HomeMy WebLinkAboutL 13317 P 978 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/25/2025
Number of Pages: 4 At: 8 :32 : 19 PM
Receipt Number: 25-0153755 *ELECTRONICALLY RECORDED*
Transfer Tax Number: 25-11936
LIBER: D00013317
PAGE: 978
District: Section: Block: Lot:
1000 117 .00 02 .00 018 .001
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount $1,900,000 . 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
Notation $0 . 00 NO Cert.Copies $0 . 00 NO
RPT $200 . 00 NO Mansion Tax $0 . 00 NO
EA-CTY $5. 00 NO EA-STATE $125. 00 NO
TP-584 $5. 00 NO Comm.Pres $42,500 . 00 NO
Comm.Pres Fund $34,000 . 00 NO Comm.Housing Fund $8,500 . 00 NO
Transfer Tax $0 . 00 NO
Transfer Tax Number: 25-11936 Fees Paid $42,895. 00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Vincent Puleo
County Clerk, Suffolk County
RECORDED
Numberof pages 4 11/25/2025 B:32:19 PM
VINCENT PULEO
CLERK OF
This, d}€.gismo.nt w'ilt be rublic SUFFOLK COUNTY
L D0 0 013317
prior to recordhq, 25-11936
Deod f Mortgage Instrument Deed 1 Mortgage Tax Stamp Recordinrq t Filing Stamps
FEES
Nga E Filing Fee .00 Mortgage Arnt.
1.Basic Tax ---
Handling 20. 00 2. Additional Tax
TP-584 5.00 SuhTota1
Notation 0.00 apecJAW,
or
EA-5217(County) 5.00 Sub Total 50.00 Spec,Add. -
EA•5217(State) 125.00 TCT.MTG.T°Att
R.P.T.&A. 200.00 Dual Town Dual County
Hetd for Appointment
Comm.of lWd. S- T tansfer Tax 0.00
Affidavit * �*
Mansion Tax 0.00
Certified Copy 0.00 The property covered by this mortgage is
or WH be improved by a one or two
Nys Surcharge 15, 00 345.00 family dwelling only.
Stab Total. _ YES or NO
Other 395.00
Grand Total If NO,see appropriate tax clause on
page# of this tnstrumant.
4 Dist. Section Block Lot 5 Commun y Preservation Fund
z5oasa33
Rea -No err 1,900,000.00
p ]i T 01Z1.Ctl3I r�tFQT1 Amour}It g
Tax Service P 5
RCW"" 42 500.00
Agency7/24/2025 �•[�}��I'E��7.dE
Verification 7
P 584 Prepaid ImpmVed X
�, &15�Ct[6€351 �f�A,�x- a�a50a €3 r4p@ f1ErS �1 i€!� reSS
RECORD&RE!URN TO-, vacantl.and
Fidelity National Title — Riverhead, N1 TD 10
24 Commerce Drive
Riverhead NY 11901 TD�
TD
Mail to: Vincent Puled,Wfolk County Clerk Title Company Informabon
310 Center D ve, Riverhead, ICY 1190-1 Co-Name
u wwau'ffolkwuntyny.govlclerk Title
Suffriolk County cccr ink & Endorsement Page
This page forms part of the attached DL® -made
4y, (SPECIFYTYP OF INSTRUMENT)
The prerniw5 herein issituated in
SUFFOLK COUNTY, NEW YORK
TO In tt*TOWN of SOUTHOLD
1 n the\ALl.AGE
or HAMLET of
soxEs6 THRU 8 3MU7 BE;YPED OF,PRINTED I BLACK INK ONLY PNOR To RECQR0ING OR Ft LING,
av
--oio(oag
' —Bargain and Sale Deed,with Covenant against Grantor's Acts—Individual or Corporation(Single Sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
A5 OF
THIS INDENTURE,made the N�
day of October,in the year 2025
BETWEEN THEODORE J.KOLTIS,HAVING AN ADDRESS OF 125 WEST 22ND STREET,APT.4B,
NEW YORK,NY 10011
party of the first part,and
JEFF FOX AND AMY FOX,HUSBAND AND WIFE,HAVING AN ADDRESS OF 2156 38TH STREET,
ASTORIA,NY 11105
party of the second part,
WITNESSETH,that the party of the first part,in consideration of Ten and 00/100($10.00)---dollars
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,situate,lying and being in the Town of
Southold,County of Suffolk and State of New York,bounded
and described as follows:
SEE Schedule A attached hereto and made a part hereof.
