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CONSULT YOUR LAWYER BEFORE SIGNING THIS ~NSTRUMENT- THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the J~ ~ day of Septe,mber, ~ , ~0.~, 2000
BETV~-EN ROBERT SIMEONE and ANN SIMEONE, both residing at 1360 South Harbor
Road, Southold, New York 11971
party ofthefirstpart, aed DOMINIQUE MAUGER, residing at 1230 Park Avenue, Apt.16B,
New York, New York 10128
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 in the SEE SCHEDULE "A" ATTACHED HERETO AND MADE A PART HEREOF BY
THIS REFERENCE
Being and intended to be the same Premises conveyed to the Grantor by deed
recorded in Liber 11913 page 572
TOGETHER with all right, title and interest, if any, ot 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 premises herein granted unto the party of the second part. the heirs or successors and assigns of the party of
the second part forever.
written.
IN PRESENCE OF:
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 a~ad 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 wora "party" ~hall 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
I~OBERT S IM~ONE ~
ANN SIMEONE
SCHEDULE A - DESCR][PTZON
ALL that certain plot, piece or parcel of land, situate, lying and being at Southold, County of Suffolk and State
of New York, bounded and described as follows:
BEG[NNING at a point on the westerly side of South Harbor Road, distant 1,423.26 feet southerly from the
corner formed by the Intersection of the southerly side of Main Road with the westerly side of South Harbor
Road;
RUNNING THENCE along the westerly side of South Harbor Road, south 09 degrees 38 minutes 50 seconds
east, 200.00 feet;
THENCE along land now or formerly of Wells, south 80 degrees 21 minutes 10 seconds west, 400.00 feet;
THENCE north 09 degrees 8 minutes 50 seconds west, 200.00 feet;
THENCE north 80 degrees 21 minutes 10 seconds east, 400.00 feet to the westerly side of South Harbor Road
and the point or place of BEGINNING.
1£074P ,243
State of New York )
)SS.:
County of Suffolk )
On the 15th day of September in the year 2000 before me, the
undersigned, a~otary Publi~ i~ and fu~ ~l~ stmt~, personally
appeared
ROBERT SIMEONE and ANN SIMEONE
Personally known to me or proved to me on the basis of
satisfactory evidence to be the individuals whose names are
subscribed to the within instrument and acknowledged to me that
they executed the same in their capacities, and that by their
signatures on the instrument the individuals, or the person upon
behalf of which the executed the instrument.
~LUBRANO
Oct. 21,
12074P ,243
Number of pages
TORRENS
Serial #
Certificate #
Prior Cfi. #
Deed / Mortgage Instrument
4
REAr. ESTATE
SEP 2 8 2000
Deed / Mortgage Tax Stamp
FEES
RECORDED
O0 SEP 28 AI"t I0:07
CLERK OF
SUFFOLK COUNTY
Recording / Filing Stamps
Page / Filing Fee
Handling
TP-584
Notation
EA-52 17 (County)
EA- I7 (State)
Comm. of Ed.
Affidavit
Certified Copy
Reg. Copy
Other
__ Sub Total
Real Property Tax Service Agency Verification
Dist. Section B lock
Lot
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec./Assit.
Or
Spec./Add.
TOT. MTG. TAX
Dual Town__ Dual County.__
Held for Apportionment
Transfer Tax ~ "~
Mansion Tax
The proper~y 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.
Community Preservation Fund
Consideration Amount $ o~ If/obj- 00
1000 075.00 07.00 001.002 CPF
Satisfactions/Discharges/Releases List Property Owners Mailing Addn
RECORD & RETURN TO:
J. Kevin McLaughlin, Esq.
44020C MiddleRd.-Box 1210
Southold, NY 11971
This page forms part of the attached
RECEIVED
$ 17oo .
SEP 2 8 2000
PRESERVATION
FUND
racant Land
rD
rD
8 ] Title Company Information
CO. Name l~'~'~O~f~/j~
Suffolk County Recording Endorsemem Page
Deed
(SPECIFY TYPE OF INSTRUMENT )
Robert Simeone & Ann Simeone
TO
Dominique Mauger
made by:
The premises herein is situated in
SUFFOLK COUNI~, NEW YORK.
