HomeMy WebLinkAboutL 12787 P 874 111111111111 I I I I 1111111111111111 V I I I V I I 11111111111111
1111111111111111IIII1III
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 09/08/2014
Number of Pages: 4 At: 04:19:24 PM
Receipt Number : 14-0118247
TRANSFER TAX NUMBER: 14-03639 LIBER: D00012787
PAGE: 874
District: Section: Block: Lot:
1000 034 .00 03.00 028.001
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $400,000.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $20 .00 NO handling $20 .00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO EA-STATE $125.00 NO
TP-584 $5.00 NO Notation $0.00 NO
Cert.Copies $0.00 NO RPT $60.00 NO
Transfer tax $1,600.00 NO Comm.Pres $5,000.00 NO
Fees Paid $6,855.00
TRANSFER TAX NUMBER: 14-03639
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
2 RECORDED
2014 Sep 08 04:19:24 PH
.JUDITH G. PASCALE
Number of pages CLERK OF
SUFFOLK: COO ITY
L D00012787
This document will be public P :374
record.Please remove all DT# 14-03639
Social Security Numbers
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
� FEES
Mortgage Amt.
Page/Filing Fee 1.Basic Tax
Handling 20. 00 2. Additional Tax
Sub Total
TP-584
Spec./Assit.
Notation -- or
EA-5217(County) Sub Total Spec./Add.
TOT.MTG.TAX
EA-5 (State) -- --
Dual Town Dual County
R.P.T.S.A..S.A. Held for Appointment
Comm.of Ed. 5. 00 ts Transfer Tax G oo0
;:
Mansion Tax
Affidavit The property covered by this mortgage is
Certified Copy or will be improved by a one or two
1 s. 00 family dwelling only.
NYS Surcharge Sub Total YES or NO
Other --- —" If O,see appropriate tax clause on
Grand Total pa a of is instrument.
o
4 Dist. 1 14023108 1000 03400 0300 028001 1 Co unity Preservation Fund
PTS �I��I�IIII�I�IIIIIllllllll�I�lll�� ll���l�lllll Consideration Amount$ 000
Real Property R SMI A
Tax Service 02-SEP-1 000
Agency CPF Tax Due $�f
Verification ` .__ -- -- -- Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address Vacant Land
RECORD&RETURN TO:
OLSEN&OLSEN,LLP TO b
P.O.Box 706 TD
Cutchogue,NY 11935
TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name , ,4
www.suffolkcountyny.gov/clerk Title# .-'7 p OCo
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by. (SPECIFY TYPE OF INSTRUMENT)
AND 7 1R F CR7YB{7Wcur 2Dd SANDRA The premises herein is situated in
A KOW KI fWa SANDRA GRZYBOW5 1 SUFFOLK COUNTY,NEW YORK.
TO In theTOWN of�SOITTHt7T D
,RF.CYORY BROOKS HI 101 TNIN In the VILLAGE
or HAMLET of f REENPOR'I'
BOXES 6 THRU 8 MUST BE.TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
r CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the a O'clay of August,2014
BETWEEN ANDRZEJ GRZYBOWSKI, residing at 270 Sterling Place, Greenport, NY 11944 and SANDRA
JACKOWSKI, f/k/a SANDRA GRZYBOWSKI, residing at 1492 Twenty Mile Stream Road, Proctorsville, VT
05153
party of the first part,and GREGORY BROOKS HUGUNIN,residing at 588 West End Avenue,Apt.#5D,New
York,NY 10024
party of the second part,
WITNESSETH,that the party of the first part,in consideration of TEN and nal100ths($10.00)dollars 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,
SEE SCHEDULE"A"ANNEXED HERETO AND MADE A PART HEREOF
BEING AND INTENDED TO BE the same premises conveyed to the parties of the first part by deed made by
Edward T. Rouse dated October 27, 1992 and recorded in the Suffolk County Clerk's Office on November 8,
1992 in Liber 11568 Page 344.
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"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.
IN PRES N E O .
