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Home My WebLink AboutL 12974 P 132 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/15/2018 Number of Pages : 5 At: 03 : 13 :24 PM Receipt Number : 18-0152153 TRANSFER TAX NUMBER: ' 18-01669 LIBER: D00012974 PAGE : 132 District: Section: Block: Lot: 1000 141 . 00 01 .00 033 . 004 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25 ..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 $400 . 00 TRANSFER TAX NUMBER: 18-01669 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County REGORGED 2010 Au-3 15 03:13:24 Ph1 JUDITH R. PASCALE Number of pages S CLERK OF SUFFOLK COUNTY L D00012974 This document will be public P 132 GT# 12-01663 record. Please remove all Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee cY 5 ` Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total SS Spec../Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held forAppointment y Comm.of Ed. S. 00 4 Transfer Tax Mansion Tax Affidavit The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES orNO Other 00 �:! Grand Total l� If NO, see appropriate tax clause on page# of this instrument. 4 Dist 18018400 1000 14100 0100 033004 1•003 5 Community Preservation Fund RealPro�' R POLSA IIIIIIIIII�I IIIIIIIIIIIIIIIII IIII�11111111111 Consideration Amount$ Agend 13�1UN-1 1 I CPF Tax Due $ Venficat� � / p - \ Improved Vlp� 6 Satisfactions/DischargRECORD&RETURN TO yOwnersMailingAddress Vacant Land John J. Hughes, Esq. Bertine, Hufnagel,et al., LLP TD 700 White Plains Road,Suite 237 TD Scarsdale, New York 10583 TD Mail to:Judith A.Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name None www.suffolkcountyny.gov/clerk Title# None 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) Stephen A.Chomicki The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Forrest 315 LLC In the VILLAGE or HAMLET of Mattituck BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over 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.n THIS INDENTURE, made as of the L 1-$day of April, 2018, BETWEEN STEPHEN A. CHOMICKI, of 315 Pine Street, Mattituck,New York 11952, party of the first part,and i~ORREST 315 LLC, of 1814 Teatown Road, Croton-on-Hudson,New York 10520, party of the second part; WITNESSETH, that the party of the first part, in consideration of Ten Dollars and No Cents ($10.00)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,withlthe buildings and improvements thereon erected, situate, lying and being at Mattituck,Town of Southold,County of Suffolk, State of New York, more particularly described in Schedule A attached hereto; BEING and intended to be the same premises conveyed to the party of the first part by deed from Theresa R. Chomicki dated the 24`h day of November, 2004 recorded on the 10"day of December, 2004 in Liber DOOO 12359 page 903; 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 HA VE 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"party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. District: 1000, Section: 14 1.00,Block:01.00,Lot: 033.00/jJ NYSBA's Residential Real Estate Forms(912000) -1- p 2018 Matthew Bender&Company,Inc.,a member or LexisNex is. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. Stephe A. Chomicki IN PRESENCE OF.- Acknowledgment F:Acknowledgment by a Person Within New York State(RPL §309-a) STATE OF NEW YORK ) COUNTY OF WESTCHESTER ) ss.: On the day of April in the year 2018,before me, the undersigned, personally appeared STEPHEN A. CHOMICKI, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual,or the person upon behalf of which the individual acted, executed the instrument. ITk\NVX'41jele-� (signature and o ice in vi ual taking acknowled nt) MARGO R.STERLING a. Notary public,State of New York No.02ST6165152 -. Qualified in Westchester County Commission Expires May 71 201 District: 1000,Section: 14 1.00,Block:01.00, Lot: 033.003 NYSBA's Residential Real Estate Forts(9!2000) -2- 0 2018 Matthew Bender&Company,Inc.,a member of L.exisNexis. Deed Title No• District 1000 Section 141.00 Stephen A. Chomicki Block 01.00 To Lot 033.003 Forrest 315 LLC County or Town Suffolk/Southold Street Address 315 Pine Street Mattituck, New York 11952 Return By Mail To: John J. Hughes, Esq. Bertine, Hufnagel, et at., LLP 700 White Plains Road, Suite 237 Scarsdale,New York 10583 Reserve This Space For Use Of Recording Office District: 1000,Section: 141.00,Block:01.00, Lot: 033.003 NYSBA's Residential Real Estate Forms(912000) -3- 2i 2018 Matthew Bender&Company,Inc.,a member of LexisNexis. SCHEDULE "A" ALLthatc:ertain plot,piece or parcel ofland,with thcbuildiEtgsand impr""wemcnfs thcreon erected.situate. lyingand being at M Ittituck,'I'own of Southold.CountyofSuffolk. Stateof New York,bounded and described as follows: BEGINNING atapointonthe southwc%terlylincof PineStreet,100.0 feet southeasterly along said southwesterly