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THIS INDENTURE, made the 30th day of August, 2000 between Elizabeth Petrowski,
residing at 235 E. Legion Avenue, Mattituck, New York, 11952.
party of the first part, and
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Petrowski Living Trust dated December 15, 1987, a revocable trust.
235 E. Legion Avenue
Mattituck, New York 11952
party of the second part,
WITNESSETH, that the party of the first part, in consideration often dollars paid by the
party of the second part, does hereby remise and quitclaim unto the party of the second
part, the heirs 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
thereon as set forth in Schedule "A", consisting of L page(s)
TOGETHER with all right, title and interest, if any"of the party of the first part in and to
any street and roads abutting the above described premises to the center lines thereof;
TOGETHER wi~h the appurtenances and all the estate and rights of the party of the first
part in and said premises TO HAVE AND TO HOLD the premises herein b'fanted unto
the party of the second part, the heirs or successors and assigns of the party of the second
part forever.
AND the party of the first part, in compliance with Section 13 of the Lien Law; hereby
covenants that the party of the tirst part will receive the consideration for this conveyance
and will hold the right to receive such consideration as a trust fund to be applied first for
the purpose of paying the cost of the improvement and will apply the same for any other
purpose.
The word "party" shall be construed as if it reads "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 tirst above written.
IN PRESENCE OF:
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..../I, zabeth Petrowski
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Pa:t ;:
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Ri, 'r* \'. 'li,h Ill"Y he IN'd willl SLindml NYflTU Form 8041 ,rev. 11/78 .
SCHEDULE A
(Description of Premises)
All that c\.'rtaill plot, pit..'c~ or parcel of lano, with the buil.oings and improvements thereon
erected. situate. lying and being;(lxl<lxo at Matt i tuck, Town of Southo I d. County
of Suffolk'and State of New York. bounded and described as follows:
BEGINNING at a point on the southerly side of East Legion Avenue.
distant 202.71 feet easterly from the corner formed by the inter-
section of the easterly side of Bay Avenue and the Southerly side
of East Legion Avenue;
RUNNING THENCE South 71 degrees 31 minutes 30 seconds East, along
the so~t~erlj side of ~ast Legion Avenue.50 feet;
THENCE South 6 degrees 45 minutes East. along the land now or
formerly of Kast, 159.71 feet to land now or formerly of Hasslinger;
THENCE North 67 degrees 28 minutes 10 seconds West. along the last
mentioned land, 67.71 feet to the land now or formerly of Finora;
THENCE North 13 degrees 42 minutes West along the last mentioned
land, 59.12 feet to a monument;
THENCE North 6 degrees 29 minutes East. still along the last mention-
ed land of Finora, 91.66 feet to a monument on the southerly side
of E3st Legion Avenue, to the point or place of BEGINNING.
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120fi7PC661
1_1 2
4570
RECEIVED
$ (<)
REAL ESTATE
AUG 3 1 2000
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~POOADED
Number of pages
-./
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Serial #
TRANSFER TAX
SUFFOLK
COUNTY
4570
OOAUG3/ AHI/:S7
EOW!, HI' I" "C"i' INE
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CLEW" OF
SUFO:OLK COUIITY
TORRENS
Certificate #
Prior Ctf "
Deed / Mortgage Instrument
Deed I Mortgage Tax Stamp
Recording I Filing Stamps
4
FEES
Page I Filing Fee
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Mortgage Amt.
Handling
Tp.584
I. Basic Tax
-
2. Additional Tax
Notation
Sub Total
RP.TSA
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Sub Total
30
Spec.! Assit.
Or
Spec. I Add.
TOT. MTG. TAX
Dual Town Dual County
Held for APportio~
Transfer Tax
EA.52 17 (County)
EA-52 I 7 (State)
Sub Total
-'
Mans i on Tax
The property covered by this mortgage is or
will be improved by a one or two famil~
dwelling only.
