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NY DOS . Barpln lAd Sale Deed with CO..lWIlapiDsI 0........ Aclsladividaal or CoqIoralion (SIn'" Sb<eI) OOBTU 8002)
co''\ISVLT YOUR LAWYER BEFORI! SIGNING THIS L'lSTRUMENT. THIS INSTRllMENJ' SHOULD BE USED BY LAWYERS ONLY
THIS IND~E, made the
BETWEEN
2.2>'). day of O...tC>.......r
, in the year 2.<:0"
ROBt:RT F. POULSON, residing at Minami-Cho 3-29-27 Hanakoganei. Kodaira-Shi,
Tokyo 187, Japan .
....... t." . . _,1
;....
:_.1
pany of the firsl part, and
"
..... .:,;)
LAURA BLUME and GEORGE BLUME, as wife and husband. residing at 584 Henry
Street. Brooklyn, New York 11231
. ... ". ._ ~ d'" .u__" :-n-......""'...d 1:b1\Qb
pany of lhe second part, r.....' 2.,:;;:,e ___OU'O~
WITNESSETH, thai the party of the first part, io consideration o~B"II.... ~ o~ valuable consideration paid by the
pany of the second pan. does hereby gl8Dt and release unlO the party of the second part. the heirs or successors and assigns of
the pany of the secODd pan forever,
ALL that cenain plOl, piece or parcel of land. with the buildings and improvemenlll thereon erec:red. situate. lying and being in the
~SEE SCHEDULE A ANNEXED HERETO AND MADE PART HEREOF"
BEING and intended 10 be the ,",me premises conveyed in deed dated 12123/96 and recorded in Liber 11807.
page 467 and recorded nn 12123/% in the Officc "ftheeler\,; in lhe Counly ofSulTolk.
TOGETHER wilb all right.lille and interest. ifany. oflhe pany of the first part of, in and 10 any streets and roads abulling the
above.described premises to the center lines thereof; TOGETHER with the appurtenances and a1llhe eslate and rights of the
pany of the first pan in and to said premises: TO HAVE AND TO HOI.D the premises herein granted unto lbe party of the
second pan. the heirs or successors and assigns of the Jl'Irly of Ihe second part forever.
AND lbe party of lbe first pan covenants lhallbe pany of the first pan h.. nol done or suffered anything whereby the said
premises have been incumbered in any w.y wh'llever, excepI" aforesaid.
AND the party oflhe firsl pari. in compliance with Section 13 of the Lien La.w, covenants thallhe parly of the firsl part will
receivc lhe consideration for this conveyance and will hold Ihe right 10 rec.i ve such consideration as a trust fund 10 be .pplied
first for the purpose of paying the COSI of lhe improvemenl and will apply the same first 10 the paymenl of the cost of Ihe
improvement befOfe u..ing any pan of lhe tot.1 of the same for any Olher purpose.
The word ''porty'' shall be construed as if it read "panies" whenever lhe sense o~ this indenture so requires.
IN WITNESS WHEREOF. the pany of the first part has duly executed this deed the day and year firstllhove wrillcn.
IN PRESENCE OF:
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RO'E TU '-'ON '-l.od ~
€>y c.hv~ (I"""qiJ,.IDrt.~ \)
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Stewart Title Insurance Company
Schedule A Description
Undarwrller No. STEWART
TiUe Number ECA41146
Page 1
Amended 10/17/2007
ALL that certain plot, piece or parcel of land, with the buildings and improvements
thereon erected, situate: lying and being at Southold, Town of Southold, County"of
Suffolk and State of New York, known and designated as Lot Numbered 29 on a
certain map entitled, "Map of Section One, Fairview Park, at Soulhold, New York
dated July 12, 1961", filed in the Suffolk County Clerk's Office as and by Map No.
3388 bounded and described according to said map as follows: "
BEGINNING at a point on the southerly side of Clearview Avenue distant 335.00 feet
from the comer formed by the intersection of the southe'r!y side of Clearview Avenue
with the easterly side of Willow Pond Lane;
RUNNING THENCE the following two courses and distances along the southerly
side of Clearview Avenue;
1. south 78 degrees 22 minutes 50 seconds east 22.89 feet;
2. south 60 degrees 00 seconds east 89.18 feet;
THENCE south 11 degrees 37 minutes 10 seconds west 215.50 feet;
THENCE north 72 degrees 39 minutes 20 seconds west 110.55 feet;
THENCE north 11 degrees 37 minutes 10 seconds east 223.59 feet to the southerly
side of Clearview Avenue the point or place of BEGINNING.
