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SlIIndard N.Y.a. T.U. Form 8002 - Balpln and 5... o..d. with Cow.nIInt ..lnlll. Grllntor"a Acts - Unlfonn Acknowledgment
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'-: CONlIuLT YOUR LAWYER BEFORE -::0 THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the .;J'):. day of May. 2003
'I BETWEEN
WILLIAM .J. .JAKLEVIC AND ROBERTA F. .JAKLEVIC, hi. wife, residing at 900 Old Harbor Road,
New Suffolk, New York 11956, party of the first part, and
MARK SZVNAKA AND CAROL SZYNAKA, his wife
....iding at 485 Old Wood Path, Southoid, New York 11971, party of the second part,
WITNESSETH,that the party of the first part, in consideration ofTen and 00/100-----
-(510.00) dollars, and oIhar
good and valuable consideration paid by \he party of tha second part. does hereby grent and release unto \he party
of the second part, the heirs or successors and assigns of the party 01 the second part Iorever,
ALL that certain plot, piece or parcel of land, situate, lying and being In the Town of Southold, County of Suffolk and
state of New York, at Reels Neck, near CUtd1ogue, bounded and described as follows:
BEGINNING at a monument at the intersection of the southerly side of Mldwood Road with the westerly SIde of
Plnewood RolIcI;
RUNNING lliENCE along said westerty side of, Pinewood Road, South 24 degrees 19 minutes 50 seconds East,
121.23 feet to land now or lonnerIy of Raleigh;
lliENCE South 65 degrees 40 minutes 10 seconds West along last mentioned land, 141.70 feet to land now or
Iormerty of McOonlIld;
lliENCE North 21 degrees 11 minutes 00 seconds West along last mentioned land and land now or fonnerly of
Burger, 121.41 feet to said southerty side of Mldwood Road;
lliENCE along said southerly side of Mldwood Road, North 65 degrees 40 minutes 10 seconds East, 135.00 fleet to
the comer aforesaid ilt the point or place of BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated 11/21/59,
and recorded on 11/30/59 In Uber 4732 page 147.
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TOGETH ER with all rlghl. title and interest. if any. of the party 01 the first part In and to any streets and roads abulling
the above dllllCribed prem_ to the osnter lines thereol; TOGETHER with the appurtenances and an the astale end
rights or the party of \he first part In end to seld premises; TO HAVE AND TO HOLD the premises herein grented
unto the party of the second part, the heirs or successors end essigns of the party of the second part forever.
AND the party of the first part covenants thatll1e party 01 the first part hes not done or suffered anything whereby the
said premises have been encumbered in eny wsy whetever, except as eforeseld.
AND the party of \he first part. In compliance with 5ection 13 of the Lien Law, covenants thet the party of \he first part
will receive \he consideretion for this conveyanos end will hold the right to receive such consideration as a trust fund
to be applied "rstlor the purpose 01 paying the cost of the improvement end wlli epply the seme first to the payment
or \he cost of tha il11Provement before using any part of the tolal 01 the same lor any other purpose. The word "party"
shell be construed es if it reed "parties' when ever \he sense of this indenture so requires,
IN WITNESS WHEREOF, \he pey olll1e first part has duly executed this deed the dey end year firstebove wrilten,
~-'~d.LIL '
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TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STAn!
, ~
'. Stale of New York, County of Suft'olk. IS.;
':& ..., ,,\1)...t.
On the _ dey of MIIy. In the year 2003,
before me, the underWgned. penmWly eppeered
WILLIAM J. JAKLEVIC AND ROBERTA F. JAKLEVlC
peraonally known to me or proved to me on the basla of
_clofy ...,d... _ to be the Indivldual(s) whose I1IImets) Is
(ara) su_ to the within Instrument and acknowledged to
me lhel _hey 8XSCUlad the same In hlslherltheir
capsc:ity(Ies). _ Ihet by hIslherllhelr signstura(s) on the
inslJumenl, the IncIhridua~s), or the person upon behalf of which
the ~~s) _, execul8d the instrument.
