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QUITCLAIM DEED
CONSULT YOUR LA WYJ::R BEFORE SIGNING THIS INSTRUMENT
THIS INSTRUMENT SHOULD BE USF.D BY LAWYERS ONI.Y
THIS INDENTURE, made the
two thousand and two .
f~
II
day of
BETWEEN
MARGARET KAPPEL, residing at 723 Jackson Street, New Suffolk, New York 11956
party of the first part, and
PAUL O. PRltUCIK, residing at 723 Jackson Street, New Suffolk, :-Ic'" York 11956
party of the second part,
WITNESSETH. that the party of the first part. in consideration of len dollars lawful money of
the Uoitcd Stales and other valuable considel"dtion paid by the party of the second part, docs
hereby remise, release 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
erected, situate, lying and being at New Suffolk. in tho: TOWII ofSoutholJ. County of Suffolk, -~
State of New York. bounded and described as follows:
.1
BEGINNING at a poinl on the northerly line of Jaeklion Street at the southwesterly comer of land
of Ruth Tuthill Houston and the southeasterly comer Oflhc premises herein described; also being
0.33 ofa fOOl northerly from a concrete monument; from said point ofbegiooing running along
the northerly line of Jackson Street, North 730 39' 00' WesllOO feet to a eODcrete monument;
thence along land of Eugene Horton, North 8" 55' 30' East 129.90 fCl'!; thence along other land of
Eugene Horton, South 75"40' 20" Eas199.59 fcello a post; thence along said land of Ruth Tuthill
Houston, South 8055' 30' Wcs1133.42 feet 10 the point of BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed to thc party of the Iirst part by
dced dated August 24. 1964 and rcconled in the Suffolk County Clerk's Office on September 14,
1964 in Liber 5613 page 256 and the same premises conveyed to the party of the second part by
deed dated March 27, 1997 and rcconled in the Suffolk County Clerk's Office in Liber 11823
page 458 in which the party of the fir.st part retained a Life Estate, which Life Estatc by this
indenture is extinguished
,:
TOGETUER with all right. title and interest, if any, of the party of the first pan in and to any
streets and roads abutting the above described premises to the eenll.'I' lines then:of,
TOGETHER with the appunenanees and all the estate and rights of the pany of the first pan in
and to said premises,
TO HAVE A.1\ID TO HOLD Ihe premises herein granted unto the party of the second pan, lhe
heirs or succeliSOrs and assigns of the pany of the second part forever.
AND the party of the first part, in compliance wilh * 13 or the Lien Law, hereby covenants that
the party of the first pan will receive the eon.~idcralion for this conveyance and will hold the right
to receive such eonsideralion as a trust fund 10 be applied tint for the purpose of paying the eOSl
of the improvement and will apply the same first io the payment oflhe cost of thc improvement
before using any pan of the lotal of the !llIme fllr any other purpose.
The word "party. shall be construed as ifit read "partiCs" whenever the senlle of this indenture so
requires.
IN WIT~ESS WHEREOF, the party of the firsl part has duly executed this deed the day and
year first above writlcn.
IN PRESENCE OF:
j~ Ib \
. ~ret Kappel
ACK."lOWLEDGMEm
State of New York J
County of 'fA 155:
On the / / day of JP.bn ./~""iiYkn in the year 2()();l before me, the undersigned,
personally appeared Margaret Kappel, lIy known to me or proved to me on the basis of
satisfactory evidence to be the individllBl whose name is subscrillo:d to the within ins1nlment and
acknowledged 10 me that she executed the same in her capacity, and that by her signature on the
in~1rument. the individllBl, or the plT!lOn upon behalf of whom the individual acted, executed the
inslrument.
~rf!hoor
~otary Public
.~w t,; BAJElt
. :bIary Public, Sl.:.te of Now Yew
No. 4:!tl3'161
Qunllfi..l1n lIu!;";' Coant&, ^^' f
., wrdltDlOll Axl'lr.~ tkt. aD. ~
S~'\~/M L. ~ajef:.
,
AFFIDAVIT OF WITNESS
STATE OF NEW YORK I
f ff '(./ 15S:
COUNTY OF ~ Jf.. I
;~ lLu~~
. being duly sworn, deposes and says:
] over J 8 years of age andfCSide at
.0. Do V it .....7l.j
"Ai-f,'iu ^,ll 11't~~
I
I declare that Margaret Kappel, the person who signed the Quitclaim Deed dated
'2'10.).. conveying her Life Estate in the real property located at 723 Jackson
Street, New SutTolk, NY to Paul Prilucik in my presence, is personally known to me and
appears to be of sound mind amI acting of her own free will.
