HomeMy WebLinkAboutL 12886 P 640 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/03/2016
Number of Pages : 4 At: 11 :54 :22 AM
Receipt Number : 16-0174770
TRANSFER TAX NUMBER: 16-10336 LIBER: D00012886
PAGE : 640
District: Section: Block: Lot:
1000 054 .00 03 .00 014 . 007
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-564 $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 $525 . 00
TRANSFER TAX NUMBER: 16-10336
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
oa
RECORDED
Number of pages
2016 Nov 03 11:54:2 AM
JUDITH R. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record.Please remove all L D00012886.
Social Security Numbers P 640DT# 16-10336
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Z
Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation
SpecJAssit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. a� Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax _
Affidavit 'a,_ Mansion Tax
ertifled oCoC The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other y �
Grand Total air If NO, see appropriate tax clause on
vCLCQ-,qt
page# of this instrument.
�
4 Dist. 1000
16033854 soon asaoo 0300 014007 5 Community Preservation Fund
Real Property P r S I Consideration Amount$
Tax Service R LPA A I�IIIII���Ilhlkll'I����l� CPF Tax Due $
Agency IIWWIIII IuIWWW IWWllllll fill l lul{ IW1 l
Verification asavov-�
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Charles R.Cuddy TD
445 Griffing Avenue
Riverhead,NY 11901 TD 10
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 forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Ighn A.Senenoski The premises herein is situated in
Susan M.Sepenoski SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of .Southold
Susan M. Sepenoski In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts individual or Corporation(Single Sheet)(NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the d),4 day of (' in the year r00 16;,
BETWEEN
JOHN A SEPENOSKI residing at 5600 Hortons Road,Southold,New York 11971
r^;,�orslncZ aa't�it1 arch!
inn Vd-4 to otrS?a:::trt9
4iauo�ftLtt e; ✓SC�POd;?t0 cti
party of the first part,and t.-:,r •.,� ,
SUSAN M.SEPENOSKI,residing at 5600 Hortons Road,Southold,New York 11971
party of the secon" d part, `
WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration paid by the
parity 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
SEE SCHEDULE A ANNEXED HERETO AND MADE A PART HEREOF
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part be
deed dated November 12, 1981 and recorded with the Suffolk County Clerk on March 12, 1982
in Liber 21758 at Page 80.
TOGETHER with all right,title and interest,if any,of the parry of the fust part of,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 incumbered in any way whatever,except as aforesaid.
AND the parry of the fust part,in compliance with Section 13 of the Lien Law,covenants that the parry 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
fust for the purpose of paying the cost of the improvement and will apply the same fust 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:
,6' V°oa
John A.Sepen ski
USEACENOWIEDGMEhTFORMBEELOWwiTHjNNEWYORKSTATEONLY.• USEACSNOWLEDGMUTFORMBEIAWWMMVNEWYORKSTATEOATY,
State of New York,County]of .�tJ"F��e' }ss.: State of New York,County of }ss.:
On th.11 day of 0 cjob� in the yearo')U I(:n, On the day of in the year
before the unde i ed,person appeared before me,the undersigned,personally appeared
person y know to me r prov to me on the basis of satisfactory personally known to the or proved to the on the basis of satisfactory
evidence to be the individual(s)whose name(s)is(are)subscribed to the evidence to be the individual(s)whose name(s)is(are)subscribed to the
within instrument and acknow ged to me that he/she/they executed within instrument and acknowledged to me that he/she/they executed
the same in his/her/their pacity(ies), d that by his/her/their the same in his/her/their capaciry(ies), and that by his/her/their
signature o the ins t the indivi (s), or the person upon signature(s)on the instrument,the individual(s), or the person upon
behalf h the indivi (s)acted,a uteri a instrument. behalf of which the individual(s)acted,executed the instrumenL
Notary PubNe Stats of Mew York
No.018AM1325 Suffolk Count
Commission Expires Nov.20,200
Aci 7Aow E:DGALENTFOR w FOR USE WrTHLNNEW YORK STATE ONLY. ACKNOWLEDGMENT FORM FOR USE OUTMDENEW YORKSTATE ONLY
(New York Subscribing Witness Acknowledgment Certificate) [Out of State or Foreign General Acknowledgment Certificate)
State of New York,County of }ss.: ..................................................}ss.:
(Complete Venue with State,Country,Province or Municipality)
On the day of in the year
before me,the undersigned,personally appeared On the day of in the year
before me,the undersigned,personally appeared
the subscribing witness to the foregoing instrument,with whom I arri
personally acquainted,who,being by me duly sworn,did depose and personally known to me or proved to me on the basis of satisfactory
say that he/she/they reside(s)in 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
(if rhe place of residence is in a city,include the street and street norther, the same in his/her/their capacity(ies),that by his/her/their signature(s)
if any,thereof);that he/she/they know(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
to be the individual described in and who executed the foregoing made such appearance before the undersigned in the
instrument;that said subscribing witness was present and saw said
execute the same;and that said witness at the same time subscribed (Insert the city or other political subdivision and the state or country or
his/her/their name(s)as a witness thereto. other place the acknowledgment was taken).
