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SUFFOLK COUNTY CLERK
•
RECORDS OFFICE •
RECORDING PAGE
Type of Instrument: DEED Recorded: 02/11/2016
Number of Pages : 4 At: 09:54:32 AM
Receipt Number : 16-0021024
TRANSFER TAX NUMBER: 15-19616 LIBER: D00012852
PAGE : 381
District: Section: Block: Lot:
1000 140 . 00 01 .00 007.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $905,000 . 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 $200.00 NO
Transfer tax $0 . 00 NO Comm.Pres $15,100.00 NO
Fees Paid $15,495.00
TRANSFER TAX NUMBER: 15-19616
•
THIS PAGE IS A PART OF THE INSTRUMENT
•
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1
1 2
Number of pages 1/ RECORDED
201E Feb 11 09:54:32 AM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record.Please remove all L D00012852
Social Security Numbers P 3°1
prior to recording. DT# 15-1%16
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee ,2D I Mortgage Amt.
1.Basic Tax
Handling . 20. 00
2. Additional Tax
TP-584 7 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total 62) Spec./Add.
EA 5217(State) J 5/ TOT.MTG.TAX
R.P.T.S.A. 2.00 �.woo: 1 Dual Town Dual County
�� •, Held for Appointment
'
Comm.of Ed. 5. 00 'ti . Transfer Tax d
•
•; e-I.4 • Mansion Tax
Affidavit ".7
Certified Copy _ The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total _ 39C - If NO, see appropriate tax clause on
page# of this instrument.
.)e) —is->-c�
4 I Dist. 1 16003789 1000 1a000 0100 007000 10 5 Community Preservation Fund
Real Peroperty �F 5�� Consideration Amount$ �[o 060
TVerification 8-F
08-FEB-1
IIID II III II VIII II IOI III III I III CPF T Due 5 (!J U
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
David Jannuzzi, Esq. TD
P. 0. Box 1672
Mattituck, NY 11952 TD
TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Hamlet Title Agency, Inc.
www.suffolkcountyny,gov/clerk Title#
HTA-356 I-S
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed _ _made
by: (SPECIFY TYPE OF INSTRUMENT)
Dennis Kord The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Mattituck
Lauren Polen and Benjamin Polen In the VILLAGE
or HAMLETof Southold
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
Jh 1
THIS INDENTURE,made the /Z day of Jaowl,Two Thousand and S;7f Igen
BETWEEN
DENNIS KORD,residing at 295 Maiden Lane, Mattituck, NY 11952
party of the first part,and
LAUREN POLEN and BENJAMIN POLEN,residing at 42 Main Street #5a, Brooklyn, NY 11201
party of the second part,
WITNESSETH, that the party of the first part, in consideration of($10.) Ten 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,
TAX MAP ALL that certain plot,piece or parcel of land,situate,lying and being in the Hamlet of Mattituck,Town of
)ES1GtvATION Southold,County of Suffolk and State of New York,bounded and described as follows:BEGINNING at a
concrete monument on the Westerly side of Maiden Lane(a private road)160 feet North of the Northerly line of
District:1000 lands now or formerly of the Estate of A.K.Brown;
Section:140.00 RUNNING THENCE Westerly parallel with the Northerly line of lands now or formerly of the Estate of A.K.
Brown,about 87 feet 9 inches to a concrete monument which is about 87.40 feet(87 feet 9 inches deed)
Block:01.00 Easterly from the larids`now or formerly of T. L.Hamilton;
Lot(s):007.000 RUNNING THENCE Northerly parallel with the Westerly line of Maiden Lane about 192 feet to the high water
mark of Mattituck Creek;
THENCE Easterly along the high water mark of Mattituck Creek to the Westerly line of Maiden Lane;
THENCE Southerly along the Westerly line of Maiden Lane(257 feet survey)to the point or place of
BEGINNING,
SUBJECT,however,to an easement 10 feet in width along the Southeasterly line of said premises.
"Being the same premises described in the deed to the parties of the first part herein
by deed dated 12/20/2006 and recorded 01/08/2007 in the County of Suffolk in Liber 12486 page 289."
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"when ever 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: 4 /
Afr' :f ,
DENNIS KORD
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
Form 3290
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of SglFolt ss: State of New York,County of ss:
On the I Z day of Zre*i1~,r7 in the year 2016 On the day of in the year
before me,the undersigned,pdrsonally appeared before me,the undersigned,personally appeared
DENNIS KORD
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 acknowled ed to (are)subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in hi h /their me that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature( the capacity(ies), and that by his/her/their signature(s) on the
instrument,the individual(s),or the person upon b I o which instrument,the individual(s),or the person upon behalf of which
the individual(s)acted,executed the instrument. the individual(s)acted,executed the instrument.
