HomeMy WebLinkAboutL 12851 P 318 11111111111111111111111111111111 I I I I 1111111111111111111
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 02/03/2016
Number of Pages : 4 At: 03:19:27 PM
Receipt Number : 16-0017075
TRANSFER TAX NUMBER: 15-18795 LIBER: D00012851
PAGE: 318
District: Section: Block: Lot:
1000 122 .00 07 . 00 009.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $1,235,000 . 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 $4, 940 . 00 NO Comm.Pres $23,200.00 NO
Fees Paid $28,660.00
TRANSFER TAX NUMBER: 15-18795
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
[1 J 2
Number of pages
1/ RECORDED
2016 Feb 03 O3:19:27 PM
JUDITH A. PASCALE
This document will be public CLERK OF
record.Please remove all SUFFOLK COUNTY
Social Security Numbers L D000012851
F. 318
prior to recording. DT# 15_18795
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 I FEES
Page/Filing Fee In _ 7 Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 5 — Sub Total
Notation Spec./Assit.
or
EA-52 17(County) 5 = Sub Total ,- ---('-)— Spec./Add.
EA-5217(State) .2.5b TOT.MTG.TAX
'. ismi Dual Town Dual County
R.P.T.S.A. 2.be
y,, 1J ', Held for Appointment
Comm.of Ed. 5. 00
f Transfer Tax Lg�0 0�
Affidavit 1 +` -;�Ml '+ Mansion Tax
Certified Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00family dwelling only.
Sub Total 97h -- YES or NO
Other
Grand Total 5a) — If NO, see appropriate tax clause on
page# of thiiss'nstrument.
. 311 ) ii5l/CO
JDist. 10001` 16002726 loon i22oo 0700 00900010 5 Community Preservation Fund
Real Property T 5 I IIIUIII I II VII I�IIIQIII�III II III Consideration Amount$� Z-31Z-31Z-31000.Tax Service R VIT A i I
Agency CPF Tax Due $ ZOO.28.1AN-1
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD i®
David Jude Jannuzzi,Esq.
13235 Main Road,P.O.Box 1672 TD
Mattituck,NY 11952 TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Fidelity National Title Insurance Co.
www.suffolkcountyny.gov/clerk Title#
F15-7404-100155-SUFF
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Bargain and Sale Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
9300 Route 25,Inc. The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of SOUTHOLD
9300 Main Road.LLC In the VILLAGE
or HAMLET of MATTITUCK
BOXES 6 THRCJ 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
Ft --iOoj55
NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
As a
THIS INDENTURE,made the /STJ' day of January in the year 2016
BETWEEN
9300 ROUTE 25,INC.,a New York corporation,with an office at 114 Old Riverhead Road,
Westhampton Beach,New York 11978
party of the first part,and
9300 MAIN ROAD,LLC,a foreign limited liability company with an office at 4934 SW Hewett
Blvd.,Portland,OR 97221
party of the second part,
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 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
See attached Schedule"A"
BEING AND INTENDED TO BE the same premises conveyed to the party of the first party by
deed dated January 7,2015 and recorded January 21,2015 in Liber 12804 page 669.
DIST: 1000 SECT: 122.00 BLOCK: 07.00 LOT: 009.000
Premises known as: 9300 Route 25,Mattituck,New York 11952
TOGETHER with all right,title and interest,if any,of the party of the first part of,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 incumbered 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"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: 9�(�i- C•
y aul Pawlowski,President
Fidelity National Title Insurance Company
TITLE NO.F15-7404-100155-SUFF
SCHEDULE A-X (Description)
ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, at Mattituck, County of
Suffolk and State of New York, bounded and described as follows:
BEGINNING at a concrete monument set for a bound in the South line of Main road distant 141.34 feet westerly as
measured along the South line from its intersection with the West line of Sigbee Road;
RUNNING THENCE South 20 degrees 29 minutes 00 seconds East by and with the West line of Amended Map of
Mattituck Park Properties,Inc., Suffolk County Map No. 801,'1652.84 feet to a concrete monument;
THENCE South 69 degrees 31 minutes 00 seconds West,577.68 feet to a concrete monument;
THENCE North 20 degrees 29 minutes 00 seconds West, 1487.19 feet to a concrete monument set for a bound in the
South line of Main Road;
THENCE North 53 degrees 31 minutes 00 seconds East by and with the South line of Main Road, 600.96 feet to the
concrete monument and the point or place of BEGINNING.
