HomeMy WebLinkAboutL 13303 P 115 1111111 I111111f111111111111111111111111i111111 IIII 1111
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED WITH LIFE ESTATE Recorded: 07/29/2025
Number of Pages : 7 At: 10 : 15 :26 AM
Receipt Number : 25-0096340
TRANSFER TAX NUMBER: 24-37658 LIBER: D00013303
PAGE : 115
District: Section: Block: Lot:
1000 056 . 00 01. 00 011 . 017
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 . 00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $35 . 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 $200 . 00 NO
Transfer tax $0 . 00 NO Comm.Pres $0 .00 NO
Comm.Pres Fund $0. 00 NO Comm.Housing Fund $0 .00 NO
Fees Paid $410 . 00
TRANSFER TAX NUMBER: 24-37658
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
VINCENT PULEO
County Clerk, Suffolk County
1 2
RECORDED
2025 Jul 29 10:15:26 Flat
Number of pages UINCENT PIULEO
CLERK OF
SUFFOLK COUNTY
This document will be public L D00013303
record. Please remove all F 115
Social Security Numbers
DT4 24-37658
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee �S
Mortgage Amt.
1.Basic Tax
Handling 20. 00
5. 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) 5 Sub Total Spec./Add.
EA-5217(State) 25 TOT.MTG.TAX
—2m Dual Town Dual County
R.P.T.S.A. Held forAppointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit Mansion Tax
Certified Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 L
Sub Total family dwelling only.YES orNO
Other
Grand Total Q If NO, see appropriate tax clause on
l f1 page ft of this instrument.
25028837 1oo0 os6o0 oloo 011017 O
4 Dist. EEI �n■11 5 Community Preservation Fund
Real
Service Property R CVA A I IIIII IIIII IIIII IIIII IIIII III Consideration Amount$
Agency 1 II II I' CPF Tax Due
Verification
Improved
6 Satisfactions/Discharge lea e RETURI Property Owners Mailing Address
Vacant Land
TD
TD
Mail to: Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name l
www.suffolkcountyny.gov/clerk
Title K a,8 Suffolk County Recording & Endorsement Page
This page forms part of the attached ` made
by; (SPECIFY TYPE 6FINSTRUMENT)
r
( The premises herein is situated in
— _ SUFFOLK COUNTY,NEW Y`O/R�K,
1 TO In the TOWN of Jnt,
\ i In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
Standard N.Y.S.T.U.Form 8004—Quitclaim Deed—Uniform Acknowledgment(single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
41
THIS INDENTURE, made the day o 025.
BETWEEN
Gerard Murtha and Robin Murtha of 2662 Long Creek Dr. Southold NY 11971 , party of the first part,
and
Timothy J. Murtha, Sean P. Murtha, Erin Murtha Faver, and Katie Murtha Boger, as Tenants in Common,
party of the second part. a(OG a ugg Creet Or. so,-C .014 ,raj 1kq-Z I,
WITNESSETH, that the party of the first part, in consideration of ten dollars and other valuable consideration
paid by the party of the second part, does hereby remise, release and quitclaim unto the party of the second part,
the heirs or successors and assigns of the party of the second part forever,
SEE SCHEDULE A
56.4-11.17
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, 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.
EXCEPTING A RESERVING unto r ntor a life state interest in the above described real estate on the terms
XCE ING AND RE ER G u G a (s) e e
fisted below.
TERMS OF LIFE ESTATE
Grantor shall have full power to use and dispose of the entire distributable income from said real property and shall be
responsible for payment of real estate taxes thereon. The life tenant shall have the right to execute leases, geophysical
exploration agreements, and perpetual easements and grants of right of way shall be binding upon the remainder estate.
The life tenant shall receive all royalties, rents, leases, geophysical exploration, easement, and right of way payments
paid on account of the land during his lifetime. Grantor may commit waste on the premises if he desires to do so.
