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BARGAIN AND SALE DEED WITH COVENANT AGAIN1>T GRANTOR'S ACTS
(INDIVIDUAL OR CORPORATION)
.,
ST A:'iDARD NVBTU FORM 8007
C."UTlON: TilL>; AGRE.E.\lE..'lTSHOULD BI:!: PRF.P.o\UO BY AN AlTORN'EY "XD RF.VlE\YED BY ATTORNEYS t'OR SF.UER A.~D .
PliRCJIASER BEFORE SIr-SING.
THIS INDENTURE, made the._ "2.~\ . day of November. Tw" Thousand Four.
betw..,n THERESA R. CHOMICKI. residing at 31' Pine Street. MattiNek. N~ York. 11952.
party nf the Hrst pan, i.md
STEPHEN A. CHOMICKI, re.idlng at 315 Pine Street. Mattltuek, New York. 119'2,
parry "f the second parr.
Willl'!lSlb. ,hat the parry of the finlt parr. in eon.ide....tion of Ten Oo&r., lawful money of the Unit<d
State." paid by ,he parry of the second parr. doc. hereby grant and release Unt" the parry of the ""eond p.,rr. the
heir.:; (1lr 5UCCCS-'il"lrs :Jnd i.lssigns of the party of the second part forevc::r.
ALL that certain plot. picee or pareel ..f land. situate. lying and being at Manituek. Town of South..ld. County of
Suffoll< and S'ate of Ncw York. known as 31' Pine Strect, mnre particularly bounded and descrlhcd on Schedule
"A" 3nl1C'x~d hen~t('l
BEINe; AND INTENDI.;D to be ,he s"mc p,,'miscs convc)',-d to the (;,...nror by d,....c\ made by Sophil' S'''pinski
.md "~:,,rd,"(rOctober 21, 199i. in rhc Ornec of the Suffolk Count)' C:lcrk, in Libcr IIBSS "p 62.
SAID PRliMISES ARE KNOWN AS: 3/5 Pin., Scrt:er. Mau/tu<*. New },(H"k - SCTM No. /000-/4/.00-
O/.OO-(J33.00/.
TOGETHER with all righr, 'iLle and inte",... if any, of the parry of the first parr in and to any .treets
and n",ds aburring the abo\'e dcocribcd premises to the center line. thereof, TOGETHliR with rhe
appurrenanees and all rhc e.tate and rights of thc parry of the first p'lrr in and to said premises. TO HAVE AND
TO HOLD the- premises herein granted unto the party 01 the second part, the heirs or successors and assigns of
the party of the second parr fo"'''''r. AND,he parry of the first parr. eownanrs that the parry of the firsr parr has
not done: or suffered an)'thing whereby the said pn"miscs ha\"C bct-n cncumbcn.-c.l in any way 'whatC'\'Cr. except as
aforesaId. AND the party of the first parr, in compliance with Sl'Ction 13 of the Lien Law. covenants that the
parry elf the first part will receive the consideration foe this conveyance and will hold the: right to rccch"l:' such
considl~r3tion ::IS i.I tru!ltt fund to be applied fin."t for the purpose of paying the cost of the improvement and will
apply the same fit., to the paymen' of the eOSl of the Improvement before using any part of the total of the samc
for an)' other purpose. The word .parry. shall Ix constnaed ~tS if it re:.1.d ~partics. whenever the sense of this
indenture st) n:quircs.
3111 WitRrllll'rtIJ tI:!trrEDf, the party of the first parr has duly exceull:d this deed ,he day and year
first above written.