THE 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.
SCHEDULE.-1(Description)
USE ACKNOWLEDGMENT FORM BELOW WITHIN NEW YORKSTATE ONLY: USE ACKNOWLEDGMENT FORM BELOW WITHINNEW YORK STATE ONLY:
Slate of New York,County of SUFFOLK )ss.: State of New York,County of }ss.:
On the 1 day of January in the year 2016 On the day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
PAUL PAWLOWSKI
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 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 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 signature(s)on the instrument, the individual(s),or the person upon
behalf of which the individual cted,executed the instrum-nt. behalf of which the individual(s)acted,executed the instrument.
r \ S. ,
i
DAVID S. DE OND
NOTARY PUBLIC, State of New Y.
No.02DE4994849
Qualified in Suffolk County
Commission Expires April 13,20
ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONLY: ACKNOWLEDGMENT FORM FOR USE OUTSIDE NEW YORK STATE ONLY:
/New York Subscribing Witness Acknowledgment Certificate/ (Out of State or Foreign General Acknowledgment Certificate,
State of New York,County of }ss.: }ss.:
(Complete Venue with State,Country,Province or Municipality)
On the day of in the year
before me,the undersigned,personally appeared On the day of in the year
before me,the undersigned,personally appeared
the subscribing witness to the foregoing instrument,with whom I am
personally acquainted,who,being by me duly sworn,did depose and personally known to me or proved to me on the basis of satisfactory
say 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
(if the place of residence is in a city,include the street and street number, the same in his/her/their capacity(ies),that by his/her/their signature(s)
if any,thereof);that he/she/they know(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
to be the individual described in and who executed the foregoing made such appearance before the undersigned in the
instrument;that said subscribing witness was present and saw said
execute the same;and that said witness at the same time subscribed (Insert the city or other political subdivision and the state or country or
his/her/their name(s)as a witness thereto, other place the acknowledgment was taken).
BARGAIN&SALE DEED
W ITI I COVENANTS AGAINST GRANTOR'S ACTS
TITLE No.f15-7404-1000155-SUFF DISTRICT 1000
SECTION 122.00
9300 Route 25,Inc. BLOCK 07.00
LOT 009.000
COUNTY 075 fit+ SUFFOLK
TO
9300 Main Road,LLC RECORDED AT REQUEST OF
Fidelity National Title Insurance Company
RETURN BY MAIL TO
FIDELITY NATIONAL TITLE David Jude Jannuzzi,Esq.
INSURANCE COMPANY 13235 Main Road,P.O.Box 1672
941 INCORPORATED I928 Mattituck,NY 11952
vxi/n/AFidelity
Member New Yark Sate Land Me Aoorot,Jn
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FOR COUNTY USE ONLY New York State Department of
C1.SIMS Cede 1 y,7,S,,f, g,/g 1 Taxation and Finance
C2.Date Deed Recorded I 01 1 J í/(Q I Officeof Real Property Tax Services
Month Dry Y..C3.Book I/I alVILl l� C4.Page 13,4 y RP-5217-PDF
, r Real Property Transfer Report(W10)
PROPERTY INFORMATION
1.Property 9300 ROUTE 25
Location
•STREET WRIER •STREET NAME
MATTITUCK
•crrY CO TORN VELUM •aP CODE
2.Buyer 9300 MAIN ROAD, LLC
Name
•LAST NAMECCAIR NY FIRST NATE
LASTNMRJCOIPANY FIRSTS/WE
3.Tax Indicate whore future Tax Bills are to be sent 930 0 MAIN ROAD, i,I.0
Billing if other than buyer eddress(at bottom of form) MST w,cyp,Ory peat Nays
Address
4934 SW HEWETT BLVD. PORTLAND OR 97221
STREET NUN BER AND MEE CITY OR TOWN STATE ip coca
4.Indicate the number of Assessment 10
Pan of a Parcel (Only H Part of a Parcel)Check as they apply:
