HomeMy WebLinkAboutL 12851 P 877 •
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 02/09/2016
Number of Pages : 4 At: 09:57 :45 AM
Receipt Number : 16-0019019
TRANSFER TAX NUMBER: 15-19231 LIBER: D00012851
PAGE: 877
District: Section: Block: Lot:
1000 080 .00 03.00 015 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $410,000 . 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 $250 . 00 NO
TP-584 $5 .00 NO Notation $0 . 00 NO
Cert.Copies $0.00 NO RPT $200 . 00 NO
Transfer tax $1, 640 .00 NO Comm.Pres $6,700 . 00 NO
Fees Paid $8,860 . 00
TRANSFER TAX NUMBER: 15-19231
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
——
I
1 . 2
RECORDED
2016 Feb 09 09:57:45 RF1
Number of pages V JUDITH H. PASr_:RLE
CLERK. OF
SUFFOLK COUNTY
This document will be public L 000012851
P 877
record. Please remove all DT# 15-19231 •
Social Security Numbers
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp • Recofding./Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
L Basic Tax
Handling 20. 00 2..Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) ' Sub Total Spec./Add.
EA 5217(State) TOT.MTG.TAX
—
R.P.T.S.A. 10 ,,; „t„Sic ij Dual Town Dual County_
`L Held for Appointment
Comm.of Ed. 5. 00 "A' 7,
6gex• Transfer Tax j _
• r
Affidavit >, 1i,. . `,r Mansion Tax
a. The property covered by this mortgage is
Certified Copy or will be improved by a bne or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other _
Grand Total X If NO,see appropriate tax clause on
-Nick«n Ta geIP— of this inst ment.
16001583 1000 08000 0300 015000 p i ✓1 l�
4 Dist. 1U )00 5 Community Preservation Fund
P y 111111111Im us IIIAIiia illi pip 11111 am NI Consideration Amount$ AtirReal Pro ert RSMI A
Tax Service 19JAN-1 _
Agency PF Tax Due $ 6----7(y-p/-
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Lad
6171-10`L(& C. wove.. � V TD ' 6
- 1 0.-0 Ma\VN-Oa 4
TD
k-•VV1 oR 11q'11 TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co,Name FIDELITY NA •
TIONAL TITLE
www.suffolkcountyny.gov/clerk Title 4 +1. 1iAtM tcoppS-i
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached 1:36-1.90,k Vl t( `C 17ted made by:
�� (SPECIFY TYPE OF INSTRUMENT)
" k�bry The premises herein is situated in
SUFFOLK COUNTY,NEW YORK. n
TO In the TOWN of ij` V10 1CJ.
I. Ale_ On ve IiL[—. In the VILLAGE
or HAMLET of 6�
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
I 2.0104..mioekk
(nverl
100033
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 6th day of January 2016
BETWEEN
STEVEN KUBRYK
69 The Intervale
Roslyn,NY 11576
party of the first part,and
355 LAKE DRIVE LLC
135 Whitehall Boulevard
Garden City,NY 11530
party of the second part,
WITNESSETH,that the party of the first partlin:corisideration of
Four Hundred Ten Thousand and 00/100.($410,000.00) xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx dollars
paid by the party of the second part,does h&reby 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 in the
Said premises is vacant land.
Grantor is same person as grantee in deed dated June 20,2008,recorded on July 31,2008 in Liber 12559;page 997.
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:
STEVEN KU%'YK
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment
Form 3290
ACKNOWLEDGEMENT TAKEN IN NEW YORK STALE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York.County of Nassau ,ss: State of New York.County of .as:
On the 6 day of 37144.0.4..1_ in the year Q , On the day of in the year
before me,the undersigned.personalpeared before me,the undersigned,personally appeared
STEVEN KUBRYK
personally known to me or proved to me on the basis of satisfactory 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 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 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) 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 on the instrument,the individual(s),or the person upon behalf ofwhich
the individual(s)acted,executed the instrument. the individual(s)acted,executed the instrument.
