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CONSULT YOUR LAWYER SEJORE S,IGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, lIIade the
2~
~V/7
,ill thL' )'L'ar
two thousand one
day of
BETWEEN
STELLA OBOHOSKI residing at 97-18 89th Street, Ozone
Park, NY 11416
h,5~- ~!-
party of the first part, and f'PA1JUe/1f rLA,JIIG'A,) !Ii IS SliTT<</r '1c'MO)
t?ATf'iTGlGK /,.11 ~rft.>' f3~f<,b",(f1l 'BtJ.o,J/~~etJ'f'~f/ 'R6S/~/;JG If7 1/
'bJDk.""f,J'1J~:)' QNltll1t7 }I/LLJ ,J,~, ~s ,i.MrJi..S /,J
OOl'l(']d,.)
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party of the second part,
WITNESSETH, that the pnrty or the first pnrt, in consideration of Ten Dollars and other valuable C0l15idcrati?n
paid by the party of the second part, docs herelJy grant nnt! release Ullta the party o[ the second. part, the heirs
o.r successors and assigns of the party of the secolH.1 part forever,
. ALL tlml Cl'rlain plot, picCt~ or palTcI of blld, willa Ilw buildings :Illd illlpro\,(,llll'nl5 Ihl"H'UIl nccll.'d, silll;l!l',
1)'i1'Hnll""cillgimllw at ~lattituck, Town of Southold, Sur,folk County, Ne,',
York, known and desigllated as Lot P52 on a certain map entitled,
"r~attituck Estates, Inc." filed in the Office of the Clerk of the
County of Suffolk Oil September 0, 1965, CIS ~1",) No. 4'153.
BEING I\ND INTENDED '1'0 BE the snm" oremises conveyed to the pnt'ty
of the first onrt her"i./l by c1eed dilted 6/20/1l3, recorded 7/1.1/fJJ
in Libor 9306 co 533.
Transfer is subject to a Life Estate for STELLA OBOHOSKI
TOGETIIER wilh HI! rig-ht, title alltl interest, if allY, of Ihe p;uty of thc Hrst part in alltl to any strcots alld
rtll\ll!t nlHltling thc above dcscril.J~d Ilrelllises to the ccnter lincs tllcreof; 'I'OGE-TIlER witla the al)purtcIHulCCS
Blld nil tile t,.'Mnlc nod rights of the party or the first pnrt 111 nlld to S(l,id prell1ises; TO HAVE AND TO
J IOLD tile prcmises hcreiu granted 1lI1lo the party of the seconu part, the heirs or successors and assiglls of
the party of the second part forever.
AND the party of the first part cuvenants that the p..,rty of the first part has not dOlle or suITered anything
"wh.~'r,{'l"y the said pre-miscs hav(~ bccn ellclllll!Jered' ill all)' way whatever, except as a(oresaill.
: AND: t1;(' party of the firsl part, in compliance with Scction 13 of the Lien Law, covenants that the porty of
. ~he. ,Hut part will receive Ihe cOIl,,,idNalioll for this conveyance amI will hold the right to receive such consid-
er,atlon'-a"S a tfllst fund to he appiJed first for the 'purpose of paying the ,cost of the improvc11lcnt ami will apply
the 5:1111(' first to the pa)"lll('nt of the cost of the 1IIlprOvefllellt Lefore tlSlIIg an)' part of the total of the saJlle for
;lilY other Jlurpose,
The \\'ord "pa.rty" shall be com;trucd as if it reall "parties" whenevcr the sellsc of this indcnture so rCtluires,
IN,WITNESS WHEREOF, the porty of the first I"rt has duly executed this deed the day and rear first ahove
wottell.
IN I'RF..5ENn: OF:
9JQ
~a~-A~4/.~
" ella Obol1 .
S'\'ATE OF NEW YORK)
. J) SS.:
COUNTY OF ,l,/lSSoG )
On the 2' day ofCJI//'" _ in the yearU(J/ before me, the
undersigned, pcrso~ared S;;.?ll.A 1J1?OIJtJS.J< J ,
personally known to me or proved to me on the basis of satisfactory
evidence to be thl: individual(s) whose name(s) is (are) subscribed to
the within instrument and acknowledged to me that he/she/they
executed the saint: in his/her/their capacily(ics), and that by
his/her/their signature(s) on"the instrument. the individual(s), or the
person upon bclmlf of which the individual(s) acted, executed the
IllslllllllcnL
. STATE OF NEW YORK)
) 55.:
COUNTY OF )
JANET A GOGLlO
NOTARY pUBLIC, 'State of _York
No. 3-4946971
Qualified in N~ssaU Cou~
Commission expires Feb. 8. .,<<\3
-9
Signature and Office
Jodi 'dual taking acknowl d
On the _ day of in the )!Caf _ 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 (arc) subscribed to
Ihe within instrument and acknowledged 10 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 Oflice of
individual taking acknowledgment
* FlIr aclO1o,,'lcdgments taken in New York State.