I
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written.
fN PRESENCE OF:
Old Republic Title Insurance CompanyNY
SCHEDULE A
DESCRIPTION OF PREMISES
Title No. iEAM112743S
ALL that certain plot, piece or parcel of land situate, lying and being in the Town of Southold, County of Suffolk,
State of New York, being known and designated as Lot 5"Mill Creek Preserve"filed in the Office of the Clerk of
Suffolk County January 28, 2005 as File Number 11216,
Beginning at the Point and or place of Beginning;Said point being on the southerly line of a 50 foot Right of Way
and at the northwest corner of Lot 5 and northeast corner of Lot 4 Map of"Mill Creek Preserve"the following
courses and distances from a monument at the Northwesterly corner of Lot 4 on the above mentioned map and the
southeasterly terminus of Long Creek Drive. Running along the southerly line of the 50 foot Right of Way, North 58
degrees 04 minutes 13 seconds East,a distance of 4.37 feet, to the beginning of a curve to the right tangent to the
previous course with Radius 50.00 feet and Arc Length 59.60 feet;thence through a curve to the left with a Radius
of 100.00 feet and Arc Length 88.89 feet;thence North 75 degrees 25 minutes 53 seconds East, a distance of
217,43 feet to the above mentioned northwest corner of Lot 5.
Running thence along the southerly side of a 50'ROW the following three courses and distances
1. North 75 degrees 25 minutes 53 seconds East, a distance of 265.66 feet;
2. South 36 degrees 58 minutes 00 seconds East,a distance of 52.50 feet;
3. North 75 degrees 25 minutes 53 seconds East, a distance of 50.00 feet; to the southwesterly corner of Lot
3:
Thence along Lot 3 the following three(3)courses and distances:
1. North 67 degrees 00 minutes 33 seconds East, a distance of 329.36 feet;
2. North 40 degrees 13 minutes 58 seconds West, a distance of 145.09 feet;
3. North 12 degrees 29 minutes 16 seconds West,a distance of 227.81 feet to the average high water mark of
Arshamomaque Pond;
Thence along the average high water mark of Arshamomaque Pond the following fifteen(15)courses and
distances:
1. North 16 degrees 56 minutes 03 seconds West,a distance of 154.94 feet;
2. North 22 degrees 04 minutes 03 seconds East, a distance of 157.54 feet,
3. North 40 degrees 58 minutes 02 seconds East,a distance of 189.28 feet;
4. South 28 degrees 03 minutes 07 minutes East, a distance of 131.60 feet;
5. North 86 degrees 51 minutes 58 seconds East, a distance of 135.10 feet;
6. North 30 degrees 10 minutes 14 seconds West,a distance of 252.56 feet;
7. North 82 degrees 30 minutes 43 seconds East,a distance of 227.95 feet;
8_ South 71 degrees 59 minutes 44 seconds East, a distance of 595.20 feet;
9. South 32 degrees 02 minutes 33 seconds East,a distance of 319.28 feet;
10, South 77 degrees 11 minutes 58 seconds West, a distance of 314.47 feet;
11. North 77 degrees 31 minutes 17 seconds West,a distance of 320.44 feet;
12. South 18 degrees 50 minutes 53 seconds West,a distance of 155.56 feet;
13. South 64 degrees 21 minutes 34 seconds East, a distance of 10 1.15 feel;
14. South 30 degrees 58 minutes 24 seconds East, a distance of 233.60 feet;
15. North 64 degrees 36 minutes 21 seconds East, a distance of 141.27 feet to Land of the Town of Southold;
Thence along said land of the Town of Southold the following four(4)courses and distances:
1. South 48 degrees 50 minutes 33 seconds West,a distance of 211.31 feet to a monument
2. South 14 degrees 26 minutes 27 seconds East, a distance of 47.18 feet.-
3. South 05 degrees 58 minutes 37 seconds East, a distance of 87.71 feet;
4. South 04 degrees 44 minutes 43 seconds West,a distance of 417.25 feet to Land of the County of Suffolk;
Thence South 68 degrees 23 minutes 03 seconds West, a distance of 96.80 feet;
