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Home My WebLink AboutL 12860 P 634 IIIIIIIIIIIIIIIIIIIIIII EmmommEmmEmmEmmEmmEmmomm 1111111111111111111111 1111111111 V 111111111111111111111 11111111111100111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 04/14/2016 Number of Pages : 3 At: 03 : 37 : 43 PM Receipt Number : 16-0057837 TRANSFER TAX NUMBER: 15-25837 LIBER: D00012860 PAGE : 634 District: Section: Block: Lot: 1000 054.00 06.00 007.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $15 . 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 $0 . 00 NO Fees Paid $390 . 00 TRANSFER TAX NUMBER: 15-25837 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1 2 Nun erof'pages• RECORDED 2016 Ppr 14 03:37:43 PM JUDITH N. PASCI LE This document will be public CLERK OF record.Please remove all SUFFOLK COUNTY Social Security Numbers L 000012660 P 634 prior to recording. DT# i5-2583? Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 I FEES Mortgage Amt. Page/Filing Fee 1.Basic Tax Handling 5. 00 2. Additional Tax TP-584 Sub Total Spec./Assit. Notation or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. •� Held for Appointment Comm.of Ed. 5. 00 e ; Transfer Tax -f!J Affidavit • • ' !l, c Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total t If NO, see appropriate tax clause on p�c of '� len I� Y� JDist. _ 5 Community Preservktion and 16010541 1000 05400 0600 007000 Real Property Consideration 1111111111111111 CPF Tax Due Amount$ Tax Service P T S Agency F2 CWH A Verification ii-APR-1• Improved 6 Satisfactions/Discnarges/Releases List Property Owners Mailing Address / RECORD&RETURN TO: Vacant Land Jeffrey Blankstein,Esq. TD Law Offices of Jeffrey Blankstein TD 400 Post Avenue,Suite 201 \J/ Westbury,NY 11590 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 orms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) Maria Blazek an Paul J.Blazek,wife and husband The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Paid J.Blazek andJvlaria Blazek-_as Trustees of the In the VILLAGE Blazek Trust dated February 2.2016 or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) —Wanly Decd With lull'Covenants-Individual or Corporation(single sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE,made the 2,d day of February in the year 2016 BETWEEN Maria Blazek and Paul J.Blazek,wife and husband,residing at 10 Pasture Road, Kings Park,NY 11754,hereinafter called"Grantor(s)", party of the first part,and Paul J. Blazek and Maria Blazek, as Trustees of the Blazek Trust dated February 2, 2016, whose post office address is 10 Pasture Road,Kings Park,NY 11754,hereinafter called"Grantee(s)". party of the second part, WITNESSETII,that the party of the first part,in consideration of NO 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 See Schedule"A"attached hereto and made part hereof. • ALL that certain plot,piece or parcel of land,situate,lying and being in the Town of Southold, County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a point on the northeasterly side of Hickory Road, distant 233.45 feet southeasterly from the corner formed by the intersection of said northeasterly side of Hickory Road and the southeasterly side of Soundview Avenue; RUNNING THENCE North 42 degrees 15 minutes 40 seconds East 138.82-feet; THENCE South 44 degrees 12 minutes 00 seconds East 150.28 feet; THENCE South 42 degrees 15 minutes 40 seconds West 129:55 feet to the northeasterly side of Hickory Road; THENCE along the northeasterly side of Hickory Road North 47 degrees 44 minutes 20 seconds West 150 feet to the point or place of BEGINNING. SAID PREMISES known as 670 Hickory Road,Southold,NY 11971. S,ec, BEING the same premises conveyed to the Grantor herein by virtue of a deed dated October 19, 2005 and recorded in the Office of the Clerk of Suffolk County on October 26,2005 in D00012416 P719, 5 TOGETHER with all right,title and interest,if any,of the party of the first part in and to ally 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; 61KTOof IIAVE AND TO BOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns j the party the second part 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. AND the party of the first part covenants as follows: that said party of the first part is seized of the said iiTb premises in fee simple,and has good right to convey the same,that the party of the second part shall quietly enjoy the said premises;that the said premises arc free from encumbrances,except as aforesaid;that the party of the first part will execute '7 or procure any further necessary assurance of the title to said premises; and that said party of the first part will forever warrant the title to said premises, 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: gea Maria Blazek Paul J.Bla �� KNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of Nassau,ss: State of New York,County of ,ss: On the 21a day of February in the year 2016 before me,the On the day of in the year undersigned,personally appeared Maria Blazek and Paul J.Blazek, 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 personally known to me or proved to me on the basis of satisfactory evidence to he the individual(s)whose name(s)is the within instrument and acknowledged to me that he/she/they (are)subscribed to the within instrument and acknowledged to me executed the same in his/her/their capacity(ies),and that by that he/she/they executed the same in his/her/their capacity(ics),and his/her/their signature(s)on the instrument,the individual(s),or the 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 person upon behalf of which the individual(s)acted,executed the the instrument. instrument ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK JEFFREY ELAN Nk IN S.I.ATE Public,State ot No.02BL4930782in NasSau y &� � 20-- * tate of ,County of , ss: Commission Expires M� *(Or insert District of Columbia, Territory, Possession or Foreign County) ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN IN NEW YORK STATE On the day of in the year ,before me the undersigned personally appeared State of New York,County of , ss: On the day of in the year , Personally known to me or proved to me on the basis of satisfactory before me,the undersigned, a Notary Public in and for said State, evidence to be the individual(s)whose name(s)is(are)subscribed to personally appeared the within instrument and acknowledged to me that he/she/they ,the executed the same in his/her/their eapacity(ies), that by his/her/their subscribing witness to the foregoing instrument, with whom 1 am signature(s)on the instrument,the individuals)or the person upon personally acquainted,who,being by me duly sworn,did depose and behalf of which the individual(s)acted,executed the instrument,and say that he/shelthey reside(s)in that such individual make such appearance before the undersigned in the (if tie place of residence is in a city,include the street and sheet number if any.thoreot); that he/she/they know(s) (add the city or political subdivision and the state or country or other place the acknowledgement was taken). to be the individual described in and who executed the Ihregoing instrument;that said subscribing witness was present and saw said execute the same;and that said witness at the same time subscribed his/her/their name(s)as a witness thereto • Warranty Deed with full covenants Title No. SECTION 54 BLOCK 6 Maria Blazek and Paul J.Blazck, LOT 7 Wife and Husband COUNTY OR TOWN Suffolk TO Paul J.Blazek and Maria Blazek, as Trustees of the Blazek Trust dated February 2,2016 RETURN BY MAIL TO: The Law Offices of Jeffrey Blankstein 400 Post Avenue, Suite 201 Westbury, New York 11590 INA'I KUt.,I IONS((I- el I-1'UI•-INA):www.orps.slate.ny.us FOR COUNTY USE ONLY 7 3t G I t ?