HomeMy WebLinkAboutL 12215 P 634
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Form 1lOO:l.-S-ll9-:lllM-Barpin m:l Sale Deed. wilh CoWIllUIt qailllt OnulIur's Ado-Indivlclulll Clr
CorporIliOll. (lingle shetKl
CONSULT YOU LAWYER BEFORE SJGNlNG THIS INSTRllMItNT..TIIIS
INSTllUMENT SllOllLD BE USED BY LAWYERS ONLY.
THIS INDIl.NTUll&. made ~olay ~ IlIe year of Two TbousaDd pal Two..
BETWEEN
115' -Lf-L~
JOliN .I. DABROW!!"I .not ADELAIDE DABROW!;KI. nlWdllli lit 6llO Madow t..ane.
MaIl~lICk. New YOlk
pGrl)' of Ihc ~M pon. and
.
ADKI.MDE DABROWSKI. midin. al6llO Meado..I....... M3IIituclt. New Yurk
pony ..r lbe _'UIIlI part.
WITNESSETH. 1b4l dlc pony of Ihc first pon. In considaatioo of Ten DollItr. ... other YIIIuIble
collliderUlon JlllId by Ihc pony of Ihe.-l port. cines hereby pIIII1 ... relnse UNO die poIftY of die
secmd pan. IIle hem \'If ~ and Uti"" ltflbe pany ofdlc seo;'lnd part ro-cr.
ALL T~fAT CERTAIN pill!. ri- or pan:cl of land. willi Ihe bIIlldl/liS and Impm_
~ llRlCIlld.lIitIIIIlc. lyl/li IIIIIl bel/li III MlItIiluck. 111 u... TllW'll of Soulbald. C'awIIy of Suft'olk
n SWe of New York. known m:l de&ipIaled lIS Lot 148. on a l:eIllIin IIIIIp cnIltIed "MlIp "r
Subdivision ror MlIllIlW:k cOlllla. Inc.. MlIllituck. Town of SoudIoIcI. Suffolk C\llInIy. f\lcw YlId:.
dalI:d May 5. 1965 and July 19. 1965: Aldetl W, YOIIIIIo Pll and I..S.llleclln dlc offICe <If lhe (kfk
"f \he Coumy of Suffolk 011 Sq1Iember 8. 1965 lIS Map No. 4453, Sul>~ III Cmclllms lIIII
lles1rictions of Subdlvl5lon UIIIlIe In Liber S831 ",!'lip' 397.
IlI!1f\lO AND IN'ruNOOP 10 be dlc SlIIIIe premiscs .. conveyed lo llIe ORAN'TORS herein by daII
dalI:d N..vember n. 1965 n ICII.Idcd In lbc SuIfulk CuunIy Clerk:. 0fIla: on JalllllllllY 5. 1966 ill
Liller 5889. h&n 72 and 13.
TOOmlU":.R willl...1 riam,lltlund. Inteml. ihn)'. of the pany of dlc fim pan in and 10 MY dmlII
8Id .... aIluUJlIi dlc allow: dClo:rihcd prcmu... to lbc _ lines Ihcreof: TCKlI:.l ilER willi the
lIJlPlIftCllIIIandall the _ 8Id riJhIa of Ihc pGrl)' of lhe fim part in 8Id In Wd prcmil&lc; TO
RAVE AND TO HOI.D lhe prcmlscs herein plIIlIIN lIIIlO lhe pany of 1110 SllCCIIIIl pon. till: I\cin; <<
PlCt,--.lt$ and U.;1IlI of lbe party of lhe second pan f<ltlMt.
AND till: pony of IIIe first pai1_ that dlc pony or the Orit part bas nllt dune or IIUIiiml
anythm, ..b..~ lbe.said ~ have been en':IIIIIbcn:d ill any ..ay ~. ClICIlpl as afl1RSllilL
AND lbe pany orllle l1rst part. in "'llnplillllo:e wllh Scl:IIon I) of dlc Lien 1_. _tb4l1hc
party of the fim part will IllCtlivc Ihe CllIlIidenlIWn r... this CllO'Il:)'llDCe 8Id wUl bitkl lbe riPt lu
r=ciYC su.:b .'ilIlIidcnltIoa All a ltUSt fand In be applied fim far lhe puIJlOSC of paYIIIi dlc COlI oIlhe
implOYCllltlnt 8Id will ~y Ihc wne flfS\ 10 IlIe paymcDll)r lbe o:uoIl of IIle impRl_ beI'cln=
usilli MY pan of dlc lOIal or Ihe IlIIIU! for lilY 0Iher purpose.
