HomeMy WebLinkAboutL 12337 P 142
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CONSULT 'tOUR LAWYER BEFORE SIGNING 11111 INSTRUIIENT-a INSTRUIIENT SHOULD BE USED BY LAWYERS
ONLY.
THIS INDENTURE, made the ~ ~ay of May, in the year Two Thousand Four
BETWEEN k,' (( [_ t" r:_
IRENE GROHOSKl, residing at 4625 Depot Lane, Cutchogue, New York 11935
party of the first part, and
JON J. SHIP. residing at6 Stratford Road. Miller Place, New York 11764; and
MICHAEL S, SHIP, residing at 726 Milton Drive, Hampton. Virginia 23666
party of the second part,
WITNESSETH. that the party of the first part, in consideration ofTen Dollars and other valuable
consideration paid by the party of the second part, does hereby grant and release unto the party
of the second part, thc heirs Dr successors and assigns of the party ofthe second part forever,
ALL THA'r CERTAIN plot, piece Dr pareel of land, with the buildings thereon erecLed. situate,
lying and being at Cutehogue, in the Town of Southold, County of Suffolk, and State of New
York, being more particularly bounded and described as fullows:- .
Bounded on the North by Depot Lane, 70 feet:
Bounded on the East by lands now or fonnerly of Cybulski, 187 feet;
Bounded on the'South by lands now Dr fonnerly of Cybulski, 70 feet; and
Bounded on the West by lands now or fonnerly of Trois Ange LLC, 187 feet.
RESERVING, HOWEVER, a Icgallife estate in the above-described premises with the buildings
and improvements thereon er~ted, in and to the party of the first part, .
THE PARTY OF THE FIRST PART HEREBY RESERVES A SPECIAL POWER OF
APPOINTMENT, exercisable as often as they may choose, to change their renulinderman as
follows:
TO or among anyone or more members of a class consisting of the party of the first part's
descendants. in any degree, whether prcsently living or born hereafter, in such proportions and
amounts, without regard to equality, outright or in trust, as the party of the first part may direct
and appoint during their lifetime by a properly written and acknowledged instrument, and
recorded prior to'death, making specific reference to this power of appointment. The party of the
first part may not appoint themselves; their estates, their creditors or the creditors of thcir estate,
under"any cireumstances. . .'
TOGETHER with all 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 all the estate and rights of the party of the first part in and to said
"
....
premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second'
part, the'heirs or successors and assigns ofthe party ofthe 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
aforesaid.
AND the party of the first part, in compliance with Section 13 of the Lien Law, covcnants that
the party of the first part will receive the consideration for this convcyance and will hold the
right to receive such consideration as a trust fund to be applicd fllSt for the purpose of paying the
cost of the improvement and will apply the same first to thc payment of the cost of the
improvement before using any part of the total of the samc for any other purpose.
The word "party" shall be construed as ifit read "partics. whencver the sense of this indenture so
requlrc5.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and
year first above written.
IN PIlESf.N('F. OF:
9,~ ,~J..{l~''-
I mH S
STATE OF NEW YORK)
55:
COUNTY OF SUFFOLK)
On the '7.tfYday of May, 2004, before me, the undersigned, personally appeared IRENE
GROHOSKI personally known to me or proved to me on the basis of satisfactory evidence to be
the individual(s) whose namc(s) is (arc) subscribed to the within instrument and acknowledged
to me that he/she/they executed the same in hislber/their capacity(ies), and that by hislbcr/thcir
signatun:(s) on the instrument, the individual(s), or the person upon behalf of which the
individual(s} acted, executed the instrument.
~
Notary Public
WILLIAM H. PRICE. JR.
Notary Public. Stlte 01 New York'
No. 4644944. Suffolk CountY ~ I
Term Expires February 28. 20...1( P
.. ..... ."-"
Numbeo- of_os
TORRENS
~2
l
Serial.
RECQRI)El)
2004 Rug 13 1I.3h 52 AI1
Edward P.R"""ine
CLERK OF
SUFFOI.J( COUNTY
L 000012337
P 142
DT. 04-02129
Certificate.
Prior Clf. .
Deed , Mongoge 1n5lrUment
Deed , MortPle Tax SlIImp
FEES
Recording' Filing Stamps
4
Poge , Filing Fee
Handling
TP-S84
Monpae Aml.
