HomeMy WebLinkAboutL 12966 P 99 11111111 IIII IIIII IIIII IIIA 11111 IIIII VIII IIIII IIII IIII
I I I I I I I I I I 11111
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: 17-34820 LIBER: D00012966
PAGE : 099
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 $400 .00 ,
TRANSFER TAX NUMBER: 17-34820
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
IVA .
. w
❑1 2❑
RECORDED
2018 un 19 12:52:41 PM
Number of pages JUDITH N. PASCALE
CLERK: OF
SUFFOLK COUNTY
This document will be public i L DOC1012,966
record.Please remove all F' 099
Social Security Numbers
J # 1 — 4c21E
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00
r 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA 52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
wpm_ Dual Town Dual County _
R.P.T.S.A, or?CTJ °�, Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
a -- -!
._`
Mansion Tax
Affidavit
The property covered by this mortgage is
Certified Copy
or will be improved by a one or two
~NYS_5dF6ia ge 15. 00 family dwelling only.
Sub Total YES or NO
Other _
Grand Total If NO, see appropriate tax clause on
page# of this instrument. �f
4 Dist. 18019182 l000 09500 0100 011003 •003 5 Community Preservation Fund
Real Prop P Pa A CPF ConTax Due deration Amosnt$
Tax Servit R EI 'ulll flllllll IIII1W11 II
Agency 19-JUN-1
Verificati
Improved _
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TDI_
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. A�me
www.suffolkcountyny.gov/clerk Title
81 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Virginia M.Surozenski Trustee of the Henry1. The premises herein is situated in
Domaleski Revocable Trust SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Raymond Domaleski.Viginia,M.Surozenski. In the VILLAGE
Thomas Domaleski,Geraldine Domaleski or HAMLETof Cutchog_ue
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 the t:D%O day of February,2018 between
VIRGINIA M.SUROZENSKI,TRUSTEE OF THE HENRY I.DOMALESKI REVOCABLE
TRUST,8745 OREGON ROAD,P.O.BOX 92,CUTCHOGUE,NEW YORK 11935,party of the
first part,and
RAYMOND DOMALESKI,8745 OREGON ROAD,F.O.BOX 92,CUTCHOGUE,NEW YORK
11935;VIRGINIA M.SUROZENSKI,PO BOX 92,CUTCHOGUE,NEW YORK 14935;
THOMAS DOMALESKI,PO BOX 92,CUTCHOGUE,NEW YORK 11935;THEODORE
DOMALESKI,PO BOX 92',CUTCHOGUE,NEW YORK;AND GERALDINE DOMALESKI,
PO BOX 92,CUTCHOGUE,NEW YORK 11935,AS TENANTS IN COMMON,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;
THE PREMISES ALSO KNOWN AS Oregon Road,Cutchogue,NY.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed
dated UaA U :2-a' ZO 18
and recorded on -�U►"e ��,ao 1� at Liber D��a Q page p
. qq,
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.
VIR ► IA M.SUR NSKI
NYSBA's Residential Real Estate Forms(9/00) 0 2018 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 a12 day of in the year o�Ql ,before me,the
undersigned,personally appeared VIRGINIA M.SUROZENSKI,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 she executed the same in her capacity(ies),and that by
her signature(s)on the instrumen ndividual(s),or the person upon behalf of which the individual(s)
acte ecuted the instrumen
DIANE REILLY
Notary Public,State of New York
No.01RE4718016
(signature and office of individual taK g ackno edgment) Qualified in Suffolk County
Commission Expires July 31, a_G1
WARRANTY DEED
Title No. District 1000
Section 095.00
VIRGINIA M.SUROZENSKI, Block 01.00
Trustee of the HENRY 1. Lot ow W3
DOMALESKI REVOCABLE County or Town SUFFOLK
TRUST Street Address 8`6W;OREGON ROAD
To CUTCHOGUE,NEW YORK 11935
RAYMOND DOMALESKI,
VIRGINIA M.SUROZENSKI,
THOMAS DOMALESKI,
THEODORE DOMALESKI,and
GERALDINE DOMALESKI
Return By Mail To:
Nancy Burner
BURNER LAW GROUP,P•C.
12 Research Way
East Setauket,New York 11733
Reserve This Space For Use Of Recording Office
NYSnA's Residential Real Estate Forms(9/00) ®2018 Matthew Bender&Company,Inc.,a member of LexisNexis.
-2-
Schedule A
SH 178373SS
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 Iess,
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):MAww.arPs•state•nY•us
• FOR CaUNTY USE ONLY New York 91ab DaPa nmint of
C1.SWISCode Taxation and Finance
(p I j7 Ort e of Real Property Tax Services
C2.Data Dead Recorded c� RP-5217-PDF
f .
