HomeMy WebLinkAboutL 12057 P 447Bargain and Sale Deed with Covenants against Grantor's Acts, Individual or Corporation (Single Sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT- THIS INSTRUMENT SHOULD BE USED BY LAWYERS oNLY1 i; ' '
INDENIURE, made the /~ day of ~/-O~ ~ , Two Thousand ~ ,
THIS
Between LESLIE GROHOSKI, residing at 1582 Lanark Court, Apt. 235, Memphis, TN 38134,
party of the first part1 and
11971
path/of the second part,
DAVID CICHANOWICZ, residing at 1425 Arshamomaque Avenue, Southold, NY
:
Witnesseth, that the party of the first part, in consideration of Ten Dollars and other valuable
the party of the second part, does hereby grant and release unto the party of the second part, the
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
being in the Town of Southold, at Bayview, County of Suffolk and State of New York, being known and
lot No. 19 on a certain map entitled, "Subdivision Map of BaysidE
of Suffolk on 3/11/53 as map No. 2034, said lot being bounded and described as follows:
BEGINNING at a point on the southeasterly side of Summer Lane, said point being distant 83.22 feet
the corner formed by the intersection of the southerly side of North Bayview Road and the
Summer Lane;
THENCE from said point of beginning, marked by a monument, South 64 degrees 54 minutes 30 seco~d;~
110.05 feet to a pipe;
THENCE South 26 degrees 11 minutes 50 seconds West, 91.76 feet;
THENCE South 24 degrees 52 minutes 20 seconds 8.27 feet to a monument;
THENCE North 64 degrees 54 minutes 30 seconds West, 108.32 feet to a monument on the
Summer Lane;
THENCE along the southeasterly side of Summer Lane, North 25 degrees 05 minutes 30 seconds East,
to the point or place of BEGINNING.
BEING AND INTENDED TO be the same premises conveyed to the party of the first part herein by
August 7, 1996, recorded on August 7, 1996 in Liber 11786, cp 392.
Together with all right, title and interest, if any, of the pa~, o[ the first part in and to any s
above described premises to the center lines thereof; Together with the appurtenances and all the
of the party of the first part in and to said premises; To Have and to Hold the premises herein granted unto
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
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
will receive the consideration for this conveyance and will hold the right to receive such consideration as a
to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the
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 "partie~
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and
IN PRESENCE OF:
LESLIE GROHOSK1
120577 ,447
USE ACKNOWLEDGMENT FORM BELOW WITHIN NEW YORK STATE
ONLY?
STATE OF NEW YORK, COUNTY OF SUFFOLK )ss.;
On the day of 2000
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 capacity(les), and that by his/her/their signature(s) on the
instrument, the individual(s), or the person upon behalf of which the
individua)s(s) acted, executed the instrumept
Notary Public
,,~
USE ACKNOWLEDGMENT FORM BELOW WITHIN_NEW
ONLY:
On the day of 1999, i
before me, the undersigned, personally appeared i
personally known to me or proved to me on the basis of satisfactory
evidence to be the individual(s) whose name(s) is (are) subschbed to; the
within nstrumen and acknowedged to me that he/she/they executed'the
same in his/her/their capacity(les) and that by his/her/their signature(s)
the instrument, the individual(s, or the person upon behalf of which the
individuals(s acted executed the instrument, i
ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE
ONL 'A
STATE OF NEW YORK, COUNTY OF SUFFOLK )ss.:
On the day of ,2000
before me, the undersigned, personally appeared
the subscribing witness to the foregoing instrument, with whom I am
personally acquainted, who being by me duly sworn, did depose and say that
he/she/they reside(s) in
(if the p/ace of residence is in a city, include the street and street number, if
any, thereoO; that he/she/they know(s)
to be the individual described in and who executed the foregoing instrument;
that said subscribing witness was present and saw said
execute the same; and that said witness at the same time subscribed
. his/her/their name(s) as a witness thereto.
Notary Public
ACKNOWLEDGMENT FORM FOR USE OUTSIDE NEW YORK STATE
ONL ~' (Out of State or F~reign General Acknowledgment Certif'~) ~
(Complete ~Ve. flue with State, Count/y, Prevince or Municipality)
On the /C'w'' day of June 2000
before me. the undersigned, personally appeared
LESLIE GROHOSKI
personally known to me or proved to me on the basis of sstlsfacto~j
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 capacity(ies), and that by his/her/their signature(s) on
the instrument, the individual(s), or the person upon behalf of which the
individuals(s) acted, executed the instrument, and that such i~ldividual,
made such,appearance before the u~dersigned in the Co
(/hseltthecity°r°therp°liticalsubdivisi°nandtheste/e°rc°unt/y~'°r°ther' ;
piece the acknowle~r~ment was taken). ,
NotapJ Public
i
Linda C. Hankins L~
Notary Public State of MS '~
My Comm. Expires August 25, 2003 I ~
Bargain and Sale Deed
With Covenant Against Grantor's Acts
Title No.
LESLIE GROHOSKI
TO
DAVID CICHANOWICZ
DISTRICT 1000
SECTION 078
BLOCK 09
LOT 018
COUNTY OR TOVVN
Southold
RETURN BY MAIL TO
HENRY S, SAXTEIN, ESQ.
