HomeMy WebLinkAboutL 12886 P 836 1111111 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 111111 I I I I I I I I 11111
111111 I I I I I I I I
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/04/2016
Number of Pages: 4 At: 10 :26 : 09 AM
Receipt Number : 16-0175776
TRANSFER TAX NUMBER: 16-10467 LIBER: D00012886
PAGE : 836
District: Section: Block: Lot:
1000 069 . 00 02 .00 002 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $410 , 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 $5,200 . 00 NO
Fees Paid $5,595 . 00
TRANSFER TAX NUMBER: 16-10467
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
DI z
Number of pages RECORDED
2016 Nov 04 14:26:09 AM
JUDITH A. PASCALE
This document will be public CLERK OFSUFFOLK COUNTY
record.Please remove all L D00012886
Social Security Numbers P 036
prior to recording. DT# 16-14467
Deed/'Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps .
3 FEES
Mortgage Amt-
1.
� � _
1.BasicTaz
Handling 20. 00
C= 2. Additional Tax
TP-584 _ l Sub Total
Notation SpecJAssit.
or
EA-52 17(County)� Sub Total 7 Spec./Add,
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A.
�� ,a Dual Town Dual County
-°�,
Held for Appointment /
Comm.of Ed. 5. 00 �D TransferTax
Affidavit Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only. ,
Sub Total YES or NO
Other _
Grand Total ' If NO, see appropriate tax clause on
:page-# of this' stmme t.
4 1 Dist. 10 16031681 1000 06900 0200 002000 10 5 Community Preservation Fund
Real Property p T S Consideration Amount$ 10
Tax 14-O0_A IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIISIIII CP Tax Due
Verification
-- — - Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD df RETURN TO-' Vacafit Land
Jennifer B.Gould,Esq 1'D J
53740 Main Road
P.O.Box 988 TD
Southold,NY 11971 TD
Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name } 1 77, p 14-c ;
www.suffolkeountyny.gov/clerk
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Stanislaw Adamczuk and Barbara Adamczuk The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Triber Farms LLC In the VILLAGE
or HAMLET of Southold
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
l
r(a — 1 o2- 3
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 23rd day of September;in the year 2016 —
BETWEEN
Stanislaw Adamczuk and Barbara Adamczuk,38220 County Road 48,Southold,NY 11971
parry of the first part,and Treiber Farms LLC,a New York limited liability company,
38320 County Road 48,Southold,NY 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,38220 County Road 48,Southold,NY
ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and
being in the Town of Southold,County of Suffolk,State of New York
See Schedule A attached hereto and made a part hereof
Being and intended to be the same premises conveyed to party of the first part herein by deed from Carol Zebroski
Savage,William S.Zebroski,Jr.,and Claire Mamola dated July 17,2001,and recorded in the Office of the Clerk of
Suffolk County on July 26,2001 in Liber 12132 p 243.
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 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: L�
Stasis aw Adamczuk
arbara Adamczuk
USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLY• USE4CKNOWLEDGMEIVTFORMBELOWWITHINNEWYORESTATEONLY.
State of New York,County of Suffolk)ss.: State of New York,County of I ss.:
On the 23rd day of September in the year 2016 On the day of in the year
before, me, the undersigned, personally appeared Stanislaw before me,the undersigned,personally appeared personally
Adamczuk and Barbara Adamczuk, personally known to me or known to me or proved to me on the basis of satisfactory evidence
pioved to me on the basis of satisfactory evidence to be the to be the individual(s) whose name(s) is (are) subscribed to the
individual(s) whose name(s) is (are) subscribed to the within within instrument and acknowledged to me that he/she/they
instrument and acknowledged to me that he/shelthey executed the executed the same in his/her/their capacity(ies), and that by
same in his/her/their capacity(ies), and that by his/her/their his/her/their signature(s)on the instrument,the individual(s),or the
signature(s)on the instrument,the individual(s),or the person upon person upon behalf of which the individual(s) acted, executed the
behalf of which the individual(s)acted,executed the instrument. instrument.
