HomeMy WebLinkAboutL 12971 P 232 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 07/25/2018
Number of Pages : 4 At: 04 : 36 : 14 PM
Receipt Number : 18-0136299
TRANSFER TAX NUMBER: 17-38973 LIBER: D00012971
PAGE : 232
District: Section: Block: Lot:
1000 088 . 00 04 . 00 033 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $10 .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 $395 . 00
TRANSFER TAX NUMBER: 17-38973
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
RECORDED
Number of pages 2012 Jul 25 04:36:14 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00012971
P 232
Social Security Numbers DT# 17-38993
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee 4 Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Tota I
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held forAppointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit 017w Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES orNO
Other
Grand Total / If NO, see appropriate tax clause on
C pagett ofthis i ttrru'm nt.
v
4 D" 18024717 i000 oaeoo oaoo 033000 33.000 5 Community Preservation Fund
Real Rax Ser PTS II ii II II `` Consideration Amount$
VAgec 25DUL-18 1�� I��I���III�IIII�IIIIu�I1��I�1�I�I�II��III�� CPFTax Due $
Improved
Satisfactions/Discharges/Releases List Property Owners Mailing Address
ECORD&RETURN TO: Vacant Land
WILEY ETTER, LLC TD
97 WASHINGTON AVENUE, SUITE 2 TD
NORTH HAVEN, CT 06473
TD
Mail to:Judith A. Pascale, Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name GLOBALSERVE TITLE AGENCY
www.suffolkcountyny.gov/clerk
Titlett GST-SS-1006593-S
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
JANE KAMINSKI SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of SOUTHOLD
In the VILLAGE
JANE T.KAMINSKI,AS TRUSTEE FOR JANE T.KAMINSKI LIVING TRUST or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
&5;--33 /WO 6 r3 ,5
Standard Form-Bargain and Sale Deed,with Covenant against Grantor's Acts-Individual or Corporation
THIS INDENTURE, made this 2nd day of May, 2018.
BETWEEN
Jane Kaminski
address at 3 Pond Meadow Place, Middlefield, Connecticut 06455
party of the first part, and
Jane T. Kaminski, Trustee, or her successor in interest, of the Jane T. Kaminski Living
Trust dated November 25,2013
address at 3 Pond Meadow Place, Middlefield, Connecticut 06455
party of the second part,
WITNESSETH, that the party of the first part, in consideration of ten (10) dollars, lawful
money of the United States, and other good and 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,
SEE PROPERTY DESCRIPTION "SCHEDULE A" ATTACHED
Said premises above described being further known as and by number 805 BAY HAVEN
LANE, SUFFOLK COUNTY, N.Y.
TOGETHER with all right, title and interest of the party of the first party 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 covenants that the party of the first part has not one of suffered
anything whereby the said premises have been incumbered 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 of 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.
TP-SDNY-370.01
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day
and year first above written.
J aminski, Grantor
IN PRESENCE OF:
Qra rn . 61
"v
61to
Gbh i e.4c� SGh�G�n o
STATE OF CONNECTICUT, COUNTY OF NEW HAVEN ss: North Haven
On the 2nd day of May, in the year 2018, before me, the undersigned, personally appeared:
Jane Kaminski
personally known to me or proved to me on the basis of satisfactory evidence to the
individual whose name is subscribed to the within instrument and acknowledged to me that
she executed the same in her capacity, and that by her signature on the instrument, the
individual executed the instrument.
In witness whereof I hereunto set my hand.
[Seal]
Matthew A. Wiley
Commissioner of thZ Superior ourt
BARGAIN AND SALE DEED
(with covenants)
Record and Return to: District 100 Section 088.00 Block 04.00
Lot 033.000
Wiley Etter, LLC Town
97 Washington Avenue, Suite 2 County SUFFOLK
North Haven, CT 06473
TP-SDNY-370.01
Schedule A
Property Description
ALL that certain plot, piece or parcel of land, with the buildings and improvements
thereon erected, situate, lying and being at Bayview, near Southold, in the Town of
Southold, County of Suffolk and State of New York, known and designated as Lot No. 44
on a certain map entitled, "Bay Haven at Southold, Town of Southold, Suffolk County,
New York," surveyed December 10, 1958 by Otto W. Van Tuyl & Son, Licensed Land
Surveyors, Greenport, New York, and filed in the Office of the Clerk of Suffolk County
on the 22,d clay of January, 1959, as Map Number 2910.
