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Stlindllrd N. Y _B.. T.U. Form 8002 - Berpln .nd Sale DMd. WIth Covenaint egat.. GrllnIor'a Acts - Uniform Acknowledgmllnt
Form 3290
CONSULT YOUR LAWYER BeFORE SIGNING THIS INSTRUIIENT-THISINSTRUIIENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the I..... day of Au.uBI, 2004
BElWEEN ~
ERNEST SCHNEIDER,
residing at 7645 Alvah's Lane, Cutchogue, N_ York 11935, the party of the first part, and
ROBERT CLARK and DARICE CLARK, as tenants by the entirety,
residing a1~ Alvah's Lane, Cutchogue, N_ York 11935, the party of the second part,
ve,11S
WITNESSETH,thattha party of the Iirat part. in consideration of TEN and 001100 ($10.00)
dollars, and other good and valuable consideration paid by the party of the second part,
ALL that certain plot, pIec:e or parcel at land, situate, lying and being at CUtchogue, In the Town of Soulhold,
County of SUlfolk and SIaIe at New York, being more partlcularty bounded and described as follows:
BEGINNING at a point on the nesterty side of Alvah's Lane distant northerly 1,801.97 feet from the northerly
end of the OJrYe connecting the v. ~ sWly side at Alvah's Lane and the northerty side of Middle Road, C.R. 48;
RUNNING lliENCE South 56 degrees 32 minutes 10 seconds West along land being mn~ to Ernest A.
Schneider, 413.33 feet;
RUNNING lliENCE North 33 degrees 27 minutes 50 seconds West, 245.0 feet to land now or formerly at
Schmitt;
RUNNING lliENCE along said land now or formerly of Schmitt, North 56 degrees 32 minutes 10 seconds East,
138.33 feet to land of the party of the second part;
RUNNING lliENCE along said land of the party of the secIlnd part the following two (2) courses and
distances:
1. South 33 degrees 27 minutes 50 seconds East, 174.0 feet;
2. North 56 degrees 32 minutes 10 secIlnds East, 275.0 feet to a monument at the Yo esliecly side of
Alvah's Lane;
RUNNING lliENCE along the westerty side of Alvah's Lane, South 33 degrees 27 minutes 50 seconds East
71.0 feet to the point or place of BEGINNING.
SCJl'II#10ll0-101-1-p/o 14.3
SUbject to Long Island Lighting Co, Easement.
The premises a1nveyed herein is shown as part of Lot 1 on a certain map entllled, "Map at Minor
SUbdivision Prepared for Ernest Schneider", which map was Iiled In the Suffolk County Oerk's Offic:e on
January 30, 2004 as Map #11051. The premises conveyed herein is hereby merged with and made a part of
the remainder of the property. of Clark shown as part of Lot 1 on said map, so that Lot 1 Is more fUlly bounded
and described as follows: BEGINNING lit a point on the ,..stc.ly side of Alvah's Lane distant northerly
1,801.97 feet from the northerly end at the OJrve a>nnecting the westerty side of Aivah's Lane and the
northerty side of Middle Road, C.R. 48; RUNNING THENCE South 56 degrees 32 minutes 10 seconds West
along land being COI,oreyed to Ernest A. Schneider, 413.33 feet; RUNNING lliENCE North 33 degrees 27
minutes 50 seconds West, 245.0 feet to land now or formerty at Schmitt; RUNNING lliENCE along said land
now or formerly of Schmitt, North 56 degrees 32 mInutes 10 seconds East, 413.33 feet to a monument at the
westerty side of Alvah's LaIlE; RUNNING lliENCE along the westerly side 01 Alvah's Lane, South 33 degrees 27
minutes 50 seconds Easl245.0 feet to the point or place of BEGINNING.
TOGETHER with all righttilia and interest If any, of the party or the Iirst part in and to any sb'aats and roads
abutting the above described premises to tha center linea thereof; TOGETHER with the appurtenances and all
the ealale and righll5 of the party of the flrat part in and to said premises; TO HAVE AND TO HOLD the
premises herein granted unto the party of tha second part, the heirs or succeasora and assigns or the party of
tha second part forever.
AND the party of tha first part covenanll5 that the party of the Iirat part has not done or suffered anything
whareby the said premises have been encumbered In any way whatever. except ea aforesaid.