11Ie ward 'pany" sholl be c:unstnICd as If il IIlOId "pIII'lics" wbc:ncvcr dlc _ of ibis illdcaIurc III
requi.es.
IN WITNI!SS WHKREOF, dlc party of Ihc first pan bas duly ~llllCUted this deed tile day 81d,..
rlfS\ above ..rinen.
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IN PRE.<;ENCE OF:
[""afJ_.'.IJ1_ ~A...."J.I'
AD,ELAIDE DABRO KI
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. ~ ~01tWiMlt'lI74
0......01 110'1 """0.-
,
BARGAIN .nd SALE DEED DISTRICT: 1000
wrm COVJ!HANTS AGAINST GRANTOR'll SECl1ON: moo
ACTS
B,-<)eK: 0400
Tillo~. LDT: 026000
JOlIN J. DABROWSKI and ADELAIDE COUNTY OR TOWN: SOt!l'HOLl)
DABROWSKI,
!>'1'1l.E!!T ADD\lI!SS: 600 MlIlIIIaw Lane
, MaIIINc'k. NY
TO
.
ADELAIDE DABROWSKI.
,
RIETURN BY MAIL TO:
Frederic C Foster, Eaq. I
4 MODtauk Highway
Westhampton, New York 11977
,
RIISERVE TillS SPACE FOR USE OF RBCORDum OFnCE ,
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ST^TE OF NEW YORK COUNTY OF
"":
On the~ day of~ tbc year 2002 Won: me,l
~ penIOlIIII)' ....-od
JOHN J. DABROWSK.
-pemIIllIIly known kl me or provcll It. me IlIIthe basis
or lIiIlkfllCllll')' llYidcnce 10 be lhe individll&l wflosc
11IIIIC.. lUboo.'ribed II> tbc widlin jlll\nllllClll and
acknowledpd 10 me thai be llIUICUlcd tbc _ iIlltis
CIplICiIy. anO thai by his s\JnIIlllO lllllhe ill$lrWNllll.
the individual. ar tbc pcrIIlIlS upon bchaIf o1..hich lhe
indMclullll;...1Ocl. cucublld tbc In_.
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Not.ary Public
.wace l.. SNEAD
NlIaIty PubliC.lIIaIa of NM 'II:lrit
No. 30 ~522' 37
QulIIIIlIId ill ~ CounI):
1lIIm~AuguM31 2llCil&-
SUFFOLK STATE OF NEW YORK COUNTY OF SUFF<?LK
51:
On thc~ of Suly, In lhe,.. 2002
IleI'aIe me. tbc 1II'IdInipllll..__lIy IlJlIllIIIIIld
ADELAIDE DABROWSKI,
PctIonally known to me or proved kl me Oft the basis
01 allll'llclory o~ to be the illllividull wflosc
IllIJIIC is subKribed 10 tbc within 1_ and
IICkncrwIcdpd 10 me thallIlIo CllCc:1l1ClI dIO _In bor
caplCily, and thai by bor sip18llll'\l on lhe inIIrumcIIl.
Ihe Individual. or lb. parson UllCIIl behalf of which dIO
incllvidullll; IIClOcl. c:&CCUlllcllbe iMnImcnI.
G~.. .~,.., .D.J'\/'-'
Nnw)' Public \
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Number of JIIlPS '
TORRENS
3
RECORDEI)
2lXI2 01:\ 18 11100104 III
E_rd I".RcuI.n1
a.ERK tW'
SU'F(Jl.K CO\IlTY
L D00012215
1"634
DTt ~UBll
smalll
Certillcalt' II
Prior Of. /I
DecclI Motlpac IIIII_nt
DeccI J M,mIpJc TIlL Stamp
PIES
IUconIiq I Filing Slamps
~
Pqe I Flllna fee
11IlIcI11n1
TP-SlI4
9._
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hfoIt&8lle AmI,
I. Buic TIlL
2. A..blona!'rax
Sub TIlIal
NoIIIiQII
M-S211(COUDIY)
EA-S211 (Slue)
R.P.T.s.A
Olmm. of Ed.
