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CONSULT YOUR LAWYER UFORl SIGNING THIS INSTRUMENT -THI5 INSTRUMENT. SHOULD I. USED IY LAWYE.S ONLY
THISINDEN'IVRE. nwdeon August fr". 2003
BETVVEENTHB SUFroLK CDDHTY NATIONAL BARK, as Successor Trustee of the
JULIUS F. JBZBK Revocable Trust dated September 20, 1996, as ~nded
November 15, 2002, having a trust office at 3880 Veterans Hemorial
Highway. Bohemia. New York 11716
puty of the flat put. ..,d
KBLLY AHH GERRARD, residing at 1106 Roanoke Avenue. Riverhead.
New York 11901
perly of lhe HCund part"
WITNESSETH, thai the party of the fir... part. j..n~ider.lion of Ten Dollan and olller vaJuable COft.iderld~n
paid.b, the pari)' of the arrond part. don here:bYi,sranl. '.nd releue unlo the party of the MCond part. tIHo heirs
or euccaaon aad ...ip. of the party 01 the eecohll~foiever.
ALL that certain plot pi~ or ~rcel 0' l.n~1ili tbl huildilltp and improvement. thereon erected,. .ilue.e.
Iyi." and bei"""..' _ at CUtchegue. ~ll.Rf lSOUthold. COUnty of SUffolk and State of
New York. bounded and described as/fol'lOws:
\ BEGINNING at a point ad tile 8a.Il.kt'J"~de of Fleet's Neck Road (Pequash Avenue) at
the northwest corner of ~. ~{~Sf'ir.rein described and the southwest corner of
~... "'...-:; I ~ ")
land of Harry Primavera. fOJ:lllerly of. B. W. Edwards;
. ~ .\1 hn'
~ TIIIlNCE along said"limd of\\~ Primavera. North 43 degrees 41 minutes 00
seconds East. 303.91 feet to,\the \l{e8i:~rly 1.ine of Stil1.water Avenue:
RONNING TflENCE along the west~t,ly~fi\~')tf Stillwater Avenue, South 42 degrees 21
minutes 40 seconds East. 75 feet 1:0\ ~and of Nichols Properties. Inc.. formerly of
Henry L. Fleet; '\ ~.~
RONNING TIIIlNCE along said last ~;i~ 1.and and land of Amos Kincaid. south 43
degrees 41. minutes 00 seconds WestW'..293;55 feet to the _sterly side of Fleet's
Neck Road (Pequash Avenue):
RUNNING TIIENC1!: along the _sterly side of Fleet's Neck Road (Pequash Avenue), North
50 degrees 16 minutes 30 seconds West. 75 feet to the point or place of BEGINNING.
BEING AND INTENDED to be the same premises as deed to the prior Trustees recorded
on Novent:ler 25. ]996 in the SUffolk County Clerk's Office in Liber 1.1803 at page
154.
.''iiflIilIl.'Iiii.._.....,
15. 2002.,.
~~
SUBJECT to federal and New York State estate tax liens on the Estate of Julius Jezek.
22.
TOCETIIF.U ,,'ilh all ..i,hl. lillt" ami inh."rest. it all~..:~f'!h!.. paTI~ uf 1m: fir$l part in and 10 any :!;.1J"ft!'t.l'i anci
Tuad,.. abllUinK tlv- ull-nor. .'ClII:ribed J'In~Rlide5 t.:, th." cenlpr tille~ Ihl:'r~~f: TOGETHER ",dill the upl)Url~.18n~
ami all Ill,. Hlal.. and rights 0' the pan)" of the: fi...51 por. in anll h.. flaill tu"emi,,": TO HA V~ Aj\;D TO nOLD
rh~ premiSd herein grRIlIt..-d un In Ihr ll8rh IIr the ~lJrul }Jarl. Ih.. heir~ Ilr l'uttt.'Z"~lr!l Bnel ti.l'iIJ..:.U. nf .he IJlJTlr "f
Ihe "'~lInd paTI furc,,'c,-r.
