HomeMy WebLinkAboutL 12158 P 515
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Standard N.Y.a.I.U. Form 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts - Uniform Acknowledgment
Form 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT.THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the 13 day of December, 2001
BETWEEN
ANDREAS J. KUPECKI, residing 1755 Stanley Road, Mattituck, New York 11952,
party of the first part, and
!
ANDREAS J, KUPECKI, residing at 1755 Stanley Road, Mattituck, New York 11952, as to an
undivided 99% interest in the premises and TARA l. KUPECKI, residing at 1755 Stanley Road,
Mattituck, New York 11952, as to an undivided 1 % interest in the premises, as tenants in common,
party of the second part,
WITNESSETH, that the party of the first part, in consideration of TEN and 00/100---------------------------------------
------------------------------------------------------------($1 0.00 )------------m-------------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, situate, lying and being at Mattituck, Town of Southold,
County of Suffolk and State of New York, designated as Lot No. 23 on 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 30, 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 as conveyed to the party of the first part by
deed dated July 2, 1992 and recorded in the Office of the Clerk of the County of Suffolk on July 23,
1992 in Liber 11506 page 578.
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.
AND 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
written.
IN PRESENCE OF:
is deed the day and year first above
:2reaf-G?
fldeed7
.,1.;.....,
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York, County of Suffolk ss:
On the' 3 day of December, in the year 2001,
before me, the undersigned, personally appeared
ANDREAS J. 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
th~indi id I(s) acted, executed the instrument.
. . tJ7~
(signat~ e and office of individual taking acknowledgment)
Notal\' Public ABIGAIL A. WICKHAM
Notary Public, State of New 't'bIIc
No. 52-4&42871
Qualllled In Suffolk CoulllYao. ^ r
Commllllon Expl'" Sept. 80.10..
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State of New York, County of Suffolk ss:
On the day of , in the year 2001,
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.
(signature and office of individual taking acknowledgment)
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
(insert the City or other political subdivision)
(and insert the State or Country or other place the acknowledgment was taken)
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
Title No.
ANDREAS J. KUPECKI
I TO
ANDREAS J. KUPECKI and TARA L. KUPECKI
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by
. Common~::~!'~COM"ANY
COMMONWEALTH LAND TITLE INSURANCE COMPANY
(signature and office of individual taking acknowledgment)
SECTION
BLOCK
LOT
COUNTY OR TOWN
STREET ADDRESS
Recorded at Request of
COMMONWEALTH LAND TITLE INSURANCE COMPANY
RETURN BY MAIL TO:
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Number of pages
TORRENS
Serial #
Certificate #
Prior Ctf. #
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
FEES
4
Affidavit
~~\~4
Reg. Copy
Other
Real Property Tax Service Agency Verification
Dist. Section Block
1000
/Ob.o
7
Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
Andre.-q 5 KVlu_/cJ'
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RECORCH)
2001 Dee 14 03:29:00 PM
Edward P.Romaine
CLERK OF
SUFFOLK COUtH'-/
L D00012158
P 515
DT# Oi-18675
Recording / Filing Stamps
Mortgage Amt.
I. Basic Tax
2. Additional Tax
Sub Total
Spec.! Assit.
Or
Spec. / Add.
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment
Transfer Tax
Mansion Tax
The property covered by this mortgage is or
will be improved by a one or two fam ily
dwelling only.
YES orNO
If NO, see appropriate tax clause on page #
of this instrument.
6' Community Preservation Fund
Consideration Amount $ - 0 -
CPF Tax Due
$ -0-
Improved
Vacant Land V'
TD
TD
TD
8 Title Company Information
Co. Name
Title #
9 Suffolk Count Recordin & Endorsement Pa e
This page forms part of the attached bee~ made by:
(SPECIFY TYPE OF INSTRUMENT )
I<'up~b I ~
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO
In the Township of
In the VILLAGE
or HAMLET of
~~
.;~~_lIiI,
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
1111111111111111I11111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBER: 01-18675
Recorded:
At:
LIBER:
PAGE:
12/14/2001
03:29:00 PM
000012158
515
District:
1000
Section:
106.00
EXAMINED AND
$0.00
Block:
08.00
CHARGED AS
Lot:
005.000
FOLLOWS
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 $4.00 NO RPT $15.00 NO
SCTM $0.00 NO Transfer tax $0.00 NO
Comm.Pres $0.00 NO
Fees Paid $73.00
TRANSFER TAX NUMBER: 01-18675
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
,~~~..
