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I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Illlll IIIII IIIII llll IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 10/29/2018 Number of Pages : 4 At: 04 :25: 43 PM Receipt Number : 18-0203260 TRANSFER TAX NUMBER: 18-10608 LIBER: D00012985 PAGE : 161 District: Section: Block: Lot: 1000 054 . 00 03.00 024 .004 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 u. 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 $400 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO Fees Paid $600 . 00 TRANSFER TAX NUMBER: 18-10608 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County „r J 2❑ ? 41 RECORDED Numbgr of pages 2018 Oct 29 04:25:43 PM JUDITH R. PASCALE CLERIC �iF This document will be public SUFFOLK COUNTY record.Please remove all L D00012985 Social Security Numbers P 161 prior to recording. DT# 10-10608 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee TMortgage Amt. 1.Basic Tax Handling 2Q. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) i � Sub Total Spec./Add. EA-5217(Sta e) I CN� TOT.MTG.TAX (SC Dual Town Dual County R.P.T.S.A. ( �` Held for Appointment Comm.of`E'`--• 5. 00 Transfer Tax Affidavit • �• Mansion Tax �� The property covered by this mortgage is Certified Co 1�' or will be improved by a one or two NYS Surcharge 15. 00 Jo family dwelling only. Sub Total YES or NO Other �1 Grand Total �+JtJ If NO, see appropriate tax clause on page# of this instrume t. 4 C' "' ' 24.4$'Ad 5 Community Preservation Fund Real Pi 18030209 Consideration Amount$ V Age: R DTY AI lilt�u�l1111 IIIVIII I�IIIII1II III�IIIIIlul CPF Tax Due $ e 07-SEP-1 Improved 6 SaIISIdULIV1131LIDLnalty—1 ...... Address RECORD&RETURN TO: Vacant Land TD Wickham,Bressler&Geasa,P.C. P.O.Box 1424 TD Mattituck,New York 11952 TD Mail to: Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name i 1e i www.suffolkcountyny.gov/clerk Title# Cot,r�C 15 b 8 Suffolk County Recording & End©i 8e>tmei-lit Page This page forms part of the attached Bargain&Sale Deed with Covenant LV 1U-Q FSA-l�,- made by: (SPECIFY TYPE OF INSTRUMENT) Susan M.Sepenoski The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold John P.Sepenoski,Antone P.Seponski&James P. In the VILLAGE: Sepenoski(reserving life est.to Susan M_Sepenoski) or HAMLETof Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over � p T -S Doc ID: 18030209 R DTY A 07-SEP-18 Tax Maps District Secton Block tot School District Sub Division Name 1000 05400 0300 024004 1000 05400 0300 024005 C-isc Standard N.Y.B.T.U.Form 8002-Bargain and Safe Deed,'with Covenant against Grantors Acts—Uniform Acknowledgment Form 3290 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 13 day of July, 2018 BETWEEN SUSAN M.SEPENOSKI, residing at 5600 Horton Lane,Southold, New York, 11971, party of the first part,and JOHN P.SEPENOSKI,residing at 5600 Horton Lane, Southold, New York, 11971; ANTONE P.SEPENOSKI,residing at 5600 Horton Lane,Southold, New York, 11971;and JAMES P.SEPENOSKI,residing at 5695 Horton Lane,Southold, New York, 11971,all as joint tenants with right of survivorship, party of the second part, WITNESSETH,that the party of the first part, in consideration of Ten and 001100--($10.00)—dollars, 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, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being situated North of the Village of Southold, in the County of Suffolk and State of New York, and in the township of Southold, more particularly bounded and described as follows: SEE SCHEDULE A ANNEXED HERETO AND MADE A PART HEREOF Reserving to the party of the first part,Susan M. Sepenoski, a Life Estate in the subject premises. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated October 21, 2016, recorded November 3, 2016 in Liber 12886 page 641 in the Suffolk County Clerk's Office. 