HomeMy WebLinkAboutPrechtl, Edward A & Eleanor M
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PF30 (6177) Standard N.V.B.l.U. Form B001 Bargain and Sale D.-d. with (tov.n.nt against Grantor's Acts04ndividual or Corporation
CONSULT YOUR LAWYER EEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY,
1MIS !.NDENTURE, made Ihe /?t:;(
day Of'?71~ nineteen hundred and eighty-five
BETWEEN EDWARD A. PRECHTL and ELEANOR M. PRECHTL, his
at (No Number) Canal Road, Mount Sinai, New York
wife, both
.;>.~. >c6"
....'...-...0
residing
party of the first part, "nd TOWN OF SOUTHOLD, a municipal corporation of the State of
New York having its offices at 53095 Main Road, Southold, New York
party of the second part,
W1TNESSETM, that the pa'1y of the first part, in consideration of TEllj" DO LLARS ($10.00)-----------
dollars,
lawful money of the United States, paid
i4 ~Voj. t
, is' 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 for the party of the second part forever,
Dist. :
1000
Section:
069.00
Block:
05.00
, Lot:
015.00
ALL that certain plot. piece 'J( parcel of land, with the buildings and improvements thereon erected, situate, lying
and being itW~ at Southold, in the Town of Southold, Suffolk County, New York, bounded
and described as follows:
BEGINNING at a monument set on the northerly line of Lower Road at the south-
westerly corner of land of Edwin A. and Johanna A. Smith, being the southeasterly
corner of the premises herein described; running thence along said northerly line
of Lower Road, South 53 degrees 15' minutes 50 seconds West 404.05 feet; thence
along other land of the sellers, North 44 degrees 22 minutes 40 seconds West 608.24
feet to a monument and the northwesterly corner of said land of Smith; thence along
said land of Smith, South 75 degrees 33 minutes 00 seconds East 773.68 feet to the
point of Beginning.
BEING AND INTENDED TO BE a portion of the premises conveyed by Douglass
Case and Corinne Belle Case Morris to Edward A. Prechtl and Eleanor M. Prechtl, his
wife, the parties of the first part herein by deed dated September 5, 1969 and recorded
in the Suffolk County Clerk's Office on September 8, 1969 in Liber 6618 of deeds at
page 495.
The party of the second part does hereby covenant and agree that the party of
the first part shall be permitted to discharge surface water from the remaining lands
of the party of the first part into a sump to be constructed by the party of the second
part on the above described premises, such permission to continue so long as said
remaining lands of the party of the first part are used for agricultural purposes.
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L1BER 9752 PAGE 562
TOGETHER with all rights, 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 ofthefirst part in and tosaid premises.
TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs of successors
and assigns of the party of the second part forever.
AND the party of the first part covenants thatthe party of the first part has not done or suffered anything whereby the
said premises have been incumbered in any way whatever, except as aforesaid.
AND the party of the first part, in compliance with Section 13 ofthe Lien Law, covenants thatthe party ofthe 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 th"'~UrtlbS~ ofpll\>i,nl/lt\!' cost of the improvement and will apply the same first to the payment
of the cost of the improvement befi?re:Lisi.~'li 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 yearfirst above written.
IN PRESENCE OF:
~(q. ~~m
Edward A. Prechtl
F(. a~~.N"' 1M',?^, J.~
Eleanor M. Prechtl
,.......~,c
USER 9752 PAGE 563
SUFFOLK
STATE OF 7l' YORK, COUNTY OF
On the! day of March
personally came
Edward A. Prechtl & Eleanor M. Prechtl
5S:
19 85 before me
to me known to be the individual S described in and who
executed the foregoing instrument. and acknowledged
that they executed the s~w~
Notary Public
ROftRY W. TASKER
NOTARY PUBUC. S'a.. of N.Y.
No. 52.3933725, Svff. o;~
Term EXpirol March 30, 19
STATE OF NEW YORK, COUNTY OF
55:
On the day of 19, before me
personally came
to me known, who, being by me duly sworn, did depose and
say that he resides at No.
that he is the
of
, the corporation described
in and which executed the foregoing instrument; that he
knows the seal of said corporation; thatthe seal affixed to said
instrument is such corporate seal; that it was so affixed by
order of the board of directors of said corporation, and
that he signed h name thereto by like order.
