HomeMy WebLinkAboutL 12283 P 14
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NX 0U5 . INrpID and SOlie- Oa:d .iU. o."..C'nan: aqpin... (imnuIr'", AcI..lndi\"IC!uuI... Corpor.JIiun ISi. SIL'd1 (NYR11J am,
CON..l.O(;I.1" \'OUM I..\\\"\"F.R .IF.F'URF. SlerSlfilIi.; TlIL"iIN.''''IlIJMF.I''iT. THIN 1""'8'rHU~IENTSllnUI.D 1IF: USF.D HY 'AW\"RK."i ONL1'
THIS INDEJIo,.URt:, mado tho
BK"I"\V..:Io:N
13-&.
Jay,'f
October
_ in the yo", 2003
GEORGE A. PA VLlCIN and MARY K. PA VUCIN, his wlf",
both residing at 2500 Sound Drive, P.O. Box 402. Grccnpon, New York 11944
pany of the fin;. p:art. and
KAREN ANNE PRATT, residing at 414 Powell's Lane,
Weslbury. New York 11590 and ELIZABETH ANN SCHEU. HORN. 31 Chcssor LWle.
Wilton. Conm,cl;cul, 06897. as "frustees of the GEORGE A. and MARY E. PAVLIC IN
F AMII.Y TRUST dated October 13"', 2003
p3ny of It1&: 5O&.-c:ond pan.
\\'ITN.....ss..:TII.Ih:u.he p;lny of 100 fiffll ran. in cmsidcraliuo ufT&!ln Dollms and MhC'rvaluuble cunsidcration paid by Lhe
pany of Ihe ...c:,'nd p3n. dac~ hereby grant and releu.'W unto the pa,n)' or th..: 5eC'ood pun. me.- hcinc or ,,"UIl:\.'aMII1I and UMi_ps uf
the puny of .he St.ocand l'lan fon:wr.
AI..I.lhall.'cnain pl,'I. pi&),."C f,lr ~'I c,lflnnd. with It.: huillolin~s and inlprowRlCnllIi Chcn...1I1 con.'CtCd. mlwlt:. lyinG UIkJ t1eing in lhc
at Grccnpon. Town of Southold, County of SufTolk and State of New York, known and
designated as LOl No. 115. on a certain map entitled, "Map of ElIstern Shores at GrecnpOl1,
Section 4" and fi led in the Orne" ofthc Clerk oflhc County ofSurrolk on March 7. 1966 as Map
No. 4586.
SAID pn:mises brinG known QS 2500 Sound Drive. Grccnpon. N~w York 11944.
Bt:tI'C ANt) INTENDED TO Bt: THE same: pn:miscs COII\-eyed 10 the party of the Ii",. part by deed dau<I May
12.1977. R(orded in Liber 8:!37 Page 212 on May 18. 1997 in Ihe Offic:e of the CI4:rk or the County ofSufTolk.
T()(.t:TIII-:K wilh ull righl.liele and iutL.TC2II. ih.n~'. oflhe party oflhe finn pun uf. in und ktany aiU'WIR alll.l <<laW. abullinu,.hc
abo\o-.:-dcscrihc'l.1 Pft'milOCS 10 Ihe L."C'nler line. thcreuf; TOC;.:TIIKIt with the Dppurtcnum:~ alkl all the: l,."JIWLc and riUhlsuflhe
party ue the firsl parl ill uDd to Raid premi!iL"~; 'ro HAVE AND TO nOLO the." prcmi$L.'S ht.-rein arantcd u.ntu the pDrt)' or lhe
sccnncJ part. lhe ht!in; nl' ICU!:'('t:2UCa1'5 and wucign5 or the p;u1y De the *='C'und part fOI\.""cr.
