HomeMy WebLinkAboutL 12886 P 641 1111111 IIII VIII Ilffl VIII VIII VIII VIII VIII IIII IIII
I I I I I I I I I I I I I I I I I I I
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: 16-10337 LIBER: D00012886
PAGE : 641
District: Section: Block: Lot:
1000 054 . 00 03 . 00 024 . 005
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 164C0.00 $2$@--00- NO
Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO
Fees Paid $"4-40-
TRANSFER TAX NUMBER: 16-10337 VLoco•D0
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
F1 2❑
RECORDED
.Number of pages 2016 Nov 03 11:54:22 AN
JUDITH A. PASCALE
CLERK OF
SUFFOLK COUNTY
This document will be public L D00012886
record.Please remove all P 641
Social Security Numbers DT# 16-10337
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee ,�j
Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. �� Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax _
1
Affidavit _
+ �, Mansion Tax
The property covered by this mortgage is
Affidavit
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 �"��' . If NO, see appropriate tax clause on
P page# of this instrument.
4 1 Dist. 1( 16033$80 So c6+Cu 005 5 Community Preservation Fund
Real Property p T cJ �` Consideration Amount$
Tax Service R Cpp A IIIIIIIi��I��p�Jll�l�f�fl�l�ll�+�
Agency 03aVOv CPF Tax Due $
-� WWW!!II IIIIWWW 1111 IIII WWllll W I((i I
Verification
---- ---- __ Improved X
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Charles R. Cuddy TD
445 tariffing Avenue
Riverhead,NY 11901 TID
TD
Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkoountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
—JohnA._Sepenoski The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In theTOWN of Southold
Suc_an M- gepenoski In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST 8E TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
p S
Doc ID: 16033880 R LPA A
3-NOV-16
Tax Maps
District Secton Block Lot School District Sub Division Name
1000 05400 0300 024004
1000 05400 0300 024005
.Inirnmhnr Z 7(1'1
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 p?)S� day of 6�4kb-el- in the year (901 41
BETWEEN
JOHN A.SEPENOSKI residing at 5600 Horton Lane,Southold,New York 11971
0301-"rnae aeiuo j the M
:t+oM weal to atata 311&1;vrnjuj9
�;irs::u7 XIOHu2 LSCteN1J%Zl(' oN
__Or,OS.vo4i cotlGu� ,a?ca
party of the first part,and ":mo;,
SUSAN M.SEPENOSKI,residing at 5600 Horton Lane,Southold,New York 11971
party of the second part,
WITNESSETH,that the party of the first 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 HEREO
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by
deed dated April 28,2010 and recorded with the Suffolk County Clerk on June 11,2010 in
LIber 12627 at Page 579.
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 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 fust 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"parry"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 deel the day and year first above written.
IN PRESENCE OF: r JtJ/n
J n A.Sepenos tf�/ rt/J{
USE ACKVOWIEDGMEWFORMBELOWWITHLVNEWYORSSTATEONLY USEACK?VOWIEDGML7 TFORMBELowwmmVNEWYORKSTATEONLY.
State of New York,County of Suffolk }ss.: State ofNew York,County of }ss.:
On they of[ kill in the year,90/.O On the day of in the year
bs�,the:rrTed,personall��peared before me,the undersigned,personally appce�perso y oo me or proved to me on the basis of satisfactory 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 evidence to be the individual(s)whose name(s)is(are)subscribed to the
within instrument and acknowledged to me that he/shehhey executed within instrument and acknowledged to me that helshe/they executed
the same in hislher/their acity(ies), that by his/her/their the same in his/her/their capacity(ies), and that by his/her/their
sign a ins the indivi (s), a person upon signature(s)on the instrument the individual{s},or the person upon
beh
the (s)ac a uteri instrument behalf of which the individuals)acted executed the instrumentaeroes
Notary PuWb Stats of Now York
No•018AWS132S SuRotk
Commission F_tpirw Nov.20,20
ACRT'OWLF.DGMENT FORMFOR USE WFrLaNNEW YORK STATE ONLY ACIWOWIEDGMENT FORMFOR USE Our mE NEW YORK STATE ONLY.•
(New York Subscribing Witness Acknowledgment Certtficatel (Out of State or Foreign General Acknowledgment Certificate/
State of New York,County of }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 helshe/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/shelthey 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 signature(s)
if any,thereof);that he/sheAhey 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. otherplace the acknowledgment was taken).
