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COll\r."J1.T ''''nJR LA"""U Bt.:nnu; IUGSING TillS L'lii'5TIlC~lE.W w 11IDi 1Sh,..UJ,IJCIII'I' HIIQlJI.D JIll: Qif.D BY LA\\'YJUUI C>>iLY
h..
THIS INDE"TURF.. nuadc the 17 - day of November . in tit< year 2004
BETWEEN ALBERT J. KRUPSKI, SR. and HELEN A. KRUPSKI. both residing at
RR3. 38030 Main Road. Peconic, New York 11958 as Trustees oltbeALBERT J. KRUPSKI, SR.
Rt:VOCABLE TRUST datfll Aprl127, 1998 wltb respect to a filly (50"/0) per cenr Inr..resr; and
HEI.t:N A. KRUPSKI and ALBERT J. KRUPSKI, SR.. borh of whom reside at RR3. 38030 Main
Road, Peconic, N..wYork 11958 ~sTrusr.....orrb.. HELEN A. KRUPSKI REV,OCABI.K TRUST
dated April 27, 1998 wlrh r...peet to a filly (50%) iaterest, as renants In common,
\ - .
pony uftlt< Ii".. pon. ond AI.BERT J. KRUPSKI. SR. an(UIEl:.EN A. KRUPSKI. his wife. residinll
at RR3. 38030 Main Ro..d. Pcconie. New York 11958
pany of the """"nd palT.
WITNE.CWETH. thallhe p:.uty of the first pun. in C'onsidcnation of1"C'R Llullars and other valuable cunskJcr.u.iun paid hy l~
puny orllle a"l.-ond part..:;Ioe", hereby InulI and ~1c~ UDkJ lhe IXLrty oflhe KeCODd pw1. the bein or SUC:C:CSSOI'I and DlsiCnsur
the pllITY af the _ond pan farever.
ALl.. that certain pial. pie..'"I: or puR.~1 urland. "lith lh&: buildios." and irnprovcnk"lllS thereon erected. situate. lyial and beinJ: in the
District
1000 .
ar Peconic. in the Town of SOUl hold. County of Suffolk un'" Slale of New York. bounded northerly
by the Main South Road; easterly by land now or fonnerly of Edward Charnews; southerly by land
now or fonnerly of Mary Swiatocha and westerly by rhe lands now or fonnerly of Adam Doroski and
others. supposed to contain 19 acres, more or less.
Sect:ion
085.000
B10ck
03.00
SAID premises beinll known as 38030 Main Road, Pcconie. New York 11958.
Lot
008.000
BEING AND INTENDED TO BE THE same premises conveyed to the party or the first purl by
deed dated April 27, 1998. recorded in Libcr 11892 Palle 093 on May 6.1998. in the Otliee ofthe
Clerk of the County ofSun!>lk.
TOGETHKR withull right. title WkI in~ru!ll. iran)'. oflhe party oft~ finll pMt 'If. in ami tnnny ~tn."Ctal and nlWb abuuing the
nhoYC-4bcrihl:d pn:mi!5C~ h'ltoo a:ntc1' Jine. Lhen..-of: TOGI:.'TH.:R whh 11":0 u.ppunm.~ and all the awe and rilh" of the
party of the fint part in DDd 10 .aid prcmiseli.: TO IIA VB AND TO HOLD the premilCS hemn JPDIItcd unto the party of the
!feCund pan. the heir.; or SIK."\."CSSOI'S and ass1lRSofthe party of.he ~oncl pan forever.
AND the fIW1.y of the (in;t pan c:ovenWlu that the p:an)' of the: finn pu.rt hIlS not done or liuffen:d Wlythinl whcn:hy the: liOD.id
premilk."lwvc: tIL"en inc."Umbcn.'d in any way whall.:\'~r. t:-"'lr.".:pl W5 afun:~id.
AND thl: JXU1Y ufthe first part. in c:ompliant'1l: wilh s.:.,,'dun 13 uftlk! I.ien Luw. lr.'t)wnanu. that the party urthc fil'5t pan ~.i11
receive the c:an"ideratiNl ((II" thi. lr."fmw)'uace and will hold dae nuhtln rec..-ei\"C a~h CCIIUIicler.alic", as II InUIt fund to be applied
firsl for tbt.. purpose af payin... dw C'OM ",r tbr impro~menl and will appl)' 1hr MUDIr first 141 the payment N the t,:'lAo1: nf the:
impnnremcnt before usin, an,.' pari or lhe total or the same for any OIher purpose,
1bc word '-p:u1y"' shull be COIl5ln1L-d Wi if it read -partie." whcuc\"l:r the ~nse uf this indenture so requires.
