HomeMy WebLinkAboutL 12081 P 654Form
TH~ INDENT%JRF~ made the ¢/'~ j .$-t-~ of October
.Maria Orzesik, individually and as surviving spouse of
Stanley Grzesik, deceased, residing at 1075 Inlet Lane
qew. York 11944 ' ' ..... '
Maria Grzesik a/k/a Mar£e ~rzes'ik.
M~rta-Grzesik, individually and as surviving spouse of
· ~%anl~ ' -~Grzesik, deceaee~, residing at 1075 Inlet. Lane
New ~rk 1194~
-,:~a~ia Orzes£k..a/k~a ~s~te Or,asia.
Two Thousand
Oreenport,
Greenport~
~ F~r~ ~ ~1~ of ~e ~y 9f ~ ~ ~ forever,
~~m~ VLllage of 6reen~ort, Town of ~outhold, SUffolk County~
~e~ York, bo~ded end.de~cr~be,d, as follows:
h..BE~l~l~Gat"an ~ron pLp~ on the westerly l~ne of a ~.~ foot
avenue; said pein% of:.begi~ing being North 9 de~rees 09 minutes 10
seconds west 3~7.~8' f~et along %he said west'er~2y line of said private
..... :road.from the northerly line of. Man, anser Avenue, said po.iht of
begi~ing. Being .t~e.northe~s~grly corder of. other land of Ruth'L. Yegg;
"r~ing thenc~ al0ng s~id.Ig~4 ~f Ruth L. Yegg South 84'degrees
J0 minutes ~0' seconds, weS'~227.72 ~eet to land of MaDe~ Rayno~;
al~g said land of Mabel Ra'y~r North 9 degrees 09 minutes 10 segonds
west 100 feet to land of Lawrence: Tuthill; thence along said land
of Lawrence Tuthill North 84 degrees 50 minutes 50 seconds east 227.72
lest'an4 to an iron pipe'on said westerly line of said ~9',~
private road;; thence'along the same SGu~h 5 degrees 09 minu~es 10
seconds east 100 feet to the point or plgce of Beginning.
BEING p~% o~ same premises described in d, ed made by Austin L.
Davison to Ruth L. Yegg, dated J~ne 28~, 19~6['~ LiBer 4136 Cp ~02.
· . TOGETHER with a right of way o~er ~aid 49.~ feet private road . '.
fro~ the north eas.tGr~y..corner of the'~hove described premises southerly
a~0ut 4~7 :~eet:to l~anhanset Avenue for"ingress and'egress.
TOC~ETHER.with-.a:.~ight of way oYe~ -21 ~oot.roadwa~.
egress.
fr. om the
· '12081P 654
· UNIFORM FORM CERTIFICATE OF ACKNOWLEDGMENT
State of New Y~)rk )
co=, of
On the ~l ~day of /~2!0 ~.t"in the ye~~-~gtSrO, before me, the undersigned
personally apl~e~--~ed ld'7 o~ r t.~ (r r z_ ~ $ t l~
, personally known to me or proved to me on the basis
of satisfactory evidence to be the individually) whose nameOrfis/a~i~ subscribed to the
with/n instrument and acknowledged to me that l~/she/t~y executed the same in
l~/her/thleff capacity(ib~, and that by h~s/her/th*i'r signamre0r) on the instrument, the
individual(F);, or the person upon behalf of which the individual)(/r~ adted, executed the
instrument.
