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Home My WebLink AboutL 12892 P 918 11111111111 IIIII IIIII 1111111111 IIIII 11111 IIIII IIII IIII I l l l l l l l l l l l l l l l l l l l l l l l l SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 12/16/2016 Number of Pages : 3 At: 10: 01 : 06 AM Receipt Number : 16-0199943 TRANSFER TAX NUMER: 16-15256 LIBER: D00012892 PAGE : 918 District: Section: Block: Lot: 1000 102 .00 04 .00 009. 001 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $140,000 . 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 $250 .00 NO TP-584 $5 . 00 NO Notation $0.00 NO Cert.Copies $0 . 00 NO RPT $200 .00 NO Transfer tax $560 .00 NO Comm.Pres $1 ,300 .00 NO Fees Paid $2 ,375 . 00 TRANSFER TAX NUMBER: 16-15256 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County _ ❑1 ❑Z ti Number of pages 3 RECORDED - 016 Dec 16 10:01.06 AM This document will be public JUDITH A. PASCALE record. Please remove all CLERK OF SUFFOLK COUNTY Social Security Numbers L D00012892 prior to recording. P 918 DT# 16-15256 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee /5 Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) 5'. Sub Total 5� Spec./Add. ZSG� TOT.MTG.TAX EA-5217(State) " Dual Town Dual County R.P.T.S.A. 2-00Held forAppointmen Comm.of Ed. 5, 00 Transfer Tax Mansion Tax Affidavit 61, Certified Copy 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 y7O YES or NO Other Grand Total If NO, see appropriate tax clause on LG page# of this instrument. CY -SI) 1111allt,' 4 Dist.1�( 11 16038364 loon iozoo oaoo oosooi 5 Community Preservation Fund Real Property P T S Consideration Amount Tax Service Agency 08-DEC-1 CPF Tax Due - $ 00 Verification (__.. . -- -- -- � Improved Satisfactions/Discharges Releases List Property Owners Mailing Address 6 RECORD&RETURN 1 O; Vacant Land GINSBURG&MISK 215-48 JAMAICA AVE TD QUEENS VILLAGE,N.Y. 11428 TD TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name CHAMP www.suffolkcountyny.gov/clerk Title OCHAMP-060408S 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) EDWARD R GROHOSKI JR The premises herein is situated in JANE GROHOSKI SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD NFVS in the VILLAGE or HAMLET of ��C_h0 C"A,^ BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over OC�na+m P -OW'{08S CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMeNT•THIS INSTRUMENT SHOULD BE USED Y LAWYERS ONLY o . THIS INDENTURE,made the r$ day of November 2016, BETWEEN EDWARD R. GROHOSKI, JR. and SARAH JANE GROHOSKI, residing at 1050 Bungalow Lane, Mattituck, NY 11952 party of the first part,and 13SO WVCj,,5 C�+�► ttQ35 NFVS HOLDINGS, LLC,located at P.O.Box 633,Laurel, NY 11948 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, situate, lying and being at the Hamlet of Cutchogue, Town of Southold,County of Suffolk,State of New York,bounded and described as follows: On the west by Alvah's Lane, a distance of 100 feet; On the north by land now or formerly of Lipnicki a distance of 150 feet: On the east by land now or formerly of Paul Koloski a distance of 100 feet; IO O v On the south by land now or formerly of Paul Koloski a distance of 150 feet. BEING AND INTENDED TO BE the same premises acquired by the Party of the First Part by deed dated 0^ 211512003 and recorded in the Suffolk County Clerk's Office on 3/3/2003 in Liber 12238 Page 138. 1 d Premises also known as 1500 Alvah's Lane, Hamlet of Cutchogue,Town of Southold, County of Suffolk, State V of New York. rl Suffolk County Tax Map Number 1000-102.00-04.00-009.001 00`1 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" shalt be construed as if it read "parties'when ever 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. i IN PRESENCE OF: L, DWAR R. ROHOS ,J . �RAAA nj-n I, A 4�� 9ATRAH JANf GROHOSKI Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment Form 3290 TO 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 Suffolk - ss: On the I0 day of November in the year 2016 On the day of November in the year 2016 before me,the undersigned,personally appeared before me,the undersigned,personally appeared Edward R.Grohoski,Jr and Sarah Jane Grohoski 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 some in his/her/their me that helshe/they executed the same in his/herRheir capacity(ies), and that by hisfher/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 individuat(s)acted,executed the instrument. the individual(s)acted,a ecuted the instrument. (signature and office of individual taking