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"'''Ill HIIIl7 1{)~81]M - Ilatg<lin and Sale Iked with Covenant again.lt Grantor's ACl _ hid. or Corp.
(;QNSIII.l' VOLIN I,AWYEM snORE SI(;NIN<; THIS INSTRlJMt;NT _ HilS INSTRlJMt:NT SlIOIIL)) 81': IISt;O BY I.AWn:RS ON!.\'.
~70
/ - d-./
Two Thousand
day of February , ,lint".'" 1ltlnlilre4...1t&
~_ -1f /r1~~( &-f-Q,uoqiLR./J.j
Kevin A. Rambold, Esq., Court Appointed Guardian for Julianne
Shiels (Suffolk County Supreme Court Index Number 98-26471,
Judgment and Order of Hon. H. Patrick Leis, III, J.S.C., dated
February 23, 1999) as residuary devisee under the Last Will and
Testament of Mary M. Shiels (deceased) (Suffolk County Surrogate's
Court File No. 771P1980)
party of the first part, and
THIS INDENTURE, made the 24th
BETWt:EN
ulianne Shiels, C/O Kevin A. Rambold, Esq. Court Appointed
uardian for Julianne Shiels (Suffolk County Supreme Court Index
umber 98-26471, Judgment and Order of Hon. Patrick Leis, III,
.S.C., dated February 23, 1999). ~
l? o. 1'1 /IY7~ Sf
&.of Ouotjl.l.L, ~j
"
party of the second part,
WITNESSETH, that the party of the first part, in consideration of
Ten and 00/100
dollars,
lawful money of the United States,
paid
by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or suc-
cessors 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 legal description annexed hereto.
S-4192
. "."."""""",
DESCRIPTION
ALL THAT certain plot, piece or parcel of land situate, lying and being at Bay View,
near Southold, in the Town of Southold, County of Suffolk and State of New York, being
known and designated as Lots No.8, 9, 10, 11, and 12 on a certain map entitled, "Map of
Goose Neck, situate at Bayview, Town of Southold, Suffolk County, N.Y., owned by
G.W. Smith & Sons", made by Otto W. Van Tuyl, Licensed Surveyor, Greenport, N.Y.,
and filed in the Suffolk County Clerk's Office on November 22, 1948 as and by File No.
1663.
..-
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 premise 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 o.r 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 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.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF:
50.. ~O '""-
/
..V1n A. Ram 0 ,Esq.
Guardian
.LGU~tlb~~V II ....._ ''-'O(I(
STATE 0 F I<--''-''-<-J T t'
COUNTY OF
(JASf ~
)
; 5S.:
)
On the ;)Ljyl) day of fe h''-L4~ <--I in the year , before me, the
undersigned, l'l--I'lQ.t-<<ry public iR ana fElr said CratE, personally appeared
/L e vinll."2n r--,bolJ.. ?S"t. , 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 individua/(s), or the person onbeh6if
of which the individua/(s) acted, executed the instrument. \
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[..----.cora fJrirro --,
~btaryPucac, State cfc'1f:,,!~rR.1
SlIffo[f( COUll I} 4)"'~o,,8
Ca1T'.,mi.ssion 4,pircs June 10/ - J
y
. ,
12027pC220
11- 2
.
32469
TORRENS
~
~
":S
RE&EIVEO
$-
REA ESTATE
MAR 1 0 2000
TRANSFER TAX
SUFFOLK
COUNTY
lIe~611ff{o
OOHAt 10 AHII:
EDWARD F' f\ "., . 35
SUFrbErifr of'IAINE
Ll1COUNTY
Number of pages
Serial #
Certiflcatc #
Prior Ctf. /I
Dccd / Mortgagc Instrumcnt
Dced / Mortgage Tax Stamp
Recording / Filing Stamp",
4
FEES
Page / Filing Fec
-4-
/-
S
Mortgage AmI.
"
Handling
TP-584
I. Basic Tax
2. Additional Tax
Notation
R.P.T.S.A.
s
'J-../
0')
/5" _
Sub Total
EA-52 17 (County)
Sub Total
0~ .;
Spec.! Assit
Or
Spec. / Add.
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment ~
Transfer Tax
EA- 5217 (State)
Comm. of Ed.
50~
Affidavit
Sub Total
uS
1'11
bY/
Mansion Tax
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES orNO
If NO, see appropriate tax clause on page /I
of this instrument.
