HomeMy WebLinkAboutL 12925 P 732 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 08/18/2017
Number of Pages : 4 At: 09: 13 :57 AM
Receipt Number : 17-0142839
TRANSFER TAX NUMBER: 17-02508 LIBER: D00012925
PAGE : 732
District: Section: Block: Lot:
1000 141 .00 01 .00 028 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $380, 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 ,520 . 00 NO Comm.Pres $0 . 00 NO
Fees Paid $1, 915 . 00
TRANSFER TAX NUMBER: 17-02508
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
• 1❑ 2❑
RECORDED
2017 Aug 18 09:13:57 AM
Number of pages JUDITH A. PASCALE
.CLERK OF
SUFFOLK COUNTS'
This document will be public L D00012925
record.Please remove all r 732
Social Security Numbers DT# 17-02508
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00 2, Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A.
OO= Dual Town Dual County
ov
Held for AppointmentComm.of Ed. 5. 00 Transfer Tax � 4-5�e'
Affidavit • . Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other _
Grand Total If NO, see appropriate tax clause on
page# � his strument.
i
4 Dist. )0 5 Community Preservation Fund
f709
1000 14100 0100 028000
Real Property p T S Consideration Amount$ U"
Tax service R y1T q
Agency CPF Tax Due S Verification 16-AUG-1
Improved
5 Satisfactions/Discharges/Releases List Property Owners Mailing Address rq f'
RECORD&RETURN TO: r 2 Vacant Land
-rl TD /V
LARRY DAVIS,ESQ. 40411
TD
175 OAK STREET A�/✓
PATCHOGUE,NY 11772 &)-"r
�)-" TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name AMERICAN DREAM ABSTRACT
www.suffolkcountyny.gov/clerk Title#
ADA4343-5
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFY TYPE OF INSTRUMENT)
JACY L.ORLOWSKI The premises herein is situated in
SUFFOLKCOUNTY,NEW YORK.
TO In the TOWN of SOUTHOLD
SHAWN P.RYRNF.S In the VILLAGE
JENNAROSE V .RN . 1 .__ or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
�/3 y3�s
� t
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE made the—�—day of ,2017
BETWEEN JACY L.ORLOWSKI
Address:220 Pine Street, Mattituck,New York 11952
party of the first part,
�?'ennarQse
AND SHAWN P.BYRNES ander VERNEUILLE/
Address: 59 Sachem Drive, Mastic,New York 11950tuucap
party of the second part, r/
WITNESSETH,that the party of the first part,in consideration of ten($10.00)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 Mattituck; in the Town of Southold,
County of Suffolk and State of New York,bounded and described on
�b t� SCHEDULE A ATTACHED HERETO
O� PREMISES:220 Pine Street,Mattituck,New York 11952
l) SCTM#: District:1000 Section:141.00 Block:01.00 Lot:028.000
by
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed recorded in
the Suffolk County Clerk's Office in Liber 12377 at Page 839.
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 THE PRESENCE OF:
e'41(
J Y L. RLOWSKI
Schedule A Description °
Revised: 06/30/2017
Title Number ADA4343-S page 9
ALL that certain plot, piece or parcel of land situate, lying:and being at Mattituck,
in the Town,of Southold, County of Suffolk and State of New York, bounded and ,
described as follows:
BEGINNING at a point on the Northeasterly side of Pine Street distant 228.00
feet Southeasterly from the corner formed by the intersection of the
Southeasterly line of Youngs Avenue and the Northeasterly side of Pirie-Street;
which point also marks the division line between:premises herein described, and
land now or formerly of Sujeski;
RUNNING THENCE from said point of beginning along lands now or formerly of
Walter Sujeski,:Jr.:and Bernice Sujeski, North 39:degrees 29 minutes 20
seconds East 150:00 feet to land now or formerly of Thilberg;
RUNNING THENCE:along said mentioned land now or formerly of Thilberg and
land now or formerly of Agueci, South 54 degrees 34 minutes 20 seconds East;
72.00 feet to land now or formerly of Adams;
RUNNING THENCE along said land now or formerly of A. Charles Adams, Jr.
and Allison L. Adams; South 39 degrees 29 minutes 20.seconds West 1:50.00
feet to the Northeasterly side of Pine Street;
RUNNING THENCE along the Northeasterly side of Pine Street North 54
degrees 34 minutes 20 seconds West 72.00 feet°to the point or place of
BEGINNING.
State of New York,County of Suffolk ss: State of New York,County of Suffolk ss:
On the 1A day ofn the year 2017 On the day of in the year 20
before me,the undersigned, ersonally appeared before me,the undersigned,personally appeared
JACY L.ORLOWSKI
personally known to me or proved to me on the basis of
satisfactory evidence to be the individual whose name is personally known to me or proved to me on the basis of
subscribed tgtbjp within instrument and acknowledged to me satisfactory evidence to be the individual whose name is
that she cute the same in her capacity, and that by her subscribed to the within instrument and acknowledged to me
signatur the i strume a individual,Kthe person upon that he executed the same in his capacity, and that by his
behalf of Flich t indiv" ual a ,e cu d t e instrument. signature on the instrument, the individual,or the person upon
behalf of which the individual acted,executed the instrument.