BARGAIN&SALE DEED
WPnf COVHNAN fS AOAVgST ORANIVR'S ACLS
TITLE NO. Dts-mcr 1000
SECTION 054.00
John A.Sepenoski ]BLOCK 03.00
LoT 014.00
COUNTY OR TOWN Southold
TO
Susan M.Sepenoski RECORDEDATREQUESTOF
Fidelity National Title Insurance Company
RETURN 11YAWL TO
FIDELITY NATIONAL TITLE Charles R Cuddy
INSURANCE COMPANY 445 Griffing Avenue
tNCORPORA'ED 1923 Riverhead,NY 11901
C �rfxeeralo d.Fidelity
Member N�+Xark Srare land Tirk Asrocianon
W
U
LL
0
_Z
O
0
U
w
LL
O
W
G
O
LL
W
U
Q
in
to
N_
2
H
W
R
W
UI
W
¢
SCHEDULE A
ALL that certain plot,piece,or parcel of land situate,lying and being at Southold,Town of Southold,
Suffolk county,New York,bounded and described as follows:
BEGINNING at a point marked by an iron pipe on the southeasterly side of a certain Right of Way
hereinafter described,which point is North 47 degrees 7 minutes 20 seconds East 157.85 feet from
a point marked by an iron pipe on the easterly side of Horton Lane at the Point of intersection with
the southeasterly side of said Right of Way;RUNNING THENCE along the southeasterly side of the
said Right of Way,North 47 degrees 7 minutes 20 seconds East 250.00 feet to land of Village of
Greenport;RUNNING THENCE South 43 degrees 15 minutes 50 seconds East 127.37 feet to the
land now or formerly of Estate of James M. Grattan; RUNNING THENCE South 44 degrees 01
minutes 10 seconds West 251.22 feet to a point marked by an iron pipe;RUNNING THENCE North
42 degrees 52 minutes 40 seconds West 140.97 feet to the point or place of BEGINNING,
TOGETHER WITH the right to the use(in common with others)of the aforesaid fifty-foot
right of way(known as Sylvan Road) extending from the northwesterly or northerly comer of the
premises above described,southwesterly approximately 407.85 feet to Horton's Lane;said right of
way being for the purpose of ingress and egress to and from said premises and to and from Horton's
Lane,and for the installation maintenance,repair and replacement of public utility lines,pipes,wires
and conduits on the surface,above the surface and below the surface of said Right of Way in such
manner as not to interfere with surface travel.
FOR L;uuN'I Y USE ONLY p New York State Department of
C1.SWISCode �77.3.g, �S, /_� Taxation and Finance
62.Date Dead Recorded / 0 3/ I Office of Real Property Tax Services
O Q�x. 11ry Y• RP-5217-PDF
C3.Book D, D L�C4.Page �L�,� J Real Property Transfer Report(8110)
PROPERTY INFORMATION
I.Property 5744 Hortons Lane
Location -
•sTREErxLuasw 'staLLl wYE
Souhold _ UK Y 11_571
.GRT CR TOWN 'ALL WE •.IV CODE
2.Buyer Sepenoski Susan M.