Roll parcels transferred on the deed #of Parcels OR
4A.Planning Board with Subdivision Authority Exists 0
5.Deed X OR 20.82 48.Subdivision Approval was Required for Transfer 0
Property •FRONT FEET •DEPTH 'ACRES
Size
4C.Parcel Approved for SubdNlslon with Map Provided 0
9300 ROUTE 25, INC.
C.Seller 'WAST NAMSCOYPASP, FIRST RAYS
Name
LAST NAME,CDMPANY FIRST NNE
'7.Select the description which most accurately describes the Check the boxes below as they apply:
use of the property at the time of sale: B.Ownership Type is Condominium ❑
C.Residential Vacant Lind 9.New Construction an a Vacant Land ❑
10A.Property Located within an Agricultural District 0
10B.Buyer received a disclosure notice Indicating that the properly is in an
Agricultural District ❑
SALE INFORMATION'
15.Check one or more of these conditions as applicable to transfer.
A.Sale Between Relatives or Former Relatives
11.Sale Contract Date 12/16/2015 B.Sale between Relabel Companies or Partners In Business.
C.One of the Buyers is also a Seller
01/15/2016 _ D.Buyer or Seller is Goverment Agency or Lending Institution
'12.Date of SelelTransfar _E.Deed Type not Warranty or Bargain and Sale(Specify Below)
_ F.Sale of Fractional or Less than Fee Interest(Specify Below)
'13.Full Sale Price 1,235,000.00 G.Signdlcant Change in Property Between Taxable Status and Sale Dates
N.Sale of Business is Included in Sale Rica
(Full Sale Price Is the total amount paid for the property including personal property. I. Other Unusual Factors Alhcung Sale Price(Specify Below)
This payment may be In the form of cash.other properly or(roods,or the assumption of S J.None
mortgages or other obligations.)Reese round to the nearest whore dollar amount
Commentte)on Condition:
14.Indicate the value of personal
properly Included In the sale 0 .00
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I
16.Year of Assessment Roll from which Information taken(YY) 16 '17.Total Assessed Value 10,400
'16.Property Class 311 _ '19.School District Name MATT ITUCK-CUTCHOGUE
—
'20.Tax Map Identaler(s)atoll IdentiMr(s)(If more than four,attach sheet with additional Identtfler(s))
1000-122.00-07.00-009.000
!CERTIFICATION I
I Certify that all of the Nems 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.prov161ons tthe.panaLtaw.relatiw to the making and filing of false instruments.
SELLI;B_SIGNATURE SLIVER CONTACT INFORMATION
(Enter hfemaian lar Er buyer.Nor.S Imam is LLC.aceialy,euoaran,oxpxeoaA lora road=neatly.new.Sr
easy taw a no an individual agent ar frurier%erns name and caned Manama el en nrmdhaweapanahr
' / / ,i pwly who can ansae praians ropsrd+g the transfer mud ha waxed Type or pant clearly.)
ys„oto save
BUYER SIGNATURE MARSH STEPHEN
'IASTlNALE SCODE FIRIR'ITTT NA&&EE/n
,�•s�t Cd I 29 v o IIT%NUMBER(Er 5000555)
pBUYER 81DNAn1aE DATE a i6-7/-7
•STREET N p •STREET NAME
I4 I ,Q-rT7rl �t11 II9,s Z
'CITY DR TdwN
H
CI I� �'It I) i 1" ' kISTATE •apcoceI , 1! 4 Ili''4II1I11�•511,"11 I( �! AliJANNUZZT DAVID
i�rlt; el i� Ir.i11''J-r LASTNAME FIR6T RAME
�' ' � T� { � 11 I11�i ��i I, '(1 �+ III (631) 680-1157
r i� fr �L� �; L, I'y�I I }'151 I�i w i F ',1i 1, AREAcoca Teur+nxaewe I(ieo ninSN
), j , 1 L r 1 li I I u rl ill