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CIOIIIlULT YOU'll LAW'I'I!JI _POll. .._IIIG TN.............-r _ TM..._T....-y......... ua.D ~ LAWYa8 ONLY.
N.Y.S.
R.eal Estat.e
Transfer Tax
$800.00
THIS INDENTURE, mude ,he 2na
IU:T\'V.:Jo:'" MITCHELL M. WlL,CENSKI
Road. Laurel. New York 11948
day uf December . 2002
and THERESA WILCENSKI, residing
.nd
at 2800 ~in
Il~ uLhninislralllr.IT'i1tJ nf the Estate (lr Rona1d A. Wilcenski
laic Itf Suffo.lk County. Ne,"' York
who dicc.l intestate on the 5th day of July . 2001bi.s w:l.feand
I)Urly ~,f the first run. and KENNETH J. GILLAN and THERESE GILLAN' resid:lng at. 2820 Main
Road. Laurel. New York 11948
Imrl)' uf the SCI..'unJ part.
'~\'11.:"t\IJ::..'!iSETH. thai whl'rcus Icncr~ ur administr.lli'ln were issued tn the Jlllrt)" of the first pari
hy the Surrogate"s Court. Suf folk CounlY. N..:w Yurko on August 28. 2001 and tly vinuc
I,f Ihe puwer and ;'Iuthoril)' &!i,,'cn by Artiel..: II uf Ihe El'lo.lh.'~. Pu.....cno and TrUSl,. Law. and in c,'cm,.idc."....lli,'n uf
1~0 HUNDRED THOUSAND and 1l0/100-------------------------------------------------
_._______________________..___ ($200,000.00) ---------------------------------dnll.rs.
paid by the party nf the ,.ec..:omJ part. dne,. hcorcby grant and
I'cleu,.c unh' lhc party uf the scc.'und part. the ,Ji,.lfihutees ur sUcc,'e~sur" amI o.lssign,. "r the pany uf the SL"i.:nnd p~trt
furevcr,
ALI~ that certain ph'll. riece or pan:1."1 ()f lanu. with the tluiJdings and ilDpr,we-mcnt,. Ihereon cl'C'L"tr.... situatC'. lying
und beinb-tft-thc- at Laurel. TI:lWR of Southol.d. Count:y of Suffolk and State of New York.
being more particularly bl:lunded and described as follows:
BEGINNING at a point. which point is 301.67 feet west from the corner formed
hy t.he intersection of th'E!: sout.h s:l.de of Main Road and the west side of land now
or formerly of Romanowsk,1.i running thence from said point of beginning South 18.
~jO' 45" East 7",J7.46 feet ,along lands now or formerly of the Estate of Alexander
lrlilcenski. to a --P;i.nt:; thence South 710 09' 1511 -West 123.56 feee a10ng lands now.
or formerly of Alexander 'W11cenllkf. to a point; thence nNo'rch 180 50' 45" West
:~97.09 feet along lands now or formerly of Z.R. Woodhull to a point; thenc~e North
:;-s-a--OO' 55" East 110.00 feet along lands of. Mitchell W1lcenski and Theresa
1rlilcenski to a point:;- thence Nortb 210 13' 5511 West 300.79 feet along lands of
11.itchell Wilcenski and Theresa Wilcensk1. to a point an:a--the souther1y s1de of
I!'!ain Road; thence along the southerly side of Main Road North 54. 13' 50" East
31.79 feet to the po:l.nt or place of BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed by deed dated February 11.
1999 and recorded in the Suffolk County Clerk's Office on Harch 8. 1999 in Li.ber
11949 l'age 968.