ALSO KNOWN AS SCTM #1000-117.00-02.00-018.001 and more commonly known as 5850 New Suffolk
Road,New Suffolk,NY 11956.
Being and intended to be the same premises described in a deed made by Sandra J.Perry dated July
25,2017 and recorded August 11,2017, in Liber 12924,page 535.
TOGETHER with all right,title and interest,if any,of the parry 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"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires.
IN WITNESS WHEREOF,the parry of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF: At
Theodore J.Koltis
FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO. 7404-020628
SCHEDULE A,
(Description of the Land)
For Tax Map ID(s): 1000-117.00-02.00-018.001
AMENDED 9/15/2025
ALL that certain plot, piece or parcel of land, situate, lying and being at New Suffolk, in the Town of Southold, County of
Suffolk, State of New York, being more particularly bounded and described as follows:
BEGINNING at a point on the westerly side of New Suffolk Road where the same is intersected by the northerly boundary
line of land now or formerly of Keith L. Piacente and Christine Piacente, said point or place of beginning being distant
North 7 degrees 2 minutes 20 seconds East 180.00 feet from the corner formed by the intersection of the northerly side of
George Road and the said westerly side of New Suffolk Road;
RUNNING THENCE from said point of beginning along said last mentioned land North 75 degrees 14 minutes 30 seconds
West 275.33 feet to land now or formerly of Stanley&Alexis Grodski;
THENCE, along said last mentioned land, North 8 degrees 32 minutes 20 seconds East 190.55 feet to land now or
formerly of Stan Grodski;
THENCE, along said land, South 72 degrees 56 minutes 40 seconds East 130.83 feet to land now or formerly of Cooper
Family 2007 Irrevocable Trust;
THENCE, along said last mentioned land, the following 2 courses and distances:
(1) South 18 degrees 47 minutes 20 seconds West 39.33 feet; and
(2) South 79 degrees 21 minutes 40 seconds East 147.32 feet to the westerly side of New Suffolk Road; and
THENCE along the westerly side of New Suffolk Road, South 7 degrees 2 minutes 20 seconds West 156.94 feet to the
point or place of BEGINNING.
THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the
premises which by law constitute real property.
FOR CONVEYANCING ONLY: Together with all the right, title and interest of the party of the first part, of in and to the
land lying in the street in front of and adjoining said premises.
END OF SCHEDULE A
Commitment for Title Insurance
Schedule A-1 Descrjption Printed: 09.15.25 @ 10:53 AM
NY-FT-FRVH-01 030.431004-S PS-1-25-7404-020628
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York,County of N 4'ss: State of New York,County of ,ss:
On the 2?ay of September in the year 2025 before me,the On the day of in the year
undersigned, THEODORE J. KOLTIS, personally appeared, 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 personally known to me or proved to me on the
the within instrument and acknowledged to me that he/she/they basis of satisfactory evidence to be the individual(s)whose name(s)is
(are)subscribed to the within instrument and acknowledged to me
executed the same in his/her/their capacity(ies), and that by that he/she/they executed the same in his/her/their capacity(ies),and
his/her/their signature(s)on the instrument,the individual(s),or the that by his/her/their signature(s)on the instrument,the individual(s),
person upon behalf of which the individuals acted, executed the or the person upon behalf of which the individual(s)acted,executed
() the instrument.
instrument.
