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Home My WebLink AboutL 12921 P 895SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 07/25/2017 Number of Pages: 3 At: 12:53:22 PM Receipt Number : 17-0124921 TRANSFER TAX NUMBER: 16--38258 LIBER: D00012921 PAGE: 895 District: Section: Block: Lot: 1000 097.00 08.00 026.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument JUDITH A. PASCALE County Clerk, Suffolk County 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: 16-38258 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. Deed / Mortgage Instrument I Deed / Mortgage Tax Stamp 3 Page / Filing Fee - - Handling 20. 00 TP -584 S Notation LPA A (25-JUL-17UL_17 EA -52 17 (County) S EA -5217 (State) R.P.T.S.A. Comm. of Ed. 5. 00 a idavit Certified Cop NYS Surcharge Other 4 1 Dist.' - - 17024689 Real Propei Tax P T S Service Agency LPA A (25-JUL-17UL_17 Verification 6 I Satisfactions/DischargeslR( Q rr s is nn FEES Sub Total l 1000 09700 08800 026000 1111111110111111 List Propperty Owners Mailing Address RETURN TO: Morgant W. Fiedler, Esq. P.O. Box 587 Greenport, New York 11944 Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY 11901 [C. www.suffolkcountyny.gov/clerk 81 Suffolk County Recording RECORDED 2017 Jul 25 12:53:22 PN JUDITH R. PASCALE CLERK OF SUFFOLK: COUNTY L D00012921 P 895 DT# 15-38253 Recording / Filing Stamps 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec. /Add. TOT. MTG, TAX Dual Town Dual County Held forAppointment Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES orNO If NO, see appropriate tax clause on Page # of this instrument. nq. l o . n Community Preservation Fund Consideration Amount $ CPF Tax Due $ Im rov Vacant Land TD__LO O TD TD Title Company Information Endorsement Page This page forms part of the attached Bargain and Sale Deed made by: (SPECIFY TYPE OF INSTRUMENT) Jacqueline H. Monsell The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of Southold Benjamin Doroski In the VILLAGE or HAMLET of Cutchogue 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 Bargain and Sale Deed, with Covenant against Grantor's Acts rill THIS INDENTURE, made the day of BaArrch, 2017 BETWEEN JACQUELINE H. MONSELL Residing at 509 First Street, Greenport, NY 11944 party of the first part, and BENJAMIN DOROSKI Residingat 830 Mituey (m+ckjV5L-X n,y 11935 - party of the second part, WITNESSETH, that the party of the first part, in consideration of $0.00 (Zero) dollars 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 Cutchogue, Town of Southold, County of Suffolk, and State of New York, known as Lots36, 37 and 38, on a certain map entitled, "Map of Norwold", and filed in the Office of the clerk of the County of Suffolk on 3113139 as Map No. 1275. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated June 16, 2004, and recorded in the Suffolk County Clerk's Office on July 19, 2004, in Liber 12331, Page 529. 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 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; W H. MONSELL TO HF L1SED ONLY WHEN THF Ar KNOWI Fnr.MFNT IS MAnF IN NFW YORK STOTF State of New York, County of Suffolk State of New York, County of Suffolk ss: SS: On the _& day of {' in the year 2017 On the day of in the year before me, the undersigne personally appeared before me, the undersigned, personally appeared JACQUELINE H. MONSELL BLOCK personally known to 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 evidence to be the individual(s) whose name(s) is (are) subscribed the within instrument and acknowledged to me that he/she/they to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by executed the same in his/herttheir capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the his/her/heir signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the person upon behalf of which the individual(s) acted, executed the instrument. /• l � instrument. (siginqffiFeand office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) MORGANT W. FIEDLER NOTARY PUBLIC -STATE OF NEW YORK No. 02FI63041 79 Qualified In Suffolk County My Commission Expires May 21. 