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Home My WebLink AboutL 12927 P 51 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/28/2017 Number of Pages : 4 At: 08 :22 : 02 AM Receipt Number : 17-0148322 TRANSFER TAX NUMBER: 17-03596 LIBER: D00012927 PAGE : 051 District: Section: Block: Lot: 1000 102 . 00 05. 00 020 .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 $395 . 00 TRANSFER TAX NUMBER: 17-03596 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County l C2.J RECORDED Number of pages 2017 Rina 28 05;22,02 RM JUDITH R. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D000129227 Social Security Numbers P O51 prior to recording. GT# 17-03596 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee � Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 _ SubTotal Notation Spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) / : TOT.MTG.TAX R.P.T.S.A. 2y11 �011Ly� Dual Town Dual County Held forAppointment Comm.of Ed. S. 00 Transfer Tax Affidavit + �. Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 - y family dwelling gnly. Sub Total YES orNO Other Grand Total If NO, see appropriate tax clause on page# O of this ins O nt. — l-7iC� fi r/C 4 Dist.1( 1 15 ,Community Preservation Fund 17027961 1000 10200 0500 020000 Real Property T S Consideration Amount$ Tax Service VeAgencyr f c t on ;9-At I 111111111111111111111f11 M11111111111111111 CPF Tax Due Improved Satisfactions/Discharges/Releases List Property Owners Mailing Address 6 RECORD&RETURNTO: Vacant Land Valerie A.Shivers, P.C. TD 140 Lakeland Avenue TO Sayville, NY 11782 TD Mail to:Judith A.Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title H 8 Suffolk County .Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFYTYPE OF INSTRUMENT) THERESA E.ORLOWSKI The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold THERESA ORLOWSKI 2016 IRREVOCABLE TRUST In the VILLAGE or HAMLET of Cutchogue BOXES 6THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over WARRANTY DEED WITH FULL COVENANTS (INDIVIDUAL AND CORPORATION) CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. JLl THIS INDENTURE,made as ofthe�day of Dr ,2016, between THERESA E. ORLOWSKI residing at 28565 Main Rd.,Cutchogue,NY 11935 party of the first part, and PAUL C.JABLONSKI,as Trustee of the THERESA ORLOWSKI 2016 IRREVOCABLE TRUST,dated OG-16wr 04,^ 2016,residing at 28565 Main Rd.,Cutchogue,NY 11935 party of the second part, WITNESSETH,that the party of the first part,in consideration of one dollar($1.00),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 plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the: See Schedule A,attached. 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 HAVEAND 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 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 costs 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. AND the party of the first part covenants as follows: FIRST. That said party of the first part is seized of the said premises in fee simple,and has good right to convey the same; SECOND. That the party of the second part shall quietly enjoy the said premises; THIRD.That the said premises are free from encumbrances,except as aforesaid; FOURTH.That the party of the first part will execute or procure any further necessary assurance of the title to said premises; FIFTH. That said party of the first part will forever warrant the title to said premises. 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. SCHEDULE A ALL that certain plot, piece, or parcel of land, with buildings and improvements thereon erected, situate, lying and being at Cutchogue, Town of Southold, Suffolk County, New York, bounded and described as follows: BEGINNING at a concrete monument set on the northerly line of Main Road 80.2 feet easterly along said line from a monument at the easterly line of North Street, said point being the southwesterly corner of the premises and the southwesterly corner of the land now or formerly of Blanche Chugin; from said point of the beginning running along said land now or formerly of Blanche Chugin and land now or formerly of John Wickham North 40° 17' 40" West 303.89 feet to a concrete monument and land of School District No. 12; thence along said land of School District No. 12 North 34° 28' 10" East 116.72 feet to concrete monument and land now or formerly of Isabelle Samohel; thence along said land now or formerly of Isabelle Samohel South 39° 46' 30" East 307.74 feet to a concrete monument on the northerly line of said Main Road; thence along the northerly line of said Main Road 35° 59' 00" West 113.06 feet to the point of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated December 1, 1953 and recorded in the Suffolk County Clerk's Office on December 3, 1953 in Liber 3620 Page 427. THERESA E.ORLOWSKI IN PRESENCE OF: Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK ) )ss.: COUNTY OF SUFFOLK ) On the 14 day of 01,ft 2016,before