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Home My WebLink AboutL 12924 P 789 1111111 I I I I I I I I I I I I I I f f l l l l l l l l l l l l l l l l l l l l l l l 11111111 1111111 111111111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/12/2017 Number of Pages : 4 At: 11 :37 : 55 AM Receipt Number : 17-0138680 TRANSFER TAX NUMBER: 17-01742 LIBER: D00012924 PAGE : 789 District: Section: Block: Lot: 1000 076 . 00 01 . 00 008 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $395,000 . 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 $0 . 00 NO Comm.Pres $4 , 900 . 00 NO Fees Paid $5,295 . 00 TRANSFER TAX NUMBER: 17--01742 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County LiJ Number of pages L� RECORDED. 2017 Aug 12 11:17:55 All JUDITH A. PASCALE This document will be public CLERK OF record. Please remove all SUFFOLK COUNTY Social Security Numbers L DOp012924 prior to recording. P 789 DT# 17-017 ' Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recol-ding/Filing Stamps 3 1 FEES Page/Filing Fee a V 3 Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax i TP-584 7 Sub Total Notation Spec./Assit. C� or EA-52 17 (County) Sub Total Spec./Add. BA-5217(State) TOT.MTG.TAX _ R.P.T.S.A. � t/iy Dual Town Dual County_ Held for Appointment_ Comm.of Ed. 5, 00 Transfer Tax q AffidavitL%4Wy'z"V Mansion Tax The property covered by this tuortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 2 1 r family dwelling only. , Sub Total ✓ l � YES. or NO Other Grand Total If NO,see appropriate tax clause on page# of this instrument. &- O- Dist p0 17024858 1000 07600 0100 008000 5 Community Preservatioia 1�and DUL-1 111EReal Property I�'�I�II�IIII�III'�f(I�IIIIIIIIICI��I�I�Ilfllllnl Consideration Amount$ QUI Tax Service ul I Ifll u u I[u 111 fill Agency CPI T Due $ _ gn () Verification 6 Satisfactions/Discharges/Rcleascs List Property Owners Mailing Address Lnproved RECORD &^IRETURN TO: Vacant Laird �S2N C tS�� TD A c0. 13 k `7 0(A TD 7eJ'9 t4, N y i�.52= TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 'Title Company I11for1uatioll 310 Center Drive, Riverhead, NY 11901 Co.Name FIDELITY NATIONAL TITLE www.suffolkcountyny.gov/clerk Title# 17-71/0'/-/0-837 8 Suffolk. County Recording & ]Endorsement Page This page forms part of the attached l made by: (SPECIFY TYPE OF INSTRUMENT) (_tin`s 7apl� �p 11 r NA- The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO -In the TOWN of In the VILLAGE I)JA r"A /n/`U'+ or HAMLET of BOXES 6 THRU 8 MUST BE TYPED O)Z PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING I1o7w,.l oreekk (over) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 30 day of June,2017 BETWEEN Christopher Pollina and Jessica Heaney, residing at 4475 Main Bayview Road, Southold, NY 11971 party of the first part,and l Mirko Mrva and Maria Mrva residing at 34 Purple Row, Unit 2403, Riverhead, NY 11901 party of the second part, WITNESSETH, that the party of the first part, in consideration of ten 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, with the buildings and improvements thereon erected, situate, lying and being in the SEE SCHEDULE A Attached Premises also known as 4475 Main Bayview Road,Southold,NY 11971. The premises herein described are and are intended to be the same as those described in deed dated 1/24/13 and recorded on 2/22/13 in the County of Suffolk at Liber 12721 Page 418. 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. IN PRESENCE OF: Christop r Rollina 7—Je sica Heaney Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment Fidelity National Title Insw-,,ince Company TITLE NO.F 17-7404-104837-SUFF SCHEDULE A-1 (Description) ALL thai'certain plot, piece or parcel of land, situate, lying and bung near the Village of Southold, Town of Southold County,of Suffolk and State of New York,known and designated map entitled, "Map of We "filed in tOffice of18 laid down s#Creek Developmentthe Clerk of the County as Suffolk on on a certain day of July, ]937 as Map no. 1236. - TOGETHER with the right of free access and approach to the Creek along extension of the Bayberry Road a width of 15 feet as laid out on said map_ TIIE POLICY TO BE ISSUED under this commitment will insure the title to such building bylaw constitute real property. sand improvements on the premises which FOR CO in fr NCING ONLY.ont of and adjoining said premises.Together with all the in the street et infront right,title and interest of the party of the first part,of in and to the land lying SCHEDULEA-I(Description) Rev.