".
JJ~~
Sworn to before me this
J /:!!].. day of {;1'Ft/t;,rJ' 20Q;l
~(1?~
Notary Public
'-
'1la.IalrlOtf r.;" Bun: " .
.btaJ, hhiIc, State of !';cnr Y.., :
No. 4e6.'715'l
Qualllled In Suffolk CouDtJ'
. -- Bapirc.J Oat. a>, JUJCi.{
Schedule A
Tille Number 20418.ex.s
ALL that certain plot, piece or parcel of land, with the buildings and
Improvements thereon erected, situate, lying and being at New Suffolk, Town of
Southold, Courity of Suffolk and State of New York, bounded and described as
follows:
BEGINNING at a point on the northerly line of Jackson Street at the
southwesterly comer of land of Ruth Tuthill Houston and the southeasterly comer
of the premises herein described, also being 0.33 of a foot northerly from a
concrete monument;
RUNNING THENCE along the northerly line of Jackson Street, North 73 degrees
39 minutes 00 seconds West, 100.00 feet to a concrete monument;
THENCE along land of Eugene Horton, North 8 degrees 55 minutes 30 seconds
East, 129.90 feet;
THENCE along other land of Eugene Horton, South 75 degrees 40 minutes 20
seconds East, 99.59 feet to a post;
THENCE along said land of Ruth Tuthill Houston, South 8 degrees 55 minutes
30 seconds West, 133.42 feet to the point of BEGINNING.
.'
.' 'Maa4lon Tax. ,
n.propCrty~,bytb...~Or
will be Improved by a ana ar twa fIImll,.
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DilL _. __ ~on --.-: ,~ ' !!.I!!ct . _ _ _ Let __ _ Conalderatlon AmoUlit S.. t)
04003026 1000 11700 0900 006000 CPP Tax DUe s.
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. RECORDE~
lG04 Jon 27 11:31:47 AM
E-'::h.l.ar.j P.~ou.aine",
," CLERK OF .'
SUFFOLK COUNTY'"
L DOoO 1:,297
P.600 .
. on 03-~6B4
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R>:conlina I Fllina SIInjpo .
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2. AitdillonilJ TIX.
Sub TOta'
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Spec:./Add.
TOT. M:J'Q. TAX
"DualTown..' DualCounIy_
Held for Apportionment _
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~. Title. Company Information'
Co. Name '", b c..
TItle"" . ...
9. Suffolk COun "Recor & Eridorsement P e.
ThiS page fonnSJlo!rt Qfthr: -- '-' 1'\.,... ;j mad. by: .
. (SI'BCF\rTYPE OF 1NSl1WMENr)'
l1ia pn:aUesbmili ili:~iri
SUFFtIKOOUNI.Y. NHWYORK.
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BOXEs. 5 Unw 9 MUST BE TI'PEo ORPRINI.Ei>JN Bl.AaC. INK. ONL YPRIOR. To RECoRDING OR Fumo.
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1111111111111111111111111
SOFFOLK COUNTY CLBRK
RECORDS OFFICB
RECORDING PAGE
Type of Instrument: DBKDS/DDD
Numbsr of Pages: 5
TRANSFER TAX NUMBBR: 03-26184
Recorded:
At:
LIBBR:
PAGB:
01/27/2004
11:31:47 AM
D00012297
600
Distrj,ct:
1000
Section: Block:
117.00 09.00
. EXAMI~ AND CHARGED AS FOLLOWS
$0.00
Lot:
006.000
I-
Deed J\mount:
Received the Following Feea For Above Instrument
Bx8lllpt Exempt
Page/Filing $15.00 NO Handling $5.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA- CTY $5.00 NO EA-STATE $50.00 NO
TP-584 $5.00 NO Cart.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Transfer tax - $0.00 NO COIIIIII.Pras $0.00 NO
Fees Paid $130.00
TRANSPER TAX NUMBBR: 03-26184
THIS PAGB IS A PART OP THE INSTRUMBN'l'
THIS IS NOT A BILL
Edward P. Romaine
County Clerk, Suffolk County
.
