HomeMy WebLinkAboutL 12238 P 138
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I CONSULT YOUR ....WVER BEFORE SIGNING THIS INSTRUMENT.THIS INSTRUMENT SHOULD BE USED BY ....WYERS ONLY
,
THIS INDENTURE, made the
/5.fLdaYOf February, 2003.
BElWEEN Edward R. Grohoski, Sr.
1500 A1vahs Lane
Cutchogue, New York 11935
party of the first part, and
Edward R. Grohoski, Jr. and Sara Jane Grohoski
1050 Bungalow Lane
Mattituck, New York 11952
party of the second part,
WITNESSETH, that the party of the first part, In consideration of no consideration
dollars
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 assigns of the party of the second part forever.
ALL that certain plol. piece or parcel of land, with the buildings and improvements thereon erected, situate,
lying and being In tha
See. description attached hereto and made a part hereof as Schedule A.
TOGETHER with all right. nUe and interest. if any, of the ~rty 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 estete 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 of the party of
the second part forever.
AND lIhe party of the first part covenants that the party of the first part hBS not done or suffered anything
whereby the said premises have been encumbered In any way whetever, except as aforesaid.
AND the party of the first part, In compliance with Section 13 of the Lien Law, covenants that the party of the
first part wDI receive 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 cost of the improvement and will apply the same
forst to the payment of the cost of the improvement before using any part of the total of the same for any other
purposa. The word "party. shall be construed as If it read .parties' when ever the sense of this Indenture so
requi~s.
IN WITNESS WHEREOF. the party of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF:
d)w~i-~
!
EDWARD R. GROHOSKI, SR.
Standard N.Y.B,T.U. Fonn 8002 a Bargain and S.le Deed. wilh Covonent .gainst Grantof"'s Acts - Uniform AcknowledgmsRI
Form 3280
I
;
TO BE USEO ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
Slate 01 N"';?-Ork. County 01 Suffolk
On the I) day of February in the year
before me. the undersigned. personally appeared
Edward R. Grohoski, Sr.
personally known to me or proved to me on the basis of
satisfactory Bvidence to be the individual(s) whose name(s) is
(are) subscribed to the within Instrument and acknowledged to
me that he/shelthey executed the same In hislherltheir
capacity(les), and that by hlslharllhatr slgnatura(s) on the
instNrnent. the indivldual(s), or the person upon behalf of which
l'ndiYI~ted, executedA'o Instrument.
L t... '7J1. rt.!/)1i?W\
(signature and office of individual taking acknowledgment)
NOTARY EU~LIfp!\ll.':l:R
- DO'-"".. -.... "'ork
NoiIi'J Pu"';'c, S\B.t9ot ......:11'
1ta.0I'PA50imiB
aw.:!I\Il'JInSllflor.,~ ?(/J ('0
r,uud\dllitnElVorl803t':f:_oI. ,tz:::::.
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE O~SIDE NEW YORK STATE
85:
Stala 01 New York. County 01
ss:
2003
On the day of in the year
before me. the undersigned. personally appeared
personally known to me or proved to me on the basis of
satisfactory evidence to be the Individual(s) whose name(s) ts
(are) subscribed to the within Instrument and acknowledged to
me that helshelthey executed the same in hlslherltheir
capacity(las), and that by hlslharllhelr slgnatura(s) on tha
InstnJment, the Indivldual(s), or the person upon behalf of which
the Indivldual(s) acted. executed the Instrument.
(signature and office of Individual taking acknowledgment)
Slata (or District 01 Columbia. Territory. or Foralgn Counlry) 01
ss:
On the
appeared
personally known to me or proved to me on the basis of satisfactory evidence to be the Indivldual(s) whose name(s) is (are)
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hislhorMeir capacity(ies),
end that by hislherltheir slgnature(s) on the instrument, the Indivldual(s), or the person upon behalf of which the Individual(s)
acted. executed the instrument. and that such Individual made such appearance before the undersigned in the
day of
In the year
before me. the undersigned, personally
In
(Insert the City or other political subdivision)
(and insert the State or Country or other place the acknDWIedgment was taken)
(signature and office of IndivIdual taking acknowledgment)
Tille NO.
4.-,..
SECTION'
BLOCK
LOT
COUNTY OR TOWN
STREET ADDRESS
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
Recordad at Request of
EDWARD R. GROBOSKI, JR. and SARA JANE GROIl@~t4~NWEALTH LAND TITLE INSURANCE COMPANY
EDWARD R. GROBOSKI, SR.
TO
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
D1&tribulBd by
o Commo~!~.OCA""""~"
CoMMoIliWr.ALnl lA....n TlIn.E IHSUIlANC.:c CUMPA.f\lY
WILLIAM C. GOGGINS, P.C.
