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Standard N.Y.B.T.U. Form 8002-88rgaln and Sale Dead with C..-...Isllllalnat Grantar'a _Unilonn ~rnant
Form 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS DOCUMENT-THIS INSTRUMENT SHOlJLO BE USED BY LAWYERS ONLY
'.!IT
THIS I~DENTURE, made this I day of November, In the year 2004.
BETWEEN
DIANE GEVlNSK!, RlSidlng at 21125 R18. 48, Cutchogue NY 11935
party of the first part, and
DAVID VERITY, reaidlng at 3495 Albertson Lane, Gnaenport NY 11944
party of the second part,
,.
WITNESSETH, that the party of the first part, In consideration of tsn and00/'100 ($10.00) dollars,
paid'by the party of the second part, does hereby grant and release unlD the party of the IIlICOnd part, the heirs or
SuceBllllOrs and all8igns of the party of the second part fora_,
ALL that certain plot, piece or parcel of 'and, with the buildings and im~nta thereon erected, situate, lying
and being In the
See Schedule "A" all8c:hed heralD and made a part hereof
____ ~ ~ ,~ ~ ~.uy....;) ;-",,;;;;r
&:..JOS ....~ ~ ~'p,~ ~ .:; ~ p,V') ~.~;::; -;a--> 'fi'-,B_.:;r.J
l>~T'" C),r _ r>I-:>r ~
~"$r-~ /,:),3S? ~~.- .,~S. .
TOGETHER with all right, title and inlarest, if any, of the party of the first part in and ID any s_and roads
abutting the above dellClibed prami..... ID the centsr line thereof; TOGETHER with the appurtenances and allthe
eslate and rights of the party of the first part in and ID seld praml....; TO HAVE AND TO HOLD the praml....
herein granted unlD the party of the second part, the helrs or succee80nl and alllllgns of the party of the IIBCOfId
part forever.
AND the party of the IIrst part covenanta that the party of the llrat part h811 not done or suffered anything whereby
the said premises have bean encumbered In any way whatever, except as afonlaeid.
AND the party of the IIrst part, In compliance with Section 13 of the Usn Law, covenents lhalthe party of the IIrst
part will receive the consideration for this con_nee and will hold the right to receive such consideration as a trust
fund to be applied IIrst for the purpose of paying the ClIIIt of the Improvement and will apply the same lirstto the
payment of the COlIt of the Improvement befora using eny part of the lOtsl of the same for any other purpose.
The word "party" shall be construed as if to reed "parties" whenever the aense of thill indentura 110 requires.
IN WITNESS WHEREOF, the party of the first part hes duly executed this deed the day and year lirst above wnll8n.
~A.-:t .
ANE GEVlNSKI
I
.
8,lIitisdi~~.""W'''oI" -~\millg"'thalan.pPIU1"'.'--
IheComP"llym.....- .
...,' '__I-I.--Ior such m.unma:,
Inr an _1tI~- "..." ,
-
-----------~--_. .-
TITLE NUMBER: 641.s.02633
'SCHEDULE "A" DESCRIPTION
ALL that certain plo~ piece or parcel of land, situate, lying and being at
Cutchogue, Town of Southol~, County of Suffolk and State of New York,
bounded and described as follows:
BEGINNING at a point on northwesterly line of Middle Road (CR 48) (North
Road) distant 67.9 fHt northeasterly from the Intersection of the northeasterly
line of Tuthill Road (private road) with the northwesterly line of Middle Road
. (CR 48) (North Road), said point of beginning being where the division line
between premises described herein and land now or formerly of James Mason
Intersects the northwesterly line of Middle Road' (CR 48) (North Road); .
RUNNING THENCE from said point of beginning along land now or formerly of
James Mason, North 54 degrees 54 minutes 00 seconds West, 140.00 feet to a '
point; .