Nota line M DiLemme
Notary Public,State o(New yolk
jvo,lik
No.01016117050
1 tt.t � Qualified in Nassau OOurtty
Commission Expires Oct.12,201,
Lisa m.Ai L.amine_
ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN ACKNOWLEDGEMENT TAKEN OUTSIDE NEW PORK
IN NEW YORK STATE STATE
State of New York,County of , ss: *State of ,County of , ss:
'(Or insert District of Columbia.Territory.Possession or Forcipn County)
On the day of in the year
before me,the undersigned.a Notary Public in and for said State, On the day of in the year
personally appeared before me,the undersigned personally appeared
the subscribing witness to the foregoing instrument,with whom I ant
personally acquainted who,being by me duly sworn.did depose and say Personally known to me or proved to me on die basis of satisfactory
that he/she/they reside(s)in 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), that by his/her/their signature(s)on
(tithe place of residence is in a city.include the street and street number if any.thereof); the instrument,the individual(s)Or the person lip-011 hehalf 0fwhich the
that he/she/they know(s) individual(s)acted,executed the instrument,and that such individual
make such appearance before the undersigned in the
to be the individual described in and who executed the foregoing
instrument;that said subscribing witness was present and saw said
(add the city or political subdivision and the state or country or other
execute the same;and that said witness at the same time subscribed place the acknowledgement was taken).
his/her/their name(s)as a witness thereto
Bargain and Sale Deed
With Covenants
SECTION:080.00
Title No., ,si-viof
( J s
BLOCK: 03.00
LOT: 015.000
STEVEN KUBRYK COUNTY OR TOWN: Suffolk
To
355 LAKE DRIVE LLC
RETURN BY MAIL TO:
DISTRIBUTED BY PATRICIA C.MOORE,ESQ.
/*^ 51020 MAIN ROAD
YOUR TITLE EXPERTS SOUTHOLD,NY 11971
The Judicial Title Insurance Agency LLC
800-281-TITLE(8485) FAX:800-FAX-9396
Fidelity National Title Insurance Company
TITLE NO. F15-7404-100033-SUFF
SCHEDULE A-1 (Description)
ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, Suffolk County, New
York, and shown on Map of Re-Subdivision of Block "F" of Map of"Reydon Shores" at Bayview, L.I., N.Y., which re-
subdivision was made by Lewis N. Waters,L.S.of Oyster Bay, L.I., N.Y., September 2nd, 1936 and which said map was
duly filed in the Office of the Clerk of the County of Suffolk at Riverhead,New York on the 7th day of October 1936 as
Map No. 1215, and which said lot is designated as and by the Lot Number 6 on said Re-Subdivision Map, bounded and
described as follows:
BEGINNING at a point on the northerly side of Lake Drive distant 292.14 feet easterly from the extreme easterly end of
the arc of a curve connecting the easterly side of Reydon Drive and the northerly side of Lake Drive; •
RUNNING THENCE North 34 degrees 12 minutes 00 seconds East, 199.65 feet;
THENCE South 79 degrees 56 minutes 03 seconds East,39.59 feet;
THENCE South 22 degrees 24 minutes 00 seconds West, 194.97 feet to the northerly side of Lake Drive;
THENCE North 74 degrees 00 minutes 00 seconds West along the northerly side of Lake Drive, 80 feet to the point or
place of BEGINNING.
•
•
•
TIIE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which
by law constitute real property,
FOR CONVEYANCING ONLY: Together with all the right, title and interest of the party of the,first part, of in and to the land lying
in the street in front of and adjoining said premises.