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 parry 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 "party"shall be construed as if it read "parties"when ever 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. IN PRESENCE OF: Susan M. Sepenoski f1deedsepenoski2018 SDULE A / ICBE ALL that certain plot,piece,or parcel of land situate North of the Village of Southold,in the County of Suffolk and State of New York,and in the township of Southold,more particularly bounded and described as follows: BEGINNING at a point on the northerly side of Old North Road distant 1332.39 feet westerly from the comer formed by the intersection ofthe westerly side of Lighthouse Road and the northerly side of Old North Road; THENCE alongthe northerly side of O1dNorth Road,South 33 deg 5tes129 minutes 28,seconds West,311.3 9 feet to a monument and to.land now or formerly of Stepnoski; THENCE along said land now or formerly of Siepnoski the following(2)courses and distances: 1) North 42 degrees 46 minutes 40 seconds West,150.00.feet; 2) South 33 degrees 26 minutes 10 seconds West, 145.00 feet to land now or formerly of Suffolk County Water Authority; THENCE along said land,North 42 degrees 46 minutes 40 seconds West, 1489.58 feet to a pipe and to land now or formerly of Boyce; THENCE along said land now or formerly of Boyce the following(2)courses and distances: .1) North 44 degrees 02 minutes 50 seconds East,270.67 feet to a pipe; 2) North 42 degrees 00 minutes 509 seconds West, 887.37 feet to a pipe and to Map of Northwood Estates,File#5675,filed 2/17/72; THENCE along said land,North 39 degrees 47 minutes 10 seconds East,1064.89 feet to a rod and to land now or formerly of Town of Southold; THENCE South 41 degrees 47 minutes 40 seconds Bast, 1151.49 feet to a monument; THENCE South 33 degrees 19 minutes 30 seconds West,517.75 feet to the northeast corner of the reserved area; THENCE South42 degrees 19 minutes 40 seconds East 1206.91 feet to the northerly side of Old North Road; THENCE along the northerly side of Old North Road South 33 degrees 29 minutes 28 seconds West,373.54 feet to the point or place of BEGINNING. TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of Suffolk,ss: State of New York,County of Suffolk ss: On the /3 day of July in the year 2018, On the day of ,in the year, before me,the undersigned,personally appeared before me,the undersigned,personally appeared SUSAN M.SEPENOSKI personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is satisfactory evidence to be the individual(s)whose name(s) is (are) subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/herttheir me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the individ I acted ex uted the' strum nt. the individual(s)acted,executed the instrument. i (signature affi office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) Notary P lic :ABIGAIL A.WICKHAM Notary Public �}h;5G` t �kAwy Public State of New York No.52=4642871 VJ,CKenaM Qualified in Suffolk County Commission Expires Sept.30,2W TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of County of as: On the day of ,in the year before me,the undersigned,personally appeared 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/they executed the same in his/her/their capecity(ies),and that by his/her/their signature(s)on the instrument,the individual(s), or the person upon behalf of which the individual(s)acted, executed the instrument,and that such individual made such appearance before the undersigned in the in New Jerse _ y (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgement) Notary Public BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS DISTRICT 1000 Title No. SECTION 054.00 BLOCK 03.00 SUSAN M. SEPENOSKI LOT 024.004&024.005 TO COUNTY OR TOWN SOUTHOLD STREET ADDRESS Recorded at Request of COMMONWEALTH LAND TITLE INSURANCE COMPANY RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS WICKHAM, BRESSLER&GEASA Distributed by I P.O. BOX 1424 Commonwealth MATTITUCK, NEW YORK 11952 4* A LANOAwRICA CO- COMMONWEALTH LAND TITLE INSURANCE