AQ Z` VICTORIA CHARCZUK
Notary 1'ubltc Maly Pups state rn New fork
lNo.4650498
OWmIlWort Expires January 2), EDGMENTFORM FORUSEOUTsIDENEWYORK STATEONLY.•
ACKNOWLEDGMENTFORM FORUSEWITHINNEWYORK STATEONLY. lour of State or Foreign GeneralAcknowledgment Certificate)
(New York Subscribing Witness Acknowledgment Certificate) }SS.:
State of New York,County of }ss.: Complete Verme with State,Country.Prodince or M-unicipality)
On the day of in the year On the day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
the subscribing witness to the foregoing instrument, with whom I personally known to me or proved to me on the basis of satisfactory
am personally acquainted, who, being by me duly sworn, did evidence to be the individual(s)whose name(s)is(are)subscribed
depose and say that he/sh&they reside(s)in to the within instrument and acknowledged to me that he/sheJthey
executed the same in his/her/their capacity(ies), that by his/her/
(ifthe place ofresidence is in a city,include the street and street number,if their signature(s)on the instrument,the individual(s),or the person
any,thereof);that he/shelthey know(s)to be the individual described upon behalf of which the individual(s) acted, executed the
in and who executed the foregoing instrument;that said subscribing instrument.
witness was present and saw said
execute the same;and that said witness at the same time subscribed
his/her/their name(s)as a witness thereto.
BARGAIN&SALE DEED
WITH COVENANTS AGAINST GRANTOR'S ACTS
DISTRICT t000
TITLE NO.102463 SECTION 069.00
BLOCK 0200
Stanislaw Adamczuk and Barbara Adamczuk LOT 002.000
COUNTY ORTOWN Svullmkl
TO
Treiber Farms LLC
RBCORDEDATR92UE4TOF
Fidelity National Title Insurance Company
RETURN BMAIL 70
FIDELITY NATIONAL TITLE ,t✓n n �C
INSURANCE COMPANY
= MrnRr0QA7XD 1928
5o.ro tel 1V y 19 /
M—b-N Twl Sr rr—d TLUAsmriuoom
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SCHEDULE A-1 (Description)_. .
} ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk and
State of New York,and more particularly bounded and described as follows:
BEGINNING at a point on the Northerly line of North Road; said point being 210.00 feet Southwesterly as measured
along the Northerly cine of North Road from land now or formerly of Stephen Doroski;
RUNNING THENCE along said Northerly line of North Road, South 78 degrees 06 minutes West, 121.0 feet to land now
or formerly of William A Zebroski;
THENCE along said land of William A Zebroski,the following three(3)courses and distances:
1)North 27 degrees 20 minutes West, 136.50 feet;
2)North 53 degrees 52 minutes East, 121.0 feet;
3) South 26 degrees 26 minutes East, 187.22 feet to the Northerly line of North Road at the point or place 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.
.5(-HFDULE A-1 (Descrinrion)
INSTRUCTIONS(RPdb.r
217-6217www.orpe.staly.us
FOR COUNTY USE ONLY �� � 1`3 %,9
New York State Department OI
C1.SWIS Cads A-7_, r 1 r n I Taxation and Finance
C2.Data Dad Recorded L_ I I /(j L4/ to 011iee of Real Property Taut Services
1:j.Illo"bk I a 'B (o,1:4.l+car Y.e 3 RP-5217-PDF
' ' ' Real Pro
Lq
petty Transfer Report(8110)
P.ROP.ERTY INFORMATION -
1.Property 38220 County Road 4e
Location
•aRe2r MIMRER •RI Ne:*IW W
Sout-hol.d „_ 11971
a
•cnVrlxrw YR1X:F•_ —
•aroax:
2.Bayw ;'reibez Farms T,T.0
Name
'Iter rAaEAwnwwr RWai NAY[
WrN EA=MY nisi NAME
9.Tax Indicate where future Tax Bills are to be sera
affifin0 autherOesncurer aoommattamwmofnonnl usrNwRmrew�vr• -- i wv,�” "y.'",•.
