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EXECUTOR'S DEED (INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8010
CAUno."'li: nus AGREIDIt.:I\.r SlIOULP III: rat;rAIII::D BY A..'lIii A1TOR:."C1" A,'tiiD REVIE\\'ED B" A1TOR.IIl(F.\'I ."OK SI::U.F.R AND
P1:RalMiltllllF.mRKSIG,.ING.
77I1S INDENTURE. mad" th"
MlIl'Ch "23.2004
betweea LINDA KALOSKJ. _ Ellecutrtll of tbe F.-late of JONATHAN C. BROWNING. dece_d,
Suffolk County SurroptCllIllI8l8PZOO3, resldlallat 7CM1 A Meherrta River Court, Cb.........ke. VA 23320
"party of th" first part, and
JACEK E. MICHALAK and KATARZYNA MICHALAK. husbaad aad wife, resldlall at 9025
Souad,iew Ave., Soutbold. NY 11971
party ofth" second pari.
WITNESSETH, tbat!he parly ofth" first part. to whom LINDA KALOSKI. hollers testamentary were
issued b)-!he Sunollllte's Court, SulTolk County. New Yorl< on October 22. 2003. and by vinue of the power and
a"thorit)' given in and b)' said last will and testam"nt. onellor by Articl" 11 of the Estatc.. Powers and TruslS Law,
and in eonsidemtion of$373,OOO.00 dollars. lawful monC)'of!hc United States, paid by !he party of the ....ond
pan, docs hereby grant and release unto the party oftbe second pan, the distributccs or successors and assigns of
the party of the second part forever.
ALL !hat certain plol, piec:c or pa.....1 of land, with the buildinJll' and improvements thereon en:c:ted,
situate, lying and being in the
SEE SCHEDULE 'N ATTACHED IlERETO
TOGETHER with all right. titlc and interest. if any, ofthc party ofthc first port in and to any streelS and
roads abutting the above described premises to th.. c..nt"r lines thereof.
TOGETHER with thc appurtenances. and also all the eslate which thc said dec:..'lIcnt had at !he lime of
d.....d..nt's death in said premises, and also the estate then:in, which !he parly of the first part has or has powcr to
convey or dispose of, whe!her individually, or by virtu.. of said will or oth..rwise.
TO 11.11 VE AND TO IIOLD the pn:miscs herein granrecl unto the party ofth" second part, the heirs or
s"eecssors and assigns of the part)' ofthe second pan fo...........
AND the pari)' of th.. first part covenants that the pany of !he first pari has not done or sulTo:red anything
whereby rhe said premises have been enc:umbcn:d in Dny way whlll:Clver. except as aforesaid.
AND lbe party ortbe first part, in compliance with Seetion 13 of !he Lien Law, co'...nantsthat th" party
ofth" first port will reeeivo:!he consideration foc !his conveyance and will hold the right to n:c:eivo: such
consideration .so trust fund to be applied first for !he purpose of payinsthe costs ofthe improvement and will
apply Ihe ...me first to the payn.o:nt of the cost of!hc improvement before using any part of the total of th" same
for nny "Iher purpose.
The word "'pany" shall be construed as if it FC'ad "partics" whenever the sen~ or this indenture so
requires.
IN WITNESS WHEREOF, the party ofthc first part has duly """,,uted Ihis deed the day and year first
above written.
~'ijt.kL.;
NDA KA SKI
NYSSA llaIdanial Real tiIWe FormsonIIolDocs- (9IOOJ
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STATE OF VIR- N....t.I<CMI"\".J...
COUNTY OF ~~~\\t..:
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On Ihe~ day of March. 2004. befo.... me, the undersigned. personally appeared LINDA KALOSKI.
personally known 10 me or. proved to me on the: basis of satisfactory evidence 10 be lhe individual{s) whose
lIamc(sI is (arc) subs<:ribed to Ihe within inslrument and acknowledged to me that she executed the same in her
capacily(icsl. and that by her signature(s) on .he in......menl. the individUllI(s). or thc person upon bchalfofwhich
the individual(s) acted. executed the instrumenl.
B: c.-...... <t . t d~
NOTARY PUBLIC
--~r........
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QuaIIlled In.........~ ~....,.
c:ammi_ bPIr-
NVll1A Residcnlilll Rnll!ltlle For. on IIoIDoc:s"CWOO)
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CaPJri8la c....nll. Dc\ldt.._-4U
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TITLE NUMBER: FNP.00944
Amended 312/04
SCHEDULE "An DESCRIPTION
ALL that certain plot, piece or parcel of land, s:.tuate, lying and being at
Cutchogue, In the Town of Southold, County 0.1 Suffolk and State of New York,
being bounded and described as follows:
BEGINNING at a point on the easterly side of L'ttle Neck Road distant 215.51
feet northerly from the comer fonned by the intersection of the. northerly side
of Strohson Road with the easterly side of Llttll! Neck Roadj
THENCE along the easterly side of Little Neck Iload, North DO degrees 36
minutes 00 seconds West, 138.65 feet to land n 'JW or formerly of KuJawsklj
,
THENCE along said land, South 84 degrees 54 minutes 40 seconds East,
224.46 feet to land now or formerly of Mother alld Sullivan;
THENCE along said lands, South 05 degrees 05 minutes 40 seconds West,
131.38feetj
THENCE North 88 degrees 27 minutes 00 seconds West, 210.57 feet to the
easterly slife of Little Neck Road and the point c.r pllce of BEGINNING.
