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L 12115 P 264
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - TillS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made this I day of April, two thousand and one BETWEEN DONNA CAMPBELL, residing at 250 East 54~" Street, PH//4 New York, NY 10022 party of the first part, and KATHRYN FARRAND, residing at 725 Miller Avenue, Unit 313 Freeport, NY 11520 party of the second part, 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 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, with the buildings and improvements thereon erected, situate, lying and being at Pcconic, Town of Southold, County of Suffolk and State of New York, bounded and described as lbllows: SEE SCHEDULE "A" ANNEXED HERETO. BEING AND INTENDED TO BE the same premises described in the deed of the parties of the first part herein by deed from SUSAN CARLYLE and LEROY H. HEMMINGWAY, dated 5/22/00, recorded in the Suffolk County Clerk's Office on 5/30/00, in Liber 12045, Page 305. 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 promises to the center lines thereof; TOGETItER with the appurtenances, and also 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 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 WItEREOF, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: DONNA CAMPBELL Title No. SCHEDULE~ S-21007~3~ ALL that certain plot, piece or parcel of land, situate, lying and being at Peconic, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a monument set on the easterly side of Soundview Avenue, which point is distant the following two (2) courses and distances from the point of intersection of the easterly side of Soundview Avenue with the northerly side of Peconic Mill Lane: (1) North 10 degrees 52 minutes 40 seconds East, 227.49 feet to a point; (2) North 01 degree 20 minutes 20 seconds West, 265.00 feet to a point marked by a monument; and from said point of beginning the following courses and distances; THENCE North 01 degrees 20 minutes 20 seconds West along the easterly side of Soundview Avenue, 310.00 feet to a monument; T~ENCE South 60 degrees 54 minutes 00 seconds East, 534.71 feet; THENCE South 60 degrees 10 minutes 00 seconds East, 234.50 feet to a monument; said last two courses and distances being along land now or formerly of John and Julia Sepenoski; THENCE South 30 degrees 45 minutes 00 seconds West along land now or formerly of Ronald Ricaa and Sheila Ricca, 264.36 feet; THENCE North 60 degrees 54 minutes 00 seconds West along land now or formerly of Robert Johnson, 604.52 feet to the easterly side of Sound View Avenue at the point or place of BEGINNING. For conveyancing only, if intended to be conveyed. Together with all rights, title and interest of, in and to any streets and roads abutting the above described premises, to the center line thereof. Number of pages TORRENS Serial # Certificate # Prior Cfi. # Deed / Mortgage Instrument 41 Page / Filing Fee Handling ,C ~' TP-584 E© Notation EA-52 17 (County) &'"'"' -- EA-5217 (State) 9~/ ~' ILP.T.S.A. /'~"~' Comm. of Ed. Affidavit 5 O0 Certified Copy Reg. Copy Other Deed / Mortgage Tax Stamp FEES __ Sub Total GRAND TOTAL Recording / Filing Stamps Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total I Spec./Assit. Or Spec./Add. TOT. MTG. TAX Dual Town Dual County Held for Ap-~"~ionment , 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. Real Property Tax Service Agency Verification Dist. Section B lock Lot 00o >Soc.,oo Oc/,oo COmmunity Presetwation Fund Consideration Amount $ Z/-~,6~.)~ CPF Tax Due Improved Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETUR~ TO: { / 6"7o Vacant Land TD /[ TD Is I Title Company hfformation Co. Name ~ '-['2~.~ ~A-ffO. 4L~_a.