TOGETHER wilh all righl. litle and intrrest. if any. of thc.' pany 'If the n~t pan in undtu any ,.Irccls und. rouds
a~ulling thc a~u'\"~ described prcllIi!<ieJoO 10 Ihe ~cnlcr lines thcrclIf: TOGETIIER with the appurtcnances" and alsu all
the eslutc whk'h the said dc\.'\..ucnl limd allh..: timc "I" dc\.'Cdenl's ",Ieath in :-mid prcDlise~. and al~11 the cstate therein.
whkh (he pilrty ur Ihe firs1 pari hU!i or has rowcr b) cunvey ur dispmic..: "'If. wh\."lhcr indi'..idually. ,'r <'Iherwise: TO
IIAVE AND TO IIOLD the prcmisc.:~!\ herein granted unlo [he rarty of the sccnnd part. th(' di~lribulees ur SUc.'c,'es~uno
and assigns nr Ihc parly nf Ih..: sccllnd pun fl'~ver.
ANI) Ihe party of the first pari l~'nvcnanls thai the puny C.,r the firsl part has not dnnc or suffered anything
,,,..hereby the ~id prcmi,.es ha\'c hc.."cn incumbered in ;,my way wh;'IIe-\'cr. except as afuresaid.
Sut-.j\.~~1 II' Ihe Iru!<ol fund provisil'M uf s..:ction thirtC'c-n 'If thc Li",'n L01W.
The word -pany" shall he cnn,.lru,:d as if it rc."luJ .'pOInics" .....henever the s('lIse ,)f Ihi,,;. inucntun: S,I rC4uires.
IN \VITN~SS WH..:R..:O.... thll!' party of Ihe firsl part has duly executed thi.s dc:~d Ihe day and year firM ahnvc
.....riucon.
Is "IU~SI;.N(;E Ui-':
~L...
Wilcenski. Adm~nistrator
BY~Il"__ iLL/#FD___L.,'
Theresa Wilcensk1.. Adm1n~Btrator
Page 2 of 3
Acknowledtlement taken In New York State
State of Neuf York. County of SUFFOLK
. ss:
On the. 2nd day of Ol!cembe~ in the vear2002 , before me.
the undersillned. personally appeared MITCHELL M.
WILCENSKI and THERESA WILCENSKI
personally known to me or proved to me 010 the basis of
s8tlsfadory evidence to be the individuill{s) whose name(sH.
(are) subscribed to the within instrument and 8,cknowledged to
me that lIta!atta/they executed the same II' t:titkIhefltheir
capacity(ie:s), and that by ttte.<<her/thelr sigmlture(s) on the
Instrument. rhe Individual(s) or the person upon behalf of which
the Indlvldufll(s) acted. executed the lnstrument_
<-;~~~~--
No ry bIle
MARYLOU FOLtS
__01__
~_"-_ColIdI.
~1Iln EJp'm.... 30.200.....
Acknowtedgement by Subscribing Wltne.. taken In New
York S_
State of Ne'lN York. County of
.88:
On the day of . in the year
the undersil~ned. personally appeared
I before me.
the subscribing witness to the foregoing instrument. with whom
I am persol''1ally acquainted. who being by mo duly sworn, did
depose and say. that helshetl:hey reside(s) In
thlt he/8helthay Mew(S)
to be the Individual described in and who executed the
foregoing In:ltrument: that said subscribing witneE~ was
present and saw said
execute thl' same; and that said witness at the same lime
subscribed hislherllheir name(8) as a witness thereto.
TrtleNo.:
ESTATE OF RONALD A. WILCENSKI
TO
KENNETH J. GILLAN and THERESE
GILLAN
II --- Distributed by J
Chicago TItle Insu~ce Company
. E1age 3 of 3
.
I
I
8
II!
l's
!!
~
2
5
i'
=
..
Acknowleclg8ment "'ken In N__ S_
State of New York. County of
.5S:
On the day of . in the year
the undersigned. personally appeared
, before me.
personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s) whose nBme(s) Is
(Bre) subscribed to the within instrument and acknowledged to
me that he/she/they executed the same In his/her/their
capaclty(ies). and that by his/her/their signature(s) on the
Instrument. the Indivtdual(s) Dr the person upon behalf of which
the lndlvidual(s) acted. executed the 'nstrumant.
