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HomeMy WebLinkAboutL 12163 P 335 f:J~/03 f335 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 3~ ,uOIU~ 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, J6.s<.J. ~.I'.:I3 ~o) ~. J' ~ +0"..... tJ-.'::!J).,.,._... POJ, }.."'........l'~ t.lt~1-, '+--J....nt;; t- 1,1&. .....I"}') _ '$.".d/..o.::l 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: w <.> u: u. o '" z o '" o <.> w '" u. o w VI :> '" o u. w <.> " "- VI VI ;: >- w > '" w VI w '" r',.' c:o c. rr1 1'.) If 1 0... 0::..:: ':::: ..:...... ':'-1 f-- "'1'1 ftl I:" ::j".j:; '11 ,;-:> "', :::1 /(1 !.~} c:< r-~ C\.. ITI ;:=: "1) g S~ ::D ~IJ ~~ ::3 ;.j) ;>::l .::':~ ;-) ....::: ~D C) ,:g 1.-) (.11 1'-.) C) C.:r 0 .$>. rl1 ti ' .~ ':; -Tl K~ ." ':::::, '.D /} -:':1 ~-" '..:) ::1 >T< Ul 0'. "1:1 [!::2 Number of pages TORRENS ~ ~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 JY;/. - ~O ~-r -j--;-...,l-c..J c...s ~AJc;,~UJ Ku,€c..4..., 7yQ TD TD TD Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: /.:3 .oX 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. /J/ /1'?:r;;J.. 8 Co. Name Title # f>:j!J 9 made by: ~~ ~,GIC~,.... I< 4.l1r'" ~<c.k./ A)Jc,t,.." ~ ,J-G I<.E W KJJ P E..c: "" / .- r 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 Lj I . , ...., - ~.~ '" I,~; f , _. _~. I -... I '/ CI I ( I / 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 ." , ..::> ~I /; , ...J' "_ 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 ~1.'"