AN'D the (lUrty of lhe finol pan L"wenun~s th;u the pan)' of the tirst pan has RI.ItlJUfJI: (If !iutl'cn:d an)'thlng '....hc-reby the KOlill
pn:mi~ hu\'l.l h......n illl.:'um~-n:(1 in any wuy wharc\o"Cr. c:x...-crl WIo ufurcsuid,
ANI) the pnrty nf the rinllt p.1n. in compliunce with sc\"'!ion 1.1 of 1M Lien UW.. L'U'-..:n:.uus Ih.l1lhl: puny clr Ihe tinu pan will
R."\.-ch.'c Ihe "...Jnsid&.-rali.ln (III' Ihis \.'~m"~~'anc&: and will hold IhI: riahltu R:\."Cive such f,."Un.ldcnui('ln w;. D lrusl fund Iu he applied
first fur tl1..: IJUI'J>>O*' "I( po)'ing the c..usc of lhe improvc:.oRII:nt und will 3pply thl: lWmL' nnu to lhe paYl1\l:nl uf IhI.'" c:cm of lhe
imrnlwnlCnl bcfun: usi... un)' purt nflhc loud ,tr the JCWIU:' fnr ony O1hc:r J'U1'pl.))IC.
1bc wnnl..'l.....y.. shall be C'ClftslnIed Ibo if it reDU .'p3nh:lI'. whL'nc:'vcr lhe $CIUC' of Ihis indenture so R.."'luifL'JI,
IN WITJIl;E.."i..4i \VII.:RI':O.".lIb.' party ,,".he firsl pun IlWO duly .::"'...."I,lIell Ihb; dct,..'C.1lhc ..J.'I)' und YCiU'" fi"" above writlen,
IN PR..:zm.'lliI....: OF:
~tt.~~.~
Georae A. PavliciD
..........~_ VI....--I) . St....
Mary E. P lieiD
I
t:i_ 2
~" -~.
)
Number or P.D&~
TORRENS
3
I>ECORDED
2003 Hov 12 ~127.~ AI1
~rd P.-'ine
CLERK OF
SUFFOIJ( COUHTV
L 000012283
P 014
DTtI 03-14781
Serial"
Certillcato "
Prior or. "
Deod 1 MOlt_o IllJlnImont
Deed 1 Mon..." 'fax SllIIl1p
t'EES
Recordlnll1 l'iIInll Sla...po
4
1'''1101 Filing Fee
9
.5
5
Mort_ Ami.
1.1Jas1e Ta.
llandling
TP-51l4
2. Additiv...1 Tax
Notation
Sub Total
R.I'.T.S.A.
."'5
4
'!-x.J-
Sub Tollll
dl
!lA-52 17 (Counly)
!lA-52 I 7 (SIllIO)
Other
/5
Sub Total
I~'
I~~
SpocJ/lssil,
Or
Spcc./Add.
TOT. MTG. l'AX
Dual TO\ll.'O_l>uKI ClJUIII)'_
IlclcJ fc.r^IJI.urti(lmnL"~
TrunsrcrT... ~
Mallsiun Tax
1111: propeny covcn:cJ by Ihilll1nrtp&r is or
will be improved by. nne ur Iwu r.nlily
d_lIing only.
YHS urNO
If NO. see appropriate lax ('Iaule 011 pale"
_ urlhls instrument.
Cunvn. or r:.d.
5 CK!..-
Affidavit
Certified Cupy
Rog. Cupy
GRAND TOTAL
l
lten! l'mperty TlIX Service AIlC"CY Verification
-''.!!=.. _ _ "_. 5cclion D lock
LoI
6 COl1l1l1unit Preservati"n Fund
Consideration Ann>>unt S ,=_.JI-; _ .. ~__
03043498 1000 03300 0100 013000 :
j~~ I
Inilials , I
3 S.tisractionslDisclllup,slReleases List Property ownerS"IVII1I11U5 AddreS!
R...'CORD... RETURN TO:
Slamp
cpr- Tax Due
s....::.._~ ~
Dalo
"..proved
Vacallt Land
IIAVIIlOIf. IIAVIIlOIf. S:uGIlL 6 s'huuI. LLP
0_ IluJ'fon Square - SId.~e 330
X.1aad1a.... York 11749
/
TU
TO
TO
9
Suffolk Coun
B Title COmlJOny InfurmuCicllJ
Co. N_me
Tille 1/
Recordin & Endorsement Pa e
'Ihis pugc forms port of U", allllched
niP-lP.!d
Illude by:
lSl'EaI'Y TYPE 01' INSTRUMENr)
GeOTge A. Pavlic1n and Mary E. Pavliciu,
'Ille premises herein i. silualcd ill
SUFFOLK COUNIY. NEW YORK.