(03/04) :1 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of Suffolk ss: State of New York,County of ss: On the 30 day of June 2017 in the year On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared Christopher Pollina and Jessica Heaney personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is satisfactory evidence to be the individual(s)whose name(s) is (are) subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed t instrument. the individual(s)acted,executed the instrument. (signature an)AffIce of individual taking acknowledgment) (signature and office of individual taking acknowledgment) ROBERT DEFRESE Notary Publfc State of New YoAt No.01 DE5035117,Suffolk County Commialon Exoms October 24,2018 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/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,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 DISTRICT 1000 WITH COVENANT AGAINST GRANTOR'S ACTS SECTION 076.00 BLOCK 01.00 Title No.F17-7404-104837-SUFF LOT 008.000 Pollina/Meaney COUNTY OR TOWN Suffolk TO STREET ADDRESS 4475 Main Bayview, Southold, NY 11971 Mrva STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS RETURN BY MAIL TO: Distributed by LU U LL LL Z O K O U W 1' LL W N K O LL ul U Q o. y N INSTRUCTIONS(RP-5217.PDF-INS):www.orps.state.ny.11s FGR COUNTY USE ONLY New York State Department of cl:swlsCoda• 11 Taxation and Finance cr 1 Z Office of Real Property Tax Services C2.Date Deed Recorded O ! M + oar Yew RP-5217-PDF C3.Book 2 C4.Page Real Property Transfer Report(8110) PROPERTY INFORMATION 1.Property 4475 Mn-ill F!ayViRW '�Oad Location •9TRFET M.0/9CH 'STREET NAME Sou ttic I'll 91 e .CITY OR T09M yr1AGF 'as CCCE 2.Buyer l4rva `!irko Name •IAll""FCOMPART 'PST%—E Mrva N.:a_1 a LAST NME.COMNAW MST NAME 3.TexIndices where future Tax Bills are to be Sent Billing of other tion buyer address(al bottom of form) W'RAaFJCOMPRtiy Peter NAME Address ' S'PEET AIaBER A143 NAME CT'OR TOW. S'AL aPCOM 4.Indicate the number of AssessmentN of Parcels OR 1:1 part of a Parcel (may 8 Part of a Parcell Check as they appy: 1 Roll parcels transferred an the dead4A.Planning Board with Subdivision Authority Exists ❑ S.Deed N ())Z 0.38 4B.Subdivision Approval was Required for Transfer ❑ Property •FROh'FEE7 'OEM 'ACRS ❑ Size 4C.Parcel Approved for Subdwision with Map Provided 6..Seller .LASTNAMEICOMPANY FIRST NAME Name Jessica 1'n4:T•'_y nxsT wlNl. AMT NAVLA M-'ANr Check the bores below as they apply: -7.Select the description which most aeeuratay describes the s.Ownership Type is Condominium ❑ use of the property at the time of seta: ❑ 9.Now Construction on a Vacant Lend A.Oil;:I'dnvly 11-idl•nti,11 teA.Property located within an Agricultural Clarinet ❑ 108.Buyer received a disclosure notice indicating that the Property is In an ❑ Agncuhural District SALE INFORMATION 15.Check one or more of these conditions as applicable to transfer: A Sale Between Relatives or Former Relatives 06/05/2017 B Sale between Related Companies or Parinom in Business 11.Sale Contract Date C 0..^.e of the Buyers is also a Sellar 06/30/2017 D Buyer or Seller is Government Agency or Lending Institution •12.Ditto of Salerrrsnsfer E Deed Type not Warranty or Bargain and Sale(Speciy Below) F.Sale of Fractional or Less than Fee Interest(Specify Below) 33 r C1;U Utl G.Significant Change in Properly Between Taxable Statics and Sale Dates •13.Full Sale Price H Sale of Business is Included In Sale Price (Full Sale Price is the tocol amount paid for the property inGudmg personal property I. Other Unusual Factors A`Ncbng Sale Pnts(Speoy Below) This payment may be in Ola tonin of cash.other property or goods.or the assumption of J.None mortgages or other obligations)Please round to the neafesrweore dollar amount Comment(s)on Condition: 14.Indicate the value of personal C ) property Included In the sale ASSESSMENT INFORMATION-Data should reflect the latest Fina(Assessment Roll and Tax Bill 16.Year of Assessment Roll from which Information taken(YY) --7 47.Total Assessed Value 3,3;:4 '16.Property Class 2.C _ •19.School District Name S ail L ho id '20.Tax Map Idem fler(sllRoll Identifier(s)(If more than four,attach sheet with additional Identifier(s)) 1300 376.01 C1.03 00.8.000 CERTIFICATION I Certify that all of the Items Of InfOMMUdn entered on this form are true and correct Ifo the bast of my knowledge and ballet)and 1 understand that the making of any willful false statement of matertal fact herein subject me tottlaprOYJligns4(.lbe.gOQ1i1 IWJDlativs to the making and filing of false instruments. CFI I FQ SIGNATURE BUYER CONTACT INFORMATION l rf.w lift—Mon for a•e ixrfm Vale a buyer is LLT:eCCeIY.869==rO9.MPGAILM p it.sbCs rarripeny,exam or wt LT Iret is nor an ro oe:ol again or edu,ary.ewr a rv"o Ertl cortw.uric ni aW an Ird wdJea sopenf de 61.W/7 parry win car Wswr 4iveaw rstam ng Lis aenefer mel tie amerce Type or prim clearly I SELLER SIGYAT CAM M 1_):L� M'-Vu 'USF wwE RS'—AWE � c1s.11� "��e .. - '� �I �•"' -APIA COOL •TET E+h01E MJ RIF.aNaa7e1 D� ap•CP eGNAm.aE G:E 3 YC.Lr Lf L 1'o r"J 'S'nECT NJM9CR 'ST(fM��LT NAME I I nir or i 1 a _: -'R; ..P,hen-0— .dY a•:'3 i I 1 .�ITy OR TOYen 'STATE 'iP C09E BUYER'S ATTORNEY I I seDavid 1 0n I IAS�wwt FIRSTNAM= I I I ::•�11 '7sA-76F:G ML 1 EF-MENLMLNI EE.TBUM, 1 r AnuLwx 1 I '�r I 1 1 r