lhl t{Je ~reSente of:
~T~,f.~
THERE~A R. CHOMICKI
~"_." .._. __'_n ....._.._ .__
SCHEDULE 'N
DESCRIPTION
ALL that certain plot, piece or pared of land, with the buildings and
improvements thereon erected, situate, lying and being at Mattituck, Town
of Southold, County of Suffolk, State of New York; bounded and described
liS follows:
BEG INNING at a point on the southwesterly line of Pine Street,150.0
feet southeasterly along said southwesterly line from its intersection with
the southeasterly line of Youngs Avenue, being the northeasterly comer of
land now or formerly of Vincent Stopinski;
RUNNING THENCE along said southwesterly line of Pine Street,
South 54 degrees 34 minutes 20 seconds East, 50.0 feet to a concrete
monument;
THENCE along other land now or formerly of Edith M. Young, 2
I:OUrseS, as follows:
1. On a line parallel with the southeasterly boundary line of
said land now or formerly of Vincent Stopinski, South 39 degrees 29
minutes 20 seconds West, 160.0 feet to a concrete monument; thence
2. On a line paralld with said southwesterly line of Pine Street,
North 54 degrees 34 minutes 20 seconds West, 50.0 feet to said land now or
formerly of Vincent Stopinski;
THENCE along said land now or formerly of Vincent Stopinski North
:39 degrees 29 minutes 20 seconds East, 160.0 feet to the point of
BEGINNING.
STATI;:OfNEWYORK)
COUNTY OF SUFFOLK)
) ....:
On thc_ 1"...~ d:,y of No\'ember in ,he year 1CX14. tx,fore me. the undersigned, personally appeared
".-1-1 EI{I:St\ R. CI-IOA.\ ICKJ. pc~n:.dl)' known [~l me or pron:d to me on the ba!iis nf satisfJ.crory c\"idcncc Co
be the: individual whose name is subscribed to the within instrument and acknowledged to me that she: executed.
rhe samt: in her capacit).. and chat by her signature on the instrument. the: individual. t,."lr the person up."In behalf
of whi,r:h the individu31 acted, cxc:cuced the instnlmc:nt.
-~~-~
No,ut'rubJir -
oIDIIo\1IWI 0._
~.~~-
II_~
- .......11,.,2.'5
STATE OF "'EWYORK)
)
COUNTY OF SUFFOLK)
s.,.:
On the __ day of _ in the )'ear . before me, the undersigned, personall)' appeared
__n_. . personally known to me nr proved to me on the basis of satisfactory evidence [ll
bc the individual whose name is subscribed to the within instrument and acknowlc:dged to me that hI.'" C'XL'CULc..'"ti
the same in hili capacit)'. anu that b)' his signlltu~ cm the in.litrumcnt. the individu:u. \'lr the pen.on upon behalf of
which the indivitlu:d :ICl"--U. rxecu[ro [he instrument.
NOlary rublfc
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
THERESA R. CHOMICKI
TO
STEPHEN A CHO!l.IICKI
RETURN BY MAIL TO:
JONATHAN DAVID BROWN, ESQ.
737 Ra;lnokc Avenue
Rh-crhl.:ad. New York 11901
Reserve this space for uS\." \"If recording \1fficc
KI::0t;7.U.
NYSRA PllAcnCF. FOR)IS JI9I
..
Number of Pll/!""
TORRENS
S"rialll_
2J
o......t / MortllOllc Tax Swnp
FEES
Puge / Filing F""
Huodling
5. 00
TP-584
Notation
EA-S2 17 (County)
EA-5217 (St,oIC)
Sub Total
R.P.T.S.A.
~-=-
Comm. of Ed.
Affidavit i
Cenilicd Co(,y~'-
NYS Sun:hwrge
Othcr
5. 00
15. J!!L
Suh Total
Grand Total ~
:!J Di,t.
Real Property
Tax Servic~
Agency
Verification
Section
Block
Lot
04062119
.....-:::----
r:: p T ~~.
l~_ ~~ A
~/
1000 14100 0100 033003
61 SatisfactionslDischargeslRelellSCS List Propcny Owners Mailing Address
RECORD .. RETURN TO.
JONATHAN DAV:ID BROWN, ESQ.
737 Roanoke Avenue
Riverhead, New York 11901
RECORDED
2004 D<Ic 10 04.09.39 PI'l
Edw.rd P.Roaoino
CLERK OF .
SUFFOLK COUIlTY
L Dooo12359
P 903
Dn 04-19682
Recording / Filing Stamps
\
Mortgage Amt.
I. Basic Tax
2. Additional Tax
Sub 1bcul
SpecJAs.il.
or
Spcc./Add.
TOT. MTG. TAX
Doal .",wn _ Dual County
Held fur Appointment
Transfer Tax _ ,y
Mansion Tax
lbc property cove~ by this mortgagc is
or will be improved by :I. one or two
family dwelling only.
