HomeMy WebLinkAboutL 12827 P 833 11111111 IH I1111 IIIA IIIA VIII 1111111111 11111 IIII IIII
/
I11111111111 IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 08/13/2015
Number of Pages: 3 At: 10:04:13 AM
Receipt Number : 15-0108923
TRANSFER TAX NUMBER: 15-01145 LIBER: D00012827
PAGE : 833
District: Section: Block: Lot:
1000 117.00 06.00 017 .000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 .00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $15.00 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 $5.00 NO RPT $60 .00 NO
Transfer tax $0.00 NO Comm.Pres $0.00 NO
Fees Paid $255.00
TRANSFER TAX NUMBER: 15-01145
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
• i
' 1 2
RECORDED
2015 Aug 13 10:04:13 PM
Number of pages
JUDITH A. PASCALE
CLERK OF
SUFFOLK COUNTY
This document will be public L 000012827P 833
record.Please remove all DT# 15-01145
Social Security Numbers
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee 16 57, Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 �_
Sub Total
Notation Spec./Assit.
�
!� or
EA-5217(County) Sub Total I Spec./Add.
EA-5217(State) OC;_ TOT.MTG.TAX
;.mr: Dual Town Dual County
R.P.T.S.A. ,a`` � ,.a Held for Appointment
Comm.of Ed. 5. 00 i. i';* Transfer Tax — C
M� :
. Standard N.Y.B.T.U.Form 8006 Ewcoutor'S Deed Uniform Acknowledgment
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
' THIS INDENTURE,made the'4ay of June,2015
BETWEEN
MARYANN HEILBRUNN and HELEN RUSKOWSKI,as Co-Executors under the Last Will and
Testament of ALBIN JANUICK,deceased(Suffolk County Surrogate's Court File No.2014-4540/A),
residing at 10 Farm Road West Wading River, NY 11792 and 47 Timber Drive, Calverton, NY 11933,
respectively, party of the first part; and
and MARIA SLUSARCZYK, his wife,
JACEK SLUSARCZYK/residing at 2927 Barrymore Court,Orlando, Florida 32835, party of the second
part,
WITNESSETH,that the party of the first part, in consideration of Ten and 00/100--($10.00)--Dollars,and to
effect the distribution of the decedent's estate, and other good and valuable consideration 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,
All that certain plot, piece or parcel of land,situate, lying and being at New Suffolk, in the Town of
Southold, County of Suffolk and State of New York, being more fully described as follows:
BEGINNING at a point on the southerly side of Kouros Road,distant 309.80 feet easterly from the corner
formed by the intersection of the said southerly side of Kouros Road with the easterly side of Grathwohl
Road;
RUNNING THENCE South 81 degrees 21 minutes 30 seconds East along the southerly side of Kouros
Road, 99.73 feet;
THENCE South 06 degrees 49 minutes 00 seconds West, 153.88 feet;
THENCE North 78 degrees 34 minutes 00 seconds West, 100.00 feet;
THENCE North 06 degrees 49 minutes 00 seconds East, 148.99 feet to the southerly side of Kouros
Road,the point or place of BEGINNING.
Being and intended to be the same premises conveyed to Albin Januick by deed recorded in Liber 11765
page 703.
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"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:
Mar fnn Heilbrunn, Co-Executor
Helen Ruskowski,Co-Executor
f/deedexJanuick
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of ,Sire ss: State of New York,County of Suffolk,ss:
On the 1a04-day of June, in the year 2015 On the .gPay of June,in the year 2015 ,
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
MARYANN HEILBRUNN HELEN RUSKOWSKI
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/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their 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 indiv' )act d exxeeccu d th instrument. the individual(s) to ex uteri t e instrument.
sl nature d office of individual acknowledgment) (signature a ffice of individual taking acknowledgment)
( 9 I 9
Notary P tic ABIGAIL A.WICKHAtst Notary Public
Notary Public State of New York Cheryl Simons
No.52-4642871 Notary Public,State Of New York
Qualified In Suffolk County No.31-4970341
Commission Expires Sept.30,46E94.701 V Qualified In Suffolk County
COMmission Expires February 4,20�
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of , County of ss:
On the day of ,in the year before me,the undersigned,personally appeared
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(s)acted,
executed the instrument,and that such individual made such appearance before the undersigned in the
in .
(insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken)
(signature and office of individual taking acknowledgment)
EXECUTOR'S DEED SECTION 117.00
BLOCK 06.00
LOT 017.000
Title No. COUNTY OR TOWN 1000
Maryann Heilbrunn and Helen Ruskowski,as STREET ADDRESS
Co-Executors under LWT of Albin Januick,
deceased
TO
Jacek Slusarczyk
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by
COMMONWEALTH LAND TITLE INSURANCE COMPANY
W
0
LL
LL
0
0
za
re0
O
0
W
W
0 O .
W
N
7
K
0
II.