Address
STWEb1 NMMRMONAME cRY(a+anN STATE 3POODE
4.Indicate the number of Assess mm 1 e pf Pa., off ❑Part of a Parcel (only Ir Part of■Parent)Chetic"they appy:
(K Pnint f k!naftrretea ft4ted. q:Pbramp eodrd OM 3LbdMdm Authority,Exids ❑
e.wry rl!? n.7 ci
••RONrrgr .numm 'AcaSs
Sha
4C.Paral Approved for Subdivision Ynih Map Provided ❑
Adamczuk Stanislaw
L Sdbr -IAar NAMCCOMPANY
Name RRNI NINE
Adamczuk Ha;bara
Wr MMECOMPANr Rei MME
•r•
SOW.I"das4dption which mod eacambly dasaibes tis Clarck the boxes heuw o Bary app?
use of tine property at am tars of safe: G.Ownership Type s Condominium
A.One.Family Re4identi2l s.New Corwhuo an on a vacant Land
IDA.Properly Located within an Agricultural DlsbtG
109.Buyer naked a disclosure notice indicating that the property Is in on
Agrledaaal Dletrkt
.Check ore or more Of theM GNWM nS as mptiollcmals to transfer
A.Sate Between Relatives or Fortner Relatives
11.Sale Conhacl Data 09/08/2U16 B.Sob between Related Companies or partes in Business.
C.One of the Buyers in do a Seller
•12.Dau of SaWrralsAr 09/23/2016 D.Buyer or sonar a Government Agency or Lending Institution
E.Dead Type not VArsnty or Bargain and Bob(Specify Be"
F.Sale of Fractional or Lees than Fee Inbred(Speedy Below)
•ti.inti Lie Pap. 410 g 00 0;00 G.Siyrli c@rd Ct%%e in,ProEerty 8ylfreea Taxable Stall antl.3ale pates
(Full SSB Priors is the total amount pad for the Property InGurl ng personal property. X.Sale of Binned to included in Sale Pdco
I Other Unusual Factors Annabel Sob Price Ripadk Below)
I his payabat may W n Ina lam of cash.other property or goons,a tna assumption at0 J.None
mortgages or other obligations)Reese round to the mNwd whafa dollar amount.
Comsml(s)on Condition:
U.Indicate the value of peroral
property alluded In the eek 0 .00
ASSISSSMENT INFORMATION-Q8[a.sk ulci r.09 t Ihp Int Fin@I llgastssrrlrin(RQII an4 Tap 13111
1e.Yaw of Aa mma Nae eve edaeh Inlbmaeon uI fly) 16 1.:Tatar agebr'wm vvaw p r ii
•1B.PropeftClean 210 _ •18.School D1taftNam Southold
W.Tax.Map Idl,e 1st"spRoM Warallbgs)(111i1�ma{irre��man face.allmh sheet with additional IderdiBMa))
logy—
CERTIFICATION
1 Codify that all of Ihe kems of infomnalon,dared on this form am his and carred(to On bed o(my knowledge and began and I understood tial tis waling of any wmfhl
bbe deferment of malwhd[ad herein entitled me to UWARW M Ql fha pansUE LMISUm[a the nuking and slag of lalee Instrumm ds.
AC i o ndnuAUE BUYER CQM QT INEORM I M
// (Fsarr IrftrrlRan dor tri 1Negr.Noe II boar k:I C•maety,aauareborl carpe lir%pro dock aorrynry,game,or
r ' eery tlwt M ice an rd-drMl sew"a nLNwy rfan a darns end aaaaal Ir ft.. m of an ra cialOaapa ble
96 �j Mrrywacanamrargl bomkwnLmlmftriFkrmuatbowond Tyaeorpwaborbl
eaual IMMUNE
E oA7E
BUYER SI(, $E Pre t tier k a t.111S" Wi.
'.AST NAME 9R8'NANC
r/`4NvVCACmE 'rELWrPVE PAWK11I8I edNMl
ebTnM opLmwm DATE '
TSfr6p(1ra1"05Uc 383:0 County Road 4R
YV (r -EMW MUMMER •57,1MITMME
Southold NY 11971
I D3 ORTOPM W-1L• •!Ir':.9aE
BUYER'S ATTORNEY
Gould Jennifer
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