HomeMy WebLinkAboutL 12347 P 337
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..' Bargain and Sale Deed with Cov.mant against Gr~nto(s ACl5
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUME"" SHOULD
BE USED BV LA WYERS ONLY
"",1..
THIS INDENTURE. made the2' day of Stplember Two Thousand Four
SHORELINE DEVELOPMENT CORPORATION
102 Sandpiper Drive
Rivemead. New York
AND.
KRZYSZTOFKODVMaodlWONAKODVM . '-'''tob6.,A + ~h.(!.(
'5 ~ S 0 \3.qrttu, j\"e",v.e...
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perly ohh, nnt perl,
perty of lhe SfCOnd perL
WITNESSETH. that the party of the fin;t pan. in consideration of Ten Dollars und other valuable consideration
paid by the pany of the !lCCond part. does hcn:by grant and release unlO the party of the second pan. the heirs or
successors and assigns of the party of the second part forever. all that cenain plot. piece or parcel of land. situate.
lying and being.
SEE SCHEDULE A ATTACHED H.:RETO AND MADE A PART HEREOF.
DISTRICT: 1000
SECTION: 113
BLOCK: (Y1 LOT :OO4.00Z
SAID PREMISES KNOWN AS: 5450 BERGEN AVENUE, l\fA TfITUCK. ~EW YORK
BEING AND INTENDED TO BE pan of the premises conveyed by deed dated Janauty 12. 2004 and recarded
March 9. 2004 in I.iber 12306 of conveyances at page 136.
This canve)'ance has been madt wilh !he unanimnlls ~un!ll:nt in writinS of all the stockholders of the party uf the nnll pan.
TOGETHER with the appurtenances and all the CSl'~le and rights of the party of the Iirst pan in and to said
premises: TO HAVE AND TO HOLD the premises herein gl'llnted unlO Ihe party of the second pan. the heirs or
successors and assigns of Ihe pany of the second part forever.
AND the pliny of the first part covenanlS that the party of the first pan has not done or sulTen:d anything whereby
the said premises have been incumben:d in any way whatever. exccpl as aforesaid. AND the pany of the first part.
in compliance with Section 1:1 of the Lien Law. covenants that the party ofthe first pan will receive the
consideration for Ihe conveyance and will hold the right to receive such consider.lion lIS almst fund to be applied
firsl for the purpose of paying the cost of the improvement and will apply the !l:tme first 10 the payment of the cost
of the improvemenl before using any part of the IOIllI .)f the same for any other pUI'posc. The word "pany" shall be
constructed as if it read "panics" whenever the sense of this indenture so requires.
IN WITNESS WHEREOF. the party of the nm part has duly rlIfC\1ted this deed the day aDd year Orst
above wrtUen.
IN PRESENCE OF:
..O.E1....~PMONTCORPO......
BY: "U : /th.t 5 ~(;y.
DtA.W'; J ~. I+Q~
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STATE OF NEW YORK, COUNTY OF SUFFOLK) 55: IndiriduallCorp
On tilt )... I ~day of September 2004. before me. tilt undersigned. personally appeared
DA VID PROKOP
personally known 10 me or proved 10 me on the basis of satisfactory evidence 10 be the individual whose narnels)
is subscribed 10 the within instrument and acknowledged 10 me that he executed the same in his capacity. and thai
by bis signature on the instrument. the individual. or the person on behalf of which the individual acted. executed
the instrument.
C Q______
Nolary Public
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Title No. 1,.177824-8
SCHEDULE A - DESCRIPTION
ALL that certain plot, piece or parcel of 1ancI, situate, lying and being aI Mattituck in the
Town of South old, COlDlty of Suffolk and State ofNcw York, bounded and described IS f01l0ws:
BEGINNING ala poinlon the southcrly side ofBcrgen Avenue, distant 350.00 fect westerly
from the comer formed by the intersection of the southerly side ofBcrgen Avcn~ and the westerly
side of Cox Neck Road, IS measured along the southerly side ofBcrgcn Avenue;
RUNNING THENCE South 14 degrees 45 minutes 50 seconds Bast, 200.00 feet;
THENCE South 75 degrees 14 minutcslOsccoDds West, 100.00 feet;
THENCE North 14 degrees 45 minutes 50 seconds West, 200.00 feet to the southerly side
ofBcrgen Avenue: I
THENCE along the southerly side ofBcrgen Avenue, North 75 degrees 14 minutes 10
seconds Bast, 100.00 feet to the point or place of BEGINNING.
FOR CONVEY ANCJNG ONLY, T",II' willi aD r1,kt, dlle ad "1Irat vi, .. uti III Illy Il"'ud ~ abatthI. eke
Ibovt dtKrIIItd pr.....1ll1kt _ter Oat 1IItnaf. '
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Number of pages
TORRENS
RECORDED
2004 Dc ~ 05 OJ. 48.17 PI!
Eduard P.Raoain.
