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CONSULT YOUR LAWYER BEFORE SIGNING TtD INSTRUMENT..THIB INSTRUMENT 8HOULD BE USED BY LAWYER8 ONLY
THIS INDENTURE. made Ihe t;"ti1day 01 May, 2004
BETWEEN
REGINA A. ORLOWSKI, aa surviving spouse, ....dlng al375 Farmers Road, Matliluck, New York 11952
I
party olthe Ilrsl psrl, and L}
"'r(
SUSAN SKREZEC, residing alll 00 Love Lane, PO Box 912, Mallituck, New York 11952
and PETER ORLOWKSI, residing alllllO Love Lane, PO Box 885, Mellltuck, New York 11952
party 01 the second part,
WITNESSETH, Ihallhe perty ollhe lirsl pari, In consideration ollen ($10.00) dollars paid by the party ollhe
second parl, does hereby grant and releaae unto the perty ollhe second parl, the heirs or.s~-or:s and assigns
of the party of the second pari forever. :.I~'.'. ... . ......... ~.
-... . .
ALL that cerlaln plol, piece or parcel 01 land, with the buildings and improvemen"!'~ereon !'ni,;!ed,:allU'';le. lying
and being In Metlituck, Town 01 Southold, Sullolk County, Slale 01 New York, being more particularly bounded
snd described as lollowa:
ALL 01 Plot C, on Amended Map 01 Malllluck HeIghts. property lormerly 01 Gustav Bayer, filed In the Olllce 01
the Clerk or Ihe County 01 Suffolk on July 24", 1935, as Msp. 1194.
Also, alllhet plot or parcel 01 land adjoining Plot C, bounded and d....".lbed aslollowa:
BEGINNING et a point northerly by the southerly line 01 Plot C; _terly by a line lormed by conlinuing Ihe
easterly line 01 Plol C In a southerty dll'8Cllon untlllllntenecta Ihe northerly line 01 lands now or lormerly 01 Bryenl
S. Conklin; southerly by lands now or lormerly 01 Bryant S. Conklin; and _erly by a continued weslerly line 01
Plot C exlending In a soulherly direction to lands now or Iormerly 01 Bryant S. Conklin. Subject, however, to lhe
rights ollhird parties In a lann road as shown on alaresald map as II pas_through said premlsea.
TOGETHER wilh lhe use In common with others 01 a right 01 way 81eet wide to and frOm Wickham Avenue to
Long Creek, a branch 01 Melllluck Bay, 10 pass and repass on loot only. said right 01 way commencing allhe
northarly junction 01 Middle Road and Wickham Avanue. at a conorste monument, running In a westsrly direclion
eight (8) leet; thence running In a northerly direction 130 leet parallel with the boundary 01 Hubert W. Klein and
Guslav Bayer, to mean hlghwater mark 01 Long Creek; thence running in an easterly direction B leel along Long
Creek to lend 01 Hubert Klein; thence running in a southerly direction along tha _Iem boUndary line 01 Hubert
W. Klein 130 leel to a concrele monument, the northerly Junction 01 Middle Road and Wickham Avenue, the polnl
or place 01 beginning.
. RESERVING HOWEVER, a lagalllf1t --. In ancllD tha ...~ p......I_. lDgathar with DIe buildings
and Improvements thereon erected. lD the party of the ftrst part. REGINA A. ORLOWSKI.
Premises known as 375 Farmers Road, Mellltuck. New York and deslgnllted as Dlalrlcll000 Section t39.00
Block 3 Lot31.1 as llhewn on the Sullolk County Land and Tax Mllp.
BEING AND INTENDED TO BE lhe same premises convayed by deed dllted 7/11/48 snd recorded on 7/28/46
in Liber 2597 al Page 427.
TOGETHER with all right, title IInd Interesl, II any, oItha party 01 the firsl partin and 10 IIny slreels and roads
sbulllng the above described premises 10 the center lines thereol; TOGETHER wtth the IIppurtenances and all
Ihe estllte and righls ollhe party ollhe IIrst part in and to said premises; TO HAVE AND TO HOLD Ihe premises
herein granted unto the pllrty oIlhe second part, lhe heirs or successors and aseigns oltha pllrly 01 the second
part forever.
