HomeMy WebLinkAboutL 12151 P 807Standard 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 II~TRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the '7 day
BET~VEEN
BERTHA ORLOWSKI, as surviving tenant by the entirety of Paul Orlowski, who died a resident of
Suffolk County on December 20, 1991, residing at 64 Depot Lane, Cutchogue, New York 11935,
party of the first part, and c'~ Z./ _ ;~, --. "'~ '~
CHARLES GLOWACKI and PATRIClA GLOWACKI, as tenants by the entirety, residing at 500
Henry's Lane, Peconic, New York, 11958,
party of the second part,
I~'~~:~:~ ':," A I ': ~ '~ ....... ~
WlTNESSETH,~I~ t~'~vpa~ or;the first part~ considerat~n' of TEN and 00/100 .......................................
...... , ..................... ' :~;~>;E~&_~.~L 1
..... '-~5L3 Ul~,,~; ~ ~ 'X;'-~--($ 0.00) ......... ~ .............dollars, and other good and
valuable con~ ~ ~R~,~econd ~g~here~y g.ra~t.~.d, release unto the pa~ of
the second pa~, the heirs or suc~esso~'a~d assigns of the pa~y of the secohd pa~ forever,
ALL that certain plot, piece or pamel of land, with the buildings and improvements thereon erected, situate,
lying and being at Peconic, Town of Southold, County of Suffolk and State of New York, known and
designated as Lot No. 32 on a certain map entitled, "Map of Peconic Homes," owned and developed by Henry
J. Smith, Peconic, New York and filed in the office of the Clerk of the County of Suffolk on October 14, 1964 as
Map No. 4181.
BEING AND INTENDED TO BE the same premises as conveyed to the grantor and her husband by deed
recorded in Liber 6212, page 429 and corrected by correction deed dated September 20, 1967 and recorded
in Liber 6226, page 176.
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
)remises herein granted unto the pady 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:
Bertha Orlowskf
Number of pages
TORRENS
Serial #.
Certificate #
Prior Cfi. #
Deed / Mortgage Instxument
4 I
Page / Filing Fee
Handling
TP-584
Notation
EA-52 17 (County)
EA-5217 (State)
tLP. T.S.A.
Comm. of Ed.
ified
Reg. Copy
Other
Deed / Mortgage Tax Stfimp
FEES
-- GRAND TOTAL 73
Real Property Tax Service Agency Verification
Dist. Section B IDek
1000 2. OD
Lot
33. ODD
RECORDED
2001 Nov 07 04:03:39 PM
Edward P.Rom@ine
CLERK OF
SUFFOLK COUNTV
L D00012151
P 807
DT~ 01-I~8~2
Recording / Filing Stamps
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 ff
Transfer Tax f ~
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
Initials fQ
Satisfactions/Discharges/Releases List Property Owners Mailing
RECORD & RETURN TO:
Attn: Abigail A. Wickham, Esq.
Wickham, Wickham & Bressler, P.C.
10315 Main Road
P.O. Box 1424
Mattituck, New York 11952
Suffolk
Vacant Land
TD
TD
TD
Title Company Information
Co. Name
& Endorsement e
This page forms part of the attached
Bargain & Sale Deed
(SPECIFY TYPE OF INSTRUMENT )
made by:
Bertha Orlowski
TO
Charles Glowacki
and Patricia Glowacki
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
the Township of ,Southold
In the VILLAGE
or HAMLET of Peconic
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBER: 01-13832
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
074.00 02.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
11/07/2001
04:03:39 PM
D00012151
807
Lot:
033.000
Received the Following Fees For Above Instrument
Exempt
Page/Filing $9.00 NO Handling
COE $5.00 NO EA-CTY
EA-STATE $25.00 NO TP-584
Cert. Copies $4.00 NO RPT
SCTM $0.00 NO Transfer tax
Com. Pres $0.00 NO
Fees Paid
TRANSFER TAX NUMBER: 01-13832
THIS PAGE IS
A PART OF THE INSTRUMENT
Exempt
$5.00 NO
$5.00 NO
$5.00 NO
$15.00 NO
$0.00 NO
$73.00
Edward P.Romaine
County Clerk, Suffolk County
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473~7222
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP -5217
1. ~n.e~y I 500 I Henry' S Lane
I $outhold I Peconic I 11958
2, Suyer I GlowacYd. I Charles
[ Glowacki I Patricia
LAST NAME / COMPANY FIRST NAME
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom ofform)'1
Address LAST NAME / COMPANY FIRST NAME
(Only if Part of a Parcel) Che~k as they pppiy:
I # of Parcels OR Part of a Parcel 4A, Pranning Board with Subdivision Authority Exists
48. Subdivision Approval was Required for Transfer
4
6
J oR I'AeR.' · , I Parcel Approved for Subdivision with Map Provided
STREET NUMBER AND STREET NAME
4. Indicate the number of Assessment
Roll parCels transferred on the deed
%
5. Deed
Pro,..~ I
Size FRONT FEET
6. Seller
Name
0r lowkki I Bertha I
L~ST NAME / COMPANY FIRST NAME
I I
LAST NAME / COMPANY FIRST NAME
?
7. Check the box below which most accurately describes the use of the property at the time of sale:
iOne Family Residential
2 or 3 Family Residenfiar
Residential Vacant Land
Non-Residential Vacant Land
11. Sale C~ntract Date
Agricultural [ [] CommuniW Service
Commercial J ~ Industrial
Apartment ](~..~ Public Service
Entertainment/Amusement LL._j Forest
Check the boxes below as they apply:.
8. Ownership Type is Condominium []
9. New Construction on Vacant Land []
10A. Property Located within an Agricultural District ~m
10B. Buyer received a disclosure notice indicating
that the proper[7 is in an Agricultural District
15. Cbe~k one or more of these conditions .s applicable to transfoc
12. Date of Sale / Transfer
I / / I ^
C
i /I / 7/ 0zI o
F
13. Full Sale Price I I I I I I I I I 0 I 0 I 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 cther obligations.) Please round to the nearest whole dollar amount.
0 0,01
14. Indicate the value of pe~-~onal I
property indnded in the sale
Year
of
Assessment
from
I~C~vv~ 011 17. Total Assessed Value (of all parcels in transfer)
which infomtation taken
18. Prope~ Class I 2 , 1 I ql] I tS. School District Name L Southold
Sale Bel~veen Relatives or Former Relatives
Sale Between Related Companies or Partners in Rusines~,
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
20. Tax Map Identifier{s) / Roll Identifier(s} (if more than four, attach sheet with additional identifier{s))
1000-074.00-02.00-033. 000
I L
I certify that all of the items of information entered on this form are true and correct (to the best of my knowledge and belief) and I understand that the making
of any willful false statement of material fact herein will subject me to the provi~ons of the penal law relative to the making and filing of false instruments.
BUYER SIGNATURE
Patricia Glowacki
500 I Henry's La~ae
STREET NUMBER STREET NAME (AFTER SALE)
Pec nic I I 11958
SELLER
~" ~a Orlows~
BUYER'S A'I'rORNEY
wio~ i Abigail A.
631 I 298-8353