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Home My WebLink AboutL 12935 P 808 l l l l l l l l l l l l l l i i l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l i l l l I I I I I I I I I I I I I I I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 10/30/2017 Number of Pages : 4 At: 04 : 18 :56 PM Receipt Number : 17--0191937 TRANSFER TAX NUMBER: 17-10723 LIBER: D00012935 PAGE : 808 District: Section: Block: Lot: 1000 107 . 00 08 . 00 023 . 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 $395 .00 TRANSFER TAX NUMBER: 17-10723 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County � ] RECORDED Number of pages (� 2017 Oct 30 04:18:56 PM JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY This document will be public L D00012935 record.Please remove all P 808 Social Security Numbers DT# 17-10723 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 5� Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total SGS Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit • Mansion Tax IN 511 The property covered by this mortgage is Certified Copy or will be improved by a one or two 2 family dwelling only. NYS Surcharge 15. 00 Sub Total 3y5� YES or NO Other �1q Grand Total J ! / If NO, see appropriate tax clause on page# of this instrument. 4 Dist. 1( 17036335 1000 10700 0800 023000 0 5 Community Preservation Fund P TU267illIIIfIi�uhfllllllllllll�illl��`I�I�II`Ijl��11111111 ConsiderationA fount$ Real Property I ` u i` i` I` full Tax Service Agency CPF Tax Du $ Verification _ Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land_ TD /UGV Burner Law Group, P.C. 12 Research Way TD East Setauket,NY 11733 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 Warranty Deed made by: (SPECIFY TYPE OF INSTRUMENT) Felix Orlowski&Regina A.Orlowski The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Marianne Clifton_trustee of both the Felix and the In the VILLAGE Regina A.Orlowski Irrevocable Trusts or HAMLET of Mattituck BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over WARRANTY DEED WITH FULL COVENANTS (INDIVIDUAL AND CORPORATION) FORM 8003(short version),FORM 8008(long version) CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE,made tlay ofr�� (r} },2017 between FELIX ORLOWSKI and REGINA A.ORLOWSKI OR THEIR SUCCESSORS IN TRUST, UNDER THE ORLOWSKI LIVING TRUST,DATED AUGUST 5,1999,AND ANY AMENDMENTS THERETO,615 MAYFLOWER ROAD,P.O.BOX 211,MATTITUCK,NEW YORK 11952,party of the first part,and MARIANNE CLIFTON,TRUSTEE OF THE FELIX I.ORLOWSKI IRREVOCABLE TRUST,- 615 MAYFLOWER ROAD,P.O.BOX 211,MATTITUCK,NEW YORK 11952,as to a one-half interest,AND MARIANNE CLIFTON,TRUSTEE OF THE REGINA A.ORLOWSKI IRREVOCABLE TRUST,615 MAYFLOWER ROAD,P.O.BOX 211,MATTITUCK,NEW YORK 11952,as to a one-half interest,party of the second part, WITNESSETH,that the party of the first part,in consideration of No Dollars and No Cents ($0.00)and other 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 HERETO AND MADE A PART HEREOF; 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 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. t?14i FELIX1C Q]4 06M I RL WSKI,TRUSTEE — REGINA A.ORLOWSKI,TRUSTEE NYSBA's Residenlial Real ESlale Forms(9100) 0 2017 Matthew Bender&Company,Inc.,a member of LexisNexis. Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK ) COUNTY OF SUFFOLK )ss.: On the o2b day of � in the year c-20 17 before me, the undersigned, personally appeared FELIX OIRLOWSKI and REGINA A. ORLOWSKI OR THEIR SUCCESSORS IN TRUST, UNDER THE ORLOWSKI LIVING TRUST, DATED AUGUST 5, 1999,AND ANY AMENDMENTS THERETO„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 they executed the same in their capacity(ies),and that by their signature(s)on the instrument, the individuals the person upon behalf of which the individual(s) acted, executed the inst Notary P bl c,Sta el r ent. of New York (sign tune and office of in(fvid al taking cknowledgment) No.Ol RE4718016 Qualified in Suffolk County WARRANTY DEED commission E"Pim July 31,pelf Title No• District 1000 Section 107.00 FELIX ORLOWSKI and REGINA Block 08.00 A.ORLOWSKI OR THEIR Lot 023.000 SUCCESSORS IN TRUST,UNDER County or Town SUFFOLK THE ORLOWSKI LIVING TRUST, Street Address 615 MAYFLOWER ROAD, DATED AUGUST 5,1999,AND MATTITUCK,NEW ANY AMENDMENTS THERETO, YORK 11952 To MARIANNE CLIFTON,Trustee of the FELIX I.ORLOWSKI IRREVOCABLE TRUST and MARIANNE CLIFTON,Trustee of the REGINA A.ORLOWSKI IRREVOCABLE TRUST Return By Mail To: Nancy Burner Burner Law Group,P.C. 12 Research Way East Setauket,New York 1 1733 Reserve This Space For Use Of Recording Office NYSBA's Residential Real Estate Forms(9100) C 2017 Matthew Bender&Company,Inc.,a member of LexisNexis. -2- CC 2 SCURVULK"A" at Xattituokl Town pts gouthoidi OoutrtY at 6011'olk and 8ta" of Bew Yorke bounded and described as tcllowalm BBD=WZW at a mounment on the weeterly line of Mayflower Road$ 1330 lest somtherly along cold W'sebarly ltne Prom Ne@bviea DriYes said point of beginning being the @outhonstelly corner of land 9F Qeopge Both%*) fV= amid point of begiming running along ecoid xesbepiy line or Mayllo"r 844"i. Ila 171 doe g.. 100.0 telt to an Iron pipe and land conveyed or abouttc be ocnvey@dl by thenpartl►:, AMti rlret part to-Radolpht thence along 9014 land conveyed, or about to be oonvycd# to hdolphf a• Ila 48k 4oe W. 150.0 teat tion iron pipe and Sand of Proeehukl thence along @aid land of ppo9ehuki Ve -llo 17, $00 Y4-10040 Peet to a monument and •4ai46 land of.boodil Ol doll dwg 'maid 8oehle, B. Ola 4'1 '400 3.•150.0 lest to tali point at beglarAng. f^ INSTRUCTIONS(RP-5277-120F INS):www.orps.statemy.us i FOR COUNTY USE ONLY Now-York State:Departrtitent of C1.awls coda Taxation and Finance C2.Date Dead Recorded 30 •Office of.Real'Proptirty Tax Services 511 COT RP-5217-PDF Ce.BookL.LQ 91 C4.Page Real Property Transfer Report(8110) PROPERTY INFORMATION t'Property Location 615 MAYFLOWER ROAD n 'nliLl NUMBER •91XCLT NAPE MATTITUCK 11952 .CrtY OR TOM AL1/1GG '21P CVUL 2.Buyer Nems See Attachment 1 •tAST NAIF.CCMPANT FlRSTnAIE See Attachment 2 WIN MECO WW FIRST NAME J.Tax Indkale where future Tax Bills are to be sent Billing d other than buyer addresstat bottom of form) IAsr RAq.COwlwy FIRST NAME Address STREL•TNLa RATOhMA cif OR TORN eTA:E rP CAM 4.Indkete the number of Assessment 1 e of Parcels PM et B Paan (Only If Part of a Parcel)Cheek as they apply: Roll parcels transferred On the deed OR 4A.Planning Board with Subdivision Authority Purists ❑ S.Deed )( OR 0.34 49.Subdivision Approval was Required for Transfer Property 'FRONT FEET •'I'm 'ACRES Size 4C.Parcel Approved for Subdivision with Map Provided ❑ See Attachment 3 G.Seller LAS, ot,PMy FIRST NAME Name LAST NAAECWPANV IMT"AME h.Select the description which most accurately describes the Chock the boxes below as they apply: use of the property at the Onto of sale: 8.Ownership Type is Condominium ❑ 9.New Construction On a Vaearrt Land ElA.One Family Residential 10A.Properly Located within an Agricultural District 108.Buyer received a disclosure notice Indicating Olaf the property Is In an Agricultural District ❑ SALE INFORMATION 1e.Cheek one or more orthese conditions as applicable to transfer: A Sale Between Relatives or Former Relatives 11.Sala contract Date B Sale between Related Companies or Partners In Business C.One of the Buyers IS also a Seller D Buyer or Seller is Government Agency cr Lending Insbtutlon '12.Dam of SElelffansfer E.Deed T Warta Type not my or Bargoh and Solo(Specify Reber) F.Sa'e or Fractional or Less than Fee Interest(Specify Below) Y2.Furl Sale Price $0.00 G.Significant Change in Property Between Taxable Status and Sale Dates N.Selo 11 Business ie Included n Sale Price (Full Sale Price is the total amount paid for the property Including personal property. I. Other Unusual Factors Affecting Sale Price(Specify Below) This payment may be in the form of Cash,other properly or goods.or the assumption or j( J.None mortgages or other obligations.)Please round to Me nearest whole dollar emomt. Commongs)on Condition: 14.Indicate the value of personal property Included In the sole $0.00 ASSESSMENT INFORMATION-lata should relfect the latest Final Assessment Rol(and Tax Bill 1s.Year of Assessment Roll from which Information taken(YY) 17 '17.Taal Assessed value $5.999.00 '18.Property Class 2 1 0 — '16.School District Noma MATTITUCK '20.Tax Map ktentiffer(S)MCII IdentMor(s)(if more than four,attach sheet with additional identiffer(s)) 1000-107.00-08.00-023.000 CERTIFI I N I Certify that ell of the Items of Information entered on this form are we and correct(to the beat of my knowledge and bsllor)and I understand that the making of any willful false statement of material fact herein subject me to tho.proviolono-oLlI S=llaW.roletivo to the making end filing of false instruments. SELLER FR SIGNATI 0UYER ONTACT INFORMATION I C IErr6cnesCofor err buyer.NOM If nryar is LI.C.recsb.assodoeon owpoaon m .IoL-A stedi fai:paIF.go"o 1 / am rxcy to a Imo.an rax4al sora erkdrdory.Ism a nma end culled rbnur.an el s'i roNOuaWespmsae G Ifll / garL•ya Perry who Can ankm queston; rdnw g the hsfer must be mored Type or prim clearly t d 4d , e- -x-,�;r_ 1 SalspeouviTuRc 3ATE BUYER IGNAILM See Attachment 4 "IZE IIr1ST NAME I 298 4218 •TI1lFilOrE NIMMR(Fa:9rmyA1 SUPER BxarATI,E O17C P.O.Box 211 'STN:[T NAMM •STREET MMC r MATTITUCK NY 11952 'Or#OR TOM 'STATE WPCOQE •• t r BUYER'SATTORNEY r t+ A Bumer Nancy MSTWME nmummE 1 (631) 941-3434 AMA COO. n:LCPMEN6MMR',Er aaaraaul Attachment Attachment 1 Last name/Company MARIANNE CLIFTON.Trustee of the FELIX I.ORLOWSKI IRREVOCABLE TRUST Attachment 2 Last name/Company MARIANNE CLIFTON,Trustee of the REGINA A.ORLOWSKI IRREVOCABLE TRUST Attachment 3 Attachment 3 FELIX ORLOWSKI and REGINA A.ORLOWSKI OR THEIR SUCCESSORS IN TRUST, UNDER THE ORLOWSKI LIVING TRUST,DATED AUGUST 5,1999,AND ANY AMENDMENTS THERETO, Attachment 4 MARIANNE CLIFTON,Trustee of the FELIX I.ORLOWSKI IRREVOCABLE TRUST