AND lhe party 01 the IIrst part covenanl. thai the perty 01 the IIrst part has nol clone or suflared anything wheraby
Ihe said premisea have been encumbered In any way wltlltever, excepl as aloresald.
AND lhe party 01 the firsl part. In compliance wtlh Section 13 ollhe Uen Law, covenants Ihalthe party 01 the first
part will recelvelhe considerallon lor this convayance and wtll hold the right 10 nsceIve such conslderalion as a
lrust rund to be applied Iirstlor thll purpoae 01 paying the cost 01 the Improvement and wtll apply Ihe same lirsl
10 lha payment 01 the cost 01 the Improvemant blllore using IIny part 01 the tolal 01 the ssme lor any other
lPurposa. The word "party" shall be construed as lilt reed "pllrtlas" when ever the sense 01 this indenlure so
Irequires.
,IN WITNESS WHEREOF, Iha party 01 the IIrsl part has duly execuled Ihls deed Iha day and year lirst abova
IN PRESENCE OF:
~t~ at.<O~~
REGIN A. ORLOWSKI ~
(~.Dr~
S-.dard N.V.B.T.U. Farm 1IOO2.1lar'pIn lInd.... 0-:1, with ecw..nt.-anal QrwdDr'. Ac:III- Unllorm Aaknawledlll"l*lt
Form 3290
i
;
,.
TO BE USED ONLY WHEN 'THE ACKNOWLEDGMENT 18 MADE IN NJ;!W YORK BTATE
Slate of New York. Cou11y of Suffolk
u: SIIIte 01 _ York, County of
58:
On the c; ~ day 01 May in the year 2004
be/ore mo, the undlnigned, peroonally appoered
REGINA A. ORLOWSKI
personally known 10 m. or proved 10 mil on the basis of
saliefactory w. . to be the individual whose name Ie
sub.::ribed te. Ih ln81.rument and acknowledgiKIto me that
she 8Kecutecl th her capacity, anc:I that by her siQnature
on Ihe in strum the ndividual. or th ~n behalf of
which Ihe indjv. ua ed, ~ i I~
(signah re end oUice 01 Individual taking acknowledgment)
DANIELe. R088 (signature and ollice 01 individuallalcing acknowledgment)
........,~EN THE ACKNOWLEDGMENT IS MADE OUTBIDE NEW YORK STATE
au.lJIled In ...- Cl!!!!lIY_!2nrl..-
StQlll!lllolJMNLfL. L I ~!Ilt~ or Foreign Country) 01
88:
On the day of in the y_r
belore me, the under8lgned, pel'llOnally appeared
peraonally known 10 me or proved to me on Ihe baBi8 of
satiolaetory _once 10 be the Individual{s) who.. name{s) is
(are) _Ibed to the within instrument and acknowledged to
me that helehefthey 8MCutMt the same In hialherltheir
cepaclty{las), and that by hiolher1thelr signature(s) on the
Inalrument, the Individual{s), or the p"""'" upon behan 01 which
the individual{s) acted, eocecuIed the inalnnnent.
On lh.
cleyol
In the yoar
b....o... me, the undersign.:!, personalty appeared
personally ~"own to me or proved 10 me on the _ of saIlolaetory evidence 10 be the lndIvidual{s) who.. name{s) is (are)
subscribed 10 Ihe within instrument and ecknowledged 10 me that hwllhlWlhllY ......ued the """'. in hlslherllhelr _"y{iss), and
that by hlslh~ltheir s1gnature(e) on the inalrument, the Indlvldual{s), or the penson upon behalf 01 which the individual(s) aCled,
execuled Ihlt Inll'lnnn...l. and lhat such Individual made such appearance before the und....gn.:! in the
In
(insert"l8 cny or olt18r poItical eubdM8ion)
(and Insert th8 St.le or eolllUy' or other place &he acknooMedgmenl was laken)
(IIignature and office of IndIv\duIII tak~ acknowledgmonl)
Tille No. <.