(signature �I(HAEL office
of individual taking ack wl d ment) (signature and office of individual taking acknowledgment)
MICNotary Public,State of New York
No.01 HA5025220
Qualified in Suffolk County
Commission Expires March 21,20
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), 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 acknowledgment)
BARGAIN AND SALE DEED SECTION 0.00
WITH COVENANT AGAINST GRANTOR'S ACTS LOTBLO00 00
LOT 007..00K 01.00
Title No. HTA-3561-S COUNTY OR TOWN Town of Southold
STREET ADDRESS 295 Maiden Lane,Mattituck
DENNIS KORD
TO
Recorded at Request of
LAUREN POLEN and BENJAMIN POLEN Old Republic National Title Insurance Company
RETURN BY MAIL TO:
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by
Hamlet Title Agency, aw Office of David Jude Jannuzzi
g Y�Inc.. 13235 Main Road P. 0. Box 1672
Mattituck,NY 11952
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Old Republic Title Insurance Company
Title Number: HTA-3561-S
Page 1
SCHEDULE A DESCRIPTION
ALL that certain plot, piece or parcel of land, situate, lying and being in the Hamlet of
Mattituck, Town of Southold, County of Suffolk and State of New York, bounded and
described as follows:
BEGINNING at a concrete monument on the Westerly side of Maiden Lane (a private road)
160 feet Northerly of the Northerly line of lands now or formerly ok A.K. Brown;
RUNNING THENCE South 44 degrees 47 minutes 00 seconds West 87.75 feet;
RUNNING THENCE North 47 minutes 25 minutes 10 seconds West 255'57 to the high
water mark of Mattituck Creek;
RUNNING THENCE along the high water mark of Mattituck Creek, North 12 degrees 13
minutes 37 seconds East 101.61 feet to the Westerly side of Maiden Lane;
RUNNING THENCE along the Westerly side of Maiden Lane, South 47 degrees 25
minutes 10 seconds East 310.29 feet to the point or place of BEGINNING.
SUBJECT to an easement 10 feet in width along the Southeasterly line of said premises.
1
1
• INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY New Yolk State Department of
Cl.SPAS Code L' ( ,3r31C80,9 I Taxation and Finance
C2.Date Deed Recorded i OA / I 1 / I lP I Office of Real Property Tax Services
'6.5,Moo OW ..•1 RP-5217-PDF
CS.Boots i I.CZ i C4.Pape [ r r (( I I Real Property Transfer Report(MO)
PROPERTY INFORMATION I
1.Propery 295 Maiden Lane
Location
•STREET MAWR .e1Mil NAT[
Southold Mattituck 11952
•era OR TON N VILLAGE •2P CODE
:Buyer Polen Lauren
Name
•LAST NA OOMPNn near tam
Polen Benjamin
LAST N MEICOYPANY ROT MAK
3.Tax Indesle where future Tax Bis re to be sent
Billing if ether than buyer ectdresu(a bottom of form) LAST poaracOMPMN FART NAME
Address
STREET NUMEkRMORALE cm OR TOWN STATE 2P WOE
4.Indere the number of Assessment 1 Pon d e Perod (Only If Part oaa Parcel)Check a they apply:
Roll parcels transform on the deed a d voxels OR ❑ uPlanning.Planp Booed MTh Srbdivtaion Authority Exists
IL Deed X OR 0.69
Property •rmer FEE, 48.aLbialel011 Approvel wee Regdeadffor Transfer 0
fine 'LASES
IC.Parcel Approved for Subdivision with Map PrwWed ❑
Kord Dennis
S.SNter .LAST NArnOTPMr FIRST NNE
Name
-
LAST NAMES OMFMI! MT NAME
'7.Select the dsseriptlon which most accurately describes the Check the boxers below ee Ory appy:
use of the property at the tea of eels: IL Ownership Type is Condominium 0
A.One Family Residential a.New Conanrdiorl on a Vann Land 0
10A.Property tweeted within an Agricultural District ❑
108.Buyer received a rbadoaure notice indenting that the property is in an ❑
Agrk:ukumt Disbid
(SALE INFORMATION] t0.Chea one or man of these caedmmm as appWwble to tronair.
A.Sale Between Relatives or Frear RWavas
11.Sale Contract Date 04/24/2015 _ B.Sale between Related Cannes or Pedrrers in Business.
C.One el the Buyers is also•Saler
12.• Date of Salafrraneke '1�..•t(6 _ D.Buyer or Seller is Government Agency or tarring Mention_E.Deed Type at Wrranaf or Batpsn end Sate(Specify Below)
F.Sols of Fra conal or Lass then Fee interest(Specify Below)
93.Full Sale Price 905,000.00 G.Significant Change in Papery Between Taxable Status and Sale Dates
— H.Sale d Pace
Is Included in Sala Pd
(Fue Sale Price is the total amount paid for the property inducting pungent properly. I.Other Unusual Fallon Arladng Sale Price(Specify Below)
This payment may be in tube from of cash,ether property or goods.or the assonant d —
mortgages near
ons)Plana round to est Verde dollar amount _ J.None
eer
CGmment(s)on Condition:
14.lakate the value of personal
properly Included In the Mals .0D
I ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I
10.Year of Assessment Roe from which information mbar(YY) 15 '17.Total Assessed Vales 8,100
Me.Property Clow 210 - •10.School DRUM Nide Southold
'20.Tax Map lderdMerlsPltaf!dentiflw(s)(If mon than four,Mach sheet nth addhlonel Iderdifi (al)
1000-140.00-01.00-007.000
'CERTIFICATION I
I Certify that ell of the Items of information entered on this form am tyre and correct(neo the best of my knowledge and belief)and I understand that the making of any willful
files statement armorial fact herein sand me to thvarovklorr d the Genal tees nlative to the making and sig of fah.ban:manm.
gal h apt srrsrATURE MYER CONTACT INFORMATION
Or - / 1.4624.126r‘
(Enc.reemwbn(arta buyer.Note:t buyer'.LLC.ndMy.unarm mpoaean pro a.dlanpmy.elMao/ weptaye larlelmmeaMFUeIepee. gend ream ladee t ree typefpa den PdRdllalhe�mm.I// y./ party rho an anew 4ndoele owing the Vender mum be wren type v pica clearly.)
LLE/e,"r•. DATE
BUYER SIGNATURE Polen Benjamin
�j�•LA31NAM ����hp Fm• [e�T�NA�IEE
Morn/ /Z, �/` 4 aJ1 LD 1 O 2044"ea MOM
ar EWE
295 Maiden Lane
•SMELT TAMER 'STREET NAME
LL Mattituck NY 11952
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