~. 0-.-......... i. '[J.c,...y
(s1gl1llture and oftlos of Individual18k1ng acknowledgment)
Notery PubDc
..oIAHE E.EDGMl
Notary Public, S18,!Of New York
No.OIEO_.tt2
Qualified in 5 lkcOurili;
Commiasion ExpirasApril3S;'~(,.
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STAn!
Stale of New York. County of Sulfoll<,
sa:
On the day of . In the yeer .
before me, the undersigned. personally appeared
personally known to me or proved to me on the basil of
satlsl8clofy evidence 10 be the indivldual(s) whose I1IImets) Is
(are) subscribed to the within In_lNmant and acknowledged to
me that helshelthey executed the ..me in hialhwlthelr
capac:llyO..), and that by hislherllhelr slgnatura(s) on the
in.trument, the lndIvkiual(.). or the person upon behalf of which
the individu81(a) acted. executed the Instrwnent.
(signature and office of Individual taking acknowledgment)
Notary pubroc
Sl8la (or o;slrid of Columbia. Tenitory. or Foreign Country) of
,sa.:
On the
day of
. In the yeillr 2003, before me, the undersigned. personally appeared
personaay known to me or _ad to me on the _s of salisl8dory evldence to be the Indlvldual(s) whose nsmets) is (are)
subscrlbad to the within Instrument and acknowledged to me that helshelthey execul8d the seme In hls/herllheir capeclty(i_). and
that by hlslharllhelr siglllllura(s) on the Inslrumen~ the Individusl(s). or the person upon behalf of which the Indlvtdual(l) _d,
executed the inatrument, and that such Individual made such appearance before the uneleraigned in the
In
(and inaert the State or Country or other place the ac:knowledgment \NaB blken)
(1l"l8ert the City or other poUtIc8lsubdivi8ion)
(slgnalU'" snd oftIce of IndIvIdusIhlking -.cIgmentl
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
Title No.
TQ
aYAIaMIID POIlIII oP' NEW YORK 80ARD OF TITU! UNDeIMIRI'IW;Iat
DiIIrtbuo.d by .
. Common~~~~COM>'~
("OMMC),'lrN.'KALTIII..A."IIDTITLE INSUAANt:E Cl,.'IM,^JrrO"
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Number of palC'S
TORRENS
3
RECORDED
2D03 Hay 31 O!h 19; 26 API
. Edward P.Roaaine
CLERK OF .
SUFFOLK COUNTY
L DOoo12254
P 003
Nil 02-41577
Serial"
Cenificate #
Prior C.f: N
Deed I Mortpgc Instrument
Dt.-cu I MonaBge Tax Stamp
FIlIlS
R.ecording I Filing Slumps
4
P_, filing fee
lIandling
11'-5&4
Mongaae Auu.
l.lJa.sicTax.
2. A,jditional Tax
Notatiun
Sub To.al
!::A-52 17 (CowlIy) --- Sub TOlal
!::A-S217 (S.ale) ---
R.P.T.S.A. _ ""30 =-
Comm. of !::d. _----1 <KL-
Affidavit ---
Certilied Copy ---
R<:g. Copy ---
Sub ToIlII '11
Other
GRAND TOTAL
Spec.lAssi!.
Or
S,,",c. I Add.
TOT. MTG. TAX
Dual Town_ Dual Cnultly_
Ilehl fur ^ppunionm~~
Tl1IJ\Srcr Tax /.:J t:J a
5
Rnll'roperty Tax Servicc Agency Verilic..ion
Disl. Se_~_t~on B loc:Ii
o.
r
1.0'
Mansion Tlt.'l(. _
The pn)l'eny C(lV~red by this mortgage LlI (lr
will be improved by a (lne ur two family
dwellinll only.