hiA. ~i-f...
TO IlIlhcTownshipof
KAREN AIINE PRATT and ELIZABETH AIlN In U.. VillAGE
SCHELLHOU. 8S Trustees of the GEORGE A. or 1-lAhotl..Cl'llf Greenport
aft. R~Y [_.P~V~lGl~ K~~~Y ~RYSr aa.a. .
UU,tMD?num 9 MUST DE TYPED OR PRlNI'EO IN ULACK INK ONLY 1'llIOR TO ImcoRDIN<l OR FILING,
~nn...hn'.:I
1111111111111111111111111111111111111111111111111
11111111111111111111
SOFFOLK COUNTY CLERK
RBCORDS orrICB
RECORDING PAGB
Type of Instrument: DBEDS/DDD
Number pf Pages: 3
TRANSPBR TAX NUMBBR: 03-14781
Recorded:
At:
LIBBR:
PAGB:
11/12/2003
09:27:30 AM
D00012283
014
GBORGB A PAVLICIH
GEORG. A Ii IIlUtY . PAVLICIH FAMILY TRUST
District: Section: Block:
1000 033.00 01.00
1l!Yl\KDDlD AND ('1I'aRGBl) AS FOLLOWS
Deed Amount: $0.00
Loti
013.000
Received the Following Pees Por Above Instrument
Exempt lJr-.pt
Page/Tiling $9.00 NO Handling $5.00 HO
COB $5.00 NO NYS SRCBG $15.00 HO
BA-CTY $5.00 NO BA-STA'l'B $50.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 HO
RPT $30.00 NO SC'l'M $0.00 NO
Transfer tax $0.00 HO COIIIIIl.Pres $0.00 NO
Fee. Paid $124.00
TRANSFBR TAX HUMBBRI 03-14781
'l'KIS PAGE IS A P~T or THE IHSTRUIIDT
THIS IS HOT A BILL
Bdward P.Ramaine
County Clerk. Suffolk County
FOR COUNTY USE ONLY
C1. SWIS Code
~L~A"~ I y~~ UK "'K~::;::; t-IKMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
sL?,
.
//1
MO~~
CO. Book I ,.{ ~ ::2, <??: )1 C4. P... I
PROPERTY INFORMATION
y, )?,s;? ,9'1
'.
/~ IO'? 1
Day Year
,0,/ Gl'1
*
C2. Date Deed Recorded
1. ~:~~:t: L
2500
STliEfTNUMBER
Sound Drive
STREETN"'ME
Southold
CITYORTQWN
2. Buyer
Name
Pratt
lAST NAME I COMPANY
Schellhorn
1.JlS"T NAME/COMPANY
3. Tax
Billing
Address
Indicate where future Tax Bills are to be aent
if olher than buyer address (at bottom of form)
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP.D17 RItV 3N7
Greenport
VILlAGE
11944
ZIP CODE
Karen Anne. Trustee
FIRST NAME
Pavlicin
LASTN"'ME/COMPANY
Elizabeth Ann. Trustee
FIRST NAME
George A.
AR5TNAME
12500 Sound Dr., P.O. Box 402
STREET NUMBER AND ST"'EH NAME
4. IndiClrte the number of Assesa:ment
Roll parcels transferred on the deed
1 1
L
# of Parcels
5. Deed
Prop.rty
Si>:e
L
1 X I
,,~
lOR 1
FRONT FEET
6. $eller
Name
Pavlicin
lAST NAME I COMPA"JY
Pavlicin
LAST NAME I COMPANY
Greenport
CITY OR TOWN
ORD
Part ofa Parcel
ACRES
.