TP-SDNY-370.01
a
INSTRUCTIONS(RP-5217-PDF-INS):w ire-orps.state.ny.us
FOR COUNTY USE ONLY —7
C1.SVNS Code (/ New York Stets[Ispannsent of
Taxation and Finance
C2.Dace Deed Recorded OHCS of Real Property Tax Services
Ca.Book 06•Page RP-5217-PDF
PROPERTY INFORMATION Real PropertyTransfer Report(5110)
I-Property RO5
Location BAY HAVEN LANE
S nELt hJYeFR
'SIREEi hR1L
SOUTHOLD
crTantTOYM 1197 1
w,VCF
=Nam KAMINJSR1, AS TRUISTEE JANE T.
'LAerN hiL1Cow
F Rsi NAME
JAVR T. K]LMINSK1 LIVING
TRUST DATED NOV. 25, 2013
-119•mllre'M:6MP�w
F.R5-W1VE
3.Tax
Adteicda dwhere future Tax Bis aro to be sem
Address d form)da other than buyer address(at bottom ^^1 LAS-NAvcco4PAw
re
rtRst vwE
STM:Ei M1VMBL4 AM1a N1WE CT-CA TaWR
SiarF T„ -
4.Indicate the number of Ae d d
rca ❑ (Only S Part of a Pareell Cheek n they apply:
Roll pak transferred on n the me dead a Parade d Pad a Parcel
G.Gert IA.Planning Board with Subdivision Amhady ExistsProperly
❑
Sale FRow IC-m K Uk 0.35 as subatiielan
•Ltr.rt .,rV.R9e APPlawd was Required Tor Transfer ❑
4C.Parcel Approved Mr Subdivision with Map Provided ❑
KAMi?]SiCi
6.Seiler ,w:,wrEcorlFAr.T JAty
Namur •�Tsr niulE
r.RST Y�YECt;Yr•AhY FRO,MEF
'7.Sok aO description which most accurately describes the Chock the boxes below n Sly appy:
property,l ear time of asks: a.Ownership Type is Condorrvnlum
A.One family RcsillcntiAl 2.New Construction on a Vacant Land
10A.Property Located within an Agnculiural Distrtel
108.Buyer received a disclosure no**indica0rig that the property le m n
SALE INFORMATION Agricultural District ❑
16.Check one or more of thea*eand1dons es aPPllcebk t tranafar:
11.SRN Contrast Dake :N A.Sale Belwesn Relatives or Former Raisins,*
C.One d t� Rimed Companies or Panner in Business.
12.Date al 8eklrmnsfer $ 1'Me k deo a Saner
2 D.Buyer ant Seller is Government Agency or Lending Inelituuon
E.Deed Type no[Warrmy or Bargain and Sob(Sporty Below,
•1 a.Full Sala Price O .00 F.Sale of FretonaLOU Ik
l or Leon Fee Internis(Speafy Below) .
G.Significant Change in Property Between Taxable Status and Sys Debs
1 Full Sale Pnca Is the total amount paid for the properly including persona property. H.Sale d Business is Induded in Sol.price
This payment may be in tlm form of cash,other property or goods,or the assumption of I Other Unusud Factors Affecting Sale Price S
mortgages or other obligations.)Phase round to rhe 1181+010 whole db0aramJ.Rbns
rount ( peeity Behw)
Cammem(sl on Condition:
14.Indkafa the valued psrsanal
Property Included In the ask t7 .0()
ASSESSMENT INFORMATION-DatB should reflect tfte latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from which IntermRpon hbn(Yy) 17 '17.Total Assessed Value
5,000
`1e ProPefdt class 210
'1g.SchoolDIStrklName SOUTHOLD
`20.Tax Yap IdaotMar(s)araM Idwdthrls)(M mora than four,attach thee[with additional kknitiSnilsl)
'_000/088.00/0.1.00/033.000
CERTIFICATION
I artily that ore of the ksrns of Information emxad on this form are true and comet Ito me beet of
tabs statement d material fact herein suhJset res to Bre emldyvge of MP nsnaLl®tt.retRuvo to the it and b@Nog and 1 undaretend that the making of any wel cal
making and flung offake rnshumerds.
IF.'ner Edctrrlatrn Or. bNror Nov n buyer is LLC.socixy.asasoaen.
I? smhty awt w not n indtdlfYO lysis v edrrrnry,tier•roma and sor"I1,*n.Nml sink O Pwir.aewta cr
Rcu �,�yE 1l..� S 1.. ) p 'sin ran an5wara:+eroMS raendrp Lha:nw�ar nun oe amara.ryes prajne cof lnrnlarh+d�IRNasPawlwe
AtW+ �+t MrnS kf ns
W&E8_SM"Un iCAXINSKT JANE T
•CART wrvE
FNe:NME
ISS 17!00 3o( - O8 4 V
91: RIr1Ur.a1t�- •Afi:Afq�
va Al T• lad n 1115 t 1, DA-F •'tLEp�Y NYYRER iF.•sk4m:
t7S Tr0S+eJL 3MEADOW GLACE
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1lIDDLEFIELD y r
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