1Jiargatu aUll ~alr irrll
With Covenant Against Grantor's Acts
Totle No. f' Cf - J"J... - 4L F~ r; '1
EDWARD A. PRECHTL & ELEANOR M.
PRECHTL
TO
TOWN OF SOUTHOLD
Recorded By:
u.."lIFE TITLE INSURANCE
Company of New York
127 w. M2Iin Street
Riverhead, N. Y. 11901
r
Hec'~
Return to:
STATE OF NEW YORK, COUNTY OF
5S:
On the day of
personally came
19
before me
to me known to be the individual described in and who
executed the foregoing instrument, and acknowledged
that executed the same.
STATE OF NEW YORK, COUNTY OF
ss:
On the day of 19 before me
personally came
the subscribing witness to the foregoing instrument, with
whom I am personally acquainted, who, being by me duly
sworn, did depose and say that he resides at No.
; that he knows
to be the individual
described in and who executed the foregoing instrument;
that he. said subscribing witness, was present and saw
execute the same; and that he, said witness,
at the same time subscribed h name as witness thereto.
SECTION
BLOCK
LOT
Recorded at Request of
u..-UFE TITLE INSURANCE
Company of New \brk
RETURN BY MAIL TO
Robert W. Tasker, Esq.
1125 Main Street
Greenport, New York 119411
Zip No.
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ROBERT W. TASKER
Town Attorney
ORNEY
D
TELEPHONE
(516) 477-1400
RECEIVED
MAY 6 mi
425 MAIN ST.
GREENPORT, L.I., NEW YORK 11944
May 3, 1985
1_ a.tr 'ou.f-MIId
Hon. Judith T. Terry
Town Clerk
T own of Southold
Main Road
Southold, New York 11971
Re: Town of Southold w IPrechtl
Dear Judy:
Relative to the above, enclosed herewith are the following:
1. Deed dated March 8, 1985 from Edward A. Prechtl and Eleanor M.
Prechtl to the Town of Southold, which deed has been recorded in
the Suffolk County Clerk's Office on March 14, 1985 in Liber 9752 of
deed s at page 561.
2. U. S. Life Title Insurance Co. Title Policy No. 84-52-48669 together
with endorsements attached thereto, in the amount of $16,000.00.
previously sent you survey maps of the premises.
I n order that I may have a record of your receipt of the above for my
records, will you please sign a copy of this letter which I have enclosed
for that purpose and return to me.
Yours very truly,
dd
ROBERT W. TASKER
RWT :aa
encs.
U-'i.IFE TITLE INSURANCE Company of New York
, '
YEARS OF
SE RVIC E
Endorsement
Attached to and made a part of USLlFE TITLE INSURANCE Company of New York
TOWN OF SOUTHOLD_No. 84-52-48669
SAID POLICY IS HEREBY AMENDED AS FOLLONS:
TO OMIT EXCEPTION NUMBER 10 FROM SCHEDULE B.
This endorsement is made a part of the policy or commitment and is subject to all the
terms and provisions thereof and of any prior endorsements th'3reto. Except to the
extent expressly stated, it neither modifies any oftha terms and provisions oftha policy
or commitment and prior endorsements, if any, nor does it extend the effective date of
the pOlicy or commitment and prior endorsements or increase the face amount thereof.
Signed and sealed this 1 s t
day of
May
,19 85
By
~~.
,
Attest:
CountersiQned
#;
~-..f
Secretary
~
I
""
( Q/k..-?-"O
Agent
Nat. 4 (9/79)
U-"iIFE TITLE INSURANCE Company of New York
YEARS OF
SERVICE
,
Endorsement
Attached to and made a part of USlIFE TITLE INSURANCE Company of New York
TOWN OF SOUTHOLD
84-52-48669
No.
SAID POLICY IS HEREBY AMENDED AS FOLLOWS:
TO OMIT EXCEPTION NUMBER 11 FROM SCHEDULE B.