YES or NO
If NO. Ie" appmprilll" lax clause on
page II of this instrument.
- C.
5 Co_UDity PnI..~tlOD II'1uuI
1$-0
-.
CPF Tax Due
Vacant Land
TO
TO
TO
IV
Iofonnation
o
-s -
~ Suffolk County Recording & Endorsement Paee
This page forms part of the atll1chcd _
DEED
(SPECIFY TYPE OF INSTRUMENT)
made by:
THERESA R. CHOM:ICK:I
The prelllifiiCs, herein is Hiluah.~ in
SUFFOLK COUNTY, NEW YORK.
in au: Thwnship uf
In lh" VILLAGE
or HAMLET of
BOXES 6 THRU . MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
~~~N ~~~CK:I
Southo1d
Mattituck
(over)
111111111111111111111111111111 111111111111111111111
11111111111 1111111111111
SUFPOLI: COUNTY CLERIC
RECORDS OFFICI:
RECORDING PAGI
Type of Instrument: DBEDS/DDD
NUmber of Pages: 4
Receipt NUmber : 04-0135422
TRAHSJ'BR TAX HUMBIR: 04-19682
Recorded:
At:
12/10/2004
04:09:39 PM
LIBIR:
PAGI:
D000123S9
903
District: I
1000
Section: Block:
141.00 01.00
u!UlINBJ) AND CJIJ~ AS FOLLOWS
$0.00
Lot:
033.003
Deed Amol1l1t:
Received the Following Fe.s ror Above InstZ'1llll8l1t
-'""lpt Exempt
Page/ri.ling $12.00 NO HlIJldling $5.00 NO
COB $5.00 NO NYS SRCHG $15.00 NO
BA-CTY $5.00 NO EA-STATB $75.00 NO
TP-584 $5.00 NO Cert.Copies $5.00 NO
RPT $30.00 NO SCTII $0.00 NO
TrllJlsfer tax $0.00 NO CCIIIIIII.Pres $0.00 NO
rees Paid $157.00
TRAHSFBR. TAX HUMBBR: 04-19682
THIS PAQB IS A PART OJ' TBB INSTRtIJIBNT
THIS IS NOT A BILL
Edward P.Ramaine
CO\1I1ty Clerk. Suffolk COl1l1ty
I
~
t'Lt::A::;t:: J yt't: UH t"HI:::i:::i rlHML Y WHEN WRITING ON FORM
INSTRUCTIONS: http://www..orps.state.ny.us or PHONE (5181 473-7222
FOR COUNTY USE ONLY
C'1.
,j/}-~g1:
17, -;,J, t~
1 / d,/ /d tf!.:iJ
Monlh Day Y8ar
Book I /: 0', ~, -S; 11 04. P...I 4: cP, ~
RN2171Wv3IfJ7
REAL PROPERTY TRANSFER REPORT
SWIG. Code
lte Deed Recorded
*
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C';!.
C~1.
RP - 5217
PROI:>ERTY INFORMATION
1. Prcpe.rty L 315
LO(;atlon ----s'fFi'Ei.TNUMBE~
I Pine Street
STllIEHNAME
L SOllr.hnlt1
Cl"NClRTOWN
MAt-t-it-11r'\c _
v'll....GE
I 11 q~2
Zl~ 00 E
Buver L rH()MT(,,"KT
N;llln8 LAST I~AME! COM~"NY
~ STEPHEN A.
EI~ST NMI<
~
LAST I~AME ICOM~A"'Y
FIRST NAME
3 TlI"
SlUng
Address
Indicate where future T..~ Bills are 10 be sent
if o:her th,ln buyer address lat bottom of form) L
"IRSTNAME
~I
LAST NAME I COMPANY
1___
ST~HT NVM~"H AND S'REH NAME:
CITY OR TOWN
STATE
IIPCOOE
4. Indic:ate the numb.r of Assetsml;Ont
Roll percels transferred on the deed L
1 J # of Pllrcels 0 IOnly if Part of a Parcel) ChKk as they apply:
OR Part of a Parcel 4A. Planrliog Board with SJbdivision Authority Exilrts D
3 5 48. Subdivision Approval was Required for Transfer D
lOR I . 4C. Parcel Approved for Subdivision with Map Provided D
ACRES
5 D~d L i X I
PrOloerty
81z11 FR::lNT FEE~ DEPTH
.. Seller ~'Ar.-E!&;~lICKI
Name
THERESA R.