Said premises being known as 750 Clearview Avenue, SOUthOld, NY
DISTRICT 1000 SECTION 070.00 BLOCK 09.00 lOT 061.000
USSAaNOWUlDGNENT FORM B1;IlWWITIlIN New YOM STATI!OIYLY:
SlateofNewYork.Coualyol :)~-4..1 t I...'
Onthe2.3dayof Ool\k". inmeyear 2007
beforc me, !he IIJIlImiSned, pmonalll appean:d
~ ~s~ nf~~~'\o C>~ bn the basis of salisfElorY
llYidenc:e to be die individualC.) whose IWIIO(s) is (n) subscribed to lhe
wilhin iDsIrumeDtwul IIl:kIIowl"".ed to me rbsI hdsbeJthey executed
lhe same in hisIberItheir ~ty(iesJ, and that by hislherllhcir
sipmft(s) on !he insuumen~ lhe individual(s). or the pmon upon
bc:haIfofwhich the individual(s) llCled, executed lhe instrument.
Unda A. Holbl1lClk ~
NolIryPublir,SlaUl01 NewYodt 'a~
No. 01H06~H303 ~
Qua!lfltd In 1~]SHaU ccun~ I.... .
ClIII1IIlIS5ionElqJiresO!\t13i2 .L..IJNotary Public
ACDfO'WUIlXlMENT FORM FOR USE WI77IIN NEVI'YOU: STATI!ONLY:
(Now Y.,Uub<<rib/08 Wi'IV.. Adnowl<Jpw'" CmlJl<OhIJ
Slateol'NewYork,Coualyof Iss.:
On the day of in the year
before me, lhellDllmigned, pc:I5OIIlllly appeared
lhe subscribins witness to the foregoing insl/Wl1ellt, with whom I an:
pmonaIly lII>juainred, who. being by me duly sworn, did depose and
say that helshelthey ~s) in
(ifw piau of l2.iden~~ is in a city, inc/ud" W "12" and.""'" nll1llMr.
if <11I)'. iMmJ/); that hcIsheIthey knaw(s)
to be the individual described in WId who execUled the foregoing
insuumenl; that said subscribing witness was p....nt and saw said
0HCUle the SlII1IO; and rbsI said witness Bl lhe same lime subscribed
hisIherflheir I131J1e(s) as a witness 1I1ere1ll.
BARGAIN" SALE DEIlD
"TI1ICOVDiA.1rf'1'I ADAINITORA.vroa"5 ACTS
TnuNo. ECA41 1 46
POULSON
TO
BLUME
FmElJTY NATIONAL nTLE INSURANCE
. COMPANY OF NEW YORK
! INCfMNMArrD Ir..a
Cl'lli . S It. FitUliIy ~ ."
__"'''1:''''1Aa4111fr~
USEACKNOK'LI!:1JGMENI' 10IIM BBLOwWI7'H1NNEW YORICSr.4T1!ONI.Y:
S1aleofNl!W York, Coualy 01
Iss.
On the day of in the .year
before me. !he undersigned. ~y llpJlCaMd
peISOnaIly known to me or proved 10 me on the basis of salisfuctor
evidence 10 ~ lhe individual(s) whose name(s) ill (IR) subscribed 10 th:
within instrument and acIcnow~ 10 me that hdshe/lhey execuleo
the same in hislherllheir capaclty(ies). and thBl by hisIherIth.,
signalllre(s, on the instrument, the iodividual(sl. or the person Upol
behalf of. which the individual(s) act.... executed the inslnlmenl.
ACIrNOWIEDGMEIiTFORM FOR Uss OUlSlDB NEW YORK STA.1EONU
/OU/rl/ SflU~ or FPniJlI Grand AcbuJwlftlglMlll C~"iJiCtU~J
...................................................Iss.
rCDlllplcl~ ~/..IUU' with Stall', CtHllltry. PraWN. tJl'Mlllliciptllily}
On the day of in the year
before me. the undersigoed. pelllOnally appeared
personally known 10 me or praYed 10 me on the basis of salisfactor:
evidence 10 ~ the individual(s) whose name(sJ is (are) subscribed 10 Ib
within il1Sll'lllllenl 8I1d IIl:kIIowledgecllO me that helsheJthey execule<
the same in hislherltheir c:aplEity(ies), thBl by hisIherI their signature(s
on the instrument. the individual(s). or the person upon behalf of whicl
the individual(s)1ICled, excalled the illSltUment, and that such individu.
made such appeanmce IIet'<n the undmi8ned in the
((ns", 1M city or other polilit:al.ubdivision and 1M ./Qf~ or ~ou"'ry 0
OIh~r place Ih~ ac/aror.'kdg_ wa.r IDken).