This endorsement is made a part ofthe policy or commitment and is subject to all the
terms and provisions thereof and of any prior endorsements thereto. Except to the
extent expressly stated, it neither modifies any of the terms and provisions of the policy
or commitment and prior endorsements, if any, nor does it extend the effective date of
the policy or commitment and prior endorsements or increase the face amount thereof.
Signed and sealed this
15th
day of
April
,19 85
By
~~'
,
Attest:
CountersiQned
~
~~
Secretary
Cl~ /" (~/~-<>u
Agent
Nat. 4 (9/79)
\
U-"iIFE TITLE INSURANCE Company of New York
Policy of
Title Insurance
IN CONSIDERATION OF the payment of its charges for the examination of title and its
premium for insurance, insures the within named insured again:;t all 1055 or damage not
exceeding the amount of insurance stated herein and in additior the costs and expenses
of defending the title, estate or interest insured, which the illsured shall sustain by
reason of any defect or defects oftitle affecting the premises de"cribed in ScheduleA or
affecting the interest of the insured therein as herein set forth, or by reason of un-
marketability of the title of the insured to or in the premises, 'x by reason of liens or
incumbrances affecting title atthe date hereof, or by reason of any statutory lien for labor
or material furnished prior to the date hereof which has now gained or which may
hereafter gain priority over the interest insured hereby, or by reason of lack of access to
and from the premises, excepting all loss and damage by reason of the estates,
interests, defects, objections, liens, incumbrances and othl:!r matters set forth in
Schedule S, or by the conditions ofthis policy hereby incorporated into this contract, the
loss and the amount to be ascertained in the manner provided in said conditions and to
be payable upon compliance by the insured with the stipulations of said conditions, and
not otherwise.
IN WITNESS WHEREOF, USLlFE TITLE Insurance Company of I\,ew York has caused this
policy to be signed and sealed on its date of issue set forth h'9rein.
preS;dBn'# .P
ATTEST:S..,",,,, ~ -~~
,
{~l.
( ~<-?4.J
Validating Of/ic8r or Ag8nt
,
Name of Insured
Policy No.
84-52-48669
TOWN OF SOUTHOLD
Amount of
Insurance
$16,000.00
The estate or interest insured by this policy is
vested in the insured by means of
A FEE SIMPLE
Data of Issue 3/8/85
DEED recorded 3/14/85 in L. 9752 p. 561.
Schedule A
The premises in which the insured has the estate or interest covered by this policy is described on the description sheet annexed.
Schedule B
The following estates, interests, defects, objection to title, liens and incumbrances and other matters are excepted from the coverages of this policy:
1. Defects and incumbrances arising or becoming 8 lien after the date of this policy, except 8S herein provided.
2. Consequences of the exercise and enforcement or attempted enforcement of any governmental war or police powers over the premises.
3. Any laws. regulations or ordinances (including, but not limited to zoning, building, and environmental protection) as to the use, occupancy, subdivision or
improvement of the premises adopted or imposed by any governmental body, or the effect of any noncompliance with any violation thereof.
4. Judgments against the insured or estates, interests, defects, objections, liens or inaJmbrances created, suffered, assumed or agreed to, by or with the privity of the
insured.
5. Titleto any property beyond the lines of the premises, ortitle to areas within or rights or easements in any abutting streets, roads, avenues, lanes, ways or waterways,
or the right to maintain therein vaults, tunnels, ramps or any other structure or improvement, unless this policy specffically provides that such titles, rights, or
easements are insured. Notwithstanding any provisions in this paragraph to the contrary, this policy unless otherwise excepted, insures the ordinary rights of access
and egress belonging to abutting owners.
6. Title to any personal property, whether the same be attached to or used in connection with said premises or otherwise.
7. SURVEY by Roderick Van Tuyl dated 3/6/85 shows premises as vacant
land; no encroachments or variations. Company excepts any changes
made since 3/6/85.
8. RIGHTS of tenants or persons in possession, if any.
9. POSSIBLE unpaid water charges.
10. PREMISES are benefited by a Real Estate Tax Abatement personal to
an exempt owner; additional taxes may accrue or may have accrued
due to a change in ownership or possession.
11.
COMMITMENT
p. 253, L.
OF LAND
9514 p.
