HomeMy WebLinkAboutL 12931 P 597 1111111111111111111111111111111111111111111111 IIII 1111
1 1 1 1 1 1 1 111 V
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 09/28/2017
Number of Pages : 4 At: 02 :28 :25 PM
Receipt Number : 17-0170213
TRANSFER TAX NUMBER: 17-07311 LIBER: D00012931
PAGE : 597
District: Section: Block: Lot:
1000 044 . 00 03 . 00 005 . 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 $5 .00 NO RPT $200 . 00 NO
Transfer tax $0 .00 NO Comm.Pres $0 . 00 NO
Fees Paid $400 .00
TRANSFER TAX NUMBER: 17-07311
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
FIR
RECORDED
Number of pages 2017 Sep 26 02:28:25 PM
JUDITH R. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record.Please remove all L D00012931
Social Security Numbers P 597
prior to recording. DT# 17-07311
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00 2, Additional Tax
TP-584 _ Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) 1(9
1;_ TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held for Appointment
Comm.of Ed. 5. 00 if Transfer Tax O
Affidavit _
�. Mansion Tax
The property covered by this mortgage is
Certified Copor will be improved by a one or two
U 15. 00 �T—T1 family dwelling only.
NYS Surcharge
Sub Total '��0 YES or NO
Other
Grand Total 00 If NO, see appropriate tax clause on
page# of this instrument.
41 17032963 1000 09400 0300 005000 005.000 5 Community Preservation Fund
Tax
x S 28 P 17 lilllll�!l�IIlIIIIIIIIIIIIIIII�I Consideration
Tax
Amount$- 0
g C ax ue 5
Verify
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address T�
RECORD&RETURN TO: Vacant Land
/ TD
Patricia C.Moore,Esq. /
51020 Main Road V TD
Southold,NY 11971 TD
Mail to: Judith A.Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Gerald Doroski and Mindy Doroski The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Mindy Doroski In the VILLAGE
or HAMLET of Greenport
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
NY 005-Bargain and Sale 4eed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 6002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the 2 g day of 5"44100-C.- in the year 2017
BETWEEN
Gerald Doroski
65 August Road,Greenport,NY 11944,and
Mindy Doros.4
349 411rt son.,Lane;;CrdGelotpOrt,NY 11944
party of 4He�fhst p"a'N"3n611)"'
Mindy Doroski
3495 Albertson Lane
Greenport,NY 11944
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
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
SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF.
BEING AND INTENDED TO BE the same premises conveyed by Deed dated July 23,2013
and recorded September 18,2013 in Liber 12744 Page 870 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 pan 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: ,
Gerard Doroski
Mindy Doroski
f �
USEACKNOWLEDGMENTFORMBELOWWITHIN NEW YORKSTATEONLY USEACKNOWLEDGAMWFORMBELOWWlTHINNEWYORKSTATEONLK
State of'Neew York,County of Suffolk }ss.: State of New York,County of Suffolk }ss.:
On the'9 day of SEPT a in the year 2017 On thea$'tlay of �vkll 6-r in the year 2017
before me,the undersigned,personally appeared before me,the undersign personally appeared
Gerald Doroski Mindy Doroski
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 he/she/they executed within instrument and acknowledged to me that helshelthey 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.
MARGARET C.RUTR(3Wa _ DIANE PETER Piz
Notary Public,State of NeV rk public y NoWryPublic,State of Newt ary Public
No. 4982528 Mo-ir9[Lrc,-f C• RiA+kowsk k No.OIPE4625806
Qualified in Suffolk County QuBiified in Suffolk Cou
Commission Expires June 3,�QLq Commission Expires Merch 30,rtly
ACKNOWLEDGMENT FORM FOR USE WITHINNEW YORK STATE ONLY: ACKNOWLEDGMENT FORM FOR USE OUTSIDE NEW YORKSTATE ONLY.
lNew York Subscribing Witness Acknowledgment Certificate/ JOut of State or Foreign General Acknowledgment Cenificatel
State of New York,County of }ss.:
(Complete Venue with State,Country,Province or Municipality)
On the day of in the year
before me,the undersigned,personally appeared On the day of in the year
before me,the undersigned,personally appeared
the subscribing witness to the foregoing instrument,with whom I am
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
(if the 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)
ifany,thereof);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).
BARGAM&SALE DEED
WITH COVENANTS AGAINST GRANTOR'S ACTS
TITLE NO. SisTmcr 1000
ECTION 044.00
Gerald Doroski and Mindy Doroski BLOCK 03.00
LOT 005.000
COUNTY OR TOWN Suffolk
TO
Mindy Doroski RECORDED ATREQUEST OF
Fidelity National Title Insurance Company
RETURN BY MAIL TO
FIDELITY NATIONAL TITLE
0 INSURANCE COMPANY Patricia C.Moore,Esq.
INct,Reoaereo 1918 51020 Main Road
"cytrrr�iF Fidelity Southold,NY 11971
Member New York state tend ndrA.iaiian
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212-922-1593 fax
title insurance company stewadre"ork.com
SCHEDULE A--DESCRIPTION
Title No.: ST13-I8137
ALL that certain plot,place or parcel of land.with-the buildings and improvements thereon erected,
situate, lying and being at Arshamonoque,Town of Southold,County of Suffolk,and State of New York,
more particularly bounded and described as follows:
BEGINN1NG,at a point on the Westerly side of Albertson Lane or Cassidy Lane,772.35 feet southerly
from the corner formed by the intersection of the westerly side of Albertson Lane or Cassidy Lane with
the northerly side of North Road or Middle Road;
RUNNING THENCE along Albertson Lane,South 14 degrees 19 minutes 50 seconds East 100 feet;
THENCE along the lands of B.Schwatz,the following courses and distances:
1. South 75 degrees 40 minutes I0 seconds West 100 feet;
2. North 14 degrees 19 minutes 50 seconds West 100 feet;
3. North 75 degrees 40 minutes 10 seconds East 100 feet to the Westerly side of Albertson Lane,the
point or place of BEGINNING. .
