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CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the
BETWEEN
EUGENE BURGER, reB~d~Dg at 2215 P~ne Tree Road, Cutchogue, New York 11935
MARTIN KOSHYNKA, ree~d~Dg et 1985 P~De Neck Road. Cutchogue, New York 11935
ANN BURGER, re.~dlDg at 2215 P~De Tree Road, Cutchogue, New York 11935
party of the first part. and
MARTIN KOSMYNXA AND CHRISTINE KOSHYNKA, h~s w~fe, both ree~d~ng st
1985 P~ne NEck Road, Cutchogue. New York 11935
C).rW
M4rd
day of IIa J .-....--
).-<Ii] ;3
t ,~
party of the sllCOI1d part,
wrTNESSETH, that the party of the first part. in consideration of TeD Dollare ($10.00) end
otber valuabie con8~derat1on&------------------------------------------------~
paid by the party of the seeond part, does hereby grant and release unto the party of the second part, the heirs
or successors and assigns of tha party of the second part foraver,
ALL Ihst certain plot, piace or parcal of land, with the buUdings and improvements thareon erected. situate.
lying and being in tha
SE~, deacr~pc~on at Schedule A attacbed hereto and made a part hereof.
THE SIZE of th~a lot waa increased to 22.397 square feet by a lot l~ne chenge
reBolut~on of the Plann~Dg Board of the Town of Southold dated October 8, 2002.
BEING AND INTENDED TO BE
part by deed dated March
Suffolk Count)lo .
the same premises conveyed to the parcy of the first
29, 2002 and filed ~n the Off~ce of the Clerk of
...... .._... of deeds at pase
TOGETHER with ell right. tiUe and interest. If any, of the party of the first part in and to any streets and roads
abutting the above described premisee to the center lines thereof; TOGETHER with the appurlBnances and all
tha astate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the
premises heraln granted unto the party of the second part. the heirs or succassora and assigns of the party of
the second part forever.
AND the party of the first part covenants that tha party of the first part has not done or suffered anything
whareby the said premises have been encumbared In any way whatever. except as aforaseid.
AND the party of tha first part. In compliance with Sec:tlDn 13 of the Lien LaW, covenants that the party of the
first part wHl racalva 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 c:ost of the improvement and wiD apply the 88me
first 10 the payment of the cost of the improvement before using any part of the totel of the 88me for any other
purpose. The word "party' shall ba construed as if it read .parties. when ever tha sense of thIs indenture so
requires.
:,:NESS WHEREOF. tha party of the first part ha/:7ted A: day: year first above
IN PRESENCE OF: ~URGBrl .- ~ y_.
~tL...---
EUGENE BURGER
1!:! KO~
Sta_rd N.Y.a.T.U. FCITTl 8002 - Barg'" and S8Ia Deed. with Covenant agaln" GnIntor'. Acto - UnIform ~l
Form 3210
"
, ..
,
"
or:SCRIPTION OF PARCEL NUMBER ONE AS SHOWN ON PINE TREE LAND DIVISION ALSO BEINO
LOT 29 AND PART OF LOT 30 AS SHOWN ON THE MAP 01' NASSUA FARMS, SITUATED IN PECONIC,
TOWN 01' SOlITHOLD, SUFFOLK COUNTY, Nl!W YORK.
BEGINNING ala poinl on the westerly aide of Pine Tn:e Road. Said poinl or place of beginning being the
following 1....0 (2) COIIIICI and diJtances from the inteJSCClion fonned by the weslerly side of Pine Tree Road with
the norlherly side of BillelSWeet Lane:
I. N.41 5O'OO"W., a dislaJK:e of 29.07feet to a point.
2. N.47 50'10"W., 8Ilislaoce of 142.31 feel to said poinl or place ofbeginninll-
RUNNING TIIENCE westerly the followinglwo courses and distances from said point or pIacc of
be&inniog:
I. S.73 12'13"W., a distance of 112.00 feel to a poinl.
2. S.60 46'43"W., a distance of 113.54 feet to a poinL
THENCE northrrly N.23 SO'OO.W., a dislancc of 120.00 feel to a poinL
TIIENCE easterly N.71 OO'20"E., a diJtance of202.84 to the westerly side of Pine Tree Road.