FOR COUNTY USE ONLY
Ct. SWIS Code
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222
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u /1
Year
REAL PROPERTY TRANSFER REPORT
C2. Date Deed Recorded /~'" I ./ (~/ /
Month Day
/.! . . X'
C3. Book I . ,C/I' / , .J ,.. I C4. Page I
PROPERTY INFORMATION
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
'" /
')
RP - 5217
RP-5217 Rev 3197
1. Prope.rty I
LocatIon
1865
STREET NUMBER
STanley Road
STREET NAME
Southod<i
CITY OR TOWN
l1attiutlck
VilLAGE
11952
ZIP CODE
2. Buyer
Name
KUPECKI
LAST NAME f COMPANY
ANDRLAS J.
FIRST NAME
KUPECKI
LAST NAME I COMPANY
TARA L.
FIRST NAME
3. Tax Indicate where future Tax Bills are to be sent
Billing jf other than buyer address {at bottom of form} I
Address
Kupecki
LAST NAME I COMPANY
Andreas J.
FIRST NAME
1755 StanhN Road
STREET NUMBER AND STREET NAME
Matti tuck
CITY OR TOWN
IN ,Y I 11952
STATE ZIP CODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
1 # of Parcels OR D Part of a Parcel
5. Deed
Property
Size
FRONT FEET
Ixl
DEPTH
lOR I
'ACRES'
. 46
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists 0
4B. Subdivision Approval was Required for Transfer 0
4C. Parcel Approved for Subdivision with Map Provided 0
6. Seller
Name
KUPECKI
LAST NAME / COMPANY
ANDREAS J.
FIRST NAME
LAST NAME I COMPANY
FIRST NAME
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 X Residential Vacant Land
D Non-Residential Vacant land
E ~ Agricultural I ~ Community Service
F Commercial J Industrial
G Apartment K Public Service
H Entertainment I Amusement L Forest
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant land
D
D
D
D
10A. Property Located within an Agricultural District
10B. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
SALE INFORMATIO
11. Sale Contract Date / /
Month Day Year
15. Check one or more of these conditions as applicable to transfer:
12. Date of Sale I Transfer
1@ /
Month
/
01
Year
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
D',
13. Full Sale Price I I I 0 I 0 I 0 I
, , .
(Full Sale Price is the total amount paid for the property including personal property.
This payment may be in the form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Please round to the nearest whole dol/ar amount.
14. Indicate the value of personal [, " 0 I 0 I 0 [
property included in the sale, , .
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from I 99 00 17. Total Assessed Value lof all parcels in transfer) I
which information taken
JO~
<g
-
6
;
.
,
800
;
18. Property Class
I 3 I 1 I 1 [ - U 19. School District Name I
Mattituck
20. Tax Map Identifierlsl J Rollldentifierfsl (If more than four, attach sheet with additional identifierlsll
lOOO-10b.OO-08.00-00S.000
I
I CERTIFICATION
I certify ~t aU of the items of information entered on this form are true and correct (to the best of my knowledge and belief) and I understand that the making
of any willful false statement nf}material fact herein will subject me to the provisions of the penal law relative to the making and tiling of false instruments.
-t_-~,_, _J~L. r\-,--- ''f'"j!- t BUYER BUYER'S ATTORNEY
'.rara L,,-'K,tipe~'
l<ickham
LAST NAME
Abiqail A.
FIRST NAME
1755
. Kupecki
r
Stanley Road
STREET NAME (AFTER SALE)
631
AREA CODE
298-8353
TELEPHONE NUMBER
STREET NUMBER
Hattituck
CITY OR TOWN
,,iJ
11952
ZIP CODE
/?
CITYrrOWN ASSESSOR
COPY
DATI'