HomeMy WebLinkAboutL 12163 P 335
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Standard N.Y.a.T.U. Form 8005 - Executor's Deed - Uniform Acknowledgment
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
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THIS INDENTURE, made the day of OelobcF, 2001
BETWEEN
KARL SZADOK, residing at 41 Peacock Lane, Levittown, New York, 11756, and ANDREW
KUPECKI, residing at 1755 Stanley Road, Mattituck, New York, 11952, as Executors of the Last
Will and Testament of Elizabeth Kupecki, deceased 11/23/00, Suffolk County Probate
#559P2001, Letters Testamentary issued by Suffolk County Surrogate's Court on 3/26/01,
party of the first part, and
ANDREAS KUPECKI a/k1a ANDREW KUPECKI, residing at 1755 Stanley Road, Mattituck, New
York, 11952, party of the second part,
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WITNESSETH, that the party of the first part, in consideration of TOR aRe OO/180-($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 assigns of the party of the second part forever,
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected,
situate, lying and being at Mattituck, Town of Southold, County of Suffolk and State of New York,
designated as Lot No. 22 on a map entitled "Map of Sunset Knolls, Section Two, Mattituck, Town of
Southold, Suffolk County, New York", filed in the Office of the Clerk of the County of Suffolk on the
9th day of April, 1970, as File No. 5448.
SUBJECT to Declaration of Protective Covenants made April 3, 1970 and recorded in the Office of
the Clerk of the County of Suffolk on April 16, 1970, in Liber 6730, Page 293, and amendment
thereto dated June 3D, 1970 and recorded in the Office of the Clerk of the County of Suffolk on July
9, 1970 in Liber 6770, Page 393.
BEING AND INTENDED TO BE the same premises conveyed to Elizabeth Kupecki by deed
recorded on August 1, 1996 in Liber 11785, Page 356.
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 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 aforesaid.
AN 0 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 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
first to the payment of the cost of the improvement before using any part of the total of the same 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 year firsl above
written.
IN PRESENCE OF:
TC BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York, County of iJf\55A Cj ss:
~o;\{6=R.
On the ,3.('\' day of Oct8~8r, in the year 2001,
before me, the undersigned, personally appeared
KARL SZADOK
personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s) whose name(s) is
(are) subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the
instrument, the individual(s), or the person upon behalf of which
the individual(s) acted, execut the instrument.
State of New York, County of Suffolk ss:
U +- 1- --:In c u...buz.
On the I (jay of G$ber, in the year 2001 ,
before me, the undersigned, personally appeared
ANDREW KUPECKI
personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s) whose name(s) is
(are) subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the
instrument, the individual(s), or the person upon behalf of which
the individual(s) acted, executed the instrument.
ual taking acknowledgment)
'-
individual taking acknowledgment)
LA RAM R.FRANKUN
Reg, #01 RA6004071 MAR14<OtAKOWSiKI
No!arY Public, State of New York Notal'! PubliC, State of New York
M Qualified In Nassau County No. 487000G,.sullolk runty
Y Commission expires 03/16/2002 Commission ExpiresSrpt2, 2_ 2-
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE "Z P p
State (or District of Columbia, Territory, or Foreign Country) of
55:
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) is (are)
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and
that by his/her/their signature(s) on the instrument, the individual(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
in
(and insert the State or Country or other place the acknowledgment was taken)
(insert the City or other political subdivision)
(signature and office of individual taking acknowledgment)
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
TO
SECTION
BLOCK
LOT
COUNTY OR TOWN
STREET ADDRESS
Title No.
Recorded at Request of
COMMONWEALTH LAND TITLE INSURANCE COMPANY
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by
o CommOn~~~!~'~COMP,"Y
COMMONWEALTH LAND TITLE INSURANCE COMPANY
RETURN BY MAIL TO:
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Number of pages
TORRENS
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~002
FEcopr"ED
.J.::tn 14 D4~.19.~56 Pr'l
Edl..,ld r-d p" Pc@.::;ine
Serial #
CU::;'K OF
SUFFOLV COUHr.(
Certificate #
L DCiOO'.2163
F 335
Prior Clf. #
DT# 01-22439
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
4
FEES
Handling
q
S
.,)
Mortgage Amt.
Page / Filing Fee
1. Basic Tax
TP-584
2. Additional Tax
IU.T.S.A.
S
02.s--
70 -=-
Sub Total
cL~
Sub Total
Notation
EA-52 17 (County)
Comm. of Ed.
50~
Spec.! Assit.
Or
Spec. / Add.
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment
Transfer Tax & ~g
EA-5217 (State)
Affidavit
Sub Total
&0.
kr
Mansion Tax
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES or NO
If NO, see appropriate tax clause on page #
of this instrument.
