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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 02/17/2016
Number of Pages: 5 At: 02 :27 : 49 PM
Receipt Number : 16-0023358
TRANSFER TAX NUMBER: 15-20039 LIBER: D00012852
PAGE : 927
District: Section: Block: Lot:
1000 122 . 00 04 .00 047 .001
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $20,000 .00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $25 . 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 $0 . 00 NO RPT $200.00 NO
Transfer tax $80 .00 NO Comm.Pres $0.00 NO
Fees Paid $605.00
TRANSFER TAX NUMBER: 15-20039
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 2
•
RECORDED
52016 Feb 17 02:27:49 PM
Number of pages JUDITH A. PASCALE
CLERK OF
SUFFOLK COUNTY
This document will be public L DFo927
F"r7
record. Please remove all DTII 15-207039 •
Social Security Numbers
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee ,971 —
7- Mortgage Amt.
I. Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Spec./Assit.
Notation
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) CRST TOT.MTG.TAX
�
,__
R.P.T.S.A. ��� „•,„�+ �j '? Held for Appointment
�`��
Comm.of Ed. 5. 00 3i f� Transfer Tax RD –
"' 444 Mansion Tax
Affidavit
VDT, The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 Sub Total q-70 family dwelling only.
YES or NO
Other
Grand Total 5 O2 5- If NO,see appropriate tax clause on
t),l page# of this instrument.
al LI/
l Ir'd4 'ice
4 Dist. 16004498 1000 12200 0400 047001 ) 5 Community Preservation Fund
Real Property P 111111111
I11111111IIIConsideration Amount $ (/xfTax Service R VIT A
Agency 16-FEB-1 CPF Tax Due $ �`�
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
� //'RECOR�DAC&RETURN TO: Vacant Land
�j api) -� ' Why I TD rd
go" �/yAIk ,IC/•y, »7-5" TD
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 (Viq'CG.¢zv)7 1J 25 Q made by:
(SPECIFY TYPE OF INSTRUMENT)
•44h0411) -2- 4 The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Sn d 00 f I)
►�� In the VILLAGE
d
O2.e ..7',,i hos c►.-(fj 1L C or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12.0104.[Ul08kk
(over)
4
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
•
�
f/EI�7=
THIS INDENTURE,made theJay of Oeteber,two thousa nd fifteerr 5/x Ae,Q,i(
`gtrt ,YA, 1.141
BETWEEN �f
BOHDAN ZUK,residing at �"1E
Holding fifty percent interest ?ft) No O le ,xv,O,G oto•- 4I t � /4/Y?Tri 7" G E 1
5 i LK CoO,.u7'y , / 1 ale 11q5-2_, 6, 6,714
party of the first part,and f 000 " J Z 2 "ii-0 1`;
Ole Julius Lane,LLC,doing business at Box 554,305 Leeward Drive,Southold NY 11971
Receiving fifty percent interest ++tj 410 k O fE ilk ,(G, ' yY14 r i;' rve k
tfOLJ Coo•ply , We.u> Y4,04, 1195-2 , c, 9! 4. .tf
party of the second part, Joao - I ZZ `.21 1/7
WITNESSETH,that the party of the first part, in consideration of ten dollars and other valuable consideration
paid by the party of the second'part,does hereby remise, release and quitclaim 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
SEE SCHEDULE"A"DESCRIPTION ANNEXED HERETO AND MADE A PART HEREOF
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, 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:
BOHDAN ZUK
•
Standard N.Y.B.T.U.Form 8004—Quitclaim Deed—Uniform Acknowledgment(single sheet)
EXHIBIT "A"
SCHEDULE "A" DESCRIPTION
ALL that certain plot, piece or parcel of land with the buildings and improvements thereon erected,
situate, lying,and being at Mattituck,in the Town of Southold,Suffolk County, New York, bounded and
described as follows:
BEGINNING at a point on the Northwesterly side of Ole Jule Lane,where the Northeasterly line of land
now or formerly of Cooke intersects the Northwesterly side of Ole Jule Lane;
RUNNING THENCE North 37 degrees 24 minutes 20 seconds West, 200.00 feet to a dredged Canal;
THENCE Northeasterly, Easterly,Southerly,Southwesterly and Westerly along said dredged Canal,the
following 11 tie-line courses and distances:
1. North 45 degrees 50 minutes East 353.72 feet;
2. North 74 degrees 23 minutes 30 seconds East 265.00 feet;
3. North 88 degrees 54 minutes East 39.61 feet to the Northwest corner of land now or formerly of
Boera;
4. South 2 degrees 39 minutes 20 seconds East along said land now or formerly of Boera, 60.00
feet to the Northwest corner of the land now or formerly of Snider;
