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L 12110 P 715
'l~S~,mad~ '~ ~' dayof February ,in~oy~ 2001 BETWEEN BlJan Shaoulpour and Elizabeth Shaoulpour, his ~oth residing at 5 Eagle Point Drive, Great Neok, New York doing business as John R Ostegar Associates party of the first part, and wi fe' 11024 par*7 of the second part, WllNff-~tSETFl, that thc party of the first part, in coasideration of Ten ($10.00) Dollars and )ther Good and Valuable Consideration dollm paid by the party of the ~ucond part, does hereby grant and release unto the p~n'y 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 in the SEE ATTACHED DESCRIPTION TOGETHER with all right, title and interest, if any, of the pa~ty of thc first part in and to any streets and roads abutting the above described promises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the fa'st part in and to said premises; TO HAVB 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 fa'st pan covenants that the party of the first part has not done or suffered anything whereby the said ~remises have been encumbered in any way whatever, except as aforesaid. AND tho 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 t~nd to be applied first for the purpose of paying the cost of ~ho 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 purposel The word "patty" shall be construed as if it teed "parties" whenever the sense of this indenture so r~quires, IN WITNESS WItERIgOF, the part~ of the first part has duly executed this d~d ~e day ~d y~ flint above written. IN PR~ENCE OF: ~L~Z~a SHAOU~POUR d/bya RASTEGAR~ ' ' ' . . ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk and State of New York, more particularly bounded and described as follows: BEGINNING at a monument on the northerly side of Main Road (S.R. 25) at the southwesterly corner Of the premises herein described and the southeasterly corner of land now or formerly of Henry B. Faucon;' RUNNING THENCE North 37 degrees 06 minutes 50 seconds West along said land now or formerly of Henry B. Faucon and later along land of the party of the first part, 282.85 feet; THENCE North 53 degrees 15 minutes 50 seconds East along said last mentioned land, 282.85 feet; THENCE South 37 degrees 06 minutes 50 seconds East still along said land, 282.85 feet to the northerly side of Lower Road; THENCE South 53 degrees 15 minutes 50 seconds West along said northerly side of Lower Road and later along the northerly side of Hain Road (S.R. 25), 282.85 feet to the point or place of BEGINNING. ~0£[£-00 #1~ O~I~O00~ 9 ^INRO3 NgO~RS ~0 N~393 au~o~'~ p~e~p3 WU £~:SI:GO 0~ ~e~ I00~ ~3~003~ 'FORReN8 Deed / MoflsaSe Inotrun~fit 'l ~,00 Affidavit Comflod Copy Copy Othor Modg.~u Tax Stamp FEES Sob To,-' 2 7 ORAND TOTAL Re~l Prope~ Tax Servk~o A~moy Vedflea~on Dist. S~.tlm B look oo0 05" t.ot RECORDED 2001 Mar 30 09:15:25 AH Edward P.Romaine CLERK OF SUFFOLK COUNTY L D00012110 P 715 .DT# 00-52~02 Reoordlns I FilJnS S~amps I. B,ulo Tax I. Addlllo~ul Tax .... Sub Total .qp~JAsait, 8lx~./Add .... TOT. MTO. TAX Dual Town i Dual Courtly. Hdd For Appott{onmem ~ Tramfor Tax ~ ~ 0 '~' MaMJon Tax The properly eova~d by Ibis moflSaSo is, will bo impFoved by a one or two tam dwellJn~ only, YES or NO .. If NO, see ~pmpI'iotn t~x olxuse on po~, __ of Ibis In~nnnent. · -~orvation Fun. ConsldorntJon Amount, ~Om 0 0 CPF Tax Due ~ ~c.ha ro°- Owners Mailini cant Land TD / 0 TD Title ;0.,,,, Title, # Thi~ p~ forms pnrt of th~ ~ & Endorsement made In ~ VILLAGE SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDINGPAGE Type of Instrument: DEEDS/DDD l~m~er of Pages: 4 TRANSFER TAX NOMBER: 00-32302 District= 1000 Deed Amount: Recorded At: LIBER: PAGE: Sect ion: Block: 069.00 05.00 EXAMINED AND CHA~GED AS FOLLOWS $150,000.00 Received the Followlng Fees For Above Instrument Exempt Page/Filin~ $12.00 NO Handlin~ COE $5.00 NO EA-CTY FA-STATE $25.00 NO TP-584 Cert.Copies $0.00 NO RPT SCTM $0.00 NO