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Home My WebLink AboutL 12904 P 158SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 03/10/2017 Number of Pages: 3 At: 11:42:06 AM Receipt Number : 17-0042261 TRANSFER TAX NUMBER: 16-24070 LIBER: D00012904 PAGE: 158 District: Section: Block: Lot: 1000 070.00 09.00 021.000 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 -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 $395.00 TRANSFER TAX NUMBER: 16-24070 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED :017 Mae 10 11:42:08 Ptl JUDITH P. PASCALE CLERK OF SUFFOLK COUNTS' L i-001012904 F 153 DT# 16-24070 Deed / Mortgage Instrument I Deed /Mortgage Tax Stamp I Recording / Filing Stamps 3 I FEES Page/ Filing Fee Handling 20. 00 TP -584 Notation _ EA -52 17 (County) EA -5217 (State) R.P.T.S.A. Comm. of Ed. 5. 00 Affidavit Certified Co NYS Surcharge 15, 00 Other �11 Sub Total q � 4 Dist. loos 17007960 1000 07000 0900 021000 P T IiI1I�IIf�III�IIIl1��II�I�Il��1�I�iiIIIIII�I��I�II Real Property (R'SMI A Tax Service Agency 08 -MAR -t Verification 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Wickham, Bressler & Geasa, P.C. P.O. Box 1424 Mattituck, New York 11952 Mortgage Amt. i" Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec. /Add. TOT. MTG, TAX Dual Town Dual County Held for Appointment Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES or NO If NO, see appropriate tax clause on page# of this instrument. Community Preservation Fund Consideration Amount $ CPF ax Due $ Improved Vacant Land TD TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 1 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co. Name LA6 " 4 -ELk www.suffolkcountyny.gov/clerk Title # — �s s Suffolk Countv Recording & Endorsement ]Pate This page forms part of the attached Bargain & Sale Deed w/covenant made by: (SPECIFYTYPE OF INSTRUMENT) Edward Skrezec and Doris Skrezec The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of Southold Darrin E. Skrezec Trustee of the Skrezec Irrevocalk In the VILLAGE Trust dated November 30, _2016.or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over Standard N.Y.B.T.U. Form 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts - Uniform Acknowledgment Dorm 3290 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made thea-µ day of November, 2016 BETWEEN EDWARD SKREZEC and DORIS E. SKREZEC, residing at 625 Bennetts Lane, Southold, New York 11971, party of the first part, and _ DARRIN E. SKREZEC, TRUSTEE OF THE SKREZEC IRREVOCABLE TRUST dated November 30, 2016, with an address of 32900 County Rd. 48, Peconic, New York 11958, party of the second part, WITNESSETH, that the party of the first part, in consideration of Ten and 00/100--($10.00)--Dollars, and other good and 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 tract or parcel of land situate, lying and being at Southold, in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot Number 32 on a certain map entitled "Map of. Section One Fairview Park, at Southold, New York, dated July 12, 1961" filed in the Suffolk County Clerk's Office as and by Map No. 3388 on August 9- 1961. BEING AND INTENDEDTO BE the same premises conveyed to the party of the first part by deed dated January 9, 1963, recorded on January 15, 1963 in Liber 5293 Page 13. Subject to covenants and restrictions of record. 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" 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. Q (� IN PRESENCE OF:--a'L`�`z l Z� Edward Skrezec Doris E. Skroec Re/deed/Skrezec BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN New York STATE State of New York, County of Suffolk, ss: On the '&day of November, in the year 2016, before me, the undersigned, personally appeared EDWARD SKREZEC AND DORIS E. SKREZEC 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 helshelthey 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 individu ( acted, executed he instrument. (signature d office of indivAid�l�lAakipg_a.1�,kn, Vlggment) NotaryP tic Notary Public ublliLcAStatteCCoff New York No. 52-4642871 v Ouallfied In Suffolk County Commission Expires Sept. 30, 20&11 State of New York, County 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/hedtheir 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. (signature and office of individual taking acknowledgment) Notary Public TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State (or District of Columbia, Territory, or Foreign Country) of County 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) BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS Title No. Edward Skrezec and Doris