( gn ure and office of individual t ing acknowledgment) (signature and office of individual taking acknowledgment)
�01a7 ftfiC6eolllfewyark
CualiCrerd In 7$
c"isliUl Ek-M rdP f 7
PLEASE RETURN RECORDED DEED TO:
LARRY DAVIS,ESQ.
175 OAK STREET,A*&
PATCHOGUE,NEW YORK 11772
(631)289-1600
INSTRUCT)ONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY Naw York State Department of
• Cl.awls cone i �,�j!,C�,�, � � Taxation and Finance
C2.Dab Deed Recorded � / f 0 / I Office of Real Property Tax Services
RP-5217-PDF
C3.Book C4 Pape i Real Property Transfer Report(6M0)
PROPERTY INFORMATION
1.Property 220 Pine Si.reez
Location
•VRFFr NW01,11 •a 14LLI NAML
Mattituck N•_' 11952
•e1:T b1 leen VIVOCA
-_1P wCE
t.Buyer Byrnes Shawn P
Name
•W1 WWLICOW4W +liar NAME
Verneuille . �eA�IQ rQ Se
LAW MANSCOMPMr F19bt WWC Nr
3.Tax Indicate where future Tax Bills am to be sera
&mrq .if other than buyer address(a(bottom of form) vel NwECOM•Arw F-RF'MMF
Address
FMEUNWMRAmOh L'1.OR TDAN bTAZ ZIP CODE
4.Indicate the number of Assessment 1 Pan d■Patcel (Only If Part of•Pameq Cheek as they appy:
Roll perces transferred on the Wed a d Paroale OR ❑
4A.Planntng Board vitt Subdivision Authority Fxlata ❑
R Deed \ Olt 0.25
Prop" 'FROM FEE7 •pEP l,l •M:NLS 40.Suldviston Approval was Required for Transfer
elm ❑
e
4c.Pared Approved for Subdivision with Map Provided ❑
Orlowski Jacy L
e.SNtsf -hAaTNA 0;0J1MVr ePETNAME
Name
LAST EOCDMPM,Y •PS'NAME
h.Select the description which most aeeurayly describes the Check the boxes below as,they appy:
use of On propertyin the draw of sats: S.Ownership Type Is Condominium F1A.One Family Residential e.Now Construction on a Vacant Land ❑
ICA.Properly Located within an Agricultural District ❑
100.Buyer received a disclosure notice indicting that the property is in on El
District
SALE INFORMATION t A Check one or more of than conditions as applicable to transfer.
A.Sale Between Relagva or Fanner Relatives
11.sale Contract pay 06/02/2017 B.Sale between Related Compsrsa or Partnere In Business.
C One of the Buyers is also s Wier
•12.pee of gdertranayr 08/04/2017 D.Buyer or Seats is Government Agency or Lending Institution
E Deed Type not warranty or Bargain and Sale(Specify Below)
F.Sale of Fractional or Lees then Fee Interest(Specify Below)
'I&Full Sale Price 360,0 00.()U _ G.Signianm Change in Pmpsrty Behan Taxable Status and Sale Dates
_ H.Sala d Burins a Included in Sale Price(Full Sole Price is this total arnourd paid for the property including personal property. I.Other Unusual Factors Affecting Save Prime(Specify Below)
This payment may be In the foal of path,other property or goods,or the assumption of
J.None
mortgages or anter adigmaca.)Please round to Use rleerasf while ol7slar eniotrTf
Comment(s)on Condition:
14.Indicate the value of personal
property Included In the sole 0•fell
ASSESSMENT INFORMATION-Data should rented the latest Final Assessment Roll and Tax Bill
1st.Year ofAmwament Rog from which Information taken(YY) 17 '17.Total Assessed Value 3,000
'1B.Property Clan 210 _ 119.School District Name Ma t t i`.0 c k
'20.Tax also,aeMlfler(ellRoll Identiaer(a)(H more then four,attach shed with additional Idedlser(s))
1000-191.00-01.00-08.000
CERTIFICATION
1 Certify Utast all ofthe Immo of Information entered on this form are trw end correct(to the bat of my knowledge and belief)and I understand that the me"*Ferry willful
fetse statement of material fact heroin subject me to the ggi algidoUlto penal levy relative to Mn making and Sling of hies instruments.
BUYER CO NTACZINFORMATION
IEnmr 1nNrme:on IbT y bla'!T.nide.II elrrer a LLC.sassq•,areaoahon OaaMehaw pYl e:etlr rallparq,add 1st a
y Whir vel is nal e9,n8xeual agent or fdudwy.awn a name and wawa rrfOmim n clan IndMaeeftwonsbhs
carry rile sun ersesr questions recording the eensir must on warm Twwrplintebelly.)
I F.R! Y4E OAfE
BUYER&IGNATURE 1BYarlex Shawn v
•-As-hAY. rpal--L
' / \ WEAC. 'TELE'+Oh.NLMw.NC.aWteee:
10 8G E MT_
`3 Sachem Lr've
'biREETW VIER •a1N!Lr—L
r ' ' Mastic NY 1-950
-C—OR-OWN 'S•ATE •rPCODF
BUYER'S ATTORNLY
Dsvis i,arry
LWT MVE 1051 NAME
1
(63'-) 7.89-.600
AN:A CanE I I.1 Prom.NJMOCR IE.eveewM
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P -73�
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