COMPANY W U LL LL 0 2 O C' O U W 4' O W h 7 a o. LL w V a v1 _N 2 H W ' a W N W FOR COUNTY USE ONLY INSTRUCTIONS(RP-5217-PAF-INS):www.orps.sla;e.ny.us SWIS Code Lc, New York State Department of C1, L! O �I�, 1 i Taxation and Finance C2.Date Deed Recorded Office of Real Property Tax Services C9.Bbok LN Z, g S�C4.Page .x , I RP-5217-PDF PROPERTY INFORMAReal Property Transfer Ropon(8110) TION I.Property _655 Location Old North Road •VIRLETm1a3ER 'saCE:VWE Southold Sout'Old •cl:-oe Tnwh �� 1=5!1 Z.BuyNamed Sepe%os _ .?oh ?. •=FebcE •.AeT M1.WCs::aaMr eHS:VWE Se enoski Anton P an Me'Y WE.00W%W FRW i—ill 3.Tax Billing lnara:e W fere'L1uro T ex Bills ere to be sent Address 'f other than a yer address(s:bohon d ldrmj usr M1A K cou:AM' FIST MAW GTRELI MLL/=Dr kul C.1Y OR 1-11M+ fi�A:E LF'.C7L 4.Indicate the numbor of Assessment [ pan a Parcel (Only if part o[a Force])Check as they apply: Roll Parcels transferred on are dead a cr Parcels OR 17 4A.Planning Basic wim S.:bdlYlsio,Au:rcd:y Exists S.Deed Property •:a_.Y•.::F7 . E. OR S CaEs 2 4B,SUda�v'siar Appmva!was Required fo:Transfer Slee 4C.Parcel Approved for Subdi islon wish Map Prav dad Sepanosk_ Susan ht. s.Sailor asT My xraaMV Nemo plRST hwE '1T VA,IL-COa1AW FIRS-N E '7.Select the description which most accurately describes the Chock the boxes below as they appy: use of the property at the done of sale: B.Owrarship Type Is Cendomintur. E.Agricultural g.NOW Construction cn a Voan::and Li 70A.Property'_ocsted within an Agdc_furs Diseici 108.Buyer recer+ed a d:ac;os.-..1ol:ea,ndicatibg tha::ne property is.n W. Agmcultuma Dir.Icr G SALE INFORMATION 18.Check one or more of these conditions as applicable to transfer: A Sala Between Relawas or Former Raatives 11.Salo Contract Dab .B.Sole between Rooted Companies or Partners in Business C.One o'the Buyers is dso a Sear '72.Dots of SatalTrenslar 07-13-18 D.Buyer or Seller is Government Aga:.Cy or Lancing Insut..fi:n E.Dow Type not Warranty or Gargan and Sale(Spedfy Below; F Sale of Fracdonal or Lass:nan Fee Intores.(Specify BeIoW -19.Full Salo Price 0.00 G Slgnflcart Cr ange rn Property aatween Taxable S•etus a're Sale Dates Fl Sa e d e..s.ness is Indutleo in Sale Pr a 'Full Sao Price is bre total amount paid Por the pfcperty ir-Cuding personal property. I Ocher U.1'-a:Fewars Affecting Sale Fria{Specify 9e.cw) The paymiMt may be in the form of cash.Char property or goon.or Ine assumption or ,Narx mcelgaaes or other-bcga6mil)Rosso round to are nearest:Whole diger amamc Comments)on Condition: 14.Indicate the value of personal 0 property Included In the sale 00 ASSESSMENT INFORMATION-Data should reflect:he latest Final Assessment Roll and Tax Bill 1e.Year of Assessment Roll from which information takon(YY) 17 '17.Total Assessed Value 8_30,-1 '16.propory Claes 129 _ _ '19.School District Name Scutho.d '20.Tax Map IdandflarlsyRotl Identlfler(s)(If more than four,attach shoot with additional Identiflor(s)) _ti0t:-Ca4.C0-.3. 0-02.7.C04 1000-CS4.00-03.00024.005 CERTIFICATION I Certify that all of the items of information entered on this form are true and correct(to the best of my knowlodge and bolio fl and i understand that the making of any willful false statement of material fact herein subject mew the rovisiana ii the demi law relaavo to the making and filing of false Instruments. SELLER ERG BUYER CONTACT INFORMATION lEmer.v ra-.=hJra•s buyer Kc:e I:buyer li LLL,acGely,afacea:a',eclpcfiian IRIS sou zospny.rias cr 2 aPely:ells 1,0. inciv a-sl spent W hi day,char.n—.——aC ive-lacy-. as nd rnuahssporv" �/,�, .�I l i pL'y wr'a Gn ansMY RrlaseRni raaa7i'i:'a'TaniNr TJi:eR lnlaec Type or pdra Weady: soca iron.. BUYER SIGNATURE iSe?e:os r; Jchn P. 7r5_26.;a r,—y�� JYER SIaY:UiL •R.TEA C'J^E. 'TE:EP•x;'i=z�lYyda,EJ d:L%:: \f� DATE �6wC-0 iio_-cns Lane •WILET.-MR •VMS-N - :Sout`old 1Y 11_Q71 Rl , •e.Trnit:eeh -'s:Ate 'LF:.CaE r BUYER'S ATTORNEY i :As:YWe eRST hA11E I I r 1 II I APrACCX —•--• TE.EF�MEaJWr'eR:Er MnKl