W
0
Q
a
N
N_
I-
f
W
C
CL
w
N
W
K
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY New York State Department of
• et SIMS Code I�r�t 31 �'t I Taxation and Finance
• C2.�Date Deed Recorded o4 / 1 3 / 15 Office of Real Property Tax Services
I I
(r M01" t al) "" I I 3 3 I RP-5217-PDF
C3.Book i 1 I i S r .,-1..1 C4.Page I I
Real Property Transfer Kapott(BMO)
PROPERTY INFORMATION I
1.Property 360 Kouros Rd
Location
•STREET MISER -TSOOTNME
Southold • New Suffolk 11956
•CITY OR TONY vaLASE
'ffiCON
2.Buyer Slusarczyk Jacek
Name
•WT NAMEcoervey 'INST MWE
Slusarczyk Maria •
IAT NASEICOTATANY FIRST NAME
• S.Tax Indicate where(atom Tao Bills are to he sent
Billing if other Then buyer addrese(al bottom of form) Liar MAUEICerANv meT NAMs
Address
STREET NEWER NC NAME CITY CR TOWS STATE ER CODE
4.Indicate the number of ment 1 dot Parcels pat of a parcel (Only if Part of a Parcel)Check as they apply:
Roll parcels transferred on the deed OR ❑ 4A.Planning Board with Suhdnialon Authority Etats 0
5.Deed X OR :mttis .34 4a SuhdMdon Approval was Reglrired for Transfer
Property •FRGT FEFT •cEPr4 .ACRES 0
Size 4C.Parcel Approved for Subdivision with Map Provided ❑
Maryann Heilbrunn and Helen Ruskowski, Co—Executors ofdthetEstate of
5.Seller •LATTNANOMMUY ewer NANO
Name Albin Januick
umT nAMemoap ve mermen
'7.Select the description which most accurately describes the Cheek Na boxes below as they apply:
use of the property at the time aside: 8.Ownership Type la Condominium
0
9.New Contraction one Vacant Land ❑
single—family (LeSidP.kdjPf/ tat Property Lo ataa within en Agricultural District 0
10B.Buyer received a disclosure notice indicating that the property Is in an ❑
• Agricultural District
"SALE INFORMATION' 15.Check one or more of these condWoes es applicable to transfer:
A.Sala Between Relatives or Fcrmer Reath/es
11.Sale Contract Date B.Salle between Related Companies or Partners in Business.
_C.One of the Buyers is also a Seger
•12.Date of Salafyrenafar
06-03-01615 _D.Buyer or Sager Is Government Agency or Lending Institution_E.Deed Typenot Warranty or Bargain and Sala(Spedly Below)
_F.Sala of Fractional or Lees than Fee Interest(Specify Below)
'13.Full Sale Price 0.00 _G.Significant Change in Property Between Taxable Status and Sae Dates
(Full Sale Price Is the total amount paid for the property including personal property. _H.Salad usiIs Included te Price
This payment may he in the farm of cash•other property or good!,or the assumption of I.Other Unuaual F Y
Factors Affectinnging Sale Price(Specify Below)mortgages or other obiigada s.)Please read to the nearest whale clatter amount.
X J.None
Commends)on Condition:
14.Indicate the value of personal
property Included In the sale .00
I ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill'
18.Year of Assessment Roil from which Infomlatlon taken(YY) 2015 '17.Total Assessed Value 5,900
'18.Property Class 210 — _ '19.School District Name New Suffolk
'20.Tax Map identlfer(a)lRoll Identlfier(s)(If more than four,attach sheet with additional IdentlMr(a))
1000-117.00-06.00-017.000
I CERTIFICATION I .
I Certify that all of the Items of Information entered an 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 heroin subject me to the erovlsiona of the mens)law relative to the making and filing of false Instrumento.
SELLER SIGNATURE BUYER CONTACT INFORMATION
Estate of Albin Januick MFeerin'ructe lar dm mow.Note;if Aar Is LLCdodaly.a.asdaam.carymnser.join FRdcwnpury.NM or
cab amI la not in arrlM&.l pent or Mabry.a••e,a rums end cannel leiunnsSon clan hawkinawnpeulde
= pony who an near EMIR=rea■mslo we nenwrnman nemacee IVO.arpdM wady.)
by: jL(L.iz_ ..•acre Heilbrunn,
• by: ,;-( / ',. . _ RHelen Ruskowski, co—
'qv', -11i'Aa�ri:r_Iirlll/execu ors Slusarczyk Jacek
•LAST NAME Flest NAMe
1 407 259-9099
!�1 . .� I r WIDE= -rF-EwONE TAMER TFxaww)
IMMATURE -...."''jI..- erns
Jac-7 Slusarczy aria Slusarczyk 2927 Barrymore Court
•saneTMMaER •5TrEET unto
I ) Orlando FL 32835
, 1410 i J� r' I �( i�
'CRY CRTOM WATS •ffiCODE
11111' BUYER'S ATTORNEY ,
ll 71 , fii! � I ,. iI ii. 1 l j
11 1
11 , iq4i_44110.1 ,•644-,
1� S t 1l . I�1�)11' I 11 ;)�f 4 lAfr NNL FIST NATE
11 I.l 'i ! II tif !fl fli ' r 11,V 1 `a b� ®fit
�,r ,1 ;i
ti ;� rii I ( i r 'III✓ 11 ce Tnugrpe trejumRma:wean —