6
IN Y I 11944
STATE ZlPCO[),f
41
(Only if Part of a Parcell Check a. th.y lIfIPly:
4A. Planning Board with Subdivision Authority EKi8bl
4B. Subdivision Approval w.as Require<! for T1'lIrurfI8r
4C. Parcel Approved for Subcliv~ion with Map Provided
D
D
D
7. Ch.ck the box below which most accurately de6el'ibes the use of the property at the time of sale:
Mary E.
FIRSTNAM@
Georee A.
FIRST NAME
A~ One Family Residential
B 2 or 3 Family Residential
C Rea!dential Vacant Land
D Non-Residential Vacant Land
t SALE INFORMATION I
11. Sale Contntet Date-
E~Agricultural
F CommBrcial
G Apartment
H Entertainment I Amusement
1
n/a 1
Do,
"'0'''"
12. Date of Sal. J Trar16fer-
10
113
Day
12003
v.~
Month
[ ~ Community Service
J Induatria!
K Public Service
L Forest
OIeck the boxes below as they IIPpIy:
8. {Nlnerahip Type is Condominium
9. New Construction on Vacant Land
1M. Property located within an Agricultural District
lOB. B~r received a dilClO$ure notice illdicating
that the property is in an Agriculturlll Oilltrict
D
D
o
o
v~
15. Check one or mOM of these conditions .. ~lcabI. to tranIfer.
A
B
C
D
E
F
G
H
[
J
n/a , 0 , 0 I
; , , .
(Full Sole Price Is the total amount paid for the property including personal property.
This payment may bi8 in the form of cash, other property or goods, or lhe assumption of
mortgages or other obligations.) Please round to the nearest whole dollar amount.
13. Full Sale Price
14. Indicate the vatu. of persona'
p1'operty Included in ttHI saI.
, n/a , 0 , 0 I
, .
ASSESSMENT INFORMATION. Data should reflect the latest Final Assessment Roll and Tax Bill
18. Property Cl_
2 1
o I-U 19. School District Neme I
16. VI8a' of Assessment RoU from 120Q3 I 17. Total Aueded Value (of all pereels In t...nllfer) I
which Information taklln
20. Tax Map Identifier(s)! RoU ldentifl.r(sj 1ft more than four, attach she'" with additional ~rlsn
Greenoort
1000 33
1
13
Sele Between Relatives or Former Relatives
Sale Between Related ComplInies or Partners in Business
One of the Buyers is aleo a SellGr
Buyer or SeUer is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale ISpecify 8e1~J
Sale of Fractional or Less than Fee InteresllSpec:ify Belowl
Significant Change in Property Between Taxable Staws and $tile Dates
Sale of BusinsS6 is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
conveyance to trust
,
8 7
,
o
,
CERTIFICATION
[ certify that all of the Items of infonnaUoo entered on this fonn are t1"ue and COJ:Tt'Ct (to the best or my knowledge and bellef) and I undentaod that the making
or any willful ralse statement of material fact herdn will subject me to the urovlslons of the DeDaI law relative to tbu maIdna: .ad IIDng of fal8e Imtrumenb.
BUYER BUYER'S AlTORNEY
)<.
10/ lJ 12003
rt1~tee
414
STR[ETNUMBER
Powell1s Lane
STREET NAME IAFTER SALEl
Westbury
CITY OR TOWN
NY
11590
STATE
ZlPCOOE
SEUEA
'~!1, p~~
101/..3 12003
~~
SELl.ERSlGNATURE George A. Pavlicin
Davidow
LAST NAME
631
AAEACODE
Lawrence Eric
~lflSTNAME
234-3030
nUPHONliNUMBEI'I
NEW YORK STATE
COPY
o