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L 12059 P 605
Tax Map De$ig,ation Dist. 1000 Sec. 063.00 06.00 003.000 NY 005 - Bargain and Sale I~eed with Covenant against Grantor's Acts Individual or Coq~oration (Single Sheet) (NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made thc fo/ day of July , in the year 2000' BETWEEN WILLIAM F. QUIRK, JR., residing at 3423 Stocton Dr., Florence, SC 29501 and JOHN CZARTOSIESKI, residing at 51680 Main Road, Southold, NY 11971, as partners. party of the first part, and RONALD NOLLET and ADRIANA NOLLET, residing at 74 Blydenburg Rd., Centereach, NY 11720 party of the second pa[t, 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 thc party of the second part forever, ALL ~atccrt~nplot, pieceorp~celoflaad, withthebuildings ~dimpmvemen~t~monerect~.sim~e, lying ~d ~inginHe SEE SCHEDULE'A'ATTACHED HERETO AND MADE A PART HEREOF The grantors herein are the same persons as the grantees in Deed dated 1/2/95 recorded 4/28/95 in Liber 11723 cp 446 made by William F. Quirk, Jr. TOGETHER with all right, title and interest, if any. of the party of the first part of, ia 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 thc 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 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. Thc 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: WILLIAM F. QUIRK, JR~/ JO~CZARTO~IESKT USE ACI6VOWLEDGMENT FORM BELOW WITIIIN NEW YORK STATE ONLY: State of New York, County of Suffolk }ss.: On the .~day of July th thc year 2000 belbre me, the undersigned, personally appeared John Czartosieski , personally known to me or proved to me on the basis of satisfactory evidence to be thc thdividual(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(its), and that by his/her/their signature(s) on thc mstrmncnt, thc individual(s), or thc person upon bc)~n"~' which thc individual(s) amc& executed the instrumem. ~otary Public j ._~c tr~r~/~Z[[ 71 KENNETH B, ZAHLER 7] Nota~ ?uMic, State of New Yor~ Suffolk Counb} - Ne. 01ZA4517618 Term E~pims Fel)r.~p/28, 2001 ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONLY: [New York Subsctibing Witness Ac~mwledgment Certificate} Slate o£ New York, Connty of } ss.: On thc day of in the year belbre me, the undersigned, personally appeared the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who. being by me duly sworo, did depose and say that he/she/they reside(s) iQ ( ~fllhe place of residence is in a city include lhe street and street nutnber, if any, there¢~; that he/she/they know(s) to be thc individual &scribed in and who executed thc foregoing instrument; that said subscribing witness was pm~nt and saw said execute the same; and that said witness at the same time subs:ribed his/her/their name(s) as a witness thereto. USE ACKNOWLEDGMENT FORM BELOW WITHIN N~ YORK STA Tt~ ONLY: State of New York, County of } ss.: On the day of in the year before me, the undersigned, personally appeared 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 ac'knowledged to me that he/she/they executed the same in his/her/their capacity(les), and that by his/her/their signature(s) on the instmmant, the individual(s): or the person upon behalf of which the individual(s) acted, executed the instrument. Suffolk ACKNOWLEDGMENT Fatal FOR USE OUTSIDE NEW YOIOr STATE ONLE. [Out of State or Fol eign General Acknowledgment Certificate] .SO!2TH.CAROLINA ................................ } ss.: (Complete Venue with State, Country. Province or Municipality) JJda of On the y July in the year 2000 before me, the undersigned, personally appeared William F. Quirk, Jr. , personally known to me or proved iQ me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (am) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(les), that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument, and that such individual ~nade such appearance belbre the undersigned in the / (Itulart the city or other political subdivisiotland the state or country or !/ Oplace Notary Public My Commission Expires February 25, 2004 TITLE NO. BARGAIN & SALE DEED WiTH COVENANTS AGAINST GRANTOR'S ACTS CZARTOSIESKI AND QUIRK TO NOLLET DISTRICT SECTION BLOCK LOT COUNTY OR TOWN RECORDED AT REQUEST OF Fidelity National Title Insurance Company of New York RETURN BY MAIL TO FIDELITY NATIONAL TITLE INSURANCE OCOMPANY OF NEW YORK ~/~,,¥,~./~ //,, Fidelity JAMES REYNOLDS, ESQ. P. ©. BOX 11177 Hauppauge, NY 11788 120597 605 AQUEBOGUE ABSTRACT CORP. SCHEDULE A TITLE NO: 632-S-6658 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 bounded and described as follows: BEGINNING at a point on the easterly side of Main Road (State Road) which point marks that sonthwest corner of the premises herein described and the northwest comer of land now or formerly of Mitchell, formerly of Vail; THENCE from said point of beginning, along the easterly side of Main Road, (State Road) north 16 degrees 04 minutes 30 seconds east, 99.00 feet; THENCE along the