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CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
TH~ INDENTURE, madeon November g, 2000
BETN~T~':N
MATTHEW CAPPABIANCA, residing at
Avenue, Staten Island, NY 10309
368 Bo~combe
party of the fir~ part. and
T.OIS S. AMEND, residing at 66 Milton Road,
Apt. E-21, Rye, NY 10580
party of the second part,
WITNESSETH, that the party of the firs
paid by the party of the second part,
or successors and assigns of the part
ALL that certain plo~, piece
lying and being in the
See Schedule
!onsideration of Ten Dollars and other valuable consideration
and release unto the party of the second part, the heirs
forever,
the buildings and improvements thereon erected, situate,
'A
BEING the same preMi~ :onveyed to the grantor herein
by deed dated Auc 2000 and recorded in the Suffolk
County clerk's .O~i~August 30, 2000, in Liber 12067
Page 82 .... ..~
BEING the samp premises more commonly known as 265 Highwood,
Road, Southold, New YOrk 11971, and by Dist. 1000, Sect.
078.00, Block 09.00, Lot 052.000 on the Suffolk County
Tax Map.
TOGETHER with all right, title and interest, if any. oi the party of the firatpart .in and to any streets and
roads abutting the above described premises to the ~anter 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.
AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby
the amd premises have been encumber'ed in any way whatever, except as aforesaid.
AND the party of the first ~part, in compliance with Section 13 of the Lien' I~w, 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" ~hall be construed as if it read "parties" whenever the ~¢Asc of th~$~ndenture so requires.
IN WITNF~S WHEREOF, the part), of the first part has dun execp(ed this d~d/fhe day and year first above
written.
:, MAT~/dAPPAB TANCA
AQUEBOGUE ABSTRACT CORP.
SCHEDULE A
TITLE NO: 632-S-6794
All that certain plot piece or parcel of land, situate, lying and being in the Town of
SOUTHOLD, at SOUTHOLD, County of Suffolk and State of New York, being known as
lot no. 4 on a certain map entitled, "MAP OF HIGHWOOD AT BAYVIEW" filed in the
Office of the Clerk of the County of Suffolk on 1/30/70 as map no. 5547, said lot being
bounded and described as follows:
BEGINNING at a point on the easterly side of Highwood Road, said point being distant
177.74 feet southerly from the comer formed by the intersection of the southerly side of
North Bayview Road and the easterly side of Highwood Road; THENCE from said point
of beginning south 66 degrees 17 .minutes 00 seconds east, 124.85 feet to a point;
THENCE south 25 degrees 19 minutes 50 seconds west, 170.07 feet to a point; THENCE
north 66 degrees 17 minutes 00 seconds west, 120.06 feet to the easterly side of Highwood
Road; THENCE along the easterly side of Highwood Road, north 23 degrees 43 minutes
00 seconds east, 170.00 feet to the point or place of BEGINNING.
Number of pages
TORRENS
Serial #
Certificate #
Prior Ctfi #
Deed / Mortgage Instrument
"l
Page / Filing Fee
Itandling
TP-584
/3.
500
RECEIVEO
$ ..
REAl ESTATE--
NOV 1 6 2000
TRANSFER TAX
COUNTY
Deed / Mortgage Tax Stamp
FEES
Notation
EA-52 17 (County)
EA-5217 (State)
ILP. T.S.A.
Comm. of Ed.
Affidavit
Reg. Copy
Other
__ Sub Total
;
-- SubTotal
--
GRAND TOTAL
Real Property Tax Service Agency Verification
Dist../Section B lock Lot
~ oo oq. ~vS~.ooo
Satisfactions/Discharges/Releases List Property Owners Mailing Addres
RECORD & RETURN TO:
Suffolk C(
3his page fom~s part of the attached
TO
001~0~ 16 ~12:03
SUFFOL~q COUNTY
Recording / Filing Stamps
Mortgage Amt.
I. 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 property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES or N 0
If NO, see appropriate tax clause on page #
__ of this instrument.
Community Preservation Fund
Consideration Amount $,~2~., pf~.~
CPF Tax DUe
aEcEivra:~
NOV 1 6 2000
Land
FL;ND
Title Company Information
Co. Name
Title #
& Endorsement Pa :e
made by:
(SPECIFY TYPE OF INSTRUMENT )
]he premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the Township of
In the VILLAGE
or HAMLET of
BOXES 5 Tt tRU 9 MUST BE TYPED OR PRINTED 1N BLACK INK ONLY PRIOR TO RECORDING OR FILING.
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.stat,e.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
SWIS
Code
MFth Day Year
PROPER~ INFORMATION
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP -5217
RP-5217 Rev 3/97
VILLAGE ZIp CODE
I
LAST NAME / COMPANY FIRST NAME
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address/at bottom of form) I I
Address LAST NAME / COMPANY FIRST NAME
4, Indicate the number of Assessment~ ~ J~ (Only fi Part of a Parcell Check as they apply:
Roll parcels transferred on the deed I ,~' I #of Parcels ORI I
4A.
Planning
Board
wfth
Subdivision
Authority
Exists
5. Deed
Property [ JXl IOBI , , ,
Size FRONT FEET DE TM ACRES
6. Seller [ T:E,,C~O~A~,~O.~_/(/*~/'z-'''~--~'-
Name LAS , ~.. ~.
4B, Subdivision Approval was Required for Transfer []
4(;, Parcel Approved for Subdivision with Map Provided []
I
Par[ of a Parcel
LAST NAME / COMPANY FIRST NAME
7. Check the box below which most accurately describes the use of the property at the time of sale:
One Family Residential
Non-Residential Vacant Land
SALE INFORMATION I
11. Sale Contract Date
12. Date of Sale / Transfer
13. Full Sale Price
Agricultural I [] Community Service
Commercial .1 I ~ Industrial
Apartment KI I Public Service
Entertainment / Amusement L[] Forest
Che~k the boxes below as they apply:
8. Ownership Type is Condominium []
g. New Construction on Vacant Land []
10A, Property Located within an Agricultural District []
10B, Buyer received a disclosure notice indicating []
that the property is in an Agricultural District
15. Check one or more of these conditions as applicable to transfer:
I / / I A
Month Day Year B
Month Day Year E
G
, , ,0,01 H
I
J
Sale Between Relatives or Former Relatives
Sale Beb~veen Related Companies or Partners in Business
One of the Buyers is also a Salter
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Safe of Fractional or Less than Fee Interest (Specify Below)
IFull 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. Indicate the value of personal I I I I I I lO I 0 I 0 I
property included in the sale ~ ~ ·
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. YearwhichOf Assessmentinformation takenR°B from i~/~*¢ i 17, Total Assessed Value (OF all parcels in transfer) I
18. Property Class I , ' I'~ 19. School District Name I
20. Tax Map Identifier(s) / Roll Identifier(s) Iff more than four, attach sheet with additional identifier(s))
I I
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
I I L
CER ,F,CAT,ON I
certify that all of the itemq of informatio~ entered on this form are true and correct (to the I~st of my knowledge and heEel~ and I understand that the mal~g
of any willthl 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 BUYER'S ATrORNEY
CITY bE TOWN STATE ZIp CODE
SELLER
' BUYER SIGNATURE DATE
STREET NUMBER STREET NAME (AFTER SALEI
flTY/TOWN ASSESSOR~
COPY
( CA E A !g ' L PH NE NUM.ER