FOR COUNlY USE ONLY
~LtA:;t I y~t UH ~HI::;:; HHML Y WHEN WHIIIN<.; UN cUHM
INSTRUCTIONS: hllp:// www.orps.slate.ny.us or PHONE (5181 473.7222
~,. SWIS Code
1 <,<';. -'73 ,$S", q;, 9'1
,
*
'. . '. I
~'.. .~
C2. Date Deed Recorded I &).1 /;:< ? I c:x;/ I
Month Oav V~8r
C3. Book 1 /,~ .;)., '7, /'IC4.P...1 '(,0,01
PROPERTY INFORMATION
,. ~~~~~~~ I 1~5 ,\ f\c.:l', SCf\ 'S\
STl~~ET NUMBER STAEETNAME
Nw.J 'S u I-t=:O\K
CITvOR rOWN
2. Buver I?~i 'vC-\ ""
Name LAST NAME.' COMPMlY
VILL..r1E
t'n-.v \
~lfO.ST NAME
lAST NAME ICOMPANV
FIRST NAME
3. Tax
Billing
Address
Indicate where f...ture Tax Bills are 10 be sent
ifotherth8n buyeraddrass (at bottom of form)
LASTNAME/COMPANV
STREET NUMBHI AND STREB NAME
CllVORTOWN
4. Indicilte the number of Assessment
Roll plllce!s transferred on tIla deed
\ I # of Parcels OR 0 Part of a Parcel
5. Deed
Property
Size
lOR 1
ACRES'
.0.31
I X I
fIlOh'TFEET
DEPTl1
6. Seller
Name
L~!;M~C~l~Y\
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
KP_5217 Ke.''JI'/7
\ I'\.:) (.
Zlrcoor:
c
>lAST NAMe:
STAH
ZIPOOOe:
(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 0
tj~N~M~ c~~j_
LAST NAM[; COMPANY
FIRSTNAME-------
7 Check the box b""loW' _hieh most accurately describes the use of the property at the time of sal8:
A~ One Family Residential
B 2 or 3 Family Residential
C Residenlial Vacant land
D Non-Residential Vacant Land
E~A{lriCUItUfal
F Commercial
G Apartment
1-1 Entertainment/Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
~
Check the boxes below as they i1pply:
8. OwnerShip Type is Condominium
D
D
D
D
9. New Construction on Vacant land
10A. Property Located within an AgriculllJral District
10B. Buyer r8Caiveda disclosure notice indicating
tnatthe property is inan Agricultural District
SALE INFORMATION
15. Clleck one or more of these conditions as applicable 10 transfer:
11. Sale Contract Date
/ /
Monlh Do, Yaar
0;) / (\ / 02.
Month D., Yllar
d, 0 , 0 1
A
B
C
D
E
F
G
II
I
J
12. Date 01 Sale / Transfer
13. Full Sale Price
, , .
(Full Sale Price istna total amount paid for the property including personal properly.
This payment may be in the form of cash, other prOperty or goods, or the assumption of
mortgages or Olher obligations.) Please rounrllo the nearest wholD doll;Jr <'lmOllnt.
14. Indicate the value of personal
property Included in the sale
,0,0 , 0 I
ASSESSMENT INFORMATION
, ,
- Oat!! should reflect the latest Final Assessment Roil and Tax Bill
16 Year of Assessment Roll from ) 0 ::J I 17. Total Assilssed Value (of all parcels in transfer) I
which information taken
18. Property CliOs.s
1.1 \ ,0 I-U 19. School District Name I
\5
20. Ta)( Map Identifier!s) / Roll Identifier(s} (If more tl1an four, attach sheet with additional identlfler(s))
l... 000
\\1.00
O'\,oG
ooG> . 000
Sale Between Relatives 01 Former Relatives
Sale Between Related Companies or Partners in Business
One of Ille Buyers is Itlso a Seller
Buyer or Seller is Government Agency or lending Institution
Deed Type not Wilrranty or Bllrgllin and Sale (SpeGify Below)
Sale of Fractional or Less than Fee Interest (Spacify Below)
Sigr>ificant Cl1ange in Property Between Taxable St<ltus and Sale Dates
Sale of B\J~ine~s is InclUded in Sale Price
Other Unusual Factors Affecting Sale Pr;ce (Specify Below)
None
.", S 0
,
CERTIFICATION
'-1~"t.!rti that all o( the itertls of infomudioll cnterOO on this form are true and corre<:t (to the be!'t of mr kDowl~e and belid) and I understand thllt the making
of any,. 'IIIml false sllltcmcnt of mll~~r~~ct ben-in will subject me to the provisions uf the penal law relati"c 10 (he mMking Hnd minI( of fiLIse im.tnImen'~
BUY BUYER'S ATTORNEY
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ZIP CODE
CFT"OflIOWN
L/ . S(ELLER
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rELEPHOM, NUMB.R
NEW YORK STATE
COPY
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