HomeMy WebLinkAboutL 12886 P 639 Iflllll IIII 11111 IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII
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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: 16-10335 LIBER: D00012886
PAGE : 639
District: Section: Block: Lot:
1000 054 . 00 03 . 00 020 .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 $125 .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 $400 . 00
TRANSFER TAX NUMBER: 16-10335
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
11P]
` RECORDED
�}` 2016 Nov 03 11:54:22 AM
Number of pages .JUDITH A. PASCALE
CLERK OF
SUFFOLK COUNTY
This document will be public L D00012886
record.Please remove all P 633
Social Security Numbers
DT# I6-10335
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-5217(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A.
�� _ Dual Town Dual County
.°L ,
Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit �• Mansion Tax
The property covered by this mortgage is
Certified Co or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total 4)J If NO, see appropriate tax clause on
C page# of this instrument.
4 Dist. 16033857 -0.000 5 Community Preservation Fund
1000 05400 0300 020000
Real Propert' P T S I1�1�11W1 Consideration Amount$ _
Tax Service R
Agency 03d oV-A I I CPF Tax Due $
Verification
� 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 lU
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)
John A, Sgpenoski The premises herein is situated in
Susan M.Sepenoski SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Susan M. Spenoski 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 a f S} day of �C�Y�piJr in the year 9)It,
BETWEEN
JOHN A.SEPENOSKI and SUSAN M.SEPENOSKI,his wife,both residing at 5600 Hortons
Lane,Southold,New York 11971
vnoroc-1n�2 oaiuc!V,"(4
u:1n)3srna2 aaiuo,y"j.j ,I j wov to C,111n;a!!duR traro'n
1 oY WAR to otara zilatiq ytBtcN V7:rucJ h!C7tu2 c'Si;fZDQAV0 off
Yi mo3 klo%j ,Sr:r,=40q OS 0%..as LAigzi n0ig&mm��
party of theifrfst par ,and
_e--•naicn'n;rr-,.I
SUSAN M.SEPENOSKI,residing at 5600 Hortons Lane,Southold,New York 11971
party of the second part,
WITNESSETH,that the party of the fust part,in consideration of Ten Dollars and other 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 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 by
deed dated June 15,1965 and recorded with the Suffolk County Clerk on June 17,1965 in
LIbert 5763 at Page 345
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 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 fust 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 fust part,in compliance with Section 13 of the Lien Law,covenants that the party of the fust 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 fust part has duly executed this deed the day and year first above written.
IN PRESENCE OF: Ct, h'7
Of Pf+
hn Sepenoski
Susan M.Sep/eiii
,�nosk
�.A'irt/ !!l. �LI�tLPiYL1Sl.kJ
z
USE AC$VOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLY: USEACKNOWLEDGMEWFORMBEELLO,,W� NEWYORKSTATEONLY-
State of New York,County
of Suffolk }ss.: State of New York,County of=T T }ss.:
On th�I day of 11444 in the year P014 On tho) day of D(? V in the year 0-k) 1(p
beff then d ; d,pen appeared before TS,the onally amp,(
personallyhknown`to? e of proved�o me on the basis of satisfactory personally knb�A to me or' 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 acknowledged to me that helshe/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 capaci ies), and by his/her/their
signatur s the ins t, the indi � ual(s) or the person upon signature(s) on the ens, th ! dividual( or the person upon
be ch the in ' al(s)acted, ecu a instrument. behalf of whit vidual(s) execu the' ent.L1
roce
Y PuMko Slab of New York fYlery L
No.OISAM1325 Suffolk Cour�!Rk Notmv Public Sfab of Naw York
Cmmnbalon Expires Nov.20, toLl No.01SAM1725 Suffolk CouMft
m
Comission Expires Nov.20.20JA
ACKNOWLEDGMENT FORMFOR USE WrmxNEW YORK STATE ONLY. ACKNOWLEDGMENT FORM FOR USE OUTSmE NEW 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 am
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(&)is(are)subscribed to the
within instrument and acknowledged to me that helshehhey executed
(if the place of residence is in a city,include the street and street number, the same in his/her/their capacity(ies),that by his/her/their signatures)
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 names)as a witness thereto. other place the acknowledgment was taken).
BARGAIN&SALE DEED
WrM COVEIA.'."fS AGAINST GRANTOR'S ACTS
TITLE NO. DISTRICT 1000
SFcTtoN 054.00
John A. Sepenoski and Susan M. Sepenowski BLOCK 03.00
IAT 020.000
COUNTY OR TowN Suffolk
TO
RECORDED AT REQUEST OF
Susan M.Sepenoski Eldelity National'Title Insurance Company
RETURNBYMML TO
FIDELITY NATIONAL TITLE Charles R Cuddy
INSURANCE COMPANY 445 Grifting Avenue
&CORPOru7eo1928 Riverhead,New York 11901
Fidelity
Nemb<.N-York S=rc.d rale.,,.- nvo
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SCHEDULE A
ALL that certain plot, piece, or parcel of land situate, lying and being at Southold, in the Town of
Southold,County of Suffolk and State of New York bounded and described as follows:
BEGINNING at an iron pipe on the northeasterly line of Horton Lane,1827.04 feet southeasterly along said
northeasterly line from Soundview Avenue,said point of beginning being the southerly corner of land of the
party of the first part and the westerly corner of land of Grattan;from said point of beginning running along
said northeasterly line of Horton lane,north 40 degrees 26 minutes 30 seconds West a distance of 150.00 feet;
thence along land of the party of the first party,two courses,as follows:
(1)North 47 degrees 07 minutes 20 seconds East,a distance of 157.85 feet;thence
(2)South 42 degrees 52 minutes 40 seconds East,a distance of 140.97 feet to said land of Grattan;thence
along said land of Grattan, South 44 degrees 01 minutes 10 seconds West,a distance of 164.47 feet to the
point of beginning.
