HomeMy WebLinkAboutL 12217 P 825
L- /22-/7
P 82)
['\,"\'01..1\ E,ecur.or"' Dffd-lndiri4maJ CU' Cni"pOradon {!\'\"m1SOOS)
Co,'GtJI.T HlllR 1 -,"'YER 8HURE S](;""NG nltS I"STIIU~":.r.'l' - TillS ''''S.IU:Mr.:o.. SIICllll,U BE Il'V:D 8\' L~Wn:1lli 0"'1. Y
THIS INDENTURE, made the I%!' day of () C\J(;ge(2... > 2002 BETWEE:'Ii
.IOSEPH POLASHOCK, residing at 86 Franklin Street, Northport. NY 11763
lIS I2xecutm of lhe Lasl Will and Testament of ANNE POLASHOCK
late of Suffolk COllnly. deceased, Suffolk County Surrogatf'S Court File No. 398 P 2002
party of the first part, and
11l-~-L (
JOSEPH POLASHOCK. residing at 86 Franklin Street, Northport, NY 11768
party of the second part,
WITNESSETH. thai the party ofthc firsl part, by virtue Oflhc power and authorit), given in and by said Ia.~l
will and testam...nt and in consideralion ofTEN (SIO.OO) dollars.
paid by the party of the second part, docs hcreby graol and relcase unto the party of the 5<."Cond pllrt. Ihe heirs
or SUCee!l.';Ofl; and a."signs of the party of lhe second part forever.
ALL that rertain plot, piece or parfel of land, with the buildings IInd impronmenb thereon ereeted,
situate, J,'ing and being at New Suffolk, Town of South old, Suffolk Count)', New York, bound.ed and
desrribed as follows:
RF:GINNING alan iron pipuet on the ClSterly line of Third Streel. IOS.73 f<<houtberl~' along said
Unf from tbe soutbl1rl)' line of Main Street, oong the southwesterly corner of land of Smolenski;lmd
running tbence l'a.~tul}' along .said land of Smolenski, South 85 d~rees 40 minuta 30 serond.~ F..ast
102.0 feet t an iron pipe and land of Pn:zi05O; tbenfl1 South 5 del1:rfcs 03 minuta 10 sceonds Wat
along said land of I'rezioso, 51.8 feet to an iron pipe: tbenee North 86 degrees OJ minutes 50 seconds
West along land of W. Keteham Estate 102.0 feet to aD iron pipe set on .said euterl)' line of Tbird
Street; tbenee Nortb 5 degrees 02 minules JO sl1lIonds East along said easterly Iioe of Third Street 52.S
fccl to thE: point or plllef of BEGINNING.
BEING AND INn:NDED TO BE tbe same premises eonveyed to ANNE POLASHOCK, deceased, by
deed dated Nonmber 27, 1956 reeorded in tbe Office oftbe Clerk of tbr County of Suffolk on
Nonmher 28, 1956 in LibeF 4221 Page 1J3.
TOGETHER with all right, titk and illlen:st, ifany. orlhe party cfthe tirst part in and 10 any streets and
roads abultilll!! the above deseribeJ premises to the cenler lines Ihcreof; TOGETHER with the
appurtenances, and also all the estate which the said decedent had llllh.: timc of the decedent" s death in said
premises. and also the eSlate therein, which the party of the first part has or has power to eonwy or dispose
of. whelhE~r individual, or otherWise;
TO HAVE AND TO HOLD the premises herein granted unto the party of the second pan, the heirs or
successors and assigns of the pany of the second pari forever.
AND thepari}' of the first part covenants that the party ofthe first part has not done or suffered anything
whereby the said premises have been incumbered in any way whatever, except as aforesaid.
AND THE party of the first part, in e<.)mpliance with Section 13 of the Lien Law, covenants thalthe party of
the first pan will receive Ihe considemlion for this convcyancc and will hold the righllo receive such
ctlll.sideralion asa trust fund to be applied lirstlor the purpose of paying the cost of the improvement llOd
will apply the saml: first to the payment of the e<.)SI oflhe improvemenl hefore using any part of the total of
the same for any ol.her purpose.
The word "party" shall be construed as if it read "parties" whenever the sense of this indenture 50 requires.
IN WITNESS WHEREOF, the party of the tirst pan has duly executed this deed the day and year lint
aMVl: \\'Ti \ten.