IN \Vrr"ESS \VHEREOF, tbe party ''If the lil'Jlt part hw; duly C'"C&:'ut~ thiM dt\.-d the duy und ynr Ii...t above writk'n.
IN PRtiS1I.NCK OF;
4tf14 r,~. ~.
ert . Krups ~ Sr.. Trustee
'~;t~ ~
e en . rups rust:..
VSRAC:JlA'l1M7ElJt;'Vfi,\T,.YJIlMIINWW""111U,,'Y N~"B')'fM'K~~A.mO.",'s:
S.....orN...Vork.COUDlyol Suffolk 'os.:
On tIro /7 day of November in "I< Yl'lU' 2004
bef'ote me. "'" ullll<niiJlno...., po.'t1IolIIOI1y __,,:..1
Albert J. Krupski. Sr. and Helen A. Krupski
pcnkm:aUy known ItI rna: or pruwc.l to n~ oa w b:a.ou Ilf l3IiKf'UI.'Wry
cvidcm:c 10 be lhe individualUr) y,h_ nanleCS) Us (OU'C) s\l~..rib:d IU Ihr.:
Vlrilhln iuuumcnl and a:know1cdgcd to me thai hcIshcIIb:y ..:x.:.:u.......
the !liUnle in hirJh&:rfLhL.-ir t.."IlpUl:iI)'Ch:$'J. and lhut by hisll1l:rf1hcir
signalW\.o(s) ,... II'Ic il'llllllUmeftt. 1be' vidwll(5). IJI" the ~l"!WIn upnn
behalf "r whiL"h Ilk' indi . ~Uh."" 1M .
"'--__ E.
~'..AI
AC.TAVMU!lJWIKJI,T PORM""OIl USE WIJJu.~ New YUIIK STA>>:ON..'Y:
,'*'- r.d .'laM-rtHis: Mo'ibW..... .4cbw...'lNJ'........ CrTlt!iLWld
SIll.. 01:0.1... V....k, County of ,...,
On aha: day \'1f in me yc;ar
t.:f".. "". "'" undL...iJlncd. 1'<",,'n.1Iy lI/'P<".acd
Ihr wMaitling willlL.'1li 10 t~ f\.lrli!'gc.linp iR5UUmcnl. with WNUII I urn
po......muJly UC>jUlIinll:d. who. "'i"" I>y .... duly..."",. did <10."..., und
""y dial ""'o;I"'/"I<Y ....deI., in
fU""- pIl",.,ifrnlJm&."t! is in u dIY. int:lud"hI.s'rn', &l1Id $1",,1 nun,""",
if QIl)', ~""JjJ: ..... hd>hc:/Ihey kn..wCol
In he the indh'iduaJ described in :md who cx.......-UlC..... 1Iu: ffft&ninK
iMIIUI1II:'11I; rhm: Mid suba-ribing "';lnL"I$ Vlr"W' pn."1lI4:nlllllLl SIIW li:lid
L~X&."'"u1C W MUml:; and that $lI.id wi....~ at the same time !iIIbcl.'rih..od
hiHlhl:drbcir rwrncC.tW' II witneNi Ihcmo.
Ro\RGAIS" SAI.K DEm
.1nIClI\'DCA"'IJ'"l.MIAIK.'n"IItMf'11M'1o ACTS
TnLE N(I.
TO
FIDIlI.1TV NATIONAl. TITI.1l ISSURANCF.
