than Fee Interest(Specify Below) '13.Full Bah Ria $0,00 _ 0.Significant Change m Property Between Tames Stets end Sate Dana _ H.Sete of Business is Included In Sale Prim (Full Sale Price hen total amount paid for to property Including pereorn a popery. _ I.Otherusdo Unusual Fera Affecting Sale Price(Spicily Below) This payment Roy be In the form of ash,over property or gads or to aesunption of 1 None mortgages or other obligetons.)Please rorard to the newest shore dollar arnaunt — canwr qa)on Conddlm: 14.I dlcale the value Cf preanal property Included In the gale $0.00 Executors Deed 1 ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll end Tex WI 10.Year of Assessment Roll from which Inferential taken(YY) 15 97.Total Assessed Value $7,100.00 Is.Property mese 2 1 0 — mi.School lastrkt Name Southold '20.Tax Map Mentltler(syRoa Identlller(a)Of mors than bbow,Mach sheet with additional Idenatlr(a)) 1000-088.00-04.00-033.000 - I CERTIFICATION I- I Coney that all of the lues of lnfar edon entered an Ods form are sue and correct(to the best of my bmordedge and belbl)and I understood that the mebbrg of eny seed false statement of malarial hot harsh subject me to fie rwonitlehs of Rhe ache lam ranula to the maklne end Ming abbe batrumrhle. SELLER ER g�NA1J ren BUYER CONTACT INFORMATION $f1e�yh��/�A�2i1(�w/�y,1V,Mu1i(� �q \I I19 ewe awrnmem bribe buyer.Nam If rase re U iadMy..ger Nn.mrparrn.Iom emir compare.soles w Jw1�hA/IYr W{��rh.C� I [ Elfelac rot enbr mmaMurk Men a mon and GEM edenoepm elmtehidslilpaede 4 II Il) a01a paryalho can rmorgan=remmedythe burstr red be Eswsd.Typo r whetehrya a vab1s SIONATUIit Kaminski Jane •uer NNE FIRST NNE 860 349-9565 *AREA CODE MILERENENUIARER pr rrr04 INEROONATURE DATE 3 Pond Meadow Placa •SnEET awe •ersEET NNE iv r + I Hi 3frI' r � Middlefield CT 06455 k0 1 :1,7 ,fi;, � '.r y'ti}I ✓iva"KM UYER'B ATTORNEY 'TATE TIP COM FIRST MANE ii iiri 1.1.1,,,;,, ,,-1,41,..;,,,,, !; � j�f'41 t! Hughes Brian r L'.„1.. 11r„ i, ) LAST NAME (631) 765.6911 NEACC E TroraeE mamba pa:ssamse