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Home My WebLink AboutL 12881 P 393 fllllll Illl IIIA VIII Illll 11111 VIII VIII VIII IIII fill I l l l l i l f f f f l l l f l l l l l l l l l l SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 09/26/2016 Number of Pages: 4 At: 04:12 :54 PM Receipt Number : 16-0150960 TRANSFER TAX NUMBER: 16-06186 LIBER: D00012881 PAGE : 393 District: Section: Block: Lot: 1000 055 . 00 06.00 013.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 .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 $5.00 NO RPT $200 .00 NO Transfer tax $0.00 NO Comm.Pres $0 .00 NO Fees Paid $525 .00 TRANSFER TAX NUMBER: 16-06186 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County PIT r' RECORDED Number of pages q 2016 Sep 26 04:12:54 PM JUDITH R. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all LDP .393 81 P 393 Social Security Numbers DT# 16-06166 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES R1 Mortgage Amt. Page/Filing Fee 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 S' SubTotal Notation L Spec./Ass it. or EA-52 17(County) J� Sub Total J'�d� Spec../Add. EA-5217(State) o TOT.MTG.TAX R.P.T.S.A. Dual Town Dual County Held forAppointment Comm.of Ed. 5, 00 Transfer Tax a,, Affidavit + �+ Mansion Tax i �� The property covered by this mortgage is Certified Copy or will be improved by a one or two urcharge 15. 00 family dwelling only. Sub Total y�5 YES orNO Other Grand Total ZS If NO, see appropriate tax clause on Ll-I page# of this instrument. A L LeluIflO nn ^- -- - ^'3.000 5 Community Preservation Fund Real Prc 16027180 1000 05500 0600 013000 Consideration Amount$ Agem f ca o8 P, VIII IIII Illll VIII VIII IIII IIII VIII IIII IIII --�< CPF Tax Due ------ Improved 6 SaL—a..--,�,...iioigc� cica�ea[urrru enyvwnersrvraningAddress R(CORD&RETURN O: Vacant Land Jennifer B. Gould, Esq. PO Box 988 TD Southold, NY 11971 TD TD Mail to:Judith A.Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk • Title q 8 Suffolk County Recording & Endorsement Page This page forms part of the attached executor's deed made by: (SPECIFY TYPE OF INSTRUMENT) John Richard Simcik,executor of the estate of Elizabeth The premises herein is situated in Simcik SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold John Richard Simcik In the VILLAGE or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over Executor's Deed-Individual or Corporation CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-TH[S INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made thedU day of June,2016 JOHN RICHARD SIMCIK, residing at 10520 Main Rd.,East Marion,NY 11939 As Executor of the Last Will and Testament of ELIZABETH SIMCIK, late of Suffolk County,decease on June 21, 2014,Suffolk County Surrogate's Court File No. 2014-2704 party of the first part, JOHN RICHARD SIMCIK, residing at 10520 Main Rd., East Marion,NY 11939 party of the second part, WITNESSETH, that the party of the first part, by virtue of the power and authority given in and by said last will and testament,and in consideration of the party of the second part being the specific devisee under Article Two(a) of decedent's will dated 611211991, 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 at SEE SCHEDULE "A"ATTACHED HERETO BEING AND INTENDED TO BE THE SAME PREMISES conveyed to Elizabeth Simcik, now deceased by deed dated 2/21/1995 recorded on 4/4/1995 in liber 11720 page 496 and by deed dated 2/21/1995 and recorded on 4/4/1995 in liber 11720 page 495, in the Office of the Suffolk County Clerk. 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 also all the estate which the said decedent had at the time of the decedent's death in said premises, and also the estate therein,which the party of the first part has or has power to convey or dispose of, whether individual,or otherwise; 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"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: U, (�311N RICHARD SIMCIK,EXECUTOR STATE OF NEW YORK: COUNTY OF SUFFOLK)ss: On the day of June, 2016, before me, the undersigned, personally appeared John Richard Simcik, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose names is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument,the individual, or the person upon behalf of which the individual acted, exec ted the instrument. No blic JENNIFER B.GOULD Notary Public,State of New York No.02605024640-Suffolk County Commission Expires March I4,20 I SCHEDULE A ALL that certain plot,piece or parcel of land, with the buildings and improvements thereon erected, 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 concrete monument set on the easterly line of Boisseau Avenue, 419.05 feet northerly along