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:CONSUl T YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
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THIS INDENTURE, made the Cf'J day of
BETWEEN
CHARLES R. THOMAS
residing at 15 Locust Avenue, South Farmingda1e, NY 11735
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November
,2000
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perty of the first part, l!Ind .'
RICHARD SUNER THOMAS and MARIANNE GREGORY ,THOMAS , HIS WIFE
AS TENANTS BY THE ENTIRETY
residing at 154 Indian Rock Road, New Canaan, Connecticut 06840
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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 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, ,
ALL that certain plot, ,piece or parcel of land, with the buildings and improvements thereon erected, situate,
lying and being in the
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SEESCHEDULE.A
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Lot 37
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TOGETHER with all right; title a~d 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 end 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. ' . ' , ' ,
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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 th~ conslderatloh .for this conveyance and will hold the right to receive such consideration"
as a trust fund to be applled,first for'lhe 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.
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IN WITNESS WHEREOF, the party:~f^tp.C\/irst part has duly executed this deed the day and year first above
written. WJ~9L,\ b'I..:i:':'. r';I-'._" .,:\..' , . .
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IN PRESENCE OF: .
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CHARLES R. THOMAS
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Standard N.Y.B.T.U. Form 8004 - Quitclaim Deed - Uniform Acknowledgment Cslngle sheet)
Form 2218
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SCHEDULE A
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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, known and designated as Lot No. 20 on a certain map
entitled, "Map of West Creek Estates, at Southold, Suffolk
County, New York," owned and.developed by Ernest and Harold
Wilsberg, Mattituck, New York, area 33.2 acres Otto W. Van Tuyl &
Sons, Licensed Land Surveyors, filed in the Suffolk County
Clerk's office on August 19, 1963 as map #3848.
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TOGETHER with an easement and right of ingress and egress over
any roads described in said filed Map to and from Main Bay View
Road. Said easement and right to be subject to the right of the
parties of the first part, their heirs and assigns, to dedicate
the lands included therein to the Town of Southold as a public
highway, which right of dedication is hereby reserved. Upon such
dedication the easement and right hereby granted shall terminate.
SUBJECT to the right of ingress and egress granted, or that may
hereafter be granted, to other owners of numbered lots on said
Map and others to whom the same may be granted over the roads and
extensions on said Map.
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SUBJECT to covenants, restrictions, easements, reservations and
agreements of record.
SUBJECT to any state of facts an accurate survey may show.
Being the same premises conve~ed to the party of the first
part by deed dated October 24 h, 1966 and recorded in the Suffolk
County Clerk's Office in Liber 6058, Page 53.
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Premises also known as 2000 Glenn Road, Southold, New York,
11971.
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Number of pages
TORRENS
Serial #
Certificate #
Pi-ior Ctf. #
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
FEES
4
Page / Filing Fee
1c9
,5"
:=s
-
Handling
TP-584
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'Notation
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Sub Total
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EA-52 17 (County)
EA-5217 (State)
-
R.P.T.S.A.
Comm. of Ed.
5~
Affidavit
Certified Copy
Reg. Copy
Sub Total
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,
,
,
Other
GRAND TOTAL
Real Property Tax Service Agency Verification
Dist. Section Block
Lot
OtJtJ
() ? J>: OtJ tl;}-,OO
03?, av CPF Tax Due
$
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ecordin & Endorsement Pa e
7Jeec/
(SPECIFY TYPE OF INSTRUMENT)
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7
Satisfactions/Discharges/Releases List Property Owners Mailing Addres
RECORD & RETURN TO:
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Suffolk Count
Title #
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This page forms part of the attached
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RECORDED
2001 Feb 16 02:20:51 PM
Edw~rd P.Rom~ine
CLEW OF
SUFFOLK COUNTY
L 000012102
P 995
Dn 00-27033
Recording / Filing Stamps
Mortgage Amt.
I. Basic Tax
2. Additional Tax
Sub Total
Spec.lAssit.
Or
Spec. / Add,
TOT. MTG, TAX
Dual Town Dual County
Held for Apportionment
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Transfer Tax
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 #
of this instrument.
