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Home My WebLink AboutL 12881 P 262 II IIII IIII VIII IIIA(IIII Illil(IIII illll(IIII II li IIII 111111111111111111111 III SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 09/26/2016 Number of Pages : 4 At: 11 :23:19 AM Receipt Number : 16-0150447 TRANSFER TAX NUMBER: 16-06092 LIBER: D00012881 PAGE: 262 District: Section: Block: Lot: 1000 114 .00 10 . 00 008.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $380,000 . 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 $4, 600.00 NO Fees Paid $4, 995. 00 TRANSFER TAX NUMBER: 16-06092 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 0F21 Number of pages RECORDED 2016 Sep 26 11:23:19 AM JUDITH A. PASCALE This document will be public CLERK`OF record. Please remove all SUFFOLK COUNTY L D00012881 Social Security Numbers P 262 prior to recording. DT# 16-06052 Deed/Mortgage Instrument Deed/Mortgage Talc Stamp Recoding/Filing Stamps. 3 F FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 _ Sub Total _ Notation Spec JAssit. or EA-52 17{County) Sub Total ��` Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. Dual Town : Dual County— Held . Held for Appointment Comm.of Ed. 5. 00 o Transfer Tax fiAgeq4 ;(I j%j Affidavit _• �` Mansion Tax Certified CopyThe property covered by this mortgage is �f or will be improved by a one or two NYS Surcharge 15. 00 J family dwelling only. Sub Total YES or NO Other Grand Total If NO,see appropriate tax clause on page# of thiM m t. 16026635 loon ii400 s000 ooa000 �I �J � 4 Dist. /0 5 Community Preservation Fund Real Property R SMIA Consideration Amount$ Tax Service EP-11 1)d0A Agency CPF Tax Due $ Verification / 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address Improved f/ RECORD&RETURN T0; Vacant band TD lot). (os TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11801 Co.Name ; :T www.suffolkcountyny.gov/clerk Title# 6- o -I Oa 13 [ 8 Suffolk, County Recording & Endorsement Pa2e This page forms part of the attached I made by: (SPECIFY TYPE OF INSTRUMENT) e The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO •In the TOWN of L,f cQ SL L C In the VILLAGE or HAMLET of &Wrri-rc c.K BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING iz•aiw_oraekk ' (over) ' —Exeeutor's Deed—Individual or Corporation(single sheet) r� THIS INDENTURE,made the 10 day of August,in the year 2016 BETWEEN Rpb¢rT MICHAEL.A:JACKOWSKI 1260 HORTONS LANE, SOUTHOLD,NEW YORK 11971, as executor of ESTATE OF WILLIAM JACKOWSKI,JR,deceased, party of the first part,and KJ4,LLC 115 YOUNGS AVENUE MATTITUCK,NEW YORK 11952, party of the second part, WITNESSETH, that the party of the first part, to whom letters testamentary were issued by the Surrogate's Court of the State of New York for the County of Suffolk on July 6,2016,and by virtue of the power and authority given in and by said last will and testament, and in consideration of THREE HUNDRED EIGHTY THOUSAND ($380,000.00) and NO/100 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, 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 more particularly described as follows: SEE SCHEDULE"A"ATTACHED HERETO 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 also all the estate which the said decedent had at the time of 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 individually,or by virtue of said will 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 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: CHAEL . CKOWSKI,Executor ober'r Fidelity National Title Insurance Company TITLE NO.F16-7404-102131-SUFF SCHEDULE A-1 (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, known and designated as and by Lot Number 12 on a certain map entitled "Map of Deer Park at Mattituck, Suffolk County,New York, owned and developed by Joseph Deerkoski", and filed in the Office of the Clerk of Suffolk County on the 25th day of July, 1960 as File Number 3204, f �o f- s ,. f' f 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. gether with all the right, title and interest of the party of the f rst part, of in and to the land lying FOR CONVEYANCING ONLY: To in the street in front of and adjoining said premises. SCHEDULE A-1 (Description) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of SA-f4 I k ss: State of New York,County of `� ss: On the 10 day of Au " T-- in the year a.b 1 L On the 10 day of AU O U.71 in the year ZD) before me,the undersigned,personally appeared, before me,the undersigned,personally appeared m;C.A-el f?oyerr 7.acK.o1s1C, M1Ghaej lzk'lr -Ta�Lk-owsh; 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 acknowledged to (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/herttheir me that he/she/they