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Home My WebLink AboutL 12638 P 967SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE T~pe of Instrument: DEED Number of Pages: 2 Receipt Number : 10-0114721 TRANSFER TAX NUMBER: 10-04632 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 054.00 O7.00 EXAMINED AND CHARGED AS FOLLOWS $o.oo Received the Following Fees For Above Instrument Exempt Page/Filing COE EA-CTY TP-584 Cert. Copies Transfer tax $10 O0 $5 00 $5 oo $5 oo $o oo $o oo TRANSFER TAX NUMBER: 10-04632 NO Handling NO NYS SRCHG NO EA-STATE NO Notation NO RPT NO Comm. Pres Fees Paid THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 09/30/2010 12:14:25 PM D00012638 967 Lot: 015.000 $20 00 Sis oo $125 00 $o oo $30 00 $0 oo $2i5 00 Exempt NO NO NO NO NO NO Number of pages TORRENS Serial # Certificate # P,'ios: Cfi. # Deed. Mortgage Instrument /CD RECORDED 2010 Sep 30 12:14:25 PM .. JUDITH A, PASC~LE CLERK OF SUFFOLK COUNTY L D00012638 P 967 DT~ 10-04632 31 Page / Filing Fee Handling TP-584 Notation EA-5217 (County) EA-5217 (State) R.P.T.S.A. Comm. of IEd. Affidavit · 'Certified Copy Reg. Copy· Other I LO00 '4 District Real Property Tax Service Agency Verification Deed / Mortgage Tax Stamp Recording / Filing Stamps /S Sub Total ' FEES .Grand Total' Sect,on Block Lot 10020942 ~.ooo o5,~oo 0700 015000 6] Property Mailing Address Satisfaction/Discharges/Release Owner~ List RECORD & RETURN TO: Mortgage Amt. I. Basic Tax 2. Additional Tax 'Sub Total Spec. / Assit. or Spec. / Add. TOT. MTCt TAX Dual Town 5 Consideration Amount ,/ __ Dual County~ · Held for Appointment /Q 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, see appropriate tax clause on . page # of this instrument. Communit}, Preservation Fund Improved Q_0.~ ' Vacant Land TD } Rudolph H.Bruer, Esq. PO Box 1466 Southold, NY 11971 Title # ¸ TD Title ComPany Information Suffolk County .Recording & Endorsement Page This page forms part of the attached ~'V ~ ~ 7"/9,0,_ [5 (SPECIFY T~E OF INS~UMENT) ~-~ ~D~ 0 ~~., The premisis herein is situat~ in ~Y~, ~T~ ~ ~/~ SU~OLK CO~Y, NEW YORK. TO In.the Township of ~0~5 G~ ~ ~ L ~T~ In the VILLAGE ~ ~L~ ~ ~T~ or HAMLET of ~oxEs a w~ROUON S MUSW ~ TW~D O~ eR~WED m ~LACK ~N< ONLY ee~OR TO RECORD~O O~ roUND. made by: (over) EXECUTOR'S DEED (INDIVIDUAL OR CORPORATION) FORM 8010 CAUTION: THIS AGREEMENT SHOULD BE PREPARED BY AN ATFORNE¥ ANn REVIEWED BY ATTORNEYS. FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE, made the 15th day ofS~t~b2~ 0 Belween THOMAS EDWARD CZELATKA, residing at 395 Jennings Road, Southold, New York 11971, as Executor of the Estate of Cecelia Frances Czelatka, deceased February 4, 20!,0 Suffolk County Letters issued May 19, 2010, Suffolk CounW Probate #2010-1259 party of the first part, and THOMAS EDWARD CZELATKA and MARY EIJ.EN CZELATKA, residing at 395 Jcnnings Road, Southold, New York 11971 party of the second part, WITNESSETH, that the party of the first part, to whom letters testamentary were issued by the Surrogate's Court, Suffolk County, New York on May 19, 2010 and by virtue of the power and authority given in and by said last will and testament, and/or by Article I I of the Estates, Powers and Trusts Law, and in consideration often ($10.00) dollars, lawful money of the United States, 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 of the party of the second part forever, 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, being known and designated as and by Lot No. 8 on a certain map entitled "Map of Oakridge Hills", and filed in the Office of the Clerk of the County of Suffolk on April 30, 1962 as Map No. 3555. BEING AND INTENDED TOBE the same premises conveyed in deed dated May 10, 1963 and recorded on May 14, 1963 in Liber 5347, page 43. TO HA VE 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 &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 ftmd to be applied first for