HomeMy WebLinkAboutL 12087 P 89
i/;'<ti
~', /:r:
I./.r !. ,'/
f " v
NO N.Y.S.
TRANSFER
TAX STAMPS
REQUIRED
Form 8005-A (9/99) 12.70-6M - Executor's C~cd-JnL..li;vidual or Corporation. (single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, made the 27th day of November,
BETWEEN DIANE E. LESSARD, residing at
MattitUCk, New York 11952,
Mayflower
and
Road,
2000
405
/ex ::;-
/
.'
II
as executor of
Edmond A. Bokina a/k/a Edmond Bokina a/k/a Edmund Bokina
who died on the 17th day of October ,2000
party ofthcfirst part. and DIANE E. LESSARD, residing at 405
Mattit:uck, New York 11952,
the last will and testament of
,hlte-of
ond(Surrogate's Cour
File No. 2124P2000'
Mayflower Road, .
party of the secood part.
WITNESSETH, that whereas letters testamentary were issued to the party of the lirst part by the Surrogate's
Court. Suffolk County, New York, on November 9, 2000 and by virtue
of the power and authority given in and by said last will and testament. and/or by Article II of the Estates, Powers
and Tru~l~; Law, <Ind in considcmlion of partial distribution of estate pursuant to paragraph
THIRD of Last Will and Testament of Edmond A. Bokina a/k/a Edmond Bokina -60~~~~
a/k/ a Edmund Bokina -1'1lffi-by-!-ke'j>flfly-ef-H>e-'''''''''&1*'Fl, does hereby grant and
release unto the party of the second part, the distributees or successors and assigns of the party of the second part
forever.
ALL that certain plot. piece or parcel of land, with the buildings and improvements thereo~'f[ecteg, situate, Iyipg
and being in the Hamlet of Laurel, Town of Southold, County of Suffo an State 0
New York, bounded and described as follows:
eJi{ BEGINNING at a point formed by the intersection of the northerly side of
the Main Road leading from Riverhead to Greenport with the westerly line of land
formerly of Herbert Conklin, late of Barrett, now of the Town of Southold; thence
running along the northerly side of said Main Road, the following two courses and
distances: (I) South 670 341 3011 West, 10.99 feet; and (2) South 550 081 0011
West, 204.01 feet to land now or formerly of Gilbert E. and Dorothy wielt; thence
along said last mentioned land, the following three courses and distances: (1)
North 190 07' 50" West, 400 feet; (2) North 550 08' 00" East, 204.01 feet; (3)
North 670 34' 30" East, 10.99 feet to the westerly line of land of the Town of
Southold; and thence South 190 07' 50" East, along the last mentioned land 400
feet to the point or place of BEGINNING.
SUBJECT TO AND RESERVING to ADELINE M. BOKINA, the exclusive possession and
the use and occupancy of the above-described premises for and during the natural
lifetime of Adeline M. Bokina, with the direction Adeline M. Bokina pay for all
charges needed for maintenance of the property, including without limitation;
real estate taxes, insurance premiums and all repairs and maintenance charges.
BEING AND INTENDED TO BE the same premises conveyed by deed dated December
15, 1966 and recorded in the Suffolk County Clerk's Office on December 16, 1966
in Liber 6087 Page 40.
TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads
abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances, and also all
the estate therein, which the party of the first part has or has power to conveyor dispose of, whether individually. or
by virtoe of said will or otherwise; TO HAVE AND TO HOLD the premises herein granted unto the party of the
second part, the distributees or successors and assigns of the party of the second part forever.
AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby
the said premises have been incumbered in any way whatever, except as aforesaid.
Subject to the trust fund provisions of section thirteen of the Lien Law.
The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF:
4-uz [ ~<l'~~, ~
Dlane E. Lessard, Executor
12087PC089
Number of pages 3
[~2
Lit.
.~ooRoec
TORRENS
S RrT!
NOV 2 8 2000
Certificate #
TRAN8PEATAX
~
00 NOV.2 8 MIlO: 29
ET..,; i';:',f,Jf1AINE
U.tt,,\ UF
SUFFOL/( COUNTY
Serial #
Prior Ctf. #
16642
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
4
FEES
Page / Filing Fee
~1_
Mortgage Amt.
Handling
TP-584
~~
~::L _
~~-
I. Basic Tax
2. Additional Tax
Notation
Sub Total
EA-52 17 (County)
EA-5217 (State)
_L _ Sub Total
~~-
_D_
_~O~
c04.co
Spec.! Assit.
Or
Spec. / Add.
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment
Transfer Tax .--{)
Mansion Tax _
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES orNO
If NO, see appropriate tax clause on page #
of this instrument.
---
R.P. T.S.A.
Comm. of Ed.
Affidavit
Certified Copy
Reg. Copy
..4~, cO
- GR.AND TOTAL [Q q. 00
Other
Sub Total
Real Property Tax Service Agency Verification
Dist. Section Block
Lot
6 Community Preservation Fund
Consideration Amount $ -n-
1000
125.00
01.00
Oll.OOO
CPF Tax Due
$
-0-
RECEIVED
roved X
$
V ant Land
Satisfactions/Discharges/Releases List Property Owners Mailing Addres
RECORD & RETURN TO:
LARK & FOLTS, ESQS.
