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StancMrd N.V.B T U. Form 8002 - bra-In and Sale Deed. with Covenant 811_1".. Gqjntof. Ad. - Uniform AcknawIedgrnent
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CONSULT YOUR LAWYER BEFORE SIGNING THIS INSlRUIIENT.THIS INSlRUlIENT SHOULD BE USEP BV LAWYERS ONLY
THIS INDENTURE, made the I ~ay of May, 2004
BETWEEl ,(' ,....
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" ,,,' /"
FRANK ZANOWSKI, residing at 3155 Bridge Lane, Cutchogue, New York 11935, the party of the
first part, and
FLORENCE ROLLE, residing at 224 Church Lane. Aquebogue, New York 11931, and LAURENE
HERWALD, residing at 2801 Sunset Drive. New Smyrna Beach. Florida 32168, joint tenants with
the right of survivpl1Ihip, the party of the second part,
WITNESSETH, that the party of the first pari. in consideration of TEN and 00/1 00
($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 essigns of the party of the second part forever, all their right, title
and interast in and to:
~
AU that certain plot, piece or parcel of land situate, lying and being at East: Cutchogue, Town of Sout:hoId,
County of SUfI'oIk and state of New York, being bounded and described as follows:
BEGINNING at a point located at the comer formed by t:he IntelsediOn of t:he northwesterly side of Bridge
Lane and the southeasterly side of property of t:he Long Island Railroad Company;
RUNNING lliENCE along BrIdge Lane South 42 degrees 30 minutes 20 semnds East: no.35 teet to II point;
lliENCE=1}47 degrees 2!l minutes 40 secondsC~34.14 teet;
""48.'
lliENCE North 43 degrees 50 minutes 30 seconds West llla9, ~9 feet;
lliENCE North 59 degrees 46 minutes 20 secoo Ids East 362.20 teet to the northwesterly side of Bridge Lane
and the point or place of BEGINNING.
Reserving to t:he party of the first: part II life estate In said premises.
BEING AND INTENDED TO BE part of the same premises conveyed to the party of t:he first part under ArtIcle
5econd(c) of the Last Will and Testament of Michael Zanowskl, admitted to probate by t:he Suffolk County
surrogate's Court under file number 129Pl964.
TOGETHER with all right, Utie 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 estalB and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the
premises herein grantad 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 eforesaid.
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 auch consideration
as a trust fund to be applied first for the purpose of paying the coat 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 seme 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 yesr first above
written.
IN PRESENCE OF:
7r....~ ~..rn~(1
Frank Zanowski -
}Jc.N11
. . ..
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS ....ne IN NEW VORK STATE
SIaIe of.New Vork. Counly of Suffolk sa:
. On the ,r:I'day of Mey, In the yeM 2004.
betont me, the undenIigned, personally appeared
FRANKZANOWSKI
perSonaqy known to me or proved to me on the bellia of
881isf8ctary evidence to be the individual(s) whose N1me(S) is
(are) subscribed to the within Instrument III1d acknowleclgecl to
me thet helshelthey executed the II8II1Il in hiBlherllhelr
capaciIyO_). and thet by hlslherlthelr slgnature(s) on the
Instrument. the indivplual(s). or the pelllOf1 upon behlllf of which
the Individual(s). e i .
SIaIe of New Vork. Counly of Suffolk BB:
On the clay of I. In the year 2004
before me, the undersigned. personally eppeared
paraonally . known to me or proved to me on the besls of
881ief8ctory evidence to be the individual(s) whoee neme{a) Is
(are) aubsaibed to the wfthjn Inelrumenl and acknawtedged tD
me that helshelthey executed the 88me In hi8lherlthelr
capacity(I_). and th8I by hlslherllhelr slgneture{s) on the
instrument. the individual(s). or the person upon behalf of which
the individual(S) ecte<l. executed the instrument.
(signature III1d office of individual taklng adcnowi~gmenl)
ABIGAIL A. WICKHAM
Nota..., Public. SI8.e of New VotI<
I No. 62-464287" /'
.\ aullified in SuHDIk Cou!'tY _ ~1l':>
, Commission Expires Sapt. 3O.,)8fJ.l'o
TO BE USJiP ~LY WHEN THE ACKNOWLEDGMENT 18 MADE OUTSIDE NEW YORK STATE
On the
. in the yeM 2004
S_ (or Oi8lrict of Columbia. Territory. or-Foreign Country) of ..:
before me. the undersigned. person8Ily appeared
deyof
personally known to me or proved to me on the bel. of 88tief8ctory evidence to be the individu81(s) _ R8me(S) Is (are)
subscribed to the within instrument III1d acknowledged to me th8I helsllelll1ey executed the 88me In hi8lher1ll1eir capacilyCoesl. 8nd
thllt by hislherllheir sign8lure(s) on the instrument. the IndMdu81(.). or'hIl pIlnIOn upon behalf of which the individual(.) acte<I,
executecl the instrument. and that such indivIdu81 mede such appe8rence before the undersigned In "'"
(inBOlt the City or DIller poI~ic81 subdivision)
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
Title No.