TO CONTINUED
135, L. 9295
AGRICULTURAL PRODUCTION
p. 504, L. 9175 p. 236.
in
L,
9009
,-----
Report 13-5 (10/80)
SCHEDULE A (Description)
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying
and being at Southold, in the Town of Southold, Suffolk County,
New York, bounded and described as follows:
BEGINNING at a monument set on the northerly line of Lower Road at
the southwesterly corner of land of Edwin A. and Johanna A. Smith,
being the southeasterly corner of the premises herein described;
running thence along said northerly line of Lower Road, South 530
IS' 50" West 404.05 feet;
thence along other land of the sellers, North 440 22' 40" illest
608.24 feet to a monument and the northwesterly corner of said
land of Smith;
thence along said land of Smith, South 750 33' 00" East 773.68 feet
to the point of BEGINNING.
FOR INFORMATION ONLY:
1000
SECTION 069.00
BLOCK 05.00
LOTP/O 015.000
DISTRICT
Conditions
of this Policy
1. Definitions
(8) Wherever the term "insured" is used in this policy it includes those who succeed to the interest oftha insured by operation of law including, without limitation, heirs,
distributee., devisees, au rvivors, personal representatives. next of kin or corporate successor., as the case may be and those to whom the Insured has assigned this
policy where such assignment is permitted by the terms hereof, and wherever the term "insured" is used in the conditions of this policy it also includes the attorneys and
agents of the "insured,"
(b) Wherever the term "this company" is used in this policy it means USLlFE nTLE Insurance Company of New York.
Ie) Wherever the term "final determination" or "finally determined" is used in this policy, it means the final determination of 8 court of competent jurisdiction after
disposition of all appeals or after the time to appeal has expired.
(d) Wherever the term "the premises" is used in this policy, it means the property insured herein as described in Schedule A of this policy including such buildings and
improvements thereon which by law constitute real property.
(e) Wherever the term "recorded" is used in this policy it means, unless otherwise indicated, recorded in the office of the recording officer of the county in which
property insured herein lies.
2. D...... end P,o..cutlon of Suits
(a) This company will, at its own cost, defend the insured in all actions or proceedings founded on a claim of title or incumbrances not excepted in this policy,
(b) This company shall have the right and may, at its own cost, maintain or defend any action or proceeding relating to the title or interest hereby insured, or upon or
under any covenant or contract relating thereto which it considers desirable to prevent or reduce loss hereunder.
(c) In all cases where this policy requires or permits this company to proscute or defend, the insured shall secure to it the right and opportunity to maintain or defend
the action or proceeding, and aU appeals from any determination therein, and give it all reasonable aid therein, and hereby permits it to use therein, at its option, its own
name or the name of the insured.
(d) The provisions of this section shall survive payment by this company of any specific loss or payment of the entire amount of this policy to the extent that this
company shall deem it necessary in recovering the loss from those who may be liable therefor to the insured or to this company.
3. ee... Wh.... L1eblHty Arise,
No claim for damages shall arise or be maintainable under this policy except in the following cases:
(a) Where there has been a final determination under which the insured may be dispossessed, evicted or ejected from the premises or from some part or undivided
share or interest therein.
(b) Where there has been a final determination adverse to the title upon a lien or incumbrance not eexcepted in this policy.
(c) Where the insured shall have contracted in good faith in writing to sell the insured estate or interest, or where the insured estate has been sold forthe benefit of the
insured pursuantto the judgment or order of a court and the title has been rejected because of a defect or incumbrance not excepted in this policy and there has been a
final determination sustaining the objection to the title.
(d) Where the insurance is upon the interest of a mortgage and the mortgage has been adjudged by a final determination to be invalid or ineffectual to charge the
insured's estate or interest in the premises, or subject to a prior lien or incumbrance not excepted in this policy; or where a recording office hasrefusedtoacceptfromthe
insured a satisfaction of the insured mortgage and there has been a final determination sustaining the refusal because of a defect in the title to the said mortgage.
(e) Where the insured shall have negotiated a loan to be made on the security of a mortgage on the insured's estate or interest in the premises and the title shall have
been rejected by the proposed lender and it shall have been finally determined that the rejection of the title was justified because of a defect or incumbrance not excepted
in this policy
(f) Where the insured shall have transferred the title insured by an instrument containing covenants in regardtotitle or warranty thereof and there shall have been afinal
determination on any of such covenants or warranty, against the insured, because of a defect or incumbrance not excepted in this policy.
