HomeMy WebLinkAboutL 12132 P 243Standard N.Y.B.T.U. Form 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts - Uniform Acknowledgment
Form 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAVVYERS ONLY
THIS INDENTURE, made the J 7 day of July, 2001
BETWEEN ' - ~
CAROL ZEBROSKI SAVAGE, residing at 102 Woodchuck Hollow Lane, Wading River, New York,
11792, WILLIAM S. ZEBROSKI, JR., residing at 200 Gard:Iner ~ s [,ane, SouChold, [~ew York 119 71,
and CLA RE MAMOLA, res d ng at 329 University Circle, Boone, North Carolina, 28607
party of the first part, and
STANISLAW ADAMCZUK and BARBARA ADAMCZUK, residing at 38220 County Road 48,
Southold, New York, 11971
party ofthe second part,
WlTNESSETH, that the party of the first part, in consideration of Ten and 00/100 ........................................
........................................................... ($10.00) ................................................................ dollars,
and other good and 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 plot, piece or parcel of land, situate, lying and being in the Town of 5outhold, County of
Suffolk, State of New York, and more particularly bounded and described as follows:
~1,
BEGZNNZNG at a point on the northerly line of North Road; said point being L~,~.~ feet southwesterly
measured along the northerly line of North Road from land, of Stepher. t Doroski;
RUNNING THENCE
_ along said northerly line of North Road, South 78 degrees 06 minutes West, 121.0 feet to
land of Willia~L~ebroski,~4
THENCE along said land of Willia ebroski,.~'., the following three (3) courses and distances:
(1) North 27 degrees 20 minutes West, 136.50 feet;
(2) North 53 degrees 52 minutes East, 121.0 feet;
(3) South 26 degrees 26 minutes East, x~/.zz reel re m~'saio penni or place of BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed recorded in
Libor 11295, page 598, the party of the first party being the same persons as named grantees in deed
recorded in Libor 11295, page 598.
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
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 encumbered 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 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 if it read "parties" when ever 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:
0mm~ 0n Expires Au~st 12, ~l
· Car~'i:)~ebroski Savage 6~
Willi~frn S. Zebffoski, Jr.
Claire Mamola
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York, County of Suffolk ss:
On the ,/'~ day of July, , in the year 2001,
before me, the undersigned, personally appeared
CAROL ZEBROSKI SAVAGE
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 his/her/their
capacity(ies), and that by his/her/their signature(s) on the
instrument, the individual(s), or the person upon behalf of which
the individual(s) acted, executed the instrument.
(signature and office of individual taking acknowledgment)
Notary Public PATRIClA L, FALLON ,
NotBry Public, State of New YOrK
No. 4.950146
Qualified in Suffolk County
Commission Expires April 24, ~_~
State of New York, County of ~.4 F'~O/-~- ss:
On the j/?4~day of July in the year 2001
before me, the undersigned, personally appeared
WILLIAM S. ZEBROSKI, JR.
personally known to me or proved to me on the basi~ of
satisfa~o~ 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 hisSer/their
capacity(les), and that by his/her/their signature(s) on the
instrument, the in~idual(s), or the person upon behalf of which
the individual(s)a~d, ex~uted~str~ent.
(signature an~~wledgment)
~NNA M. CHITU~
NOTARY PUBLIC, S~te el N~ Y~
N0. 4851459, S~Nk ~
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATF
Sta?_._.e (or District of Columbia, Territory, or Foreign Country) of ~O~"~'~n- F'--O-'c~3~,~'c'- ss:
On the ~ ~ day of July in the year 2001 before me, the undersigned, personally
appeared CLAIRE MAMOLA
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 his/her/their capacity(les), and
that by his/her/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 insert the State or Country or other place the acknowledgment was taken) '
- (~ (s'g ature ~nd office of individual taking acknowledgment)
My Commission Expires Au~st ]2, 200!
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
Title No.
CAROL ZEBROSKI SAVAGE, WILLIAM
ZEBROSKI, JR. AND CLAIRE MAMOLA
TO
STANISLAW ADAMCZUK AND
BARBARA ADAMCZUK
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by
Commonwealth
A LANDAMERICA COMPANY
COMMONWEALTH LAND TITLE INSURANCE COMPANY
SECTION
BLOCK
LOT
COUNTY OR TOWN
STREET ADDRESS
Recorded at Request of
COMMONWEALTH LAND TITLE INSURANCE COMPANY
RETURN BY MAIL TO:
Number of pages
TORRENS
Serial #
Certificate #
Prior Ctf. #
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
FEES
RECORDED
2~JO! Sul 26 01:23:46 PM
Eduard P.Romaine
CLERK OF
SUFFOLK COUNTY
L D00012132
P 243
DT# 00-47545
Recording / Filing Stamps
Page / Filing Fee
Handling
TP-584
Notation
EA-52 17 (County)
EA-5217 (State)
ILP.T.S.A.
Comm. of Ed.
Affidavit
Certified Copy
Reg. Copy
Other
Sub Total
500
Sub Total
GRAND TOTAL
Real Property Tax Service Agency Verification
Dist. Section B lock
Lot
{ Zr'd-O
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec./Assit.
Or
Spec./Add.
TOT. MTG. TAX
· " Dual Town__ Dual County__
Held for Apportionment
Transfer Tax ~,~0-°A~
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.
