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Home My WebLink AboutL 12966 P 357 1111111 IIII IIIII Illll 11111 lllkl 111111111111111 1111 1111 I I I I I I i l l l l l l l l l l l l l l l l l l SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 06/20/2018 Number of Pages: 4 At: 02 : 42 : 09 PM Receipt Number : 18-0113174 TRANSFER TAX NUMBER: 17-35036 LIBER: D00012966 PAGE : 357 District: Section: Block: Lot: 1000 095 . 00 01 .00 012 . 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 $400 . 00 TRANSFER TAX NUMBER: 17-35036 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County T Number of pages RECORDED 2018 Jun 20 02:42:09 PPI JUDITH A. PASCALE This document will be public JUDICLERK OF record.Please remove all 5UFFOLK COUNTY Social Security Numbers L D00012966 prior to recording. P 357 DT# 17-35036 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee \ Mortgage Amt. . 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 15 — Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total 50— Spec./Add. EA-5217(State) TOT.MTG.TAX R,P.T.S.A. -)D1_j Uo Dual Town Dual County — Held for Appointment Q Comm.of Ed. 5. 00 Transfer Tax ,\Affidavit + �. Mansion Tax vi Certified Co_y �� The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total If NO, see appropriate tax clause on page# of this instrument. 4 1 Dist. 100 18015907 1000 09500 0100 012000 )0 5 Community Preservation Fund Rea!Property p PASA CPF TConsiaxDue Amount$ R . , Tax Service lul �I . Agency. 23-M _11 Verification Improved 6, 5 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD to 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) Henry I. Domaleski,as surviving 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 I. 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 th64ay of2018 between HENRY I.DOMALESKI,AS SURVIVING TE ANTBY 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 8745 Oregon Road,Cutchogue,NY, BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated April 25, 1960 and recorded on April 27, 1960 at the Office of the Clerk of Suffolk County at Liber 4801,page 66. 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. �/ ` W►•bOMALESKI BY VJRG INIA M St JR0ZNS10 AS AGENT NYSBA's Residential Real Estate Forms(9/00) ®2017 Matthew Bender&Company,Inc.,a member of LexisNexis.. 1_ 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 year L-4d/7before me,the undersigned,personally appeared NRY 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 narre(s)is(are)subscribed to the within instrument and acknowledged to me that he executed the same in his capaci and that by his signature(s)on the instrument,the individual(s),or th �onn behalf of whiFfi the dividual(s)acted,executed the instrument. DIANE REILLY Notary Public,State of New York (signature and office of individual takin acknowle ment) No.01 RE4718018 Qualified in Suffolk County Commission Expires July 31, 1;L0 I E, WARRANTY DEED Title No• District 1000 HENRY L DOMALESKI Section 095.00 To Block 01.00 VIRGINIA M.SUROZENSKI, Lot 012.00 Trustee of the HENRY I. Countyor Town SUFFOLK DOMALESKI REVOCABLE Street Address 8745 OREGON ROAD TRUST CUTCHOGUE,NEW YORK 11935 Return By Mail To: BURNER LAW GROUP,PC 12 Research Way East Setauket,New York 1 1733 Reserve This Space For Use Of Recording Office NYSBA's Residential Real Estate Forms(9/00) 0 2017 Matthew Bender&Company,Inc.,a member of LexisNexis. -2- i 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 718.87 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 the northwesterly side of Oregon Lane, South 53 degrees 31 minutes 10 seconds West, 156.00 feet; RUNNING THENCE North 37 degrees 06 minutes 10 seconds West, 125.00 feet; RUNNING THENCE North 53 degrees 31 minutes 10 seconds East, 156.00 feet; RUNNING THENCE South 37 degrees 06 minutes 10 seconds East, 125.00 feet to the northwesterly side of Oregon Road at the point or place of BEGINNING. INSMUCTIONS(RP-5217-PDF-INS):www.orps.statemy.us