Acknowledgement taken outside New York Stille
.. State of . County of . ss:
.. (or insert District 01 Columbia. Territory. Possession or
Foreign Country)
On the day of . In the year
the undersigned. personally appeared
, before me,
personally known to me or proved to me on the basis or
satisfactory evidence to be the indlvidual(s) whose name(s) Is
(are) subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/herlthelr
capaclty(iea), that by his/her/their signBture(s) on the
instrument. the individual(s) or the person upon behan of which
the IndMdual{s) acted. executed the instrument, and that such
Individual made such appearance before the undersigned In the
(add the city or poUtlcal Bubdtvlslon and the state or country or
other place the acknowledgement was taken).
SECTION
BLOCK
/Si:). OQ
173.() 0
i!JD?ooi
LOT
COUNTY OR TOWN
RETURN BY MAIL 10:
PATRICIA C MOORE ESQ
51020 MAIN ROAD
SOUTHOLD NY 11971-4616
Zip No.
i
/
[!:"2
3
Number of pages ,3
TOR,KENS
Serial ##
RECORDED
2003 Feb 14 03.21.59 PM
Ed~rd P.Romaine
CLERK OF
SUFFOLK COUNT\'
L DOool.2235
I' 607
DTtI 02-27349
Cenmc:ate #_
Prior Clf. #
Deed I Mortgage Instrument
Deed I Mongage Tax Stamp
FEllS
Recording I Filing Stamps
2::1
Page J Filing Fee
llandling
TP-S84
Mortgage Ami.
I. Basic Tax.
2. Additional Tax
Notation
Sub Total
EA-S2 17 (County)
Sub Total
GRAND TOTAL
"'\9. ---
Spec J Assit.
Or
Spec./Add.
TOT. MTG. TAX
Dual Town Dual County_
Ileld fur Appanionment _
Transfer TIIX ra,oD .........
Mansion Tax
The property covered by Ihis mortgage LlIi Of
will be improved by a one or two family
dwelling only.
YES 01' NO
If NO. see appropriate tax clause on page fI
_Oflhis instrument.
EA-S217 (Slate)
Conun. of Ed.
S~
R.P.T.S.A.
30~
Affidavit
Cenified Copy
Reg. Copy
Other
Sub TOIBI
Real Property Tax Service Agency Verification
Di.l. I Section _ __ I B lock . . Lnt
-
Stamp 03001374 1000 1:2500 0300 007004
Illite _ ~D;~ ~/It1,/P ~
Initials
7 Satisfactiol1slDiSchargCstRciCaseS Li~t Propc,rty Owners Mailing Ad
RECORD & RETURr~ TO:
l
Conununit
J=' Tax
Preservation Fund
ount S 200.000.00
$ 1,000.00
Improved X
Vacant Land
PATRICIA C MOORE' ESQ
51020 ~AIN ROAD
SOUTHOID NY 11971-4616
TD 10
TD
TD
~]
B Title Company Information
Co. Name Peconlc Abstract. Inc.
Title tt 641-5-01942
Suffolk County Recording & Endorsement Page
'Illis p"ge lonn, part ofthc ullBchcd
AdminiBcrat.or I B Deed d h ,.
__.____.u___~_. .._.____ _ ..___ _._._.' ___________...._._._ n___ mD e ).
(SPECIFYn'PE OF INSTRUMENr )
ESTATE DE' RONALD A. WILCENSKI
'.he premises herein i. situated in
SUFFOLK COUNIY. NEW YORK.
TO
KENNETH J. GILLAN and THERESE
In the Township of
In the VILLAGE
or HAMLET of
Southold
GILLAN
Laurel
B( lXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONl.Y I'IUOR TO RECORDING OR FlUNG.