said easterly line from the southwesterly corner of land now or formerly of Moffat, being also the northwesterly corner of premises conveyed , or about to be conveyed, by land now or formerly of Moffat to William Moffat; and RUNNING along said easterly line of Boisseau Avenue,North 2° 38' 20" East, 100.0 feet to a concrete monument; THENCE along said land now or formerly of Moffat, 3 courses as follows; 1) On a line at right angles to said easterly line of Boisseau Avenue, South 87°21' 40" East,200.0 feet to a concrete monument; 2) THENCE on a line parallel with said easterly line of Boisseau Avenue, South 2° 38' 20" West, 100.0 feet to a concrete monument; 3) THENCE on a line at right angles to said easterly line of Boisseau Avenue,North 87°21' 40" West, 200.0 feet to the point or place of BEGINNING. INSTRUCTIONS(RP-5217-PDF-INS):w .orps.statemy.us FOR COUNTY USE ONLY wwNew York State Department of 61.SMS Co'1e I4.7,38,'8.9 I Taxation and Finance ' C2.Dab Dead RecordedG � of Real Property Tax Services I � I Office 1 ' Dorraw RP-5217-PDF C9.Book `I ,-�, �,5 j C4,Page I , ,J ,t 3 I Real Properly Trenafer Report(8110) PROPERTY INFORMATION I.PrOParb 2420 Boisseau Avenue Location •sWFEr wraR •orpEET WkE Southold Southold 11971 •CITYCR IUM VIL ACe •YIPCOOE IBuyer Simcik John Richard Nems •LTR:ww[IcaMPw• Pnsr RARE WT NALWJCO aTr FIRST NAME S.Tax Indicate wham figure Tax Bills we to be Sant Billing g other than buyer addreWel bcdorn of form) ,ASThANECOMPAhR FAST NAM Address STREET NLRtWA ANDNFaE CIIr OR IONM STATE 77o CODE 4.Indlcate the number dAssesament 1 ❑Pat d a Parcel (Only If Part of s Parcell Check as they appy: Roll @Is transferred on The dead e d Parcels OR eA.Planning Board with Subdivision Aumordy Exists ❑ IL Dead X OR 0.45 4B.Subdivision Approval was Required for Transfer ❑ Property FFEET DEPTH Alias RONT ave 4C.Parcel Approved for Subdivision with Map Provided ❑ Simcik,John Richard,exec estate/ Elizabeth Simcik 6.Seller •usr,yaaERa,pu+y FIRST NAM Monte eAeT Ne,aMeaNrwv FRET NN¢ '7.Select the description which moat occurs"describes on Chock the boxoa below as they aPPM use of the properly at the time of lila: L� S.Ownership Type Is Ceralnti ontum F1R e5;d p,( ;g r l� ' CIt jj j h qA1 6.Now Construction on a Vaord Land El ICA.Property Located within an Agricultural District ❑ 106.Buyer received a disclosure notice Indicating that the property Is in an ❑ Agricultural District SALE INFORMATION 15.Chock one or more of these conditions In applicable to transfer. A.Sale Between Relatives or Former Relatives 11.Sale codrsct ode B.Sale between Related Companies or Partners in Business. C.One d the Buyers is also a Sailer ' 12.Dat of SRIe/Tmnafsr D.Buyer or Seller is Government Agency or Lending Institution E.Deed Type net warmdy or Bargain and Selo(Specify Below) F.Salo at Fractional or Less(hen Fee Interni(Spec y Below) '13.Full Sale Price .00 G.Signnrad Change in Property Between Taxable Status and See Deas H.Sale of Business is Included to Sale Price (Full Sale Price if the total amount paid for The property including perwnol property. I.Other Unusual FactorsAflating Sale Pelee(specify Below) This payment my be In the form d cash,other property or goods,or the assumption d J.Nana w"Tign or other obligations.)Please nwnd to me neared while doearamowa Camrnentlsl on Condition: 1e.Indkat the value of personal property Included to the sale .00 estate ciiatribuktion ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year orAssessment Roll from which Ildon.soon token(YY) 15 '17.Total Assessad Value 1,500 '18.Property Class 312 _ '1e.School District Name Southold '20.Tax Map IdontRler(syltall IdentiMr(s)(if more then four,Reach shat with additional kbnd er(a)) 1000-055.00-06.00-013.000 CERTIFICATION I Certify,that all of the Rema at information entered on this form are We and correct(to the best of my knowledge and ballon and I understand that the making of any willful hlsa stetanwm of material fact herein sub)ed me to dw.p M.Vislom d the oneLk"bUve to the making and sling of fales Instruments. SFI T ER SIGNATLIRF RUYER.COKIMI INFORkflATION J (ENmIrdewrolbnforthe le""Nob IlbuprsLLC,ro,axy.nredsuorLeorpaeuwnprilatDcliWmpary.soAxor A� V�erS.O_t_ °"90a rotm,x en, aud easel w fiduclary,U.I own a roan area uvea eswmamn err n sErp6ar Nnwwmax -7 FIFTY rmo TJll martyr elwWom rpuerq metmaM mus McNRee TYPa or prim cbanY) SELLER SIRNTIRE / f1ATE L BIIYERSIGNATURE Simcik John Richard •TAn H.W FAST NAME zo% -TELEPHONE M913ER•S,BOOM" d1L BUYER arrA-tRE 2,1T[ PO Box 36 •STREET ERER •sTMETx E ' East Marion NY 11939 emoR rax+ •aTA-E •a0000E BUVER'S,ATI[(,)RNEY t Goold Jennifer B. lAel NAME Fawl NIWE ' (631) 765-8375 4+01 cow TELBPF,ONE NUMBER(Lc Anna, S