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StMdard N.Y B.T.U Form 8002 . B'Vgaln end &II" Deed. with Connant 8gainll GnIntor". Acts - Uniform Acknowledgment
Form 3280
CON8ULTYOUR LAWYER BEFORE SIGNING TH~SNSTRUIIENT"THIS INSTRUMENT SHOULD BE USED ay LAWYERS ONLY
.AI. 0:--
THIS INDENTURE, made the.,:) day . 2002
BETWEEN
DANIEL A. KAELIN and PATRICIA F. KAELIN. his wife, reaiding at 54 Tuthill Lane, Aquebogue.
NewVork,11931
party of the first part, and
DANIEL A. KAELIN, II and PATRICIA F, KAELIN, residing at 54 Tuthill Lane, Aquebogue, New
York, 11931, as tenants in common
party of the second part.
WITNESSETH, thatlhe party of the first part, in consideration of TEN and 001100--
($10.00) dollanl. and other eoo<l and
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, situate, lying and being at Cull:hogue, Town of SouthoId, SutI'oIk
County, New York, bounded and desa1bed as follows:
BEGINNING at a point on the southwestel1y line of Cox's llIne, 100.02 feet nortIw. e 5terly along said
southwesterty line from the Main Road, said point of beginning being the easterly comer 01 the JX'!!I1lISeS
herein described and the northerly comer of land of Kaelin; from said point of beginning, running along said
land of Kaelin, South "l6 degrees 10' 10. West, 87.53 feet;
THENCE along land now or fonnerIy of Miesner North 42 degrees 35' 20" West, 249.58 feet to land of Glover;
THENCE along said land of Glover North 51 degree 09' 40. East 87.70 feet to said southwesterly line of Cox's
Lane;
THENCE along said southwesterly line, South 42 degrees 35' 20. East, 241.94 feet to the point or place of
BEGINNING. .
SElNG AND INTENDED TO BE the same premises CXlI1Veyed to the party of the second part by deed recorded
In the Suffolk County Clerks OffIce In Uber 9816 cp, 78. The grantor herein, Daniel A. Kaelin is the 58me
person as the grantee, Daniel A. Kaelin, 11.
TOGETHER with all right, title and interest, if any. of the party of the first part in and to any streelll and roads
abutting the above described premises to the cenIBr 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 sUCC8SS0rs 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 wh8lever. except as aforesaid.
. .
AND the party of the first part, In compliance with Section 13 of the Lien Law, covenanlB that the parly of the
first part will receive the consideration for this conveyance and will hold the right to reoslve such consideraUon
as a 1I'UlIt fund to be applied first for the purpose of paying the cost of the improvement and will apply the same
first to tha payment of the cost of the Improvement before using any part of the toIel of the same for any other
purpose. The word "party" shall be construed as If ij reed "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 day and year first above
written.
IN PRESENCE OF:
r-;:;A~~jlJl{ ~
Daniel A. Kaelin
~~e.A
Patricia F. Kaelin
fltleed10
TO BE USED SlNLY WHEN THE ACKNOWLEDGIlIENT IS MADE IN NEW YORKJI..m:Ei
S.... ofN_ YOlk, ~~k _
On IhB S ay of ., In 1hB,.. 2Q02,
_.. .... "'" underalgMd. polnDI18l1y appnr1ld
DANIEL A. KAELIN AND PATRICIA F. KAEUN
peraonelly known ID me or proved to me on the basis of
sattsfactory &vlelence to be the IncllvidualCs) whose neme(a) la
ca..) aubaalbed to lhe within lnallument and ac:knowIedged to
me lhaI helahellhey executed IhB ...... In hlslherllhelr
cepecityCIea). end Ihet by hislherllhelr algnetul8ca) on IhB
inatrument. the individual,a). or the peraon upon behalf 01 which
the Ind ac:ted. the Instrument.
aa: S.... 01 N_ YOlk. County of
aa:
On the day 01 in the year
_.. me, \he undersigned. paraonally appeerecl
paraonelly known to me or proved to me on the be.a 01
_afactory evidence to be the individualca) whoee nemeca) ia
ca..) subaai_ to the wtlhin inatrument end _1OWIecIged to
me Ihet heIaheIIhey executecl \he ume In hislherllhelr
capecltyCies). and that by hlslhe_ aigneture(a) on the
inatrument. "'" individualCa), or the paraon upon _alf 011 which
the individual,a) eeled. executed the inatrument.
oIIIce of Individual teklng _adgment)
lie ABIlIAlL A. W1CICHAIII
Pi...." PublIc. _ of New YClIll
No. BZoCS42871 - Suffolk Cu"'"%_A::'"
r;.,rr.nlialon Expl~ MBfCh 30.~~
Caignalu.. and oftice of Indlvlcluall8klng acknowledgment)
IQ,JiE USeD ONLY Wl:lm!.IHE ~KNOWLEDGMENT IS MADE OUTSIDE NEW YORK ST"TE
S.... cor O_c:t of Columbia. Territory. or F...ign Country) of
SI:
On the
day of
in the year
bel... me, the underaigned. _ally appeerlld
peraonally - ID me or proved to ... on the be.s of utialactory evidence \0 be the IndividualCa) whose nemecs) is ca..)