(g) Where the insured estate or interest or a part thereof has been taken by condemnation and it has been finally determined that the insured is not entitled to a full award
for the estate or interest taken because of a defect or incumbrance not excepted in this policy.
No claim for damages shall a rise or be maintainable under this policy (1) if this company, after having received notice of an alleged defect or incumbrance, removas such
defect or incumbrance within thirty days after receipt of such notice; or (2) for liability voluntarily assumed by the insured in settling any claim or suit without the written
consent of this company.
4. NotIce of Clelm
In case a purchaser or proposed mortgage lender raises any question as to the sufficiency of the title hereby insured, or in case actual knowledge shall come to the
insured of any claim adverse to the title insu red hereby, or in case of the service on or receipt by the insured of any paper, or of any notice, summons, process or pleading
in any action or proceeding, the object or effect of which shall or may be to impugn, attack or call in question the validity of the title hereby insured, the insured shall
promptly notify this company thereof in writing at its main office and forward to this company such paper or such notice, summons, processor pleading. Delay in giving
this notice and delay in forwarding such paper or such notice, summons, process or pleading shall not affect this company's liability if such failure has not prejudiced
and cannot in the future prejudice this company.
5. Payment of LOll
(a) This company will pay, in addition to the loss, all statutory costs and allowances imposed on the insured in litigation carried on bythiscompanyforthe insured under
the terms of this policy. This company shall not be liable for and will not pay the fees of any counselor attorney employed by the insured.
(b) In every case where claim is made for loss or damage this company (1) reserves the right to settle, at its own cost, any claim or suit which may involve liability under
this pOlicy, or (2) may terminate its liability hereunder by paying ortendering thefullamount of this policy, or (3) may, without conceding liability, demand a valuation of
the insured estate or interest, to be made by three arbitrators or any two of them, one to be chosen by the insured and one by this company, and the two thus chosen
selecting an umpire. Such valuation, less the amount of any incumbrances on said insured estate and interest not hereby insured against, shall be the extent of this
company's liability for such claim and no right of action shall accrue hereunder for the recovery thereof until thirty days after notice of such valuation shall have baen
served upon this company, and the insured shall have tendered a conveyance or assignment of the insured estate or interest to this company of its designee at
such valuation, diminished as aforesaid. The foregoing option to fix a valuation by arbitration shall not apply to a policy insuring a mortgage or leasehold interest.
The foregoing option to fix a valuation by arbitration shall not apply to a policy insuring a mortgage or leasehold interest.
(c) Liability to any coUateral holder of this policy shall not exceed the amount of the pecuniary interest of such collateral holder in the premises.
(d) All payments made by this company under this policy shall reduce the amount hereof pro tanto except (1) payments made for counsel fees and disbursements in
defending or prosecuting actions or proceedings in behalf of the insured and for statutory costs and allowances imposed on the insured in such actions and
'proceedings, and (2) if the insured is a mortgagee, payments made to satisfy or subordinate prior liens or incumbrances not set forth in Schedule B.
(e) When liability has been definitely fixed in accordance with the conditions of this policy, the loss or damage shall be payable within thirty days thereafter.
8. Co-Insul'llnce and Apportionment
(a) In the event that partial loss occurs after the insured makes an improvement subsequent to the date of this policy, and only in that event, the insured becomes a
co-insurer to the extent hereinafter set forth.
If the cost of the improvement exceeds twenty per centum of the amount of this policy, such proportion only of any partial loss established shall be borne by the
company as one hundred twenty per centum of the amount of this policy bears to the sum amount of this policy and the amount expended for the improvement. The
foregoing provisions shall not apply to costs and attorneys' fees incurred by the company in prosecuting or providing forthedefenseof actions or proceedings in behalf
of the insured pursuant to the terms of this policy orto costs imposed on the insured in such actions or proceeding, and shall apply only to that portion of losses which
exceed in the aggregate ten per cent of the face of the policy.
