HomeMy WebLinkAboutL 12313 P 795CONSULT ~fOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT 8HOULD BE USED BY LAWYERS
ONLY.
THIS INDENTURE, made the l't day of April, Two Thousand Four
BETWEEN
CAROL SIMONS, residing at 415 Second Street, Green~rt, New York 11944,
party of the first pm. and
KIRK DOMBROWSKI and COLLEEI~RON, residing at 283 West ! i'h Street, Apt. IW,
New York, New York 10014,
party of the second part,
WITNESSETH, that thc patty of the first part, in consideration ofTen Dollars and other valuable
consideration paid by the party of the ,~-'cond part, does hereby grant and release unlo 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
era:ted, situate, lying and being in the Village of Greenport, Town of Southold, County of
Suffolk and State of New York, bounded and described as follows:
BEGINNING at a point on the westerly side of Second Street at the northeast corner of land
now or formerly of Smith which said point ts 155.66 feet northerly from the comer formed by
the intersection of the no~erly side of Center Street with the westerly side of Second Street;
THENCE along land now or formerly of Smith, South 83 degrees 16 minu~ 40 seconds West
100 feet to land now or formerly of Jones;
THENCE along last mentioned land North 6 degrees 47 minutes 00 seconds West 45 feet. to
land now or formerly of Julia L. Englesh;
THENCE along last mentioned land North 83 degrees 16 minutes 40 seconds East 100 feet to
the westerly side of Second Street;
THENCE along the westerly side of Second Street South 6 degrees 47 minutes 00 seconds East
45 feet to the point or place of BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first pan by
deed from Paul Foster, dated March 11, 1987, and recorded April 1, 1987, in the Office of the
Suffolk County Clerk in Liber 10284, Page 307.
TOGETHER with all right, title and interest, if any, of the party of' the first part in and to any
streets and roads abutting the above described premises to the center lines thereof; TOGETHER
with the appurtenances and all thc estate and rights of thc 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
pan, thc heirs or successors and assigns of the party of thc second part forever.
AND the party of the first part covenants that the party of thc first part has not done or suffered
anything whereby the said premises have been encumbered in any way whatever, except as
aforesaid.
AND the parly of the first part, in compliance with Section 13 of the Lien Law, covenants that
the party of the first pan 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 first to the payment of the cost of the
improvement before using any part of the total of the same for any other purpose.
The word "party" shall be construed as ifil 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.
F:
STATE OF NEW YORK)
) SS.:
COUNTY OF NASSAU )
On the 1= day of April, 2004, bcforc me, the undcrsigncd, personally appcarcd Carol Simons,
personally known to mc or proved to mc on the basis of' satisfactory evidcncc to bc the
individual(s) whosc name(s) is (arc) subscribed to the within instrument and acknowlcdgcd to
mc that he/shc/thcy cxecutcd thc samc in his/her/thcir capacity(les), and that by his/her/their
signature(s) on the instrument, thc individual(s), or thc person upon behalf of which thc
individual(s) acted, cxccuted the instrumcnt.
Notary Public, State of New York
No,, ~6E~153 _
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New ¥oz'k; Ney Yo~k 10022
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, St,'Efoik Courtly Recording & Endorsement Page
'1 his I~g~ ft,mu~ Im, I or lira nlhmlmd deed
(Sl'~l'~' 'rYl,fZ OF INS'IliUI~II,'NI')
C~OL SZMONS '11~ ix~::i~s hmeh, Is .lllml~ ill
SUi~K ~JN f~, NEW YOI{~
K~R~ DO~ROWS~ ~nd COLLEEN SYRON
hz II~ VIL~OE
ar J IAM~-r of
~OXJ~ 5 11 IRU ~ M~I' BE 'I~PI~ OIt II{INI~D IN IJ~CK INK ~1.? Iq{ioK'ro l~C~{I)l~l OR FII.I~.