(.,.I.l;.JJ" ;:",':;..rr~~~C." J'" 'C....,..
. . . 0.. '.- IF. - l' ..,~'...'
I ..,tJ. ......~ ~~.., ; ,':I'.J.: ,..:' r;o.~. '.
'." h h""'..J:'If..' "\"h"''''' .. - If d h" I I
."'NIl thell part!o' IIr Ihl! fiNot I~rt cny~nanhl thut I I'!: I~rl)' lOr I r.onrst part' ...not.rI(.IIIr.'I?r'~lJ ere .all~'1 an~ w Irre IY
Ih." !onid prt"tlli~ h.,,',f.: heen cnl:umloerell in al1~" we,.. ~'hulc"'cr. eXc.-cpti.~4!lI!lre5llid, '. _"':
ANI) .ht" party nC lhe Ii"'t pari. in cnm...lianc~ wilh Seoctiun IJ vr Ihr Lien taw, c.'I,\cnanl6 that lhe I.arly of Iht" fir",.
pOlITI wiu rer.eh'e tlae cnn5id~rali4ln rnr Ihi!' 1:(lhVI:)"anu anll ",'i11 hold the ripht lu recei'\"t~ ~udl coneidf'ralLOn ..,. a
trulI. lund In bf! appliftl fim fur the purpose of ''A).jng the Cult Itf lhf' imIJl'"u,,'ement and will al'pl)' the INIme fint 10
. theo= pB,.'ment c.f the cost of the imprm1ement before using .n~- part of thl~ ..Jla. of Ihr. !"lime fur an)' uthl"r Jlurpul!=e,
The word .'I,arty'. fha!' heo cnnstrued ... if it read "'parties"' whrne"'cr the _nroe of thi!l indenture so requires.
IN WITNESS WHEREOF, the JUlrl)' IIf Ihr: fint part hac. tlul~- ~'x..t"uled. thi", II~d th... da~' and ~ear fir.. lIho,,'C'
wriUen,
I~ PRF..ljENf:E of":
THB surroLK COUIIITY IllATIDNAL BAIIIK
B~ Q)1:u.rf;ii;u.
DQr) <;". ~ i c..a. /~
ACKNOWLEDGlleNT IN NEW YORK. STArE (RPL""'"
St.re or New York. County of SUffolk liS.:
On August J:?, 2003, before me. die undersigned.
perwnally appY"W'Cd
Dan S. Cicale
pen;onaJly known 10 me or proved to me on lhe basis or ~.isf3C'-
lory evidence 10 be ~ individuW.(s) whoxe name(5) is (an:oJ
sub!;cribed 10 !he wilhin instrument and acknowledged to me d'IaI:
helshc'lhey execuled the !WIJne in hillhrrllheir capacily(~).
and that by hislherlthcir sig ~(S) on !he instnunmt. Ibc indi6
vidua~s).. or die behalf of whictl the individual's)
aclrd. executed
~
KICNCIWI...BXHIB 0UT8IDE NEW YORK STATI! (RPL 3CJ8.b)
S...e or County of 55.:
On
pe....nally appean:d
bero~ me. Ihe undersigned.
peniormlly known 10 me or proved 10 me on the basis of satis-
ractory evidelX"e 10 be tin: individual(s) wholl:- name(s) is (are)
lW~ba1 to Ihe wilhin inscnunmt and uclr.nowlcdged to me
thaI belshe/they executed the same in hisfherllheir capacity(ies),
and thai by hi!ilhcrltheir signabJn.."'(s) on the inKuumcnl.lhe indi-
vidual(.). or the person upon behalf of which \he: individual(.l
aclrd. executrd the instntmenl,. and tha. such individual made
such appearance before die undersigned in
(m.n ."iIy,N pnlitinJl sll#rrln"'~if".1IIId $fJUI(' rlr .",.,,", eN' .",," pbY ".____/.