YES or NO
If NO, see appropriate tax clause on page #
__oflhis instrument.
ConlIn. of Ed_
50~
Affidavit
Certilied Copy
Reg. Copy
Other
GRAND TOTAL
Real Property Tax Service Agency Verification
Dist. Section R lock
I.ot
6 Community Preservation Fund
Consideration Alllollnt $
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CPF Tax Due
. $
$
REbEIVED
proved
cant Land
Satisfactions/Discharges/Releases List Property Owners Mailing Addre
RECORD & RETURN TO:
C \ I L- "'~ e* '" ~ \ 'c lye uJr j" f
2) S- E. Ley / p') 1-1 J <.
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AUG 3 1 2000
:.~';"MUNITY
Pk~SERVATlON
FUND
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Recordin & Endorsement Pa e
C) \ I ,-\- ( .1,1 t (VI 1\' f'rL_
(SPECIFY TYPE OF INS1RUMENT )
Title #
8
Title Company Information
9
Suffolk Count
'11:1is page lonns part of the attached
made by:
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BOXES 5 TIIRLJ 9 MUST l3E TYPED OR PRINrED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK
In the Township of S 0 LA. +h () \d
In the VILLAGE
orHAMLETof~++-I-+V((J
..............,
PL R P IRML Y WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
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location L]R ET NU,BEr
nttltl.l( ~
ITY OR TOWN
L ff!JI J 17.,
STREETNAM
VillAGE
2. Buyer
Name
I FI Ii' J f+l.,
LAST NAME I COMPANY
"Pet-IOWJe
Do.lu/
FIRST NAME
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LAST NAME I 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
&+ro 1M),..
LAST NAME I COMPANY
J
",7
'-,) v L
STR!:ET NUMBER AND STREET NAME
4. Indicate the number of Assessment
Roll parcels transferred on the deed
OR 0
Part of a Parcel
# of Parcels
5. Deed
Property
Size
lOR I
'ACRES'
. J ,1.1
L /. l,.
FIRST NAME
6. Seller
Name
L Ixl
FRONT FEET
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L.Lct: f, c "J' J
LAST NAME I COMPANY
DEPTH
L-
LAST NAME, COMPANY
FIRST NAME
7. Check the box bEllow which most accurately describes the use of the property at the time of sale:
A ~ One Familv Residential
B 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Vacant Land
E ~ Agricultural
F Commercial
G Apartment
H Entertainment I Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP-5217 Rev 3/97
I //9 fl
ZIP CODE
IrJ /p 7
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FIRST NAME
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists
48. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
D
D
D
,
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Check the boxes betow as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
10B. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
D
D
D
D
15. Check one or more of these conditions as appticable to transfer:
( / "j / ~:'-7)
11. Sale Contract Date ..,I
Month Day Year
12. Date of Sale I Transfer If, ~ / J J / t('
Month Day Year
A
B
C
D
E
F
G
H
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13. Full Sale Price I , I 0 I 0 I
, , 0
(Full Sale Price is r.he 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.
14. Indicate the value of personal I I 0 I 0 I
property lnclLlded in the sale, , .
~!~
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 Dr 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
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J 0
16. Year of Assessment Roll from r-, .) I 17. Total Assessed Value lof all parcels in transfer) I
WhiCh jnformation taken v . ; ;
18. Property CIa.. I-LJ 19. School o;str;c!Nome L.tiu1:I- I +U <./<.. - (~~(J) () CI ~
20. Tax Map IdentK;er(sll Rollldent;fier{sI18 more than four. attach sheet wffh addh;onal Idenlil;erls" / t.f :::5 ~ - 6
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I certify that allot' the items of information entered on this fonu are true and correct (to the best of my knowledge Jnd obe1ieO and I understand that the making
of any willful false statement of material fact herein will subject me to the provisions of the nenallaw relative to the making and filing of false instmments.
BUYER
J
DATE
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CITY OR TOWN
LAST NAME
,
ER SIGNATURI,
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STREET NUMBER
If-
AREA CODE
SELLER
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ZIPCOD€
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BUYER'S ATTORNEY
FIRST NAME
TELEPHONE NUMBER