IN PRESENCE OF:
~.~..L~
J SEPII LASIIOCK
STATE OF NEW YORK:COUNTY OF SUFFOLK) sse
.f.!:"
On the ) day of . 0 Co ];?;-/I5d(( . 2002, before me. the undersigned. personally
appeared JOSEPH POLASIIOCK, personall)' known to me or proved 10 me on Ihe basis Hr Sllti~lactury
evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me
that he executed the same in his capacity, and that by his signature on the in.~trumcnL the individual. or the
person upon behalf of which the individual acted, executed Ihe instrument.
~~
.lOSEI'M H. GlllllONS
NcI..., Public. Slate 04' N_ YOdl
No. 52a618285
Quelifielllft Sultol_ Cburuy..J .;1.0(7 "::>
c-milllion e""".. April3Q, r - ..>
~2
l
Numb", of pages
l'ORIU,NS,
U$...t\
~\l:".o:t :"1"':.. 1;U .~J. ;.j.:,,).,; ;"'1
b.:........:;: i- < t~~..r.O!'
;.,l~':'" U~
Serial"
~UF;.U~r. 1.4J;~1',
L '~...;tJ'Jl,L~l .
Certificate"
? \~L,~i
.;e (;',,-I';';&;
Prior elf. ~
Deed I Mortpge Inslrvmenl
Deed I Mortgage Tax SiamI'
FEliS
Recording I Filina Stam".
4
I'Igel Filina Fee
HAndling
TJ'.,584
Mortl!lllle Anti.
I. Ilasic Tu
2. Additional Ta.
Notalion
Sub Total
F.JI.52 n (C""nly)
EA.S217 (SllIte)
Sub Tollll
R.P.T.S.A.
Cumm. of Ed.
~o -
-2 QQ...:-
SpccJ,,"iL
Or
Sp". IAdd.
TOT. MTG. TAX
Dual TowI\. Dual Counly _ .
lIeld for Apportionmenl _
Tronsf..- T..
Me",i""i... __ _
The properly co-.d by this morta-. i. or
w ill be im proved by . une Or IWo Ca'\1 ily
dwelling onl)',
YES 0<1'10_
If NO, see applopriale IA. clau.. OIl page II
_urlhi. hl!tru""",l.
AffidA\'it
Cmified Copy
Reg. Copy
Ollter
SubTollll
GRAND TOTAL
I
Real Pruperty Tax Service Agency VeriJit:4lion
Dill. ~r.r'Jinn _.. R 1fv4r '. .
'.ot
6 Community l'resclvalion Fund
Consideration Amoufll $ 0
SiamI'
Dal.
02043188
~PTS
RMTYA
T
1000 11700 OgOO 021000
I
CPF Tal< Due
$ 0
"..proved x
. Initials
Va.anl Land
,
SalisfactionSlDiscllllrgesIReJ...cs Lis! Property Owners Mailing Add...s
RECOIlD &. RETUR.N TO: .
Joseph H. Gibbons, Esq.
Caminiti & Gibbons, 1.I.P
Main Road, Feather Hill
PO Box 846
Southold, NY 11971
TD
TD
TD
8 Title Company Information
Co. Name NONE
TitJeU
9
Suffolk Count Recordin & Endorsement Pa e
This page fOltllS pal1 of the IItll1ched
Executor's Deed
The Estate of Anne PolashOck',
(SPECFY TYPE 01' INSIRUMENT)
_ mId. by;
The llf"IlUscs herein is siluated ill
SUFFOlK COUNTY, N[!W YOl~K
TO
Joseph Po~ashOck
In lhe 'Io.....nship of
In the VILl..AGE
or HAMLEr of
Southold
New Suffolk
BOXES S lllRU 9 MUST UE WI'@) OR. PRINI'ED TN BLACK TNK ONLY PRIOR TO RECORDING OR flUNG.