DISTIUCT 1000
SECT10:ol 070.0
BLOCK 09.00
LOT 061.000
COUNTY OK TOWN Suffolk
RECORDED A.T REQUEST OF
Fidelity Naliomd nile IIISW'8IICe Comp8llY of New Yorl
RErVRNSYMA.II. TO
Joseph L. Tomao, Jr., Esq.
300 Garden City,Pl.,Ste.404
Garden City, NY 11530
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RECORDED
2007 Noll 05 04 = 39156 P"
Jl.l)ITH A. PASCALE
CLERK OF
SlFFOLK COlMY
L 000012529
P 173
DT' 07-1015
Scrialll
Ccnilicluc /I
1'';''I"Clf. "
--.----
D~cd I MMIll"lle In~lnllnenl
Deed i Morrgnge TIlX Sroml'
Rt:C'llrdillg I Filing SI:UllpS
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FtlES
NlInllling
s, 00
Morrgngc AII1I.
I. Rusie Tn.
:!. Addi[ionaI1,,,
Sub TOIal
Sp<:c.lA.sil.
or
I'alle I Filing ree
TP-5K4
N,'lilliol1
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[(t\-j:! 17 ICoullIy)_
EA-;:! 17 I.S[me)
Suh'lolal
IU~T.S '\.
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Spec. I Add.
'1'01'. MT(I. TAX
Dual Towu _ _ _ _ 011:11 enullly __.'
lIeld for APf",illl/renh-, T-- -
Tron~fer'lbx ~_
Mansion TK.
enuun, of F.1.
__.5.20_
:HfillllVil
CCl'lificcl Copy
NYS Surd."rge
"Iher
15, ...QQ....
Sub 1'0[01
Grand TllIHI _ ---I.5a:-~
The proper 'cll\'cred b)' Ihis nU,rl!\"!\c is
or will be improve/l hI' iI olle lll" I"'''
family dw IUn!! lillII'.
YES ('1" NO ___.__.
~clIl Pr.'I>crly
I'n~ Scrvi"c
AgclI")'
~lcnli':iIIlnn
]( NO, se~ ppropl"iulc luX d.msr: 1111
page II _ . __ 1",1: this IIllilnllllt:1I1.
4 DilDOO Se':lion07lJ,oO Dlock D9.{)O
1000 07000 0900 061000
CPr'Tax Due
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Implov",,' _. _'___ .
V"~:lnl I ~lIId
Ii SlIIisfn~Ii.'ns/DisclmrgeslRelellses List Property Owners Mlliling Address
. IU!:CORO & RRTUllN TO:
-:::r~-r~f),/~'
300~~~-
'5tA: . 4-0,-/
~ C%/ JJV II~JD 7
TD
TD
1'[1
II
Suffolk Count
I
& EndorSelllcnt Pa ' e
'11". I'ilge forms pal' nf rhe IIllDche,1 _ _ _ ______ _ _ _ _
(SPECIFY TYPE OF INSTRUMENTl
-.- -R~....s1~ .'nle premises herein is silllllle... in
SUFflOLK COUNTY, NEW YORK.
<&~%;D.-' -~
mild~ h)':
-~
IUlhe Township o(
In Ih. VILLAGE
or HAMI.I1'I' of
BOXES 6THRU
UST HI! TYPED OR PRINTED IN nl....CK INK ON1.Y PRIOR TO RECORDIN(i OR FlUNG,
lll\'l:r)
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUN'l'Y CLERK
RECORDS ORICE
RECORDING PAGE
Type of IDstrumeDt: DBEDS/DDD
Number of Pages: 4
Receipt Number : 07-0104235
TRANSFER TAX NUMBER: 07-10058
Recorct.c:l :
At:
11/05/2007
04:39:56 PM
LIBER:
PAGE:
D00012529
173
Distriot:
1000
SeotioD: Block:
070.00 09.00
BXMaNBD AND CHARGBD AS FOLLOWS
$470,000.00
Lot:
061.000
D_d Amount:
Received the 1'0110"iDI) I'_s For Above IDstrument
Exempt
NO
NO
NO
NO
NO
NO
Paqe/l'iliDI)
COB
BA-CTY
TP-584
Cert.Copies
Transfer tax
$12.00
$5.00
$5.00
$5.00
$0.00
$0.00
HandliDCjJ
NYS SRCRG
BA-STATE
Notation
RPT
Comm.Pres
Fees Paid
$5.00
$15.00
$75.00
$0.00
$30.00
$6,400.00
$6,552.00
Exempt
NO
NO
NO
NO
NO
NO
TRANSFER TAX NUMBER: 07-10058
THIS PAGE IS A PART OF THE INSTIWMBNT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
z. IIuyor
No_
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: hl1p:ll www.orps.slate.ny.us or PHONE (5181 473-7222
F~ COUNTY USE ONLY ~ '7 ~ 9
.0 c.... REAL PROPERTY TRANSFER REPORT
Cl.SWISc:a. , , ,4 ,Ii, I it
cz. D.n. D.... Recoodod ,J/ If) <; 1 0 11 .'
