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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 08/14/2017
Number of Pages: 4 At: 04 :45:34 PM
Receipt Number : 17-0139607
TRANSFER TAX NUMBER: 17 -01917 LIBER: D00012925
PAGE: 002
District: Section: Block: . Lot:
1000 040 . 01 01. 00 059. 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $350, 000. 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 $1,400. 00 NO Comm.Pres $4, 000 . 00 NO
Fees Paid $5, 795 . 00
TRANSFER TAX NUMBER: 17-01917
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
RECORDED
2017 Aug 14 04;45;34 PM
Number of pages JUDITH A. PASCALE
CLERK OF
SUFFOLK COUNTY
This document will be public L DO0012'925
record.Please remove all P 002
Social Security Numbers DT# 17-01917
prior to recording,
Deed/Mortgage Instrument Deed gage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00 2. Additionat Tax
TP-584 Sub Total
Spec./Assit.
Notation
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. /(Held f Aorf Aor ppointment
Comm.of Ed.
S. 00 * TYasferTax 1y00.
• + Manslorl Tax
Affidavit
The property cov red by this mortgage is
Certified Copy or will be im/proved by a one or two
NYS Surcharge 15. DO family dwelling only.
Sub Total_ YES_I orNO
Other r
Grand Total If NO, see(appropriate tax clause on
page# of this instrument.
17026347 1000 04001 0100 059000
4 Dist.1000 5 Communi y Preservation Fund
111111 lilll lli Illi)VIII IIID!II(I I[Ill ill IIII
Real Property R SME Consideratio Amount$.301X7
Tax Service 07 AUG-1
Agency CPF Tax Due S y7AOM,�
Verification
Improved
Satisfactions/DischargR[Releases
RpyOwners Mailing Address
6 ORD&RETUNe
Vacant Land
William H. Price,Jr., Esq.
P.O. Box 149 TD ���
Greenport,NY 11944-0130 TD
TD
Mail to:Judith A.Pascale,Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name South Bay Abstract
www.suffolkcountyny.gov/clerk
Title#S-15631 W
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by; (SPECIFY TYPE OF INSTRUMENT)
Agnes E.BuschTrustee The premises herein is situated in
Under the Agnes E.Busch Living Trust dated April 25.2001 SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Karen Blasko and Elizabeth G.Blasko In the VILLAGE
or HAMLET of Greenport
BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
Bargain and Safe Deed,without Covenants against Grantor's Acts— Individual or Corporation.
CONSULT YOUR 1 1wYER BEFORE SIGNING THIS INSTRUNIE\"C—THIS INSTRUMENT SHOULD BE USED BY LANVVERS ONLY.
THIS INDENTURE, made the day of July, 2017
BETWEEN
Agnes E. Busch, Trustee, Under the Agnes E. Busch Living Trust,dated April 25, 2001 and any amendments
thereto, residing at 59 Caleb's Way, Greenport,New York, 11944, party of the first part, and
Karen Blasko and Elizabeth G. Blasko, residing at 2380 Laurel Avenue, Southold,New York 11971, party of the
second part, ,Q't n}_ ��43 W,VIn (V,Jl�_ aF r�'rJ orsk"
WITNESSETH,that the party of the first part, in consideration of ten dollars and other valuable consideration paid
by the parry 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 hamlet of Greenport,Town of Southold, County of Suffolk and State of New York, known as 59
Caleb's Way, Greenport,New York, and which said lot is more particularly bounded and described as follows:
See Schedule"A"attached
BEING AND INTENDED TO BE the same premises as conveyed by deed from Rhoda Ruggiere Davis, Richard
Ruggiere, Christopher Ruggiere, as co-executors of the last will and testament Barbara Baldwin a/k/a Barbara
May Baldwin to the party of the first part dated 6/6/2002 recorded 6120102 in Liber 12192 page 900.
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, in compliance with Section 13 of the Lien Law, covenants that the party 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
Grantor:
A es E. Busch, Trustee, Under the Agnes E. Busch Living Trust,
dated April 25, 2001 and any amendments thereto
STATE OF NEW YORK
ss.:
COUNTY OF SUFFOLK
On the 'qday of July, 2017 before me, the undersigned, personally appeared AGNES E. BUSCH,
personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose names)
is(are) subscribed to 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 signature(s) on the instrument, the individual(s), or the person upon behalf
of which the individual(s)acted executed the instrument.
Notary Public
MICHELLE KISS
Notary PubNo Io1 K15065407ew York
t3Qual;fd ept
Commission Exp Seember ,201
ADDRESS: 59 Caleb's Way, Greenport, NY
BARGAIN AND SALE DEED WITHOUT
COVENANTS DISTRICT: 1000
Title # S-15631W SECTION: 040.01
BLOCK: 01.00
Grantor: Agnes E. Busch, Trustee
LOT: 059.000
TO COUNTY: SUFFOLK
TOWN: SOUTHOLD
Grantee: Karen Blasko and Elizabeth G.
Blasko
Record and Return to:
William H. Price, Jr., Esq.