THENCE southerly along the westerly side of Pine Tree Road the following three COUIICS and distances:
I. S.28 50'( O"E., a dis\llnCl: of 13.56 feet to a poinl.
2. S.34 50'10''8., a disl8llCe of 82.29 feet \0 a point.
3. S.47 SO' 10"l!., a diSl8nce of 12.77 fcello said point or place of beginning.
Said pmel conlllios an arcB of 22.397 square feel.
B02-7262
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1
Number or JllI&OS
TORRENS
t/
RECORllEI)
200J Kar Il3 11.06: 59 All
Edward P._I..
CLERK OF
SUFFOl.K COUHTY
L ??oo12238
P 140
D18 02-29318
SeriaIN
Certificate N
PriorClf. N
Deed / Monpae Instrumenl
Deed / Monll8l!e Tax SlIImp
FEES
Recordlnl / "iIinS S.....ps
4
Page / Filing Fee
Mon_e AmI.
lIandllng
TP-S84
I. Da5ic: Tax
2. Addi.ional Tax
Notation
EA-S2 17 (County)
EA-S217 (Slole)
R.P.T.8.A.
i"
e::J~
~-
Sub Total
~7
Sub TOIal
Other
/~
SubTotal
99
/ c:L.6
SpecJAssil.
Or
Sper./Add.
TOT. MTG. TAX
Dual Town DUIII Counly_
lIeld for Apportionmenl _~
Transrer Tax t!Z......
ManSion Tax
The _ny covered by Ihis mon_ is or
will be inlproved by. ane or two family
dwelling only.
YES or NO
If NO. see appropriate .ax clause on pase II
~ _orthis instrumelU.
6 Communit Preservation Fund".
Consideration Amount S
Comm. or 1id-
S <la-
Affidavil
~in"IC~
Reg. Copy
~
GRAND TOTAL
l
Reel Property Tax Service AscncY Verification
!;Jill._ .Seelion Block
1..01
Stamp
03008096 1000 OgSOO 0100 017000
~T S 1000 OgSOO 0100 016002
~A
_ _:' ~5-
Salisfections/Oiscbarges/Releeses List Property Owners Mailing Add
RF.CORD" RETURN TO.
CI:Jll -"ax Due
$
Willilllll C. Goggins, PC
13105 Main Road
P.O. Box 65
Kattituck. New York 11952
Improved
~ ~acanIL.nd ~
v/" TO /0
1'1>
TO
DIlle
lnilials
7
9
8 Title Company Information
Co. Name
Tille II
Suffolk Count Recordin & Endorsement Pa e
Ann Burger
Eugene Burler
Martin lC.osmynka
Bargain and Sa1e De.d
(SPEaFY TYPE Of INSTRUMENT)
made by:
This page limn, put uf lhe attached
'Ihe pn:miscs hcrcin is situaled in
SUFFOLK OOUNIY, NEW YORK.
Chriatine Koamynka
In the Township of
In lhe VILLAGE
or HAMLET of
SouthOld
TO
Marti.n Kosmynka
Cutcbogue
BUXES 5 THRU 9 MUST BE lYPED OR PRlNIED IN BLACK INK ONLY PRIOR TO RECORDING OR flI.1NG.
(OVER)
111111111111 1111111111111111111111111111111111111111111
111111111111111111111 I11I
SUPPOLIC COUNTY CLERIC
RECORDS OFP'ICE
RECORDDlG PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 4
TRANSFBR TAX NUMBER: 02-29318
Recorded:
At:
LIBBR:
PAGE:
03/03/2003
11:06:59 AX
D00012238
140
District:
1000
Section: Block:
098.00 01.00
EXAJllNED AND CHARGED AS rOLLOWS
$0.00
Lot:
017.000
Deed AIIIount:
Received the Following Fees Por Above Instrument
Exempt
NO . Handling
NO NYS SURCHG
NO lEA-STATE
NO Cert.Copies
NO SCTM
NO Comm.Pres
rees Paid
$12.00
$5.00
$5.00
$5.00
$50.00
$0.00
$5.00
$15.00
$25.00
$4.00
$0.00
$0.00
$126.00
Exempt
NO
NO
NO
NO
NO
NO
Page/Piling
COE
BA-CTY
TP-584
RPT
Transfer tax
TRANSPER TAX NUMBER: 02-29318
THIS PAGE IS A PART OP THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk county
.