me,the undersigned,personally appeared THERESA E.ORLOWSKI,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 executed the same in his capacity(ies),and that by his signature(s) on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted, executed the instrument. (si ture ani-Or' of individual taking acknowledgment) Valerie A.Shivers York F.,,,_;,qc,State of New Warranty Deed with full Covenants Notary P J nG F.jr-77579 c,`,pct,�� r 5'�'_t i, - County ti ,s;of1 Exp res Nov. 134Zoiri Title No• District c�� Valerie A.Shivers Section 102.00 Notary No.IO2SHat 775e e ofNw York THERESA E.ORLOWSKI Block 05.00 Qualified in Suffolk County Commission Expires Nov. 1311DI4 To Lot • 020.000 THERESA ORLOWSKI 2016 County or Town Suffolk IRREVOCABLE TRUST Street Address 28565 Main Road Commack,New York 11725 Return By Mail To: Valerie A. Shivers,P.C. 140 Lakeland Avenue Sayville,New York 11782 Reserve This Space For Use Of Recording Office INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY Now York State Department of C1.SMS code _4,TZ23.2sci ; Taxation and Finance C2.Data Deed Recorded d,6/a _/�i Office of Real Property Tax Services Gr ; `_ RP-5217-PDF C3.9ock ; 1 ` 7 C4.Page , , V'�J Real Pro Property Transfer Report(8118) PROPERTY INFORMATION i 1.Prap011Y8565 Location _ Ma-'n Road _.. .. STREET WYEEa •9ZREF.-vMF Cu,c'noclue '19 35 S T•OR T IMN V-LAW •.•P C:.CF 2.Buyer _--LREA OR-IONSKI 2:16TRUE^ Noma •VET NAYIJ:Ir:AY` FliSi Mfr: 44�NA1r,rCYFNtt Frst MMF 3.Tax IndieMewhemfu;ureTak SiYsomtobownt ORT,OW.SKI THERFSA Billing Mother than buyer address(m bottom of forms Address lAa-ryV,a7NJyoµY FRST YWF -•— 285F; Mair. R4ad Outchoque NY _19:15 S'NL-i L4CCr1F 4.Indk:afa the number of Assessment 1 ❑Part of a Pascal (any d Part of a Parcel)Check as they apply: Roll parcels transferred on the deed _. *of Pascals OR 4A.Planning Board with Subdivision Authority Erosts lf.Deed \ cm 1).7 n Property -I YOhi TL:C. •�P'F •A'NES 4&Subdivision Approval was Regw.red for Transfer Btre 4C.Panel Approved for Scbdvislon wlty Map Provided O-RL•IY'S11 THERESA B.Soler AY'iMVR a'CWWr Nemo FN8TMVF JR5-NWEKCY'AY" r=s1 YAY: •7.Select the description which most accurately describes an Chock the boxes below as they appy! ase of the property at the time of sole: 8.Ownership Type is Condom-mum ❑I--I A.Ont-Family Rt•sidendal 8.New Construction on a Vacant Land I • J -- ICA.Property Located within an Agricultural District IDS.Buyer received a disclosure notice Indicating that the property 1s in on Agricultural District El SALE INFORMATION 18.Check one or more of these condmons as applicable to transfer. A.Sola Between Relatives or Former Ratesyes 11.Sole Contract Dat l B.Sole between Related Companies or Partners in Business. C One of the Buyers is also a Sellar o-ay 1 b 12.Date of&IaRransfar D.Buyer or Sher is Government Agency or Lending Institution ` E.Deed Warmr,:Po not T r r or Bargain ro and Sala(Specify Below) I `F.Sale of Fractional of Lau than Fee Interest(Specify Baku) •13.Ful!Sole Price 0.(N3 I G.Sigrif cent Change in Proxrty,Between Taxable Status and Sale Dates i--.H.Sole of Business Is Included in See Price 1 Full Sale Price is the tots:amount paid for the property including personal properly. I.Other Unusual Facers Affed;ng Sara Price(Specify Below) This payment may be to the form of cash.other property or goods,or the assumption of '—' J.None mortgages or other obEgasons 1 Please round to the nearest whole dollar amopnl. Comments)on Condition: 14.Indicate the value of personal property Includod In the sale .(311 ASSESSMENT INFORMATION-Date should reflect the latest Final Assessment Roll and Tax Bill 78.Year of Assessment Roll from which IRHormston taken(YYI 1 S •17.Total Assessed Value •18.Property Class 210 _ 118.School District Nome }!a C L i L uck •28.Tax Map IdantiBor(el1Roll IdontlBor(s)(If more than four•attach sheet with additional Iderd(fier(sH _ :CCU-SOI.CC-17�.OD-P��.00C CERTIFICATION I Cerift that cit of tho Itoms of Information entered an this form are true and correct)to the best of my knowledge and belloQ and I understand that the making of any willful fake statoment of motorial fad heroin subject me to the provisions of thtpenal IawaelaW o to the making and filing of false Instromems. SELLER SIGN.STPRE AUH& QNTACT INFORMATIQN Ic'rar rlom,azr•ki-m buye•hose 11 buyer is LLC.minty.associr.on.mrewr.e-1,twin omnpary,nav or (t ort Y Na.is not r.navduol agent eralw iv I. a nerve rd m•rae'rlowrr.on of Pn kdFW.alhosaanatk — Q-_��-r i [�• /�Jry� ipl�,rl�`� ImrywN er rower qu&W.c1l•yardlrq:•w: &W nual be erdrRC Type or print clearly l i ":.ISrr 5tiNA'LVL ~' G (f 7evlL p{� BLYEl3�I�aN9IUB� JABLONSKI` Paul C. _ �- •FAST RAVE I Mal YWL' ••Me/� \r IIQ—��I V '11MLACr al •1:1.•:ICHL WYYyi'F.MOM :4^N ae,NA1USL )ate •STREET NLIVBER -STPEEThAM= Hol:-svilie +1_ 11742 ' I •t?Y CR T-y" %JA'F BUYFR 8 ATTORNEY Shivers Valerie A. 1 i4S YWF •IWHA4F 1 l rC:EPi0NEHJYFF.:r•gavYml I I � 11 I I � - •