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Home My WebLink AboutL 12186 P 105 C> }4 ;,20 lq 6, Form 8005-B (9/99) 12-70-6M -- Administrator% Deed. (single sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -- THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made the 22nd day of April 2002 and ~ A. POLYWfl]A residing at (No#) Main hFiew R~' (~ ~x 234), Southold, ~, 1197t, and ~ R~J.R ~ residing at 225 Fourth Avenue, Green~rt, ~, 11944, as administrator (trix) of the Estate of Teresa V. Polywoda a/k/a Teresa Polywoda a/k/a late of Suffolk County Teresa Poliwoda who died intestate on the 25th day of March 1995 and party of the first part, and WAL'I'~ G. ~ A~ MII.LIC~I~T G. P~ItSSC~ as husband and wife, residing aty 27 Tall Tree Lane, Rocky Point, NY, 11778 party of the second part, WITNESSETH, that whereas certificate letters of administration were issued to the party of the first part by the Sun'ogate's Court, Suffolk " County, New York, on August 31, 1995 and by virtue of the power and authority given by Article 11 of the Estates, Powers and Trusts Law, and in consideration of Two Hundred Fifteen Thousand and 00/100 ................................. dolIars, ( $215,000.00 ) paid by the party of the second part, does hereby grant and release unto the party of the second part, the distributees or successors and assigns o~' the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the SEE ATTACHED SCHEDULE "A" ATTACHED HERETO AND MADE PART HEREOF BEING the salm~, pr~mises ~el?ibod in the deed to Teresa Poliwoda on October 20, 1970, and recorded in Liber 6827 page 213 on October 22, 1970 in the Office of the Clerk of the County of Suffolk. TOGETHER with alt right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above d~scribed premis,e,s to the center lines thereof TOGETHER w th the appurtenances and a so a the estate which the satd decedem had at th, e Dme of decedent's death in said¥?eff/is~s,i~n'd fi §bihe ~sta~ therein which the party of the first part has or has power to convey or dispose of, whether mdlwdually, or olherwise; TO HAVE AND TO HQLD he prem ses he?em' gi'anted unto the party of the secongiga~t~ {h~ digtribatees Of'sul.3O~sors and assigns of the ~arty of the secon'd p~rt forever. ? :: , , ... i AND lhe 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. Subject to the trust fund provisions of section thirteen of the Lien Law. The word "party" shall be constrned 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. JN PRESENCIi OF: ~John A. P01ywo~, Co-Administrator Vera Belle FoutItaine, Co-Administrator Title Number 5H220196 Underwriter FN Safe Harbor Title Agency, Ltd. Schedule A · RECORDED 5002 M~g 15 02:06:12 PM Eduard p. Romaine CLERK OF SUFFOLK COUNTY L 000012186 P 105 OT# 0/-39524 ALL that certain plot, piece or parcel of land, situate, lying and being at Southold in the Town of Southold, County of Suffolk and State of New York, more particularly bounded and describes as follows: BEGINNING at a point on the Easterly side of Main Bayview Road, distant 96.00 feet Northerly as measured along said Easterly side of Main Bayview RQad from it's intersection with the Northerly side of Glenn Road; RUNNING THENCE North 26 degrees 06 minutes 10 seconds East, 146.9~ feet along the Eastedy side of Main Bayview Road to land now or formerly of Polywoda; THENCE along the last mentioned land the following two (2) courses and distances: 1) South 74 degrees 44 minutes 00 seconds East, 94.00 feet; 2) South 68 degrees 25 minutes 40 seconds East, 108.03 feet to land now or formerly of Kaelin; THENCE along land now or formerly of Kaelin and Albo, South 26 degrees 06 minutes 30 seconds West, 250.15 feet to the Northerly side of Glenn Road; THENCE along the Northerly side of Glenn Road, North 69 degrees 19 minutes 10 seconds West, 110.90 feet to land now or formerly of Gannon; THENCE along last mentioned land, Nodh 26 degrees 06 minutes 30 seconds East, 96.00 feet to the Northerly line of land now or formerly of Gannon; THENCE along last mentioned land, North 69 degrees 19 minutes 10 seconds West, 90.00 feet to the Easterly side of Main BayvJew Road and the point or ' place of BEGINN NG. For Conveyancing Only, if intended to be conveyed· Together wilh all right, lille and interest of, in and to any streets and roads abulling Ihe above described premises, to the center line thereof. ~Safe Harbor Title Agency, Ltd. N_umb~r of pages TORRENS S~riel # Certificate Prior C1£ #~ Deed / Mortgage Instrument Deed / Mortgage Tax Stamp . RECORDED 2002 Hag 15 02:06:12 PM Edward P.Romaine CLERK OF SUFFOLK COUNTY L D00012186 P 105 DT# 01-79524 Recording / Filing Stamps Page/Filing Fee .. - ' -- ~mt. Handling -- -- TP-584 1. Basic Tax Halation 2. Additional Tax fA-52 17 (County) Sub/olaf Sub Total Spec./Assit. fA-5217 (Slate) Or ILP.T.S.A. ~ Spec./Add. TOT. MTG. TAX _ _ _ Comm. of Ed. __ 5 ea..Q___ -,.,,_~,. Dnal Town Dnal Calmly Affidavil . Ileld for Apportionment Certified Copy - Transfer Tax Reg. Copy The property covered by this mortgage i~'or will be improved by a one or two family O/her Sub Tolal --. dwelling only. ~' -- <~7"7 YE§~or NO GRAND TOTAL _ ~ If NO, see appropriate lax clanse on page # ~ of this instrmnenl. ~ - , ~ Real Property Tax Service Agency Verification ~ ~ ~. - · - ........... , - t~ommumty Prese~wation Ftmd DisL I Secti~nsiderotion Amot, nt$ _Stamp 16' 02007984 1000 07800 0100 013001 CPFTax Dtle $ Date ~ Jmproved Inili.ls I ~ Vacant ~ Satisfactions/Discnargesa~e~eases L~St Prope?