{' c'Itfi~<.J -}
SECTION
BLOCK
LOT
COUNTY OR TOWN
STREET ADDRESS
138
3
31.1
Mamluck
37& Farmera Road
Matllluck, NY 11852
BARGAI~I AND SALE DEED
WITH COVE:NANT AGAINST GRANTOR'S AC1'S
CIslllIx8l by
.onwealth
CO"~TK LAND Tn'U buuaANQCoMPAHY
Plellll8 RlIClOrd and Retum
.DlIDieJ C. Ross, Esq.
Keegan & Keegan, LLP
:315 Westphalia Avenue
PO Box 146
Mattituck. New York 11952
A ~DAMIlIt:CIl"::. ^'"'
8TAMlARD FORM OF NEW YORK 80ARD OF Tm..E 1.IIl--_...JIl..I~
RE8EIIYE THIe &PACE FOR USE OF RECONJINCI OFFtcE
-.
J
Prior etr. H _
RECORDED
2004 Sop 23 09.33.57 AtI
Edoooord P. Romaine
CLERK OF
SUFFCl.K COUNTY
L 000012345
POlO
CTI 04-08260
Number of pages
TORRENS
Serial N_
Cenirlcate 11_
Deed , Mortpge InsllUment
Deed' MortPlle Tax Stamp
PEES
Recording' Piling Stamps
::D
Page' Filing Pee
Handling
TP-SB4
1 Mon_ Amt.
I. Basic Tax
2. Additional Tax
Nalation
Sub Total
EA-S2 17 (County)
EA-S217 (Stale)
Certified Cop:y
Rea. Copy
Other
Sub Total
SpecJ Assit.
Or
Spe<:. ,ArId.
TOT. MTO. TAX
Dual Town_Dual County_
Held for Apportionment\"- ,
Transfer Tax ~
Mansion Tax
The propeny Clovered by this mor1gage is or
will be Improved by. one or two family
dwelling only.
YES orNO_
If NO. see appropriate tax clause on page ~
_of this insuumeDl..57-!!>....t)
6 Community Preservation Fund
Consideration Amount S _ n
Sub Total
R.P.T.S-A.
~o~
S~
Conun. of Ed.
Affidavit
ORAN:D TOTAL
:TI
Real Property Tax Serviu Apncy V...iflCation
Dist. Section . Block
Lot
Stamp
c.e
I
1000 13900 0300 031001 1
CPF Tax Due
$-C)
Improved
tnitials
Vacant Land
.e
/j)
.
7
SatisfactionslulMoOIUU 8~ n.~I"'--.:o ........ . . .......... ~J ....... ____ - - __n_.....
RECORD'" RETURN TO:
m
TD
TO
::l
Title Company IDformation
c:J.- TI C-
eo -. 02-
Suffolk County Recording & Endorsement Page
This page fOnDI pan of the a11achcd _~'n '"' S<::\ Vi. l)c:>Pd..l..ci::lh_F ~ e.s -hdf__ made by:
(SPEaFY TYPE OF INSTRUMENT)
-----R~ \V\ a. A.. O......louJs \(:.... lhe premises herein is siluated in
SUFFOLK OOUNfY, NEW YORK
-=::.ou+kcl 0\
Daniel C. Ross. Esq.
315 WeslDhaJia Ave.
P.O. Sox 146
Mattiluck, NY 11952 - c!l , '1"
g
Co. Name
Title II
TO In the To\WShip of
..s~1.) 50 (l.M. :s K 'r{:' .,. PC + In the VIUAGE
,..:i:::>p +e.-r 01" LOWs. ~- \.' or HAMLhT of Y'f\ f'l-U-1-\-u (' k .
OOXES ~i TI-IRU 9 MUSr BE TVI'ED OR PRINrnD IN BLACK INK ONL V PRIOR m RECORDING OR !-lUNG.
