HomeMy WebLinkAboutL 12105 P 824
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Tax Map
Designation
Dist.
1000
Soc.
126
Blk.
1
Lot(s)
19
NY 005 - Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation (Single Sheet) (NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING TInS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LA WYERS ONLY
I fo~
'i day of January
, in the year 2001
THIS INDENTURE, made the
BETWEEN
BERTHA S. ZIMNOSKI, residing at 630 Bray Avenue, Laurel, NY 11948
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party of the first part, and
JOSEPH FRANK ZIMNOSKl III, residing at 665 Bray Avenue, Laurel, NY 11948 and JOAN TYLER, residing at 169
Green Grove Avenue, Uniondalc, NY 11553
party of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten Dollars and other valuable consideration paid by the
party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of
the party of the second part forever,
ALL that certain plo~ piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the
SEE SCHEDULE 'A' ATTACHED HERETO AND MADE A PART HEREOF
The grantor herein reserves a Life Estate in the subject premises.
TOGETHER with all right, title and interest, if any, of the party of the first part of, in and to any streets and roads abutting the
above-described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the
party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted 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 covenants that the party of the 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 compliance with Section 13 of the Lien Law, covenants that the party of the first 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 sarne first to the payment of the cost of the
improvement before using any part of the total of the same [or any other purpose.
The word "party" shall be construed as if it read "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 first above written.
IN PRESENCE OF:
~:Ty.AJ.4 ~~
BERTHA S. ZIMNOSKI
USEACKNOWLEDGMENTFORMBEWWWlTIHN NEWYORKSTATEONLY.'
StateofNewYork,Countyof Suffolk }ss.:
On th;/'gday of January in the year 2001
before me, the undersigned, personally appeared
Bertha S. Zimnoski ,
personally known to me pro ed to me on the basis of satisfactory
evidence to be the individ al(s) whose name(s) is (are) subscribed to the
within instrument and knowledged to me that helshelthey executed
the same in hislherl eir .,apacity(ies), and that by hislher/their
signature(s) on the i nt, the individual(s), or the person upon
behalf of which the . acted, executed the instrument.
c~
Notary h.c
.. GARY FtANNER OLSENl
Notary Public, State of New YCidil.
No 020L2959600
Oualified in Suffolk C~ 'Zt::::Jo /
Ccmnission Expires March:30, _ ./
ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORKSTATE ONLY,
{New York Subscribing Witne.rs Acknowledgment Certificate}
State of New York, County of } ss,:
On the day of in the year
before me, the undersigned, personally appeared
the subscribing witness to the foregoing instrument, with whom I ~
perso,nally acquainted, who, being by me duly sworn, did depose and
say that helshelthey reside(s) in
(if the place of residence is in a city, include the street and street number,
if any, thereof); that helshelthey know(s)
to be the individual described in and who executed the foregoing
instrument; that said subscribing witness was present and saw said
execute the same; and that said witness at the same time subscribed
hislher/their name(s) as a witness thereto.
BARGAIN & SALE DEED
WJTH COVENANTS AGAINST GKANTOR'S ACfS
TITLE No.
ZIMNOSKl
TO
ZIMNOSKl AND TYLER
FIDELITY NATIONAL TITLE INSURANCE
. COMP~~2!'T~~~YORK
C~~d, Fidelity ..0..~;"'",>/
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USE ACKNOWLEDGMENT FORM BEWWWlTHINNEWYORKSTATEONLY,
State of New York, County of
}ss,:
On the day of in the year
before me, the undersigned, personally appeared
personally known to me or proved to me on the basis of satisfactory
evidence to be the individual(s) whose name(s) is (are) subscribed to the
within instrument and acknowledged to me that helshelthey executed
the same in hislher/their capacity(ies), and that by hislher/their
signature(s) on the instrument, the individual(s), or the person upon
behalf of which the individua1(s) acted, executed the instrument.