1A
ANDR 2EJ Y WSKI
SAND JA WSKI,
flkla S D YBOWSKI
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of Suffolk ss: State of New York,County of SS:
On the elle day of August in the year 2014 On the day of in the year
before me, the undersigned, personally appeared ANDRZEJ Before me,the undersigned,personally appeared
GRZYBOWSKI
personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s)whose name(s)is satisfactory evidence to be the individual(s)whose name(s)is
(are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to
me that he/shelthey executed the same in his/her/their me that he/shelthey executed the same in his/her/their
capacity(ies), and that by hislherltheir signature(s) on the capacity(ies), and that by his/her/their signature(s) on the
instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which
the individual(s)acted,executed thSA59ment. the individual(s)acted,executed the instrument.
(signature and o of individual taking acknowledgment) (signature and office of individual taking acknowledgment)
NOTARY PUBLIC ROBERT DEFRESE
Notary Public State of New York
No,OIDES035117
Qualited in Suffolk County
Commission Expires October 24,2014
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of Vermont ss:
GL
On the �� day of August in the year 2014 before ma,the undersigned,personally appeared SANDRA JACKOWSKI,
f/n/a SANDRA GRZYBOWSKI
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(O acted,
executed the instrument,and that such individual made such appearance before the undersigned in the
<5pr1;il eid in Vermont
(insert the Cit other political subdivision) (and insert the State or Country or other place the acknowledgment was taken),
MCi lt-L10aJQ h. -
(signature and office of individual taking acknowl dgmentf
NOTARY PUBLIC C.t7?_4» .64,0
1?ta�e � P�rKer I;rr
BARGAIN AND SALE DEED DISTRICT 0
03
SECTION 034.00
WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 03.00
Title No. F Iq-Mil-`r SD62• S,EE LOT 028.001
COUNTY OR TOWN
ANDRZEJ GRZYBOWSKI&SANDRA JACKOWSKI, STREET ADDRESS
f/k/a SANDRA GRZYBOWSKI Recorded at Request of
TO COMMONWEALTH LAND TITLE INSURANCE COMPANY
GREGORY BROOKS HUGUNIN
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by OLSEN&OLSEN,LLP,ES4S.
P.O.Box 706
4P Commonweafth Cutchogue,NY 11935
A I.ANDAmwA COMPANY
COMMONWEALTH LAND TITLE INSURANCE COMPANY
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Tt&kty Xaftonaf5tfe Insurance Company
TiTLE". (F14-7404-95062-SVTIF
S01(EDZ)LEA-1 (Oesctiption)
,4mended08112114
ALL that certain plot, piece or parcel of land, situate, lying and being at Greenport, Town of Southold,
County of Suffolk and State of New York, known and designated as Lot Number I as shown on a certain
map entitled 'Minor Subdivision 91tap of 0,operty surveyed far Edward(Reuse"and filed in the Office of the
Suffolk County Clerk on October 19, 1992, as Map Number 9276, which said lot is more particularly
bounded and described as follows:
BEGINNING at the comer formed by the intersection of the northerly side of Champlin Place with the
easterly side of Sterling Place;
RUNNING THENCE from said point or place of beginning along the easterly side of Sterling Place,
North 30 degrees 27 minutes 30 seconds West,99.42 feet
RUNNING THENCE North 73 degrees 24 minutes 20 seconds East, 73.99 feet to the division line
between Lots I and 2;
THENCE along said division line the following three(3)courses and distances:
1. South 25 degrees 02 minutes East, 60.27 feet;
2. North 73 degrees 25 minutes East, 12.0 feet;
3. South 20 degrees 35 minutes East,37.0 feet to the northerly side of Champlin Place; and
THENCE along the northerly side of Champlin Place South 73 degrees 25 minutes West, 73.57 feet to the
point or place of BEGINNING.
THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on
the premises which by law constitute real property.
FOR CONVEYANCING ONLY. Together with all the right, title and interest of the party of the first part, of in and
to the land lying in the street in front of and adjoining said premises.