Thence South 30 degrees 51 minutes 17 seconds East. a distance of 699.63 feet to the Northerly line of"Old Mill
Path';
Thence along sold Northerly line of"Old Mill Path"the following three(3)courses and distances:
1. North 67 degrees 44 minutes 43 seconds East, a distance of 177.12 feet;
2. North 79 degrees 14 minutes 43 seconds East, a distance of 224.90 feet;
3. North 51 degrees 27 minutes 43 seconds East, a distance of 39.57 feet;
Thence South 39 degrees 43 minutes 54 seconds East a distance of 10.94 feet to the southerly side of"Old Mill
Path";
Old Republic Title Insurance CompanyNY
SCHEDULE A
DESCRIPTION OF PREMISES continued
Thence along said Southerly line of"Old Mill Path'the following three(3)courses and distances;
1. South 51 degrees 27 minutes 43 seconds West a distance of 41.13 feet;
2. South 79 degrees 14 minutes 43 seconds West a distance of 226.37 feet;
3. South 67 degrees 44 minutes 43 seconds West a distance of 208.00 feet to the easterly line of Lot i as
shown on a certain map filed in the Office of the Clerk of Suffolk County as Map Entitled"Jaynes Patrick
Kelly"filed March 18, 1992 as File Number 9199;
Thence along the easterly and northerly line of Lot i the following two(2)courses and distances:
1. North 30 degrees 51 minutes 17 seconds West, a distance of 709.39 feet to a pipe;
2. South 68 degrees 01 minute 23 seconds West, a distance of 70.00 feet to a pipe;
Thence South 43 degrees 19 minutes 33 seconds West, a distance of 471.25 feet to a pipe;
Thence South 31 degrees 05 minutes 27 seconds East,a distance of 247,19 feet to the northerly line of Lot 6 on
Map of Mill Creek Preserve:
Thence South 63 degrees 04 minutes 13 seconds West, a distance of 557.20 feet to a point on the easterly
terminus of Pond Avenue:
Thence along the easterly terminus of Pond Avenue and also along the easterly line of a certain subdivision Known
as"Map of Long Pond Estates-Section One"said map filed in the Office of the Cleric of Suffolk County December
27, 1985 as File No. 6037,North 26 degrees 55 minutes 47 seconds West, a distance of 1165.10 to the Southwest
corner of Lot 4 as shown on Map of Mill Creek Preserve;
Thence along the southerly and easterly line of Lot 4 the following courses and distances:
1. North 63 degrees 04 minutes 13 seconds East,a distance of 300.00 feet;
2. North 14 degrees 34 minutes 07 seconds West, a distance of 157.41 feet to the above mentioned Point and
or place of BEGINNING. j
i
Excepting therefrom all of that tax lot known as District 1000 Section 056.00 Block 01.00 Lot 011.013.
I
Old Republic Title Insurance CompanyNY
SCHEDULE A
DESCRIPTION OF PREMISES
Title No. EAM112743S
ALL that certain plot, piece or parcel of land situate, lying and being in the Town of Southold, County of Suffolk,
State of New York, being known and designated as Lot 5"Mill Creek Preserve"filed in the Office of the Clerk of
Suffolk County January 28, 2005 as File Number 11216.
Beginning at the Point and or place of Beginning;Said point being on the southerly line of a 50 foot Right of Way
and at the northwest corner of Lot 5 and northeast corner of Lot 4 Map of"Mill Creek Preserve"the following
courses and distances from a monument at the Northwesterly corner of Lot 4 on the above mentioned map and the
southeasterly terminus of Long Creek Drive. Running along the southerly line of the 50 foot Right of Way,North 58
degrees 04 minutes 13 seconds East,a distance of 4.37 feet, to the beginning of a curve to the right tangent to the
previous course with Radius 50.00 feet and Arc Length 59.60 feet; thence through a curve to the left with a Radius
of 100.00 feet and Arc Length 88.89 feet; thence North 75 degrees 25 minutes 53 seconds East, a distance of
217.43 feet to the above mentioned northwest comer of Lot 5.
