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Stlindllrd N. Y.B.T.U. Form 8002 . 8IIrpln .nd SIll. Deed. wlh COvenllnt agIIinat Gnlntor'. Ads - Uniform Acknow'1 d,...nt
Fonn 3280
CONSIA.T YOUR LAWYER BEFORE SIGNING THIS INSTRUIIENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
CORRECTION DEED """ fl.
THIS INDENTlJRE, made the 6 day of Ut,...Z002
BETWEEN
DANIEL A. KAELIN Bnd PATRICIA F. KAELIN. his wife. residing at 54 TuthUI LanB, Aquebogue,
N_Vork,11931
party of the first part, and
DANIEL A. KAEUN, II, residing at 54 Tuthill Lane, Aquebogue, N_ York, 11931
party of the second part,
WITNESSETH, that the party of the IIrst part, in consideration of Ten and 00/100.-
($10.00)- dollar8.
and other good and valuable consideration paid by the party of the second part. d08ll h_by 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, pIec:e or parcel of land, situate, lying and being at Cutchogue, In the Town of SoulhoId,
County of Suffolk, State of New York, more partlcularty bounded and desaibed as follows:
BEGINNING at a point formed by the Intersection of the northerly line of the Main Road (state Highway Route
#25), and the \, b...1~ line of Cox's Lane whlch point Is 535.35 feet east of the easterty line of lands now or
formerly of Mary Doroskl;
RUNNING THENCE westerly along the northerly line of the Main Road 85.35 feet;
THENCE northerly and parallel with the easterly line of lands of Mary Doroskl 100 feet;
THENCE easterly and parallel with the northerly line of the Main Road 87.53 feet to the westerly Une of Cox's
Lane;
THENCE southerly along the \.esliclly line of Cox's Lane 100.02 feet to the point of place of BEGINNING.
SufI'olk County Tax Map Number: 10ll0-97-5-3
Being and Intended to be the same premises conveyed to the party of the second part by deed recorded In
the Suffolk County Clerks Office In L1ber 6832 cpo 467. The grantor herein, Daniel A. Kaelin Is the same person
as the grantee, Daniel A. Kaelin, II.
TOGETHER with all right, litIe and interest. if any, of the party of the first part in and to any streets and roads
abulling the above describec' premises to the center lines thereof; TOGETHER with the appurtenances and all
the _ and rights of the party of the first part in and to said pramlses; 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 encumbered in any way whillever. except as aforesaid.
AND the parly 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 totel of the same for any other
purpose. The word "party' shall be construed as if it read 'parties' when ever the sense of this indenture so
requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the dey and year first above
written.
IN PRESENCE OF:
~.~uJ2A"~.
Dani,,1 ^. Kselin
g~~~~,~~
Patricia F. Kac: in
,
yo BE USED ONLY WHEN THE ACKNOWLEQ!iBNT IS MADE IN NEW YORK STAn
_of_York, ~~~k
"On the ~ d8y of~ln the year 2002.
before me. the und_gnlld. pensoll8lly eppeared
DANIELA KAEUNAND PATRICIAF. KAELIN
pe...,lI8Ily known to _ or proved to me on the _ of
~ _nee to be the lncIiviclual(l) whole lIB....CI) 10
Ce..) lubecrlbed to the _In inIlrument Ind lICknowledglld to
.... thm _ey exec:uted the .....1 In hlolherllheir
cepacity(Iee). end thai by hl8lherllhllir IlgllB\Ul'I(l) on the
inBIrurMnt. the indlvid..l(a), or the peraon upon beh.1f of whk:h
tha indo . I) _. .thll Iru_nt.
10: _ of N_ York, County of
u:
On the dlY of In the year
before me. the undlrligned. _lI8lly e_red
p&I'IClI18Dy known to me or proved to .... on the belie of
l8II_ry evldenoe to be the Indlvlduel(l) who.. lIBII'II(.) il
(....) eu_ to the within inl\rument .nd ecknowledglld to
.... 1h8l hellheI\hey exlCUllld the ..me In hillherllheir
cepecity(lel). end \hel by hillherllhelr e1gn8lul'l(l) on \he
inllrumenL the indivtduel(.). or the pereon upon behalf of which
thelndlviduel(l) ected, exec:uled lhe lnelrumenl.
of lndMclualI8king _edgment)
C ABIGAIL A. WICKHAM
NOIIrY ........... _ of _ VOlfe
No.lIZ4l4ZlJ71-....- ~
~.......d... ExpIIw..... ao.. ~
(lignlllu'" Ind ollIce of indlvlduall8klng lIdcnowIedg....nO
mJlE USED ONL.Yl!!!::LEN THE ACKNOWLEDGMENT IS MADE OUTSJWi.NEW YORK STATE
SI8I8 (or Dletrict of Columble. Ten1tory. or Foreign Country) of
u:
On the
deyof
in the year
before me, lhe undel1llgned. perooneIly eppeared
p&l1IOI1el1y known 10 me or proved to me on the belie ofulllfectory evidence to be the individuel(e) whoee name(s) Is (Ire)
eubecrlbed to the _In Instrument end _nowIedged to _ the! hellhel\hey _ the ..me in hielher1\helr cepeclty(lee), Ind
that by hi8lher_r e1gnetul'l(l) on the inllrument. tha indivldu8l(s). or the pereon upon behalf of which the indlvldual(l) _.
exlCUllld the lnelrument. end thelouch Individual ...- ouch e_nonce before the undel1llgned in the
In
(,nun \he City or other pol_I lubdivilllon)
(end In_ \he Stete or Coumry or other piece the _nowIedgrnent __ _n)
(1lgneture end olfIoe ollndlviduel taking _-*lament).
