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Home My WebLink AboutL 12891 P 319 111111E 1111 f l I I I I I I I I i l l l 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 I I I I I I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 12/07/2016 Number of Pages: 3 At: 11:22 :32 AM Receipt Number : 16-0193870 TRANSFER TAX NUMBER: 16-14016 LIBER: D00012891 PAGE : 319 District: Section: Block: Lot: 1000 136 . 00 01. 00 028 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0. 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-STATS $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 $395. 00 TRANSFER TAX NUMBER: 16-14016 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County RECORDED Number of pages 2016 Dec 07 11:22:32 AM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00012891 P 319 Social Security Numbers DT# 16-14016 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./As s it. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held forA ppointment� Comm.of Ed. 5. 00 Transfer Tax Affidavi �+ �+ Mansion Tax The property covered by this mortgage is Certified Copy \ or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES orNO Other � Grand TotalIf NO, see appropriate tax clause on I page# of this instrument -L Dist 5 Community Preservation Fund 16036807 1000 13600 oloo 02e000 Real Pror Tax Servi P T S Consideration Amount$ _ VeAgenci r f cat e°o_; ll!lllll�lllollll!lllllllll�lllllllllll�lllll CPF Tax Due $ - Improved Satisfactions/Discharges[Releas'es List Property owners'manuig.,udress 6 R O,R/Da&RETURN TO: Vacant Land L rl QY,� r-I S /S-0C//Q'7t� TD ul�PU /( (-o S'�'/Te UG TD NI II SSG` c7/Ib TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page j This page forms part of the attached , P made 1 by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TOO/ In the TOWN of In the VILLAGE ��1JY�i Mi l�U7P/ or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made thea/day of 2016 BETWEEN Donna Hallam as Executor of the Last Will and Testament of Marie A. Kozel, pursuant to Letters of Testamentary issued May 26",2016 in Suffolk County Surrogate's Court in File#:2016-1920 as executor of the last will and testament of Marie A.Kozel late of 485 Oak Street,Cutchogue,New York 11935,deceased,parties of the first part,and Donna J.Hallam of 511 Baywood Drive South,Dunedin,Florida,34698 and Joseph M.Kozel of 11434 Tunnel Hill Way,Gold River,California 95670,as tenants in common party of the second part, WITNESSETH,that the party of the first part, by virtue of the power and authority given in and by said last will and testament, and in consideration of ten dollars(S10.00)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 Town of Southold, County of Suffolk and State of New York, known and designated as Lots 80 and 81 on a certain map entitled,"Map of Eugene Heights,"and filed in the Office of the Clerk of the County of Suffolk on October 29 n, 1928,as Map No.856. TOGETHER with right, if any to pass and repass in common with others over the northerly half of Lot 27 leading from the Easterly side of Oak Street to high water mark of Eugene's Creek. BEING AND INTENDED to be the same premises conveyed to Joseph Kozel and Marie A. Kozel by deed recorded in Liber 7507 Page 290. The said Joseph Kozel having died on September 8`n,2012. Premises are known as and or by:485 Oak Street,Cutchogue, New York 11935 Section: 136.00 Block:01.00 Lot(s):028.00 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 also all the estate which the said decedent had at the time of decedent's death in said premises, and also the estate therein,which the party of the first part has or has power to convey or dispose of,whether individually, or by virtue of said will or otherwise,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: 4LLAME ONNA UTOR Standard N.Y-B.T.U.Form 8005-Executor's Deed-Uniform Acknowledgment TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of Nassau ss: State of New York,County of ss: On the3)day of October in the year 2016 before me,the On the day of in the year undersigned,personally appeared Donna Hallam 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 personally known to me or proved to me on the basis of (are)subscribed to the within instrument and acknowledged to satisfactory evidence to be the individual(s)whose name(s) is me that he/she/they executed the same i 1her/their (are)subscribed to the within instrument and acknowledged to capacity(ies),and that by his/hertth ' lgnature(s)on the me that he/shelihey executed the same in his/her/their instrument,the individual(s),o pers pon behalf of which capacity(ies), and that by his/her/their signature(s) on the the individual(s)acted,a ut th rument. instrument,the