line from its inteniec.tion with thesoutheasterly line of Youngs Xv;mue,being the northeasterly Co Merof land noworfonnerly orVim:ent Stopinski: RUN3NING THENCE along said southwesterly tine of fine Street, South 54 degrees 34 minutes 20 seconds East, 100.0 feet to a concrete monument: THENCE along tither land now or fon-ncrly of Edith M. Young.2 courses. as follows: 1. On a line parallel with the southeasterly Boundary line of said land now or formerly of Vincent Stopinski, South.39 degrees 29 minutes 20 seconds West, 160.0 feet to a concrete monument; thence 2. On a line parallel with said southwesterly line of Pine Street, North 54 degrees 34 minutes 20 seconds West,100.0 feet to said land now or formerly of Vincent Stopinski; THENCEalongsaidlandnoworfonnerlyol'VincentStopinski North 39 degrees 29 minumcs 20 seconds East, 160,0 feet to the point of BEGINNING. ■ Z abed ZZ6L£ZLt,66 mel eley�ue81enanuell!A WdLZ:20 86/£6/90 INSTRUCTIONS(RP-5217-pDF-INS):www.orps.sta(e ny.us FOR COUNTY USE ONLY New York State Department of C1.SWISCode II Taxation and Finance C2.Date Dead Recorded I �__f 0/ Ile I / Office of Real Property Tax Services __ 1,Z,9,-1,N I �B I /,�,�I R 5277-PDF I C3.Book C4.Pa a Real Property Transfer Report(8110) PROPERTY INFORMATION 1'Pm� 315 ?ins SLreeL •51 RL,•I KI%;; .STGFFT RAl1E Southold MaL tLtuck 11552 'Cm anxwv •- •11L9GF - - •.'1PCOOF. 2.Buyer Forrest 315 LLC Name 'IAAi MNi_R.fpa.aeY FR9T RAVF LADI RAaL-0010 NI ••• FRSTwV'a —•• 7.Ts Indicate whom future Tac Bills are w be vent Billing Bother than buyer addmss(at bottom of lenn) Address LAbl RAVL:OVFANY -- F.RiI were --� S'RL•_r W'UMP•0—a .-.:YON 10" SIaIL J^COOF 4.bell aft ole number of Assessment 1 a of Parcels OR �Part d a Pams, (tiny II Part of a Parcel)Cheek as they appy: Roll parcels tmmhFred on the dead 4A.Planning Board with Subdivision Authority Exists S.Deed ___ 0..7 V R 40.Subdivision Approval was Required for Transfer Property •FRONTFEET •OUT. •ACRFS Slee 4C.Parcel Approved ler Subdivision with Map Provided Chomicki SL,ophe_t A. 9.seller 'LA INVALMLVANY _ •_ FIRST R 4 _• Name LAaT-W.00 0— PIVD,RAW. 7.Select the description which most accurately describes tiro Cheek the hoses below as they appy: use of the property at the time of Bala: S.Ownership Typo IS Condominium A.One Family Residential &New Construction on a Vacant Land 10A Property Located within an Agricultural District 100.Buyer lecerved a disclosure notice indarstilq that the proptoy m In an Agricultural District L 1 SALE INFORMATION 110.Cheek ore or mos of these conditions as applicable to transfer• A.Sale Between Relatives or Fenner Relatives 11.Sacs Con6sct Date B.Sale between Related Companies or Parevers in Business. C.One of the Buyers is also a Seller '14.Date of SaiaRlander 04/27/2018 D.Buyer or Sailer Is Government Agency or Lending Institution E.Dead Type not Warranty or Bargain and Sale(Specify Below) F.Sale of Fractional or Less Olen Fee Interest(Specify MM) '13.FLIT Sale Price 0.OU G Significant Charge In Property Between Taxable Status and Sale Dares H.Sale d Business a Included In Sale Price (Full Sam Prim m Is the vital amount pad.o the property including goods. personal to al properly. •• (.Other Unusual Factors AffeeOng Sale Price(Specify Below) TIti9 payment may be in she form ai cash,other prop"a goods.ar the assumption of mortgages or oth r obligations.)Pfeuas mond to the nawesr whore dcaar amount J.Nona Commem(s)on Condition: 14.Indicate the value of personal property kmiuded in do Sale •M) Change CIL o-nership ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 19.Year of Asssernerd Rail from which Information taken(YY) 1.7 '17.Total Asserted Value 5,000 '1&Property Class 210 — '19.Stood District Name 14a:L i t u k '20.Tac Map Idemlfler(s)fRos klendhrle)(If man than four,attach stat with additional Idendrer(s)) 1 V/ O C)V CERTIFICATION 1 Certify that all of the hems at Information msend on this fomL are true and Cornet(te tlr best of my knowledge and belbQ and I understand that the making of any willful fame statement of material fad herein subject ma to the provisions the Donal letv,ralatiw to the making and filing aflame instruments. $ELLER SICaNA URE BUYER CONTACT INF..ORMA710N (Error Narnran M lea bvin r.Nos-ad4yerp u.GAoesry,naeoeden.emponeen,peen rine mnparry,asuc,,a ry thm a nm an erquoIndividual seem m eng We ion a nannmuo roti cauda ofttype or print t l rty.) ayroersxwme JV�V'S', L ILS I/ parry caro nor ermar 9xwpm mprdn9 ort aemhr mm be mined.Time or pnm esddyJ Vn EN 614 TLRF. CUTE BUYERSIGNATUItE For:'eSt. 315 LLC '.AS'NALa. FIRST HAAW , (b31) ?4b-27_ _ I" 'II k F3ACWF •,L:LH fn.L-LWUR 1E•.YYn rR, aL FRSAIGAIuNt. 315 Pint. Streer. 'STALL T Nra,LN 'STREET BASF I ' MaL-1 tuck _ Illy 11 952 •CITYCIITDA STATE '9PCCOF euYE ATTORNEY Hughes John LAST PALE FIR51 NAM" (5:4) 472-7700 w:Ea.a DE TkLSPHONF N4L16Ea:E•sitaxi e1 I