Page 1 of 3 lOVER)
II1I111111111111111111111111111111111111111111111111111
1111I11111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Il]strument: DBBDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBER: 02-27349
Recorded:
At:
LIBER:
PAGE:
02/14/2003
03:21:59 PM
D00012235
607
District:
1000
Section: Block:
125.00 03.00
~INED AND CHARGED AS FOLLOWS
$200,000.00
Lot:
007.004
Deed AmoUitlt:
Received the
Following Pees Fe,r Above Instrument
Exempt
NO Handling
NO NYS SORCHG
NO EA-STATB
NO Cert.Copies
NO SC'l'M
NO Camm.Pres
Fees Paid
$9.00
$5.00
$~.OO
$5.00
$30.00
$800.00
$5.00
$15.00
$25.00
$0.00
$0.00
$1,000.00
$1,899.00
Exempt
NO
NO
NO
NO
NO
NO
Page/Pi1i:llg
COB
EA-CTY
TP-584
RPT
Transfer tax
TRANSFER TAX NUMBER: 02-27349
THIS PAGB IS A PART OF THB INSTRUMENT
Bdward P.Romaine
County Clerk, Suffolk County
.
FOR COUNTY use ONLY
C1. SWIS Code
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// wWVIl,orps.state.ny.us or PHONE (518) 473-7222
uL~.55 g .1
;( ; ('T ;0-.3
Mnnth Dav Vea'
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,
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~ ,,~~~~
C2. Dat.e Deed Rel:orded
C3. Book ~~ I ~ .1 'S
PROPERTY lNFORM,~
:> I C4, Page I ,A ,,::)
~~~~~~~ L
2820
ST~NJM~E';;---
Main Road
S'i'Rffi-"A~,r--------
Southold
-,TY C~ ~O\VN
Laurel
VILLAGE
:;>. Buyer ,---~il1~n _~
Name lASl NAME .CQ'..11'NIV
Kenneth J.
_<__l
rlll>;;TNAME
l Gillan
;.^,S-"A~'[.'C0'._~-
Therese
"'RSTNAME~.-
:1 Tal(
Billing
Address
)nGi~~lo: WhKC fututR "'-ax lJil-s ace 10 0'" ~ell:
ifotner:h;,nllclyer ilddrllSS (aT ~~ttGM alfornll
IARl'NAME;COMJ-'ANY
----~
S IRfc~ "I';~.'e1y-;;r<.r, ':n<ETI t~;"I..F
crIYl;/<l:JWN
4. IndicllIe the number of ASlies~ment
Roll parcels traosferrBd on the deed
____!...J It ~~ Parcei3 OR D Part of il Parcei
~ Deeo
Property
SiLt<
-- ""O"'FF.=l
-----..ixl______
DEPTK
OR~~.~~.3 5 I
ACRES
6 SeHer
Name
L Wilcenski~ Mitchell M. and
LAS"NAr'LICOMPAN"
of the Estate of Ronald A. Wilcenski
l__< _
A~'T NAr~t, ~O'.1FM'Y
rl~ST NAME
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARO OF REAL PROP~RTY SERVICES
RP - 5217
R....5Zl7 R~v ~t<n
<--'
~I~
LIrCOLJc
"'l<'TNAMF
J__,--L_ ~<
S:,"~-, 71P CODE
(Only it Part of a Pllrcell Chec::k. as they apply:
4A ,.'<anr:i:l;! Boa'u with SubCivision Authority EX;ST5
4B. Suodivis:on Approval was Rsquired for Transtel
4C. Parcel Approveu for SLJbdiv;sion w;t'- 'Vlap Provided
._-~
-~
.J
:::J
o
o
i
Wilcenski. Theresa, as Administrato~
-'F-,,,~---'~
7. Cheo:;k the box below which most aco:;urately oescribes the u,e of the property at the time of sale:
A~OnCrarlIVH"'Side"t:al
B 2 or 3 FaflHly r~esident'al
C ~es:dRrt'"i V",;an~ L,H,j
D i\ior-Res,tleniinl 'Jac"n~ la'111
t'~Agricultur"l
F COMnlercial
<'3 Apartment
H Entcrta',nMent,'A'TlUSeIl'O)J",t
J ~ c::mllnunity. Service
J Iildustrral
K PubkSOlvrce
I ~ Fa r foS!
