HomeMy WebLinkAboutL 12921 P 451 11111111111 IIIII 11111 IIIII 11111 Illll IIIII 11111 IIII IIII
1111111 IIIII IIIII IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 07/21/2017
Number of Pages : 4 At: 11 :51 : 11 AM
Receipt Number : 17-0123128
TRANSFER TAX NUMBER: 16-37887 LIBER: D00012921
PAGE : 451
District: Section: Block: Lot:
1000 137 . 00 05 . 00 018 .000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 . 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 $0 .00 NO
Fees Paid $395.00
TRANSFER TAX NUMBER: 16-37887
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 F
Number of pages RECORDED
21,17 Jul 21 11:51:11 AM
JUDITH A. PASCALE
This document will be public CLERK OF
UNT
record.Please remove all SUFFOLK L GO00129212921 `
Social Security Numbers P 451
prior to recording. DT# 16-37887
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee _
Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 / Sub Total
Notation SpecJAssit.
j or
EA-5217(County) l' Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held for Appointment
Comm.of Ed. 5. 00Of4*n -i
Transfer Tax
Affidavit _
Mansion Tax
Certified Copy The property covered by this mortgage is
,9/0 or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other � �Q��'��
Grand Total / If NO, see appropriate tax clause on
page# of this instrument.
g-,,7
18.000
i: 17024292 1000 13700 0500 018000 ?1 s.000 5 Community Preservation Fund
4D
TAgencax
21-JUL-17 Ifill®I�IWII�I� CPFT Dtue o$n�$ 0
Tax Sery R LPA A
Veriflca�
— — Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD �b
Patricia C.Moore,Esq.
51020 Main Road 1 TD
Southold,NY 11971 �1' TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name Peconic Bay Title Insurance Agency
www.suffolkcountyny.gov/clerk Title# e�rS y
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Scott A.Burdulis and Gregg K.Burdulis,as The premises herein is situated in
surviving tenants by the entirety of Dorothy E. SUFFOLK COUNTY,NEW YORK.
Burdulis, deceased
TO In theTOWN of Southold
Happy Hollow,LLC In the VILLAGE
or HAMLET of CutchoPue
BOXES d THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
V \
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 day of in the year 2017
BETWEEN
Scott A.Burdulis,residing at 63 Seeley Avenue,Kearny,NJ 07032-3120,and
Gregg K.Burdulis,residing at 22 Witherspoon Street,Nutley,NJ 07110-3718,
as surviving tenants by the entirety of Dorothy E.Burdulis,deceased,a resident of Essex
County,NJ
party of the first part,and
Happy Hollow,LLC
22 Witherspoon Street
Nutley,NJ 07110-3718
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,with the buildings and improvements thereon erected,situate,lying and being in the
SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF.
TOGETHER with rights of way,privileges and subject to all covenants and restrictions
affecting said premises,particularly as contained in deed,Liber 1790 at page 128.
BEING AND INTENDED TO BE the same premises conveyed by Deed dated October 5,2001
and recorded November 7,2001 in Liber 12151 page 560 in the Suffolk County Clerk's Office.
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 incumbered in any way whatever,except as aforesaid.
AND the party of the first pan,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.
4--pic-a-
Scott
IN PRFSENCE OF: A.Burdulis
l
Gregg K.Burdulis
w
SCHEDULE A
ALL that certain plot, piece or parcel of land, situate, Iying and being at Fleets Neck, Cutchogue,
Town of Southold, County of Suffolk and State of New York, more particularly known and
designated as and by Lot No. 19 on a certain map entitled, "Map of Property of Ravatone Realty
Corporation, Cutchogue, Suffolk County, L.I., New York, Section#1, Daniel R. Young, P.E. &
L.S., Riverhead, L.I., dated November 12, 1930, as and by Map No. 539, filed in Suffolk County
Clerk's Office December 22, 1930, being on the northeast side of Hamilton Avenue.
