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CONSULTYOUR LAWYER BEFORE SIGNING TNIS INSTRUMENT-THIS INSTRUMENT aHOULJ) BE USED BY LAWYERS ONLY
~~ ~~ THIS INDENTURE, made the 16th day of July .2007
BETWEEN
BARBARA SZCZOTKA, residing at 790 North Road, Peconic, New York 11958 and JOAN S. JENKINS,
residing at 2800 Depot Lane, Cutehoguo, New York 11935
as executor of the last will and testament of
STEVEN J. DOROSKI ,late of
Southold. New York Suffolk County, deceased.
party of the first part, and
BARBARA SZCZOTKA and THEODORE SZCZOTKA, residing at 190 North Road, Peconic, New York 11958
as tenants by the entirety
party of the second part,
WfTNESSETH, that the party of the first part, by virtue of the power and authority given in and by said last will and
testament, and inconsideration of TEN AND 00/700 ($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, with the buildings and improvements thereon erected, situate, lying
and being in the Town of Southold, County of Suffolk and State of New York being more particularly bounded and
described on Schedule A annexed hereto and made a part hereof.
TOGETHER with ail 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 also all
the estate which the said decedent had at the time of decedent's death in said premises, and also the estate
therein, which the party of the first part has or has power to convey or dispose of, whether individually, or by virtue
of said will or otherwise; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,
the heirs ar successors and assigns of the party of the second part forever.
AND the parry 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, incompliance 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 consideretion as a Wst
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 party of the first part has duly executed this deed the day and year first above vairien.
IN PRESENCE OF:
Standartl N Y B T.U. Form 8005 - Exewlor'a Dead -Uniform
ESTATE OF STEVEN J. DOROSKI
SCI•IEUULE A
ES7'A"PE OF STEPIiEN J. UOl2OSK1 to
BAItBARr1 SCZCUTKA and THEOI)ORF. SZCZOTKA
l ODU-U69.00-U3.U0-U01.000
lU4U County !toad 48, Southold, New York 11971
ALL that certain plot, puce ur parcel of land, kith the buildings and improvements thereon
ructed, situate, lying and being near the Village oC Southold, in the Town of Southold, Suffolk
County, New York, bounded and described as follo~~•s:
13f:GINNING at a point formed by the intersection ol'the easterly side of the North Road and
northerly side of Bowery Lanc;
RUNNING'I'I•IGNCI North 23 dcgrccs 22 minutes East a distance of 140.00 feet to an iron pipe
and other land of Edward 1.. Donahue;
RUNNING 'I'EII:NCI: South 59 dcgrccs UU seconds L•'ast, along said other land ul' I:dwurd 1..
Uunahue a distance of 150.00 t'eet to an iron pipe:
RUNNING'I'HENCE South 23 degrees 22 minutes West along other land of Edward L.
Donahue a distance of !40.00 feet to the Northerly side oCBowcq• Lune;
RUNNING TI•IENCE North 59 dcgrccs 00 seconds West along the northerly side of Bowery
I.anr n distance of 150.00 feet to the point or place of BEGINNING.
7'GGE'fl•IER WIl'FI all the right, title and intrust ul'the party of the first pan, ifany, oi: in and
to said Bowery Lanc and the North Road, abutting on and adjarrnt to said premises.
BITING AND IN'I'I:NI)C:D "I'U BL""• the same premises as conveyed to the parry of the first part by
decd dated September 29, 1971, and recorded in the OlTicc of the Clerk of the County of Suftblk
on October 1, 1971 in I.iber 7017 at ['age 541.
TQ BE USED ONLY WHEN THE ACKNOWLED MENT IS MADE IN N W YORE( STATE
State of New York, County of Suffolk ss
On the ~t0 day of ~ ~ in the year 2007
before me. the undercigned.~reonaly appeared
Barbara Sxuotka
personally known to me or proved to me on the basis of
satiafadory evidence to be the Indlvidual(s) whose name(s) is
(aro) subscribed to the within instrument and er•Jcnowledged to mo
that he/sheAhey executed lho same in his/her/thek capadty(ies),
and Ihat by hiaAterAheir signature(s) on the insVument, the
individual(s). or the arson upon behalf of which the individual(s)
acted, executed t~nswment.
(signature and office of ingMridual taking acknowledgment)
(signaltire and office of individual taking acknowledgment)
:'
State (or District of Calumbia~erritary, or Foreign Country) of ~ ss:
On the day of in the year before me, the ndercigned, personally appeared
personally known to me or pr veil to me on the basis of satisfactory evidence to be the individual( whose name(s) is (are) subscribed
to the within inslrumonl an acknowledged to me Ihat he/sheRhey executed the same in his her/lheir cepacity(ios). and Ihal by
hisrtterltheir signature(s) on a instrument, the Individual(s), or the person upon behall of whrch he individual(s) ailed, exocuted the
instrument, and that wch in Ivldual made wilt appearance bebre the undersigned in the
SUSAN K TOOKER
NOTARY PI IBLIC, State of New Yak
No.O1T05o78120
tA,aifod r Sutlolk Cow
Commission Exairos May ~ ~ 20~
in
(and insert the stela or
~~(~UTOR'S DEED
le o.
ESTATE OF STEVEN J. DOROSKI
TO
BARBARA SZCZOTKA and THEODORE SZCZOTKA
or
was takaN
(signaNre and oft of rndivldual taking
7 ~,'i
l NOMnj ~ t~~ol tak
. ,.
aoar°~'~e~.t~to1~
.-_,:~
SECTION
BLOCK
LOT
COUNTY OR TOWN
STREET ADDRESS
COMMONWEALTH LAND TITLE INSURANCE COMPANY
Recorded at Request of
RETURN BY MAIL TO:
marcia c. Herter, tsq.
Esseks, Hefter 8 Angel, LLP
P. O. Box 279
108 East Matra Street
Riverhead, NY 11901
State of New York, County of ~~° ss:
On the / (, day of in the year 2007
before rf~e the undersigned, rsonally appeared
Joan 8. Jenkins
personally known to me w proved to mo on the basis of
aalisfaUory evidence to Ue tho individual(s) whose name(sT is
(are) subscribed to the within instrument and acknowledged to mo
that he/ahe/they executed the same inhis/her/their capaatypes).
and that by his/her/their signature(s) on the inetrumonl, the
individual(s), or the person upon behalf of which the individuat(e)
ailed, executed the instrument.
RESERVE Two SPACE FOR USE OF RECORDWO OFFICE
Please be advised this documerrl will~be~public record Remove Social Security Number(s) prlai to recording.
111121
Number of pages RECORDED
2007 Jul 30 ! 1:42:54 {E1
TORR&\S Judith A. Pascale
CLERK OF
Suial # SUFFOLK COUNTY
L DOOO12515
Certificate # F 6BO
DTt 06-41213
Prior Ctf. #
Deed /Mortgage InsWmcnt Deed /Mortgage Tax Stamp Rccotding /Filing Stamps
FEES
Page /Filing Fee ~~ _
Handling
TP-584
Noution
EA-52 17 (County) ~-
EA-5217 (State) _____
R.P.T.S.A.
Comm, of Ed. 5. 00
Affidavit
Certifud Copy _,
Sub Total
NYS Surcharge 15. ~ Sub Total
Othu
Grand Total _ ,T
4 DisL100f 107022900 >.ooti oe9oo 0300 ooiooo
Real Property P T S
Tax Service RSFL A
Agency OJUL-07
VcriPication
Mortgage Amt.
1. Basic Tax _
2. Additional Tax
Sub Total _
Spec./Assn.
or
Spec. /Add. _
TOT. MTG. TAX _
Dual Town _ Dual County
Hold for Appointment -
Transfu Tax
Mansion Tax
The property covered by this mortgage is
or will be improved by a one or two
family dwelling only.
YES or NO
If NO, see appropriate tax clause on
page # of this instrument.
5 ~Coaumuaity Preservatioa Plitad
Consideration Amount
CPF Tax Due S -0-
Vacant Land
6 Satisfactions/Dischatges/Releases List Property Owners Mailing Address
RECORD & RETURN TO: TD ~_
Marcia Z. Hefter, Esq. TD
Esseks, Hefter 8 Angel, LLP TD
PO Box 279
Riverhead, NY 11901-0279
7 'IYtle Com an Information
Co. Name
Title #
This page forms part of the attached Executor's Deed
made by:
(SPECIFY TYPE OF INSTRUMENT)
Estate of Steven J. Doroski
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the Township of Southold
Barbara Szczotka and Theodore Szczotka In the VILLAGE
or HAMLET of Southold
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDWG OR FILING.
(over)
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD Recorded: 07/30/2007
Number of Pages: 4 Ats 11:42:54 AM
Receipt Number 07-0069519
TRANSFER TAX NUb~ER: 06-41213 LIBER: D00012515
PAGE: 660
District: Section: Block: Lot:
1000 069.00 03.00 001.000
EXAMINED AND CHARGED A3 FOLLOWS
Deed Amount: $0.00
Received the Following Fees For
Above Instrument
Exempt
NO Handling
NO NYS SRCHG
NO EA-STATE
NO Cert.Copiea
NO SCTM
NO Comm.Prea
Bees Paid
$5.00
$15.00
$75.00
$o.oo
$0.00
$0.00
$152.00
Exempt
NO
NO
NO
NO
NO
NO
Page/Filing $12.00
COE $5.00
EA-CTY $5.00
TP-584 $5.00
RPT $30.00
Transfer tax $0.00
TRANSFER TAX NUMBER: 06-41213
THIS PAGB IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Judith A. Pascale
County Clerk, Suffolk County
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: httpJ/ www.orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
CI. SWIS Code
C2. Dab Dead Ratwrdad
C8. Rook I ~ ~~~
r ~/`x.//V~I
~. Pam
REAL PROPERTY TRANSFER REPORT
BTATE OF NEW YORK
STATE tlOARD OF REAL PROPERTY SERVICES
RP - 5217
wa:u a,. L.r
1•~ I 1040 I County Road 48 ~
ar n wwetn ar ~r Naln
I Southold I Southold - 111971 I
c'noa Ivwx wllAOe
ae
a. auyar I Szczotka I Barbara 1
Nana uar NNMIGwfAMI fNar NANe
I Szczotka I Theodore 1
WINMiICpNfANT -- fWINNYF
9. Tea ' ~ Ndiml! wMro future Tea Silk w ro b Yro
tllNnp tl odw tlwrr taryar atldrw let boaan of lomd l ~ I I
Addrew tAer xNSrf rmwNrw ial xir!
L I I I I
maltT NUMala AVnSroflT llaW gTpah RATE :n CpnF
4. bdirate the nmMar d Aaaeswnwd ~ (Orly tl Rat d ^ Parodl grerJt u dteY apply:
netl pareeh trambned on lira dae0 I . 1 I I of Pucek OR ^ Part of a Psrcel
k Pbndrp eoem whh Subdivision Authodly Exkn ^
tl. Rwp~pa~ ( 140 I X 150 oR I I ~' Subdivision Approvd wu Resuirod 1« TrarWx ^
&:. mrwr r!!r ~a:~ -~ •,~eE dC. Partd Approved for Subdivision with Msp Ptovidod ^
&sdbr I Estate of Steven J. Doroaki I I
Nellie lASI YNM, I MMY faaT N,W!
I I I
lAirNMil MNW fIRST IrNN!
T. Clleak tlm hoe hdew•whtdt meat ea«etdy da«Sin tM uw of or property !j Me tlma d wle: Cllsek tM hoase tldow a they apply:
& OwTardtlP Type k Condominium ^
r\ One Famiy Reaidantbl F Apriwlturd 1 Community Servip 9. Nave Corrstnrrtiorr on Yoram land ^
B ~ «9 Family ReddsmiY F Cormwcial J IndusuLTl 1hA Property lxamd whhN an Apdmlt«d Diddd
C RedMlaid Vaunt tend G Apartmam K~ PuDlk service 108. Suror remlvod . dbdaauro rwtco ealibthp ^
D Nan•RSSidamid Varam land H Emorteimunt /Amusement L Fond the the property is N an Aprcubtnl DktriC ^
SALE INFORMATION 15. rJmrA area « mm d Mew eenmeblts r epppeaWe M tnMw:
It. Sob Cenbaet Dab I / n/a / I A x ~ Sde Between pe4Gvs «FOmlr Rebthns
N Y YYr B Bab eahvean wlebd Cam
pamsn «ParlMro In tlesinaaa
C One d fife Buyen Ia ako o Soyor
12 Dab d 8ele / Tramlw I -7 / /(p / 07 I O Suyor «seller k Govwrorora Apsney or LaMinp Irodtution
corm oar eau E• Deed Typ not Waranry or arpain and SW 15pedry Selewl
F Sale of Froetiunal or lan than Fea bderoat ISPeafy Bdowl
77. Futl Sab Ries ~ ~ 11 () I G SipnlEunt Charge In Property Between Taxable Status and Sele Dab
~ ~ e H Sale d Buainao b Ira:ludad in seb Price .
tFUll SW Price is the toW amorNn paid for the propony intludinp p«sonal property. 1 OrMr Unusud Factors AllectinS Sals Prics (Specify Salowl
Thb paymene may M in the hum d ush, atMr propsdy ar pooch, ar IM aeumption of J None
mortpepr««he ablipatbna.l F7sew roundrorhe nurosr whtde rlelar amount Executorte Deed
1L bdrab ore vdw a penend I ~-0- ~ 11 ~ 11 I
property InrJudedm Me tab
1a. Year d Aaaewirem ttw Irom I 0 J IT. ToW Araaed vewe (et all prole b vrnbd I 3 3 0 0 I
whh•L hd«irtaoon tekert _ _ ! f
la Property Clap L.it'7-LI 19. School Dbtrkt Name
to. Tea Mep idemtlirla{ I Rotl Identtllwla) Ut men Men torn, atterh civet with eddhiond idardtlleNsll
I 1000-069.00-03.00-001.000 I
CERTFICATION
T lertiry Sud dl d the kimw d ioT«mdbn tobred oo thk form arc true and mmtil tb Ih' Got d roy hnowkdRe arrd beliMl and 1 utderstepd ant the mahhpl
d pil)' wSlTUI fuke almerrleol d nWeriW mct herein w1tl whf M me to Mt Prnvbi«u of the oemrl bw rylmite b the makinS and REull of fdre Imttmoeob:
BWER
/~c~c.~c.u ~t,,~,,1,1„r~ 17 i~blo7
s,MaupNaTUae ~ ~ wn
P. 0. Box 3715, 190 North Road
aTl!lr NIIIIa[N eIInFT NAYe 1.Vl,e as Fl
Peconic I NY 1 11958
oTrwtnwv aTAa mcm
' SELLER
"•tN °'+~ ~ q, I e l/6x07
a
RUYER'8 ATTORNEY
Hefter I Marcia Z
IAST x+rl[ 1,6r xaw
631 1 369-1700
Nmafao wlfnlrlw Nllnln
NEW YORK STATE
COPY