Running thence along the southerly side of a 50' ROW the following three courses and distances
1. North 75 degrees 25 minutes 53 seconds East, a distance of 265.66 feet;
2. South 36 degrees 58 minutes 00 seconds East,a distance of 52.50 feet;
3. North 75 degrees 25 minutes 53 seconds East,a distance of 50.00 feet;to the southwesterly corner of Lot
3;
Thence along Lot 3 the following three(3)courses and distances:
i. North 67 degrees 00 minutes 33 seconds East,a distance of 329.36 feet;
2. North 40 degrees 13 minutes 58 seconds West, a distance of 145.09 feet;
3. North 12 degrees 29 minutes 16 seconds West, a distance of 227.81 feet to the average high water mark of
Arshamomaque Pond;
Thence along the average high water mark of Arshamomaque Pond the following fifteen(15)courses and
distances:
1. North 16 degrees 56 minutes 03 seconds West, a distance of 154.94 feet;
2. North 22 degrees 04 minutes 03 seconds Fast, a distance of 157.54 feet:
3. North 40 degrees 58 minutes 02 seconds East, a distance of 189.28 feet;
4. South 28 degrees 03 minutes 07 minutes East, a distance of 131.60 feet;
5. North 86 degrees 51 minutes 58 seconds East, a distance of 135.10 feet;
6. North 30 degrees 10 minutes 14 seconds West,a distance of 252.56 feet:
7. North 82 degrees 30 minutes 43 seconds East. a distance of 227.95 feet;
8. South 71 degrees 59 minutes 44 seconds East, a distance of 595.20 feet;
9. South 32 degrees 02 minutes 33 seconds East,a distance of 319.28 feet;
10. South 77 degrees 11 minutes 58 seconds West,a distance of 314.47 feet;
11. North 77 degrees 31 minutes 17 seconds West, a distance of 320.44 feet;
12, South 18 degrees 50 minutes 53 seconds West, a distance of 155.56 feet;
13. South 64 degrees 21 minutes 34 seconds East,a distance of 101.15 feet;
14. South 30 degrees 58 minutes 24 seconds East,a distance of 233.80 feet;
15. North 84 degrees 36 minutes 21 seconds East, a distance of 141.27 feet to Land of the Town of Southold;
Thence along said land of the Town of Southold the following four(4)courses and distances:
1, South 48 degrees 50 minutes 33 seconds West, a distance of 211.31 feet to a monument j
2. South 14 degrees 26 minutes 27 seconds East, a distance of 47.18 feet;
3. South 05 degrees 58 minutes 37 seconds East,a distance of 87.71 feet;
4. South 04 degrees 44 minutes 43 seconds West, a distance of 417.25 feet to Land of the County of Suffolk;
Thence South 68 degrees 23 minutes 03 seconds West, a distance of 96.80 feet;
Thence South 30 degrees 51 minutes 17 seconds East, a distance of 699.63 feet to the Northerly line of"Old Mill
Path"; I
Thenco along said Northerly line of'Old Mill Path'the following throe(3)courses and distances:
j 1. North 67 degrees 44 minutes 43 seconds East, a distance of 177.12 feet;
2. North 79 degrees 14 minutes 43 seconds East, a distance of 224.90 feet;
3. North 51 degrees 27 minutes 43 seconds East, a distance of 39.57 feet;
Thence South 39 degrees 43 minutes 54 seconds East a distance of 10,94 feet to the southerly side of'Old Mill
Path";
Old Republic Title Insurance CompanyNY
SCHEDULE A
DESCRIPTION OF PREMISES continued