ACKNOWLEDGMENT FORM FOR USEOUTSIDENEWYORKSTATEONLY,
{Out of Slate or Foreign General Acknowledgment Certificate}
..................................................}~
(Complete Venue with State, Country, Province or Municipality)
On the day of in the year
before me, the undersigned, personally appeared
personally known to me or proved to me on the basis of satisfactory.
evidence to be the individual(s) whose name(s) is (are) subscribed to the
within instrument and acknowledged to me that he/she/they executed
the same in hislher/their capacity(ies), that by hislherl their signature(s)
on the instrument, the individual(s), or the person upon behalf of which
the individual(s) acted, executed the instrument, and that such individual
made such appearance before the undersigned in the
(Insert the city or other political subdivision and the state or country or
other place the acknowledgment was taken).
SCHEDULE A
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
lyingandbcing:i1KtbB: in the Town of Southold, County of Suffolk and State
of New York, at Laurel, Imown and designated as and by the Lots
Nos. 19 and 20 on a certain map entitled "Subdivision Hap, Section One,
of Pr'operty of George 1. Tuthill and others", filed in th<) office
of the Clert( of the County of Suffolk on January 15, 1929 as
Map No. 861.
TOGETHER with the privilege in common with others to use a right
of way leading from the Boulevard, so called, to peconic Bay, which
said privilege is contained and recited in a deed to George I.
Tuthill, et a1., dated April 17, 1928 and recorded August 13, 1928
in Suffolk County Clerk's .Offlce in Libel' 1368 of deeds, at Page 2LI_.
b:"::COF::[)ED
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5U~FOL.,f::: COU!'-~T\.'
L. D000121C5
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1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 4
TRANSFER TAX NUMBER: 00-29010
Recorded:
At:
LIBER:
PAGE:
03/05/2001
10:09:16 AM
000012105
824
District:
1000
Section:
126.00
EXAMINED AND
$0.00
Block:
01. 00
CHARGED AS
Lot:
019.000
FOLLOWS
Deed Amount:
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $12.00 NO Handling $5.00 NO
COE $5.00 NO EA-CTY $5.00 NO
EA-STATE $25.00 NO TP-584 $5.00 NO
Cert.Copies $0.00 NO RPT $15.00 NO
SCTM $0.00 NO Transfer tax $0.00 NO
COllllll.Pres $0.00 NO
Fees Paid $72.00
TRANSFER TAX NUMBER: 00-29010
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
.
[I 2
3
Number of pages
TORRENS
F:'LCD~J}E[)
~'C!C!~ i'i.:~;!'" 0'3 ~.O: c'!9; i'0. !=it'1
E;j:!.L:ciF"(~ F'. f\:omaine
Serial #
CU::Pi< OF
'::':!JFFOL.f::: COUHT'",'
Certificate #
L. i)OOOl;~105
p :::24
Prior Ctf. #
DT~f OCi~2')Ol 0
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
4
FEES
Page / Filing Fee
Mortgage Am!.
Handling
I. Basic Tax
TP-584
2. Additional Tax
Notation
Sub Total
EA-52 17 (County)
EA-5217 (State)
Sub Total
Comm. of Ed.
50~
Spec.! Assi!.
Or
Spec. / Add.
R.P. T.S.A.
IS_
Sub Total
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment
Transfer Tax rp
Mansion Tax
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES or NO
If NO, see appropriate tax clause on page #
of this instrument.