BARGAIN&SALE DEED
VMHOOVENANTS AGALNSTGRANTOR'S ALTS
TITLE NO. D1sTxrcr 1000
John A.Sepenoski BPLOCK 03.0000
LoT 024.065
COUNTY OR TOWN Suffolk
TO
Susan M.Sepenoski RECORDEDATREgU=OF
Fidelity National Title Insurance Company
RETURN BY MAIL TO
FIDELITY NATIONAL TITLE
INSURANCE COMPANY
NY
Ixcoxroanrw eo 1928
��a.Fidelity
bfember Nry York Store fad Td4Aasx:Nwn
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SCHEDULE A
ALL that certain plot,piece,or parcel of land situate North of the Village of Southold,in the County of
Suffolk and State of New York,and in the township of Southold,more particularly bounded and described
as follows:
BEGINNING at a point on the northerly side of Old North Road distant 1332.39 feet westerly from the
corner formed by the intersection of the westerly side of Lighthouse Road and the northerly side of Old North
Road;
THENCE along the northerly side of Old North Road,South 33 degLees;29 minutes 28 seconds West,311.39
feet to a monument and to land now offormerly of Stepnoski;
THENCE along said land now or formerly of Stepnoski the following(2)courses and distances:
1) North 42 degrees 46 minutes 40 seconds West, 150.00.feet;
2) South 33 degrees 26 minutes 10 seconds West, 145.00 feet to land now or formerly of Suffolk
County Water Authority;
THENCE along said land,North 42 degrees 46 minutes 40 seconds West, 1489.58 feet to a pipe and to land
now or formerly of Boyce;
THENCE along said land now or formerly of Boyce the following(2)courses and distances:
-1) North 44 degrees 02 minutes 50 seconds East,270.67 feet to a pipe;
2) North 42 degrees 00 minutes 509 seconds West, 887.37 feet to a pipe and to Map of Northwood
Estates,File#5675,filed 2/17/72;
THENCE along said land,North 39 degrees 47 minutes 10 seconds East, 1064.89 feet to a rod and to land
now or formerly of Town of Southold;
THENCE South 41 degrees 47 minutes 40 seconds East,1151.49 feet to a monument:
THENCE South 33 degrees 19 minutes 30 seconds West,517.75 feet to the northeast comer of the reserved
area;
THENCE South 42 degrees 19 minutes 40 seconds East 1206.91 feet to the northerly side of Old North Road;
THENCE along the northerly side ofOldNorth Road South 33 degrees 29 minutes 28 seconds West,373.54
feet to the point or place of BEGINNING.
FUR COUN I Y USE ONLY ,' gp New York State Department of
C1.Struts code J 7,3, ,S, 7 Taxation and Finance
C2.Date Deed Recorded
// O3i 16 Office of Real Property Tax Services
(} ^ a, • RP-5217-PDF
C3.Book �,p�, a, �,&J C4.Page ,�,` / , Real Property Transfer Report(BM 0)
PROPERTY INFORMATION
1.Property Old North Road
Location
;:YCfh,A*En •SIRM NAME
Southold Im. W 1197-
•crlr aR Tom vau(vE •aP cane
2.Buyer Sepenoski Susan M.