6 Community Preservation Fund
Consideration Amount $
Improve
Vacant Land
TD
TD
TD
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7
Title Company Information
made by:
The premises herein is situated in
SUFFOLKCOUNIY,~~ _ ,
In the Township of Q.,"~
In the VILLAGE
or HAMLET of
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BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
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IIIIIIIIIIIIIIIIIIIIIIIIIIIII~IIIIIIIIIIIIIIIIIIIIIIII
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 4
TRANSFER TAX NUMBER: 00-27033
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Recorded:
At:
LIBER:
PAGE:
02/16/2001
02:20:51 PM
D00012102
995
District:
1000
Section: Block:
078.00 02.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Lot:
037.000
Deed Amount:
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $12 . 00 NO Handling $5.00 NO
COE $5.00 NO EA-CTY $5.00 NO
EA-STATE $25.00 NO TP-584 $5.00 NO
Cert.Copies $0.00 NO RPT $15.00 NO
SCTM $0.00 NO Transfer tax $0.00 NO
-.
, Comm.Pres $0.00 NO
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Fees Paid $72.00
TRANSFER TAX NUMBER: 00-27033
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
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REAL PROPERTY TRANSFElR REPORT
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STATE OF NEW YORK :
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STATE BOARD 0l' REALPRdPI;RTt SEIlVH:l;S
RP - 521~
RP-5217 Rev 3IIJ7
1. Property I
Location
2..000
STREET NUMBER
6Lf::- t\J /oJ
STREET NAME
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2. Buyer
Name
,
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<<)(11),1-10 LD
CITY OR TOWN
I\IAS
,
1'71 IrlS
SouTH oLD
VillAGE
WI?I
ZIP CODE
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3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
Address
LAST NAME I COMPANY
FIRST NAME
STREET NUMBER AND STREET NAME
CITY OR TOWN
ST~TE
ZIPCOl?E
5. Deed
Property
Size
FRONT FEET
Ixl
OEPTH
lOR I
'ACRES'
.631
(Only if Part of a Parcel) Chetk as they apply:
4A. Planning Board with Subdivision- Aut/;lority E~J!its
48. Subdivision Approval was Required for TranSfer
4C" Parcel Approved for Subdivision with Map Provided
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4. Indicate the number of Assessment
Roll parcels transferred on the deed
10. 0. I
# of Parcels
OR D
Part of a Parcel
6. Seller
Name
LAST NAME I COMPANY
FIRST NAME
LAST NAME I COMPANY
FIRST NAME
A~one Family Residential
B. 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Vacant Land
;~
Agricultural I ~
Commercial J
Apartment K
~ntertainment I Amusement L
Community Service
Industrial
Public Service
Forest
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
D
D
D
D
1. Check the box below which ,most accurately describes the uS8lof the property at the time of sale:
10A. Property Located within an Agricultural Di~Dct
108. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
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!lff~'t1ON
11. Sale CoiW8Ct Date
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Year
1
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C
D
E
F
G
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eck one or more of these conditions as applicable, transfer:
Sale Betweel\. RelatiWes Qr Former Relatives
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Sale Between Related Companies or PartnerS in !Business
One of the Buyers is also a SeUer
Buyer or Seller is Government Agency or Lendi'lg Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Less than Fee Interest (Spedify 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
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12. Date of Sale I Transfer
,
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Month
01/ 0/)1
Day Year
13. Full Sale Price
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I I 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.
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14. Indicate t~e value of personal I, I ~ 0 ~ 0 I 0 I
property Included in the sale, , .
l~I~~tl~/IN~ .'~~1lt1<!li0ClIh,~"'1I8~1\\lillisiIiitl>l,l!0Il;foll~lU:llall ;)
;g- -31
16. Year of Assessment Roll from .
hi h 'nl .. tak I Q, 01 17. Total Assessed Value lof all.parcels In transfer) I
WClormauonen , "
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DEL i)
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18. Property Class
dU-LJ
19. School District Name I
20. Tax Map Identifierls) I Rollldentifier{sl (If more than four, attach sheet with additional identifierlsll
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I certify that aU of the items of information entered on thiI fonn are true and correct (to the best of my knowledge and belief) and I understand ~at the making
of~ y willful false stateme t of material fact herein will subject me to the provisions of the oenailaw relative to the making and filing of false instiruments.
BUYER
BUYER'S ATTORNEY
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LAST NA E
FIRST NAME
AREACOOE
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TELEPHONE NUMBER
STREE!-2M
INt>IAN RoU< RD.
STREET NAME (AFTER SALE)
Sib
N~W CANAAN
CT
STATE
OhBifD
ZIP CODE
CITY OR TOWN
crryrrowN ASSESSOR
COPY
SELLER
{fillL C q. ~ 12 ,c !"~ff/(J
cmtllt~~''f. Thomas "
DATE