FOR COUNIY USE ONLY New.York State Department of 61.SVVIS Code Taxation and Finance n on YIN' Office of Real Property Tax Services cs.Date Deed Recorded /� I RP-5217-PDF C9.Book C4.Page Real Property Transfer Report(81.10) PROPERTY INFORMATION 1.Property 8745 OREGON ROAD Location •,TNLt1 NIAEER 'STREEr IIAAE CUTCHOGUE 11935 'CITY OR TOM KLUGE •ZIP CME :.sayer See Attachment 1 Nerve • LAST NAAIECOAPANT FRET NAM LAST NAMEr-OAPANY FIRSTNAME 3.Tax Indicate where future Tax Bills are to be sent Billing if other than buyer addren(at bottom of form) LAST NAMEXxDI PANV FIRST NAME Address BIREETNUIERANONAME CRY OR lam ,TATE 74-CAM 4.lndlcata the number of Assessment part of a Pancel (Only If Part of a Parcel)Check n they apply: Roll pares,,transferred on the deed 1 ✓F Of Parcels OR 4A.Planning Board with Subdivision Authority Exists El 5.Deed \ OR 0.44 4B.Subdivision Approval was Required for Transfer Property •FRONTFEET •DEPTH -ACRES Sim 4C.Parcel Approved fw Subdrilelon with Map Provided ❑ DOMALESKI HENRY S S.seller -LASTkABILCOMPANY FIRST NAYS Name IASI NAIEIOOMPANY FRSTWRE 17.Select the description which most accurately describes the Check the boxes below as they apply: . use of the property at the time of sale: S.Ownership Typo is CondominiumEl 6.New Construction on a Vacant Land A.One Family Residential 10A.Property Located within an Agrlcustaal District 10B.Buyer received a disclosure notice indicating mel Ole property Is in an ❑ Agricultural District SALE INFORMATION 16.Check one or mora of these conditions as applicable to transfer: A Sale Between Relatives or Former Relatives 11.Sale Contract Data B.Sale between Related Companies or Partners In Business. C.One of the Buyers Is also a Seller ��a3-I 8 D.Buyer or Seller Is Government Agency at tending Institution re •12.Data of SaterTnsfsr E.Dead Type not Warranty or Bargain and Sale(Specify Below) F.Sale of Fractional or Less men Fee Interest(Specify Below) •19.Full Sale Price $0.00 G Significant Change In Property Between Taxable Status and Sale Dates H Sale of Business Is Ind dad In Sale Price (Full Sale Price Is the total amount pard for the properly including persona(property I Other Unusual Factors Atieobng Sale Prix(Specify Below) This payment may be In the form of cash,other properly or goods,or the assumption of X J.None mortgages or other obligations.)Phase round fo the nearest whole dolor amormf Commence)on Condition: 14.Indicate the value of personal property Included In the sale $0.00 ASSESSMENT INFORMATION.-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which Inks. atlon taken(YY) 17 '17.Total Assessed Value $2,100.00 116.Property Class 2 1 0 — 116.School District Name CUTCHOGUE '20.Tax Map Identipegs)tRoll ktantiflar(s)(If mora than four.attach sheet with additional Identitierfell 1000-095.00-01.00-012.000 CERTIFICATION I Certify that all of the Iters of Information entered on this form are true and correct(to the best of my knowledge and belle"and I understand that the making of any willful false statement of materiel fact herein subject me to me.provislonaLlitLthe-penal law-relative to the making and filing of!ales,Instruments. E BUYER CONTACT INEORMATIQM _ 11�i•- _ =- , . (Ener rlfurme•Jon Is,Int buyw.NCa Ir buyer is LLC society,asaaeelan.Corporation,PNtaporation, re deo at co pany.Ost dy Ilw.is not an ins wuni ypnt w ndudaly,then■mine anti canon idennaran of an rxlNlelailrespanwdeparty win rail answer crest ms regarding UIS Irandw mutt ba armed Type or Print chady) DATE BUYER BIGMIURE See Attachment 2 LAST NATE MRST NAME 631 680-6599 a V 'ARFACOnE tLFFNONENUMBER III-9YMeSSJ DWYEK&SINNTURE IE 8745 OREGON ROAD 1 , , I if •SfREETNUMMR •STREET NAME CUTCHOGUE NY 11935 1 41IT OR TOM •SIAlt 'ZP CODE r a BUYER'S ATTQI3NEY 1 I i ' 1 Burner Nancy I LAST NAYS FIRST NAYt ' 1 1 (631) 941-3434 AREA CODE TEI EPHONL NUYBW R•7nwawr p 6/a0�18' 3 57 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