Notary Public /
MIOHAEL QUINN MIOI-IAEL QUINN
ubli¢-State of New yeetarY public-State ol New york
Number of pages
TORRENS
Serial #
Certificate #
Prior Ctf. #
Deed / Mortgage Instrument
4
Page / Filing Fee
Handling
TP-584
REAL ESTATE
§6T 5 I 2000
TR.~NS~ TAX
SUFFOLK
COUNTY
Deed / Mortgage Tax Stamp
FEES
Notation
EA-52 17 (County)
EA-5217 (State)
R.P.T.S.A. __
Comm. of Ed. 500
Affidavit
Certified Copy~
Reg. Copy
Other
Sub Total ~,,~ ~
GRAND TOTAL
Real Property Tax Service Agency Verification
Dist. Section B lock
Lot
O0 OCT 31 PN 2:34
EDiYhi<DF'.~OHAINE
CLER~ OF
SUFFOLK COUNTY
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 __
Transfer Tax ~
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 $
Satisfactions/Discharges/Releases List Property Owners MailiD
OCT 3 I ~
COMM!~,41TY
PP, ESERVAT[ON
FUND
ant Land
/rD
Suffolk
, ,~ ~e forms ~ched /
Title Company Information
Name
Title #
& Endorsement Pa e
(SPECIFY TYPE OF INSTRUMENT )
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the Township of
~ the VILLAGE
or HAMLET of
BOXES 5 THRU 9 MUST BE TYPED OR PRINIED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
made by:
'(OVER)
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
PROPER~ INFORMATION I
1'Pr°pa"vi 1~75 I Inle~ Lane
I a~ORTow~OUth hold ] v,L~.Greenp°rt ] lz,,1 qCODEA
2. Buyer I Grzesik ] ~aria a/k/a Marie
Name LAST NAME / COMPANY FIRST NAME
I
LAST NAME / COMPANY
Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
Address
I 1~75 Inlet,Lane
STREET NUMBER AND STREET NAME
FIRST NAME
LAST NAME / COMPANY FIRST NAME
I C, reenport NY I 11944
CI~' OR TOWN STATE Z1p CODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
I #ofParcels OR r'~ Par~ofaParcel
5. Deed
Prope.y I 100 Ixl 227.72 IoRI · I
Size FRONT FEET ' DEPTF~ ~ACRES~
~rzes ik ~
6. Seller I I Ha ria
FIRST NAME
(Only if Part of a Parcel) Check as they apply:
4A. PlanninB Board with Subdivision Authority Exists []
4B. Subdivision Approval was Required for Transfer []
4C. Pamel Approved for Subdivision with Map Provided []
a/kda ~"~ar
LAST NAME / COMPANY FIRST NAME
7, Check the box below which most accurately d~escribas the use of the pro~ecty at the time of sale:
One Family Residential
~A~ 2~r~3 Family Residentia~
C ~ Re~identia~ Vacant Land
D LJ Non-Residential Vacant Land
SALE ~NFORMATIONI
11. Sale Contract Date ~[ / ~
12. Date of Sale / Transfer
Agricultural I ~ Community Service
Commercial ~ ~,~ Industrial
Apartment K~,~ Public Service
Entertainment/Amusement L~ Forest
/ /
Month Day Year
Day
Check the boxes below as they appl~c
13. Full Same Price io I I I I I I I ~ I 0, 0 I
8. Ownership Type is Condominium Il
9. New Construction on Vacant Land []
10A. Property Located within an Agricultural District []
lOB. Buyer received a disclosure notice indicating [~]
that the propetty is in an Agricultural District
15. Check one or more of these conditions as applicable to transfer:
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Part~er~ in Business
O~d of the Buyers is~tso 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)
G
H
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
(Full Sale Price is the total amount paid for the property including personal property.
This payment may be in the form of cash, other properW or goods, or the assumption of
mortgages or other obligations.) Please roued to the nearest whole doHar amount.
14. Indicate the value of pemonal ] 0 = = I I 0 = 0=
property included in the sale ~1 I I 5 ·
ASSESSMENT INFORMATION - Date should reflect the la'st Final Assessment RoU and TaX Bill
16. Year of Assessment Roll from
which information taken
18. Property Class
Other Unusual Factors Affecting Sale Price (Specify Below)
None Correction Deed
117. Total Assessed Value (of all parcels in transfer)
20. Tax Map Identifier(s) / Roll Identifier(s) (If more than four, attach sheet with additional identifier{s))
000-36-02-21
I L J
I I [ l
CERTIFICATION i
I certify that all of the items of information entered on this form are true and correct (to the best of my knowledge and belied and I unde~tand that the making
of~a~y willful false statement of pt~terial fact herein will subject me to the provisions of the penal law relative to the making and flifng of false insteum~mts.
//7/~/ : '"'~ t / / 5UYER'S ATrO.NI=¥
~//J~":~' ,0 ' '/ / T//n De Blase Dominic J
SUYER S~GNATURE .~-.~-~ DATE ~ f LAST NAME FIRST NAME
516 I 431-0276 j
AREA CODE TELEPHONE NUMBER
IcITY/ToWN ASSESSOR
COPY