~= SubTOllIl
=f:::
JLf~
AfIldavil
:-r
Certifoed Copy
Rea. topy
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SpecJAslil.
Or
Spec.IAdd.
TOT. MTO. TAX
Dull T_ Dull County_
Ileld for AppoftloMlenl
TlUSl'erTa. ..::::a::-_
MaIlsIon Tu _
The pnIpIIIt)' eoveNd by lIIis R1CJRIll&C is 01'
will be impIVved by a one or IWO ramily
dwalllna only.
YES or NO
If NO. _lIpjIfG\lI'iate laX claule Ol\ pI&C 1/
_of"'l,s~
SmL-
.
Other N~
IS- _ SubTOIAI
GRANI> TOTAL
..x
qq-
s
Real Properly Tu Savicc Apcy VcriflCllion
Dist. Scotian B Ioek LoI
_.~. _ w
C'!:>
6
ltund
SlImp 02040884 1000 11500 0400 026000
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bliIiIlI '~
7 SatisfaetiontIDiSl:haraeslReIeues Ust PmpcIiy- Owners Mailin& Add
UCORD AUTURN TO:
CPF Tax Due
V""'"
FOSTBR I VANDERBURGH, 1.1.1'
.. Montauk Hiqbway
Wsatbampton, NY 11977
V..,ant I.ancl .
m /I?
TO
TO
8 Tille Company l.formatioD
CO. Name
,
, 9
Suffolk Com
Title II
Recordi & Endorsement Pa e
This plIF fonns )lilt of k lI1tl11:hed
made by:
tl"'vn
(SPECIFY TYPEOI"INSTRUMFNT)
'JIxo.prenUes ben:in is sitll8led in
SUFFOLK COUNTY. NEW YORK.
In \be Township of Soutbo.ld
In k V11.LACili
orHAMU-.To( "'RmlV'L.
BOXES 5 'Il1RU 9 MUST BE lYPEOOR PIUNf'ED IN BLACK INK ONLY PRIOR '1'0 REOORDINO OR FlUNG.
COVER)
:y";'hi"l ~T IbIhrnwaJri An"
Adelaide Dabrowski
TO
Adelaide Dabrowski
.
\\1111\\11111111111\1111
'"10111\\\11\1\11\
SUJ'FOU COUN'l''!: CLBlUt
RBCORDS OI'I!'ZCB
RBCORDING PAGE
Deecl Amo1JDt:
8ecUon: Block:
115.00 04.00
~ JUII) CBlUtGBD AS J'm.J.,OWS
$0.00
Ileaorded.:
At:
LIBB1l:
PAGE:
;Lot:
026.000
10/18/2002
11:00:04 >>I
D00012215
634
'l'ype of: 'IneU\Ja8nt: DBBDS/DDD
Bwaber of! l'Aqtle: :3
'l'ItANSftR '1'AX NUMBBJt: 02-11811
Diet::ict:
1000
'MlIceivecl the Follow11l9 1'__ Il'or Above 'In.t~t
zx~t
NO Handling
NO lfYS SURCRG
NO SA-S'rAft
1110 out .Cop:l...
1110 SCTIII
1110 C_.pr..
..... Paid.
Page/l'iUIl.lJ
COB
SA-Cft'
1'1'-584
lU'T
'fr_.fer tax
$9.00
$5.00
$5.00
$5..00
$30.00
$0.00
$5.00
$15.00
$25.00
$0.00
$0.00
$0.00
$iILOO
zx~t.
1110
110
1110
NO
1110
1110
'fDRSJ'IlIt TAX ~~: 02-11811
TB'IS PAGI: 'IS A PAM: 01' THE mS'!1WMlDl'1'
BcI..arcl. P.ao.ain.
County Clerk. Suffolk ComIty
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PLEASE TYPE OR PR~SS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://.www.orps.state.ny.us or PHONE (518) 473-7222
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II OOOIt1'V 1ll6EONLV
1:1',,!~ ti'.~ . .