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
TItIINo.
DANIEL A. KAELIN and PATRICIA F. KAELIN
TO
DANIEL A. KAELIN, II
8'ANDAIIDP'OIIII C. tmWYORK lIQUID Of' 1I1LIE IINDER\._ I~
,*-by
o Common~~.....,.,
C"O""'.'''INWEALnlL.\....p TITLE I"'WRA!IIL'F l"(.NI'A"Y
I
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I
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I . Numberor_
TORRENS
_III
RECORDED
2002 [lee 23 04.12: 42 I'll
Edward P.ROIIai....
CLERK OF
SUFFOU< COUNTV
L 000012226
P 728
CT' ll2-20351
Cenlficate 1#
Prior Clf. 1#
. Deed I Morlpao IIIIIIWIIODt
Deed I Monpp Tax Slimp
FEES
ReconIinBl FUin& SlIImps
4
Pep , Filln& Pee
Handli...
TP-584
tJ -
S-- ..:::::-
-
~-
Monpp AmL
1. Basic Tax
2. AddldonaITax
NotaIIoD
R.P.T.5.A.
Comm. of Ed.
Aftldavit
- ~ _ SubTotal
_6/ S- ....:::.-
3o~
5~
;;;Jj
Sub Tollol
EA-52 17 (Coumy)
EA-5217(S_>
QRAND TOTAL
SpecJAuIL
Or
Spoc. 1Add.
TOT. MTG. TAX
Dual Town Dual County_
Held for Appon1onmenl _
........rer Till<
Mansion Tax _
The pnlpCrIy coveted by this morlp&e is or
will be Improved by a one or two family
dwellilll only.
YES or NO
If NO, _ appropriata lax cl..... on .. 1#
_orlhll~ I.. '.)-,,;r
6: Communi nd
Cenified Copy
Raa. Copy
Other
I~-
---sub Total
l
Rall\opetly Tax Service A&cncY VerifiClltion
DilL S_ Block
Lo.
TD/b7nJ
TO
TD
i 7
Slemp 02050318 1000 09 00 0500 003000 .
:Yb ~~
7 SalisfactiOllSlUI8Cll8rSOSIKe_ 1..11t rropcny uwnen MaJ'Ul& ^
RECORD .. RETURN TO:
WICKHAM. WlCI<HAM & IIRESSI.EJf. p.c.
IIAlN ROAD. ,.0. BOX 14M
MAmruCK, N.Y. 11952
8 Title Company Information
Co. Name
Title 1#
9
Suffolk Coun
Recordin & Endorsenient P
e
Thispageformspartofthellftsvoo'hiHt Baraain and SallF! n.:.F.!d
lSPEu!''t TYPE OF INSllWMENf >
mode by:
Danie1 A. Kao1in & Patricia F. Kae1in
TO
The pIemises herein is siluallld in
SUFFOLKCOUNIY, NEWYaU<.
In !be Township of SouthoJ.d..
In the VILLAGE
or~of Cutchoaue
Daniel A. Kae1in. X1
BOXES 5 1HRU 9 MUST BE TYPED ORPRINIED IN B~INK ONLY PRIOR TO RECORDING OR FILING.
.
1111111111111111111111111111111111111111111111111111111
IIIIIIIIIIIII~IIIIIIIIII
SUFFOLK COUNTY CLBRK
RECORDS OFFICE
RBCORDING PAGE
Type of In.t~t: DiKeS/ODD
Number of Pages: 3
TRANSFBR TAX HUMBER: 02-20351
Recorded:
At:
LIBER:
PAGE:
District:
1000
Section: Block:
097.00 05.00
RYQIIlEI) AND CHARGID AS POLLOWS
$0.00
Deed Amount:
Received the Pollowing Pees Por Above ID.t~t
Exempt
NO Handling
NO NYS SURCHG
NO BA-STATI
NO Cert. Copies
NO SCTM
NO Comm.Pre.
ree. Paid
Page/Piling
COB
BA-Cn
TP-584
RPT
Transfer tax
$9.00
$5.00
$5.00
$5.00
$30.00
$0.00
TRAHSPBR TAX HUMBBR: 02-20351
THIS PAGE IS A PART 01' '1'KB INSTRUIIIHT
Idward P.Romaine
County Clerk, Suffolk County
12/23/2002
04:12:42 PM
D00012226
728
Lot:
003.000
$5.00
$15.00
$25.00
$0.00
$0.00
$0.00
$99.00
Ixempt
NO
NO
NO
NO
NO
NO
.