** State, District of Columbia, Territory, Possession, or Foreign Country
) SS.:
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 namc(s) is (arc) subscribed to the
within instrument and acknowledged 10 me that he/she/they executed Ihe sallle in hislher/their cupacity(ies), that by his/her/their signature(s)
un the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument, and that sllch
individualmadc such appearance before the undersigned in the . (Insert the city or other political
subdivision and the slate or country or other place the acknowledgmcnt was taken).
Signature and Oflice of
indiyidual raking acknowledgment
.. For acknowlcd~lI1cnts taken outside of New York State.
;5atgaln anb fi>ale 1geeb
TITLE N~.'III COV/I!;tlff:: ~ ^~ 35C05
.'
o~JtI()!'K /
SECTION lIS' 00
BLOCK 0 'I- 0()
LOT ();23 'OOlJ I'f\
COUNTY OR TOWN ft 1'7" l I(
TO
)~J,<)G'Jt1.J Y' I3rUJJ,JCQJ1!7b
Recorded At Request of
First American Title Insurance Company of New York
RETURN BY MAIL TO:
I
M.K.M. ABSTRACT SERVICES INC.
23B MINEOLA BOULEVARD
MINEO LA, NY 11501
(516) 742-4700
g~~tJ C~1/;1J CJt{-
:.90 (Y)Hlf))ck (}(p/V?
(j(ICkY,/k 0jTIli) ,.II
Zip No. I 1S70
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Number of pages
TORRENS
~
RECORe'ED
2001 Rug 10 04,35:23 PM
Edward P.Romaine
CLERK OF
SUFFOLK COUHTY
L Cl00012135
P 103
DT# 01-01456
Serial II
Certificate 1/
$.'
Prior Ctf. 1/
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
FEES
Recording / Filing Stamps
2J
Page / Filing Fee
Mortgage Amt.
Handling
TP-584
5
~-
l. Basic Tax
2. Additional Tax
Notation
Sub Total
R.P.T.S.A.
5-
~
r.?fO
Sub Total
~ Comm. of Ed.
5 0.iL....
Spec.! Assit.
Or
Spec. / Add.
EA-52 17 (County)
EA-5217 (State)
~
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment
Transfer Tax -e-
Affidavit
GRAND TOTAL
(o9~
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 II
of this instrument.
Certified Copy
Reg. Copy
Sub Total
Other
Real Property Tax Service Agency Verification
Disl. Section Block
Lot
6 Community Preservation Fund
Consideration Amount $
tJtJo
o'ld}{7 &5(3.0
CPF Tax Due
$
Improved
~
Vacant Land
Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
Il)
Jl; Ner Goy )/0; ~-r:'
5lW JJJ-eM /e) A'a:,
;fd-IcIllf;hilfj;ll//5.1O
TO
TO
TD
Suffolk Count
8
Title Company Information
Y) /71 S;.1o
-
~
& Endorsement Pa e
This page fonns part of the attached
made by:
Stella, 06ei)~s1;
(SPECIFY TYPE OF INSTRill;1ENT )
,
fliIP ;'C/(J/
&1J,~IlI!(),
TO
f!a A/(l; {JCU/ .
B V..,y
fk C7 N I AI ,c oAf t/' .fa.
The premi~ herein is situated in
SUFFOLK COUNtY, NEW YORK.
IntheTo\\11Shipof ~d)&/cI
IntheVlLLAGE Illdilt.-L J
or HAMLET of r z,.. b?-&
.
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
.