~ Owners Mailing Address TD _. ~ ~;~C '~ //~e2 ~,; [ Title Company lnfo,'mation , ICe. Name Safe Harbor Title Agency uountz Reco dm& & Endorsement %is page fern p~l of the a.ached _ ~W- ~F~~ f made by: (SPEUFY ~?E OF ~Sn~) I~ the %reship of ~0 BO~S 5 ~U 9 ~ST BE ~ED OR PROD ~ B~CK ~K O~Y P~OR TO ~ ~ CO~G OR FIL~G. 9 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEEDS/DDD N,~mher of Pages: 4 TRANSFER TAX NUMBER: 01-39524 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 078.00 01.00 EXAMINED AND CHARGED AS FOLLOWS $215,000.00 05/15/2002 02:06:12 PM D00012186 105 Lot: 013.001 Received the Following Fees For Page/Filing $12.00 COE $5.00 EA-STATE $25.00 Cert. Copies $0.00 SCTM $0.00 Comm. Pres $1,300.00 TRANSFER TAX NUMBER: 01-39524 THIS PAGE IS Above Instrument Exempt NO Handling NO EA-CTY NO TP-584 NO RPT NO Transfer tax NO Fees Paid A PART OF THE INSTRUMENT Exempt $5.00 NO $5.00 NO $5.00 NO $30~00 NO $860.00 NO $2,247.00 Edward P.Romaine County Clerk, Suffolk County PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: hep://www.orps.state.ny.us or PHONE (518) 473-7222 REAL PROPERTY TRANSFER REPORT BTATE OF NEW YORK STATE BOARD OF REAL PROPERTY BERVICES RP - 5217 f. Pmder~ 2675 I ~%~in 3ayvie~v :~--~---~--.-__. Locat on ~ - STREET NUMBER STREET NAME I~ · I ?~)uthold ] Tc~f Southold I 11971 2. Buyer I Persson I Walte~ G. ~-s son Millico~-t G. 3. Tax Indicate where f~ture Tax Bills are to be sent Billing if other than buyer address (at bottom of form) ] ] 5. Deed Property Size 6. Seller 4. Indicate the number of Assessment Roll parcels transferred on the deed r (Only if Pa~t of a Parcel) Check as they apply: ,1 I # of Parcels OR Par: of a Parcel 4A. Planning Board with Subdivision Authority Exists 9 5 4a. Subdivision Approval was Required for Transfer I x I .,.T. I o. I 'AC. S' ° ' I 4c. Parcel Approved for Subdivision ~th Map Provided P°!i~x'~ I ~mesa (T_~tate of) Name LAST NAME / COMPANY FIRST NAME I LAST NAME I COMPANY FIRST NAME 7. Che~k the box below which most accurately describes the use of the property at the Bme of sale: A [~ One Family Residential E [~ Agricultural i~ Community Service B ~ 2 or 3 Family Residential F ~ Commercial Industrial C ~ Residential Vacant Land O ~ Apartment Public Service D[~I Non-Residential Vacant Land ~1 I Entertainment/Amusement Forest I sA E .MA ON ] 11. S,leContractOate 101 / 29 / 02 Month Day Year 12. Date of Sale / Transfer 104 / 22 / o2 I Month Day . Year Cheek the boxes below aa they apply: 8. Ownership Type is Condominium 9. New Construction on Vacant Land 10A. Property Located within an Agricultural District 10B. Buyer received a disclosure notice indicating that the properly is in an Agricultural District 15. Check one or more of these conditions as applkable to tzansfer: Sale Between Relatives or Former Relatives Sale Bet~veen 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) (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 J ' mortgages or other obligations.) Please round to the nearest whole dollar amount. 14.1ndicate the value of pemonel I , , , , 0 ~ 0 , 0 I propecty Included in the .1. ; ; ASSESSMENT INFORMATIO~N 2 Data ghould reflect the latest FiRal AsSessment Reft and Tax Biff re. i,r of A,as, m,,t ROE ~om 101/,02. I t7. Total Assessed Value (of all parcels in transfer) which information taken #5 ?~m]thold 18. Property Class I 2, I , 0 I-I I 19. ~,,hcol District Name I 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 4 4 0 0 ½ ½ , ½ I 20. Tax Map Identifier(s) / Roll Identifier(s) (If more than four, a~ach sheet with additional identifier(s}) I 1000-78-1-13.001 I I 1 certify flint all of ~he items of information entered on tiffs form are true and correct (~ the best of my knowledge and belief) and I undetsfand that the making of any willful false statement of material fact herein will subject me to ~he provisions of the penal law relative to the IBakin~o auld filin~o of ta]$e in$ilNmlellL~. '-. BUYER BUYERSlGNATURE ~aTM 6e Persson DATE Cl~ OR TOWN/ STA~' ZIP COBE S~LLER BUYER'S ATrORNEY R~muzzi I SteP;~=-n G. LAST NAME FIRST NAME 631 AREA CODE 744-3636 TELEPHONE NUMBER