nl1c"",.,IUJc_J
fsJ~',," IUtJ Idfil~.I/' illllin.Ala/ mt/lflt Itc:IcrtowWJPM""
"rpin .nIl ...le .cdll
WITH Con!'....... Ac:.uJlfl'l' CUIITOIt. Acn
TITLE No. <; - t;l J /-PI
mE ....~ CCXJrIJ.'Y ~ BANK, as S-~!"s::J~
Tl:Ust:ee of the .JIlLDIS 11'. JBZEK Revocable '1'rust
dated ~ 20, 1996 as Ametlded Mo..-<<:.... 15,
2OD2
TO
IalLLY _ oGIlIlIIIIlRO
ACKNOWLEDQIIEN1' BY IlUB8CRl8ING WlTNESS(E8J
SI.le or
County or
1-,,:
On .
penonoll)" appt'ared
before me. the undcl"5igned.
thr subscribing wilnesS(es) 10 the fo~loing instnllnenl. with
whom I am penoonally acquainted. who. beins by me duly
sworn. did depose and say thai he/5hclthey residcts) in lif,hr
pllJc:r cl} nrn""'r i. iIc d '.'Iy. i#lrl.... tIw :t,~rt IPtJ M,..,., nMMhn.
if GIt;\'. 'lwrwtfJ:
I'IElUU: G. LUNDBEllG
NotarY Public. Slate ofNewYork
No. 46OlIS4B Suffolk ~
Comm- ExpIres Nov. 30. 200S
lIta. he/she/mey know(.)
10 be the individual(!'II) d6Cribed in and who execuled lhe r~-
goin& ifLlliuumenl: thai said suh5C'ribing wib1es!ii(~) was (were)
preseIIl and 58.W said
execute the same: and thaI said wilM5.lIIj(es) at Ihe same lime
liubscribrd hislhcrltheir namc:(S) as a wilneDCcs) lM~IO_ .
( 0 ijIllUIIUl4.,itk N_ rMl Sl.I". i".n Li" lIT f'I~tkul.....it.III"".fIfUr
urn.."".,,,,,,,,.,,.,..... w__~..... And IhaI said mb!cnbing
wilneM(CS) made such appearant'e before the undersigned in
f~/1f""""" cmJ nJ1kr,if lnJj~io~1 ttMi~ uf'k.nntiL"ihIN""tII,
SECI'ION 'I 3"7
BLOCK :;I
LOT~ I
COUNTY OR TOWN So.>h.lJ/~
RETURN BY MAIL TO:
Jrenneth fl. Keith, BBq.
Keith, Shapiro 5 I!IXd
666 Old Count!'Y Road, SUite 509
Garden City, New York Il530
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Number of pag..
TORRENS!
Serial.
RECOI<l)E[>
2003. Sep 1~ 04.14:11 PM
. Edward P. Roaaine
ClERK OF
SUFFOLK COUNT'"
L 00lJ012273.
P 208 . "
DTtI 03-06988
Cenificale II
Prior Clf. U
.'
.Deed I Mong_ge Instrument
":,,"
Il!:ed I. ""'!1l1!'ge ,.....S.lamp
'." "FEES
..
RcconfillB/ Filing Stamps
4
Page I Filing fee
Mona.e AmI.
I. Basic Tax
Handling
TP-SS4
2. Addilional Tax
No.alion
-
Sub Tola'
EA-S2 17 (Cowlly)
_ SubTOlIII
EA-S217 (S.ale)
31)_
:'.".
SpocJA..Il,
0,
SPC.../Add.
TOT. MTO. TAx
Dual Town Dual Coullly_
Held for Apponionment _
'liansfer Tax .. ~
---,.
Comlll. of Ed.
S~
R.I'. T,S.A.