^ i New York State Department of ls Cl.swcode i O Taxation and Finance ` e 1 �I I/ / /�J` Office of Real Property Tax Services C2.Date Deed Recorded • a' a Mo DS, Y. RP- 5217-PDF Clhook i It R 8 1 b I I Ca.Page I I Ila I _I Real Property Transfer Report(W70) PROPERTY INFORMATION I 1.Property 670 Hickory Road Location - •STREET WMILER •STREET MANE Southold _ 11971 •CITY CR TOWN --- VILLAGE •EP COM 2.Buyer Paul J. Blazek and Maria Blazek, as Trustees of . Name -- -- ---- •LASTNSMECOSPANY FIRST NICE the Blazek Trust dated February 2, 2016 LAST N IECOMPANV FIRST LAME a 3.Tax indicate where future Tax Bills aro lobo salt Billing d other than buyer address(al bottom of lone) LASTNAME/COMPANY - MGT NUL-' - -- Address STREET MACER AIG NAME CRY ON TOM WAIL ZIP WOE 4.Indicate the number of Assessment 1 0 Part of a Parcel (Only If Part of a Parcel)Check as they apply: Roll parcels transferred on the deed 4 of Parcels OR 4A.Planning Board with Subdivision Authority Exists El 5.Deed X OR 0.47 Propert FRONT 4B.Subdwisiar Approval was Required for Transfer I] •DEPTH 'ACRES Size 4C.ParcelApprwed for Subdivision with Map Provided fl Blazek Maria O.Seller •LAST NAMEICONPµy FIRST NAME Name Blazek Paul J. LUT NMEJCONPNIY FIRST NAYS '7.Select the description which most accurately describes the Check the boxes below as they apply: use of the property at the lime of sale: a.Ownership Type is Condomuvum ❑ • A.One Family Residential 9.New Construction on a Vacant Land ❑ •-- 10A.Progeny Located within an Agricultural District ❑ 1OB.Buyer received a disclosure notice indicating that the property Is man ❑ Agricultural District ISALE INFORMATION' 15.Check one or more of these conditions as applicable to transfer: A.Sale Between Relatives or Former Relatives _ 11.Sale Contract Date 2-2-2016 B.Sale between Related Compares or Partners in Business. --- - - _C.One of the Buyers is also a Seller • 2-2-2016 _ D.Buyer or Seller is Government Agency or Lending institution 42.Date of Sale/Transfer _ E Deed Type not Warranty or Bargain and Sale(Specify Befow) _ F.Sale of Fractional or Less than Fee Interest(Specify Below) 93.Full Sale Price 0 .0(1 _G.Significant Change In Property Between Taxable Status and Sale Dates H.Sale of Business as Included In Sale Price (Full Sale Price is the total amount paid for the property rndudlrg personal - This payment may be in the form of cash.other properly or goods.or the assumption of I.OtherUnusual Factors Affecting Stile Price(Specify Below) or other oblgatiors.)Please round to the nearest whole dollar amount. None Comments)on Condition: 14.Indicate the value of personal property Included In the sale 0 .(i() Transfer ro_a Trust IASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I 10.Year of Assessment Roll from which information taken(YY) 16 97.Total Assessed Value 5,800 90.Property Class 21 0 - •19.School District Name Southold f •20.Tax Map IdentBkr(s)IRolI Identikr(s)(If more than four,attach sheet with additional identlBor(s)) 1D 59-6-7 CERTIFICATION' I Certify that all of the Items of Information entered on this fonn are true and correct(to the best of my knowledge and belief)and I understand that the making of any willful false statement of material fact herein subject me to the.provislons of.the.ponaf.law.relative to the making and tiling of false Instruments. SELLER SIGNATURE BUYER CONTACT INFORMATION (Enter Irr6metoe tar the buyer.Note:II ouyern LLC.saoety.easoaoeon.earporebwn.(ant stock company.mire or relay Oat k na en individual agent or Iidueery,men a name end cannel a:ermsrlan al an(ndtuea,Ikoaporobe ---Mil---Th 2-2-2016 parrywho can Immo gr*miae moaning the vender mum be amsed.Type or print clearly.) SHIER sGan7u1E OA7E BUYERSIGNA'LURE Blazek Paul J. •'AST NAME FIRST NAME 4v124R2-2-2016 (631) 269-1021 II 'ATEA CODE 'ra[RGOMI[NURSER(En aew4Se1 eUYER SIGNATURE CATS 1.0 Pasture Road •SlREE7 NlxrsER •GREET NAME J+1 1 '1 I If 4fl �'I Ai+ :I I,I II' 41 Ki nys 'ark NY 11754 y ' ti 'Crrr OR ToON 'STATE •OP CODE �� I1 lil � J � 1 1 1141, �' ' }'Iii IllN.'1 ' I� ��i'1 BUYER'S AUORNNY r1.�11F'1ir ''1 til 1 i�y�fl�1i1 �1 11il: 1.-r,{'+ �11.}�T ir1I� ��il' i', l�+II 7{ ' ,,,,lii11' BlanksLoin Jeffrey ' !li "� ',III, 1�� I ' �{, r� LAST NNAE F1167 NAM '11,4 till �'1! f 1+ ill Ile ?� ,ti ilj;i � :�4''01'I1IY .1 i � 1'11 l�r n�'l;i ,,r I!'I�iia Ili 1 �`�1 1 i'�fi,�. (516) 334-1100 I1 {, I i i f i I 15 li G 1 ' AREA CODE TZLLPIGAFSUMER lb a ESSEIN l.111 �kl .1 .l,' 11 li M I 'I' 1 d �' ill 1 �illlII 1I �. lit I I