'lIlSTN...ME
~_.~
~MM-,:ic~
fiRST NAME
7. Check the box belttw which most accurately dltScribes 1he use of the property at the time of sale:
Check the bolles below 85 they apply;
8. OWrlership Type is Condominium
9. New Construction on Vacant Land
lOA. Property Lociltedwitl1inan Agricoltural District
108. Buyer received a disclosure notieg indicating
that the proPE!rty is in an Agricultural District
D
D
D
D
^~~one Family Ilesidentia
B 20r3Fa.....;I\'Reside'lt:al
C Ilesidemial VaCarttlalld
D Non.Residential Vacartt Land
I SALE INFORMATlm~
11.SeleCon1r8ctOatofl
E~Agric"ltural
F Commercia
<J Apartment
H f;ntertllinme:rtt i Amusement
J~COmmunitYService
J Irldustrial,
K Public Service
L ForeSl
15. Check one or more of these conditlona as applicable 10 lr;tnsfer:
Sale Between Relatives or Former Relatives
Sitle Between Aelated Companies or Partners in Business
Dnea/the Buyers is also a Seller
Buyer or Seller is Govemment Agerlcy or Lending Institution
Deed Type not Warranty or E1argain arld Sale lSpllcify Belowl
Sale of Fractional or Less than Fee Interest (Specify Belowl
Significant Change in Property BetwQEln Taxable Status and Sale Dates
Sale of Business 'S Included in Sale Prics
Other Unusual Factors Affecting Sale Price (Specify Below)
None
, ,
Month ,", ,-,
1\ 2Lf / 04
Monlh 0" Yeer
^
B
C
J)
E
F
o
H
I
J
12, Date of Sel" I Tra:~sfer
13, Full Sale Price
L,
o
01
o
o
'~..l
, ,
(Full Sale Price IS the total aM{lUnt paid for the property irlcludirlg personal property
This payment may bn in the form of cash. other property or [Ioods. or the assumption of
mort~"ges or other obligations,) PleaSIJ round fo rile nearesr whole dollar amuunr.
14. Irldicate the value C1fper&onal
property included in the sale
I ASSESSMENT INFORMATION
I~ ,0,01
, , .
Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Aneasment Roll from n 1. /
which information taken I . n 4. 17.
Total A$Se6ed Value (of eU parcels in transfer) j 5 6 0 0
, , ,
No. 12 f1ATJ'fJ'Jcti.-CiJICHoGJ€
18. Property Class
2
OI_L~: 19. Schoo! District Name I
1
20. Tax Map ldantifier(s) f Rollldentlfierlsl (U mOrE! tita.. lour, attach sheet with addi1ional identifier(sll
1000-141.00-01.00-033.001
L--_
L
["'CERiiFICATION
I certi(y that aU of tht: items of information ~ntered on this (oml are true and cnrrecl (to the best of m~' knoWledge ilnd belief) and I understand that the making
of an}' willful fal<;e statl'menl of material fact he-rein will subject me 10 the Ilrmision\ of Ihe Dl'nal Jall rclath.e 10 th" making and liIinll of false lnslrumen~
BUYER
BUYER'S ATTORNEY
Brown
Jonathan D.
315
_---.1i/ -.N -()'f
STEPHEN AO:'T<.
Pine Street
727-3948
lAST NAME
F'~ST ~.M.;;
631
STFHTNUMBER
STRHT.....ME1...FTERsAlEI
AREA CODE
TElEPHON, NUM6E~
Mattituck
NY 1 11952
STATE ZI~COOE
'1
NEW y;o:~ STAT:J
CI'C"I'ORTOWN
SELLER
~ ~ ~;:;p.:,
~s.l'.E!l.S~"'ATURe
THE~SA R_ CHOMICKI
I J/...,Pf-d'l
DATE