5. South 15 degrees 36 minutes 30 seconds East,along said land now or formerly of Snider,75.00
feet to the Northwest corner of the land now or formerly of White;
6. South 40 degrees 34 minutes West along said land now or formerly of White,75.00 feet to the
Northeast corner of the land now or formerly of Croon;
7. South 80 degrees 37 minutes 30 seconds West along said last mentioned land,80.00 feet to the
Northeast corner of the land now or formerly of Farnbach;
8. South 85 degrees 09 minutes 40 seconds West,along said last mentioned land,85.00 feet to the
Northeast corner of land now or formerly of Power;
9. South 78 degrees 19 minutes West,along said last mentioned land, 100.00 feet to the Northeast
corner of the land now or formerly of Tuthill;
r , • r
•
10. South 67 degrees 56 minutes 10 seconds West,along said land now or formerly of Tuthill, 110.0
feet;
11. South 60 degrees 07 minutes 30 seconds West,continuing along said land now or formerly of
Tuthill, 106.52 feet;
THENCE South 37 degrees 24 minutes 20 seconds East, still continuing along land now or formerly of
Tuthill, 155.00 feet to the Northwesterly side of Ole Jule Lane;
THENCE South 52 degrees 35 minutes 40 seconds West along the Northwesterly side of Ole Jule Lane
50.00 feet to the point or place of BEGINNING.
S.C.T.M.#1000-12200-0400-04701.000
•
a
•
TO 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 d`uJes 'L)I
: 4/W1"P/�d�1
On thea •a‘ .f In the year 2015 On the �� ay of in the year 2e:"I A9
before me,the und- .igned,personally appe. ed before ,the undersigned,personally appeared
personally known to m- or proved to e on the basis of person y now to m or proved to me on the basis of
satisfactory evidence to be e individ .1(s)whose name(s) is satisfactory evidence to be the individual(s)whose name(s) is
(are)subscribed to the within' stru•-at and acknowledged to (are)subscribed to the within instrument and acknowledged to
me that he/she/they execut-• e same in his/her/their me that he/she/they executed the same in his/her/their
capacity(ies), and that by his•:r/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the
instrument,the individual(s),or - .-rson upon behalf of which instrument,the in.ividual(s) or the person upon behalf of which
the individual(s)acted,exec - ru ' t. the individu. .cted,ex::ted e ment.
/ 1/
(signat• e-nd o e o d idual takin.ac nowledgment) (s.nature and off',e o ' dividual tak g acknowledgment)
—54‘s soarlxg uoiss+wurea KF..,
Alun >Ilogns ut pol}tlenO Notary Public.State of New York
6L9t 0t'j°f+1n Alt?1u No.4981'879
410/.m•N;o of OS' J4 d N Qualified in Suffolk County
ADTIVIN MAFIA C•• mission Expires July 8,'I.fr
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)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),w 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 acknowledgment)
SECTION 122
QUITCLAIM DEED BLOCK 04
LOT 047001
COUNTY OR TOWN SUFFOLK/SOUTHOLD
Title No. STREET ADDRESS 2950 OL .JULE LANE
BOHDAN ZUK,holding 50%interest
TO
OLE JULIUS LANE,LLC by EVELYN A.
WITHERSPOON,CEO,receiving 50%interest RETURN BY MAIL TO:
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by
Kevin J.Malloy,Esq.
80 East Main Street
Kings Park,New York 11754
x ,
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOP COUNTY USE ONLY New Volt State Department of
Cl.SWIS code 14,E 3,,R,R;Q I Taxation and Finance
C2.Date Deed Recorded ( 2/ I I/ ,CQ Office of Real Property Tax Services
ISM Dls RP-5217-PDF
C3.Book I I,2, ate,2.1 C4.Page i I ICA 1 2-111 Real Property Transfer Report(8110)
PROPERTY INFORMATION I
1.Propertyl 2950 Ole Jule Lane
Location
-
•STREET MILLIER •STREET NAME
Southold 11971
•CITY OR TORN YSIAra: 'LP CODE
2.Buyer Ole Julius Lane, LLC by
Name
•LAST N IN/COrPANY FIRST rams
Witherspoon Eve_yn A., CEO
1x61 NYaICO11PAM FIRST Nose
3.Tax Indicate where future Tao Bills are to be sem
Billing bother than buyer address(er bottom of form) IAST NRNncmmAxr ROST NATE
Adders
SIREE I T4MFR ANORAK or,OR IIAYT SIAM hP CmIL
4.1ndicate the
number
on Assessment s deala of Parceh OR 1 ❑part or.,alta, (Only If Part of a Parcel)Check as they apply:
parcelsRoll
4A.Planning Board with Subdivision Authority Exists ❑
6.Dead 0.00
Property •FRONT FEET X OR 40.Subdivtsien Approval was Required for Transfer El
'DEPTH 'ACRES
Size
4C.Parcel Approved for Subdivision with Map Provided ❑
Zuk i3ohdan .