Notary Public SUZANNE DECKER 1 ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK
Nolary Public-State of New York
No.02DE0016789 STATE �Q
Qualified in Westchester County 02D 00,(0,b-1
MY Commission Expires 11;22.'2027 *State of,County of ss:
rmeQ tl Z2 ZOZ-► *(Or insert District of Columbia Territory, Possession or Foreign
ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS County)
TAKEN IN NEW YORK STATE
On the day of in the year , before me the undersigned
State of New York,County of ss: personally appeared,.
On the day of in the year , Personally known to me or proved to me on the basis of satisfactory
before me,the undersigned,a Notary Public in and for said State, evidence to be the individual(s)whose name(s)is(are)subscribed to
personally appeared the within instrument and acknowledged to me that he/she/they
,the executed the same in his/her/their capacity(ies), that by his/her/their
subscribing witness to the foregoing instrument,with whom I am signature(s)on the instrument,the individual(s)or the person upon
personally acquainted,who,being by me duly swom,did depose and behalf of which the individual(s)acted,executed the instrument,and
say that he/she/they reside(s)in that such individual make such appearance before the undersigned in
the
(if the place of residence is in a city,include the street and street number if any,thereof); (add the city or political subdivision and the state or country or other
that he/she/they know(s) place the acknowledgement was taken).
to be the individual described in and who executed the foregoing
instrument;that said subscribing witness was present and saw said NOTARY
execute the same:and that said witness at the same time subscribed
Bargain and Sale Deed with
Covenant against Grantors Acts
SECTION 017.00
BLOCK 02.00
LOT 01&001
Title No. COUNTY OR TOWN Suffolk
TO
RETURN BY MAIL TO:
DISTRIBUTED BY
Electronic Land Services, Inc [D7avidOlsen,Esq.
2 Gannett Drive,Suite 104en,LLP
ELS White Plains,NY 10604Phone: 914-644-6100 oad
ax: 914-644-6159 Y 11934
www.Electron icLa nd.com
FOR COUNTY USE ONLY
C1_ SWIS Code 14 r 7 r 3 r 8 r 8 r 9 I Dr-INS):www.orps.state.ny-us
New Yank State Department of
C2_ Date need Recxmded 111 25 20251 Taxation and Finance
month nay rear
L41 Office of Rent Property Tax Services
C3_ nook I1,3 1.3 ,11 7 j C4_ Page I 1 19 1 71 81 RP- 5217-PDF
PROPERTY INFDRlfATIDNI Rost Property Transfer Report 41 IO)
1.Property 5850 €43 !w Suffolk Road.
Location ..... ___
-STREET NUM k:.R
"SrRFFT NASA} ------•
New Suffolk
rJTY OR raww ... �n.�.+ae .......
-r-sP cane
2.Buyer Fox ,TC f:f
Name ^^ .._
'LAST NAMEl OMPANr FIRST NAME
Fox Amy
LAsr NAMEi OMPANY ..,.,"._ �nsr a ML
3-Tax Indicate where future Tax BrRs are to be sent
81I11ng if other than buyer adore {at bottom of form)
Address L AZT - rsR9T .---
NAME
•• STREET NUMeGR AND Nor •••••••••• "• C YY OP TovY� STATE ZIP GOUT_
4.Indicate the number of Assessment 1 n Par,of a parcel Sanly if Bari of a Parted]Check as they apply.
Roll pamets transfSrred on the deed #of Parcels OR
4A-Planning Board with Subdivision Authority Exists
S.Deed _ X �)R 1_0 5
Property •FROrar FEEr _^^^" - 48.Subdivi Sion Appmvat was Required for Transfer ❑
^QEF'1'H �Af:H��.S��
Size 40.Parcel Approved for Supdivlsipn with Map Provided
Ko 1.t A.".a ` ne—adore J.
ll.Seller -LAST ryAME1GOMr'ANY
Name
rA5'r AfAMEK:L]MPfWY FIRST NAME. -.--� •••••W"•••"•••"••
'7.Select the description wh lch most accuraWy descobes the Check the boxes below as they apply-
use of the property at the time of Sale: 8.Ownership Type is condominmm
A. One Family Residential S.New Construction on a Vacant Land
......... ....._^^^^^^^^^^ _ 10A•Property Located within an Agricuttutar cistnct
I Buyer received a disctosure notice Indicating that the pmpeny N in an
Agricultural District
SALE Ili ❑ MATT❑N IS.Clock one or more of these conditions as applicab;e to transfer:
A.Sale Between Relative$or Former Relatives
11,sale Contract Rate 0 8/2 2/2 0 2 5 S.Sale between Related Companies or Partners in easiness.
C-One of the Buyers is also a Seiler
Q/d 2/2 0 2 5 m D-BuYer or Semler is Govemmarrt Agency Or Lending Institution
"12. of BalefTransfar E.Deed Type not Warranty yr Bargain and Sale(Specify Below)
F-Sate of Fractional or Less than Fee interest(Specify Below)
"73.Full Sale Price .1.r 9 0 0 r 0❑0 .00 G.SigniTicarrlt Change art Property Between Taxab4e Slafus and Sale Dates
H-Sale of Business is included in Sale Price
(Full Sale Prue is the total amount paid for the properly inci uding persona€property- 1. Other Unusuai Factors Affecting Sale Price(Specify Below)
This payrnent may be in the form of Cash,other property or goods,or the a urnption of J.None
mortgages or other obligations,)Mease round to the nearmsd whole d(tgar arnount-
Comment(sy on Cvndttlom
14-Indicate the value of personal
property included in the sate •00
ASSESSMENT INFORMATION-Data Should reflect the latest Final Assessment Roll and'Tax Bill
IS.Year of Assessment.Roll from which iniformation taken(Yy] 25 '17.Total Assessed Valu®
•ta.Property Class 210 _ � •ta.School District Name New Suffolk
'20.Tax Map tdendf"sjVRo11 Identifler(s)(If more Man four,attach Shoot with additional iden0fier(s)) _______^^^^^_
1 000-117.00--02.00--018.001
..... ....... .....w.._. .... __^...,w.^^ ._. .......
CERTIFICATION
1 Certify that all of the i s of information entered on this form are true and correct{to the best of rely krtow"o and better)and t understand that the matting of any willful
false state7T:
t herafn subject me to tha,�f5xristong 4f. 8 tta1,Nrj f0tative to the making and filing��of false instruments.
SE"—F—R.a1-0NATIME fWY,ER.CQik1 TACT_jHF.0RfVLATL�>♦[
[Enter Wonasllon rw'V` buyer.Note:Sr txiyar is LLC,society,asspolaljgn,wrporstion,}olnt Rtack�xm"ny,estate or
entity that is not an indmdu agent p rKtuciary,then a name ena wntact information of an in[fiYlduerlr9sponarlHa
parry who c�answer questions mgarong the transfer must 11e entered.Type or print 49aady.)
IIE!LFH Sic AT�fRF t DATE
r
Y3UYER. .i {�ATi1ftE Fox
•LAST ryAreF FiHS'S NAi'.11;
w,.,.,w„ •A4 EA CAE •TE[-�f+wQNi':NiiMg1=R[Ex:A989999]•••
J�, S4GNAT'URk; DATE,
21.56 38i.k1 Street
•srRsr_r r;uan�ea"....•.` ----:sraEEr w.vAa ......... ..._
I 1 Astoria NY 11 05
carY Orr Tows •snore. •x+r code
P 0M,XERM-ATT'Q.RNF—y-
1 I 01.sr"_n David
1 t ! t� It ASl't:.4ME. • FIRST NAMF; •••
734-6666
1 { AREA CQQE ..�..�. -- � TELEFf F.NV.8E.R[Zz:9999j
e
{ r 1 ! { 1 1 ■