For Deed Description Only(Not for Policy):
Being and untended to be the same prenuses described in a certain deed from Thomas Bucaro and loan
Bucaro,his wife,dated 09/04/92 and recorded 09/16/92 in Liber 11538 Page 277_
t
INSTRUCTIONS(RP-S217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY Naw York State Department of
C1.SMS Code Taxation and Finance
C2.Date Deed Recorded ! Office of Real arty Tax Services
1 RP-5217-PDF
C3.Book !QL �
C4,Page L IN. Real Property Transfer Report(8110)
PROPERTY INFORMATION I ,
1.Proparly 3,95. Albertson Lane
Location
•SIRI fI MIYn[R •STREET YAME
Southold Greenport 1194,
-CrYCg TOW4 YalASL .yy,COCC
x.Buyer Dorosk_ Mindy
Name
-LAST IUY-crA1PANY PHS-NANF
IAS, • ^••PANY 119-WINE
3.Tax Indicate where future Tax Bas are to be fent
Billing If other than buyer addmas(at bottom of form)
Address LAST NAMErecYrAw FBs•xAME
STREET NUMBER AN3 MAE C11 an reW1 STATE ZPCOCE
4.Indicate Un number of Assessment 1 e of Paresis OR E]Partd a Partial (Only It Part of a Parcell Check as they appy:
Roll parcels transferred on the deed 4A.Planning Board with Subdivision Authority Exists ❑
a.Deed X( OR 0.23 4111.Subdivision Approval win Requred for Transfer 11Pfaperty 'FROM:FEET •DCPIII 'ACRES
sin 4C.Parcel Approved for Subdivision with Map Provided ❑
Doroski Gerald
e.Seller •IMT MAIICV:OMM,
-US INMC
Mame Doroski Mindy
LAST NAMEMOM-ANY F iSl M--
'7.Sehct the description which most accurately describes the Check the boxes bales as they apply:
use of the properly at the time of sale: II.Ownership Type Is Condominium
A.One.Family 1L1lrteni Ial 6.New Construction on a Vacam Land ❑
16A.Property Located within an Agricultural District ❑
1013.Buyer received a disclosure notice ini iciobng that the property is in an ❑
Agriculaml District
SALE INFORMATION 18.Check one or mom of these Conditions as appliemble to transfer.
A.Sale Between Relabves or Former Relatives
11.Sole Contract Date B.Sate between Related Companies or Partners in Business.
C.One of the Buyers is also a Sailer
'
12.Date of S@Isirris nsf r OQ 128�17 D.Buyer or Seller is Government Agency or Landing Insfdwon �
E.Dead Type not Wsmar y or Bargain and Sate(Specify Below)
F.Sale of Frselimal or Lou than Fee Imemid(Specify Below)
'13.Full Sale Price 0.00 G.&gnmrsm Change in Property Between Taxable Status and Sale Dales
(Full Sea Price is the teed amount paid for the property,includingH Saw r Business c ors luded to Sale Priv
personal a sumptio I Other Unusual Factors ARactirp Selo Price(Spealy Below)
This payment may be m tbe form of wh,other property a gouda,or the assumption o1 J.None
mortgages or other obligations.)Please round to the nasal whale dbler amount
Ga emit t(s)an Condition:
14.Indicate the value of personal
properly Included In the saw 0.:00
ASSESSMENT INFORMATION-Data should rafted the latest Fina(Assessment Roll and Tax BIII
16.Year of Aunamom Roll from which(nfommtlon teben(n 2'1 117.Total Assessed Value 3,300
•18.Property Clan 210 _ '19.School District:Nome Greenport
'2L Tait Mop Identifler(syRon Idemlfier(s)(R more than four,Reach shoot with additional Idanditdoll
1000-044.00-03.00-005.000
CERTIFICATION
1 Cattily that an of the hence of Infmnatlon a@eed on this form ars true and correct(to the best of my knowledge and be0efl and 3 understand that the making of any wllfiul
&Is@ statement of material Net heroin subject me to Me nrevlslene of tiIa caNLlew relative to the making and filing of lois@ Instruments.
BUYER CONTACT INEQ MATION
(Enter Imorasean far @s buyer.P&M If buyer is LLC.wdeh•,gesocabon.Superelran,Igen stack mmpmy.grim or
"tl HB a not r Inevauw qwI a fiducury,ren a mils and mwaC1 rlameun Of an VIMrQWwSSSMedle
Perry who can anarer queebns rcpamrp IIN bents,mate)be wowed Type or prird clury.l
SE' IMMATURE GI
Doroski Mindy
13LlYER$IGIaATl1RE
W-NAME F RST NAPE
252-3954
•MGrAUL •ILLLP.UhEN1.Yemr6 9eSAYw1
atYRFI SIrd1ATlIRE DATE
3495 Albertson Lane
-STREE-%W19FR -SIgEE'NAME
r r# Greenport NY 11974
-CIIV OR 10 . 'STATE -Z PCOLE
BUYER'S ATTORNEY
Moore PaLricia C.
I ASI tela. Flial NAYL
I l (631) '165-4330
I ` MFACOOF -ELFPW*&NUNMR sip:.USOMs
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