aubaaibed 10 the within Inatrument and -..owledged to me Ihet helahellhey executed the urne in hIaIh_lr cepac:ity("_). and
that by hialherllheir aignalu"ca) on lhe instrument, the IndlvidualCs). or the paraen upon behalf of which the IndivldualCs) acted.
executed the inalRlment. and that such Indivichllll made such appearance before the undersigned In the
In
(In_the City or other politic:al subdIVision)
(end In88ft the State or Country or other piece the acknowledgment _.taken)
(eigneture and oft'ic:e of individual taking aclaMJ "lIlia .._1)
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
Title No.
DANIELA. KAELIN and PATRICIAF. KAELIN
TO
DANIEL A. KAELIN and PATRICIA F. KAELIN,
a8 tenants in common
STANDARD FORM OP NEW YORK BOARD or 1ITLE UNDU.V..n'lERa
-'-by
o Common~!!.!!.~"...~
C:V'I"ltNWKAI.IUI..AND Tm.e I:'I."SC "RA.""CE<."OMl'A.'IIY
I
I
OK
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OK
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...
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I
.
Number of......
TORRENS
Serial'll
CcrtIfIcale II
Prior Ctf. II
. Deed I Monpae_.
Deed I MorIpp TIX SI8mp
FEES
4
Page I Fllinl Fee
Handlina
TP-SI4
.~ -
~~
NotuiOD
EA-S2 17 (County) ,. _ Sub T.....I (:5J ~-
EA-S217(S111le) _ct2~ _
R.P.T.5.A. 30 L
Comm. of Ed. S ~
AI1'....vil
Cenilled Copy
Rea- Copy
Ot....
/~
_ Sub Total
GRAND TOTAL
l
RaI Property Tu Service As-;y VerifiC8lion
DilL SeCliOll B lock
Lo.
Stomp 1 02050315 1000 0!l700 0500 004002
:~ ~~
7 SatisfactionslUISCll8fleslAeIClllla ....., E!~~_-""I_" ...._........._
RECORD A RETURN TO. '
WICKHAM. WICIOIAM I BIIESSl.ER, P.c.
~N RCMD, p.o. BOX 1424
MATTnUCK, N.Y. 11952
3
RECORDEr>
2002 Dee 23 04, 12.42 Pt'I
Edword P.RDoaine
CLERk OF
5IJFRlI.J( CDUIffi'
L ??oo12226
P 727
DTI 02-20350
.,
,
,
RecordIna I F1lina S.....pI
j;
I
MorIpp AmI.
I. Buic 'Illx
2. Additional TIX
Sub Total
SpecJAliil.
Dr
Spec. IJvJd.
TOT. MTO. TAX
Dual Town Dual County_
Held for Apportionment _
TnnIfW TIX
MMsion'Illx - _
The propeny eovered by 1b.1 mClltpp la or
will be Improved by a one or two family
dwellina only.
YES orNO_
IfNO, lee Ippropriae I8X elauae on Ole II
oftbillnatn-.t. Ir9-. s-; oa--
6; Communi Preservatio F d
Conaidel'ation Amount S
CPF Tax Due
s
Improved
acant Land
TO /IHlD
TO
TO
a Title Company Information
Co. Name
TitiaN I
Recordin & Endorsement Pa e
9
Suffolk COlUl
nus poge forms part oftbc -....hed Bargain and Sale Deed
(SPECFY TYPE OF INSlRUMENJ')
The premises herein is situated in
SUFFOLKCOUNlY, NEW YORK.
In the Township of SOuthold
In the VILLAGE
or HAMLET of CUtchogue
Daniel A. Kaelin & Patricia F. Kaelin
TO
Daniel A. Kaelin,II & Patricia.F. Kaelin
mode by:
. .
BOXES 5 1HRU 9 MUST BE TYPED OR PRINI'ED IN BlACK INK ONLY PRIOR. TO REa>RDlNG OR FlUNG.
111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLBRK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument. DEIDS/DUD
Number of Pages. 3
TRANS PER TAX NOMBER: 02-20350
Recorded.
At:
LIBER:
PAGB:
Dbtrict.
1000
Section. Block.