YJ:S or NO
".fNO. s"oc appropriate tax c1DUS~on.P~Y;W.J
_arthis inslrurru.anl. -4 tJ-""-
...7' -7
6 Communily Preservalion Fund
SlBmp
Dale
oc
1000 11000 0200 017000 ICPF T..x Due
Initials
7
Salisfaclions/Disch.rgeSlRel..ase. Lisl Propcny Owners Mailing Add
RECORI) '" RIlTURN TO:
o\se.n d o\~n \ L. L.P.
3,;)\.!'\5 t--\.cUn Rood.
P. Q. ~'t ,OCo
C-LAic.-h0811-e. I 1-). ~. \ \ Q3S
TO
TO
TD
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R Title Company Information
Co. Name ~ .N- Tr:l::!&......
Title #
9
Suffolk Count Recordin & Endorsement Pa e
~rl.
(SPEOFYTYPE.Ol' I NSTRUMENr )
t nil Ii llJV) ,I. .JD..Kle iliC" a+
-----fobefrlo.... F .h~\€"'lc
.'his page fomlS pan or1he allached
:-__.. . ___ made by:
TO
.Ihe pn....ruses herein is situaled in
SUFFOl.K COUNIY, NEW YORK.
In.hcToVlonshipof .sr.j)~~
Ho..ii'K SL't..Qt;!.t.lL ~~ InlheVILLAGE
{l or HAMLET or
'flth L ~7''4rYl~
BOXES 5 THRU 9 MUST BE TYI'!ill OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FII.ING.
.(OVER)
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OrrICE
RBCORDING PAGE
Type of IDstrlllllllDt: DBBDS/DDD
Number of Pages: 3
TRANSPBR TAX NUMBER: 02-41577
Recorded:
At:
LIBER:
PAGE:
05/31/2003
09:19:26 AM
D00012254
003
District:
1000
Section: Block:
110.00 02.00
II!YllKINBD AND CHARGBD AS FOLLOWS
$375,000.00
Lot:
017.000
Deed AIIIouDt:
Received the Following r..s 'or Abov. Instrument
Exempt
NO Hanc:l.ling
NO NYS SORCHG
NO BA-STATB
NO Cert.Copi.s
NO SCTM
NO C~.Pr.s
'e.s Paid
Page/Filing
COB
BA-CTY
TP-584
RPT
Transf.r tax
$9.00
$5.00
$5.00
$5.00
$30.00
$1,500.00
$5.00
$15.00
$25.00
$0.00
$0.00
$4,500.00
$6,099.00
Exempt
NO
NO
NO
NO
NO
NO
TRANSFBR TAX NtDIBBR: 02-41577
THIS PAGB IS A PART OF THB INSTRtlMENT
Bd.ard P.ROIIl&ine
County Clerk, Suffolk County
.
FOR COUNTY USE ONLY
Cl. SWIS Code
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.~tate.ny.us or PHONE (518) 473-7222
I )/,.?, 1 ';5'3, '71
C2, Date Deed Recorded I ~ ? / I
Mo"th Day
C3. Book I ,,-;')..,,;2, s-:; -% (;.4. Page I
PROPERlY INFORMATION
.o?1
Year
c;C31
1'~~~1
77.5
Midwood Road
ST~EETNUMBER
STAcETNAME
~ Southold
CITYOATOWN
2. Buyer
Nllme
Szynaka
lASTNAMEICOMI'ANY
~ Szynaka
LASTNJlME/COMPANY
3. Till( Indic3le whore luturn Tax Bi:ls are to be sen!
BiUing if other than buyer address (at bottom of form) I
Address
LAST NAME; COMPANY
L-
STREET Nl,JMBEAANOSHlEETNAME
-W"""
, I
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REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP-5217 Rc~ 3/1)7
Cutchogue
VILLAGE
, 11935
21PCODE
Mark
f'FlSTNAME
Carol
FIASTNAME
FIRST NAME
4. Indlc:atll th. numbe/' of ASAllSment
Roll parcels tt'llnsferred on thll deed
1 i # of Parcels
DRD
Part of ~ Parcel
lOnly if Part of II Parcall Check as they apply:
4A, Planning Board with Subdivision Authority Exists
48. Subdivision Aporoval was Requ-redforTransfer
4C. Parcel Approved for Subdivision with Map Providea
o
o
o
5.DHd
Property
Size
Ix I
lOR I
FAOIlTFEET
rlEPTIl
6. Seller
Name
~ Jaklevic
lASTNAMEfCOMPAN'I'
~ Jaklevic
lASTNAMfiCOMPAN'I'
CITY OA TOWN
STAI.