Certified Copy
Reg. Copy
Other
GRAND TOTAL
Real Property Tax Service Agency Verification
Dist. Section B lock Lot
. 00.0
OG.oo 015.00
oo~. 000
6 Community Preservation Fund
Consideration Amount $ 8-3.~
CPF Tax Due $-e-
Improved
c..--/
Vacant Land
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Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
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Title Company Information
V -hO/l4 (
01- 70'1- 3(.,9)
Suffolk Count Recordin & Endorsement Pa e
This page forms part of the attached ~ ;::-~~I'l
(SPECIFY TYPE OF INSTRUMENT )
)~ d S; A -::>.0 I<. r n ,..J""~EtJThe premises herein is situated in
);:.,~Fck/' /"'lS 6EC<...lT~ ~ +J..E. SUFFOLKCOUNTY,NEWYORK
L W ,.....,~6 "<-1;~~b~""'J., v/,Lch,' In the Township of ~o ufAo/A.
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Co. Name
Title #
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made by:
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BOXES 5 TIlRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
'(OVER)
In the VILLAGE
or HAMLET of
.
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/ODD
Number of Pages: 3
TRANSFER TAX NUMBER: 01-22439
Recorded:
At:
LIBER:
PAGE:
01/14/2002
04:19:56 PM
D00012163
335
District:
1000
Section: Block:
106.00 08.00
EXAMINED AND CHARGED AS FOLLOWS
$84,483.50
Lot:
006.000
Deed Amount:
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $9.00 NO Handling $5.00 NO
COE $5.00 NO EA-CTY $5.00 NO
EA-STATE $25.00 NO TP-584 $5.00 NO
Cert.Copies $0.00 NO RPT $.30.00 NO
SCTM $0.00 NO Transfer tax $338.00 NO
Comm.Pres $0.00 NO
Fees Paid $4~.;l.00
TRANSFER TAX NUMBER: 01-22439
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 COUNTY USE ONLY
C1. SWIS Code
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C2. Oete Deed Recorded I / /
Month Day
/ / -<
C3. Book I / , '.- ,~/ I C4. Page I
PROPERTY iNFORMATION
..,,11
Year
.
--) ...;' '-,
1""'/1"_)1--/
1. Prop,:rty I
Location
1755
St.anh:y Roali
STREET NAME
Nattituck
ZIP CODE
STREET NUMBER
Southold
CITY OR TOWN
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP-52t7 RevJf97
11952
VillAGE
2. Buyer
Name
Aupecki
LAST NAME I COMPANY
IUldreas a/ 1<./ d Andrew
FIRST NAME
LAST NAME I COMPANY
FIRST NAME
3. Tax
Billing
Address
Indicate where future Tax Bills are to be sent
if other than buyer address (at bottom of form)
LAST NAME I COMPANY
FIRST NAME
STREET NUMBER AND STREET NAME
CITY OR TOWN
ZIPCQDE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
, 1 I # of Parcels
OR D Part of a Parcel
5. Deed lOR 1
Property 1 X 1
Size FRONT FEET DEPTH
6. Seller Lstate of Elizd.beth KUptCki
Name LAST NAME J COMPANY
ACRES'
.
ST~TE
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists
4B. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
D
D
D
FIRST NAME
LAST NAME J COMPANY
FIRST NAME
I.
7. Check the box below which most accurately describes the use of the property at the time of sale:
A~ One Family Residential
B 2 or 3 Family Residential
C Residential Vacant land
o Non-Residential Vacant land
~~
Agricultural
Commercial
Apartment
Entertainment I Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
SALE INFORMATION
Check the boxes 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
that the property is in an Agricultural District
D
D
D
D
15. Check one or more of these conditions as applicable to transfer:
11. Sale Contract Date
12. Date of Sale I Transfer
14. Indicate the value of personal
property included in the sale
, , 0 , 0 1
, , .
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from
which information taken
'<.") 0 I 17. Total Assessed Value (of all parcels in transfer) I
18. Property Class
-2... /
,
.::J
1- U 19. School District Name
I '-
tOft - g-(p7
20. Tax Map Identifier(sll Rollldentifier(sl (If more than four, attach sheet with addnional identifier(sll
1000-106~OO-08.00-00b.OOO
A
B
C
D
E
F
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 not Warranty or Bargain and Sale {Specify Below)
Sale of Fractional or less than Fee Interest (Specify Below)
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
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CERTIFICATION
I certify that all of the items of information enlerr'tl un this form are true and correct (to the best of my knowledge and belief) and I understand that the making
of any willful fal<;e statement of material fact herein will subject me to the rovisi of the enallaw relative 10 the making and filing of false instruments.
BUYER'S ATTORNEY
/~
\.....---. BUYER SIGNAT E
t\n(h.ecls Kupekki
yjickhaT;1
DATI'
d/k/a Andrew Kupecki
LAST NAME
1'1'>5
Stanley ROJ.d
631
STREET NUMBER
STREET NAME IAFTER SALE)
AREA CODE
ha t ti tuck
CITY OR TOWN
SELLER SIGNATURE
n )'
-,
Abig,dl A.
FIRST NAME
298-d353
TELEPHONE NUMBER
CITY/TOWN ASSESSOR
COPY
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