,
\
RUNNING THENCE along lan~ now or formerly of James Mason and Ida
Mason, North 26 degrHs 52 minutes 30 seconds Eas~ 66.88 feet to a point;
. RUNNING THENCE ilong land now or formerly of Roland R. Wilson and Minnie
C. Wilson, South 55 degrees 19 minutes 30 seconds Eas~ 140.00 feet to a point
on the northwesterly line of Middle Road (CR 48) (North Road);
RUNNING THENCE along the northwesterly line of ,.iddle Road (CR 48) (North
Road), South 27 degrees 00 minutes 00 seconds Wes~ 6UO feet to the point
or place of BEGINNING. .
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
(slgnelure end office
'512>"""'" ,...
. r. SI<'iIlIB\I!DO"'" 0
Ian: PuWIc. !l"'I~..r Nrw York
. ",...lllS",,1I\I6lIM
Qu8l111ed in SUffolk CtlUnt,.
My Coonmisolon Expl_ Oct. 5. 200!1
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
~ '-
...:
stele of New YOlk, County of SUffoIJr. ".:
On the I dlljl of NOV8fIIber In the yell' 2004 On the
before me, the undersigned, permnaUy eppeerecl
DIANE GEVINSKI
_elly known 10 me or pIOII8CllO me on the _s of
_sfec:lOry evidence 10 be the Indlvlduel(s) who.. neme(s) Is
(ere) oubecllbed 10 lhe within In_ntend __ged 10 me
IhaI he/s""""lIjI executed the ..me In hllllhe_. cepeclty(les),
end thel by hllllherllhelr &Ign8lul8(s) on the Inslnlmenl, the
Indlviduel(s) or the peroon upon behel! of which the indlviduel(s)
8CIed the Ins
,
Slale (0. District of Columbia, Territory, or FOl1Ilgn Country) of
On the day Of
personally appeared
personally known to me or proved to me on the basis of satisfactory evidence to be the Individual(e) wholIe name(s) Is
(are) subscribsd to the within In8lrument and lICIu1ow1edged to me that helshellhey executed the same in hislherlthei.
capeclly(les) and that by hlslherltheir signature(s) on the In8lrumen~ the Individual(s) at person upon behalf of which
the Indivldual(s) acted, executad the In8lrumen~ and that such Individual m8cle such appearance before the undereigned
In the .
in the yea.
before me, the undersigned,
(Inlert the City or oOMir poIItic:IIlaubdlvt8lon)
In
(end inMrt U. s.... or Countrr or other pi-. the 1KIa~- ~ .. ._nt... lIIMn)
(_ure end _ of OIdMdu" l8k1ng 8dl-*la"*"l
BARGAIN AND SALE DEED
WITH COVENANTS AGAINST
GRANTOR'S ACTS
TItIlI No._641~2133
SECTION 18
BLOCK 1
LOT 7.
COUNTY OR TOWN Suffolk
STREET ADDRESS
GEVlNSKI
TO
VERfTY
RETURN BY MAIL TO:
SAFE HARBOR TITLE
AGENCY
1&29 MaiD Street
Port Jefferson, NY 11777
l~lIU_for~DIIIl:le)
Number or pagel<
TORRENS
RECORDED
2004 Hov 24 11.17.36 AIf
Edward P.Rooulnlt
CI.EIlK OF
SIJFF(U( COUHTY
L ??oo1 Z556
P 892
DTI 04-17372
Scrial#
CertificD'" /J
Prior or. 11
Deed I MORguge (ns\rUnlCnl
Deed I Mnnllugc Tax Slamp
fEES
R"""rdinll' Filing SllIInl'"
3
Comm. ur EcJ.
S. J!!L
Multlasc Ami.
I. Busic TlIX
2. AlkIiliul1al Tax
Sub '1'0101
Sp""JA..i1.
or
Spec. 'Add.
TOT. MTG. TAX __"_ __
Dual Town _ Uual Cuumy _
Held fllr Appoinlm~nl
Tnllu.rerTux /000
Pasc , Filing F....
Handling
S_ 00
Q=
TP-S84
Nnlnlion __
EA-S:! 17(CUUnlY)~_
EA-S217(S.u...., ~_
,.30
SuI> ToIn'
R.P.T.S.A.