the purpose of paying the costs 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" 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 ~'~//' ~omas Edward Czelatka, F,,~xec~t~r Estate of Cecelia Frances Czelatka STATE OF NEW YORK : :ss. COUNTY OF SUFFOLK : September On thel5tklay of At~gra~, 2010, before me, the undersigned, a Notary Public in and for said State, personally appeared Thomas Edward Cze[atka personally known to me or proved to me on the basis of sati__sfactory evidence to be the individual whose name is su_bscribed to the within instrument and acknowledged to me that he executed the same in his ca~_.~ity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. Notary Public, State o~ New York No. 4653666 Qualified in Suffotk County NYSBA Residential Rca[ Estate Forms on HotDocs= (9~00) Commission Expires Novembol ~i~vri~h~ Capsofff Development IFOR COUNTY USE ONLY Cl. sw~s Cod. c,. D.. PROPER~ INFOR~TION PLEASE TYPE OR PRESS FIRMLY VVHEN VVRITING ON FORM. INSTRUCTIONS: http:l/www.orp$.$tete.ny.us or PHONE (518)474-6450 REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVI¢S~ RP - 5217 395 Jenntngs Road Southold I SouChold I11971 I a. mn, a, { Czelatka I Thomas Ed,aard I [ Czelatka [ Nary Ellen I 3. Tax Indicate where f~um Tax Bilb are to be ~e~t lllEng if~erthan~d~(~m~) I 395 Jenntngs Road [ 4. Indir. ato the number of AaaeamT~m Roll parcels transferred on the deed I , S. Selle~ I Czelal'ka, N'xec u t-or Crl~ OR TOWN i I # or Pamela OR I~ Peri of a Parcel I JoRI .5, Est:ace of Cecelia Frances Czelatka 7. CIm~ the box below whioh mo~t a~Jrately de~grOm~ tho u~ d t~ pmpe~ ~ the time 2 or 3 Family Remdentlal ~ Commemlal J ~ Indu~rlal Resi~ntial Vaunt Land ~ffment ~ Public Sew~e Non-R~idential Vaunt Land En~inmentlAmu~ment LU Forest C:~MCE the h,.--- below a~ thw apl~F t Ownership Type is Condominium [] ~. New Construction on Vseaflt Land [] 1G4. Property L~atss w~hin an Agricultural D~r~ [] laB. Buyer rKeived e discbeum notice indicatin9 [] that the p~flen~ is in sn Agricultural Distdc{ I SALE INFORMATION [ ..smco.,r,~D,to I / n/a / I 12. DatoofSalelTran~r I C~ · / I~' / 20101 13. Full sak Prl~e I ........ fl , 0 , 0 I ! II · (Full Sale Price is the total emoum ~id for the property incJudin0 personal property. This payment may be in the form of cash, other papery or goods, or tko assumption of mor'~ages or other obligation~.l Please round to ~te nearest whole dollar amount. 14. ImJieato t~e value of p~sonal , , , , , , o , o I h 1~ Check ale or mm1 of these Cc~Klitk)nl I~ ot~4k~ble to ~eml~ar.. Sale Between Relatives or Former Relatives Sale Betweefl Related Compan;es or PaKnem i~ Busin~ One of tbe Bu~m is also a ~lle~ Burr or Seller is G~nment ~e~y or ~dino inaction ~d Ty~ ~ WarrenN or Belair and Sale {S~ ~1~) Sale of Fr~onal or ~ ~an F~ In,mst (S~ify Bel~) Sale of Bu~ne~ is Includ~ in ~le Pri~ ~her Unusual Fa~om A~ing Sale ~ (S~,~ ~1~) None I ASSESSMENT INFORMATION - Dam should reflect the latest Fines Assessment Roll and Tax Sill I 18. Y#t of Aaae~meM Roll kom ~9 ,J. 0 I 17. Total A~m~md Vdue (of all pamela In ~'anah~l I ~ ir~mn~don tal~n It Pml~tyClm I 2, ! , 0 I-I I SS.S~hoolDimtd~Naow I Souchold 6 0 OOj i ' , ½ ' , 2~. Tax IM~p k:lentiR~'(e) I Roll IdotttifieHS) (If more than fo~r. ~tsh shNt with Elditiofld id~nt]fierle)l I 1000-054.00-07.00-015.000 J L J I I L I I CERTIFICATION I [ ceftJl~.- that =11 rd' die ik~L~ (~' InrornmlJml c~ mi Ihk lena are tree and con'e~ (to the best of' my knowk~ll~ and Ix41erl and I undemla~d thai tl~: maldng d' Ipt~._lru] rnhe .datemem of material fact herein wl]l subjed me te the pmvidom or lb.. pt'nnl hw rduli*T to the mnkJnR and rdln~ ,d' rahe immnmm. ~~/ ~ __/~,~,~ BUY'"'S A'R'ORN,¥ - 'J.'.~OZ~LS t.-'ci~ara [JZe.LaS. KZL./' ~r - ~f tS' 2010 Bruer Rudolph H ~t ,~o.~u~' t-~.ry Ellen ;l~lelatka ~ ' ' u~sr~ ~ ~m,.~., 395 [ Jenninge Road Southold NY 11971 I I 631 I 765-1222 I NEW YORK STATE COPY