.-
FOR COUNTY USE ONLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
C3. Book 1 \
&.:I, '), K~ ql
1 ,') / -5 /031
Monlll Day Year
,0 Do,:==) <;<1 C4. P.g. 1 ,\ ,4CJ
C1. SWIS Code
C2. Date Deed Recorded
PROPERTY INFORMATION
1. Property I
Location'
1900
Pine Tree Road
STREET NVMBeR
STREI'TI'lAME
South old
2. BLlver
Name
CITY OR TOWN
Kosmynka
LASTNAME/COMPANV
Kosmynka
LAST NAME (COMPANY
3. Tax Indicate where future Tax Bills all) to be sent
Billing if other than buyer address (at bottom of form)
Address
*..-1
.
\a:- '"__
._.~
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
lU'.SZ17Re.'J"7
CutchoKue
VILLIl.GE
Martin
11935
ZIP CODE
~IRS" NAME
Christine
FIASTNAME
LAST NAME iCOMPANV
FIIISTI'lAME
S'TREETNUMBEAANDSTREI:TN...ME
4. Indicate the number of A"'se$sment
Roll parcels transferred on the deed
CITY OR TQWN
STATE
ZIP CODE
ACRES
.
(Only if Part of . Parr~ell Check all they apply:
4A. Planning Board with Subdivision Authority EX;$ts 0
48. Subdivision Approval was Required for Transfer 0
4C. Parcel Approved for Subdivision with Map Provided 0
1 i # of Parcels OR 0 Part of a Parcel
5. D...
Property Ixl
Size FRONT FEET OEPTH
<. SlitHer BUr2er
Name lASTNAMEICOMPANV'
Kosmynka
LAST NAME I COMPAN'V
lOR 1
Eugene
FIRST NAME
and Ann
Martin
7. Check the box below which mOllt accurately describes 1he use of the property 8t tne time of sale:
FIRST NAME
A ~ One Family Residential
B 20r3FlImilyResidentilll
C Residenti;;ll Vacant Land
D Non-Residential Vacant land
E~ Ageiwlt,,,, T ~
F Commercial J
G Apartment K
H Entertainment { Amusement L
SALE INFORMATION
/ /
Monlh Do, Yaar
O?> / 02 / ,f1)
Monttl Do,
11. Sale Corrtract Date
12. Date of Sale I Transfer
?--
,()0,01
, , .
(Full S;;Ile Price is the total amount paid for the property including personal property.
This payment may be in the form of ca$h, other property or goods. or the assumption of
mortgages or other obligations.] Please round to the nearest whole dollar amount.
13. Full Sale Price
14. Indicate the value of personal
property included in the sale
Forest
Check thll boxes below liS they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant land
lOA. Property located within IIn Agricultural District
lOB. Buyer received a disclosure notice indicating
that the property is in en Agricultural District
15. Check one or more of these conditions as applicable to transfer:
Community Service
Industrial
Public Service
D
o
D
D
A
B
eX
D
E
l'
G
H
I
J
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seller is Government Agency or lending Institution
Deed Type n01 Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or less than Fee Interest (Specify Below)
Significent Change in Property Between Tal{able Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Flictors Affecting Sale Price [Spacify Below}
None
, , .
ASSESSMENT INFORMATION. Data should reflect the latest Final Assessment Roll and Tax Bill
0,01
16. Year of Assessment Roll from I
which information taken
17. Total Assessed Value (of all parcllls in transfer] I
,
18. Property Class
! 3 III-~ 19. School Distril;:t Name I
,
Mattituck-Cutchogue
1000
20. Tax Map Identifier{s] I Rollldentifler{s) llf more thiln four, attach sheet with additional identifierlsll
098.00
01. 00
CERTIFICATION
017.000
I certify that aU of the item... of Information entered on this fonn nre true and cor-reet (to the hest 01" my knowledge and belief) and] understand that the making
ot' any willful false slatement of nbtterial fact herein will mbject me to the proviskt~ of the penal law relative 10 the making and millg of fall'ie Instrumeut.....
BUYER'S ATTORNEY
'1 J_
. . 11j
. v""'''
BUYER
/ I ,I ___--
f.!~!C/
eUVI;RSIGNATURE
Martin Kosmynka
OATE
1985
Pine Tree Road
STREET NUMeliR
ST"'~ETNAME (AFTER SA~E)
Cutchogue
11935
NY
CITY OR TOWN
STATE
ZIPCOOE
SELLER
~~
SELlE'EttGgen~ Burger
~n
Goggins
William C.
lAST NAME
FIRST NAME
631
298-4200
AAEACODE
TELEPHONE !\lUMBER
NEW YORK STATE
COPY