Affidavit
Mansh'lln Tax
Grund Totul
111C pn'pcny covcred by Ihis nu'ngage is
UI' will he iml'n)wod hy a one or twn
rnmily dwelling only.
YF.'l____ or NO
If NO. see uppnJrriulC lax clnu!IOC on
pagc fI' or ,his instrumen..
//-/-oy
5 Commlllllty .......rvatioll lI'w1d
Consideration Amount $ ~ ~
Ccnificd Copy
NYS Surcharge
Other
I~. ()() SuI> Thlal
.. Section
Block
Reul Prn!"'ny/;
Tax Servlc."C
Agency
Verificalion
1000 09600 0100 007000
,
CPF Tax Due
:(; d;JOOt> _
1~I'r()ved
v--
IS Satisruclion..nJischurgcsIRcleuoes List Propeny ~nc.. Mailing Address
RECORD &: RETURN TO:
~i12JeJ'"
~ /0 <90
c::::s, () rJ'fOC.,>
Vacunl Lund
TU
..LP
~PO~~ ,.E3j ~
~",.J0.
NY
'I'D
TU
8
Suffolk Count
Recordi
-~&: ~':F".;- ~NC.
sQ-s. O~.3 3
& Endorsement Pa e
, Fe')
(SPECIFY TYPE OF INSTRUMENT)
/19 ?/
7
n Information
This page ronn. pan or \hc n'lnch.,d
6;1C""JS~ /
maLI~ hy:
The pttmi~ herein is ,ilWll.cd in
SUFFOI.K COUNTY. NEW YORK.
Inlhcl..wn'hiPU~.J7,ilI'<I>c. .)
In the VILLAGE
orHAMLETof__. ___
BOXES Ii THRU 8 MUST BE TYPED OR PRINTI;D IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
,I . :1"0./
VEe,TT
<"....r)
III~IIIIIIIIIIII~IIIIIIIIIIIIIIIIIIIIIIIIIIIIII
III~IIIIIIIIIIIIIIIIIII
SUPFOLK COONTY CLERIC
RBCORDS O....ICE
RECORDING PAGE
Type of Instrument: DEIDS/ODD
NUmber of Pages: 4
Receipt NUmber : 04-0129148
TRAHSPBR TAX HUMBER: 04-17372
Recorded:
At:
11/24/2004
11:17:36 All
LIBER:
PAGB:
D00012356
892
)
District:
1000
Section: Block:
096.00 01.00
'IZYIlJlDlBD A1m CBARGim AS FOLLOWS
$250,000.00
Lot:
007" 000
need Amount I
Received the rollowing rees ror Above Instrument
Bz8lllpt Bx""lpt
l Page/riling $12.00 NO Handling $5.00 NO
COB $5.00 NO RYS SRCHG $15.00 NO
EA- C'1'Y $5.00 NO lA-STATE $75.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTJI $0.00 NO
Transfer tax $1,000.00 NO COIIIIII.Pres $2,000.00 NO
rees Paid $3,152.00
TRANsnR TAX IItJDBlh 04-17372
THIS PAGE IS A PART or THE INSTRtDIBNT
THIS IS HOT A BILL
Edward P.Romaine
CO\IDty Clerk, Suffolk COunty
.
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING UN fURM
INSTRUCTIONS, htlp:/1 www.orps.state.ny.us or PHONE (5181 473-7222
15. Chq one or more of th_ condition. .. 8ppI1cabIe to tra..fer:
A Sale Btltween Relatives Of Former Relatives
B Sale Between Related Companies or Partners in Business
C One of th8 BUYIlI'ft is also a Seller
D Buyer or Seller is Government Agency or lending lnatitl.ltion
E Deed Type not W.rranty or Bargain and Sale (Specify Below)
F Sale of Fraction.1 or lMll than Fee Interest (Specify Below)
G Significant Change in Property Butween Taxable Status and Sale Dates
H Sale of BUllineq is Included in Sale PriCil
1 Other Unusual Factors A.ffecting Sale Price [Specify Below)
J None
FOR COUNTY USE ONLY
C1.SWlSCod. 1~,:1, :f},f),f3/11
C2. Date Deed RRord.d I ~L ;)..1 J<~
C3. Book I /,~?I, 'j ,t:, I <;4. p,..