CLERK OF
SUFFOIJ( COlIfTY
L ??oo12347
P 337
DT. D4-10032
Serial #
CcnifiealC #
Prior Ctf. #
Deed, Mongagc Instrumenl
Deed , Monll'l8c Thx Stamp
FEE.'l
Rcc:ording' Filing Stamps
3
Page' Filing Fee
Handling
/
EA-S2 17 (Counly)
EA-S217 (Slate)
R.P.T.S.A.
<{'" _ Sub TOIAI
1<'
3nOO
s. 00
:1-7
Mongagc AmL
I. BasieTax
2. Addili,mal Tux
Sub TOIal
SpecJA..iL
or
Spec. 'Add.
TOT. MTG. TAX
Duallbwn _ Duol County _
Held for Appointment /_ 0
{!lUl"1er'1'!5> (. (pO~
Man.'don Tax
The propcny covered by this monl!"lle i.
or will be improved by a one or lwo
family dwelling only.
YES or NO
If NO. see appropriate tax clause un
page 1# of Ihi!C inslnamenl.
TP-S84
s. J!!!.....
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Notation
Comm. uf Ed.
"..-
If}'>
15;:)- V
Affidavil
Cenified Q,py
NYS Surcbarge
OIher
IS. J!!L.
Sub TOIAI
Grond TOIAI
4 Disl.
I
Real Propcny
Tax xr\"ice
Agency
VcrificotIlion
Section
Block
Lol
5 Comm1Ullty PnaervatloD FaDd
04042739
~
~
1000 11300 0700 004002
(),)
Cq ideration Amount $ 1.\0
S ~.~oo
Improved
'^
,
6 SalisfUCIionsIDischargeslRel"""". Lisl Propcny Owtwrs Mailing Addre..
RECORD'" RETURN TO:
VDcant Land
TD
/()
C'^ Ar\~ \::',Ci4 ~1~
L-l4'5 6r~~\fv'1~.J\-vJL
?Ob~ \'51.4,
\2l"e.... \.Q 4~, kl '-/ 1\ tlO\
TD
TD
7
Infonnation
Suffolk Count
L ")'1 d-L4-~
Recordin & Endorsement Pa e
rico .9-
(SPECIFY TYPE OF INSTRUMENT)
Co. Name
litle#
This page fonn:c. pan of me altached
made by:
C,^o "'e.\~too:I~ ~.)e.\O ~~"dt- Tbeprcmiscshercin is situated in
(".r. ... 'fl:> (" t:.-\. r.,1.J SUFFOLK COUNTY, NEW YORK.
TO In the Township of c:::::: Q h -\- k .;) \ ,\
-..c ~S2-t-o (?- ~ nA \. M In the VILLAGE
-c\.IJOI'olCA 'G:OA~ "rHAMLET"r ~C4..-\+1 -\-\.(.c.~
BOXES I> THRU 8 MUST BE TYP OR PRINTED IN BI.ACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
11111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLIRlt
RICORDS OPPICI
RlCORDIHG PAGE
Type of Instrumentl DBIDS/DDD
NUmber of Pagesl 4
Receipt NUmber I 04-0110628
TRANSPBR TAX NOMBBR: 04-10032
Recorded I
Atl
10/05/2004
03148117 PM
LIBBR:
PAGB:
D00012347
337
District I
1000
Sactionl Block I
113.00 07.00
BXAMIDD AlII> CBARQID AS FOLLOWS
$400,000.00
Loti
004.002
Deed AIIIoUl1t:
Received the 'ollowing 'ees 'or Above Inetrument
B7~t
NO
NO
NO
NO
NO
NO
Page/'iling
COB
IA-CTY
TP-584
RPT
TrlU1sfer tax
$12.00
$5.00
$5.00
$5.00
$30.00
$1,600.00
Handling
RYS SRCBQ
lA-STATE
Cart.Copie.
SC'l'K
COIIIID.Pre.