acknowledgment) (signature an ffice of' dividual taking acknowledgment) ROBERT FINN Notary Public,State of New York. No 01 FI.4781022 Qualified in Suffolk County Commission Expires January 31,2018 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)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/shelthey 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 acknowledgment) BARGAIN AND SALE DEED SECTION 1000 WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 102.00 LOT 04.00 Title No. COUNTY OR TOWN Suffolk STREET ADDRESS 1500 Alvah's Lane TO Recorded at Request of Abstracts,Incorporated RETURN BY MAIL TO- Ginsburg&Misk 215-48 Jamaica Ave. Queens Village, NY 11428 a INSTRUCTIONS(RP-5217.PDF-INS):www.orps.staleny.us FOR COUNTY USE ONLY New York State Department of C1.SV9IS Coda7.3, g 91 Taxation and Finance C2.Date Deed Recorded /6 / Lq9Office of Real Property Tax Services " "" RP-5217-PDF C8.Book 04.Pape Real Property Transfer Report(8110) PROPERTY INFORMATION I Property 1500 etivan's E,anc LocaSAFFT hJYA,G •&I+EkT h- Cu drogue 'CITr OR'CNrI VlV9_ r•ax 2.Buyer N VS Holdings, LLC Nemo IASTNAMEACM+ANY 1Ws•hA&F ' 144'NAIEXAVn4V` -P6.-a 3.Tax Indicate where figure Tax Bills are to be sent Billing if other than buyer address(st bottom or form) IAST I.AII[r.,OVFAN, -esT'ME Address O RRET weaLN w]n.1¢ ;rr ort:•M1 STA'_ ZPtCCL C Indicate the number of Assessment 1 a of Parca:s ❑Pad w a Parcel (Only It Part of a Pamal)Chock as they appy: Roil parents transferred on the dead OR 4A.Planning Board with Subdivision Authority Exists ❑ ti.Deed PrPropertyX( OR 0.34 4B.Subdivision Approval �al was Required for Transfer El SI>m •rFavr FFR: •L1Fhr 'At'eL9 4C.Paroel Approved for Subdivision with Map Provided Grohoski Edward R. S.Seller .LAS-xAWJCOe+A'n F-144,E Name Grahoe:ti Sarah ;,ane LAST YFMMC"NMY PoRST-YAML '7.Select the description which most occuratay describes the Check the boxes below as they appy: use of the property at the date of sets: S.Ownership Type is Candominum E] C.Rusule..inial Vacant I.ancl 9.New Conviction on a Vacant Land 10A.Property Located within an AgdeJtural District ❑ 10111.Buyer received a disclosure notice indicabrg that the properly Is in a.4 El Dlstrie SALE INFORMATION 16.Chock one or more ofthese conditions es applicable to transfer: A.Sale Between Relatives or Fomwr Relatives 11.sale comma Date 09/27/2016 B Sale between Related Companies or Partners in Business. C.One of the Buyers Is also a Seiler 11/1B/22016 D.Buyer or Seller Is Government Agency or Lending Institution '12.Delo of SalttYanafarE Dead Type not Warranty or Bargain and Sale(Specify Balmt F.Sale of Fractonal or Lees then Fee Interns:fSpeafy Bekxvl '17.Full Silo Price 1.1 U,4 G 0.00 G.Sigrsficant Change In Property Between Taxable Status and Sale Dates (Full Selo Price Is the mil amount paid for the property including personal property H.Sale of Business is Included in Sale Pnen This payment may be in the form 01 cash.other property or gouda or Na assumption orI.Other Unusual Factors Affecting Sale Price(Specify Below) mortgages or other obligations)Please round to the m ussor whole coat,amount J.Nona Comment(:)on Condfflm: 11.Indicate the value of personal property Included In the sial C .00 ASSESSMENT INFORMATION-Data should reffeat the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roil from which Informeddn taken(YY) JE '17.Total Assessed Value 500 '18.Property Class 31 _ •19.School District Name Ma-t::uek 120.Tax Map IdemlMr(sMRotl IdsmiMr(s)(if more than four,allach sheat with additional Idontifler(a)) L0C0-1C2.00-04.103-CC90UJ CERTIFICATION I Csrdy that all Of the Rama of Information entered on this form Oro true and correct(to de best of my knowledge and belloQ and 1 understand that the making of any willful false statement of material fact hereiub)ect ma the�gylslona of.mgyypel�mla We to the making and filing of false instruments. BUYER CONTACT INFORMAT19jl( lemar i4•omehor Mr the oJysr Note:f buyer.s 11C.sdo".aamdr on,mfil-Im,Ant slxs comoany,estate or entry II'n is--W or.ndrvladl&gem 0••.duda'y.rrd'a'ame e'W onlacl Womw:en cl an not m6a Powiximbe gory woo un trswertteslnll&nge'd'Ig ew:ni^Stir n•1.sI G anlereC Typo or pried cianny) 5LLLR SAihAiOFir DATE NATURE Ackerman Wi_1ia:n '{AST r:AYL FWS•NAyE 680-6092 'ARLA=DE 'rELEPK•EnJeaFRIF,.KM2: RJYL4 SIG Ia4E ?AT[ P.O. [lox 633 ••.IRrFTI.I V7FR &TALE WML Laura- :1'i :1948 -CITY OR-"W •SIA•F FCOaE BUYEI..aC.O1LSeppfaL Gogel Barry I IAS'NA"F -AST'ME I i I ('118) 456-0503 AREACOLL IyEPW.%t J1PEe:L•M IOA: