HomeMy WebLinkAboutL 12884 P 208 111111111111 VIII VIII VIII VIII VIII VIII VIII ILII 1111
111111 VIII 1111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 10/18/2016
Number of Pages: 4 At: 01: 32 : 36 PM
Receipt Number : 16-0164276
TRANSFER TAX NUMBER: 16-08440 LIBER: D00012884
PAGE : 208
District: Section: Block: Lot:
1000 025 . 00 03 . 00 019. 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $585,000 . 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 $8,700 .00 NO
Fees Paid $9,095 . 00
TRANSFER TAX NUMBER: 16-08440
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
❑1 0
RECORDED
Number of pages 4
2016 Oct 13 01:32:36 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D002
12884 P 20E08
Social Security Numbers DT# 16-08440
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./As sit.
r 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 forAppointment
Comm.of Ed. 5. 00 Transfer Tax Q
Affidavit +� �� Mansion Tax
Certified Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES orNO
Other
Grand Total 32 If NO, see appropriate tax clause on
page if of this instrument.
4 Dist. 100 5 Community Preservation Fund
16029894 1000 02500 0300 019000 S �c7
Real Proper -Consideration Amount
Ver f c Tax Service
!of 2 SEP 1 111111111111111111111111111111111111111011111 � n
Agency R DTY A CPI J Tait Due $ l h
Improved
wn
Satisfactions/Discharges/Releases List Pro erty Oers Mailing Address
6 RECORD&RETURN�O: Vacant Land
David W. Olsen, Esq.
Olsen&Olsen LLP TD --
PO Box 706
Cutchogue, NY 11935 TD
TD
Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Fidelity National Title Ins.Services
www.suffo[kcountyny.gov/clerk Title n
F16-7404-102358-BUFF
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Cheryl L.Bondarchuk,as Trustee of the John J The premises herein is situated in
Bondarchuk Irrevocable Trust dated 02/07/2008 SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southoid
David W.Olsen and Jennifer W.Olsen,husband&wife In the VILLAGE
or HAMLET of Orient
BOXES 6 THRU H MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
Bargain and Sale Deed with Covenants Against Grantor's Acts-Individual or Corporation
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the c� day of . pT , 2016 BETWEEN
CHERYL L. BONDARCHUK, as Trustee of the John J. Bondarchuk Irrevocable Trust dated February 7,
2008, residing at 350 Oak Court, East Marion, NY 11939
party of the first part,
DAVID W. OLSEN and JENNIFER W. OLSEN, husband and wife, both residing at 2025 Oaklawn Avenue,
Southold, NY 11971
party of the second part,
WITNESSETH, that the party of the first part, in consideration of FIVE HUNDRED EIGHTY-FIVE THOUSAND
($585,000.00) dollars, lawful money of the United States 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,
SEE SCHEDULE `A` ANNEXED HERETO
Being and intended to be the same premises as described in deed made by John J. Bondarchuk, dated
02/07/2008 and recorded 02/19/2008 in Liber 12541 Page 77 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 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"
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:
CHERYL NDARCHUK, AS TRUSTEE
t
r
Fidelity National Title Insurance Company
TITLE NO.F16-7404-102358-BUFF
I
SCHEDULE A-1 (Description)
Amended 08/30/2016
ALL that certain plot, piece or parcel of land, situate, lying and being at Orient, Town of Southold, Suffolk County,New
York, bounded and described as follows:
BEGINNING at an iron pipe on the Westerly line of Navy Street, 342.40 feet Northerly from the corner formed by the
intersection of the northerly side of Navy Street and the westerly side of Navy Street;
RUNNING THENCE North 84 degrees 15 minutes 20 seconds West, along land now or formerly of County of Suffolk,
146.25 feet to land now or formerly of Bondarchuk;
THENCE along said land North 0 degrees 47 minutes 00 seconds East,41.55 feet to land now or formerly of Darcangelo;
THENCE along said land North l degree 29 minutes 10 seconds East, 89.51 feet to land now or formerly of Oyster Bay
Historical Society;
THENCE along said land North 0 degrees 57 minutes 40 seconds East 22.75 feet to land now or formerly of Franke;
THENCE along said land South 81 degrees 09 minutes 00 seconds East 143.11 feet to an iron pipe on said Westerly line
of Navy Street;
THENCE along said Westerly line South 0 degrees 19 minutes 40 seconds East 146.39 feet to the point 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.
SCH!✓DULEA-t (Description)
Rev.(03104)
STATE OF NEW YORK: COUNTY OF SUFFOLK) ss:
r�
On the �_ day of 2016, before me, the undersigned, personally appeared Cheryl L.
Bondarchuk, 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, executed the instrument.