�r
r
V�
t* ��
FUR COUNTY USE ONLY NewYork State Department of
C1.SMS code I,14, 38, R,9 I Taxation and Finance
C2.Date Deed Recorded 1 1 1 / 0 r3/ 116 I Office of Real Property Tax Services
"° 4Cry ' RP-5217-PDF
C3.Book 9', )pCPag &39 Real Property
Transfer Report(8M 0)
PROPERTY INFORMATION
1
Property 5600 Hortons Lane
Lo
•sTREET NrraSER _-•lSTREET NAME
Southold fie' 7&k 11371
•Grrvpr TOYM: VILLAGE •L P Wes
2.Buyer Sepenoski Susan M.
Name
'UST NWEK.OI.iPAHY FIRST WK
LAST H NIESONF ANY FIRST NW E
3.Tax Indicate where future Tax Bills are to be sent
Billing it other than buyer address(at bottom of form) LAST NAIRECOMI'ANy FIRST NAW.
Address
"EETMJMBERADNAME GTY OR 10M S-ATE SYCCOE
4.indicate the number of Assessment1 yl f Pl ❑Pan ora Parcel (Only If Part of a Parcel)Chock as they apply:
Roll parcels transferred on the dead Oarces OR 4A.Planning Board with Subdivision Authority Exists ❑
1 a•Dead \ OR 0.50 4B.Subdivision Approval was Required for Transfer ❑
Property •FAW.FEET Own, •ACRRU
size
4C.Parcel Approved for Subdivision with Map Provided F-1
Sepenoski John A
B.Seller -Lni NAMLgmvPANT FIRST NWE
Name Sepenoski Susan M
LAST NALTICONPANY FIRST NArAE
17.Select the description which most accurately describes the Chock the boxes below as they apply:
use of the property at the time of sale: a.Ownership Type is Condominium ❑
A.One Famiiv Rt•xidcntial 9.NowConstrtrctlon on a Vacant Land ❑
10A.Property Located within an Agricultural District ❑
10B.Buyer received a disclosure notice indicating that the propery, Is In an ❑
Agricultural District
SALE WFORMATIONI 1s.Chock one or more of these conditions as applicable to transfer:
A Sale Between Relatives or Fortner Re:atives
71.Sale Contract Date B Sale between Related Companies or Partners in Business
C.One or the Buyers is also a Seller
'12.Data of Ssle/Transfor V i7(! 6, D.Buyer or Seller Is Government Agency or Lending tnstifution
E Deed Type not Warranty or Bargain and Sale(Speofy Below)
F.Sale Of Fractional Or Less than Fee Interest(Specify Below)
'13.Full Sale Price 0,qq G.Significant Change In Property Between Taxable Status and Sae Dates
H'Sale of Business is Included in Salo Price
(Full Sale Price is the total amount paid for the property including personal property. I. Other Unusual Factors ARealing Sale Price(Specify Be"
This payment may be In the lorm of cash,other property or goods.or the assumption of J.None
mortgages or other obligations.)Please round to the nearest whole dollar amount.
Commam(s)on Condition:
14.Indicate the value of personal
properly Included In the sale •(M)
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
19.Year of Assessment Roil from which Information taken(YY) 16 '17.Total Assessed Value 6,500
'18.Property Class 210 _ '19.School District Name Southold
'20.Tax Map Identifler(suRoll Idontiflor(s)(If mora than four,attach sheet with additional Identlfler(s))
1000-054.00-C3.00-C20.000
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
falsemento me riat fact herein subject me to the provisions 0f the penal law relative to the making and filing of false Instruments.
BUYER CONTACT INFORMATION
Ah./I
(Enter rYpmaton to-de buyer Nota I•buyer a LLC society.essonal on.taoaalla6 pm stock company.estate Cr
Ah. A. S ep no ski why not s rot an ndwd mi ens a or fdi try,thm a no-1e and G0-reC1.1-01 an of Rn.rlwiarrespcns Mm
I
ft, A JO�ii party whocon answer R..asao-s realUsti no transllR must be emerea Type ar pint Gtaany)
Susaf@L'WWenoskf DATE ---
BUYER SIGNATURE
•I�^-AKNF FRS.NINE
�j 'AREA CODE 'TEtE'1'Cke NUMBER IS,ssessast
Sun G1GNA-LRE a DATE
Susan If. Sepenoski
•SrREETYJMLER 'STREET NAME
YI1r Ca TONrI •STATE •ire CGDE
I
BUYr;RgAIIORNEY
48:MME FIRST NAME
I I
I I J I I I
r 4RF.A GOOF 'EIEAfOYE NWBFA F_.:iinaari
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