.
Number of PPSe5
TORRENS
Serial 1/
CertiCicalC #
"
Prior Clf. /I
Deed . Morrg:lge Ins(TUl11elU
Deed / Mortgago> Ta" Slamp
3
FEES
Pase / FilinS Fee
----
Handling
'Ii ..oo..~
TP-S84
Notation
EA-S217 (County)
SUbTOllll_~_
EA-S217 (Slole)
"
c- 911_. Cld-
----2. Jl.lL
R,P.T,S.A.
Comm.ofEd,
Affid.i1vir
Certified Copy
Reg. Copy
Sub TOla]
1m-
r;pBilJ
Other
Grand TOlo'
S 1.03.00
ectJ.on
10.00
Block
on.OOl
Lo.
Reol
PTllpeny
T"" Service
Agency
Verification
04014288 1000 10300 1000 011001
6
Satisfac.ion/Discharges/Rele:Jse List ProperlY Owners MaHing Address
RECORD & RETURN TO:
PATRICIA MOORE, ESQ.
51020 MAIN ROAD
SOUTHOLD. NY 11971
7
RECORDEI>
2004 ~r 14 03.33.36 PII
Edward P._I..
CLEI1K OF
SUFFOlK COOHTY
L 000012313
P 61B
DTI Q3-385J2
".' .
Recording I Filing SL~mp5
Mor.gage Am'
I. Bosic T3X
2. Additional To"
Sub Thla1
Spec. / Assit.
or
SpiOC. / Add.
TOT. MTG. TAX
Dual Town _ Dual Coun.y _
Held for APpoin.menj'll'1'1 ____
Transfer Tax ._~ _
Mansion Tax
Tne propcny covered by Ihis mOlgalle :s
or will be improved by ;J one or two
family dwellillg ollly,
YES 0" NO
If NO, see appropriate LOX cllluse on
p:!.gc ,__ of this II1slrument.
5 Communit Pl-eservntion Fund
Consider:uion Amount s~~
CPF 18" Due
-
s
Improved
Vocon. Land _
TO
10
TO
TO
Title Company Informntion
CONIC ABSTRACT
FllP-00944
8 Suffolk County Recording & Endorsement Page
This page forms p<lTt of lhe anoched DIlED
mode by:
~TunA ~&ln~VT Ag F-XRCU7RIX OF THE
ESTATE OF JONATHAN C. BROWNING
.rhe premb;i~ herein if; situated in
(SPECIFY TYPE OF INSTRUMENT)
SUFFOl.K COUNTY, NEW YORK.
I" .he Township of SOUTHOLD
10. lhe VILLAGE
or HAMLIIT of
BOXES 6 THROUGH 8 MUST BE TYPED OR PRI"-'TED II' BLACK INK ONLY PRIOR TO RECORDING OR FILING.
.
TO
JACEK Il. MICllALAK AND KATARZYNA
~1Iro.
11111111111 11111 11m 1111111111 ""'IIIIII'I'IIIII'~
111111111111111111111
SUFFOLK COtJNTY CLBRK
BCORDS OPPICB
RBCORDING PAGE
Type of D1.trulEDtl DIBDS/DDD'
Number of Page.1 4
Receipt Number I 04-0042823
TRANSPBR TAX HUMBBR: 03-38532
aecordeeil
Atl
04/14/2004
03.33136 PM
District I
1000
Sectionl Block I
103.00 10.00
IXAMIHBD ARD CIIAllGBD AS FaLLONS
$373,000.00
LIBBR:
PAGB:
.Lotl
,'011.001
D00012313
618
Deed Amount I
Received the Following Pee. Por Above In.trument
--..pt
HO
HO
HO
HO
NO
NO
Page/Piling
COB
D.- C'1'!'
TP-584
RPT
Tran.fer tax
$12.00
$5.00
$5.00
$5.00
$30.00
$1,492.00
VU1dling
BYS SRCHG
D.-STATI
Cert.Copie.
SC'l'II
ec-..Pre.
Pee. Paid
$5.00
$15.00
$50.00
$0.00
$0.00
$4,460.00
$6,079.00
bapt
NO
NO
NO
1m
1m
1m
TRAHSPIR TAX IItlJIBIRI 03-38532
THIS PAGB IS A PART OF THB INSTRtlMBlft'
THIS IS HO'1' A BILL
Idward P.Romaine
County Clerk, Suffolk County
FOR COUNTY USE ONLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
L(, -1 J, ~ & 11
C2. Date De.d Recorded I I"{ I (l{ IcY 'i I
Month Dev Veer
C3. Book I J, q;: .J I, oJ I C4. Pago 1 6 (, J{',
REAL PROPERTY TRANSFER REPORT
C1. SWIS Code
lit.",,':
'.