SCHEDULE A-] (Description)
Rev.(03/04)
gc
RP-5217-PDF-INS):Www.orp6.3121D ry.us
FOR COUNTY USE ONLY Now York State Depaftmat of
C1 SWIS red@ Taxation and Finance
Office of Real Property Tax Services
C2.Date Deed Recorded RP-521T-PDF
LqC3.Book Real PrapwW Transfer Report(81110)
PROPERTY INFORMATION
t Property 270 Sterling Place
Location -unlTNMOEa '$METNNrrc
Southold Greenport 11944
� •ayCWE
• TORT"
2.Buyer Hugunin Gregory Brooks
Nome •UST m+IECWAW FMTKVA
MST www0*WftW reiel NICE
3.Tax IndldaM where h4ure Tax Bills ora ro be sem
BIIIIng if other than buyer address(at bdllom of form) LAST 1009 OMI'AIw Fear MME
Address
aTPEETerapFAAeDtMrE
Ori'FORTOrm FFA—TE— 2rcoca
4.Indian the number of Assessment 1 Pad of a Parcel (only If Part of a Parcel)Check as they appy!
Rad parcels transferred on the deed a of Perces OR ❑ 4A.Planning Board with Subdivision Authority Exists F1s,O. X OR 0.Lfi 48.Subdivision Approval was Required for Transfer ❑
Property 'Fran FEET 'DEPIN 'SEB ❑
Sip 4C.Parcel Approved for Subdivision with Map Provided
Grzybowski Andrzej
S.SNbr •LST ANY Fun,NWe
Name Jackowski Sandra F/K/A GrtybowsKi, Sowdrda
FNST NNE
Check the bops below as they oppM
`7.Select the description which most accurately describes the e.Ownership Type is Condominium 13up of the property at the tkns of Saler ,ConstructionF-1g.Now Construction On a Vacant Land
A.One Family Residential
10A.Property Located within an Agdculforet Olabkt ❑
108.SUM recsh ed a disclosure notice kdkalkq that the property 4 in an ❑
Agricultural District
SALE INFORMATION 15.Check one or mom of these conditions as applicable to transfer:
A.Sale Setween Relatives or Former Reblhes
06/26/2014 B.Sale boarmen Related Companies orPartners in Business.
11.SON Contract Dab C.One of the Buyers is alp a Sugar
08/26/2014 D.Buyer or Seger IS Govarrmere Agency w Lending Institution
`12.Date o/SNeRranster E.Deed Type net Wormnty or Bargain and Salo(Specify Below)
_ F.Sale of Fractions!or Lap than Fee Internet(Specify Below)
•12.Full Sale Price 400,000.00 G.SignREOM Charge in Property Between Taxablo Status and Sale Dales
M.gale or Buaxess is Included In Sell Price
(Full Sale Price k cue btu arroWe pokl for the Property including porsond Property. L other Unusual Factors Affecting Sato Wien(Specify Below)
This payment may be In the form of cash,other properly or goods,or the assumption of J.None
mortgages or other oMgatbns.)Please round 10 the neoroar whose dof r amount Comment(s)an Condition.
14.Indicate the value of personal .DD
property Included In the sate
ASSESSMENT INFORMATION-Oata should relent the latest Final Assessment Rol and Tax Bill
10.Year of Assessment RWI from which Inbrmatbn takenf]'Y) 13 `17.Total Assessed Value 5,500
`1e.Property Class 210 _ Ye.School District Name Greenport
'2e.Tax Map IderNMeri$YR011 IdentMerls)If more than four,manch shoot with AddMenal Men tMsHs))
1000-034.00-03.00-028.001
CERTIflCATI N
I Ceftily that all at the Items of Information entered on this form am true and comas!(to the best o1 my knowledge and beliel)and r understand that the making of any wilful
fake statement of material fact herein sub)ed me to tha,plaalsl na.at]he.paluLlaw relative to ave making and Bring of false Instruments.
Rfrvae rONTACT INPORMA710N
wtrMr ' 'eStock OMWWV-was"s
wty .mx agagui twononewdmmeaw a
patywwra+wewerPxeaee eperipave aarelsraeut a anisad Type cur print ewwb.)
bey a TE
Hugunin Gregory Brooks
BUYER SIGNATURE
•IASTNNI! FqT NxYE
L (917) 771-6533
'MEA WOE •TELERIOME NWKRR'Mersa
ewFR DATE
588 West End Avenue, Aot. 51D
•STWE MWERSTREET NWE
New York NY 11215
•071'OITOWN 'STATE •2PCOes
RUVER'S ATTORNEY
Olsen David
I ,
,ABT was Fwa1 was
r
(631) 734-7666
I ,�A ESE tEtlPNea x1eEER1l,:rrKell
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