Provided, however, that the foregoing co-insurance provisions shall not apply to any loss arising outof a lien or incumbrance for a liquidated amount which existed on
the date of this policy and was not shown in Schedule B; and provided further, such co-insurance provisions shall not apply to any loss if, atthetime ofthe occurrence of
such loss, the then value of the premises, as so improved, does not exceed one hundred twenty per centum of the amount of this policy.
(bllfthe premises are divisible into separate, independent parcels, and a loss is established affecting one or more but not all of said parcels, the loss shall be computed
and settled on a pro rata basis as if this policy were divided pro rata as to value of said separate, independent parcels exclusive of improvements made subsequenttothe
date of this policy.
(c) Clauses "(a)" and "(b)" of this section apply to mortgage policies only after the insured shall have acquired the interest of the mortgagor.
(dl If, atthetime liability for any loss shall have been fixed pursuant to the conditions of this policy, the insured holds another policy of insurance covering the same loss
issued by another company, this company shall not be liabletothe insured for a greater proportion ofthelossthantheamountthatthis policy bearstothe whole amount
of insurance held by the insured, unless another method of apportioning the loss shall have been provided by agreement between thiscompany and the other insurer or
insurers.
7. Assignment of Policy
If the interest insured by this policy is that of a mortgagee, this policy may be assigned to and shall enuretothe benefit of successive assignees of the mortgage without
consent of this company or its endorsement of this policy. Provision is made in the rate manual of New York Board of Title Underwriters filed with the Superintendent of
Insurance of the State of New York on behalf of this and other member companies for continuation of liabilitytograntees of the insured in certain specific circumstances
only. In no circumstance provided for in this section shall this company be deemed to have insured the sufficiency of the form of the assignment or other instrument of
transfer or conveyance or to have assumed any liabflity for the sufficiency of any proceedings after the date of this policy.
8. Subrogation
(a) This company shall to the extent of any payment by it of loss under this pOlicy, be subrogated to all rights of the insured with respect thereto. The insured shall
execute such instruments as may be requested to transfer such rights to this company. The rights so transferred shall be subordinate to any remaining interest of the
insured.
(b) If the insured is a mortgagee, this company's right of subrogation shall not prevent the insured from releasing the personal liability of the obligor or guarantor or
from releasing a portion of the premises from the lien of the mortgage or from increasing or otherwise modifying the insured mortgage provided such acts do not affect
the validity or priority of the lien of the mortgage insured. However, the liability of this company under this policy shall in no event be increased by any such act of the
insured.
9. Misrepresentation
Any untrue statement made by the insured, with respect to any material fact or any suppression of or failure to disclose any material fact, or any untrue answer by the
insured, to material inquiries before the issuance of this policy, shall void this policy.
10. No Waiver of Conditions
This company may take any appropriate action under the terms of this policy whether or not it shall be liable hereunder and shall not thereby concede liability or waive
any provision of this policy.
11. Policy Entire Contract
All actions or proceedings against this company must be based on the provisions of this policy. Any other action or actions or rights of action that the insured may bring
against this company in respect of other services rendered in connection with the issuance of this pOlicy, shall bedeemedto have merged in and be restricted to its terms
and conditions.
12. Validation and Modification
This policy is valid only when duly signed by a validating officer or agent. Changes may be effected only by written endorsement. If the recording date of the instruments
creating the insured interest is later than the policy date, such policy shall also cover intervening liens or incumbrances, except real estate taxes, assessments, water
charges and sewer rents.
u.."lIFE TITLE INSURANCE Company of New York
New York State Offices
Albany County
90 State Street, Albany 12207
518472-9161
N....u County
170 Jericho Turnpike, Floral Park 11001
516354-8500 212347-2010
New York County
125 Maiden Lane, New York 10038
2127096400
Queens County
90-15 Sutphin Boulevard, Jamaica 11435
212739-4001
Rocldand County
20 South Main Street, New City 10956
914634-3612 212292-1528
Suffolk County
127 W. Main Street, Riverhead 11901
516727-4140 212962-1445
Westchester County
235 Main Street, White Plains 10601
914948-4040 212824-0404
Policy 21 (8183)
N.Y.B.T.U. Form No. 1000