HomeMy WebLinkAboutL 12966 P 98 1111111 I I I I I I I A V I I I V I I I V I I I V I I I V I I I V I I I I I I 11111
1111111 VIII VIII IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 06/19/2018
Number of Pages : 4 At: 12 :52 : 41 PM
Receipt Number : 18-0112235
TRANSFER TAX NUMBER: 17-34819 LIBER: D00012966
PAGE : 098
District: Section: Block: Lot:
1000 095. 00 01 . 00 011 . 003
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 $400 . 00
TRANSFER TAX NUMBER: 17-34819
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
FT
Number of pages
RECORDED
ojS Jun 19 12.:52:41 PM
This document will be public JUDITH R. PASCALE
record.Please remove all CLERK OF
Social SecurityNumbers SUFFOLK C01JNTY
L D00012966
prior to recording. P r198
DT# 17-34819
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee
Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) � � Sub Total Spec./Add.
EA-5217(State) TOT,MTG.TAX
R.P.T.S.A. Dual Town Dual County _
Held for Appointment
Comm.of Ed. 5. 00Transfer Tax _
Affidavit + + Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other -
Grand Total If NO, see appropriate tax clause on
page# of this instrume t.
4 Dist. 18015909 1000 09500 0100 011003 011.003 5 Community Preservation Fund
RAI
Agency R LPA A I I�I�111111111111111111® Consideration
T eration Amount$
Tax Servic•
g y 23-MAY-1 C ax Due $
Verificatii
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TDI ,7
Burner Law Group,P.C. TD
12 Research Way
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.suffo[kcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page-forms part of the attached Warranty Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Henry 1.Domaleski,as survivinja tenant The premises herein is situated in
by the entirety SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of
Virginia M.Surozenski,_trustee of the Henry 1. In the VILLAGE
Domaleski Revocable Trust or HAMLET of Cutchogue
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 tht-4ay of2018 between
HENRY L DOMALESKI,AS SURVIVING TE ANT BY TH ENTIRETY,8745 OREGON
ROAD,P.O.BOX 92,CUTCHOGUE,NEW YORK 11935,party of the first part,and
VIRGINIA M.SUROZENSKI,TRUSTEE OF THE HENRY 1.DOMALESKI REVOCABLE
TRUST,8745 OREGON ROAD,P.O.BOX 92,CUTCHOGUE,NEW YORK 11935,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 at Cutchogue,in the Town of Southold,Suffolk County,New York,more
particularly bounded and described as follows:
SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF;
THE PREMISES KNOWN AS 8805 Oregon Road,Cutchogue,NY.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed
dated February 12, 1932 and recorded on February 15, 1932 at the Office of the Clerk of Suffolk County
at Liber 1633,page 599. '
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.
ENRY�ALES�G NNA M M OZENSKI AMISENT
NYSBA's Residential Real Estate Forms(9/00) ®2017 Matthew Bender&Company,Inc.,a member of LexisNexis.
-I-
Acknowledgment by a Person Within New York State(RPL§309-a)
STATE OF NEW YORK )
COUNTY OF SUFFOLK )ss.:
On the�day of in the yeart�,F',before me,the
undersigned,personally appeared IdNRY I.DOMALESKI BY VIRGINIA M.SUROZENSKI AS
AGENT,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(! d that by his signature(s)on the instrument,the individual(s),or
the per upon behalf of which e indi 'dual(s)acted,executed the instrument.
DIANE REILLY
(signs ure and office of individual taking c nowle ent) Notary MAI ic,State of New York
No.01RE4718016
Qualified in Suffolk County
WARRANTY DEED Commission Expires July 31, �)
TTillllellfz District 1000
HENRY I.DOMALESKI Section 095.00
To Block 01.00
VIRGINIA M.SUROZENSKI, Lot 011.003
Trustee of the HENRY 1. County or Town SUFFOLK
DOMALESKI REVOCABLE Street Address 8805 OREGON ROAD
TRUST CUTCNOGUE,NEW YORK 11935
Return By Mail To:
BURNER LAW GROUP,PC
12 Research Way
East Setauket,New York 11733
Reserve This Space For Use Of Recording Office
NYSBA's Residential Real Estate Forms(9100) 0 2017 Matthew Bender&Company,Inc.,a member of LexisNexis.
2
V
Schedule A
SH178373SS
ALL that certain plot,piece or parcel of land,lying,situate and being in the Town of Southold,
County of Suffolk,State of New York,more particularly bounded and described as follows:
BEGINNING at a point on the northwesterly side of Oregon Road, distant 595.33 feet,more or less,
southwesterly as measured along the northwesterly side of Oregon Road from the corner formed
by the intersection of the northwesterly side of Oregon Road with the southwesterly side of Duck
Pond Lane;
RUNNING THENCE from said point of beginning,along land now or formerly of Oregon Road,South
53 degrees 31 minutes 10 second West, 120.34 feet;
RUNNING THENCE North 37 degrees 06 minutes 10 seconds West, 125.00 feet;
RUNNING THENCE South 53 degrees 31 minutes 10 seconds West, 156.00 feet;
RUNNING THENCE North 37 degrees 06 minutes 10 seconds West, 235.00 feet;
RUNNING THENCE North 52 degrees 53 minutes 50 seconds East,295.09 feet;
RUNNING THENCE South 37 degrees 22 minutes 40 seconds East,342.91 feet;
RUNNING THENCE southerly long the arc of a curve bearing to the right,having a radius of 20.00
feet,a distance of 31.73 feet to the northwesterly side of Oregon Road at the point or place of
BEGINNING.