southerly side of land now or formerly of Quirk, south 74 degrees 50 minutes 00 seconds east, 330.00 feet; THENCE along land now or formerly of The Union Free School District, no. 5, south 16 degrees 04 minutes 30 seconds west, 99.00 feet; THENCE along the northerly side of land now or formerly of Mitchell, north 74 degrees 50 minutes 00 seconds west, 330.00 feet to the easterly side of Main Road, the point or place of BEGINNING. ~ 12059PC605 Number of pages TORRENS Serial # Certificate # Prior Ctfi # Deed/Mortgage Instrument 41 Page / Filing Fee ttandling TP-584 FEES Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed. Affidavit ' Certified Copy ~/ Reg. Copy Other 500 Sub Total GRAND TOTAL ,5 Real Property Tax Service Agency Verification Dist. Section B lock Lot Satisfactions/Discharges/Releases List Property Owners Mailin RECORD & RETURN TO: Co. Name Title # 9 Suffolk Recordin RECORDED 00JUL3I PR 3:01 S L. EF, K OF UFFOLK COUNTy Recording / Filing Stamps Mortgage Amt. l. 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 orNO If NO, see appropriate tax clause on page # of this instrument. Conununity Preservation Fund Consideration Amount $o~,5,"~O -- CPF Tax Due REGEIVED JUL 5 1 2000 CO%r:~.?,UNiTY PR~,.-.ERVATION ::UND Title Company & Endorsement Pa Improved lacant Land 'Ibis page fom~s part of the attached TO ./~7,x, (SPECIFY TYPE OF INSTRUMEWF ) The premises herein is situated in s o= In the Township of ¥~ TflJq':l(i In the VILLAGE made by: or HAMLET of BOXES 5 THRU 9 MUST BE TYPED OR PR1NFED 1N BLACK INK ONLY PRIOR TO RECORDING ORI[ILING. {OV~RI FOR COUNTY USE ONLY I ~ Cl. SWlS Code Month Day Y~ ' PROPERTY INFORMATION ~ ~. Propen~ 51680 1~ I Main Rd. Locat On SI~E~T NUMBER STREET NAME PLEASE TYPE OR PRESS FIRMLY,WHEN WRITING ON FORM INSTRUCTIONS: http://www.orps.state,ny.us or PHONE (518) 473-7222 .EA P.oP . SFE...ORT STATE OF NEW VORK STATE BOARD OF REAL PROPERTY SERVICES RP -5217 RP-5217 Rev 3~97 2. Buyer Name I Southold [ Southold ,~ ] 11~71 I I Nollec I Ronald I Nollet I Adr iana LAST NAME / COMPANY Indicate where future Tax Bills are to be sent if other than buyer address (at boLfom of form) LAST NAME / COMPANY FIRST NAME I STREET NUM~E~ ANO ~EET NAME I e,~ORTOWN ZIP CODE 4. Indicate the number of Assessment Roll parcels transferred on the deed I 5. Deed PropertyI Ix L Size FRONT FEET 6. Seller I Oairk. Jr. I Czar tosieski , ,, J # of Parcels OR I I Part of a Parcel DEPTH IACRESI (Only if Part of a Purcell Cheek as they apply: 4A. Planning Board with Subdivision Authority Exists ' [] 4B. Subdivision Approval was Required for Transfer [] 4(:. Parcel Approved for Subdivision with Map Provided [] W~ll~am FIRST NAME John LAST NAME / COMPANY EIRST NAME 7. Check the box below which most accurately describes the use of the property at the time of sale: ' ~ Cheek the boxes below as they apply: 8. Ownership Type is Condominium A[~] One Family Residential ~ J~ 2 or 3 Family Residential C ~.~ Residential Vacant Land DE_J Non-Residential Vacant Land I SALE INFORMATION I ' 11. Sale Contract Date F ~.~ Commercial Industrial G~_..~ Apartment Public Service HI I Entertainment/Amusement Forest I 6 / ~3 /oo I Month Day Year 12. Date of Sale ! Transfer I 7 / )~/ 0o I Month Day Year 13. Full Sale Price I I , , 2 4 5 0 0 0 , (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 obligstions,) P/ease round to the nearest whole dollar amount. 14.1ndicate the value of personal I , , , , , , , 0 , 0 I property included in the sale ~ ~ · 9. New Construction on Vacant Land 10A. Properb/Located within an Agricultural District 10B. Buyer received a disclosure notice indicating that the property is in an Agricultural District 15. Cheek one or more of these conditions as applicable to trans~w: A B C D E F G H 1 j' Sale Se~veen Relatives or Former Relatives Sale Bet~veen 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 (Specifi/-B~io~v) Sale of Fractional or Less than Fee Interest (Specify Below) ~ Significant Change in Proper[y BeWveen Taxable Status and Sale Date~ Sale of Business is Included in Sale Price Other Unusual Factors Affecting Sale Price (Specify Below) None I AS~SESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Sill 16. Year of Assessment Roll from which information taken 18. Property Class I , , I-LJ 19. School District Name I 20. ~ax Map Identlfier(sl / Rog Identifier(s~~ (ff more than four, attach sheet with ~kiitional identifier(s)) 1000-063.00-06.00-003.000 J I ,%, /.().O [ J I I I CERTIFICATION I I certify that all of the items of information entered on this form are true and correct (to the best of my knowledge and be~eD and I understand that I~e making of any willful false statement of material fact herein will subject me to the provisions of the penal law relative Io the making and filing of false instrmnents. BUYER ~IGNATURE 5l¢ 5 c BUYER DATE STREET NUMBER STREET NAME {AFTER SALE) CI3~ OR OW ZIp CODE BUYER'S A'I-rORNEY AREA CODE TELEPHONE NUMBER ICITY/TOWN ASSESSOR~ COPY