FRANK ZANOWSKI
TO
FLORENCE ROLLE AND LAURENE HERWALD
IITANDARD FORM OF NEW' w;RC IIOARD '" TnLE UN:D&tJ.._wcna
~by
'0 Common~~~!~.~",~,,,
Cl>V\k):rol'A'EALlIII..\SI)'nl" l! 'S5UItA.'Ij("Ec.-,"J'IP.\~'"
(algMture and office of individual tBktng 8ckncM1edglllment)
Nol8ry Public
SECTION 085.00
BLOCK 02.00
LOT 001.001
COUNTY OR TOWN Suffolk
STREET ADDRESS
Recorded at Request or
COMMONWEALTH LAND TITLE INSURANCE COMPANY
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Numbor or_eo
TORRENS
'3
RECORDED
2004 Jun 17 11.11,50 ~
Edward P._ine
. ClERK OF
SUFFCUC COUHTV
L 000012325
.P 510
OIl 03-47549
SorIaIIl
Cenlficare II
Prior Clf. II
Deed , Mor1p&o InsllUmllnt
Dood' Mortpae Tu: Stiaap
FEBS
RecorcIing' Filing Stamps
4
Pogo , Filing Fee
Handling
TP-S84
Mortgaae AmI.
1. Buic Tu:
Notation
2. Additlona1 Tax
Sub Total
EA-S2 17 (Coumy)
EA.S217 (State)
_ SubToIlII
Stamp
Dole
,01
SpeeJAssII.
0.
Spec. ,Add.
TOT. MTG. TAX
Dual Town Dual County_
Held for Apportionment
TtullfilrTax =-0
MBnsloo Tax
The property covenod by Ibis rnortp&e is or
wlll be improved by . one or two ram i1y _
dwelling only.
YBS orNO_
If NO, .ee appropriate tax clau. 00 Pilla II
oftbis iDItrumeat.
t)
6: Communi Preservation Fund
Consideration Amount $
CPFTaxDue 's -0'-
Improved
S <w--
RP. T.SA
Comm. of Ed.
?fJ-
Aflid..lt
Conified Copy
Reg. Copy
OIber
SUb TcDI
GRAND TOTAL
5
Rea11'ropctty T8x Servioo AIfPIIC'f Verification
. m... _ Section 1[1 ~
1000 08500 0200 001001
Lot
Initials
. . .
.3 SatisfactionslDischargcsIRalesseo Lw Property OwneiiMitiliitg A
RECORD '" RETU1\N TO.
&Cant Land
TO
TO
TO
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9
Suffolk Conn
8 Title Company InformatioD
Co. Nama
TldeN I
Recordin & Endorsement Pa e
This page fimns part of the -... hM
TO
Bark8~n 6 Sale Dead
(~t'lYPBOF INSIRUMENr)
. The prenUes herein is siCU8ted in
SUFFaJ<.COUNIY, NEW YORK.
In the TOWDSbip of Southold
In the VILLAGE
or HAMLET of Cutchoaua
made by:
FRANK ZANOWSKI
FLORENCE ROLLI! 6 LAURENE HIlRWALD
BOXES S 1HR.U 9 MUST BE TYPED oR. PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FIIlNG.
11111111111111111111111111111111 11111 111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OI'FICB
RECORDING PAGB
Type of Instrument: DBEDS/DDD
Number of Pages: 3
Receipt Number : 04-0068459
TRANSI'ER TAX NUMBBR: 03-47549
Recorded I
At:
06/17/2004
11:11:50 AM
LIBER:
PAGB:
D00012325
510
I'RANlt ZANOWSKI
FLORBHCI ROLLI
District:
1000
Section: Block I
085.00 02.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
LotI
001.001
Deed Amount I
Received the Following Fees For Above Instrument
z,....'lpt ixempt
Page/Filing $9.00 NO Hmdling $5.00 NO
COB $5.00 NO NYS SRCHG $15.00 NO
EA - C'.l'Y $5.00 NO EA-STATB $50.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Trmsfer tax $0.00 NO Comm.Pres $0.00 NO
Fees Paid $124.00
TRANSFER TAX NUMBER: 03-47549
THIS PAGB IS A PART 01' THE INSTRtJMDT
THIS IS NOT A BILL
Bdward P. RQIIIlliDe
County Clerk, Suffolk County
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: hup:!! www.orps.state.ny.us or PHONE 15181 473-7222
FOR COUNTY USE ONLY
C1.SWISCode I SL, ?-/, j"$' >5,;71
C2. Date De.d R.co,d.d tAt! /? ! OY' I
Month Day Vell'
W..-.-..