Certified Copy
Reg. Copy
Other
GRAND TOTAL
Real Property Tax Service Agency Verification
Dist Section Block
Lot
6 Community Preservation Fund
Consideration Amount $ 0
1000
076.00
01.00
21.000
CPF Tax Due
$0
REC~O I roved X
$
- V cant Land
at is factions/Discharges/Releases List Property Owners Mailing Addres MAR 1 0 2000 / V 0 {/
RECORD & RETURN TO:
Kevin A. Rarnbold, Esq.
472 Montauk Highway
P.O. Box 1433
East Quogue, NY 11942
COMMUNITY
PRE3ERV AnON
FUND
T-
9
8 Title Company Information
Co. Name South Bay Abstract
Title # S-4192
Suffolk Count Recordin & Endorsement Pa e
lbis page fomlS part of the attached
Deed
made by:
(SPECIFY TYPE OF INSTRUMENr )
Kevin A
Guardian
Ramholn
.
R;;q
The premises herein is situated in
- >SUFFOLK COUN1Y, NEW YORK.
TO
In the Township of Southold
In the VILLAGE
or HAMLET of
J ul.i.auul:: Sl.l..i.l::l~ 1..;/ U
Kevin A. Rarnbold, Esq.,
GUdLdlan
')6udh61 ~_
BOXES 5 TIIRU 9 MUST BE TYPED OR PRINrED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
.
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP.S217Rel'31'J7
f
1. Property 1
Location
395
Smith Drive North
STREETN~ijER
SoutllDld
STREET NAME
CITY OR TOWN
VilLAGE
ZIP CODE
2. Buyer
Name
Shiels
Julianne
LAST NAME f COMPANY
FIRST NAME
LAST NAME ;'COMPANY _./
3. Tax Indicate where flftura TaX Bills are to be sent
Billing if other than buyer address (at bottom of form)
Address
FIRST NAME
I Rambold
LAST NAME I COMPANY
IKevin
FIRST NAME
I P _ 0 _ Rox 1 433
STREET NUMBER AND STREET NAME
I F.~~t- ~n()qllP,
CITY OR WN
IN , V I
STATE
11942
ZIP CODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
5. Deed
Property
Size
FRONT FEET
Ixl
'ACRES'
.
IOnly if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists
48. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
o
o
o
1
# of Parcels OR D Part of a Parcel
Dm"
I OR I
2 5
6. Sener
Name
Rambold
LAST NAME I COMPANY
J{~uin
FIRST NAME
C, --If'.\.. 1 d.)('
lAST NAME I 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
D Non-Residential Vacant land
E ~ Age;"",,al
F Commercial
G Apartment
H Entertainment I Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
o
o
o
o
10A. Property located within an Agricultural District
108. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
11. Sale Contract Date
n/i3f /
Month Day Year
02 / 24 / 00
Month Day Year
15. Check one or more of these conditions as applicable to transfer:
12. Date of Sale I Transfer
A
B
C
D
E
F
G
H
I
J
Sale Between Relatives or Former Relatives
Sale Between 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)
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
000000
13. Full Sale Price I I I 0 I 0 I
, , .
(Full Sale Price is the total amount paid for the property 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. 'nd'.... '!'ovolu. of penono' 1 , , , '0 I) 0 <) 0 <) , 0 , 0 I
property Included in the sale, , .
-----------
16. Year of Assessment Roll from I 9 9
which infonnation taken '
18. Property Class
I
"
,JI-U
19. School District Name I
7~
; , , ;
\' / -;2/
6 0
;
o 0
. ,
01
17. Total Assessed Value (of all parcels in transfer) I
t, ,Ii
20. Tax Map ldentifier(s)I Rollldentifier(s) IIf more than four. attach sheet with additional identifi~~
1000-076TOOO~01.DO 021.00.
,......
I certify that all of the items of infonna~ ~ .ll./..,.'are true and correct (to the _ of my knowledge and belief) and I understand that the making
of any willtuI faIse sta~t of material fact herein. Will slJ.bject me to the provisions of the oenaI law relative to the making and filing of false instruments.
~ I "^- :h .y~E^-:::v. ~ BUYER'S ATTORNEV
/~~ VA"" L \
l../) )\\~ Rambold Kevin
JlfIT~lffI~E Shiel s by DATE , lAST NAME FIRST NAME
Kevin A. Ramb&ld, Esq., Guardian
I
STREET NUMBER STREET NAME (AFTER SALE)
P.O. Box 1433, E. Quogue, NY 1t942
631
653-4008
AREA CODE
TELEPHONE NUMBER
ZIP CODE
SELLER
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