In the Township of
In the VILLAGE
or HAMLET of
Southold
Southoid
BOXES 5 THRU 9 MUST BE TYPEDOR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING O1~ FI~,ING.
(OVER)
--I~-EA~-E~)R PRE~'~-N WRITING (~N FORM ..... ?- ....
,,INSTRUCTIONS: http://,www.orps.state.ny.us or PHONE (518) 473-7222. w,~.~,,~
FOR COUNTY USE ON~Y ·
PROPER~ INFORMATION ~
Location STREET NUMBER ~REET NAME
2. Buyer I M. auger
REAL PROPERTY TRANSFE~ REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES .
RP - 5217
RP-5217 Rev 3/97
I 11q71
VILLAGE
Dominique
ZiP CODE
FIRST NAME
,t
LAST NAME / COMPANY
Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
Adcl. ress
FIRST NAME
LAST NAME / COMPANY
STREET NUMBER AND S1~EET NAME
4. Indicate the number of Assessment
Roll parcels transferred on the deed I
CITY OR TOWN
, I I #of Parcels OR r~ Part ofaParcel
5. Deed
Property L 200 I x I 400 I OR I .... · , I
Size FRONT FEET DEPTH ACRES
6. Seller I .~L~E~O[[{~ I Robert
I
FIRST NAME
I STA E I ZIP CO E
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists
4B, Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
Name LAST NAME / COMPANY FIRST NAME
I Simeone I Ann
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 E[~
B ~_~ 2 or 3 Family Residential
C ~ Residential Vacant Land
D L~ Non-Residential Vacant Land
I SALE INFORMATION I
11. Sale Contract Data
Agricultural
Commercial
Apartment
Entertainment / Amusement
7 / 3o / oo I
Month Day Year
Check the boxes below aa they apply:
8. Ownership Type is Condominium []
i~COmmunitY sebdce 9' New COnstructiOn On Vacant Land t~l []
Industrial 10A. Property Located within an Agricultural District []
Public Service 10B. Buyer received a disclosure notice indicating l~
Forest that the property is in an Agricultural District
15. Check one or more of these conditions as applicable to transfer:
A Sale Between Relatives or Former Relatives
B Sale Between Related Companies or Partners in Business
C One of the Buyers is also a Seller
12. Date of Sale / Transfer I 9 / 15 [ 90~ I D Buyer or Seller is Government Agency or Lending Institution
Month Day Year
E Dead Type not Warranty or Bargain and Sale (Specify Below)
F Sale of Fractional or Less than Fee Interest (Specify Below)
~' G Significant Change in Property Between Taxable Status and Sale Dates
13. Full Sale Price I , , I ~---~1~ I ~1 C~l ""~1 0 I 0 [ H Sale of Business is lncluded in Sale Price
(Full Sale Price is the total amount paid for the property including personal property. [ Other Unusual Factors Affecting Sale Price (Specify Below)
This payment may be in the form of cash, other property or goods, or the assumption of J None
rnortgages or other obligations.) Please round to the naarest whole dol/~ffunt.
14. Indicate the value of personal [ I ~ ~ ~ ~ ~ x'"l'/0
property included in the sale ? ~ ·
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from I~/' ,~I t?. Total Assessed Value (of ,11 parcels in transfer) I .5. /~, 0, 0 I
which information taken
,.. ,roperty Class , 2, 11 q-L.J 19. Scbeof District Name '
a
20. Tax Map Identifier(a) / Roll Ideot~er(al Iff more than four, ~a~ she~ wifh additional identifier{s))
District: 1000
[ Block= 07.00 j [ Lot:O01,O02
I CERTIFICATION I
Section: 075.00
I certify that all of the items of information entered on this form are true and correct (to the best of my knowledge and bdfeO 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 instrument~
BUYER
i 9/Z5/O0
DATE
1360 I South liarbor Road
STREET NUMBER STREET NAME (AFTER SALE)
Souchold I NY I 11971
CII~ OR TOWN STATE ZIp COqE
SELLER
SELLER SIGNATURE ' D~,TE
BUYER'S ATrORNEY
McLaughltn I J. Kevtn
LAST NAME FIRST NAME
(631) I 765-6085
AREA CODE ~LEPHONE NUMBER
ICITY~OWN ASSESSOR
COPY