executed the same in his/her/their capacity(ies),and that by his/her/their signature(s)on the capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instWment. the individual(s)acted,execute the nstrument. (signature and ce of individual takin acknowledgment) (signature and ice of individual taking ac c owledgmeni) Robes-�- �e�(�� ROBERT DEFRESE NotaPublic State of NewYcrk ROBERTDEFRESE No.01RE5035117,Suffolk County Notary Public State of New yoAt Commission Expires October 24,2018 No.01DE5035117,Suffolk County COmmission Expires Oc wb"24,2018 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) EXECUTORS DEED SECTION 14 BLOCK 10 Title No. LOT 8 Mattituck 55 Pat Lane ESTATE OF WILLIAM JJACKOWSKI, JR.TO Recorded at Request of KJ4,LLC Abstracts,Incorporated RETURN BY MAIL TO: WILLIAM C. GOGGINS, ESQ. P.O.BOX 65 6-6-CIRRORATE07 rfaACTs, MATTITUCK, NY 11952 01 565 Stewart Avenue•Garden City,NY 1 1 530 516.6631000 INSTRUCTIONS(RP-5217-PDF-INS):wiew.Orps.stater.ny.us FOR•COUNTY USE ONLY ,( Naw York State Department of C7rSWS Coda I `(7, 3,8,Sc,I I Taxation and Finance C2.Date Deed Recorded I I /0XP/ /�O I Office of Real Property Tax Services [y Ment oq YM 41 RP-5217-PDF C3.Book I I,IQ, b i�+ J I C4.Page Real Property Transfer Report(8170) PROPERTY INFORMATION 1.Property 55 PAT_ LANE Location •erReEr xuvaER •erneeT NAMe MATTITUCK 11952 •Cnras TOM vurLGE •aP COLE 2.Buyer K04, LLC Name •IASfNWECOWANY FlRST NAAF LAST NAMECOMFI x ARS:NAME 3.Tax Indicate where future Tax Bills are to be sem Kj 4, LLC Billing it other than buyer address(at bottom of form) LWI NAMflCOMPAW FIRST NAM Address 115 YOUNGS AVENUE MATTITUCK NY 11952 SmEETMAtE AADWME CHTORTOAN STATE ap CODE 4.IndiCatsP.-els,the number Parcels OR r of Assessment 1 Part of a Parcel (Only If d If PS8 Parcel)Cheek as they appy: Roll P.-els, ed transferred on the de 4A.Planning Board with Subdivision Authority Exists A Dead X OR 0.54 41111.Subdar)slon Approval was Required for Transfer Property 'FRONT FEET •OEPx, 'ACRES Sia 4C.Parcel Approved for Subdivision with Map Provided JACKOWSKI, WILLIAM ESTATE a.seller •LASTNAMER:OMPMMy PAUMMe Name 1A67 t4umjcp pw. FIRST NAME '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•. s.Ownership Type is Condominium A.One Farnily Residential a.New Construction on a Vacant Land ❑ ICA.Propery,Located within an Agricultural District 10B.Buyer received a disclosure notice indicating that the property is in an ❑ Agricultural Diskrct 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 06/03/2016 B.Sale between Related Companies or Partners in Business. C.One of the Buyers is also a Seller �O//` D.Buyer or Seller is Government Agency a Lending Institution '12.Data of Salertrensfer E.Deed Type not Mrianry,or Bargain and Sale(Specify Below) • F.Sale of Fractional or Less than Fee Interest(Speriy Below) '13.full Sale Price 380,000.00 G.Significant Change in Property Between Taxable Status and Sale Dates H.Sale of Business is Included in Sale Price (Full Sete Price is the total amount paid for the property including personal property. I. Other Unusual Factors Affecting Sole Price(Specify Below) This payment may be in the tam of cash.other Property or goods,or the assumption of J None mortgages or other obligations)Please round to rhe neemsf whole dosar amount Comment(s)on Condition: 14.Indicate the value of personal Property included In the sola 0 .00 ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 18.Year of Assessment Rolf from which information taken(YY) 15 '17.Total Assessed Value d'900 •1s.Property CMOs 210 _ •19.School District Name MATTITUCK/CUTCHOGUE '20.Tax Map Identiffer(syRoll Wemlfler(s)(If mon gun four,attach shatwith additional iden0floos)) 1000-114.00-10.00-008.000 CERTIFICATION I Certify that all of the Uma of information entered on this form are true and correct No the best of my knowledge and bellef)and I understand that the making of any willful false statement of matertsl fact herein subject me to Me.provislons_of the.penal law relative to the making and filing of false Instruments. BELLE&MONATURE BUYER_CANTACT INFORMAj(QJy (Enter rfemuc n for ora tiuyw.Nora a tiLryer n LI(•i.soDNY•atlooMbn,oorperstian.jest aBtl.mnpxrry,rteh n may diet u not r IniNduel agW a IAraary.man a rBnia arst CW%M dilbrMIM of r Mmid anosppable pony wm Tar BBwar Ruction ropMd+rg tne tnnahr must be onered Typo or print rimy) /a /4- SEl1FR DATE KJ4,' LLC AV ME rw LAST NAsT NAVE 8/ / 6. •AREACODE rEEPMLOME MUMBLRtEK MaeMn BUYER$00 ogre 1:5 YOUNGS AVENUE •sIREETMWaEE ER STREET NAME I (moll IATT=TUCK NY 1952 -CITr ORTOM •STATE 'ZIP CODE ` MA=.S.ATTORNEY 1 GOGGINS WILLIAMAer M LME FIRSTAM RST NE (631) 298-4818 AREACODE TELEPHONE NUMBER(E.MaMM,