individual(s),or the person upon behalf of which e individual(s)acted,executed the instrument. (signature and ort.N.R.,"CARSEY dual taking acknowledgment) (signature and office of individual taking acknowledgment) STTE Of NEW YORK No. 50-4644645 a olifled In Nassau county Conmiwon SxNlr*c mala - 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/she/they executed the same in his/herttheir capacity(ies), and that by his/herttheir 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) 36.00 EXECUTOR'S DEED SECTION BLOCK 01.00.00 LOT 028.00 Title No. COUNTY OR TOWN Suffolk STREET ADDRESS 485 Oak Street Recorded at Request of New York Title Research Corp RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS DONNA HALLAM Distributed by 511 Baywood Drive South Dunedin Florida 34698 New York Title Research Corp wwwxytitle.com w LL LL 0 2 O Ir O V w C LL Q W N 7 C O LL W V Q a N y INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLYNovy York Stab DepaMnar.of C1.SwIS coda , Taxation and Finance C2.Data Dead Recorded 7 Office of Real Property lax Services RP-5217-PDF C3.Book C4.Pape / Roel Property Transfer Report((Y10) h PROPERTY INFORMATION F .Clt'gr•Form'�� I 7.Peoperty 485 Oar Si.ree;. Location Cutc hit-gie "9?5 'CnY oRTDM VIL ACME •7rcam 2.Buyer Ilallani .-jorra Noma 'LAST NAMECO.PANY FIRST NNE LAST kvAmoLfym FIRST NAME 3 Tax Indicate where future Tax Bills are lo be sem --]a -a-n Donna Billing it~than buyer addres%at bottom or form) LAST kArcKarAhi FIRST NAME Address 511 ilSywnod ,-'ve Snul"a Dunad1n ,L 24690 Mff"NI/AEEPAra1NALE C.'YORTa1M1 STAra Dip com 4.Indicate the number of Asaeaament ❑Part of a Parcel (Only N Pad d a Parcel)Check ea they apply: Roll reels transferred on the deed a of parcab OR � 4A.Planning Boats with Subdrvwlus Authority Exists ❑ 6.Deed X OR C.OC---._-- 41L Subdivision Approval was Required tar Transfer ❑ Properly 'FRml Fkki 'ACRES &ie 4C.Parcel Approved for Subdivision with Map Provided ❑ F.a.IAT Donna, as aX,:CULC. 6.Seller LAST NMAFR:dVANT FIRSTHAMI Nemo LAST NAAEOCM PANT FIRST NAME '7.Solect the description which most accurately describes the Check the bones below as they apply: use of the property at the time at sale: Ill.Ownership Type is Condominium ❑ A.One FamilyResidential 9.New Construction on a vacant land ❑ 10A.Property Located within an Agricultural District ❑ 708.Buyer received a disclosure notice indicating that the property is in an El District SALE INFORMATION 15.Check one or more of tlooe conditions ea applicable to treusbr: A Sale Between RelaOves Dir Farmar Ralatwas 11.Sala Contract Dabs B.Selo between Related Companies or Partners in Business C.One of the Buyers is also a Soler ' D Buyer or Seller is Government Agency or Lending Institution 12.Dab M SelafTmnsfer rU E.Dead Type not Warranty or Bargain and Sala(Specily Below) F.Sale of Fractional or Lou than Fee Interest(Specify Below) 113.Fall Sok Price .00 G.Signirlanl Change In Property Between Taxable Status and Sale Dales H.Safe of Business Is Included in Sok Price (Full Sale Pries is the total amount paid for the property including personal property. I Other Unusual Factors Netting Sale Price(Specify Below) This payment may be in the form of rash.other property or goods•or the assumption of J.Np7e 1 n ongages or other obgg@tions)Planar round to the rearaa7 softie dttfar arounf Commeutys)on Condition: 70.Indicate the value of personal .00 property included In the sate ASSESSMENT INFORMATION-Date should reflect the latest Final Assessment Roll and Tax Bill I 16.Year of Awessmnd Roll from which Information taken(YY) 16 '17.Total Assessed Value &6 r-,, I Property Class 2 i 11 _ '19.School District Name Southold 120.Tax Map ldenUter(syRoll Iderttfler(s)(If mom than four,attach shoot with additional Idemtkr(s)) 10;10-13 6-1-2 8 CER 1 ICATION 1 Certify that all of ter Reins of Infornstion entered on this farm are tree end correct(to the beet of my knowlodge and bellet)and I understand that the making of any willful • false Statement of maferial fact In subject me to the onevialona of the usual law relative to the making and Sling of fats@ Ihhstrumnts. ELLER RE BUYER CONTACT INFORMATION (Error Information hr esu buyer How If buyer a LLC leanly.el lbm.G NPww"tPnt lack w^PenY.octan Of _ ent If,that h not an Bxw"agent or nacery,tical a no=Bra Can't n4gnstio l of an Indndualelpn iabis Perry ow=wsvw giwluam rwge7ing the is"'er mist m erxred Type or punt clearly I AM TL E oATE F3"Sail: YE SIG E 'lwsrNANE FNAME •AatAcegE NUMBER a.ile B@awW: eUTER TURF DATE 511 Fkaywood Drive Soul:l 'STREET NUMBER ';-EET NAkw. Duneai.n F] 34699 -- ' Y.nYORTONM 'STATE '7r Coca BUYER'S ATTORNEY r'arscy Y.ev'-_1 LAW NIWE r HST W+ME (516) 485-4672 _ ARFA Cg1E TL:EPNOFENIABEPIE�WM6 I 1