~ CO~IP.~I'" OF NEW YORK
"., lM..........tlu'Iy,,"IJ
b~...Mfo",,"Fhllllily..!!~_..,'
"""Nr- .........&.-IftW.I...""""'-
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USRA''NA'UM'LHIJ6JI&\TI'UllMIU:UJWM-nJIINA'EWYUlUAS7'A>>:O,'''IU:
. " . .
t...:
_alN..."ork.Counlyof
On Ih: do)' of in lhe )'\.'W
..,fun: .....Ihe undonoiylcd. I'<lliUIIlIIly """"""'"
rcr50nally ~.n t.u nil: \JI" I'rm'eC! "" me 011 lb: bo.'ii); or ~Sf3l:I~',y
.vidence IX> be "'" indi.iduol(l,.._lUU'IIO(llw'lWl..._ tolhe
willlin instnunc:nl und IlCknuwl~ IX> "'" dial hoIlihoIIho:y ......1Cd
W KUIIX in hislhcrflllcolr copaL,tyCiesa. and thai. hy hWhtlfthl:it
1iignatun.11l un the j""""""'nt. die indi.idualC.~ (II" Ihe _ UP<'"
bc:bulf uf ",,1IiLit ~ indi\"idu31l..J 1k:1L"\I. lol'~"'''''U1cd tIw instrulllL~l.
At:DVM'UUJt:iMMT Fll&V FOR lJs<<OtnrUDB NIlW }"c.NIA'SrAreONI.I':
(llat 'If~"" "iNriJ:1I Gt>IIrr.J A,~"*-,,,CrnU"~J
. .. . .. .. .... ... . .. .. ........ .. . . . .... . .. . .... . . ... I...,
f(~ v~ _*"3,-*, C~I'Y, I'PI"'IiftN,,,."'.....v."ilyJ
On "'" duy.,r in "'" )......
..,fun: ..... tile uodrnli&lk-.... po......nully 3pIlOlII<\l
p:n;onWly 1mo\1.,. 10 rru: III' prnvro to me on &hi: hasUI ar ~Ii""uckny
..icJo...., "'be "'" iJldiyiduol'5' wlloooo IUU'IIO(I) ill C_) ..blic:rib..'CIIu....
within inarumenl: :and aeknuwlcdpd to me IIKII ht:hhehhcy cJleI.'UlLod
Ih: 5III1IC in IWilherlrbeir lol'llpIIIl:ily(iI:I). thDr by hislhtr.." lheir lipatul\.'($)
on Ih: ihll,wlImt. the indi"iduall.... ,..lhe: penon uJkMI b.:h:lJf ofwhM:h
lhc IndividuuJlB) acted. CKL-cUIL....1he il1lll'Umml.1IIId lhalaucb indi\'kIuaI
mude flUCh uprumulCe bcfoo: 1h1: u~n.igncd in Ita.:
"flUrI dw L;(V urOl/N'r ptlllr/l'Ul.",dltli,"4.o dlW II" 3N11' 1N'1.'OIU1If)' f"
,,,hA,., p/Gcw th~ tIt"bu*'ic'lll(llk'nt "'\lor ftlkmJ. .
DIsnue.-r
SRMlON'
BLnCK
1.aT
COI..'mY OR Tow~
RF.CY lRUI/IJ AT IIF-QUF.ST 0"-
I'IdeIIIy Nuloaal TIlle ~ C__ ofN.... ,._
IWIVRN Br MAIL nJ
Davidow, Davidow, Siegel'" Stem, LLP
Oue Suffolk Square - Suite 330
Islandl.. New York 11749
jmf
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!II
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.5
Number of pages
TORRHNS
Serial #I
Cenificate #I
Prior Ctf. #I
Deed / Mon8ll8e Instrument
Deed / Mortgage Tax Stamp
fEES
3
Pogr / Filing Fee
Handling
TP-584
5. 00
Notation
EA-52 17 (County)
EA-5217 (Slale)
R.P.l:S.A.
Sub Tulal
~
Cumm. of Ed.
5. ...QQ....
Affidu,vit
...
Ccnifi~ Copy
NYS Surcharge
Other
15. J!!L Sub Total
/'If
Gr~nd TOIaI
IW^-
4 DiSI.1000 Section 085.00 Bloek03.00
. ~ ..t....
Lot 008.000
,
Real Propeny
ThJ< S<:rvice
Agency
Verification
04050780 1000 OB500 0300 OOBOOO
'~
~
6 SatisfactionsIDisc:hargesIRc1cases List Propeny Owners Mailing Addrcos
RECORD &: RETURN TO:
DA~. DAYDIOIJ. SIBGEL . SDlIIII. LLP
ODe SUffolk Square - Sodc:. ]]0
Xa1aadf.a. Mev York 11749
. .
....
P.ECORDEI)
2004 ~ 1605.23.42 PM
Edward P.Roaaine
ClERK OF
SUFFOI.J( cot.tITY
L 000012361
P 025
NI 1)4-20583
Reeording / Filing Stamps
Monll"lle AmI.