6.Seller .IASI POSIECONPANY mar NTE
Name
LAST NIMEICOIPANY - nest HANE
'7.Select the description which most accurately describes the Chock the boxes below as they apply:
use of the property mike time of sale: S.Ownership Type is Condominium 0
C.Residential Vacant Land 0.New Construction on a Vacant Land ❑
10A.Property Located within an Agricultural District ❑
1OB.Buyer renewed a disclosure notice indlcatng that the property is in an
Agricultural Disbsi ❑
'SALE INFORMATION' IS Check one or more of these conditions as applicable to transfer
_A Sale Between Relatives or Former Relatives
11.lisle Contract Date L _ B.Sale between Related Companies or Partner in Business.
_C One ot the Buyers is also a Seller
'12.Dab of SalNfmnsfor 1 �'•�'8 :
E.Buyer y Seller is Government Agency or ale(SpUndue Imwtuahi
E.Deed Type not Warranty a Bargain and Soh(Speedy Below)
_ F.Sale of Fractional or Less than Fee interest(Specify Below)
93.Full Safe Price 20,000.00 _G.Significant Charge in Properly Between Taxable Status and Sale Dates
_ H.Sala of Business is included in Sale Price
(Fut
Sale Price is the total amount paid for the property including personal properly. I.Other Unusual Factor Affecting Sale Puce(Specify Below)
This payment may hen the roam of cash,other property or goods.or the assunpsm of $ J.None
mortgages or other obligations.)Presse round to the nearest whole dolor mount
Comment(a)on Condition:
14.indicate the value of personal
properly Included in the sale 0.00
I ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I
16.Year of Assessment Roll from which Information taken(YY) 97.Total Assessed Value
-
I li.Property Claes 3 1 ` - le.School District Name j/J/) tint"Ck
'20.Tao Map Identlfler(ayRoll Identifier(s))(If more than four,attach sheet with additional Identflarfe)) •(/'(,(�1 i 1 VL
1000-122-04-047001
!CERTIFICATION I
I Certify that all of the Items of information enured on this form are true and correct Ito the best of my knowledge and belief)end I understand that the making of any willful
bluff Statement of mal rial lent herein sublet(m to t s.pmOYlalona of_ .penalJew.relatve to the making and Cling of false Instruments.
5E.LER SIGNATUBEl''' BUYER CONTACT INFORIaliON
IVW.nivmmpr Tor the peal Note.If buyer is LLC may.moamon,eerporebon.gent sari mmpws mats Sr
/ ere!cwt R rel an memo/poen[w atluiory.tae a norm alio canted tnlalrnhen of an kanduarresppwhk
9 l - / /` - ,ifsredsoarer ewe rierepror:0>b Lerner non,
bewerretl Type er MmeMRY.I
HEUERse.NATURE % '
BUIERSIGNATURE Ole Julius Lane, LLC by Evelyn A. Witherspoon,CEO
/� •LAST NAPE MST NOTE
B (/f: ., / r
AIL 'AREA GOOF 'TELEPHONE nJYSER in MwrrH
6 OWEe5• 1
____ �� Box554,305 Leeward Drive
,.
---7_,- 7/11/1 'mREET NSAFR •STREET NSW
/ ,
1 i `r'J '1.' ` e` Southold NY 11971
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�i l' ; I11,1''fil ' A;.�i:7.1 i' }Lr, li �I',r'f17 BUYER:S.ATf.ORNEY •auTE •mcaoE
III .r 1 1 I )�('hti'.11 1r',II ' /�
i )11 :�''}I 111V 1'i '1I IPIO!!1',1.1..11 .1{1I �( A Mal:oy Kevin
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