L..fa!na; u.y Year '2..
C3._ Ct.,...1 , ,( '1 ./1 " ='I
PROPERTY INFOIlMATlON
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So;Jludd I
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STAtE Of _ YOM
STAtE BOARD lll' IlEAL I'IIOPEIlTY _
RP - 5217
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L(WfI'O
'NT
~f.J.e "fJ e
111j]l
J. Tax IndIGllll wMnI fuIurI Ta BWs II8ID be....
....... 11__ buyer _1__ of_mil
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La...., NUMIIR AIID I1JIUT w...:
C1IYQIITgWN
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OA. Ploming _ _ __ AuIhaotIy ExiIIo D
"'SU_AopIooIoI_~far_ D
C.Po....App.-Ior__Mop_ D
4.lrIdIAt:elhe number 01__ ._4 I 0 .., I I 0
__ __ OIl ... _ . V . '.1 P...... OR P.rI 0/. Po...1
.. Sol...
N_.
POU/SO"h
LAST~'CCMPAN'f'
LAIr u.. ,CGIIJPMY
J..T.....
13. Full Sail PlIca
,11.7 .n, 0.0. O. 0,0 I
, .
IFoII Solo Price 10 Iho..... -... pUll., "'" pr_ including.......... _ny.
Thil...,.nlld mev be In lhe form of CIIh. DIhIr propeny or goock Of' the ....-npd0ll of
mortpgU Dr othIl obUplioraJ PiMIM raund lID the..,., IMhtM dGIIIr amount.
,0.
_... - - alhoy IppIy:
.. Ownllrthlp Type II CondomInium
Ii ~ Agrlcutturll ~ Community Service I. Haw ConIIructIan on VIGIIII Land
F Com_I J _I 1lIA. PmportyLooarod_onAII,lc>IIbnI D;1Olcl
G Aportmonl Public S...... 1IIIL B_,_.___ing
If E__III'_... L _. IhoIthD_..In..Aa__
.... ChIllI Cine .. .... 01..... ~........... '10 .......
A Sale Botween RoIItiwl or Farmer ReIadvee
B 501... 8etwoen RoIIted CGmpIni. or hrtnerI in Bull,..
C 0ne.1 tho ~ 10 .... 0 SaIlor
D Buyer or Seller Is GcMttnment Agency or Lending IMIitutian
I; Dood Typo ... Worronly.' Iloogoln .1Id .... (SpocIly _
F Sol. 0/ F,_ .. Looo INn Fa _ISpoc:Ify_
G S1gnilico.. QUII'110 In Pruporty _ T_o SWuI .1Id .... Dol
H _oI_III_lnloll_
I 00.. Unu.... F...... ~ .... _ C$pKIIy _I
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7. CIIHl the bax below which .... ......1IIy dMortbee III. .... at.... property M IhI dIM aI..1e:
A~ Dno"-_nlIol
II Z..3FornJly_1
C Rooldonlilll VOCOIII Lond
D Non "..ldtntlll v.c.nt Land
I SALE INFORMATION I
11.__-
,Z. Dolo 01 Solo' T........
(}''g 1 ,(,. IJOO~
MclnIh .., V..r
/8 1 .)-31 071
-- Doy -
I.. ........ ... ...... 0/ ........ I . 0 . 0 I
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ASSESSMENT INFORMATION - Data should ..noct .... le_ Finol _I Roll end T.. Bill
,I.Y..",". ._0lioii_ .NJ".. I
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I/O()O-070.00-09. 00 -O{,/. oaO
I
I CERTIFICATlON
I nrtiIY ....
01...,.
..... oIlaIlInIEIon _nod ua IhIo .... _ InIf oad -' I" ... _ '" .., _led. ... _.... I -<110.. . _ ... ........
_ "'........ roc. ...... ... ...... .. .. ... ........... III.... ...... .... nIlIll.. III .... -... -1IInI ur_ __
BUYER /G/,i f1 BUYEll'S ATTORNEY
-:... ~.lf.A~ _~ 110 -H-07 10 I'V\Cj o.r 1 ...JD\-e..pA
~1I11GN1.1~ ~ ~T! LAlT~ MlTNAM,
La..."a. o,u,.,e
75() CIRat'V:Il'/ IlV.!.IIIFP ~ I J':!2,.:]/f.t{)
ImlIR MllllII lnu.l ..... WTII.........
So",-fkt> IJ
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1./1/ I //97/
IrA'" .CICIII!
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NEW YORK STATE
COPY
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