'"
STATE OF NEW VORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP-S217~3I'n
PROPERTY INFORMATION
1. Prop.rty I
LOGatlon
3455
STFlEETNUMBEFI
Little Neck Rd.
STFlEIETNAME
!;nut'hnlt1
CITY Oil TOWN
CutcholilUe
VILLAGE
111935
ZIP COD!"
2. Buyer
Name
M;rhRl::1k
l.A,$TNAME/COMPANY
Jar..p..k E..
FIRST NAME
Michalak
LA6TIllAME/COMPAHY
Katarzyna
FIFISTNAME
3. Tax Indicate where future Tax Bills are to oe sent
Billing if other than o~r address (81 bottom of form)
Address
LAST NAME / COMPANY
FIRST NAME
STREET NUMBER ANO STREET NAME
ClTYORTOWN
STATE
ZlPcooe
.. Indicate the number of Assessment
Roll parcels transferncl on the deed
ORD
(Only if Part of e Parcell Check aa they apply:
4A. Planning Board with Subdivision Authority Exists
48. Subdivision Approvel W69 Required for Transfer
.&C. Percel Approved for Subdivision with Map Provided
#ofPercels
Part of a Parcel
D
D
D
5.DHd
Property
Size
.(0,0
Ixl
lOR 1
'ACRES
FRONT FEET
OEPTH
8. Seller
Name
Kaloski
LAST NAME / COMPAMV
of
Linda~ as
ARSTNAME
Executrix of the Estate
Jonathan C. Browning
LASTNAME/OOMPANV
FIFl$TNJWE
1. Check the box below which most aCefJflltely describes the use of the property at the time of sale:
Chack the box.. betow as they appty:
8. Ownership Type is Condominium
9. New Construction on V8~ant L.and
1OA. Prop8rty Located within an Agricultural Dimriet
108. Buyer received a disclOSl,lre notice indicatiflg
thaI the property is in an Agricultural District
D
D
D
D
A~ One Family Residential
B 2or3FamilyResidential
C Residential Vacant Land
o Non-Residential Vacant Land
E~Agricultural
F Commercial
G Apertment
H Entertainment I Amusement
~ Community Service
J Industrial
Public Service
L FoTUs!
SALE INFORMATION
15. Cheek one or more 01 these conditl_ as applic1lble to transfw:
A Sale Between Relatives or Former Relatives
B Sale Betw8en Related Companies or Partners in Businap
C One of the BUYllrB is also 8 Seller
D Buyer or Seller is Government Agency or Lending Institl,ltion
E Deed Type not Warrarrty or Bargain and Sale (Sp9Cify Below)
F Sale of Fractional or Less than Fee Interest {Specify Belowl
G Significant Change in Property B&tween Taxeble Status and Sale Oates
H Sale of BUlliness is Included in Sale Price
1 Other Unuluel FClctors Affecting Sale Price (Specify Below)
J None
112 / / 03
Mom" Do, Vo~
3 / -p:?J / 04
MOr'llh Ooy YK'
11. S.'II Contrect Date
12. Dat. of Sale I Transl.r
U.FullSalePrlce 13 17 ,3 10 10,0,0 101
, , .
lFull Solo Price is the total amount peid for the property InGluding personal property.
This payment may be in the form of CIIllh, other property or goods, or the l88umptiOfl of
mortgages or other obligations.) PI.C1se round ro the nearest whole dolle, emount.
1.. Indicate the value of personal I I~ I ,0 I 0 I
property Induded in the sale, , e
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Vear of Assessment Roll from 0:> ~ 0\...\ 17. Total Au.....d Value tol all p'rceh~ in transfer,1
which Informadon taken ~
;
,\.{ G O~I
,
;
18. Property Clh$
,d--.. l ,b I-U 19. Sehool District Name I
=il\~
20, Tex Map Identifier!sl J Roll Identifier'_' (If more than four, attach sheet with additlonel iderrtili.rl_1I
1000-103.00-10.00-011.001
I CERTIFICATION
I certify that all of the Items of infOl'DJlltion entered on this form are true Pnd COI'I'lrl (to the best of my knowledge and belief) and I understencl that the ntald.ng
or any wiDful false lJtatement of mplerial fBct herein wiD subject me to the pmMous of the oenaIlaw relatiye to the mnkbl& and filing of false insIrumeola.
BUYER BUYER'S ATTORNEY
;.7<'......77
r.__ c >"':~~--'-
8UYEIlSIGNATUIl~
lASTO/AME
FIRST NAME
.tJlEACOOE
TELEPIiON~NUMIlI::R
/
,
ZlPCOOl:
NEW YORK STATE
COpy
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S LER91CN4TURE
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