AND the party of the first part, In compliance with 5action 13 of the Lien Law, covenanIB that the party of the
Iirst part will receive the consideration for this conveyance and will hold tha right 10 receive such oonsideration
as a trust fund to be applied first for the purpose of paying the coat of the improvamantand will apply the same
first 10 the payment of the cost of the improvement before using any part of the IOtal or the seme for any othar
purpose. The word 'party' shall be construed as If it read 'partiea' when aver the sensa of this indenture so
requires.
IN WITNESS WHEREOF. the party of the first part has duly exacutad this deed the day and year first above
wrillen.
IN PRESENCE OF:
foJnoN
~
Number oC page
TORRENS
Deed . Mortgage Instrument
Deed I Monsage Tax Slamp
FEES
RECORllED
2004 Sep 09 04.37101 PM
Edward P.Roaaine
CLERK OF
SUFFOLK COUHTY
L 000012342
P 492
DTI 04-06323
Recording I Filing Sramps
Serial/l
Cenificate /I
Prior Ctf. /I
3
Comm. oC Ed.
5.JKL
Mortgage Amt.
I. Basic Tax
2. Additional Tax
Sub Toral
Spec. I Assit.
or
Spec. I Add.
TOT. MTG TAX
Dual Town _ Dual County _
Held Cor Appointment
TransCer Tax .~
Mansion Tax
Page I Filing Fee
Handling
5. JKL
TP-584
Notation
EA-5217 (County)
EA-5217 (Slale)
Sub Total
R.P.T.S.A.
~
Reg. Copy
Other
Sub Total
The propeny covered by this mo1gage is
or will be improved by a one or two
family dwelling only.
YES./ orNO
If NO. see appropriate lax clause on
P"ll" /I of this illSllUmenL
-1-0
Affidavit
Cenified Copy
Grand Total
4 District
Real
Propeny
. I
Tax ServIce
Mency
Verification
04038767 1000 09500 0300 011000
~~
Communi
,
.
Consideration Amount
CPF Tax Due
6 SalisCactionIDischargeslRelcase List Propeny Owners Mailing Address
RECORD ... RETURN TO:
Improved
Vacant Land 't.--
m
m
... ...........-......
.U.......... MIl
IMI1IIUl:Il, 1.1..
m
7
TItle Company Wonnatlon
Co. Name
Tllle/l
8 Suffolk County Recordin & Endorsement Pa e
This page fonns pari of the altac:hed Bal"llllln and Sale Deed
(SPECIFY TYPE OF INSTRUMENT)
made by:
ERNEST SCHNI EDER
The premisis herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO
ROBERT CLARK and DARICE C'.ARK
In the Township of SOIlTHOLD
In the VILLAGE
or HAMLET of CUTCHOGUE
BOXES 6 THROUGH 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR ALlNG.
(n"..\
IIIIIIIIIIIIII~IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
11111111111111111 11111111
StJPFOLK COUNTY CLERIC
BeORDS OFFICE
BeORDING PAGB
Type of Inetrument: DEBDS/DOC
Number of Pages: 3 .
Receipt Number : 04-0099781
TRANSFER TAX NUMBER: 04-06323
Recorded:
At:
09/09/2004
04:37:01 PM
LIBBR:
PAGE:
D00012342
492
District:
1000
Section: Block:
095.00 03.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Lot:
011.000
Deed Amount:
Received the Following F.es For Above Instrument
Exempt Exempt
Page/Filing $9.00 NO Handling $5.00 NO
COB $5.00 NO NYS SRCHG $15.00 NO
EA- CTY $5.00 NO EA-STATB $75.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SC'l'N $0.00 NO
Transfer tax $0.00 NO Comm.Pres $0.00 NO
Fees Paid $149.00
TRANSFER TAX NUMBER: 04-06323
THIS PAGB IS A PART OF THE IHSTRtJMBNT
THIS IS NOT A BILL
Idward P. Romain.
County Clerk, Suffolk County
.
. .