111111111111111111111I1111111111111111111I11I1111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Numberojo Pages: 3
TRANSFER TAX NUMBER: 01-01456
Recorded:
At:
LIBER:
PAGE:
District:
1000
Section: Block:
115.00 04.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Deed Amol~n t :
Received the Following Fees For
Above Instrument
Exempt
NO Handling
NO EA-CTY
NO TP-584
NO RPT
NO Transfer tax
NO
Fees Paid
Page/Filing
COE
EA-STATE
Cert.Copies
SCTM
Conun.Pres
$9.00
$5.00
$25.00
$0.00
$0.00
$0.00
TRANSFER TAX NUMBER: 01-01456
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
08/10/2001
04:35:23 PM
000012135
103
Lot:
023.000
$5.00
$5.00
$5.00
$15.00
$0.00
$69.00
Exempt
NO
NO
NO
NO
NO
,. Property ~~O
location STREET NUMBER
I Meadow Lane
STREETN~E '_/J
<S('\{I.( I'f 0/ a
L-
CITY OR TOWN
2. Buyer I rLIIJj1i G>t ,J
Name LAST NAME I COMPANY
L::Z:...UO J I.J Co "7",~
LW NAME I COMPANY
3. Tax Indicate l,'here Mure Tax Bills a~ to ~ sent
Billing jf other than buyer address (at bbttom of form) I
Address
lAST NAME I COMPANY
L-
STREn NUMBER AND STREET NAME
CITY DR TOWN
i
II
4. Indicate the number 0' Assessment
Roll parcels transferred on the deed
OR D
# of Parcels
5. Deed
Property
Size
Ixl
L-
FflONT FEET
IORL
'ACRES'
DEPTH
6. SeUer
Name
~)BOHOSKI
LAST NAME I COMPANY
REAL PROPlORTY TRANSFER REPORT
llTATE OF NEW YORK
llTATE BOARD OF REAl. i>ROI'EJm' $l!R.VICES
"P - 5217
RP-.5l17 Rev3/'J7
.:.,","'--
MattituC!k
VilLAGE
~~9
~'"/I?/t-. /,y
FIRST NAME
I
L'~;f'({ P/f,! [l Ai
FIRST N
,
y
,
FIRST NAME
ST~TE
ZIP CODE
Part of a Parcel
5~
IOnlyif Part of 8 Parcel) Check 88 they apply:
4A. Planning Board with Subdivision Authority Exists
48~Subdivision Approv.l was Required for Transfer
4C. ParcelAppr~ed for Subdivision with Map Provided
D
D
D
STBLLA
FIRST NAME
FIRST NAME
desT the use of the property at the time of sale:
A9,;cutt~~' /i ~ Community Service
Commercia J Industrial
Apartment _ K Public Service
Entertainment I Amusement L Forest
\
}I
-:- J,
Mon~
D',
f. ;:;-1-,
.' Yeaf
12. Date of Sale I Tnmsfer
7 I 2{.. I 01
Month Da Year
.. i
, ,N, 0,00,01
, ...-, .
(Full Sale Price is thu total amount paid for the~l'"ope~including personal property.
This payment may he in the form of cash, other' properft" or goods, or the assumption of
mortgages or other obligations.) Please round to the nearest whole r amount.
13.:;F~IlSale Price
18. Property Class
Il J .:\
Icr-, ,()I-LJ 19. School District Name
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Con$truction on Vacant land
10A. Property Located within an Agricultural District
108. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
D
D
D
D
f.
15. Check one or more of these Co~ons lIS appIicableto'transfer:
" A SiPle Be;J:' n Relativesoti'Former Relftiv6S, i
; - ". t _ \.' .. 'i
" B ~Sale Betw n~elated Co~\parlies' or Parfners in\Business
C One of the Buyers is also a Seller
D Buyer or Seller is Government Agency or Lending Institution
E Deed 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 Da:~es
H Sale of Business is Included in Sale Price
I Other Unusual Factors Affecting Sale Price (Specify Below)
J None
;~
,
11S---L/-d.-3
20. Tax Map ldentlfierlsll Rollldentifierlsl (If more than four, attach Sh~ wfth ackfrtional identifierfs))
/tJO() -- 1/5.()O O,/, () '-tqq_OOt7
/ { ,
. .-i'~'
I
~t~
I certify that aU of the items of infonnation 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 SUlltement of material fact herein will subject me to the provisions of the JleIlaIlaw relative to the- making and filing of false instruments.
BUYER BUYER'S ATTORNEY
'?
///
...1' 14//(1((.1:-
B()YER SIGNATURE
/}
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.;1//J Ii
STRIt NUMBER
'1 "P6J"')kid.1 it""'t;tO/v[
STflEET NAME (AFTE65A!-EJ
Irr-I
STA'TE
o KOO.3
ZIP CODE
;:>1
.
SELLER
1170/()
't. J~ ~
/ 1((0---
---- SELLE N URE
I"~
I I
.I
.
DATE
Goglio
LAST NAME
Janet
FIRST NAME
516
764-4467
AREA CODE
TELEPHONE NUMBER
"" "..----"