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Tax Map
Designation
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Sec.oq~.OO
Blk.OI . DO
NY 005 - Bargain-an~Wi~~or's AC~d~~:i9.:~ (Single Sheet) (NYBTU 8(02)
CONSULT YOUR LAWYER BEFORE SIGNING TIllS INSTRUMENT - TIllS INSTRUMENT SHOULD BE USED BY LA WYERS ONLY
I D-rf-
day of
Nove..W1he ('
THIS INDENTURE, made the
BETWEEN
Seamon T. Keleski and Marie Keleski, his wife, both residing at
6685 Oregon Road
Cutchogue, New York 11971
,intheyear ~DDI
party of the first part, and
David Collins and Jennifer Collins, his wife, both residing at
348 West 38th St~eek
New York, New York 10018
party of the second part,
WITNESSETH, that the party of the first part, in considenlion of Ten Dollars and other valuable consideration paid by the
party of the second part, does hereby grant and release unto Ihe 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, with the buildings and improvements thereon erected, situate, lying and being in the
Oregon, TOwn of Southold, Suffolk County, New York, bounded and descsribed as
follows;
BEGINNING at a point on the Northwesterly side of Oregon Road where the south-
westerly line of land now or formerly of Stype and the Northeasterly line of
the hereinafter described premises intersects said Northwesterly side of Oregon Road;
RUNNING THENCE along the Northerly side of Oregon Road, South 50 degrees 45 minutes
00 seconds west, 135.00 feet;
THENCE North 43 degrees 15 minutes 00 seconds West, 250.00 feet;
THENCE North 50 degrees 45 minutes 00 seconds East, 135.00 teet;
THENCE South 43 degrees 15 minutes 00 seconds East, 250.00 teet to the North-
00' 00" westerly side of Oregon Road at the point or place of BEGINNING.
Lot(s) b. v
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Being and intended to be the same deed conveyed to the party of the first part by
a deed dated 1/25/nR and recorded on 1/30/68 in Liber 6296, Page 454.
TOGETHER with all right, title and interest, if any, ofthe party of the first part of, in 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 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 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 tqe PHqJOlie. of paying the cost of the improvement and will apply the same first to the payment of the cost of the
improvemeni'lIefore using any part of the total of the same for any other purpose.
The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires.
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IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written,
IN PRESENCE OF:
_J, q~~ :Ji~
Seamon T. Keleski
~~-/~
Marie Keleski
f
,
Number or pages
~2
3
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TORRENS
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Deed / Mortgage Tax Slamp
FEES
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2. Additional Tax
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Sub Total
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Sub Total
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Held for IIpportionmenl
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Olher
Sub Total
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Mansi Tax
The p perty covered by Ihis mortgage is or
will b improved by a one or Iwo family
dwell in only.
YES or NO
If NO, s appropriate Ia.< clause 011 page II
o is instrument.
Heg. Copy
GRAND TOTAL
Real Property Tax Service Agency Verification
Oisl. Seclion n lock
6
Preservation Fund
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Lot
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CPF Tax Due
Improved
Vacant Land
Satisfactions/Discharges/Releases Lisl Property Owners Mailing Address
RECORD & RETURN TO:
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'1l1is page COlms part of the altached
Tille Compnny Informnlion
Co, Name ST& A~50(;ATC) ~
S oct.. b
Suffolk County Recording & Endorsement Page
be.e~
(SPEOFY TYPE Of INSl1UJMENf)
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TIle premises herein is situated in
SUfFOLK COUNIY, NEW YORK.
In the TOI'mShip of So~th 0 I cl.
In the VILLAGE
or IIAMLET of
I:' '\1 ': ','1'/11'11 'I t, IllS',. T T1'I'Fn IW l'f'l) rrrn fN 1'1.'.('1: 11!!: n~!: \. 1'!.'lllp '1" 0" ",nf'I.".!I~ (Of! I'll II,',:
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBER: 01-15617
Recorded:
At:
LIBER:
PAGE:
11/21/2001
11:28:14 AM
000012154
273
District:
1000
Section:
095.00
EXAMINED AND
$362,000.00
Block:
01. 00
CHARGED AS
Lot:
006.000
FOLLOWS
Deed Amount:
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $9.00 NO Handling $5.00 NO
COE $5.00 NO EA-CTY $5.00 NO
EA-STATE $25.00 NO TP-584 $5.00 NO
Cert.Copies $0.00 NO RPT $15.00 NO
SCTM $0.00 NO Transfer tax $1,448.00 NO
Corom.Pres $4,240.00 NO
Fees Paid $5,757.00
TRANSFER TAX NUMBER: 01-15617
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
.. . ....
