HomeMy WebLinkAboutL 12889 P 842 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I l l l l l l l l l l l l l l l
111111 Illll Illll llll IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/29/2016
Number of Pages: 3 At: 10 :33 :50 AM
Receipt Number : 16-0188407
TRANSFER TAX NUMBER: 16-12839 LIBER: D00012889
PAGE: 842
District: Section: Block: Lot:
1000 031 .00 06 .00 023 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $500, 000 . 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 $7,000 . 00 NO
Fees Paid $7,390.00
TRANSFER TAX NUMBER: 16-12839
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
72❑
Numbefbf pages 3 RECORDED
2016 Nov 29 10:33,51) AN
JUDITH A. PASCALE
This document will be public CLERK OFSUFFOLK COUNTYrecord. Please remove all L D00012889
Social Security Numbers P 842
prior to recording. DT# 16-12839
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recoding/Filing Stamps
3 FEES
Page/Filing Fee 3 Mortgage Amt.
1. Basic Tax _
Handling 20. 00 2:Additional Tax _
TP-584 5 Sub Total
Notation SpecJAssit.
�� or
EA-52 17(County) 7 Sub Total �{ Spec./Add. _
EA-5217(State) � TOT.MTG.TAX
Dual Town Dual Count
R.P.T.S.A. Z.dO -"— � Y—
Held for Appointment
Comm.of Ed. 5. 00 Tfansfer Tax O&A C —
Affidavit �+ Mansion Tax 1
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 / family dwelling only.
Other
Sub Total YES or NO
_
Grand Total U If NO,see appropriate tax clause on
page# of this instrument.
4 1 Dist.jEL16032937 1000 031 3
00 0600 023000 A Community Preservation Fund
Real Property PTS Consideration Amount$ x�CJ L0Q
Tax Service R VIT A
Agency 25-OCT-1 CPF ax Due $ 7,00C l
Verification
Improved _
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
K4-UPJ mCc4c�01,N, t S- TD
Pa -L�x �a�o TD
//97/ TD
Mail to: Judith A. Pascdle, Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name FIDELITY NATIONAL TITLE
www.suffolkcountyny.gov/clerk Title# 1 Y—/01 Y3S
(-- YO
'Y—
Suffolk Counly Record* & Endorsement Page
This page forms part of the attached J` made by:
(SPECIFY TYPE OF INSTRUMENT)
A.VAJ Z e.V/�ouis f�, The premises herein is situated in.
4S SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of
cxel%,u.e_ A epcItue In the VILLAGE mm
or HAMLET of C N 7—
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
�-mo�..woekx
(over)
F::-- jig y-35
Standard N.Y.B.T.U.Form 8002-Bargain and Safe Deed,with Covenant against Grantors Acts—Uniform Acknowledgment
Form 3390
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 29`h day of September,2016
BETWEEN
MARY ANN DZENKOWSKI,as surviving tenant by the entirety of Daniel M. Dzenkowksi, deceased,
residing at 880 Old Orchard Lane, East Marion, New York 11939, party of the first part; and
JACQUELINE A. McKEE, residing at 715 Old Orchard Lane, East Marion, New York 11939,
party of the second part,
WITNESSETH,that the party of the first part, in consideration of Ten and 00/100--($10.00)--Dollars, and
other good and 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 plot of land situate at East Marion,Town of Southold, County of Suffolk, State of New York,
described as follows:
BEGINNING at a point on the westerly side of Old Orchard Lane distant 819.18 feet southerly from the
corner formed by the intersection of the southerly side of Main Road with the westerly side of Old Orchard
Lane;
RUNNING THENCE South 27 degrees 21 minutes 20 seconds East along the westerly side of Old
Orchard Lane 150.00 feet to land now or formerly of Map of Gardiners Bay Estates#5083;
THENCE South 57 degrees 33 minutes 40 seconds West along said Map and along other land 282.93
feet;
THENCE North 27 degrees 21 minutes 20 seconds West 150.00 feet to land now or formerly of Scott;
THENCE North 57 degrees 33 minutes 40 seconds East along said land 282.93 feet to the westerly side
of Old Orchard Lane at the point or place of BEGINNING.
Being and intended to be the same premises as described in deed dated 5/13/53, recorded 5/21153 in
Liber 3518 page 288. The grantor herein being the same party as the as the grantee and the premises
herein being the same as described in deed recorded in Liber 3518 page 288.
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. //JJ
IN PRESENCE OF: 1'j�aAJ
kyary Ann Dzenk ki
fldeeddexenkowski2016
BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN New York STATE
State of New York,County of Suffolk,ss: State of New York,County of ss:
6.1
On the P j day of September,in the year 2016 On the day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
MARY ANN DZENKOWSKI
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/her/their 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 instru ent. the individual(s)acted,executed the instrument.
(signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment)
Notary Public ROBERT DEFRESE Notary Public
Notary Public State of New Yb*
No,01 DE5035f 17,Suffolk County
Commission Expires October 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 County 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/shetthey 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 acknowledgement)
Notary Public
BARGAIN AND SALE DEED SECTION 031.00
WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 06.00
Title No. LOT 023.00
MARY ANN DZENKOWSKI,as surviving tenant DISTRICT 1000
by the entirety of Daniel M. Dzenkowski,
deceased
TO
JACQUELINE A. McKEE
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
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INSTRUCTIONS(RP-5217-PDF-INS):www.orps.slatemy.us
FOR COUifTY USE ONLY I ���9, 1011 Q/ Taxation
York Stale Department of
CC SWIS lode Q Taxation and Finance
Ch-Date Oaed Recorded I / `/ I Office of Real Property Tax Services
Y�u7 //� RP-5217-PDF
C3.Book N G.Page I ,V�Q` I I Real Property Transfer Report(0110)
PROPERTY INFORO2ATION
1•Properly 880 Old Orchard Lane
Location
•8'NLEr N/IgE4 •dTRFF.T NAYE
Southold East Marion 11939
-em OR Towv vaLWA •rs•coW
2.Buyer McKee Jacqueline A.
Name
•nASTNAYEKArYANv Fae-NAME
IASr NAROCCY•ANT FyrsTNAME
3.Tax Indicate where future Tax Bills are to be sent
Billing it other than buyer addrasa(al bottom d farm) LAW NFAM.CCNaAW FROT NAME
Address
aTRLE-WIrCNAMNAW CiW,A TamN UNTIL tr COW.
I
4.Indicate the number afAssassmsnt 1 ❑Pan d•Parcel (only ) M �I
On if Part of■Pmreol Cheek as sit a
Roll parcels transferred on the dead e d Petals OR ❑
4A.Planning Board with Subdivision Authority Easels
5.Wad )( OR 0-95 41L Subdivision Approval was Required for Trander
Properly •FRCNTFEE- •bEPTN -ACRES
aims 4C.Pared Approved for Subdivision with Map Provided
Daenkowski Mary Ann I
t.Salter •AA5T4WaACQVPW1 FRHTNAF.
Name
.AST WaM,Vi— Fur.DOW E r
'7.Shed the description which most accurately describes the Check the inoses below as they appy:
use of tho proWry atthe time of sale: L Ownership Type is Condominium
A.One.Family Residential L New Construction on a Vacant Lend
I 10A.Properly Located within an Agricultural District
tOa.Buyer received a disclosure notice indicating that the property is in an ❑
Agricultural District
SALE INFORMATION 16.Check one or more OF these conditions u applicable to sremhr:
A.Sate Between Relatives or Former Relatives
11.Bale contract Data 05/02/2016 B Sate between Related Companies or Pampers in Business.
C.One d the Buyers is also a Sd a
'12.Data of SalerTransfer 09/29/2016 D.Buyer or Sailer is Govemmdm Agency o Lending Institution
E.Dead Type not Warranty or Bargain and Sale(Specify Below)
F.Sale d Fractional or Leas than Fee Interest ISpeciy Below)
'13.Full Sate Price 500,000.00 G.SgniAcam Change in Properly Between Taxable Status and Sale Dorn
H,Sale d Business is Included in Sale Price
(Full Sale Prae is The lotal amount paid for the property including personal property 1.Other Unusual Factors Affecting Selo Price(Specify Blow)
This payment may be In the farm of cash,other properly or goods.or tiro assumption of l None
mortgagee or other obbgabons.)Please round to the creamed whda closer amain!
Commars(s)on Condltico:
14.indicate the value of persons 0 .00
proporgr Inctudad In the saN
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
1s..YasrdAnasmwdRoll from which Illlot matontaken(W) 16 '17.Total AsonaWValor 4,800
•Is.Property Class 210 _ •11.School District Name 473802-OriCnt
A20.Tax Mop IdeMMti9er(syRofi IdendWs)pf more than four,munch shed with addllional Idehttif er(s))
1000-031.00-06.00-023.000
CERTIFICATION
I Certify thatat of tlhs Items of Ildormaton entered on this form are true and correct(lo the best of my knowledge and belie0 and I understand thattthe making of any willful
false statement of material fad homes subject me to the prOvlslggO.Of Ake Bend law relative to the making and filing of fame Inatmmertla. •
.SELLER 8113NATURE BUYER CONTACT INFORMATION
(Enter i formaarl for die buyer NNa It buyer w I1.C,sedry.masodetlon,wipraban john sacs a impany,state or
amy sal a rid an navaur memtar sdWwy.Nen■name and conunihrameean d on neuWuaaresporlsde
Ar A Q �/t// prq wro un rower ousstlans mosmrq ale smarormuat be amerce.Type or print wady)
c+.. ` .w v
• St1L• u;.yAi11MEPAV:E
BUYERSIONATURE McKee Jacqueline A.
LAW—L FPar ifill
9bs�1,�
64/ X 021 30 6
•ANLACC7E •IL'1PAThE hJYBEWIF,enamel
SITt.AnIRE CCL Po WM1
-9'p'1rhWaER 'SIRLU—C
1 l,a*f ft4/Iolzl N�
"•uTvORTOM •51W. •apeow
RUMS ATTORNEY
I
McLaughlin J. Kevin
LAST MAYS riNSr NA%Q
765-6085
(5311
MEA CO2L TELEPHarF.'AiN Ris 892m,
I
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