737 Roanoke Ave., P. O. Box 904
Riverhead, NY 11901
(631) 727-2211
1205WC447
Number of pages
TORRENS
Serial #
Certificate #
Prior Cfi. #
Deed / Mortgage Instrument
4
- -' 50~$5
--RECEIVED
,236:,
~IEAL ESTATE
JUL 2 1 2000
TRANSFER TAX
SUFFOIJ(
coUNTY
Deed / Mortgage Tax Stamp
FEES
Page / Filing Fee
Handling
TP-584
Notation
EA-52 17 (County)
EA-52t7 (State)
Comm. of Ed.
Reg. Copy
~her
500
Real Property Tax Service Agency Verification
Dist. Section B lock
Lot
O0 JUL 21 PH 12:05
CLERK OF
SUFFOLK COUNTY
Recording
Mortgage Amt.
1. Basic Tax
2. Additional Tax , I
Sub Total )
Spec./Assit.
Spec./Add.
TOT. MTG. TAX
Dual Town Dual Count
Held for Apportionment
Transfer Tax
Mansion Tax
The property
will be improved by a one
dwelling only.
YES or NO
If NO, see approp
of this instrument.
Conmaunity
Consideration Amount $'
CPF Tax Due $
;atisfactions/Discharges/Releases List Property Owners Mailin
RECORD & RETURN TO:
Suffolk
This page forms part of the attached
TO
RECEIVED
$ O
JUL 2 1 2000
F~JND
Title Company Informatio
~.o. Name
#
Recordin & Endorsement
(SPECIFY TYPE OF INSTRUMENT )
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the Township of..~,i )'~)~ Ir~
In the VILLAGE
or HAMLET of
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR,
WRmNG 'O N--F~-~M
iNSTRUCTIONS: ht~p://vvww.orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY USE; ,~ONLY IOnth Day ~
c,. s,s
C2. Date DeedRecorded I . -~ / ~ !
~ ~ / I C4. Pagel, r , I
PROPERiy INFORMATION ]
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STA3E BOARD OF REAL PROPERTY SERVICES
RP -5217
RP-5217 Rev ~
1. Property 800 I
Location STREETNUMBER
Town of Sou~hold
CITY O~ TOWN
2. Buyer I CICHANOWICZ
Summer Lane
I Southold
DAVID
I 11971
LAST NAME / COMPANY
FIRST NAME
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
Address
STREET NUMBER AND STREET NAME
LAST NAME / COMPANY
CITY OR TOWN
FIRST NAME
I , I
STATE
ZIP CODE
5. Deed
Property I IX I
Size F~O~TFEET
DEPTH
, # of Parcels OR I I Par~ of a Parcel
IoBI ,2 ,5 j
IACRESI
(Only if Part of a Parcel) Check as they appl~
4A. Planning Board with Subdivision Authority Exists []
48. Subdivision Approval was Required for Transfer []
4C. Parcel Approved for Subdivision with Map Provided []
6. Seller I
Name
GEOHOSKI
LESLIE
LASTNAME/COMPANY
FIRST NAME
LASTNAME/COMPANY
FIRST NAME
7. Check the box below which most accurately describes the use of the property at the time of sale:
A~--] One Family Residential
B ~J 2 or 3 Family Residential
C LJ Residential Vacant Land
D LJ Non-Residentlal Vacant Land
SALE INFORMATION !
11. Sale Contract Date
Agricultural ! J~ Communib/Service
Commercial ] Industrial
Apartment K~.~ Public Service
Entertainment/Amusement LL~ Forest
i ~2 1[7 ioo I
Month Day Year
Check the boxes below as they apply:
8. Ownership Type is Condominium []
9. New Construction on Vacant Land []
10A. Property Located within an Agricultural District []
108. Buyer received a disclosure notice indicating []
that the property is in an Agricultural District
t2. Date of Sale / Transfer i 'Q / /0 / ~000
Month Day Year
13. Full Sale Price I ~ ~
, ,5 ,9 ,0 ,0 ,0 ,0, 01
(Full Sale Price is the total amount paid for the properb/including personal properiy.
This payment may be in the form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Please round to the nearest whole dollar amount.
14, Indicate the value of personal I ~ ~ ~ ~ I I 0 ~ 0 I 0 [
15. Check one or more of these conditions as applicable to transfer:
A Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
C One of the Buyers is also a Seller
D Buyer or Seller is Government Agency or Lending Institution
E Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or ~:ess than Fee rnterest (Specily Below)
Significant Change in Property Bet~veen Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
J None
property included in the sale ff 5 ·
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment R~ and Tax Bill ~
16. Year of Assessment Roll from [9 ,9 J 17. Total Assessed Value Iof all parcels in transfer) I ~ ~ 5
which information taken 2 P ,0 ,0 I
18. Property Class 12 , 1 ,0 r-I I 19. School District Name I :~:5
20. Tax Map Identifier(s) / Roll Identifier{s) (ff more than four, aRach sheet with additional identifier(s))
I 1000/078.00/09.00/018.000
J I I
[ I I j
I certify that all of the items of irfformation entered on this form are true and correct (to the best of my knowledge ~nd belief) and I understand that the making
of any willful false slatement of material fact herein ~ subject me to the provisions of the penal law relative to the making and filJn~ of false lastruments.
BUYER
SELLER
SELLER SIGNATURE DATE
BUYER'S ATTORNEY
Saxtein Henry S.
LAST NAME FiRST NAME
(631) I 727-2211
AREA CODE TELEPHONE NUMBER