FOR COUNTY USE QNl Y
C1. SWIS Code
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.slale.ny.us or PHONE (518) 473.7222
:e.
o J;
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C2. Date Deed Recorded I I
Mandl
C3. Book I / ,3[, 3, Lf ' 31'1 C4. Pogo
PROPERTY INFORMATION
1, Property I
Location
i-u'-l5
Alvah's Lane
STlIEETNAME
STREET NUMBEIl
Southold
ClTY 011 TOWN
Cutchogue
V:LI.AGE
2. Buyer
Name
Clark
LAST NAME I COM~ANV
Robert
FIR$TNAM~
Clark
Darice
LASTNAME/COMPANV
FIIlSTNAME
3. Tax Indicate where future Tax 8i11s are to be sent
Billing if other than tJuyeraddresslal bottom of form)
Addl1lss
lASTNAMEiCOMPANV
STREET NUMBEII ANOSTREET NAME
CrTY QIl TOWN
4. Indicate the number of Assessment
Roll parcels transferred on the deed
#I of Parcels OR 0 Part of a Parcel
lOR 1
., %C
""-. . ';)1
ACRES
5. Deed
Property
Size
1 X I
FIIONTFUT
~~"
6. Seller
NllIme
Schneider
LAST NAME/COMPANY
F'R$TNAME
Ernest
LASTNAMEfCOMPANY
flRSTNAMi
7. Chellk the box below which most accurately desl:ribes the use or the property at the time of sale:
A~ One Family Residential
B 2or3familyResidential
C Residential Vllcantlalld
D Non.Residential Vacant land
I SALE INFORMATION I
11. S.le Contract Date
E~Ag'i'"It"," I~
F Commercial J
G Apartment K
H Entertainment/ Amusement L
Community Service
Industrial
Public Service
Forest
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP.~21' Jh~ Y.n
11935
ZIP coDe
FlfIlSTf'lAME
STAre
Z1PCOOE
IOnly H' Part of I Plrcell Check as they apply.
4A. Planning Boerd with Subdivision Authority Existll 0
4B. Subdivision Approval was Required for Transfer 0
.dC. Parcel Approved for Subdivision with Map Provided 0
Chl:'l:k the boxes below lIS they appty:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
lOA. Property located within an Agricultural District
108. Buyer received a disclosure notice indicating
that Ihe property is In an Agricultural District
D
D
D
D
15. Chl:'l:k one or more of these conditions al applic:able to transfer:
I
Monl~ o.y Year
CI I / I 04
MontI'! Do, Yu'
A
8
C
D
E
F
G
H
I
J
12. Date of Sale I Transfer
o
, , 0 , 0 I
, , .
[Full Sele Price is the totel amount paid for Ihe property including pe~onal property.
This payment may be in Ihe form of cash, other property or goods. or the assumption of
mortgages or other obligations.] Please found to rhs nfIJlfsst whole dollar ",mOUn!.
13. Full Sale Price
14. Indicate tha value of panGnel , 0 ,0 0 I
property included in the sale, , .
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. V~r ~ A_~ent Roll "om 1(;: ~ f.;.iJ I 17. Total Asse5wd Value lof "U parcals in transfer) I
which Information taken
18. Property Class
,2
I-U 19. School District Name I
Mattituck-Cutchogue
20. Tn Map Identifier(sl I Roll Idantlfler(slllf more than four, "ttilch sheet with additlonalldantifier(sll
1000-101.00-01.00-p/o 014.003
Sale Between Relatives or Former Relatives
Sale Between 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 (Specify Below)
Sale of Fractional or less than Fee Interest (Specify Below)
Significant Chenge in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
OIher Unusual Factors Affecting Sale Price (Specify Below)
None
,;{ ,a , <..Q. c ,C
,
/tion entered on t!tis Conn an: true and COrN!C1 (to the best or m~' knowledge and belief) and I understand that the making
. I fact herein will subject me to the Dro\isions of the Denallaw relalhe to the making and liIintt: (If fal<>e instl'\lment~.
BUYER'S ATTORNEY
R ert CIa
(, , ~" ,t
V j;):2..-'u: U- C'/'tU ^
BUYil\ SIGNATURE Darice Clark
~i~ JlliQili\ lG.AJ--
~TREEl >lUr.oSER . STR TNAME IA~TEII SALEl
1~;07"
L..ASTNAME
v
AREACOOE
(,,;ki il') Iii.
CITVORTOWN
IV J}
saw
//1 ~~
ZIP DE
SELLER
~hj~
""""t:;", Ernest Schneider
c" ,
I'
~"
FIRST NAME
TElEPKONENUM6iR
NEW YORK STATE
COpy