HomeMy WebLinkAboutL 12972 P 496 1 1 1 1 1 1[1[ll[V I I I lll[[1111111111111111111111111 l l l l l l l l
11111111111 IIIA 1141 IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED WITH LIFE ESTATE Recorded: 08/03/2018
Number of Pages : 4 At: 01 : 43 : 28 PM
Receipt Number : 18-0143466
TRANSFER TAX NUMBER: 18-00372 LIBER: D00012972
PAGE : 496
District: Section: Block: Lot:
1000 070 . 00 08 . 00 044 .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 . 50 NO
Cert.Copies $0 . 00 NO RPT $200 . 00 NO
Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO
Fees Paid $395 . 50 '
TRANSFER TAX NUMBER: 18-00372
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
l
Number of pages RECORDED
2i?1"o Aug 03 01.4-3;28 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK, COUNTY
record.Please remove all L D00012972
Social Security Numbers P 496
prior to recording. DT# 18-00372
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
�) -0 or
EA-52 17(County) Sub Total f S Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County _
R.P.T.S.A. Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit • �+ Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other ✓t, `i
Grand Total /� J If NO, see appropriate tax cla a on
� page# of hi instrum t.
18025768 1000 07000 0800 044000
4 Dist. 1000 : PT R 5 Community Preservation Fund
III��I�I�II�II���I� I�II�
Real Property SMI A Consideration Amount$ �
Tax Service 02-AUG-1
Agency CPF Tax Due $
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD
Futterman&Lanza,LLP
TD
222 E.Main Street,Suite 314
Smithtown,NY 11787 TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name NONE
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached CORRECTION DEED w/life estate made
by: (SPECIFY TYPE OF INSTRUMENT)
Florence A.Ostroski ind.and surviving it tenant of The premises herein is situated in
LeRoy S.Ostroski,deceased SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Debra A. Ostroski, In the VILLAGE
orHAMLETof Southold
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
CORRECTION
. 'BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
FORM 8002(short version),FORM 8007(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 XP
day of June,2018
BETWEEN FLORENCE A. OSTROSKI, individually and as surviving joint tenant of LeROY S.
OSTROSKI, deceased, a resident of Suffolk County,NY (having died on 11/10/1996), residing at 200
Willow Pond Lane,Southold,NY 11971,party of the first part,and
DEBRA A. OSTROSIU, residing at 200 Willow Pond Lane, Southold,NY 11971, party of the second
part;
WITNESSETH, that the party of the first part, in consideration of Ten Dollars and No Cents
($10.00),lawful money of the United States,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 attached Schedule A
BEING and intended to be the same premises conveyed to the party of the first part by deed dated
3/16/2018,and recorded in the Office of the Suffolk County Clerk on 3/26/2018 in Liber 12954 Page 978.
THIS DEED IS A CORRECTION DEED to correct Deed dated 3/16/2018,recorded on 3/26/2018 i
in Liber 12954 page 978,which deed inadvertently did not contain language reflecting a life estate to the
party of the first part herein.
THE grantor hereby retains a life estate for herself in the entire premises. The grantor further states
that she will be solely responsible during her life estate for payment of maintenance, repairs, heating,
utilities,real estate taxes,insurance and any and all expenses incidental to the maintenance of the subject
premises.
THIS CORRECTION DEED transfer is nunc-pro-tunc from the date of the incorrect deed, ie
3/16/2018.
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, covenants that the party of the first part has not done or suffered
anything whereby the said premises have been encumbered 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 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 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 "parry" 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 de d the da d,�
first above written.
IN PRESENCE OF.
Florence A.Ostrovski, ind. as surviving joint tenant
Of LeRoy S.Ostroski,by Debra A.Ostroski,her agent
Under Power of Attorney dated 2/12/2010
NYSBA's Residential Real Estate Forms(9/00) 0 2005 Matthew Bender&Co.,a member of the LexisNexis Group.
Acknowledgment by a Person Within New York State(RPL§309-a)
STATE OF NEW YORK )
)ss.:
COUNTY OF SUFFOLK )
On the II day of June, 2018, before me, the undersigned, personally appeared DEBRA A.
OSTROSKI, 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/she executed the same in his/her capacity(ies), and that by his/her signature(s)on the instrument,the
individu ,or the rson upon behalf of which the individual(s)acted,executed the instrument.
(siTnalao iceof individual taking acknowledgment)
District: 1000
JUDY ANN 01FAAN00 Section: 070.00
Notary Public,State of Now York Block: 08.40
No.01014648874 Lot: 044.000
Quallfied in Suffolk
Commission Expires May 31, County: Suffolk
Premises: 200 Willow Pond Lane
Southold,NY
Retum by Mail to:
Law Offices Of Futterman&Lanza,LLP
222 East Main Street,Suite 314
Smithtown,NY 11787
NYSBA's Residential Real Estate Forms(9/00) ®2005 Matthew Bender&Co.,a member of the LexisNexis Group.