Affidavit
Certified Copy
Reg. Copy
Other
GRAND TOTAL
Real Property Tax Service Agency Verification
Dis!. Section Block
Lot
6 Community Preservation Fund
Consideration Amount $
CPF Tax Due
$ 0
Improved
~
Initials ~
V acan t Land
7
Satisfactions/Discharges/Releases List Property Owners Mailing Address
, RECORD & RETURN TO:
/0
TD
TD
TD
GARY FLANNER OLSEN
Main Rd, PO Box 706
Cutchogue. NY 11935
~
9
Suffolk Count
8 Title Company Information
Co. Name FIDELITY NATIONAL TITLE
Title # 3d '20 '1
Recordin & Endorsement Pa e
lbis page forms part of the attached DEED
made by:
(SPECIFY TYPE OF INSlRUMENT )
BERTHA S. ZIMNOSKI
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK
TO
In the Township of
In the VILLAGE
or HAMLET of
~nTT'1'H()Tn
JOSEPH FRANK ZIMNOSKI III AND
lOAN' 'T'VT It''R
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
-,---
. #
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222
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,FOR eoUIIITV USE ONLY
. '.,.:"....,-':
C'I.'"SWlS Code
qZ.a,f $'lJ
REAL PROPERTY TRANSFER REPORT
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PRoPERTV INF
RP.5217 Rev 3197
MA,.,ON
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICE
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RP - 5217
1. Property \
Location
630
STAEETNUMBEA
Br~ Avenue
STfl ETNAME
2. Buyer
Name
ZiDmoski III
LAST NAME! COMPANY
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Joseph Frank
FIRST NAME
h
Ld/J.r~ J
111952
ZIP CODE
~Oll~hn1{.i
CI QRT WN
T ler
AST NAME I COMPAN\'
"
1
"Joan. .
F,!R~~~E
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3. Tax
Billing
Address
Indicate where future Tax Bills are to be sent
if other than buyer address (at bottom of form)
LAST NAME I COMPANY
FIRST NAME
STREET NUMBER AND STREET NAME
CITY OR TOWN
ST~TE
ZIPCDDE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
# of Parcels OR
o Part of a Parcel
(Only if Part of a Parcell Check as they apply:
5. Deed
Property
Size
Ixl
lOR I
'ACRES'
.
4A. Planning Board with Subdivision Authority Exists
48. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
o
o
o
FRONT FEET
OEPTH
6. Seller
Name
,,- \
"&~~~~~,^N'
R~T"t'h.;:i So
FIRST NAME
(l
\
~
f
LAST NAME I COMPANY
FIRST NAME
A ~ One Family Residential
B 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Vacant Land
E~ Agricultural
F Commercial
G Apartment
H Entertainment / Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
Cbeek the boxes below as they applY"
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
108. 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:
ALE lNFORMATl
11. Sale Contr~ 'Date
15. Check one or more of these conditions as applicable to transfer:
.12. Date of Sale I Transfer ..
/ i/
Month Day Year
/ / " / ,.)/ I
,
Month Day Year
A
B
C
D
E
F
G
H
I
J
Sale Between RehlhvQS -,or F-dlmei: 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
13. Full Sale Price I ~on~ I I 0 I 0 I
, , , .
(Full Sale Price is the total ari10unt 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
property included in the sale
AS$~SSME~T
, , 0 , 0 I
, .
11'19N .' DetlIiSljQOId 'nlftect tfl81ot"$1 FIQa! ~nl.llQl\ond Tax8i1l ".
Id
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7,0,01
;
,
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16. Ye~ o~ Assessment Roll from 1 () , C) I 17. Total Assessed Value lof all parcels in transfer) I
which Information taken
;
;
1a. Property Class
I.
I,OI-LJ
19. School District Name
20. Tax Map Identifier(sll Rollldentifier(s) (If more than four, attacb sheet with additional identlfierlsll
1000-126-1-19
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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 under.wtand that the making
of any willful false statement of material fact herein wiD subject me to the provisions of the penal law relative to the making and filing of false instruments.
B~ER . ' '1:( BUYER'S ATTORNEY
~~/"1./i'1~"
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LAST NAME
FIRST NAME
BUYE
,/
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A
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DATE
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STREET NUMBER
STREET NAME (AFTER SALEI
AREACDDE
TELEPHONE NUMBER
CITY OR TOWN
STATE
ZIP CODE
SELLER
CITyrrOWN ASSESSOR
COpy
.
SELLER'SIGNATURE
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