Name
•LAST NAYEA`AaWANY FPter NAME
LAST tUMPCOMPANT Fpw., E
7.Tax Indicate where future Tax Bills are to be sent
Balling if other than buyer address(at bottom of hem) LAST AwrCICOMPAW FIRST NAME
Address
ST+EETNIMSERANONArrE CITY OR TOM S:Aib ZPCCOE
I
I
4.Indicate the number of Assessment 1 E]Pari of a Parcel (only If Pan of a Parcel)Check as they appy:
ROTI Pamela transferred on the deed sof Parcels OR ❑
P LAA.Planning Board with Subdivision Authority Exists
S.Deed X ()R 4 5•2`- 40.Subdivision Approval was Required for Transfer
Properly •-ROerr FEET •OEPTN •ACR'U'
Size ❑
LAC.Parcel Approved for SubtlIVlSlon with Map Provldetl
Sepenoski John A
S.Sailor •LASTNAk1sW,0rPAMr FaerNAM
Name
LASTNAWCOINPAW rFAf kum
'7.Select the description which most accurately describes the Check the boxes below an they appy:
use of the property at the time of sole: B.Ownership Type is Condominium ❑
E.Aprictiltursl rv� 9.New Construction on a Vacant Land ❑
10A.Property Located within en Agricultural District
100.Buyer received a disclosure notice Indicating that the property Is In an ❑
Agricultural District
SALE INFORMATION 13.Check one or more of these conditions as applicable to transfer:
A Sale Between Relatives or Former Relatives
11.Sale Contract Date B.Sale between Related Companies or Partners in Business.
C.Ono of the Buyars is also a Sailer
12.Dalt M Sale/Transfer D.Buyer or Seller Is Government Agency or Lending Insbtution
E.Deed Type not Warranty or Bargain and Sale(Specify Below)
F.Sale of Fractional or Lege then Fee Interest(Specify Below)
•13.Full Sale Price 0.0() 0.Significant Change to Property Between Taxable Status and Sale Dates
H.Sale of Business Is Included in Sale Price
(Full Sale Price Is the total amount paid for the property Including personal propertyI Other Unusual Factors Affecting Sale Price(Specify Below)
This payment may be in the form of Cash,other property or goods.or the assumption of J.None
mortgages or ogler obligations)Pfoose round to the nearest whole dollar emount. t Comments)on Condition:
14.Indicate the value of personal
property Included In the Sale •W
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
19.Year of Assessment Roll from which Information taken(YY) 16 '17.Total Assessed Value 5,700
•18.Property Class 129 _�i i _ •19.School District Name Southold
'20.Tax Map Identifier(syRoll Identifier(*)(If more than four,attach sheet with additional IdeMBler(s))
1000-054.00-03.00-024.005
CERTIFICATION
I Certify that all of the Items of Information entered on this form are true and correct(W the beat of my knowledge and belief)and I understand that the making of any willful
hiss statement of material fact herein subject me to the provisions of the penal law relative to the making and filing of false Instruments.
$E"F, lQeNATURE BUYER CONTACT INFORMATION
tCrcur IrdolmYuon for the b.Yw.Nate tf buyer a LLC.SaoetY.esaoelslan.Carsxxallon.PM each CC'rPori.estate or
elxny are is nal or,milmdwl OWI or f1dX ay.11W a narla and co-tai•r1'ormsi-w of at mrlirldaeraNwnemla
TE pety w o can 91s et queenns reaeang the 7amler must be emerea Type or print clearly 1
SELrER aI^JIA MINE r GA
John A. SepenoskiBUYER SIGNATURE Sz,lo-0 Ow,L,f f► T
,..I!.:M= FIRST NAME
.1 IVLEP.ONU AI.Y*ER IE•Basses'.
@JYER ex:NAl:lLATE �
STREET
_rAII, E 1 .
Susan . epenoski
MS
TNEEiYBER 'aTPF..R MIME
t ti� i t I ti �h on- 1I I ILA 71
-ca i on TONY. 'a� -a-CODE
�r+ RUY.ER'S ATTQRNEY
LAST.-ANF FIRST NAME
364' C-dGD
AREA COCE TELEP•ICfrE NUMBER(E,araasaal