P.O. Box 65
Mattituck, New York 11952h
RESERVe: THIS SPACE FOR USE OF RECORDING DP'FlCE
(
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SCHEDULE A
Premises known as 1500 Alvah's Lane, Hamlet of Cutchogue, Town of
Southold, COWlly of Suffolk, State of New York
Suffolk County Tax Map Number 1000-102.00-04.00-009.001
All that certain plot, piece, parcel of land with buildings and improvements
thereon erected, situate, lying and being at the Hamlet ofCutchogue, Town
of South old, County ofSutTolk, State of New York, bounded and described
as follows:
On the west by Alvah's Lane, a distance of 100 feet;
On the north by land now or fonnerly of Lipnicki a distance of 150 feet;
On the east by land now or fonnerly of Paul Koloski a distance of 100 feet;
On the south by land now or fonnerly of Paul Koloski a distance of 150 feet.
BEING AND INTENDED TO BE the same premises transferred to the party
of the first part be deed dated November 26, 1963 and filed in the Office of
the Suffolk County Clerk in liber 5466 of deeds at page 376.
;
".
1"." 2
J
"ORRENS
RECORDED
2003 Mar 00 11;06;59 An
Edward P.Ro.aine
CLERK OF
SUFFOLK COUNTY
L Doool2238
P 138
DTII 02-29316
Number of pages
Serial N
Certilicate #
Prior etf. #
Deed I Mortgage Instrome-nt
Deed I Mortgage Tax Stamp
fEES
Recording I Filing Stamps
4
l'age II'ilinll fee
Handling
TI'.SB4
/:;2-_
~
~
Mongage Ami.
I. Basic Tax
2. Additional Tax
R.P.T.S.A
~
02r-
~r-
Sub Total
Natalian
EA-S2 17 (Count)')
EA-S2t7 (Slale)
Sub Total
.;27
SpecJAssil.
Or
Spec./Add.
TOT. MTG. TAX
Dual TOWR_ Dual County_
Ih:ld for AplW'rtionmenl --#'
Transfer Tax
Mansion Tax _
The property covered by this mort"agc: is or
will be improved by a one or two familY
dwelling ani)'.
YES or NO
If NO. see appropriate lax clause on page #
__ orthis inslrumen..
Conun. of Ed.
S~
Affidavit
Grtilied COJ!)'Ji't7
Reg. Cop)'
r
,"
6 Communi1 Preservation F nd
Consideralion Antount S
CPF ..'ax Due
s
Improved
Vacant Land
7 Satisfactiuns/Discharges/Releases List Propert)' Owners Mailing Addres
RECORD & RETURN TO;
/
/0
WILLIAM C. GOGGINS, P.C.
P.O. Box 65
Mattituek, New York 11952
TD
TD
TD
9
B Title Company Information
Co. Name
Tille II
Suffolk Count Recordin & Endorsement Pa e
1bi. pag" fonn.. pori of the llttached
Baraain and Sa1e DAed
(SPEOFY TYI'EOF INSTRUMENT)
made by:
EDWARD R. GROBOSKI. SR.
The premi...s herein is situated in
SUFFOLK COUNIY, NEW YORK.
TO
EDWARD R. GROBOSKI, JR. and
In the To",nship of
In the VIllAGE
or HAMLET of
Southo1d
SARA JANE GROBOSKI
Cutchogue
IIUXE..<; 5 111RU 9 !lIDST BE TY~ED OR i'R1N"lED IN llIACK INK ONLY I'IUOR TO RECORDING OR FILING.
(OVER)
i
1111111111111111111111111111111111111111111111111111111
1111/1/111111111/11111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument I DEEDS/DDD
NUmber of Pagesl 4
TRANSFER TAX NUMBER: 02-29316
Recorded I
Atl
LIBER:
PAGE:
03/03/2003
11106159 AM
D00012238
138
Deed Amountl
Section I Block I
102.00 04.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Loti
009.001
District:
1000
Page/Filing
COE
EA-CTY
TP-584
RPT
Transfer tax
$12.00
$5.00
$5.00
$5.00
$30.00
$0.00
For Above Instrument
Exempt
NO Handling
NO NYS SURCHG
NO EA-STATE
NO Cert.Copies
NO SCTM
NO COIIIIII.Pres
Fees Paid
$5.00
$15.00
$25.00
$4.00
$0.00
$0.00
$106.00
Exempt
NO
NO
NO
NO
NO
NO
Received the Following Fees
TRANSFER TAX NUMBERI 02-29316
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
"
.
--------------------
PLEASE TYPE OR PRESS FIRMLY WHEN-WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222
FOR COU NTY USE ONLY
iYn 5,y;,~q .
1 ~ <~lJ n31 ,- .