Affidavil
Cenined Copy
Reg. Copy
Olher
..15,_ SubTOlII' .
"'. ORANq,:roTAL ~b~
'.
Mansion Tax .
The pTopeny cov~ by this nlOI1pge is or
will be improved by . one Dr nvo ralllHy
dwelling only. .
. YES "orNO
If NO, see .ppr~pr~e tax c~ pnge II
:--oflhl.I~"'CIII.
s
Real Property Tax Service Agency Verification
- _Ow.___ _Se~l!!.n Block
1000 13700 0200 009000
Lal
6 Communi Preservatioll Fund
.~Dl1sidaraU~n An10unl S ~
Slarnp
'0
CPF Tax Due
S .n
Dale
Improved
x
Inilials
1 Satisfactions/Discharges/Releases List Property Owner. Mailing Addrcs
RECORD & RCTURN TO:
KENNETH M. KEITH, ESQ.
KEITH, SHAPIRO & FORD
666 Old Countr~ Road,
Garden City, New.York
VnCBlI1 Land
Suite 509
11530'
;~~
TOr
TIus page fonns pari ofllle attached
TIlE' SUFFOrlK.CXXJNTr NATICN\!; .BANK, as
SUcceSllOr Trustee of the JULIUS F. J&EK
I Title Com pony Information
Co. Nome
TllIeil
Recordin & Endorsement Pa e
o e.Q~
(SPEaFYlYPE OFINSlRUMENT)
9
Suffolk Count
I1lii1de by:
AA~...kliA'J't"'I'!Illt-_.
.to
The premises herein is silWlled in
SUFFOLK COUNIY, NEW YORK.
In the TOWllShip of Southold
.In II", VILLAGE
or HAMLET of CUtchogue
KELLY ANN GENNARo
. -! .
IlOXES 5 n-Ul.U 9 MUST BE TYPED OR PRlNIED IN BLACK INK Ol':/L Y PRIOR TO RECORDING OR FlUNG.
IOVFRI
-
1111111111111111111111 111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUN~Y. CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
'lRANSFER ~AX NUMBER: 03-06988
Recorded:
At:
LIBER:
PAGE:
09/19/2003
04:14:11 PM
D00012273
208
GEORGE CASSDlATIS
KELLY A GENNARO
District:
1000
Section: Block:
137.00 02.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Lot:
009.000
Deed Amount:
Received the Following Fees For Above Instrument
Ex_pt
NO
NO
NO
NO
NO
NO
Page/Pilinq
COE
EA-CTY
TP-5B4
lUIT
Transfer tax
$9.00
$5.00
$5.00
$5.00
$30.00
$0.00
Randlinq
NYS SaeRG
EA-STATE
Cert.Copies
SC'l'M
CQIIIIIl.Pres
Fees Paid
$5.00
$15.00
$50.00
$0.00
$0.00
$0.00
$124.00
EXSlpt
NO
NO
NO
NO
NO
NO
TRANSI'ER TAX HtlMBD.: 03-06988
TRIS PAGE IS A PART OF TBE INSTRUMENT
TRIS IS NOT A BILL
Edward P.Ramaine
County Clerk, Suffolk County
FOR CqUN~ L.'SE ONLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE 15181 473-7222
Lf 73g3,9
CZ, Date Deed Recorded I q / /0) / s
J ... ~nlh Dav Year
C3.Book I /,7, 1~C4,page/:J~lOI
C1. SWIS Code
PROPERTY INFORMATION
,. Property I 4145 Pequash Avenue
Location STREET NUM9ER STREET NAME
Cutchogue
CI-Y OR TOWN
2. Buyer GENNARO
Name LAST NAME I COMPANY
LAST NAME I COMPANY
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
Address
LASTJ>UY.IIl!./COMPANY
L.