097.00 05.00
ul\MINID J\NI) CHARGED AS POLLOWS
$0.00
Deed A:IlIount:
Received the Pol1owing Pees Por Above Instrument
Ixempt
NO BlI11dling
NO NYS SORCHG
NO IA-STATB
NO Cert.Copies
NO SCTII
NO COIIIIII. Pres
Pees Paid
Page/riling
COB
IA- C'1"Y
TP-584
RP'1'
Transfer tax
$9.00
$5.00
$5.00
$5.00
$30.00
$0.00
TRANSrBR TAX NUMBER. 02-20350
THIS PAGI IS A PART or THI INS'l'RtlMIN'l'
Bdward P.Romaine
County Clerk, Suffolk County
12/23/2002
04.12.42 PM
D00012226
727
Lot:
004.002
$5.00
$15.00
$25.00
$0.00
$0.00
$0.00
$99.00
Bxempt
NO
NO
NO
NO
NO
NO
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.stale.ny.us or PHONE (518) 473-7222
/-17330:1
C2. Date Deed Recorded ~3 a
;) tl "
C3. Book f J ~Q , I C4. Page
PROPERTY INFORMATION
FOR COUI\ITY USE ONLY
C1. SWIS Code
REAL PROPERTY TRANSFER REPORT
~
-
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RI'.5217lCn'3JlY/
1. Property I
location
265
Cox Lane
STREET NUMBEIl
STREET NAME
Southold
CITY OR TOWN
Cutchoque
VILLAGE
11935
Z1PCOoe
2. Buyer
Name
Kaelin
LMTNAI\IIE/COMPANY
Daniel A.
FIIlSTNAME
II
Kaelin
lAST NAM. I COMPANY
Patricia F.
FI~ST NAME
3. Tax Indicate where future Tax Bills .reta be sent
Billing if other than buyer address (at bottom of form)
AddrelS
lASTfIlAME/COMPANY
FIRSTNAI\IIE
STREET NUMBER AND STIlEET NAME
CI1Y Oil TOWN
STATE
ZIP CODE
4, Indicate the number of Assessment
Roll parcels triNlsferrlKl on the dud
# of Parcels OR 0 Part of a Parcel
(Only if Part of a Parcell Ched! as they applv:
4A. Planning Board with Subdivision Authority Exists 0
4B. Subdivision Approval was Required for Transfer 0
4C. Parcel Approved for Subdivision with Map Provided 0
5. Deed
Property
Size
I X I
lOR I
ACfl~S'
.4 9 I
FflOfllTfEH
,,~
6. SaUar
Nama
Kap-l;n
lASTNAMEICOMf'AfIlV
nAn;pl l\,
~IFlST NAME
Kaelin
lASTfIIAM~lcOMPANV
Patricia F.
FIRST NAME
7. Check the box below which most accurately describ8$ the use of the property .. the time of Sille:
ChKk the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
lOA. Property located withill an Agricultural District
10B. Buye' reClliveda disclosure notice indicating
that the property is in an Agricultural District
D
D
D
D
A~ Olle Family Residential
B 20r3FamilvAesidential
C Residential Vacant land
D Non-AesidantialVacantLand
I SALE INFORMATION 1
11. Sale Contrect O-':e
E~AgrjCultural
F X Commercial
G Apartment
H Entertainment I Amuseml'lrlt
I ~ Community Service
J Industrial
K Public Service
L Forest
15. Check one or more of these conditions al applicable to tfllnsNr:
Sale Between Relatives or Former Relatives
L / /
Monlh Da, y",
~ ~ ~
/ ,j
Month D" y"'"r
A
B
C
D
E
F
G
H
[
)
Sale Between Related Companies or Partners in Business
One of the Buyers is alsoa Seller
Buyer or Seller is Government Agency or lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or less than Fee Interest (Specify Belowl
Significant Change in Property Between Taxable Status llnd Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
12. Date of Sale I Transfer
, :0,0,0 I
, , .
(Full Sale Price is the tOlal amount paid for the propeny including personal property.
This payment may be in thll form 01 cash, other property or goods, or the assumption of
mortgages or other obligations.} Pleasa round to the nearest wllole dollar amount.
13. Full Sala Price
14. Indicate the value of pel'&Onal I t 0 . 0 I
properly included in the sale, , .
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16, Year of Assel8ment Rotl from ~ 17. Total Assessed Value (of all parcels in trunsfer) !
which informBtion taken
r~
18. Property CtQ$ I . I-LJ 19. School District Name j.Matti tuck-Cutchoque
8 6 0 0
,
20. Tal( Map Identifier/aIl Ron Identif1erllJ} (If more than four, attach sheet with additional identlfierls)}
1000-97-5-4.2
I CERTIFICATION
J certify that all of th", Items of infonnation enteJ'cd on this form are true and correct (to the best of" my knowlcdKe and belief) lDld J undentand that the maki""
of ltIty willful fal!'ie statement of mab.:riaI fact herein will subject me to the provisions of the Dl!nal raw ["elative to the makilll: and nUng of fttIse lmlnnnentll.
..--:\ ') ,,/ 1/ ~
!\.-Cu... J< h ~.
~niel A. tIP.:. _
. fJn;;...u.- . a.-'cuf! '-f\-
p '2'1~"8uAF. KAelin ()ATe
BUYER'S ATTORNEY
Wickham
LAST 'lAME
Abiaail A.
FIRSTfIlAME
265
Cox Lane
STREET fIlANIE lAFTER SALE;)
631
AREA CODE
298-8353
TEL~~HONE NUMBER
STREHfIllJMBER
Cutchogue
cITYO~TOWN
NY
11935
STATE
ZIP CODE
~
NEW YORK STATE
COpy
~;( JG~
SELlERSIGNATVllE
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