828 Front Street, #A
Greenport, NY 11944
S-15631W
DESCRIPTION
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 follows:
The Condominium Unit (the "Unit") known as Unit No. 59 on "Amended Map of Mooresland"
being known as Pheasant Run Estates Condominium 11, said Unit designated and described as
Unit No. 59 in the Declaration establishing a plan of condominium ownership of said premises
under Article 9-B of the Real Property Law of the State of New York (the "New York
Condominium Act"), dated October 24, 1996 recorded in the Suffolk County Clerk's Office on
10/24/1996 in Liber 11798 page 709 and designated on the Suffolk County Tax Map as District
1000; Section 040.01; Block 01.00; Lot 059.000 and shown on the floor plans of the
condominium certified by John T. Metzger, NY, SLS, filed in the Suffolk County Clerk's Office on
6/13/1996 as Condominium Map No. 257A.
Together with an undivided 5% interest in the common elements.
INSTRUCTIONS(RP-5217-PDF-INS):trww.otpa.stale.rty.us
FOR COUNTY USE ONLY , �q New York State DepaAtnent of
C1.awls cod. ' I TJ ,-a� Taxation and Finance
02 Date Deed Recorded I ( / (� I Office of Real Property TBx Services
ff .- Y Dig t T- 0 RP-5217-PDF
C9.Book l �i, C4.Page V Real Property Transfer Report(11110)
PROPERTY INFORMATION
f.Properly 59 Caleb's Way
LocetlOn •GTRFE'HANE
•ST REF--•NUMBER
Southold 11944
•CI-Y CR TSM. v LLAGE •2P CCDE
LBuyer Biasko Karen.
Nam .LAST%MP:CCYF— Pparmuc
Biaske Eiizabezh, G.
!S'WMER•AMFANT FIRST NATE
7.Tax Indicate where future To Blls are to be sem
Billing it other than buyer address(at bottom of form) .A9-—E.COM-kW F PST NAME
Address
GTREETNUNKPAWNAe C"y OF T„a•, ATA PCODE
L Indicate the number of As niat 1 11Pad of a Parcel (Only it Part of a Parcell Cheek a they appy'
rn
Roil parcels tmrmfad on the dead a of Panels ON 4A.Planning Board with Subdivision Authodry Exists
a.Deed OR 3-110 48.Subdivision Approval was Required for Transfer
property F.'hyr FEha DEPry 'ACRFS
Sin 4C.Parcel Approved for Subdiviaon with Map Provided
Busch Acnes 9., Living Trust
a.teller •;AS'NWEr.0YP4J` =119-HAMF
Home
F.PSr NAM?
LAST NawGJC'JMPANT
'7.Select the description which most eccumbiy describes the Check sf bosh below nd they aPWY�
use of rile progeny nt the time ot sols: a.pwrtemRp Type 19 Condominium
A.One pomata Rr atth ti a.New Convection on a Vacant Land ❑
ICA.Property Located witon an Agricultural Distad
108.Buyer received a disclosure notice Indicating that the property is in an
Agricultural District
SALE INFORMATION 15.Check one or more of theme condttlons as applicable to transfer:
M'i A.Sale Between RdC•ivas or Fonar Relatives
11.sale Contract Dab 05/30/2017 B Bela between Raeted Companies or Partners in Bus cess.
C One or the Buyeas Is alae a Soler
07/26/2017 D.Buyer or Saler s Government.Agency or Lending Institution
•12.Date of Saarymssar E.Deed Type not warranty of Belgian and Sale(Specify Below)
F.Sale or Fractional or Lass man Fee Interest(Sporty Below)
*I&fall Sale Price 35G,0C0.00 G Significant Change in Property Between Taxable Stabs and Sale Dares
H Sale or Business is Included In Sao Price
(Full Sae Pace as the total amount paid for tot property including persona limperty I.Other Unusual FGctom Affecting Sale Price(Specify Below)
This payment may be in the form of ash•other property or goods.or the assumption of J.None
mortgages or other obligations)Please mund to de name afnole dofararomd.
ComsNot(s)on Contlitlon:
14.Indicate the value of persona 0 .0()
property Included In the sale
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roil and Tax Bill
16.Yarof AsommoM Roil from which Information taken(YY) 17 '17.Total Assessed Value 3,7 60
'1 a.Property Close 21v _ C '19.School District Name Gree.^.Port
120.Tax Map Idemiller(syRoll Idendasgsl(if more than four.attach sheat with oddafonsl identmer(s))
1000 040.0 01.00 059.00
CERTIFICATION
l Cert fy that all of the Rents of IiftnnOon entered on this farm are true and coma(to the best of my knowledge and belle})and I understand that the making of any wtlRul
false statement of materiel act heroin subject me to theyrovlslo maLtta.penai.lg&rola&is to the making and filing at fdv Instruments.
1tC1 1 FR$IGNATURE BUYER CDEJACTME4f3Mfit M
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t aw mporry auto
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B.a4aC0 Karen
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