I. Bnsic Tux
2. Additional Thx
Sub 1btal
Spec/Assil.
or
Spcc./Add.
TOT. MTG. TAX
Dual Town _ Dual County
Held for Appointment "-
Transfer 1lu< (.J
Mansion Till<
The propeny covered by this mortgage is
or will be improved by a one or Iwo
family dwelling only.
YES or NO
If NO. see appropriallS lax clause on
page #I of this instrument.
5 CommWlltJ' Pluenration F1md
Consideration Amount $ - 0 -
CPF Tax Due
$
-0-
Improved
/ :aat1=d
TO
TO
7 Title Com an Information
C Nom"
Title #I
Suffolk Count
Recordin
& Endorsement Pa
n...tI
(SPECIFY TYPE OF INSTRUMENT)
Albert .J. KrupskI. SR. and Helen A. Kru'Dsk1. The premi$Cs herein is silWlted in
ee ~ru8C:ee8 at the ALBERT J. KRUPSKI. SR. SUFFOLK COUNTY. NEW YORK.
RJPVnl'!A.AI G' TDTTiT ...:I-tv4 ."~,..il 27.. 1938. _11:.1.
respect to a 50% interest, e~ a1
TO In the Township of SouC:ho1d
A1bert J. Krupski. Sr. _ end H"'..n . In the VILLAGE
Krupski. his 'lilifp- or HAMLET of Pecon1c
BOXES <<> THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RI!CORDING OR FlUNG.
This page IOrms pan of the attached
nwdc by:
~"ver)
IIIIIIIIII~ 1111111111111111111111111111111111111111111
111111II11I1I111111111111
StJPFOLIC COUNTY CLBRIC
RECORDS OFFICI
RECORDING PAGE
Type of InstZ'Ulll8l1t: DBBDS/DDD
Number of Pages: 3
Receipt Number : 04-0137496
TRANS FIR TAX NUMBIR: 04-20583
Recorded:
At:
12/16/:1004
05:23:42 PM
LIBIR:
PAGB:
D00012361
025
District:
1000
Section: Block:
085.00 03.00
BJWIINBD A!ID CKARGID AS roLLOWS
$0.00
Lot:
008.000
Deed AmoUDt:
Received the Following Fees For Above II11ltZ'\lllleZlt
Ix""lpt
NO
NO
NO
NO
NO
NO
Page/Filing
COB
BA- C'l'Y
TP-584
RPT
Transfer tax
$9.00
$5.00
$5.00
$5.00
$30.00
$0.00
Handling
NYS SRCHG
BA-STATB
Cert.Copies
SCTM
CDIIIII\.Pres
Fees Paid
$5.00
$15.00
$75.00
$0.00
$0.00
$0.00
$149.00
BxAOllpt
NO
NO
NO
NO
NO
NO
TRANSFER TAX NUMBER: 04-20583
THIS PAGI IS A PART 011' THE INSTRIlIIBNT
THIS IS NOT A BILL
Edward P.Romaine
COUDty Clerk, Suffolk COUDty
FOR COUNTY USE ONLY
C1. SWIS Code
"LeA~e I we UR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
g r,- 4/
if, 1..5, a,g, /.1
REAL PROPERTY TRANSFER REPORT
*-4.......'.
. i
t, 11
,
RI'-5217Re\"31'J7
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C2. Date Deed Recorded I / qJ / It / cJ 'i I
Month Day Year".....-
C3. Book I ), C;, 0, b, (, C4. P...I t, c?o ,
PROPERTY INFORMATION
RP - 5217
1. Prop~rty I
loI;:ation
38030
Main Road
STREET NAME
STREET 'lUMBER
Southold
CITY OIl TOWN
Peconic
111958
ZIP CODE
VillAGE
2. Buyer
Name
Krupski,9 SR.
lA$T NAME t COMPANY
Albert J.
FIASTNAME
Krupski
lA$TN.\MEfCOMPA"IY
Helen A.
FIASTNIIME
3. Tlx Indicatewhlre fulure Tax Bills are 10 De sent
Billing if other than buyer address (at bottom of formf I
Addretl$
lAST "lAME ICOlo11'1W'r'
FIRST NAMf
STAEET NUMaERA"IDSTREH NAME
CITY OA TOWN
ST~TE
ZIPOOOF.