',I
.. :
C3. Book I J _.) , .~ , ..2, 5iC4. Pa..1
PROPERlY INFORMATION
,57/,01
'.r=i:~1
3155
Bridge Lane
STREErNAME
STREET NUMBER
Southold
CITY OR TOWN
Cutchogue
VilLAGE
2. Buyer
Name
ROLLE
FLORENCE
I..ASTNAME/COMPANY
fIFl$TflJAME
BERWALD
l.ASTNAME/COMPANY
LAURENE
FIIISTNAME
J. Tax IndiCllte where future Tax Bills are to besant
81111ng if other than buyer address (at bottom of form)
Address
LASTNAMEtCOMPANV
5l1\HT NUMIlf:R AND STRHT HAME
ClTYORTOWN
4. Indicate the number of A$&eS5ment
Roll parcels transferred on the d..d
11 ## of Parcels OR D Part of II Parcel
S, Deed
Property
Size
Ixl
lOR I
1 .0 0
~RONT fEET
OEPTH
ACRES
6. Seller
Name
ZANOWSKI
lAST NAME I COMPANY
FlRSTNAME
FRANK
LASTNAME/COMPAN'I'
FIRST NAME
7. Check the bolC below which most accurately describes the use of the property at the time of sale:
~oneFamilYReSTderltial
R 2or3FamllyResidential
C Residential Vacant Land
o Non-Residential Vacant Land
E~AgriCUItUral
F Commercial
G Apartment
H Entertainment I Amusement
I ~ Community Service
J Industrial
K PubJicService
L Forest
SALE INFORMATION
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP_S217Rc\ J/97
11935
ZIP CODE
FIJ<STNAME
STATE
ZIP CODE
(Only if Part of a Parcel) Check 8lI they apply:
4A. Planning Board with Subdivision Authority ElIists 0
48. Subdivisiorl Approval was Required for Transfer 0
4C. Parcel Approved for SubdivIsion with Map Provid!d 0
Check the boxes below as they apply.
8. Ownership Type is Condominium
9. New Construction on Vacant Land
lOA. Property located withTn iIrl Agricultural District
lOB. Buyer received iI disclosure notice indicating
that the property is in an Agricullural District
o
o
o
o
15. Ctteck one or more Ilf these concrltions as applicable to transfer:
11. Sale Contraet Date
/
Month 0" y,~
r; ! 10 (.1004
Month 0" Y.~
A
B
C
D
E
F
G
H
I
J
12. Date of Sale I Transfer
13. Full Sale Price 1 " 0, 0 . 0 I
, , .
(Full Sale Price Is the total amount paid for the property including personal property.
This payment may be in the form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Please round ro the nearest whole dollar amount.
14. Indicate the value of personal I 0 , 0 , 0 J
prllperty included in the ..Ie, , e
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Rolf and Tax Birr
16. Year of Au_ment Roll from ~ 17. Total Assessed Value lof all percels in transferll
which Information taken
18. Property Class
I 2
I, OI-U 19. School Distrie1 N.me I
Mattituck
20. TWl Map Identifierls) , Rollldentifierlsl (If more than four, attach sheet with additillnal identifierh;}l
1000-085.00-02.00-001.001
I CERTIFICATION
"5al~ Betwean Relatives or Former Relatives
Sale Between Relllted Companies or Pertners in Business
One of the Buyers is also a Seller
Buyer or Seller is Government Agency or lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or less than Fee Interest (Specify Below)
Significant Change in Property Between Tallable Status and Sale Dates
Sale of Business is Included in S"le Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
5 6 0 0 I
,
I certify that all of the items of infonnation entered on this fonn are true and correct (to the besl of my knowledge and belief) and I unden.1and that thl.' rnakinR
01' any willful ralse statement of material fact herein will subject me to the orovislollS of the nena! law relative to the making Bnd filinR or false i~1ruments,
/
-"(., BUYER
rrL -
Wickham
lAST NAME
-
-31,<;5
$TJl~ET NUMBEIl
Herwald
I t\ri~;) L.L.u.\e.....
STFl T AMEIAFl"ERSA.l.E)
631
AREACOOE
C lJl-ch::rj W
CfTVOR TOWfll
MY
, STATE
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Z1-~ ~G">~Y.k
sm.EFlSIGNATURE rank Zanowski
5IfDJD~
DATE .
BUYER'S ATIORNEY
Abigail A.
FIRSTNAM.
298-8353
TElEPt-10NE I'IIUM~ER
NEW YORK STATE
COPY