HomeMy WebLinkAboutL 12559 P 69SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
~,-~er of Pages: 4
Receipt ~,-~er : 08-0070555
TRANSFER TAX NUMBER: 07-32818
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
055.00 06.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Received the Following Fees For Above Instrument
Exempt
Page/Filing $12.00 NO Handling
cee $5.00 NO NYS SRCHG
EA-CTY $5.00 NO EA-STATE
TP-584 $5.00 NO Notation
Cert. Copies $5.00 NO RPT
Transfer tax $0.00 NO C,---.Pres
Fees Paid
TI~/qSFER TAX NUMBER:
07-32818
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Judith A. Pascale
County Clerk, Suffolk County
07/23/2008
01:55:21 PM
D00012559
069
Lot:
015.030
Exempt
$5.00 NO
$15.00 NO
$75.00 NO
$0.00 NO
$30.00 NO
$0.00 NO
$157.00
Number of pages ~
TORRENS
Serial g
Certificate #
Prior Cfi. #
Deed. Mortgage Instrument
Page I Filing Fee ~ ~
Deed / Mortgage Tax Stamp
FEES
Handling
TP-584
Notation
EA-5217 (County)
EA-5217 (State)
R.P.T.S.A.
Comm. of Ed.
Affidavit ~"~
Reg. Copy
Other
Sub Total
· Sub Total
I)' Grand Total
I 105500 I
District 08017875 X000 0600 0t5030
Property
Tax Service
Agency
Verification
(/
15.30
[ Property Owners Mailing Address
Satisfaction/Discharges/Release
List
RECORD & RETURN TO:
Bourke, Flanagan & Asato P.C.
21 South Main Street
Southampton, New York 11968
RECORDED
2008 Jul 25 01:55:21 PH
Judil~h ;L Pascale
CLERK O~
SUFFOLK COUNTV
L DOS12559
P 069
DT# 07-~2818
Recording I Filing Stamps
Consideration Amount
CPF Tax Due
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec. / Assit.
or
Spec. / Add.
TOT. MTG. TAX
Dual Town Dual County __
Held for Appointment __
Transfer Tax
Mansion Tax
The property covered by this motgage is
or will be improved by a one or two
family dwelling only.
YES __ or NO
If NO, sc~' appropriate tax clause on
page ~. of this inslrument. _
Communit~ Preservation Fund
Improved
Vacant Land
TD I000
TD
TD
Attention: Libby Fannon . .
· 17[ Title Company Information
Co. Name .
Suffolk County Recording & Endorsement Page
This page forms pan of thc attached Bargain and Sale Deed made by:
(SPECIFY TYPE OF INSTRUMENT)
Dawn Grzegorezyk. f/k/a Dawn Swiatoeha The premisis herein is situated in
TO
Dawn Grze~orezyk and Chester
Grzegorczyk, husband and wife
SUFFOLK COUNTY. NEW YORK·
In the Township of Southold
In the VILLAGE
or HAMLET of Southold
BOXES 6 THROUGH 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING
(over)
THIS IS d LEGALLY BINDING INSTRUMENT. IF NOY FULLY UNDER,~I'OOD, WE RECOMMEND ALL
PARTIES FO THE IN~'iHUMENY CONSULT AN ATTORNEY BEFORE SIGNING.
THIS INDENTURE, made the
BETWEEN
day of July, 2008,
DAWN GRZEGORCZYK, formerly know as Dawn Swiatocha, residing at
1485 Oriole Drive
Southold, New York 11971
party ofthe first pargand
DAWN GRZEGORCZYK and cI-rI~STER GRZEGORCZYK, husband and wife, residing at
1485 Oriole Drive
Southold, New York 11971
party of thc second part:
WITNESSETH, that the party of the first part, in consideration of one dollar and other good and valuable
consideration, lawful money of the United States, paid by the party oftbe second part, does hereby grant and
release unto thc party of thc second putt, his heirs and assigns forever,
ALI. that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
lying and being more particularly bounded and described on Schedule "A" annexed hereto and made a part
hereof.
BEING AND INTENDED TO BE the party of the first part by deed dated October 26, 1990 and
recorded in the Suffolk County Clerk*s office on November 1, 1990 at Liber 11164 page 285.
TOGETHER with all right, title and interest, if any, of the party of the first pan in and to any streets and
roads abutt lng the above described premises to the center lines thereof; TOG ETHER with the appurtenances
and all the estate and rights pfthe party of the first pan in and to said promises; TO HAVE AND TO HOLD
the premises herein granted unto tho party of the second pan, his heirs and assigns forever.
AND the party of the first part covenants that hc has not done or suffered anything whereby the said premises
have been encumbered in any way whatever.
AND thc party of the first part, in compliance with Section 13 ofthe Lien Law, covenants that the party of
thc 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 thc purpose of paying the cost of the improvement and
will apply the same first to thc payment of the cost of the improvement before using any part of the total of
the same for any other purpose. Thc word "party" shall be construed as if it read "parties" whenever thc sense
of this indenture so requires.
IN WITNESS WHEREOF, the party of the first part has hereunto set his hand and seal the day and year first
above written.
In presence of.'