4. Indicate the number of Assessment
Roll parcels transfetTed on the dHd
11 # of Parcels OR 0 Part of II Parcel
(Onlr if Part of a Parcell Check as they apply:
.fA. Planning Board with SubtlMslorl Authority fxisls 0
48. Subdivision Approval was Required for Transfer 0
4C. Parcel Approved fur Subdivision with Map ProvIded 0
5. Deed
IJrOptlrty
Size
I xl
lOR I
.1 .9 .0 0
"'''''
FRONTFEH
~~"
6. Seller
Name
Krupski. Sr.. Trustee
lAST NAME/COMPANY
Albert .T.
FIRST NAME
Krupski, Trustee
lAST NAJ\4E f COMPANY
Helen A.
FIASTNAr.lE
7. Check the box tMllQW which most aceUrilte1v describes the U.8 of the property at the time of nle:
Check thll box.. be'ow I' they apply;
8. Ownership Tvpe is C<lndominium
9, New Conslructioo on Vacsnlland
10A. Property locatlld within an Agricultullll District
108. BuV1ll" llIOeived a disclOlurtl notice indicating
Ihatthe property is in lIfl Agricultural DistriCl
o
o
o
o
A~oneFamilVRe&idential
B 2 or 3 Family Residential
C Residential VaclIntland
D Non-Resii:lentialVacantLaM
I SALE INFORMATION I
11. Sale Contrac1 Dattt
E~AgriCUllurtll
F Commercial
G Apartment
H Entertainment I AmuslIment
I ~ Community Service
J Industrial
K Public Service
L FareSI'
n/a /
Do,
Year
15. Chect one 01" mortl of th... condition. es applicd)" to tr..ter:
A Sale Between Relatives or Former Relalives
B Sale Between Related Companies Of Panners In Business
C One of the Buyers is OIlso a Seller
D Buyer or Seller is Governmerll Agency or Lending Institution
E Deed Type not Warranty or Bargllin OInd Sale {Specify Below)
F Sale of FractionOlI or Less than Fee Interest (Specify Below)
G SignificlJnt Change in Property Betweeo Taxabla status and Sele Dates
H Sale of Business is Included in $ala Price
I X Other Unusual Factors Affeclfng Sale Price [Specify Below)
J None
/
Moo.
12. Daht of Sale I Transfer
1l
/7 12004 I
Oav y_
Moo.
n/a , 0 pOl
, , , e
(Full Sale Price is lhe 101111 amount paid for Ihe property including personal proPllrty.
This payment may be in Ihe form of cash. other property or goods. or the aqumption of
mortglJges or other obligaliooB.) Plelll$(J round to tM nellresr whole dollar arnormt.
13. Full Sale Price
conveyance from trust
14. Indicate the vakteofptlrBOnal I . n/fl .0,0 I
property included in the sale , e
ASSESSMENT INFORMATION. Data should reflect the latest Final Assessment Roll and Tax Bill
16. Y8<lr of Aucssment Roll from l1QQL 17. Total A_Red Value lof ell parcel. In transfer) I
whIch information taken
1
1 2 0 0
;
,
18. PropertyCla$B
I 1 , 2 .0 I-U 19. School District l\Iame I
Mattituck-Cut Schools
20. To: Map ldentifierl$) I RollldentifierlsJ Of mora than four, attach ahllR Mttl IdditiQnal identiflarfsll
1000
085.00 03.00 008.000
I
J CERTIFICATION
I certify that IlII of the items of Infonuation entered on this fonn are true and correct (10 the best of my knowledge and bellef) and I undersl.and that the making
of an)' willful false statement or malerial facl herein will subject me to the provisions of the oenalla:w rdatlve to the maldltJl; ud filinx of false lnstroments.
BUYER
BUYER'S ATTORNEY
1\R#3
38030
LASTIWAME
Davidow
Lawrence Eric
FIIlSTHAM~
BUYE"SJIlNATUIIEA
Main Road
631
A~EACOot
234-3030
HtEPHONENUNlBf~
STREET NUNlB~~
STRE~NAMEI"'FTERSALE)
Peconlc
CITYORT~
NY
STATE
11958
Zll'COOE
~
NEW YORK STATE
COPY
d~k 0, ~~
SELI.ER SIGNATURE Helen A Krupski,
Ill/ /7/2004
Tr'trY'tee