'ea. Paid
$5.00
$15.00
$75.00
$0.00
$0.00
$5,000.00
$6,752.00
1x8lllpt
NO
NO
NO
NO
NO
NO
TRANS'BR TAX NtlMBBRI 04-10032
THIS PAGB IS A PART 0' THB IHSTRUMINT
THIS IS NOT A BILL
Bdward P.RolIlaine
COUI1ty Clerk, Suffolk County
"leA:;e I v"e UH PHe:;:; FIRMl V WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (5181 473-7222
FOR COUNTY USE ONLY
C1. SWIS Code
REAL PROPERTY TRANSFER REPORT
~. 7.$,$.51.9'1
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RI',,'tl17Kev3J97
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C2. Date Deed Recorded J I/J / c::> <::-; /"./c::f I
lIIonth Day ~.;r
C3. Book 1,/...2.. ~. v. 7IC4..8901 ~.< .~
PROPERTY INFORMATION
RP - 5217
.. Property J 5450 Berg-en Avenue
LOClItion SlRfETNUMBE~ STR~UNAME
Southold
CITY 011 TOWN
2. Buyer Kodym
Name lASTNAMEICOMl'ANY
Kodym
LASTi'aME/COMPANY
Mattituck
I 11952
2IPCODE
VILLAGE
Krzysztof
FIRST NAME
Iwona
FIRST_
3. lex Indicate where ft./ture Tax Bills lire to be sent
Billing if other tI1an buyer address (at bonom of form) I
Addreu
LlSTNAt.lE/C\lMI'A'IY
FlllSTHMlE
$lAEETNVMBfIlANDSTRHTNAME
CITV ()/I TOWN
ST"TE
l:lI'CODE
4. Indicate the number of AssltSSment
Rofl patc:el$ transferred on the deed
[I #of Parcels
Partofa Parcel
10nly if Part of II hrr:all Check.$ they epply:
4A. Planning Board with Subdivision Authority Exists
.m. Subdjvi~on Approval was Required for Transfer
4C. Pllrcltl Approved for Subdivision with Mllp Provided
OR D
5. Deed
Property
Sile
Ixl
'AClIES'
. 4 l.oi
lOR I
FRONTFEH
DEPTIl
6. Seller
Name
Shoreline Development Corporation
lAST NAME / COMPANY flllST NAM~
lAllTNAME/COMPANY
FI~ST HAIlE
7, Check the box below which most accurately describes the UN of the property at the time of _Ie:
Chock the box. below as they apply:
8. Ownership Type Is Condominium
9, New Construction on Vacant Land
lOA. Property located within an Agricultural District
108. Buyer received II disclosure notice indicating
that the property is in o1n Agricuitural District
A~oneFemilVReSidentiel
B 20r3FamilyResidential
C Residential Vacant Land
D Non.RllsidentialVacantLand
I SALE INFORMATION I
11. Sale Contract Dote
E~AgriCUhUral
F Commercial
G Apartment
H Entertainment I Amusement
I ~ Community Service
J Industrial
K PublicSarvice
L Forest
04 11 / 04
Month O'Y V,ar
09 27 / 04
Month O'Y Year
4 0 0 0 0 0
1 S. Che<:k one or mOre of these condition. lIS applic:able to tnJllafer.
A Sale Betwoen Relatives or FOlmer Relatives
B Sale Between Related Companias or Partners In Business
C One of the Buy(lf$ ii also a Seller
D Buyer or Seller is GOVernment Agency or Lending Institution
E Deed Type not Warranty or Bllrgllin and Sele (Spacify Below)
F Sale of Fractional or Less than Fee Interest (Specify Below)
G Significant Change in Property Betwean Taxable Status and SlIle Oates
H Sale of Businttss is Included in SlIle Price
r Other Unusual Factors Affecting Sale Price (Specify Below)
J None
12. Ollte of Sale 1 Tranrier
13. Full Sale Pric:e
o 01
, ; ~
(Full Sale Price is the total amount paid for lhe property including personal property.
This payment may be in the form of cash. other property or goods, or the assumption of
mortgllges or olher obligations.) Please round fa rhe ne..resr whole do/JlJr amount.
r
14. Indicate th~ value of p8f$Onal I , ,() 0, () I
property included in the salll, , e
ASSESSMENT INFORMATION. Data should reflect the latest Final Assessment Roll and Tax Bill
16. Vear of Aaseument Roll from I r. "I', Total Assessed Value (of all pare.li in transf.rll
whieh information taken lJ..L..a..1:::t 17.
.":" (I Cl
,
18. Property-Class
~\ ') I-LJ 19, School District Name I
lv, , \-+~ -\", \:
20. Tn Map Identlflsrlsll ROllldeotifier(sl (If more than four, attach sheet with additional identifier(sll
\)1"+ \ ,\;\.',0
'l,\".(k\:" Cl.QC
I CERTIFICATION I
I certify that aU or the items of information entered on this rann are troe and correct (to b bl!St of my knowled!!:e and bel6ef) and I undenfand that the making
of an)' willful f&be statement of material fact berein will subject me to the provisions of the oenaIlaw relative to the maJdna and ~ of false irwtnnnents.
BUYER BUYER'S ATTORNEY
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TElEPHONE NUMBER
Co <;0
S ETNUMBEA
Ell SALE)
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SElLfASIGNATUAeJ
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NEW YORK STATE
COPY
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DATE
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