E. Skrezec TO Darrin E. Skrezec, Trustee of the Skrezec Irrevocable Trust dated November 30, 2016 STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by Ap Commonwealth ALANDAM� iI CA- COMMONWEALTH LAND TITLE INSURANCE COMPANY (signature and office of individual taking acknowledgement) Notary Public SECTION 070.00 BLOCK 09.00 LOT 021.000 COUNTY OR TOWN Southold Recorded at Request of COMMONWEALTH LAND TITLE INSURANCE COMPANY Wickham, Bressler & Geasa, P.C. P.O. Box 1424 Mattituck, New York 11952 INSTRUCTIONS(RP-5217-PDF-INS): www.crps.statemy.us OR COUNTY USE ONLY New York State Department of C1. SVAS Code % / Taxation and Finance C2. Date Deed Recorded ':�3 / J_[� Office of Real Property Tax Services RP- 5217 -PDF C3. Book %i Q, C4. Page I 1 Real Pro party Transfer Repoli (8110) PROPERTY INFORMATION 1. property .wenzi(�25 Location Bennetts Lane Darr*n E. • S:RLE' y WAW . S,Lc- \AY FIRST NAME Southold Southold 11971 •ARLA:a:L z. Buyer Skrezec Irrevocable TrusL Name dated November 30, 2016 • ham• war •ola•Ax. r as1 rJ11e. '•I+ 1'.0. V, ! AST NAMFRAIrPAW FIRST MWF J. Tax rndioNa wham future Tax Bills are to be Most Billing 'QU re'uw. _•- if other than buyer addmss(at bottom of tom) 1A 7 NAVEXOM-NIM• Address F.RST Na VC •--_••-•-••••--•- BUYE MAUVRNEY S'aFFf hJwIFe AN?hAMF DIY 67 i:11Mr STATE •`,P cote 4. Indicate the number o! Asseament 1 I ,Pan or a Pared (ODty If Part of a Parcell Cheek a they apply: Rall parcels transferred on the deed M of Paroels p( I__I 4A. Planning Bab with Subdivision Awhmry Exists LAST r.AVc 5. Dead \ _ OR 0.49 Property •arA'N aEEi J'9Le1•I •AP+L'S 46. Subdivision Approval was Required for Transfer (631) Bee 4C. Parcel Approved for SubdvrMon with Map Provided MNC RE --_•- Skrezec Edward e. Seller -u aw2� GrP:h: - -- xr weer Name Skrezec Doris E. rNe� NAME ,AS-NIWJCOVPAhr •7. Select the description which most accurately dmcribm the Cheek the boxes below as they apply: use of the property at the Bme of ale: 8. Ownership Type is Condominium A. One Family Residential 9. Now Construction an a vacant Land •-- 16A. Property Located within an Agricultural District iI 10& Buyer received a disclosure nice indicating that the property is in an ❑ Agricultural District SALE INFORMATION 16. Cheek one ormors ofthose conditions as applicable to transfer. A Sale Between Relatives or Former Relatives 11. Sale Contract Orae B. Sale between Related Companies or Partners in Business One of the Buyers is also a Sellar • 11/30/2016 I D. Buyer or Sailer is Government Agency or Lending Institution 12. Data of SaWTransfer E. Deed Type not Warranty or Bargain and See (Spee11y Below) F Selo of Fractional or Len than Fee Interest (Specify Below) •17. Fug Sale Pries 0.00 r G. Significant Change in Property Between Taxable Status and Sale Dales --- H. Solo 0 Bdalneee is Inflated rn Sale Price ( Full Sale Price is the total amount paid for the property including personal property. I. Other Unusual Factors Affecting Sale Price (Specify Below) This payment may be in the lam of cash, other property or goods, or the assumption of J. None mortgages or other obligations.) Presse round to the neereal wdob do6aramount. Camment(s) on Condition: 74. Indicate the value of personal 0 11U property Included In the sale transfer to trust ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 119. Year of Aaessm nt Roll from which Information taken(YY) 16 117. Total Assessed Value 5,5()a •1111. Property Class 210 •19. School District Name •20. Tax Mop Idontifior(syRoll Iderrdfler(s) (If more then four, attach sheat with addhlansl IdentMler(s)) 1000-0'10.00-09.00021.000 CERTIFICATION I Certify that all of tee Rome of iMarmeton snowed on this form are trim and coned (m the hart of my knowledge and belief) and I understand that the reeking of any willful false statement of materiel fact heroin subject me to doo provisions of the pelt91.li a.rslative to the making and filing of false Instruments. $ELLER SLGNATURE I BUYER CONTACT 1NEORMAIION M. EV Sf�lA lwi -- n. BUYER ISit>tATS1RE 1/ UJrL' ausiL.I.- - p _ (Eeler ii -.b- for his buyer Nor. If buyer a LLC soca ft essooahm• a.lp-Mia, loin stick -per y HOW.P ar our sat is na ell indrodurd again or fiduciary than a name and mrYsa Wis..saw of ac mld6uaulesporleb5o pity wm lar: answer auewana reeantna ere venrfsr moat N enrena Trim arpma ewny ) Skrezec Darr*n E. • 1 AST h WF FIRST NAME (631) 7G5-4329 --- •ARLA:a:L •-Fl f•PNOIF WYRER IP,.'IIMIPI PO Box 361 •.Tiff-WVEEa '•I+ 1'.0. V, Southold NY 1:971 'QU re'uw. _•- 'S'ATE •7 PCow.. BUYE MAUVRNEY Wickham Abigail A. LAST r.AVc CIMST NAME (631) 298-8353 MNC RE --_•- 11.1 �•qhi KJwY•Y rF. Wr 1