1111111111111111111111111111111111111 ~IIIIIIIIIIIII
1111111111111111111111111
StniTOLl't COUNTY CLBRl't
RECORDS OFFICE
RBCORDING PAGZ
~ of Insb:'w1lArul.t: O:u:DS/DDD
H""""-r of Pages: 3
TRANSi'BR TAX NUMBZR: 02-13488
Recorcfed :
At:
LIBD:
PAGE:
District:
1000
Sec:t:.ion : Bl.ock:
1.17.00 09.00
BXAMI.1iIJW AND CHAP~ AS Il"OLLOlfS
$0.00
Deed Amount::
Reca.ived t:he I!'ol.l.owinq I'ees
I!'or Above Inatruaent
Bxempt
NO Ilandlinq
NO NYS StJRCBG
NO 1',A-S'J.'A'1'&
NO Cert.Copies
NO SCTH
NO CClIIIIIl. Pres
F_a Paid
P&ge/I'iling
COZ
BA-C'l'Y
TP-584
RPT
Transfez: tax
$9.00
$5.00
$5.00
$5.00
$30.00
$0.00
TRANBI'BI!. 'fAX lfT'INRlI:~: 02-13488
TBIS PAGIl: IS A PART OJ' TIlE Dl'STlWNBNT
Edward P. Il.oma.ine
County Clerk, Suffol.k County
:'
10/30/2002
03:35:39 PM
000012217
825
Lot:
021.000
$5.00
$15.00
$25.00
$0.00
$0.00
$0.00
$99.00
,
b'""'P't
NO
NO
NO
NO
NO
NO
"
.~.
PLEASE T'{PE OR PRESS ~IRML Y WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP . 5217
RP-5217 Rev 3I'YT
1. Props.rty I
location stREET NUMBER
STREET NAME
Southold
CITY OR TOWN
New Suffolk
2. Buyer
Name
Polashock
VILLAGE
Joseph
ZIPCOOE
LAST NAME I COMPANY
FIRST NAME
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
LAST NAME I COMPANY
fiRST NAME
STREET NUMBER AND STREET NAME
CITY OR TOWN
ST~TE
ZIP CODE
5. Deed 52 Ixl 102 lOR I
Property
Size FRONT FEET DEPTH
6. Seller The Estate of Anne Polashock
Name LAST NAME! COMPANY
'ACRES'
.
(Only if Part of a Parcell Check as they apply:
4A. Planning Board with Subdivision Authority Exists 0
48. Subdivision Approval was Required for Transfer D
4C. Parcel Approved for Subdivision with Map Provided D
~. 4. Indicate the number of Assessment
",:, Roll parcels transferred on the deed
# of Parcels OR D Part of a Parcel
FIRST NAME
LAST NAME I COMPANY
FIRST NAME
,Ii\.>
A~ One Family Residential
B 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Vacant Land
E ~ Ag,'oo'Ma' I ~
F Commercial J
G Apartment K
H Entertainment / Amusement L
Community Service
Industrial
Public Service
Forest
Check the boxes below 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
o
o
o
o
""7. Check the box below which most accurately describes the use of the property at the time of sale:
~
15. Check one or more of these conditions as applicable to transfer:
11. Sale Contract Date I NONE I
MonttJ Day Year
12. Date of Sale / Transfer 10 I ( I 02
Month Day Ye.r
,
A
B
C
D
E
F
G
H
I
J
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 or 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 r
Executor's Deed
, ,NONE ,0,01
, , .
(Fu)) 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 obligations.} Please round to the nearest whole dol/ar amount.
14 Indicate ~e value ~ personal 1 I I j I ~ON~ I 0 I 0 1
property Included In the sale _. _1 n _ . _ _ 1 . .
JA$\1l$S$....~1'~'.~iiiiiiI'l4~IWf~'/i:1W!!.
13. Full Sale Price
"""
16. Year of Assessment Roll from I 0 ,2
which jnformation taken
17. Total Assessed Valuelof all parcels in transfer) 1
;
New Suffolk
;
4, 3, 0, 01
,
,
18. Property Class
2, 1 ,0 1- U 19. School District Name 1
20. Tax Map Identifierls) / Rollldentifierlsl llf more than four, attach sheet with addttlonal identifier(sll
Jll-q-J.j
~
1000-117.00-09.00-021.000
1
.~
I certify that all of the items of infonnation entered on this fonn are true and correct (to the best of my knowledge and belief) and I understand that the making
of any willful false statement of material fact herein will subject me to the provisions of the oenallaw relative to the making and filing of faIse instruments.
BUYER
('.
! \ {/
BUYER'S ATTORNEY
BUYER Sl NATURE
Gibbons, Esq.
Joseph H.
DATE
LAST NAME
FIRST NAME
86
Franklin Street
STREET NUMBER
STREET NAME IAFTER SALE)
AREA CODE
TELEPHONE NUMBER
Northport
NY
11768
CITY OR TOWN
STATE
ZIP CODE
Ie
f
! 1
'I,,",),
SElLER
(
i\ (
(lj ( fJ \ '-
SELLERSIGN)l..TURE
" H:
(d(II02-
DATI'
"