STREET NUMBER AND STREET NAME
1 I # of Parcels OR D Part of a Parcel
4A. Pla~ning Board with Subdivision Authority Exists
4B, Subdivision Approval was Required for Transfer
4C, Parcel Approved for Subdivision with Map Provided
D
D
D
4. Indicate the number of A$&8ssment
Roll parcels transferred on the deed
5, Deed
Property
Size
" (I-e;J~d..",", I
DEPT~
,
I _
FRONT FEeT
I X I
~
-
ClTYORTDWN
'ACRES
.
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTV SERVICES
RP - 5217
RP-S1I7 J<e,'J/97
VILLAGE
11935
ZlPCOOE
KELLY ANN
FIRST NAME
FIRST NAME
FIRST NAM~
STATE
"IPCOCE
(Only if Part of a Parcel) Check as they apply:
6. Seller
Name
THE SUFFOLK COUNTY NATIONAL BANK, as Successor Trustee of the
~AST NAME I COMPANY FIRST NAME
JULIUS F. JEZEK Revocable Trust
LAST NAME I COMPANY
7. Cheek the box below which most accurately describes the use of the property at the time of sale:
FlRSTNAME
Check the boxes belOW IS they Itpply:
8. Ownership Type is Condorriniurn
9. '\Jew Construction on Vacant Land
tOA. Property Located within an Agricultural District
1OB. BuVer received a disclosure notice 'ndicaling
that the property is in an Agricultural District
D
D
D
D
A ~ One Family Residential
B 2 or3 Family Residential
C Aesidentilll Vacant Land
o Non-Residential Vacant lane
E ~ Agricultural I ~ com.mur.;ty Service
F Commercial J Industrial
G Apartment K PubliC Service
H Entenainmont I Amusement L forest
SALE INFORMATION
11. Sale Contract Date
/ /~
M~' D,y Year
I 08 / B /20031
Mo"~ D,y Year
12, Date of Sale I Transfer
15. Check one or more 01 these conditions as applicable to transfer:
A
B
C
D
E
F
G
It
I
J
Sale Between "lelatives or Former Relatives
Sale Between Related Compan;e$ or Partners in Busiress
One of the Buyers is also 8 Seller
Buyer o. Seller is Government Agency or Lending Institution
Deed Type not Warranty or Aargllin and Sale ISpecify Below)
Sale of Fractional or Less than Fee Interest (Specify Below)
Significant Change in Property Betwee'l Taxable StatUl; ..md Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price ISpecify Below)
None
13, Full Sale Price 1- . "i. , 0 I 0 0 I
, , .
(Fuli 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 obligetions.! Please round to the nearest whole dollar amount.
14. Indicate the value of personal I ., tJ I 0 0 I
property included in the sale, , .
ASSESSMENT INFOAMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
2
,
o
4 3
;
4
18. Property Class
I 2 1 0 I-U 19. School District Name I
16. Veilr of Auessment Roll from 1021.03 I 17. Total A5.&essed Value (of all parcels in tran&fer) LL
which information taken
Mattituck School
L-1000
009.000
20. Tax Map Identifierls} I Rollldentifier(s) (If more than four, attach sheet with additional identifier(s)1
137.00 - 02.00
CERTIFICATION
L---
BUVER
I certify that all of the items of information entered on this form are true WId correct (to the ~t of my knowledge and belilll) and I understand that the making
of an)' \lillful false statement of material fact herein will subject me to the nro"isions of the Denallaw relative to the making and filing of false instruments.
BUYER'S ATTORNEY
I qk~~
DAnl I ,
Roanoke Avenue
S -,E- ',".'~ .... .. ~._"
Riverhead NY
11901
CITY OR TOW", ~~"'".<
;:':::;.::
~ A .SEL~~'~ lVv\'OJ
THEEL~SUGFAFa.K COUNTY NATIONAL BANK
KEITH
'KENNETH M.
_.'5- ',~ '..,
....;
516
222 0200
, ,. - ~ '.' '. '.. '.' ,
l NEW YORK STATE
COPY
8 I