Thence along said Southerly line of"Old Mill Path'the following three(3)courses and distances;
1. South 51 degrees 27 minutes 43 seconds West a distance of 41.13 feet;
2. South 79 degrees 14 minutes 43 seconds West a distance of 226.37 feet:
3. South 67 degrees 44 minutes 43 seconds West a distance of 208.00 feet to the easterly fine of Lot i as
shown on a certain map filed in the Office of the Clerk of Suffolk County as Map Entitled'James Patrick
Kelly'filed March 18, 1992 as File Number 9199,
Thence along the easterly and northerly line of Lot 1 the following two(2)courses and distances:
1. North 30 degrees 51 minutes 17 seconds West,a distance of 709.39 feet to a pipe;
2. South 68 degrees 01 minute 23 seconds West.a distance of 70.00 feet to a pipe;
Whence South 43 degrees 19 minutes 33 seconds West a distance of 471.25 feet to apipe;
9
Thence South 31 degrees 05 minutes 27 seconds East,a distance of 247,19 feet to the northerly line of Lot 6 on
Map of Mill Creek Preserve;
Thence South 63 degrees 044 minutes 13 seconds West,a distance of 557.20 feet to a point on the easterly
terminus of Pond Avenue;
Thence along the easterly terminus of Pond Avenue and also along the easterly line of a certain subdivision Known
as "Map of tong Pond Estates-Section One"said map filed In the Office of the Cleric of Suffolk County December
27, 1985 as File No.8037, North 26 degrees 55 minutes 47 seconds West,a distance of 1165.10 to the Southwest
corner of Lot 4 as shown on Map of Mill Creek Preserve.
Thence along the southerly and easterly line of Lot 4 the following courses and distances:
1. North 63 degrees 04 minutes 13 seconds East,a distance of 300.00 feet:
2. North 14 degrees 34 minutes 07 seconds West,a distance of 157.41 feet to the above mentioned Point and
or place of BEGINNING.
Excepting therefrom all of that tax lot known as District 1000 Section 056,00 Block 01.00 Lot 011.013.
i
I
tness
erard Nlurtha
Robin Murtha
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,
County of Nassau ss:
On the--�— day of &25
before me, the undersigned, a Notary Public in and for said state, personally appeared Gerard Murtha
and Robin Murtha personally known to me or proved to me on the basis of satisfactory evidence to be
the person(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 person(s), or entity upon behalf of which the person(s) acted, executed the instrument.
Bonnie L Santosus Pam*
NOtaistra�on No.02SASfl4�332 PubnC,Spate Of New York and office of individual taking acknowledgment)
�Is
Quitclaim Deed
Title No.
County of Suffolk
56.-1-11.17
RETURN BY MAIL TO:
Bonnie LS Parente, P.C.
82A Hillside Ave. Williston Park NY 11596
516 743-9777
RESERVE THIS SPACE FOR USE OF RECORDING OFFICE
INSTRUCTt0NS(RP-5217.PDF4NS):www.Orps.stst6.ny.us
FOR COUNTY USE ONLY Now York State Department of
C7.Blms code I 1 r , ^, I Taxation and Finance
C2.Dam Dodd Recorded I 7/ t7'�I/ pL5 I ORce of Real Property Tax Services
0. T.. Lq RP-5217-PDF
C].Book C4.Page Real Property Transfer Report(SRO)
PROPERTY INFORMATION
t•PF"POW 2662 Long Creek Dr.
Location
'amLCT Mer�A •lIRrET,rAYE
Southold 12971
•OIn`OR IOrer VKJAM •emeeee
2.Buyer Murtha Timothy J.