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f ,'/- ',;','; '/)';:'::>' '-":'-~,:- /;',-'~,L);'
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600
STREET NUMBER
~~alLJ.";UL;.k
[1"adow
STREET NAME
S()()t.lnoIA
Lane
~TOWN
VilLAGE
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
KP-5217 Rev 3m
('\\AITIIi)CC
NY
.......,,~
119521
Z1PCQOE
Adelaide
2.-Buyer
Name
Dabrowski
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LAST NAME I COMPANY
1\1 - j ~~, " -',
LAST NAME I COMPA*,,_'~ "
3. Tax Indicate where fut~~ Tax BlI1s~~O-besent
Billing if other than buyer address (at bottom of form~ -I
Address
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LAST NAME-;COMPANV
,
STREET NUMBER AND STREET NAME
CITY Ofl TOWN
I
FIRST NAME
II
. FIRSTN.A.ME
# of Parcels
OR 0 Part of a Parcel
4. Indicate the number of Assessment
Roll parcels transferred on the deed
5. Deed
Property
Size
lOR I
Ixl
'ACRES'
DEPTH
FRONT FEET
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6. Seller
Name
Dabrowski
LAST NAME I COMPANY
,.,..--
Dabrawski
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FIRST NAME
~TE,I
(Only if Part of a parcef)~ as they apply:
4A, Planning Board with Subdivision Authority Exists
ZIP CODE
o
o
o
48. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
John J.
FIRST NAME
7. Check the box below which most accurately describes the use of the property at the timeD' sale:
FIRST NAME
LAST NAME I COMPANY
A~ One Family Residential
B 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Vacant land
E ~ Agricultural
F Commercial
G Apartment
H Entertainment I Amusement
I ~ Community Service
J Industrial
K . Public Service
L Forest
11. Sale Contract Date ifJI I I ~
, M~th D., VeSt ,
,~\ (
12. Date of Sale I Trans'er 0'6 I 05 IOd.. I
Month D', Year "
-0 -
, "" 0 , 0 I
, , .
(Full Sale Price is the total amount paid for the prQperty including persol'Jjll property.
This payment may be in the form of cash, other property or goods, ~~ t,tJ1 assumption of
mortgages or other obligations.) Please round to the nearest whole aollar amount.
13. Full Sale Price
Adelaide
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
10B. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
o
o
o
o
15. Check one or more of these conditions as applcable to transfer:
Sale Between Relatives or Former Relatives
Sale Be~tten ReA-atad Cf~1PanieS or Partners in Business
One of the Buyers is also a SelJer
Buyer or Sener is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale ofJ:ractiona! 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 iSpecify Below)
None
per Jud~ent of Divorce
14. Indicate t~e value ~ personal I I I I , 10 I - I' 0 I 0 1
property Included In the sale, , .
l'Asan""';~f)N;j~,~'~tW~flrUl1~tJj-~-~J~
I 17. Total Assessed Valua 1m l;'~;n j~d~1 ~ _ /lJ aJh" ; ,
19. School D;strict~ ~ ~ ?-"L /vcf<.-
'15- Lj--2-c,
16. Year of Assessment Roll from I
which information taken
I., P....... Cia.' cK /0.
I-U
A
B
C
D
E
F
G
H
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20. Tax Map ldentifierls) I Rollldentifier(s) (If more than four, attach sheet with additional identifier(sll
Diat:
1000
026000
~o~oo
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I certify that aU of the items of infonnation entered on this fonn are true and correct (to the best of my knowledge and belief) and" understand that the making
of any willful false statement of material fact herein will subject me to the provisions of the oenaI law relative to the making and filing of faIse instruments.
BUYER BUYEII'S A TTOIINEV
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BUYER SIGNATURE
Ad,daide Dabrowski
DATE
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, Lot:
Sec. :
11500
Foster
LAST NAME
Frederic
FIRST NAME
631
288 5550
600
STREET NUMBER
Meadow Lane
STREET NAME (AFTER SALE)
AREA CODE
TELEPHONE NUMBER
l1attituck
CITY OR TOWN
NY
STATE
11952
ZIP CODE
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"SELLERS~E Y. DABROWSKi
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.ATE
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