I SALE INFORMATION J
11, Sale Contract Date
Ct1eck the boxes below as they apply:
8 Ownership Tyoe is Condomirium
9, New Con~tlu'"'ticn on V.,cart Land
lOA. PI<Jpcrty Loo:;aled within In AWicunur<l1 l) shet
lOB. Buyer received a disclcsure notice indic~lng
that he properlY is in an Agricultucal Distriet
___----.J
D
D
o
o
<JL.i~<_..LJ21_1
M"nrn Day vo"r
15 Check one or more of these conditions as appliCtlble to transfer
A X Sale BiJtween Reatives Or Funner Relatives
B Sale Between RelatEd Companies or P2rfr1er~ i'1 8l.siness
C Ore of ,he BUYl;rs is also a Seller
D B"yer or Seller is Government Agency or Lend~ng hstinltion
E X Deed Type not Warrany or Bargain ann SalE (Specify Below)
F Sale of r-ractional or Less than Fee 'nterBst (Sr;ecify l1elcwl
G Signifir::<lnt ChilnOlen ProPBrty BetvIIAen ; axablp StJtllS and Sale Dates
H Sale of 8usino:;;>; i~ Included in SalE! Pliw
I Ot,'1er unusual Factors Affecting Sale Price rSptOlcify Below)
J None
Administrator's
12, Date of Sale! Tran:;fer
12 2
.~l!:ll---1
M(lt,t', 0"'1
I~
'/,,,,,
L.,t -----L----.l_~ 0 0 9......,_9 0
, , .
(Full Sale Price is the lotal amount paid for the property including personal prOperty
This lJayment --nay be in the form Of ;ash, other property or goods, or th~ assumption of
morty~ges or o:hH obligati"ns.) Pi";;se round to the nearest whO!" dollar amount
13. Full Sale Price
01
14. \('\ui~ate toe "alu& d pen.conal
property incluoed ill the $ale
N/A
---1,"LlU
, , .
I ASSESSMENT I\lFOFtMATION . Data should reflect the latest Final Assessment Roll and Tax Bill
16 Ye.ar of Assessm&n" Roll from L?~ 17 Total Assessed Vallie (of all parcels in tran,der] !
which inform..tion 'aken
18. Pmpertv Class
~ ~.~-L j 19, So:;hool District Name \
Mattituck - Cutcho~ue l!FSD ___
20 Tal( Map Identifier(!i' I Roil Identifier(s) (If more than four, attach stlee' with additional identilicr(SI)
125 - 3 - 7.4
--~
L_...
L___
CERTJ[-.ICATIO:\
6
1 0
o
---~
,-.J
BUYER
I certilY that all 01' tilt' items of information entered un thi~ form arc true :.Ind correct (to the best of my knowledl'l,e and belief) and 11Inder.~tarrd that the makinl!;
of any willful raise statemenl uf material fa('t helX'in will subject me M the prmiisions of the Denal law rvlativ€ to the milking and filirq;: of false instruments.
!~'UL~
J ~~~N~'--'---"---'-
12 2
U/Xl>/02
Moore
,ASTNAMo
aAn
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~THEFT'~"---
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AA!OA(OO!O
J<", C-
631
~'J;J),,-;I J lv'
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~-
SELLER
ESTATE OF RONALD A. vrrr:-GJ-o:NSKI
(~' ~!/;
E,y 1;'c!t:fL-ei!1 (~j on
Mitchell M. ~i~censk~, Administrator
__ / :..:.11/1----'r'-1
(I",rj"nWI'J
BUYER'S ATTORNEY
Patricia C.
F'~"T";^"'o-
765-4330
HIE"HONENUMBER
(
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NEW YORK STATE
I
I COpy
~---