I. Basic Tax
2. Additional Tax
Notation
Sub Tota'
EA-S2 17 (County)
EA-S217 (SIII\e)
R.P.T.S.A.
Comm. of Ed.
_ Sub Toul
Sub 1'0181
;cfL/ rJ;'
SpeciAssi!.
Or
Spec. 'Add.
TOT. 11.11'0. TAX
Dual Town ~al ly_
Held ror Apportionment .
T.......f...Tax _
Mansion Tax
The property covered by .hill mortgage is or
will be impro.ed by a one or 'wo family
dwelling only.
YES or NO
If NO, _ appropriate lax clause
oflhis inslrUment. -..,.....
S~
3d "
AIT.....it
Cenifled Copy
Reg. Copy
Other
OR.AND TOTAl.
I Real I'ropcrty Tax Service Agency Verification
-=-. !lI:""....inn B lock Lot
~33239 1000 Og600 0500 004001
'01
Stamp "';::-PT"S--
Dole \~ POL A'
...O&-AU04lJ
'---",,'
Initials .~
7 Sati.factionsIDisch...geslReleases Ust Property O;-''-e", Mailing Add
RECORD '" RETURN TO.
e
o
s 0
Impro.ed X
scant Land
//J
william H. Price, Jr., Esq.
PO Box 2065
Greenport, NY 11944
TO
TO
TO
9
8 Title Company Information
Co. Name
Title I#-
Suffolk Count Recordin .& Endorsement Pa e
"Ibis page fOflIB pari of the atlllchOO
Deed
made by:
(SPEaFY TYPE OF INSTRUMENT)
:IRENE GROHOS1U
The premises herein is situated in
SUFFOLKCOUNlY. NEW YORK.
TO
JON J. SH:IP llnd
M:ICHAEL S. SHJ:P
In the Township of
In the VIllAGE
or HAMLET of
Southold
Cutchogue
BOXES S 1l-IRU 9.MUST BB TYPED ~PRINIED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
IOVFRI
111111111111111111111111111111111111111111111111111111I
1111111111111111111111111
SUPPOLIC COUNTY CLERK
RECORDS OPPICB
RECORDING PAGB
Type of Instrument: DBEDS/DDD
NUmber of Pages: 3
Receipt NUmber : 04-0089969
TRANSFER TAX NUMBER: 04-02129
Recorded:
At:
08/13/2004
11:31:52 AM
LIBER:
PAGB:
D00012337
142
District:
1000
Section: Block:
096.00 05.00
EXAMINED .AND CHARGED AS POLLOWS
$0.00
Lot:
004.001
Deed Amount:
Received the Po1lowing Pees Par Above Instrument
Bxempt Bxempt
Page/Piling $9.00 NO Budl1ng $5.00 NO
COB $5.00 NO NYS SRCBG $15.00 NO
IA-CTY $5.00 NO lA-STATE $50.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Trusfer tax $0.00 NO C01IIIIl.Pres $0.00 NO
Pees Paid $124.00
TRANSPER TAX NUMBER: 04-02129
THIS PAGE IS A PART OP THE INSTRtJMBNT
THIS IS NOT A BILL
Bdward P.Romaine
county Clerk, Suffolk County
.
.
FOR COUNTY USE ONLY
C1. SWI$ Code
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
C2. Date Deed Recorded
'A'}, -=?'<("~9'1
c0?; /...3 / C"Jv I
Monlh Day Vllar
C3. Book [/: d" 7, 3,
PROPERTY INFORMATION
Jc4. Page I
t. Prop..rty I
location'
4625
Depot Lane
S-;-.~:HNA~E
STReuNUM8EA
Southold
CITVORrow~'
2. Bllyer
Name
Ship
LAST NAME i COMPA~'Y
Ship
LAST NAM., COMPA"''I''
3. Tax lndicatewherefmure Tax Biiis are to be sent
Billing if olher than buyer ~(Idress (at bonom of form)
Addrell
,....s- \....~.:: ::~...'~~\.-
4625 E1epot Lane
STRHl "J\:e~~ A~.) S~",=T ,,"'....
4. Indicate the number of A$sessment
Roll parcels transferred on the deed
1 i l'olParcels
5. Deed
Property
Size
70
I x!