PLEASE TYPE ElR PRI!SS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
/./, 1,:$ .~ , '8 ."/,
, ....,....\ ..,
C2. Date Deed Recorded 111 /.) 1/ Q II
C3. Book I \ ,~,} ,5 ,0~hC4. p:;2 ~r;5 ,
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C1. SWlS Code
REAL PROPERTY TRANSFER REPORT
I
RP - 5217
RP-5217Rl'v3I'n
PROPERTY'INFORMATION
1. Prop-:rty I
Location
6685 9
STREET NUMIiIER
Or':~gon Rnad
STREET NAME
r.utcho~~ue
CITY OR TOWN
VilLAGE
11 G1<;
ZIP CODE
2. Buyer
Name
CollIns
LAST NAME I COMPANY
Drlv-jrl
FIRST NAME
Collin!!
LAST NAME! COMPANY
Jennifer
FIRST NAME
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
Address
LAST NAME I COMPANY
FIRST NAME
STREET NUMBER AND STREET NAME
CITY OR TOWN
ST~TE
ZIP CODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
.l
# of Parcels OR D Part of a Parcel
FRONT FEET
I X I c:bl)
D'''''
I OR I
'ACRES
.
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists D
48. Subdivision Approval was Required for Transfer D
4C. Parcel Approved for Subdivision with Map Provided D
5. Deed
Property
Size
I~S
6. Seller
Name
Kcles~:t:"
LAST NAME! COMPA~ '
W8amon T.
FIRST NAME
Keleski
Marie
FIRST NAME
LAST NAME I COMPANY
7. Check the box below which most accurately describes the use of the property at the time of sale:
A~. One Family Residential
B 2 or 3 Family Residential
C Residential Vacant land
D Noft"Residential Vacant land
E~Agricultural
F Commercial
G Apartment
H Entertainment / Amusement
I ~ .community Service
Jlndustrial
K' Public Service
L Forest
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant land
10A. Property located within an Agricultural District
10B. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
o
D
o
o
SALE INFORMATION
15. Check one or more of these conditions as applicable to transfer:
11. Sale Contract Date
on / 23 / 01
Month D,y Year
I 11 /13 / 01
Month D,y Year
A
B
C
D
E
F
G
H
I
J
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 Change in Property-Between Taxable Status and Sale Oates
Sale of Business is Included in Sale Price
Unusual Factors Affecting Sale Price (Specify Belowl
12. Date of Sale I Transfer
1;l'. FuWSale Price ] 1, 6, L I A, 0, n I 0 I 0 I
, , .
(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 obligations.} Please round to the nearest whole dollar amount.
14. Indicate the value of personal J
property included in the sale
, ,,0 , 0 , 0 1
, , .
ASSESSMENT INFORMATION. Data should refleet th$ lateslFtnal Assessment Roll and ,ax Bill
16. Year of A~essment Roll from [00/,01 I 17. Total Assessed Value (of all parcels in transfer) I
which information taken
;
;
4, 7. 0, 01
,
18. Property Class
I" ,1
o l-U 19. School District Name I
.:; ()Jk ') I d.
20. Tax Map Identifier(s) I Rollldentifier(sJ (If more than four. attach sheet with additional identifier(s))
1000-095.00-01.00--006.000
CERTIF.ICATION
I certify that all of the items of infonnation entered on this fonn are true and correct (to the best of my knowledge and belief) and I understand that t making
of any willful false statement of material fact herein wiD subject me to the orovisions of the oenallaw relative to the making and filing of false instruments.
BUYER
BUYER'S ATTORNEY
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Dav!'ll" OOi'1'~lls/ Jer<niier
10'3/0/
Collins !'ATE /
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LAST NAME
FIRST NAME
(-,-
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STREET NAME ( R SALE)
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Sib
AREA CODE
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STREET NUMBER
TELEPHONE NUMBER
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CITY OR TOWN )
n..~
STA
WI] (
ZIP CODE
SElllllSIGNA1U!lE
Seamon L. Keleskif
DATE
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CfI'YI't'OWN ASSESSOR
CoPY
SELLER
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