SCtltil)ULE4-1 (1)escriplinn)
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY New York State Department of
Cf.SWIS cede i Li,13 5 Ig 9/ I Taxation and Finance
C2.Date Deed Recorded d a/ 0q/ 1 tD Office of Real Property Tax Services
Sae
Gy YM' RP-5217-PDF
CJ.Book.I t o s1 l I"Page I 1 1 D1
Real property Transfer Report(8110)
PROPERTY INFORMATION I
1.Properly 355 Lake Drive
Location
•STRECT ware •STREETwkQ:
Southold 11971
•GTr Oa TOWN runt[ •SPCOE:
2.Buyer 355 Lake Drive LLC
Name
•last xxsecouxxxv FIRST NATE
LAST issiE/COIPNr FIRST NHE
3.Tax Itdcare where future Tar Bills are to be sent
Billing if other man buyer addresstat bottom of form) Law NWJCCWAY• FAST ma
Address
STREETMmBER AND NFYE CITY OA TOWN STATE LP CODE
4.Indicate the number of Assessment 1 e et Parcels OR ❑Pot ala Parcel !Only If Part of a Parcel)Check as they apply:
Roll parcels transferred on the dead 4A.Planting Board with Subdivision Authonty Exists 0
5.Deed X OR 0.00 4B.Subdvision Approval was Required for Transfer 0
Property •FSCN:FEE: •Cant - •arms
Size 4C.Parcel Approved for Subdivision vnth Map Provided ❑
Kulsryk Steven
6.Setter .IAS;Nursico ww MST MME
Name
LAST NFPE1CCOPyn vers:NxYE
'T.Select the description which most accurately describes the Check the boxes below as they apply:
use of the property at the time of sale: 8.Ownership Type is Condomnium ❑
D.`'un-RraidrtnridVacant ;rail 9.New Construction on a Vacant Land 0
10A.Properly Located w.thin an Agricultural Dis:nct ❑
108.Buyer received a d.sdosure notice indicating that the properly is in an ❑
Agricultural 0isuict
"SALE INFORMATION" 16.Check ono or more of these conditions as applicable to transfer:
A.Saki Between Relntivee or Former Relatives
11.Sale Contract Date 11/12/2015 _ B.Sale between Related Compares or Partners in Business.
_C.One olthe Buyers Isalso aSeller
'12.Date of Saleilransfer 01/06/2016 _D.Buyer or Seiler is Government Agency or Lending Institution
_E.Deed Type not Warranty or Bargain and Sala(Specify Below)
F.Sale or Fractional or Less than Fee Interest tSpeoly Below)
•13.Full Sala Price 4:0,000.00 G.Significant Change In Property Between Taxable Status end Sale Dates
Fell Sale Prince is the tai amountpad for the indulinpersonal property. N.Sale ot Business is Included in Sala Pnce
( property g I.Other Unusual Factors Affecting Sale Price(Specify Below)
This payment may be in the form of cash.over property or goods,or the assumption of
J.None
mortgages or other obligations)Please round to the nearest whote dollar amount.
Comment's)on Condition:
14.Indicate the value of personal
property included in the sale _ .00
IASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill"
15.Year of Assessment Roll from which Information taken)YY) 15 97.Total Assessed Value 1,1 CO
'le.Property Class 311 _ _ MI.School District Name Southold
•20.Tax Map Identifier(s)Roll Identifer(s)(If more than four.attach sheet with additional identifier(s))
1000:080;03;015
(CERTIFICATION I
I Certify that all of the items of information entered on this form are true and correct(to the best of my knowledge and belief)end I understand that the making of any willful
false statement of material fact herein subject me to the.pfv.Ylslgns.of.the.pesaLlaw rolativo to the making and filing of false instruments.
,SIGNATURE BUYER CONTACT INFORMAT..10Lr
mewwortuason re are buyer.Note.it buyer a LLC.eeory,saWOru n.CCrpressel,)ant VMS WPlpeny.WAS Or
... entry sir.is MI an nwtd,Mi agent or hduoery.siren a MSS ant certia 'YWI.naOn of an rwsnnWlaappaele
...11
patty von can mower gumbo=repro%me vender mum be entered Type or pent dearly.)
.LLERE. • r
do
DOTE
B.UYEB.SIGNATUBE Cosola Peter
•Ur NAIIE MST WAG
{/ NI (999) 999-9999
Kfes1-.. •FAEeCOGE ".EL.P•cNE NUMMI eeeeeeer
TIME oun
135 Whitehall Boulevard
•STREET RAISER •STREET NAME
' L I I Garden City NY 11530
J `` �yy Orr OR TOWN •euy5 SS COOL.
r I i ill 1'I BUYER'S ATTORNEY
i rll���tli,.,ii,'11:1
��� }Yi+ � }j I1■ Moore ?atricia
I'' 111111 1 111 r I 1lil
�11 ''1 LAST NAME
FIRST tunas
1}'+L I, !�, l'V� (631) 765-4330
r 1
� 11 f i 4. r1 I y I iREAcdoE rt•rnNdFa MamEaf�eraaaem
4h ; I1
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