~., [Title# ~, I 00~3 (4' Suffolk County Recording & Endorsement Page This page fom~s part of the attached ~ (SPECIFY TYPE OF INSTRUMENT ) TO made by: The premises herein is situated in SUFFOLK COUNTY, NEW YORK. In the Township of /'J~ In the VILLAGE or HAMLET of BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FIIJNG. SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEEDS/DDD Number of Pages: 4 TRANSFER TAX NUMBER: 00-35544 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 068.00 04.00 EXAMINED AND CHARGED AS FOLLOWS $420,000.00 04/26/2001 11:09:03 AM D00012115 264 Lot: 021.000 Received the Following Fees For Page/Filing $12.00 COE $5.00 EA-STATE $25.00 Cert. Copies $0.00 SCTM $0.00 Comm. Pres $5,400.00 TRANSFER TAX NUMBER: 00-35544 THIS PAGE IS Above Instrument Exempt NO Handling NO EA-CTY NO TP-584 NO RPT NO Transfer tax NO Fees Paid A PART OF THE INSTRUMENT Exempt $5.00 NO $5.00 NO $5.00 NO $15.00 NO $1,680.00 NO $7,152.00 Edward P.Romaine County Clerk, Suffolk County PLEASE TYPE OR P~{E6S~FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http://www.orps.state,ny.us or PHONE (518) 473-7222 FORc2.COUNTYDate DeedUSERecordedONLY Ji, c.. sw,s ad. ,d , .EAL P.OPE.T T.A.SFE..EPO.T · STATE OF NEW YORK ~7~/ ~ ~ f STATE BOARD OF REAL PROPERTY SERVICES . ...o. by Y., RP - 5217 PROPERTY INFORMATION ~ 640 I Sotundview ~_venu e 1. Property I Location STREET NUMBER STREET NAME I Southol~ CITY OR TOWN VILLAGE ZIP CODE 2. Buyer I Farra~d Name LAST NAME / COMPANY FIRST NAME I I LAST NAME / COMPANY FIRST NAME 3. Tax Indicate where future Tax Bills are to be sent Billing if other than buyer address (at bottom of form) I LAST NAME / COMPANY FIRST NAME Address STREET NUMBER AND STREET NAME CITY OR TOWN ZIP CODE 4. Indicate the number of Assessment [~ {Only if Part of a PeTal) Check as they apply: Roll parcels transferred on the deed I ,1 I # of Parcels OR~ ~ Part of a Parcel 4A. Planning Beard with Subdivision Authority Exists [] 5. Deed 4B. Subdivision Approval was Required fur Transfer [] Property I ! I X I ] OR I · , [ 4C, Parcel Approved for Subdivision with Map Provided [] Size FRONT FEET D~PTH IACRESI ~ Campbel 1 Donna s. Se.er I I Name LAST NAME / COMPANY FIRST NAME I I LAST NAME / COMPANY FIRST NAME 7. Check the box below which most accurately describes the use of the property at the time of sale: A~ One Family Residential B ~ 2 or 3 Family Residential C ~ Residential Vacant Land DU.J Non-Residential Vacant Land SALE iNFORMATION I 11. Sale Contract Date Commercial Industrial Apartment Public Service Entertainment/Amusement Forest 03 /07 / 01 I Month Day Year 12. Date of Sale / Transfer c / : / /I Month Day Year Check the boxes below as they apply: 8. Ownership Type is Condominium 9. New Construction on Vacant Land IOA, Property Located within an Agricultural District 10B, Buyer received a disclosure notice indicating that the property is in an Agricultural District 15. Cheek one or more of these conditions as applicable to transhi~ A B C D E F Sale Setween Relatives or Former Relatives Sale BeWveen Related Companies or Partners in Business One of the Buyers is also 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) 13. Fall Sale Price I , , , { ~ q q q q 0, 01 (Full Sale Price is the total amount paid for the proper:y including personal property, This payment may be in the form of cash, other property or goods, or the assumption of mortgages or other obligations,) Please round to the nearest whole dollar amount. 14. Indicate the value of personal [ I I probe~rty included in the sale ~ ~ · I ASS~SSMENT,NmRMAT'ON - a*ta ,hoM'~ r~,,m tho I,t~t Fin~' ~*,,~,~t Ro" kn~ T,~ ~i" I ~, ~ Significant Change in Property Between Taxable Status and Sale Dates Sale of Business is Included in Sale Price Other Unusual Factors Affecting Sale Price (Specify Below) None 18. Property Class I , ! ,: I-I I 19. School District Name [ 20. Tax Map Identifier{s) / Roll Identifier(s) (if more than four, attach sheet with additional identifier(s)) [ 1000-068.00-04.00-021.000 ] [ [ J I I I CERT,F,C^T,ON I I certify that all of the items of information entered on this form are tr~e and correct (to the best of my knowledge and hellef~ and I understand that the making of any willful false statement of material fact herein will subject me to the provisions of the penal law relative to the making and filing of false inst~unent~ BUYER BUYER'S ATTORNEY I SELLER SELLER SIGNATURE DATE ' Ouinn Timothy ~ :. 516 764-2189 : ICITY/TOWN ASSESSOR COPY