Inmle by:
fOVEIII
'SUFFOLK COUNTY CLERK
RECORDS 0FFTCB
RECORDZNG PAGE
Type of Znstrumantt DF~DS/DDD
l~,~her o£ Pages z 4
Receipt: Number t 04-0043178
TRANSFER TAX HUMBER: 03-38645
CAROL SZIiONH
KIRK DOHBROWHKZ
DLst::rict:,
1001
Deed Amount: t
Recordedt
At:t
LZBER:
PAGE:
Sect:ions Blockt
004.00 02.00
S405o000,00
04/15/2004
D00012313
795
019.000
Received the Following Fees For Above Znstrumon~
Page/Filing $12.00 NO Handling
COB $5.00 NO NYS SRC~G
EA-CTY $5.00 NO EA-STATE
TP-584 $5.00 HO cert:.copies
RPT $30.00 NO SCTH
Trans£er t:ax 81,620.00
Fees Paid
TRANHFBR TAX NuHBn: 03-38645
THXS PAGE Z8 A PART OF THE INHTRUKBHT
THZS ZB NOTA BILL
$5.00
$1S.00
Sss.os
$o.00
$0,0o
$5,100.00
$6,847.00
NO
NO
NO
NO
NO
NO
Edward P.Romaine
Count:y Clerk, Bu£folk Count:y
FLkAEI: I YPI: OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
· sw,s Cod, ¢ F' f I
PROPER~ INFORMATION ~
~- Prope"yI 415 I Second Street
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPER'r~ SERVICES
RP - 5217
I Southold I Greenport
CITY OR TOWN VILLAGE
2. Buv.r I Dombrowski I Kirk
Name t~ST NAME t COMPANY FIRST NAME
119441
ZIP CODE
I
I Syron I Colleen
LAST NAME / COMPANY FIRST NAME
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form) I I
Address LA~ NAME / COMPANY
STREET NUMBER AND S~REET NAME
CITY OR TOWN
,.
STATE
4. Indicate the number of Assessment ~
Roll parcels transferred on the deed I , , 11 # of Parcels OR Part of a Parcel
5. Deed
Property [ J X I ] OR I .1 , 0I
Size FeONT FEET DEPTH 'ACRES~
(Only if Part of a Parcel) Check as they ap~ly:
4A. Planning Board with Subdivision Authodty Exists []
4B. Subdivision Approval was Required for Transfer []
4C, Parcel Approved for Subdivision with Map Provided []
e. Seller [ Simons I Carol
Name LAST NAME / COMPANY FIRST NAME
I
LAST NAME / COMPANY FIRST NAME
7, Cheek the box below which most accurately de~cribes the use of the property a~ the time of sale:
i~ One Family Residential i~ Agricultural i:C ..... ity Service
2 or 3 Family Residential Commercial Industrial
Residential Vacant Land Apartment Public Service
Non-Residential Vacant Land Entertainment / Amusement Forest
Check the boxes below aa they apply:
8. Ownership Type is Condominium []
9. New Construction on Vacant Land []
10A. Property Located within an Agriculturar District []
10B, Buyer received a disclosure notice indicating []
thai the property is in an Agricultural District
I SALE INFORMATION
15. Che~k one or more of these conditions as applicable to transfer:
11. Bale Contrac~ Date
2 / 11 / 04I
Month Day Year
12. Date of Sale / Transfer I / / 0 4 I
Month Day Year
13. Full SaFe Price I , , , 4 , 0, 5 , 0, 0, G O , 0 I
(Full Sale Price is the total amount paid for the pFoperty 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 do/Mr amount.
14. Indicate the value of personal [ ~ , , 0 0 0,
property included in the sale 5 I , , ~ I
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 (S~ecify Below)
None
I ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax BHI ~
16. Year of Assessment Roil from
which information taken
J 17. Total Assessed Value (of all parcels in transfer)
18. Property Class L 2, 1, 0 I-L__J 19. School District Name ] Greenport
20. Tax Map Identifier(s) / Roll Identifier(e) (If more than four, attach sheet with additional Identifier(e))
I 1001-004.00-02.00-019.000 I
I I I I
CERTIFICATION
I oertiry that all of the items of information entered on this form are true and correct (to the best of my knowledge and befieO and ! understand that the making
nf any willful falee statement of mate~ fact herein will subject lne to the provisions of the p~nal law relative to the making and filing of false instruments.
~~/'~ & ~YER BUYER'S ATTORNEY
CIT~ OR TOWN ZIP CODE
SELLER
Shen~r I Judith
LAST NAK~E FIRST NAME
212 980-2110
I
TELEPHONE NUMBER
I NEW YORK STATE
COPY