Notary Public
R09ERT DEFRESE
MAMPY Pubtic state of New Ybrk
(►gyp.91_ E5035117,5uflolk county
P.ommission Expires October 24,201$
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY
Now York State Department of
Cl.Sinus Code .'g Taxation and Finance
Ce.Data Dead Recorded I AQ//pp/�(p I Olfice of Real Property Tax Services
g ;° jQ g RP-6217-PDF
C3.Book C4 Page Real property Transfer Report(IIMO)
PROPERTY INFORMATION
I-Property 805 Navy Street
Location
'BrrFFr NYPSFA •STREET rMYE
Southold Orient 11957
'CITY OR TOM VILLAGE .LPCODE
z.Buyer Olsen David W.
Noma
•W1 NAYaCpWANY FINST NATE
Olsen Jennifer W.
W}NAYE1a01PANV 'PST NNE
9.Tax Intimate where Futuro Tax Bills ans to be sand
Billing If other then buyer addness(ot bottom of farm) LA;1 NAueccu'Aw reinta E
Addreso
STREET WM3ER AMD IUME C 1•art:Crit STATE LR CODE
4.Indicate the numbef of Assessment 1 e of Pastels OR ❑Pan of a Pored (Only It Pad of a Porcell Check as they apply:
Roil pari transferred on the dead ❑
4A.PIIaMirp Board wish Subdivision ADtiroiily Exists
S.Dead
OR 0.49 48.Subdivision Approval was Reglircd for Transfer ❑
Property 'FRONT FEET 'DEPTH 'ACRES
sin 4C.POMM Approved to Subdivision with Map Provlded ❑
Bondarchuk, Cheryl L of the John J Bondarchuk
a•Seller LAST NAIf/Da1PANY r-NAPE
Name Bondarchuk, Trustee Irrev Trst dtd 2/7/08
WT MAINE COMB— Rem NAME
7.Saw the descripden which most secure"describes the Chock the bows below as may apply:
use of tM property at the rime of sale: 8,Ownership Type is Condominium ❑
A.One family Residential 9.Now Construction an a Vacant Land ❑
IDA.Property Loomed within an Agricultural Draw ❑
100.Buyer received a disclosure notice indicating that the Property is in an El
Distda
SALE INFORMATION t8.Check ons or more of these conditions as applicable to transfer.
A.Sale Between Relatives or Former Relarr m
sit.sale ContractDate 07/28/2016 S.Sale between Related Companies or Patnem in Business.
C.One of the Buyers is also a Sister
12.Dow of SelelrransforAh /6 D.Buyer or Seller is GovermnaM Agency or Lending Institution
E Deed Type not YLhranty,or Bargain and Sale(Speaily Below)
F.Sale of Fractional or Less than Fee Internal(Spsary,Below)
'10.Full Sale Pelee 58 5,000,Del G.Significant Change in Property Between Taxable status and Sale Don
H Sale of Business is InUuded m Sere Pun
(Full Sole Price is the ked amount paid for the property inoluding personal property. I.Other Unusual Faelors Affecting Sale Piece(Sp-FY Below)
This payment may be in the farm of cash.other property or goods.or the assumption of J.None
mortgages or other obligations.)release nwnd fa the manse whole doter amount
Commant(s)on Condition:
14.hndimte the value of personal
Property Included In the sale 0.00
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
1s.Ye r of Asaatsmont Roll from which Information taken(" 16 '17.Total Assorted Who; 7,100
-18.Property Class 210 _ '19.School District Name Orient
.20.Tax Map Idemmsr(syRoll ldondnor(s)pl mono than liber,aeach shoot tam addmonal Identifler(s))
1000-025.00-4.00-019.000
CERTIFICATION
I Comfy that all of the Items of Information Sinai d on this form aro true and correct(to the hest of my knowledge and belief)and 1 understand that the making of any willful
false statement of mafadal fact herein subject Ave to tho.PMISIQnLOf.M.penal.law.rladve to the making and filing of false Instruments.
IRFF_I RR'ilrt't9TllRE BUYER COjgTACTJNFORMATION
—_ (Enter mbrnation for due buyer.Note.sawyer is LLC cad".aoaoabm.cwpwedmA joht ow Company.eehace or
oast clad dna an ndMdEl pent orldxiery,own a rums and Barad intmRatm of on odrAmWmq dMe
por'y Mn un enawx 9.0hem,ne",q eu Mew-0 tie—.,,.Type e,pdM d-dy(
GATE
BUYER SIGNATURE Olsen David W
1 ! B 'LAer NAYE rPST MAME
N �{C lte�� /a 1W9 .ARLACaa ^.EIERg1LMMDCR n'wj
m1YE iLwE DATE
2025 Oaklawn Ave
•STREET r.MBER 'STREET SAME
SouLhold NY 1:971
•C.Tr Oe R`yA •E'A-E 'tPC=
1
BUYER'S ATTORNEY
i
Olsen David W
LASTNAME FIRST MAINE
(631) 739-7666
1 MEACDDE TELEPHM UMW-A(EF N9NNI
1 1
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