(OVER)
111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUJI"!!lJLK COtJNTY CLERK
Rl!:CORDS OI'l'ICE
Rl!:CORDING PAGE
Type of Instrument: DBBDS/DDD
NUlllber elf PaO'es: 3
Receipt HUlllber : 04-0105297
TRANSFRR TAX NUMBER: 04-08260
Recorded.: .
At:
09/23/2004
09:33:57 AN
LIBBR:
PAGE:
D00012345
010
Deed Alll.cnll1 t :
Section: Block:
139.00 03.00
IDNIHBD AND CIlUGBD AS I'OLLONS
$0.00
Lot:
031.001
Di.trict::
1000
Receivecl the Following Fees ror Above Instrument
Exempt
NO
NO
NO
NO
NO
NO
Paqe/IUinq
COB
KA-C'1'Y
'l'P-584
lU"1'
'l'ransf"r tax
$9.00
$5.00
$5.00
$5.00
$30.00
$0.00
IlaD.cIlinq
NYS SllCBG
BA-S'l'A'l'B
Cart. Copies
SC'l'M
CClIIIIII.Pre.
Fe.s Paid.
$5.00
$15.00
$75.00
$0.00
$0.00
$0.00
$149.00
l2r-.pt
NO
NO
NO
NO
NO
NO
'l'RAHSFlJl 'l'AX NtDIBBR: 04-08260
THIS PAGE IS A PAllT OF TBB IHS'fll'CIMBN'r
TBIS IS NO'1' A BILL
Ed.ward. P.Romaine
COWlty Clerk, Suffolk COUJ1ty
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS, hllp:/I www.orps.state.ny.us or PHONE (518) 473.7222
FOR COUNTY USE ONL v
C1. SWIS Code
REAL PROPERTY TRANSFER REPORT
1St,? ' ),9 KZJ
.
09;.).3
Month Day
........
. ,
I I'
, .
~ -$1),.. .,~
J(/'.5217Re,3!97
STATE OF NEW YORK
STATE BOARD OF REAL PROPERlY SERVICES
C2. Date Deed Recorded
~
Yeal
RP - 5217
C3. Book ~ c ::l, y, :'lTC.. P'g. L ,
PROPERTY INFORMATION
,0,/ ,UI
~:~~~i:~ L
3'7 5 I +tLrrnfF~
ST~f~T NUM",~ STREET NAMe
.,SC,c.:-tt, ,~lL
cnYOIl~N
Ko6..C~
I
IlQ5,J1
l'PCOOF
YYlCi.-th -tuc..Y<__
VILLAGE
2.B",., I_SKI? E'.L~
Name lA~T N~MF I COMPANV
'5 \-;:5 f+y--,
fl~STNM.'F
::Pc"\-<"""-
L Ov- busK
lAST NAM~ iCOMPAf<Y
F,RSTNAME
3. Tax
Billing
Address
IndicatB where fulureTax Bills are 10 be senl
if other than buyer adcress {at bottom offormi
L 5,<l."--Z_
LASTNAMl:"CO:o.!f'ANY
---..-J
FIRST .~AME
L
-- ~'I~E[T NUMBFR AND Sl~[{r NAME'
STAn
. --..-J
Z,PCOOE
U;YORTOW,~
4 lndiute the number of Assessment L
Roll par"els transferred onthe deed
f J # of P~rcels OR D Part of a Parcal
IOnly if Part of a Parcel! Check as they apply:
4A.PlanningBoardwithSubdivisienAutho-ityExists 0
48. Subdivi~ion Approval was Requrred lor Trilnsfer 0
4C. Parcel Approved lor :~ubdivision wit" M~r> Proviced 0
5. Deed
Prop'frty
Size
L--. 9(; Jxl~~~
FAOt>.TFFFT IlE'PTH
lOR I
"ACRES
.
6 Seller
Nam,~
L 0" loU:-:'K:.~
LAST N"ME ICOMrANV
__---..J
t2,Qc \V\G...... A .
f'RSI.~A~U -------..