Name •y{ar oArrsnxluPFxr FaaTa g
Murtha Sean P.
car PAtalCouwaw near rrAr!
a.Tom k,dicals whom future Tax Bills are to be sent
Nffng if dherthon buyer address(d bottom of fanny LAW MFAWJCMNNW From rrxrrE
Address
em¢TWAer -O—E CR'oftmeR ;TOTE aP OOOe
a IndkMd the number of Assessment 1 q d Parcels OR ❑Purl d o Panel lorry R Part of s Farrell Check a they so*. '
Rog patents trumformd an the dead 4A.Planning Bard with Subdntsion AuOrddiy Exists
Load X OR 4 5.60 48.Sub6ddon Approval was Required he Transfer
PrePear •FAWNFINT •c'M 'ACRts
Sin 4C.Formal Approved for Subduhlon with atop Prodded
Murtha Gerard
a.Salkr .W,pAWSKICaPW mat I
Nome Murtha Robin
,AN, W,,T FIRITIVUS
R.Saieago dasulpttan which most accurately describes the Chock the bums bases,as they apply: r
use of do property at the time of ale: L Ownership Type Is Cordomlydurn O
A.One Family Residential g.Now Co saualion on a Voters land ❑
IDA.Property l accte0 within an AgrkrdNud Mgrk:L
108.Buyer received a disdowe rroaes IndcoWag ram Om properly to In an
Aartamural District
SALE INFORMATION /5.Chock one or mom d those canditions es applleoble to transfer:
1 / A.Sale Beween Reldlves or Former Relielvrs
11.Sole Contract Date G 40 f 0 y 1 Z S B.Sale l e umom Related Competes a Partners In Business.
C.One of the Buyers Is aim a Seam
'12.Outs d SslaRranehr to rot o Iz d z s D.Buyer a Seller is Government Agency or larding Inrdaudon
Y E.Dead Type net warranty or Bargain as So%ISpo fy Below)
F.Sale d Fmcdond or Los!Men Fee Im'eme1(Spa*Belost)
'12.Full Sale Price 0.00 G.Slgnscord Change In Property Belwer s 7exede Status and Sale Dates
H.Soto of Business Is Included in Sala Price
(Full Sala Price Is the total around pail for the property Including pe sond property. 1.Other unusual Faclara Affecting Seto Pdoe(Specify Below)
This payment may be In therarm of cask other property a goods.of the assumption of J.None
rndrgogm or other otdgodana)Pkase round io des neemsi Ada daseramouN. Ui
Coe nent(ol on Condgllow
14.Indicate the voluo of pmoal 4-/
proporgr Included In the sale .00 f�J
ASSESSMENT INFORMATION'Dam should relied lho_la(ost Final Assessment Rog and Tex INN
10.Vow ofAsassmad Roll hum which bdamadon token(YVI 25 '17.Total Assessed Value 18,600
118.Property Class 240 _ •„- .11 School District lesson SOUIHOLD
'20.Tax Nap ldonlMerfa)IRa11 IdanBOorls)411 More than four.duch shout wgh addglend Idediflerfal)
1000-56.-1-11.17
CERTIFICATION
1 CeNy that all of the Imes of Information eramd an this form am area and correct pro the bat of my knowlodgo and belief)and a understand that the making of any s,lliful
hose.undmem d err ut last hsrdn subject ms to the a ovlslo of the dandlarrraleave to the making and filing of him instruments.
SELLER SIGNATURE `/ BUYER CONTACT INFORMATION
l IEFW waaYeer for IN NEW.NM.II hew IS LLC.aederr.sraeaedsa exrpaadet lera WAS ewneem.awe ar
Y �// 6•y'2 amp oat land an im"M Mom orfiduchey.100 2 rrem aro MdMi:lrnmsen tr an ifWAIutampadk once
r •rt( )c •t on mewr padwA rprag car eawr ram ee craves.T%W er pare Ft.arW
satranraduTrsa are
BUYER SIGNATURE @r`(tw -■ •V f '"-a
•r Aar n.rx FaaT-
Z •TELCFN,t 631•MIACO 7(v5„P�3a
ae aATIe�A1F..arpaa
eurErt uroRA0 DATE
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•rm¢FwroFlA� •eTxd•T wum , ,`, I
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SLIVER'S ATTORNEY
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