P. O. BOX 973
CUTCHOGUE, NY 11935-0973
NOV 2 BlOOD T
T
COMMUNITY
PRESERVATION T
FUND
10
8 Title Company Information
Co. Name
Title #
9
.
Suffolk Count Recordin & Endorsement Pa e
lbis page [onns part of the attached
Executor's Deed
Diane E. Lessard, Executor, Estate
(SPEOFY TYPE OF INSTRUMENT)
made by:
of Edmond A. Bokina a/k/a Edmond
Bokina a/k/a Edmund Bokina
TO
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
ninne E. Lessard
In the Township of
In the VILLAGE
or HAMLET of
Southo1d
Laurel
UOXES 5 lHRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
C2.'Dat. _ Rttcorded
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222
'~X y'
-I I
GO
y,1,
V
Illa'ol
. Month Day .. Ye~r /'
c" 11 C4. Pag., ( , c , 0/ ,
)
J,
REAL PROPERTY TRANSFER REPORT'
... ,---;'.
FOR COUNTY USE ONLY
Cl. SWIS Code
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C3, Book I
/' 'I
,I :/i. (/ J
RP - 5217
PROPERTY INFORMATION
Rp-5217 Rev 3197
1. Property I
Location '
4505
Main Hoad
STREET NUMBER
STREET NAME
L- Southold
CITY OR TOWN
Laun~1
VILLAGE
11948
ZIP CODE
2. Buyer
Name
L- Lessard
LAST NAME / COMPANY
Diane E.
FIRST NAME
LAST NAME / COMPANY
FIRST NAME
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
Address
Bokina
LAST NAME I COMPANY
Adeline M.
FIRST NAME
I ~~XliOOC 4505 Hain Road
STREET NUMBER AND STREET NAME
Laurel
CITY OR TOWN
I N , Y I 11948
STATE ZIP CODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
11 # of Parcels OR D Part of a Parcel
5, Deed Ixl
Property
Size FRONT FEET
6, Seller Bokina
Name LAST NAME I COMPANY
DEPTH
lOR I
'ACRES'
1. a, 61
(Only if Part of a Parcell Check as they apply:
4A. Planning Board with Subdivision Authority Exists D
48. Subdivision Approval was Required for Transfer D
4C. Parcel Approved for Subdivision with Map Provided D
Edmond A. a/k/a Edmond a/k/a F:nmnnn
FIRST NAME
LAST NAME I COMPANY
FIRST NAME
7. Check the box below which most accurately describes the use of the property at the time of sale:
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 / Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
Check the boxes below a, they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
lOA. Property Located within an Agricultural District
lOB. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
D
D
D
D
SALE INFORMATION
15. Checl!: one or more of these conditions as applicable to transfer:
11. Sale Contract Date
I ----f.----f---
Month Day Year
12. Date of Sale / Transfer
11
I 27
D,y
I 00
Year
A
8
C
D
E
F
G
H
I
J
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional 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 (Specify Below)
None
Month
13. Full Sale Price
I----------------------~ 0 I
I I , I j , I I ~ I
(Full Sale Price is the total 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 round to the nearest whole dollar amount.
Executor's Deed
subject: t:o .lUe
- Estate Distribution
estaee ot spouse, Adeline M.
Rokina
14. Indicate t~e value ~f personal L -;---;--j--j'"-'--l""'--r 0 I 0 I
property Included In the sale, , .
ASSESSMENT IN~ORMATfON - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from
which information taken
L'~
17. Total Assessed Value lof all parcels in transfer) I
,
;
7 , 1
,
o
Or
18. Property Class
2
,
1
o I-U 19. School District Name I
Mattituck-Cutchoque
/ :f)S - / - / I
20. Tax Map Identifier(s) / Rollldentifier(s) (If more than four, attach sheet with additional identifierls))
1000- 125.00-01.00-011.000
I
ICEtm~~l1ON
I certify that all of the items of infonnation entered on this fonn are true and correct (to the best of my knowledge and belief) and I understand that the making
of any willful false statement of material fact herein will subject me to the prmisions of the penal law relative to the making and filing of false instruments.
!!.UYER
BUYER'S ATTORNEY
11) ,-*-(
"
,
C
-/;' ~, A I'"-,,C , &
Y-J-~"' . v\.
, . ,
!I/~7)OO
DATE
Lark & Folts
BUYER SIGNATURE
LAST NAME
FIRST NAME
405
l1ayflower Roael
STAEET ~IAME IAFTER SALEI
631
AREA CODE
714-fiR07
TELEPHONE NUMBER
STREET NUMBEA
~latti tuck
NY
11952
CITY OR TOWN
STATE
ZIP CODE
f' " J.'(
; I ~ __.
AJ (L~ '( "-"'1 ,,_ l
i' k'
,...--;.t.r-<.-!.o\...,Uv
11/' 7/00
CITY/TOWN ASSESSOR
COPY
SELLER
SELLER SIGNATURE
DATE