Month ~y Year Iii II
C3. Book d ,O,D, 5> <6i C4 Pagel \ ~ ~I ~ . .",.,,~.
C1. SWIS Code
REAL PROPERTY TRANSFER REPORT
C2. Date Deed Recorded
STATE Of NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RI'.5217Ite,-3197
PROPERlY INFORMATION
1. Property I
Location
1500
STREHNUMElER
1 IlfliXiflUlliflil!
CITY OR TOWN
Alvahs Lane
STREHNA,",~
Southold
111935 J
ZIPCODE--
Cutchogue
ViLAGE
2. Buyer
Name
GROBOSKI, ENNKRN
lAST NAM~ICOMPANY
EDWARD,
fiRST NAM~
JR.
GROHOSKI
LA$TNAMEICOMPANV
g~RA ,T~NP.
FIASTt\lAME
3. Tax
Billing
Address
Ind',ca'ie where tuture 1ax Bills. are to be sent
;fother than bUY(lr<lddress (at bottom of forrr)
FIRST NAME
..----1
t-ASTNAME/CQMPANY
S-'-ATE
ZIP COOt
CITY OR lOW."
STREET NUMSERAND STREET NAME
4. Indicate the number of Assessment
Roll parcels transferred on the deed
II # of Parcels
IOnly if Part of .. P<trcel1 Check liS they apply:
4A.Planning Board with SUbdivision Authority ExislS
48. Subdivision Approvai was RSQuired for Transfer
4C. Parcel Approved for Subdivision with Map Provided
o
D
D
OR 0
Part of a Parcel
5. Deed
Property
Size
/"rl/)
~./~ "Ixl
FRONTFEtT
/~
-.I OR 1
ACRES
. -;'1'51"
DEPTH
6. Seller
Name
L_ GROHOSKI
LAST r.AME I COMPANY
EDWARD.
F'RSTNAME
~
SR.
fiRST NA~iE'.
LAST NAME /cOMPANY
7. Check the box below which most accurately describes 1he use of the property at the time of sale:
Check the boxes below a5 they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant land
'OA. Proper1y LOCilted within an Agricultural District
10B.Buyerreceivedadisclosurenoticeindicating
that the property is in an Agricultural Distric~
D
D
D
D
A~OneF<lrTliIYReSiderttial
B 2 or3 Family Residentilll
C Residential Vacant Land
D Non-Residential Vacant Land
E~A9ricultural
F Commercial
G Ap~r1ment
Ii EMertainment I Amusement
[~com.munitYService
J IndU1>trial.
K PubliC Service
L Forest
SALE INFORMATION
15. Check one or more of these conditions as applicable to transfer:
1,. Sale Contract Date
I
Montl1 D,y Year
~ 15"1 03
Moolh D,y Year
A
B
C
D
E
F
G
H
l
J
Sale Between Relatives ur Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer 0< Seller is Government Agency m lending hstit\Jtion
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Less th;;ln Fee Interest (Specify Below)
Sign:ficant Change in Property Between Taxable Status and Sale Dates
Saia of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Prt!;;8 lSpecity Beiow\
""one
12. Date of Sale I Transfer
13. Full Sale Price 0 (I 0 I
, , .
l~JII Sale Price is the latal Ilmount paid (or the property incllJdir1g personal property.
fhis payment ~ay be in the to(m of casr, other proper:y or goods, or the assumption of
rnortgages or other obligations,) Please rOlmd to the neare,,( whole dollar ilmount.
14. Indicate the value of personal
property included in the sllle
o
o I
, , .
ASSESSMENT INFORMATION - Data should reflect the lates~ Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from
which information taken
17. Total Assassed Value (of all parcels in tran5fer) I
18, Property Class
I-U 19. School District Name I
Mattituck-Cutchoque
20. Tax Map ldentifier{sll Rollldentifier(s) (If more than four, attach sheet with additional identifierlsll
1000-102-4-9.1
CERTIFICATION
I certify that all of the itelns of information entcred on this form are true and coo'cd (to the best of my knowledge and belief) and I undc..,,1and that the making
of any willful fulse statement of material ract hen>in will subjL'Ct lilt" to the provision... (If the pcnal law relative to the nutking and tiJin~ Hf false instrument...
BUYER
BUYER'S ATTORNEY
~~# fi
~~RD R. ROHOSKI. JR.
, ...-"/
I 7!h fo3
DA'E
GOGGINS
WILLIAM C.
LAST 'lAME
FIRST NAME
1500
631
ARE" ~-UlJE
298-4200
TELEPI-lONENlJMBEfl
STREUNUMB~R
Alvahs Lane
STREHNAMf(AF-T~RSAlEI
C",>;~,ft~UC
NY
1>TATE
11935
;P?;;-/Q_5
[~,w
YORK STATE
COPY
~j)LV~jL~4
OATf
SR.
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