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/shetthey 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 WITH COVENANT AGAINST GRANTOR'S ACTS Title No. DISTRICT 1000 SECTION 097.00 BLOCK 08.00 LOT 026.000 COUNTY OR TOWN Suffolk STREET ADDRESS 655 Monsell Lane, Cutchogue, NY 11935 RETURN BY MAIL TO: Morgant W. Fiedler, Esq. P.O. Box 587 Greenport, New York 11944 RESERVE THIS SPACE FOR USE OF RECORDING OFFICE )R COUNTY USE ONLY C1.SWISCode I 'Z;��, �•-�IS�I�'1� � C2. Date Dead Recorded r �J t� rT.y r..r 1 G7. Book i2I J C4. Page [ , PROPERTY INFORMATION New York State Department of Taxation and Finance Once of Real Property Tax Services RP- 5217 -PDF Real Property Transfer Report (SMO) 1.ProPedy 655 Monsell Lane Location • TrIXEET tairaETe • STREET HALE Cutchogue 11935 . CITY OR Tom wLLArE •aPwoE 2. Buyer Doroski Benjamin Name ' LASTNANECOMPANY RRMITNALE 3' Tax Billing Address LASTNAMaCOtPANY FIRSTNAM Indrob whore future Tax Bills ars b be tient Doroski Benj ami n lfother than buyer addreae(at bottom of form) LASTNAMEANUPANY Fes Me s TNA PO Box 1698 Mattituck NY 11952 use of the property at the time of sale. FMEETNLRIMAMNAVE CRY on Taw STATE iP CODE 4. Indicate the number of Assessment a Parcels ❑ Pad of a Parcel Moll If Part of a Parcel) Check as they apply: Roll parcels fen of transsd on the deed 100. Buyer received a disclosure notice indicating that the Property is in an ❑ 4A. Planning Board with Subdivision Authority Ezilib ❑ 5. Dead� , FRONT FEET XnR 0.52 48. Subdivision Approval was Required for Transfer ❑ Size DEPTH 'ACRES 11. Sob Contract Date 4C. Parcel Approved for Subdivision with Map Provided ❑ Monsell Jacqueline H. I. Soler LASTNAAEICOIPANr Fgaf NAPE Nems E. Dead Typo not Warranty or Bargain and Selo (Specify Below) LAST rurPlcovPANY FORST HAVE h. Select the description which We accurately describes the Check the boxes below as they appy: use of the property at the time of sale. a. Ownership Type is Condominium ❑ A. One family Residential 9. New Construction on a Vacant Land ❑ 10A. Property Located within an Agricultural District ❑ 100. Buyer received a disclosure notice indicating that the Property is in an ❑ Agricultural District SALE INFORMATION 15. Check one or mon of thew conditions as applicable to transfer: A. Saki Between Relatives or Farmer Relatives 11. Sob Contract Date B. Sale between Related Companies or Partners in Business. C. One of the Buyers Is also a Salon 12. Dab of 8alerirsesbr 04/10/2017 D. Buyer or Seasr is Government Agency or Lending Institution E. Dead Typo not Warranty or Bargain and Selo (Specify Below) F. Sob of Fractional or Leas awn Fee Interest (Specify Below) •17. Full Sale Price 0.00 G. Significant Change in Property Between Taxable Status and Sate Dates ( Full Sale Price is the total amount paid for the property including personal property H. Sale of Business is Included In Sale Price I. Other Unusual Factors Afiacting Sale Price (Specify Below) This payment may be in the form of cash, other property or goods, or the assumption of I None mortgages or other obligations.) Pbaas round to the nearest whore dDser amount Commentts) on Condition: 14. indicate the value of personal 0 00 properly Included In the sale , ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 18. Year of Assessment Roll from which Information taken(YY) 16 '17. Total Assessed Value 8 0 C '18. Property Clue 210 _ •19. School Dbtrlct Name 120. Tax Map Identifier(s)f tall Identlller(s) (if more than four, suach shed with additional IdentM*go)) 1000-097.00-08.00-026.000 Mattituck School CERTIFICATION I Certify that all of the kems of Information Snared on this foam arstrue and torted (to tie best of my knowledge and bellsQ and I understand that the making of any willful bias statement of material fact herein subject me to the.provislons of the per aLiew-roktive to the making end filing of blas instruments. CGI m GRI Sl(aNATURE BUYER CONTACT INFORMATION (Enter ixamSllon for eco buFNr. Nob, a h W a LLC,soanly, association. , n p, or. Ale1 stock cw pwry. arinte or wNy IMI is not an FiclMduel DOW or bowery. 1hon a rwnr anti caned rwxmalen of an irdmidrassponrbb �swedi 11 Li t0 t P" veto ran wwww gL"bna reob" caw 1—Frer mud be stared Type w pried deedy ) R arcaATURE DATE BUYER SIGNATAM ar"T11RE DATE Doroski Benjamin FIRSTNAME (631) 333-2095 'AAEIICODE 'i DzPmo NE faaER ifs fRaaWn PO Box 1698 'STREET NOLRR 'STREETNAME Mattituck NY 11952 'CITY OR TOM 'STATE •cap CODE BUYER'S ATTOR(11ff Fiedler LAST W W E (631) 333-2091s AREA CDDE Morgant Falai MAMe TELEPHONENLMMR(Er eeawee