ZIPCOOE
ACAES'
. 3 8 I
William -I_.
flASTNAME
Roberta F.
FII'lSTNAr>'E
---.J
7. Check the box below which most accurately describes the use of the property at the time of sale:
A~o"eFamil\lA&Siderlliai
B 2or3FamilyHesidentia,
C Residential Va,;ant land
D Non-Residential Vacant la".d
E~A9ci'"'"''
F Commercial
(, Apartment
H Entertainment I Amusement
l~community.ser'JiCe
J Industrial
K PubticScrvlce
L Forest
I SALE INFORMATION I
11. Sale Contract Date
3 / 17 /03
M,>nl~ Day Year
12. Date of Sale J Transfer
L5
Mont'
, 2-7 L 03
Day Year
, 3
, , .
(Full Sale Price is the to)tal 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 rOlJnd to rhe n(JiJreSr whol, dollar amount.
13. FullS.le Price
L"
7
0,01
5
0,0,0
14. Indic.ate the ...alue of personal I
property Included in tha sale
Check the bOlles below as they apply
a. Ownership Type is Condominium
9, New Construction on Vacant Land
lOA. Property located witllin an Agr:cultural District
10B,BuyerrecaivedadisclDsurenoticuindiCa1ing
that the property is inan Agricultural iJist(ct
o
o
o
o
15 Check (lne or more of these c(lnditions as applicable to trensfer:
A Sale Be:IN8<'In Relatives or Former Reriltives
B Sale Betwaal'l Related Companies or Partners in Business
C One of the Buyers is also a Seller
D Buyer or Seller is Guverr.ment Agency or lending Institution
E Deoo Type not Warranty or Bargain and Sale (Specify Below)
F Sale of Fractional or less than Fee Interest (Specify Below)
G Significant Change in Property Between Taxable Status and Sale Dates
H Sale of Business is Included in Sale Price
1 Other Unusual Factors Affecting Sale Price (Specify Belowl
J None
o ,0 , 0 1
, , .
ASSESSMENT INFORMATION - Data should reflect the latest Fin.!] Assessment Roll and Tax Bil!
18. Property Class
[2 . I
16_ Year of Assessment Roll from lI'I2 / () 3 I
which information taken ~ 17 Tota! A.ssessed Value (of all parcels in transfer) I
5 8 0 .JL.J
O~_L__ I 19, School District Name I Cutchogue
20. Tax Map Identjfier(s) / Rollldentifier(s] jIf more than four, i1ttach sheet with additional identifier!s))
1000-110.00-02.00-017.000
_--.J
I CERTIFICATION
I certify that all of the items of Information entered on this Conn are true wxl COlTect (to the best of mJ knOWledge and belle!) and I Wlderstand tJr.l.t the making
of any willful false st1l.temenf of material fact herein will subject me to the IlTOvisions of the Denal law relatiw to the making and filing of false instruments.
c:..\) iu4. G- 0 cf
ClTYOI'ITOWN
BUYER I .1 /
~~~~,>;::- -t9~1~~~~,~;~
-l7S' L m.JJ)\J\J'~...o P-f) 631
STFlEETNUMaER 5TREHNAMEIAFTfHSAlE) AREACOOE
SELLER k'
4Ifit~/4Ur~
1'7(/ ~ (}.3
Roberta F ,OATJaklevic
~~A~
BUYER'S ATTORNEY
Gary F.
FIRST NAME
734-7666
TELEPHONE NclMBER
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YORK STATE
COPY
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