.2-
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Schedule A
ALL that certain plot piece or parcel of land,with the buildings and improvements thereon
erected,situate lying and being in the Town of Southold,County of Suffolk and State of New
York,known and designated as Lot numbered twenty-two(22)on a certain map entitled"Map of
Section One,Fairview Park,at Southold,New York,dated July 12, 1961" filed in the Suffolk
County Clerk's office as and by Map No.3388 on August 9, 1961
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INSTRUCTIONS(RP-5217-PDF-INS):www.orpS.ctate.11y.us
FOR COUNTY USE ONLYJ 2 Naw York State Department of
C1.Bros code I" , ,3 n 9 ,8 r 9 I Taxation and Finance
/` Office of Real Property Tax Services
C2.60 Deed Recorded / (0 / I RP-5217-PDF
Dv T— Q / Lq
C3.Bock /.A, pa C4.Pai , I ll I Real Property Transfer Report(8110(1
PROPERTY INFORMATION
1.Prowrb 200 Willow Pond Lane
Location 'WREST MNRR -STPEET NAM:
Southold 11571
•crrr aa-wAF
vu.AOME 'a'COOE
2.Buyer Ostroski Debra A.
Name •LAST NAMrr-0uFANT rIRST"WE
LAST NAWLXDW44V FIRST NAME
3.Tax indicate whom future Tax BUISwetohesent Ostroski Debra A.
Balling y other than buyer addresslad bottom OF form) wi NARILCOWA'M FIRST WWF
Adam■■
200 Willow Pond Lane SoUl-hold NY 31971_
STREE•NUMBER k6Y E CAN on TOWN SATE ZPCGW
4.Indicab tin member of Aaw■amsm T •of Palaie OR ❑ n of
Pea Parent (Only if Part of a Parent)Chock as they apply:
"I parcels tramefarred on the dead 4A.Planning Board with Subdivision Authority Edate ❑
L Dead , OR 0.45 4B.subdivision Approval was Required for Transfer ❑
properly 'FROM FEET 'DEFIM 'ACRES
Bles 4C.Paroel Applvvad for Subdiwaon with Meq Prodded ❑
Ostroski Florence A. ind b sury it
9.galla •LAST H"MiCOMPANT FASTaMwE
Name ten of LeRoy S. Ostroski dec
PAST MME
LAST lYAFJC wmv
Cheek the boxes below as UM appy:
-7.Salim tine description which most accurately describes the
use class property Stan tints of ase: 9.NowownConstruction
m nCondominiumavacant
L ❑
A.One Tamil}Residential 9.Now Conskucaon on a Varant Land ❑
IDA.Property Located within an Agricultural District ❑
10B.Buyer received a disclosure nolle indicating that the properly is in an ❑
Agricultural District
SALE INFORMATIONJ 1s.Chock one or more of these conaldons ss applicable to transfer.
4 I A.Salo Between Relatives a Fortner Relatives
11.8018 Contr0el Gate /'S [/ B.Bak belvreB Related Companies a Parbrem in SuIRnea
Ter•^-'// C.One d tiN Buyers m also a Seller
D.Buyer or Sailor is Govemmelm Agency a Lending Institution
12.Dale d BW .n.m E.Deed Type not WeriaWy or Bargain Rad Sale(Specify 81111011011
F.Sale of Froclional or Lass Wan Fee Interest(Specify Below)
•13.Fall 8018 Price 0.o0 G.Slgnificied Change In Property Between Taxable Status and Sale Data
H Soleof Business Is Included in Cole Prim
(Full Selo Price Is the tato amount paid for the property inducing personal property. 1.Other Unusual Factors Aflectirtp Sete Price(Sped fy Below)
This payment may be In the form d cash.other property or goods.or the assumpgon or J.None
mortgages or other obilgatiana.)please round to the neareW whole dollar amount •CaTimam(s)an Condition:
14.Indicate the value of personal
prop"Included Inthe sole .00 correction deed - life estate retention
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and TUBE`]
18.Yaw of Asesamert Roll from which kdomnetion token(YYI 18 11y.ToW Assessed Valus 6,500.
Property Close 210 _ .19.School District Name Southold
`20.Tax Map IdentMlerl■yRoll Idents er(s)(If more than four,ansch sleet with adatileNl IdentMaras)l
1000-070-08-044 J
CERTIFICATION
I Corft that oil of the Rems of Information emceed on this farm are true and camel(to dw kat of my knowledge and bellall and 1 underetand that On making of any willful
tela statement of materiel fe rein subbed me to thojMbIp1L9LthepM lllaw.mletive to the making and filing of fain Inmmm hats.
gl Y� ER CONTACT INFORMATION
Ftarmranforihoeow.Nate emprou.C. medaey.essodallm.00,1101 1.let HIM NOW"-awleei
enter tical a not on Pylutdal seer-WfdMlaaM's•Y.Inaand ramal inkxmatlwM of An MWuWmspei tis
pray war TAa enewa ruan"s M.aardMq lM Nwxr must be earned Type err prim elowlyI
SELIEA eIARA:WE o 7E 111
Ostreski Debra A.
BUYER SIGNATURE
•U16T WYE FlaT NAME
I� 11 AC-CE '-LV'M5111 N..YII.M.b:,ALr
iJPE GATE
200 Willow Pond Lane _
.S-NCE-NUMBER 'S14CET HANE
SOULhold NY 11971
'CITY OR-MW 'STATE '7PC00E
Bl1YERSAIT0EM
Futterman Aaron E.
,AST NAM FIRSTNANC
(631) 979-4300
AREAGJOE TE-CPHOINNSER IF.R NOM I
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