L___n
.AST ~'.ME iCOMPA"V
fiRST CiA, .~
7. Checl( the box below which most accurately describes the use ot the property at the time of 5ale:
Check the boxes below as they apply:
8. Ownership Type i~; COlldofl1iniJm
o
o
o
o
A~rone Family=tesidont:al
B 2or3 F~mily Flesidential
C Residenlial VII(:~nt land
D Non.Residental Vacant Lilnd
I SALE II\IFORMAT;O!\J
E~A9ricUltural
F Commere'<t
G Apartment
H Entertainment/ Amusement
I~ Community Service
J Indust""'I_
K Public Service
L Furesl
9. New Construction on Vacanl Land
10A. Property located within Iln Agricultural o strict
10B. Buyer received a disclosure noticeind".:<tllng
that the prcperty is inan Agricultural lJistrict
15. Cheek one or more of these eonditions as applicable to transfer.
S<tle Between Relatives M -s TB flslati fl!\ Cr::"t:r~i--
11, Sale Contract Date
NA
Year
J
l---.-.-l
Month
;
14.lndicBtethe value otpersonal
property included In the sale
I ASSESSMENT INFORMATION
A
B Sale Between Related Comparies or Partners in Businoss
C One oi the Buyers is also a Seller
D Buyer or Seller is Government Agency ur Lllnding Institution
E Deert Type not Warranty or 8argain and Sale (Specify Below)
F Sale of FraClional or Less than Fee I'lterest (Specify Below)
G Sigf1ificant Change in Property Be:ween ~axable Status end Sale Detes
H Sale of Business is Included in SalePrce
] Other UnuSc1al Faclors Affecting Sale Price ISpecify Bolow)
J None
-0 -- B~[3~ + S"Lc.. 1>,,-,,-cl cd ll.\{ c"sk-\-{
, '; , () () I .~ 'Mali< <_( +c a C.~4 ltivR,l.\
. Data should reflect the latest Final Assessment Roll and Tax Bill
Do,
12. Dalt' of Sale I Transfer
S'; ..i:.::Lo'f I
Momr, Day ....ea'
-0-;--
, , .
IF ull ~ale Price is the total amount pai[J ior t~,e property inc uding personal property
This payment may be in the form of cash, other property or goods, Or the assumption of
morlg~ges or other obligations.! Please f;Jund 10 rhO' neareST whole dOllar amount
13. Full Sale Price
'--'- ,
()
o I
16. Year of Assessment Roll from L
which Information l"ken
~.--.J 17 Total A~,sess.d Value (01 all parcels In trafl~ferl I
'-----'---,----'-------'-----,
~~
18 Prop,~rty Class
" I
t/
~-LJ 19. School I)istrict Name I V\!\A-t+l+LLCK - CL~i-u::::,jl..i~_
.- -"-
l_t--.5JJ
20. Tax Map Identil;eris) I Roll Identifier(sl (If more than fO'Jr, attach sheet with additional identifier(sl)
L '0,s'+,.C:r \ ceo
~ J3loc_K 3>
t CERTIFICATION I
I certif~- that all of the itelns of information entered on this form are t
of any ,',iIlful fahc statfm~nt uf malcri:IJ fact herein ..ill subject me to
Sec..-A.. OY"
I.:;:, C'
) I
LoT ~I
rand correct (to the be<.t uf ln~ knowled~e and b~lien <llld I ulldcrstand thllt the Inaking
c pr<wisiuns of the penal law rclatiw lu the making and filing uf f31St' irJ~lrumcnls.
~;b
___~-1
SlR~"T NU.'_8[~
fIR~' \~;",-:[
BUY~
-.------,
--P~ ;:. ~4L:~70tl}i1
8l'Y~~ DAf
BUYER'S ATTORNEY
NA-
LASl NAM<
'+=1L-,.,v,-,/s -K(::;cti\
ST~.H ~A"'e -AFH~ SALE
AREA COD" TELEPI-fONl' NLJM8ER
~v~~
crTY OR TC-,':,~
t\1A.t-h~ci(, '" 0 ,
~
I L'tcS.J. (
ZlPcanF
SELLER
NEW YORK STATE
COPY
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Be,U"R SIG~
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