Transfer tax C~m~.Pres $0.00 NO Fees Paid TRANSFER TAX NUMBER= 00-32302 THIS PAGE IS A PART OF THE INSTRUMENT Edward P.Romalne County Clerk, Suffolk County 03/30/2001 09:15:23 ~ D00012110 715 Lot: 018.001 Exempt $5.00 NO $5.00 NO $5.OO NO $15.00 NO $600.00 NO $672.00 ~. ~PLEASE TYPE O1~ PRESS FIRMLY WHEN WRITING ON FORM . "° INSTRUCTIONS: http://www.o~s,state.ny.us or PHONE (518) 473-7222 FOR COL~TY USE ONLY ~ ~ :/, .4 ' ~, ~ "l ~ REAL PROPERTY TRANSFER REPORT Cl. sWIS Code I --I ~,-.f ~? ~ . I · --~-~t ~ STATE OF NEW YORK ~ C2r D~O Deed R~ I \''-'~ / <~ '~ ~ / STATE BOARD OF REAL PROPER~ SERVICES I Mooth Day Year PROPER~ INFORMATION ~ Location ~EETNUMBER I STREET NAME I SOUTHOLD I 111971 I CITY OR TOWN VILLAGE Zip CODE 2. Suyer I BLQM I .sYNOLD ~. I 3, Tax Indicate where future Tax Bills are to be sent Billing if other than buyer address (at bottom of form) 4. Indicate the number of Assessment Roll parcels transferred on the~leed i 3e-i STATE ZIp CODE 5. Deed Prope~y Size 6. Seller I [ -~ {Only if Part of a Parcel) Check as they apply: I..... ,-1I# of Parcels OR Pan of a Parcel 4A, Planning Board with Subdivision Authority Exist~ [] 4B. Subdivision Approval was Required for Transfer [] I-X'~ .... IORI , , I · 8,4 ~> ~.ParceLApproyedforS, ubdvsonwthMapP~e~[~ FRONT FEET DEPTH '~' ~[.. -- ~ r' ~ ~ ~ '' ~ ~ SHAOULPOUR I BIJAN Name LAST NAME / COMPANY S::,~AOULPOU R FIRST NAME F_ LIZABP~TH LAST NAME / COMPANY FIRST NAME 7. ~heck the box below which most accurately describes the use of the property at the time of sale: ' A ~ One Family Residential F' [~ Agricultural i~ Community Service ]~ ~ 2 or 3 Family Residential ~ ~ Commercial Industrial C ~ Residential Vacant Land G~.~ Apartment Public Service DLj Non-Residential Vacant Land H[~J Entertainment/Amusement Forest !SALE INFORMATIO, N I ~ ' ) 11. Sale Contract Date I / ©-! / I Month Day Year 2 12. Date of Sale / Transfer I ! / I Month Day Year Check the boxes below as they appl'F 8. Ownership Type is Condominium [] 9. New Construction on Vacant Land [] 10~ Property Located within an Agricultural District [] 10~. Buyer received a disclosure notice indicating [] that the prope~y is in an Agricultural District 15. Check one or more of these conditions as applicable to transfec A B C D E F G H I J Sale Between Relatives or Former Relatives Sale Between Related Companies or Partners in ~usiness 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. Full Sale Price I , , , I , S ,0 ,0 , 0, 0 , 0 , 0 I (Full Sale Price is the total amount paid for the properW including personal property. This payment may be in the form of cash, other property or goods, or the assumption of mortgages or other obligstions.) Please round to the nearest whole do//ar arnoun£ 14. Indicate the value of personal I I I I i i I n , 0 , 0 I property included in the sale ~ ~ · ASSESSMENT iNFORMATION ~ Data should reflect the latest Final Assessment Roll and Tax Rill 16, Year of Assessment Roll from which information taken I , I 17. Total Assessed Value (of all parcels in transfer) I 18. Property Class Significant Change in Property Between T~axable Status and Sale Dates Sale of Business is Included in Sale Price Oth Unusual Factors Affecting Sale Below) Z Price (Specify I 2, 1, 01-L~J 19. School District Name I SCHOOL DISTRICT 20. Tax Map Identifier(s) I Roll Ideotifier(sl (if mo~ than four, a~ch she~ with add~nal ide~ifler(s)} Lot 018.01 [Dist: 1000: S~c: 059.00~ Blk~ 05_001 I J I I C:~ RTIFICATION I certify that all of the items of information entered on 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 herein will subject me to the provisions of the penal law relative to the making and filing of false instruments. BUYER RE~NOLD ~. ~LU~ STREET NUMBER STREET NAME {AFTER SALE) C~.c~ ogu~. I HY [ 11935 CI~ OR TOWN STATE ZIp CODE / SELLER I BUYER'S ATTORNEY RICHARD LAST NAME 727-4100 FIRST NAME AREA CODE TELEPHONE NUMBER ICITY/TOWN ASSESSOR COPY