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222
'J ,7 S. 8,gQ,
C2. Date Deed Reeo,ded 1 I Z / 23/0~
22(!/ 0" ~y;
C3. Book I J ,7, I J C4. Page 0. .
~
FOR'COUNTY USE ONLY
C1. SWIS Code
S. ,
I
. m"
PROPERTY INFORMATION
1. Property I 32945
LoClltktn
Main Road
STAfETNAME
STREnNUMBER
K.Mtfnx* Southold
CllY 011 TOWN
Cutchoaue
'IllLAGE
Daniel A. . II
FlRSTNAME
111935
ZIP COllE
2. Buy...
Nam.
KRPl in
lASTru.MEICOI\IIPANV
LASTNAME/COI\llPANV
fiRST NAME
3. Tax Indicate wherefttture Tax BiJIs arn to be sent
Billing if other than buyer address (at bottom of form)
Address
lAST lllAl.iE i COMPANY
STREH NUMBER AND STREET NAME
CITY OA TOWN
4. Indicate the number of Assessmerrt
Roll parcels uan5'ferr.d on the d..d
#ofParceJs OR D
Part ofa Parcel
5. Deed
Property
Size
2
2 I
Ix I
lOR 1
.
fflONTFEfT
~~,
ACRES
6. Seller
Name
Kaelin
LASTNAMEiCOMPANY
FIASTNAME
Daniel A.
Kaelin
LASTNAME/COMPANV
Patricia F.
FIRST NAME
7. Chel;:k the box below whil;:h most II(;curateJy desc:ribes the U$e of the property 8t the time of slle:
A~ One Family Ae~idential
B 2 or 3 Family Residential
C Residential Vacant land
o Non-Residential Vacant Land
E~A9riculturaJ
F Commercial
G Apartment
H Entertainment I Amusement
I~com.m unity. Service
J Industrial
K PubliC Service
L Forest
SALE INFORMATION
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAl.. PROPERTY SERVICES
RP - 5217
.K1'.~217 Roy JI!YI
FIRSTNAMf
STATE
Z1PCOOE
{Only if Part of a Parcell Che<:k as they apply:
4A. Planning Board with Subdivision Authority Exists
48. Subdivisiofl Approval was Required for Transfer
4C. Parcel Approved for Subdivisiofl with Map Provided
D
D
D
Che<:k the boxes below as they apply:
8. OwJ19rship TVpe Is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
108. Buyer receil/eda disclosure notice indicating
thal the property is in an AgrioultUl'81 District
D
D
D
D
Month
Yellr
15. Cheek one or more of thae condl1ions ... applic8bMt to "'.n!lter:
I certify that aU of the items 01" inrorumtion entcn.'d on thili form arc true and corred (to the be'll Or m...v knowledge and belief) and I undersland that tbe making
of IIl1Y willful raise stat;7t of macerial ract bereln will subject me to the provitions of thll oenallaw relative to 'he makinJ:: unci fUlnJt or false instnunenls.
~~.;\~UYER BUYER'S ATTORNEY
~~ ;1 ~ :Jl-
~va1ffW1uRA. Kaelin, II
54 Tuhill Lane
11. Sale Contr.c:t Date
A
B
C
D
E
F
G
H
I
J
----...r-
O'Y
12. Date of Sale J Tramofer
17....;
MOOlh
0.,
s
/
oll
Yaar
,0,0 0 I
, , .
(Full Sale Price i8the total amount paid for the property including perllonal property.
This payment may be in the form of cash, other property or goods. or the assumption of
mort"ages or other obligation~.) Please rouna to the nearest whole dollar amount.
14. Indicate the value of personal I ., {) 0 0 I
Pl"OfK!rty included in the sale , e
ASSESSMENT INFORMATION - Data should reflecl the latest Final Assessment Roll and Tax Bill
13. full Sal. Price
16. Year of Assessment Roll from I 62 ./ I I
h. h '0/ ... -0_'- ~ 17. Total Asses.sed Value lot all p.n::e1s in transferl
WI(:, Ofm on .....en .
f:'w. sf-x..-t,-"",---
18. Property Class I, I-U 19. School District Name I Mattituck-Cutchoaue
20. Tax Map Identlfiwlsl I Rollldentifier!sl IIf more than four. attacl1 $heet wIth additional identifier!$))
1000-97-5-3
I
I CERTIFICATION
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Sellar is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale [Specify Below)
Sale of Fractional or Less than Fea Interest (Specify Below)
Significant Change in Property 8etwaen T<lxable Status and Sale Dates
Sale of 8usiness is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below~
NO"'if
6
7 0.0
'^~
tASTNAM~
Abigail A. Wickham
FIRST NAME
631
STRfETNUMIlER
STREETNAMEIAFTfRSAlE)
ARfACOOE
Riverhead
NY
11901
CITY OR TOWN
STATE
ZIPCOOE
SELLER
<') d Cd~Jt-
!:;E1.;1RSltNATUIlE
OATf
298-8353
TEL.t:PHONENUMBER
NEW YORK STATE
COpy