STATE OF NEW JERSEY)
SS:
COUNTY OFSUr�)
On the I q�qay of , in the year 2017, before me, the undersigned, personally
appeared Gregg K. Burdulis, personally known to me or proved to me on the basis of satisfactory
evidence to be the individual whose name is subscribed to the within instrument and
acknowledged to me that he executed the same in his capacity, and that by his signature on the
instrument, the individual, or the person upon behalf of which the individual acted, executed the
inst ment, and that such individual made such appearance before the undersigned in the
.(Insert the city or other political
subdivision nAd the state or country or other place the acknowledgment was taken).
Notary Public
MM'AE.NOTARPUBLIC OFVHWQ ERSE'Y
My Commission Expi�as April 27,20a
USEACKNOWLEDGMENTFORMBELOWWlTNINNEW YORKSTATE ONLY: USEACKNOWLEDGMENTFORMBELOW WITHINNEW YORKSTATE ONLY:
State of New York,County of i ss.: State of New York,County of )ss.-
On
ss.: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
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 the evidence to be the individual(s)whose name(s)is(are)subscribed to the
within instrument and acknowledged to me that helshe/they executed within instrument and acknowledged to me that he/she/they executed
the same in his/her/their capacity(ies), and that by his/her/their 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 signature(s)on the instrument,the individual(s), or the person upon
behalf of which the individual(s)acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument.
ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONLY: ACKNOWLEDGMENT FORMFOR USE OUTSIDE NEW YORK STATE ONLY.
(New York Subscribing Witness Acknowledgment Certificaiel (Out of State or Foreign General Acknowlednr Cenificarel
State of New York,County of }ss: StateofNew Jersey„ County,of.., SU.h....}ss.:
(Complete Venue with State,Country,Province or Municipality)
On the day of in the yearGari
before me,the undersigned,personally appeared On the 17 day of 4U1.9— in the year 2017
before me,the undersigned,personally appeared
the subscribing witness to the foregoing instrument,with whom I am Scott A.Burdulis
personally acquainted,who,being by me duly sworn,did depose and personally known to me or proved to me on the basis of satisfactory
say that he/she/they reside(s)in 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
(ifthe place of residence is in a city,include the street and street number, the same in his/her/their capacity(ies),that by his/her/their signature(s)
if any,thereofl;that he/she/they know(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
to be the individual described in and who executed the foregoing made such appearance before the undersigned in the
instrument;that said subscribing witness was present and saw said
execute the same;and that said witness at the same time subscribed (Insert the city or other political subdivision and the state or country or
his/her/their name(s)as a witness thereto. other place the acknowledgment was taken). �$ � {lam
L cs” C
Notary Public
MARIA E.CUi CBOT
NOTARY PU13LIC OF NEW JERSEY
BARGAIN&SALE DEED My CiaTWft sloe @04"April 27,
WITH COVENANTS AGAINST GRANTOR'S ACTS
TITLE NO. DISTRICT 1000
SECTION 137.00
Scott A.Burdulis and Gregg K.Burdulis,as BLOCK 05.00
surviving tenants by the entirety of Dorothy LOT 018.000
E. Burdulis, deceWd COUNTY OR TOWN Suffolk
Happy Hollow,LLC RECORDED ATREQUESTOF
Fidelity National Title Insurance Company
RETURN BY MAIL TO
FIDELITY NATIONAL TITLE Patricia C.Moore,Esq.
INSURANCE COMPANY [5.1020 Main Road
INCaRPORATE01928 Southold,NY 11971
;4.Fidelity
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INSTRUCTIONS(RP-5217-PDF-INS):wurmorps.state.ny.us
FOR COUNTYt1SE ONLY 1 Now York State Department of
Cf.sw[S CodeI ���71 Taxation and Finance
C2.Date Deed Recorded I (/ Z-11 ORice Of Real Property Tax SerAoss
7 ' DW RP-5217-PDF
C3.Book f Cd.Page w 5
Real Property Transfer Report(S/70)
PROPERTY INFORMATION
1.Property 275 Han-JiLOTi Avenue
Location
•BT:EET M1OYrFa •S1RFF'YAVL
Southo:d Cutchogue 11935
•O T•Ca TOMB M L�lil. -2IACCCE
2.Buyer Happy Hal-;OW, :.[.0
Noma
'(AST NAVEICU1PwA' eRS•lyart
(AST VAy,ITJY1YMl! FORST NAME
3.Tax Indicate where Mum Tax Bills am to be sem
Billing If other than buyer addresslat bottom of form) w:NAkWJCWPA.W r AST HAIAE
Address
ST:Ear WNSFR ANZI :Tr OP Wood SIATE --PWIF
4.Indicate the number of Aa ment _ a d Parcels OR ❑Pen of a Parser forty N Part of a Parcell Check as they apply:
Roll 1-911;transferred on the deed 4A.Planning Board with Subdimean Authority Exists ❑
S.Deed }( OR •17 4B.Subdmslon Approval was Required forTransfn ❑
Properly —RONT-EE- I:Fp•F Won
ohs
IC.Perch Approved ler SLbdtvidon with Map Provided ❑
urdulis Scot A.