187
),p:.,
; OR I
FRONTF;H
6. Slltller
Name
Grohoski
lASTNAM" CO.\:I>"'''''
LAST :,At.'= co~. :PANY
,/, 7<',~
Grahoski
*"
. '.
~ .1,
~' ~q~
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
KI'-5217Rt-v:1I'n
Cutchogue
VJLl"'GE
11935
21PCOOE
Jon J.
FIRST ~A,""E
Michael S.
FIRSTNANlE
Irene
";~ST ~''''\.i:
Cutchogue
OR 0 Part ofa Parcel
c:,\' o~ 7S....
.\~f\~S
.
IOnly if Pan of a Parcell Check a5 they apply:
4A. Planr.:ng 3:Ja~d ':i;t~ Subd:visio:l Aulhoriry Exists 0
4B. S:Jbd:vs;on Approl'a: WilS Required for Transler 0
4C. Paree! Approved for Subdivision with Map Provided 0
Irene
","S~ \,:....;:
"IRSTN/l,Mi:
7. Check the box below which most accurately describes the use of the property at the time of sale:
Check the boxu below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property located within an Agricultural District
10B. Buyer received a disclosure notice indicating
t'lal;heprDpertyis in an Agr'cuitu,aIOistrict
o
o
o
o
A~oneFamilYReSidential
B 20r3 Family Residential
C Residential Vacant Land
D Non.Residential Vacant La."1d
I SALE INFORMATION I
11. Sala Corrtract Date
E~Agric.u!tural
F Commercial
G Apartmenl
H ;:nterta:n~e:l:
Amuse~e:l:
12. Date of Sale J Transh.r
13. Full Sale Prh;e
I~CDmmunitY.service
J Industrial
K Public Service
I. ~oresl
, ,
(Full Sale Price is the totai amount paid for the property including person,,1 property.
This paymem may b\l in lhe form ;:l: cash, olher properly or goods. or the assumprion of
mortgages or other ob1jo;;atior.s> Please round 10 the neareSI whole dollar amount.
I N/A /
Mor>tl> D.y Year
05 24 /04
UOOlh Dal Yea.
0 - 0 0 !
14. Indicate the value of personal
property included in the male
15. Check one or more of these conditions as appliCilble to transfer;
AX
R
C
o
!o
r
G
H
I
J
Sale Between Relatives or Former Relatives
Sele Between Related Companies or Partners in Business
One of the Buyers is also 11 Seller
Buyer or Sel;er is Government Agency or Lending Institution
Deed Type notWarranfy or Bargain and Sale (Specify Belowl
Sale Of Fractional or Less than Fee Inlerest lSpecify Below)
Significant Change in Property Between Taxable Status ;lnd Sale Dates
Sale of8usir.ess is Included in Sale Price
Other Unusllal Factors Affecting Sale Price {Specify Below)
None
-,0 -,0,01
, , .
ASSESSMENT INFORMATION. Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Asse$$ment Roll from ~ 17 Total ASSlssed Value lof all parcels in t'C1nsfer) I
which information taken
18. Property Class
I 2 1 0 J..U 19. School Dis1rict Name I
20. Tu Map Identifier{sl J Roll Identffierlsl (If more than four, attach sheet with additionlll identifieds))
Mattituck/Cutchoque
1000-096-05-004.001
3 8 0 01
I CERTIFICATION
I certif,. that all of the Items of infomlation entered on thi~ form are true and correct (10 the best of mJ ktlflwlcdge and belief) and I undentand that ihe making
of an,. willful !:alw statement of material fact herein will subject me to the orovisions of the penal la"" ~Iath.e to the RlIlkln~ and fiIin~ of falw IllslTUment~.
BUYER
~
DATi'
6
Stratford Road
STRHT,..UMBER
$TREHNA""~ iAFTfRSAU'
Miller Place
NY
11764
CITY OR TOWN
STATE
llPCOCE
SELLER
Jr<~.
LrfRSIGr;ATURE
~}-.i, ~,;24/04
BUYER'S ATTORNEY
Price, Jr.
~ST ~A~~f
William H.
< ~ST ,"A~!!;
631
477-1016
/o.RE.I\CODf
THfPHONENUM8ER
NEW YORK STATE
COpy