• INSTRUCTIONS(RP-5217-PDF-INS),www.orps.stalemy.us
FOR COUNIFf USE ONLY New York State Department of
C7:SWIS16ode t, Taxation and Finance
C2.Date Deed Recorded '� /� J Me of Real Pioperty Tax-Services
°ry RP-5217-PDF
C3.Book C4.Pa(p
Real Properly Transfer Report(8M0)
PROPERTY INFORMATION
1.Properly
Location8805 OREGON ROAD
•SINEW NIra1LN •STREET NOME
CUTCHOGUE 11935
•CRY OR TWIN VILLAGE •ZP LWE
Buyer
? Name See Attachment 1
•LASI NIM&PO ILnFNY FIRST NATE
1 AST NALSIMOMPANr FIRST NAIL
3•Tax Indicate where future Tax Bills are to be sent
Billing If other than buyer address(at bottom of form) LAST NAIIFA:OMPANY FIRSTNAE
Address
ffmE1N AMN AN]NAM CI IT OR TOM alAi[ LP CIx1E
4.Indicate the number of Assessment (Only If Pari of a Parcel(Check as they apply:
1 N of Parcels OR ❑Part ora Parcel
Roll parcels transferred on tlIe dead 4A.Planning Board with Subdivision Authority Exists ❑
5.Deed
Property •FRovr FEET ` nR 48.Subdivision Approval was Required fax Transfer ❑
•OFAIN -ACRES
Sim
4C.Parcel Approves for Su4divNlori with Map Provided
DOMALESKI HENRY S
6.Wier -LAS)NANEXAMAPANY FRa7NAME
Name
LAST NAMEXQUIR Y FRB r NA1E
-7.Select the deacriptlon which most occurs[*describes the Check the bases below as they apply:
use of the properly at the time of sale: 8.Ownership Type is Condominium ❑
C.Residential Vesely 9.Now Construction on a Vacant Land
10A.Property Located within an Agricultural Dlatilcl ❑
10B.Buyer received a disclosure notice indicating that the property Is In an
Agricultural Drawl ❑
SALE INFORMATION 16.Check one or more of these conditions as applicable to transfer:
A.Sale Between Relatives or Former Relatives
11.Safe Contract Date B.Sale between Related Companies or Partners in Business.
C.One of the Buyers is also a Sailor
'12.Date of SdeRrensfer 3—I R D.Buyer or Seller is Govemmenr Agency or Lending Institution
E.Deed Type not warranty,or Bargain and Sale(Specify Below)
F.Sale of Fractional or Leas than Fee Interest(Specify Below)
•13.Full Sale Price $0.00 G.Significant Change in Property Between Taxable Status and Sale Dales
{Full Sale Price Is me total amount paid for the property Including personal property 1.here of nuslnea is ors Affecting
to Sale price
This payment may be in the form of cash,other property or goods,of the assumption of I. Other Unusual Facture Affecting Sale Price(Specify Below)
mortgages or other obligations.)Please round to the nearest whole dollar amount. X �None
Comment(s)on Condition:
14.Indicate the value of personal
property Included In the sale $0.00
ASSESSMENT INFORMATION-Date should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessmard Roll from which information token(YY) 17 '17.Total Assessed Value
•18.Property ClassRio _ _ - CUTCHOGUE School District Name CUTCHOGUE
•20.Tax Map teentifier(s)IRoll Identifier(s)(If more than four,aesch shoal with additional Identl6erls))
1000-095.00-01.00-011.003
CERTIFICATION
I Certify that all of the Mein of Information entered on this Torn are true and correct(to the beat of my knowledge and beflon and I understand that tha me king of any willful
fake statement at mwrisl fast herein subject me to the provillogtt nf the Benet rays relative to the meIII Ing and filing of false Instruments.
A / RE 1110F1 CONTACT INFORMATION
(Enter w.ri nci a Iw are°Iyer Nora a IAryrr I.LI L;MLrbLY.arwu Lou ter.. nkn.tum niJm company.&SIio rc
1.��Jet 77 -'�TD^�•A-�G r waeY arra• Sn x lF gwmi rpenr m LAKiha Llrn r rwne rhe rAreau irarmr ra M e rty) laWeeponRWe
—0108 lawr quraions raLalrbne ws lanefar molt m created TYPe a plot elssAY 1
BLLrER TIJAE
111E
BUYER SIGNATURE See Attachment 2
.IAST NAME FRET 1L1ML
631 680-6599
` 'AREA CODE 'I 4LPME NIIIaER 1!ti aeeaaael
eUYk 'GLA7JRE M E
8745 OREGON ROAD
•a rmhI NNAEER •sTRtsI r1AAE
j ti I a CUTCHOGUE NY 11935
•CRYONTIMN •s7A7E •LPemE
1 1 1
BUYER'S ATTORNEY
r
1 Burner Nancy
r ! 1 L LAST NAu" NRST NAME
I ! 4 r (631) 941-3434
ALVA COBC ILrGPI x;x[NA1aF.R Iia aaeEAMI
. Db/1918"
O4�
Attachment
Attachment 1
Last name/Company
VIRGINIA M.SUROZENSKI,Trustee of the HENRY I.DOMALESKI REVOCABLE TRUST
Attachment 2
VIRGINIA M.SUROZENSKI,Trustee of the HENRY I.DOMALESKI REVOCABLE TRUST