Dawn Orzeg6tc~,lLO (.~
Acknowledgment by a Person Within New York State
(RPL § 309-a)
STATE OF NEW YORK, COUNTY OF SUFFOLK, ss:
On the._J_'~day of July in the year 2008 before me, the undersigned, personally appeared DAWN GRZEGORCZYK
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 ins~ument nnd acknowledged to me that he/she/they executed the same in his/her/their cnpacity(ies),
and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behnlfofwhich the individual(s)
acted, executed the instrument.
(signature and office of individual't~ing acknowledgment)
HELEN E. BIEL, II~
Nmarv Pub~io, Sram of Newlb4
01B~SOS8ge8, Suff~ (:mm~f
Term Exl)ires 04/2?./
Acknowledgment by a Person Within New York State
(RPL § 309-a)
STATE OF NEW YORK, COUNTY OF
SS:
On thc day of in the year before me, the undersigned, personally
appeared personally known to me or proved to mc 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 his/her/their capacity(ies), and that by his/her/their signature(s)
on the instrument, the individual(s), or tho person upon behalf of which the individual(s) acted, executed the instrument.
(signature and office of individual taking acknowledgmen0
Premises: 1485 Oriole Drive, Southold, New York
Section 055.00
Block 06.00
Lot 015.030
BARGAIN AND SALE DEED
With Covenant Against Grantor's Acts
Dawn Grzegnrczyk f/k/a Dawn Swiatocha
TO
Dawn Grzegorezyk and Chester Grzegorczyk,
husband and wife
Return by Mail to:
Bourke, Flanagan & Asato P.C.
21 South Main Street
Southampton, New York 11968
Attention: Libby Fannon
SCHEDULE A
ALL that certain plot, piece, or parcel of land, with the buildings and improvements thereon
erected, situate, lying and being in the Town of Southold, County of Suffolk and State of New York,
known and designated as Lot # 27 on a certain map entitled, "Map ofl lighpoint Meadows, Section
Two" which map was filed in the Suffolk County Clerk's Office on March 19, 1990 as Map No.
8911.
PLEASE TYpE OR P~ -
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
IFOR COUNTY USE ONLY .. ~ ~ .~ /~- I
~/'~ ~' J/' )~' I REAL PROPE~ TRANSFER REPO~
C~.S~S~de ~ ( ~ U ~ / I ~
, · . STA~ OF ~W Y~K
= D., D. R,~ ~ ~ STA~ BOARD OF RE~ ~ GE~S
· . .... ., RP ' 5217
1. Property 1485 I O~.01e DC'iVe
I 5outhcrl~. t [ Soul:hold I 11971
2. Ro., I G'~'zegorczyk I Da~m
I Gr~ecJO=C~Zk I C~ester
3. Trax Indicate where future Tax Bills am to bo sent
Billing If other than buyer address (at bottom of form) I
Address
I 1485 Ociole D~ive
~aegocczyk
[ sou~ol~
111971
4. IndlcMe the number of Ass~mltmtt
f
flog parcels t~nofMred on the deed I
5. oned
Property
Size
8. Seller
Nam
FRONT FEE T
I i I # of Pamela OR [----] Part of a Parcel
IxL JoRI ..... 5 .1 I
(Only if P~rt of · Pmrcof) Check ss tMy
4~. Planning Board with Subdivision Authority Exists []
Grzegorczyk, Da~m fo=merly kno~ as Da~mI S~iatocha
I
7. Check the b(~ below which most accurately d~rlbe~ the use of the poopers/ Bt the ti~te of ~le:
One Family Residential
C I I Residential Vacant Land
DII Non-Residemial Vacant Land
I SALE INFORMATION I
11. Sale Contract Date
12. Date of Sale I Transfer
Agricultural I [] Comm.ni~y Service
Commercial J ~ Industrial
Ape~tmant · K[~ Public Service
Entartamment IAmusement [.[~ Forest
/ N/A/
13. Full ~ale I~lce J i i I : , r , , 0 , 0 , 0 J
(Full Sale Pri~e is the total amount paid for the property including personal property.
l~is ~ayment may ~ in the form of ~sh, ~her prope~ or goods, or tho ossum~ion of j
14. Mdia~e~bed~al [ I ..... O .
ASSESSMENT INFORMATION - Dam should rdle~ the latest Final A~sessment Roll and Tax Bill
16. Y~r ~ ~m~ RMI ~m j O~J 17. Tml A~ VII~ [M all p~ls In traMr) J
Significant Chango in Property Between Taxable Status aftd Sale Dents
Sale of Business ia Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Belt, w)
None
18. I~'olmtsy Cms L2, ~, O1-1 I 19. Sehoof Dict~-t Name I ._61_Q_b,',',',',',','~lrJmld)
20. Tax Map IdMttisef(s) I Roll IdentRlerle) Iff more tt~n four, attach Shoot with ad(rrtional IdefltlflMlaJ)
1000 - 55 ~ 6 - 15.30 J I I
I J I
I CERTIFICATION I
BUYER BUYER'S ATTORNEY
Soul:hold I ~ I 11971
SELLER
,
.,-~Dawn~'~6~-~czykf~;o[';;e~J.y ]Uto,,m a~awn Swiatocha
Boucke, Flanagan & /~tato P.C.
631 I 283-O046