Name ... I ST-W
•IAB:riAMCSCAPAW
LABTMAYS)COMPANY �^ FPSINANE
3.Tax Indicate where%furs Tax B4!$are to be sant
Billing Irother than buyer address(at oottom of form) LAS-NiVLC•JWAhT FIRST xAUL
Address
1nRCCThU4RE9AN7NAM2 Cr CA TOWN TATO iP COOE
4.Indicate the number of Assessment 1 Pan
of a Parcel (Only If Part of a Parcel)Check as they apply:
Roll parcels transferred on the deed it of Parcels OR 4A.Planning Board with Suodiviaion Authority Exists
8.Deed X tit f;.77 4B.Subdivision Approval was Required for Transfer
Property 'PRONTFEFt Mph. •nr4.-:
Size 4C.Parcel Approved for Subdivision wdh Map Provided F1
Sepenoski John A.
e.Seller -LASTN&%1EJC]WAW FASTv Lo
Name
LAST NAE'CCWYAN+ 'IRSNAME
•7.Select the description which most accurately describes the Check the boxes below as they appy:
use of the property at the time of sale: 8.Ownership Type Is Condominiu"
L.Residential
Vacant Land 9.New Construction on a Vacant Lana
10A.Property Located with:n an AgriculCrral Distnct
108.Buyer received a dlscos'r:e nonce indicating that the property is In an
iAgficufturel District
SALE INFORMATION 15.Check one or morn of these conditions as applicable to transfer:
ASale Between Relatives or Former ftatives
11.Sale Contract Date B.Sale between Related Companies or Partners in Business.
-� C One of ale Buyers Is also a Sel'er
D.Buyer or Seller is Goverment Agency or Lending Inst.tuhon
•12.Date of SatefTransfer E Deed Type not Werranty or Bargain and Sale(Specify Below)
F.Select Fractional or Less than Fee Interest(Spe'y Below)
•19.Full Sala Price .00 G.Significant Change In Property Between Taxable Status and Sale Dates
H Sale of Business is Includod In Sale Price
(FU;I Sale Prices the total amount paid for the properly:nclud.ng personal prcperly I. Other Unusual Factors Affecting Sale Price(Specify Below)
This payment may be in the brrr of cash•other properly or goods,or the feslAll,'uyl of J.Nore
mor-,gages or other obligations.)Please round to rhe nearest w'hokt dollar amount
Comment(s)on Condition:
14.Indicate the value of personal 00property Included In the sale
ASSESSMENT INFORMATION-Data should re9ect the latex:Final Assessment Roll and Tax Bill
10.Year of Assessment Roll from which information taken(YY) 16 '17.Total Assessed Value S 0 0
•18.Property Class 311 _ •19.School District Name Southold
120.Tax Map Identifler(s)lRoll Identifier(s)III more than four,attach sheet with additional identifier(s))
000-054.00-03.00-014.C('AF
CERTIFICATION
I Certify that all of the items of information entered on this form 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 provislops_of the ponal.l9w relative to the making end filing of false Instruments.
tied
IGNATURE BUY.LC sour NTACT INFORMATIONIFmwrrar'ualaDrcrIhoay'e•Nen abyerlaLLCsxry.esxxcion.Lx�Dral al.nm slat x�yalry.RSWIs aemit,via:.%nz-.ar eidwAt 1a••tart.or'kniciary Ill)-a•'wile a..J Lonta:A!A-'AI w or an•d Y_ 1%11V xiq cv'aft-F-St.xls w,=.ng t-'a:ra W.o-must ae erla-aa Type or print clearly)
SELLER BI� -
John A. SepenoWER Si�ATURE
L.••.1'RAR FIRST NWE
f , •ARCA L'.77F -TE-E-4--Al.MINIM I-I OeISM,
BJ•IJr BxtNATJRE ::.7-
Susan M. Sepenoski
•ST.EEThUNSE.i •a:RLh'MW
1l f � r III •CII/[R T0.M 'Sr.:F 'J+CdaE
)}DYER'S ATTORNEY
I •II f I + LAST"IMF FRl-NAME
-
11 'PEA Wo" 1CLEP1#Th°YJUEEA IF.eraeiiJ:
i t) '1�� ala II ■ till