CS.Hook C4.Page , D ,91 Real Property Tratlsfor Report(8110)
PROPERTY INFORMATION
1.Properly 8745 OREGON ROAD
Location •SRCLI MUN trt 'STREET MME
11935
CUTCHOGUE
•Or.Y 011 TOWN w.LAGE 'a.C<10E
2.Buyer See Attachment 1
Name LAerrAvocou NT FIRS:W1aE
SUROZENSKI VIRGINIA
LAxrNAMECOMwAra Flro:NAME See Attachment
7.Tax Indicate where future Tax Bills are to be sent
Billing C other awn buyer address(at bottom of form) LAST NAML00010-My rmNST NAML
Address
TEE4 h1A19sA AL1a NAAE ,
CRT OV TOWN STATE fPcom
4.Indicate the number of Asomsmant 1:1Part of a Perrel (Only If Part of a Portal)Cheek as they apply:
Rebel pareele transferred on the deed 1 w of Parcels OR 4A.PlenNng Board with Subdivision AuSmority krists ❑
S Deed K OR 0.44 45.SL Ixilvisrm Approval was RetlJlred for Transfer ❑
Property 'FRONr.EEr 'XPTN 'ACRLS ❑
Size 4C.Parcel Approved for Subdivision with Map P:ovidod
See Attachment 3
6.Seller •LAST NArfdf•OMPMY Filter wLe
Name
FIRS:NAME
LAST NMFICOrPAhr
Check the boxes below as they appy: ❑
*7.Soled the description width most ate
st accurly dmicAbes the g•Ownorship Type Is Condominium
use of the property m tiro tkne Of sale: ❑
9.New t:onsSuclton an a Vacant Land
A One Family Residential 1DA.Property Located within an Agricultural District ❑
too.Buyer rece.vec a disclosure notice indicating that are property Is In an ❑
Agrladturel District
SALE INFORMATION 15.check one or more of these conditions as applicable to transfer.
A.Salo Between Relatives or rarmor Relstives
B.Sale between Related Companies or Partners in Business.
11.Sale Contract Data C,One of the Buyers is also a Seller
D.Buyer or Salter is Government Agency or Lending Institution
•12.oats of Salerrranstsr 2 12U 120 E.Dead Type not Werra.*or Bargain and Sale(Specify Below)
F.Sale of Fractional or Less than Foe Interest(Specify Below)
'1 S.Full Sele Price 80•QQ G.Sign finest Change in Property Between - id" Sale Dates
H.Salo of Business is Induced in Sale Price
(Ful Sala Pike is the total amount pa-d for the prope•ty Including personal p•operiy. I.Other Unusual Factors Affecting Sale Price(Specify Below)
This payment may be in the'orn d cash,ober properly or goods,or the assumption d x J.None
mortgages or other obligations.)Please round to am ne war www dollar smomll. Comment(s)on Condition:
14:Indicate the value of personal
properly included in the win $0.00
ASSESSMENT INFORMATION-Data should re0ed the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from which IMormedon token(YY) 17 97.Total Assessed Value $2,100.00
•16.Properly Close 2 1 0 _ •1e.School District Name CUTCHOGUE
120.Tax Map Idendfler(syRoB MenaSer(s)(If more than four,attach sheet with additional IdentMer(f))
1000-095.00-01.00-0 t-''C3'
CERTIFICATION
1 Canty that all of the hams of Information entered on this form ere true and cornet Ito the best of my knowledge and belief)and I understand that tin making of any willful
false statement d material fact herein sublect me to t NAMIslgm 0Ms penal Ianrelative to the n a iing and III Ing of false Instruments.
ALM SiGhA &EM
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(Ewer Im0lmat. for go hirer.NoW It br.yer s LLC.sousty.EwLeodCn.eorpwar n.Pin ao'eNrlpanW now ail
ULy drat Ie rret e•r iMmdna agsntor idwo y.then.roma ant wlmact information of on IndwKk d1maWAibb
2 tory lex,con AReewr CU--W-r.W-d.:Ig we vamMr—0 tie Mdaad.TYw w prim eumty)
8E' II,NE DATE
WYE" I= See Attachment 4 Fe57 W WE
EAC B8680-6599-2
1(�» 'AREAOOE 'IELERNk1E NIMl9'.R:4.99ePrra7
dtarEaslr�.ATu+F f °"'a 8745 OREGON ROAD
'57ELr NuUMCP 's rRer.WWE
+ CUTCHOGUE NY 11935
t � '(iIYOn T(AhN '97A% 'aPCME
BNy-KO-ATEOR11J_11.
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Burner Nancy
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Uwl hods
t (631) 941-3434
` AI�Of:aE rC1EP•[7nE hLVBER 1Ex 9-GrWJr
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Attachment
Attachment 1
Last name/Company
VIRGINIA M.SUROZENSKI,Trustee of the HENRY I.DOMALESKI REVOCABLE TRUST
Attachment 2:Buyer Names(continued)
3.DOMALESKI,THOMAS
4.DOMALESKI,THEODORE
5. O�MrrALLESKI,GERALDINE �,l/
AttachmNnT3�)�i, ��U'""
Attachment 3
VIRGINIA M.SUROZENSKI,Trustee of the HENRY I.DOMALESKI REVOCABLE TRUST
Attachment 4
VIRGINIA M.SUROZENSKI,Trustee of the HENRY I.DOMALESKI REVOCABLE TRUST
I