6.Seller --AST NANErCMPAI.v
'AST NAYL
Name Burdu_is Gregg K.
MS:NAWWW INT FIRST NAVF
'7.Select the description which most accurately describes the Chock the boxes below as they appy:
use of the property at the time of safe: &Ownership Type is Condominium ❑
A.OnP.rarnily Residential 6.New Construction on a Vacant Lend ❑
10A.Properly Located West,an Agriculture!District ❑
10B.Buyer received a disclosure notice indicating that the property is in an El
District
SALE INFORMATION 16,Chock ons or more ofthme candNons as applicable to transfer:
A.Side Batsmen Relatives or Former Relalives
11.Sale Contract Dab B.Sale behumn Related Companies or Partners in Businses
C.One of the Buyers is also a Seller
D.Buyer or Serer is Government Agency or Lending Institution
12.Dab of SaklrtYansfer _/ E.Dead Type not Warranty or BoglWn and Sole(Specify Below)
F.Soled Fractions]or Less than Fee Interest ISpeciy,Below)
'13.Full Sole Price C.00 G.Significant Change in Property Between Taxable Status and Sale Dates
H.Sok of Business is Included In Sole Price
I Full Sale Prim is the total amount paid for the property including personal properly. I Other Unusual Fackins Affecting Sole Prise(Specify Sekrw)
This payment may be In the farm of cash.other properly or goads,or the assumption of J Nona
mortgages or athar obligelions)Please Found to Me nearest whole ddaeramount
'Commadlsl on Condition:
14.Indicate the value of personal
property Included in the sale 0 -00 :•rans`er to sel:era' LLC
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assam@ t Roti 11om whlch Inhwmadon bkon(YP) -7 `17.Total Assessed Value
'18.Properly Class a/CR _ •12.School DlsblctName Mattituck Cutehogue
•20.Tax Map IdenOMsyRoll MemMo4sl lit mon than four,aftech shat with additional Iderg"sp
1000-:37-5-18
CERTIFICATION
1 CodW that alt of the helm of Idmnmtlon entered on this form are tree and correct(to On bat of my knowledge and bellat)and 1 understand that the making of any willful
Ube statement of material fact heratn subject me to the odwIliians d tee.pensl I w reNthe to the making and Sling of fele@ Inatmmmds.
SELLER SIGNATURE BUYER CONTACT INFORMATION
IErver rrwma al lora.buyer.Nob Ir huyerrs LLC,sadeq,eseooebm,carymbbn y,lnt stock cwnpimy,eeaw or
smay tier is no.an rulnedLal seem or aadry.Iran a rens and cameo irmnebon or on IMPduanespmshe
A9kTV Alf mm woo Par wlwr rwAsta ra resemre lbe teenier mm Ee w mad Type w pnm ciaaM)
„EC$QiALA LHL C.TE
E jurdtLlis Gregg
BUYER SIGNATUR
--•LAST M1Fya SIRS'Ne,<
Q dog /S-y7y9
�v i19JuN/ •ARFACOOF -TFLFI•gr,LM.aeEa IF,NONNI '
ILrrFP SIGVO1rrPE nA1F
22 Witherspoon S=oe=
•ST:EZ NJ Rfflt 'S14LL'N-E
I
Nut-Ley INC 07110
timnN-am 'STATE :,P COIR:
BUYER'S ATTORNEY
Moore Patxiria
I
.As,MINE P Par YANG
765-5.330
•PEA LOff TIRF—WLNLLISCetEr M62MI
I I 1 1 I I