Community Preservation Fund
Consideration Amount $
CPF Tax Due $ ~
Improved
Satisfactions/Discharges/Releases List Property Owners Mailiag Address
RECORD & RETURN TO:
Suffolk County Recording & Endorsement Page
This page forms part of the attached
(SPECIFY TYPE OF INSTRUMENT )
TO
Vacant Land
TD
TD
TD
8 I Title Company Information
Co. Name ~/H/~0A/'O2'~'~'rT~ /-~A/Z} ~
ITitle ~ ~dOI 1 7/~
made by:
~lhe premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
Township of t~/.4' 7/,tg_lt.O
In
tile
Itl tile VILLAGE
or HAMLET of
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED 1N BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBER: 00-47545
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
069.00 02.00
EXAMINED AND CHARGED AS FOLLOWS
$127,000.00
07/26/2001
01:23:46 PM
D00012132
243
Received the Following Fees For Above Instrument
Exempt
Page/Filing $9
COE
EA-STATE $25
Cert.Copies $0
SCTM $0
Comm. Pres $0
00 NO Handling
00 NO EA-CTY
00 NO TP-584
00 NO RPT
00 NO Transfer
00 NO
Fees Paid
TRANSFER TAX NUMBER: 00-47545
THIS PAGE
tax
IS A PART OF THE INSTRUMENT
Lot:
002.000
$5.00
$5.00
$5.oo
$15.00
$508.00
Edward P.Romaine
County Clerk, Suffolk County
$577.00
Exempt
NO
NO
NO
NO
NO
FOR COUNTY USE ONLY~'
m. Sins
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: hep://www.orps.state.ny.us or PHONE (518) 473-7222
1. Property 38220 I Count~ Road 48
Southold
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REA~. PROPERTY SERVICES
". RP- 5217 '
I Southold I 11971
ClI~' OR TOWN VILLAGE ZIp COOE
I Adaraczuk I Stanisl~w
~ST NAME / COMPANY FIRST NAME
I Adamczuk I Barbara
LAST NAME / COMPANY FIRST NAME
Indicate where future Tax gills are to be sent
if other than buyer address (at bottom of form) I I
2. Buyer
Name
3. Tax
Billing
Address
LAST NAME / COMPANY FIRST NAME
I ST.EETNUM.ERANDS*REETNAME I CI~ ORTOWN I STXTE I
ZIP CODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
, I I #of Parcels OR r~ Part ufa Parcel
5. Deed
Property I JX I I oBI , , , . 7, 51
Size FRONT FEET OEPTH ACRES
Zebroski Savage Carol
S. Seller I ~ebroski I
Name I~ST NAME / COMPANY
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists []
4B. Subdivision Approval was Required for Transfer []
4C. Parcel Approved for Subdivision with Map Provided []
William S. ~ Jr.
FIRST NAME
I Mamola I Claire
LAST NAME / COMPANY FIRST NAME
7. Chech the box below which most accurately describes the use of the property at the time of sale:
Check the boxes below as they apply:
8. Ownership Type is Condominium []
If
A [] One Family Residential E [] Agricultural
B ~.~ 2 or 3 Family Residential F I I Commercial
C ~ Residentia, Vacant Land G [] Apartment /
D~ Non-Residential Vacant Land HL~ Entertainment/Amusement
SALE INFORMATION J ~ ~ ,.
11. Sale Co~ra~ Date I 3 / ~9 /
Month Day Year
12. Date of Sale / Transfer
Month Day Year
Community Service 9. New Construction on Vacant Land []
Industrial 10A. Propeny Located within an Agricultural Distdct []
Public Service 10B. Buyer received a disclosure notice indicating ~
Forest that the property is in an Agricultural District
" 15. ~:heck one or more of th~se conditions as applicable to transfer:
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in 8uslness
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)
13. Full Sale Price I , ~ , 1 , 2 ~ 7 ~ 0 r 0 , 0 , 0 ~ 0 I
·
{Full 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 obligstions.) Please round to the nearest whole dollar amount.
14.1nificata the value of personal I I I I I I I 0 I 0 I 0 J
property included in the sale ~ ~ ·
AssESSMENT INFORMATION ~ Data shou!d reflect the latest Final Assess~nt ReI! and Tax Bill
16' Year °f Assessment R°ll fr°m I O0, 0~. 17. Total Assessed Value (of all parcels in transfer),
which information taken
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
18. Property Class I 2 , 1, o1_I I 19. School District Name [ 5
20. Tax Map Identifier(s) / Roll Identifier(s) (If more than four, attach sheet with additional identifier(sD
I 1000-069.00-02.00-002 . 000 I [
ul:. t wiCATION I
certify that aH of the items of information entered on this form are true and correct (to the ~ of my knowledge and belier) and I understand that the making
of any willful false statement of material fact herein wiR subject me lo the provisions of the penal law relative to the making and filing of false instruments.
BUYER
Barbara ~Ad~cz6k -- ~ ' /
BUY~RSIGNATORE Stanislaw Adamczu~~ '
38220 I County Road 48
STREET NUMBER
STREET NAME (AFTER SALE)
Southol~ I NY I 11971
~,'~,"" ~ ,' ' . SELLER
Claire Mamola --
WilZ am s.
Bagen
631
AREACOOE
BUYER'S* ATTORNEY
477-346