PROPERTY INFORMATION
*
l'~~=1
Q II ~ 5 R. C'U..'t1. 4 'X'
STl\~ETNU_/l STl\EETNAME
('1 J.Jc..\.-o ~ l ()
c~ 011 TOWN ---0-
v.,U';' h A
LASTNAME/COM~1IfN
."',,,
2. Buyer
Nom.
I
I Dt'J.\)iri
FlRSTHolME
lAST NAME I COMPANY
FIIlSTr<lAME
3. Tax Indicate whel"$ futu~ TII)( Bills are to be sent
Billing ifotllerthanbuyeraddresslatbottomofform) I
Add_
l.,ASTNNJlEICOMPANV
S'NIUTNUMBE.IIANOSTIlEETNAME
CITY OIl TOWN
4. Indicate the number of Asseslment
Roll pll'Cflls tnmaf8JTed on tile deed
11 # of Parcels
Part ofa Parcel
OR D
5. Deed
",0""",,
Size
"-CRES
.dSI
UlO-nJl
FII'lST~E
10.1
Ixl
FllONTFeH
"""
6. Seller
Name
bev\ns,k'
lAST NAMli I COM~ANV
LASTNAME/COMPANV
FIRSTAAMt:
1. Cheek the box below which most accurataly d~rlbn tha use of tbe property at the timl of Ille:
A~oneF3miIYRes.idential
B 20r3F.milyRMidentiol
C R&sid&ntillIVacal'ltlllnd
D Non.Rellidentilll Vacant Land
E~Ag';,"II"'" I~
F Commercial J
G Apartment K
H Entert.inment/ Am~llIment L
Community Service
Industrilll
Public Service
Forest
I SALE INFORMATION I
11. Salll Contract Dlte
'a ,..-
/ I <, /041
"""" Do, v..
II / 0/ .041
Momh "'" YH'
12. Dew of Sale I Trlnsfw
,;),5,0 0,0,0,0,01
, , .
(Full Sale Price iSlh8totol amount paid for Ihe property includll1g personill property.
ThiS paymel'lt may be in the form of cBSIl, other property or goods, or the assumption of
mortgagltll or other obligations.! Please round 10 the TllNJrtlJsr whole dollar amount.
13. Full Sale Price
14. Indk:ate the value of personal I 0 0 0 I
property included in the sale . " ~ '
ASSESSMENT INFORMATION. Data should reflect the latest Final Assessment Roll and Tax Bill
16. Vear of Aa-.ment Roll from I 1""\:/ ~ I
hi h -.. - t k ~ 11. T01al AaMned Value (of all parcalt In trensterl
W c I orm....on a en
18. Property Cfass
I e:.2 I OI_U 19. School District Nem. I C l.. l..J\-ch~ 0 I,,}
20. Tex Map ldentifiertsll Rollldentifi8l'(11 Itf mora than four, etbIc:h lbeet with edditionalldentifier(sjl
1000 - 09"'.00 -CJl.OO - =7.0.:0
REAL PROPERTY TRANSFER REPORT
STAT! OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
Rp.5217hvJ11T7
fl~ST NAME
STATE
(Only if Put of e 'eroel) Qwck as they apply:
4A. Plenning Board with Subdivision Authority Eleim
4B. Subdiviaion Approvol wa$ Required for Transfer
4C. ParcelApproverl for Subdivision with Map Provided
Check the boJ(es below as they appty:
8. Ownership Type III Condominium
9. New Construction on Vacant ltmd
lOA. PropertyLocllted within an Agricullurlll District
108. BuverreceivedlldlsclOllure notic.indicatlng
that tile property is in i1n Agriculturlll District
,
IQoo
, ,
\ \q::,s I
ZIl'CODE
ZIP COO~
o
o
o
o
o
o
o
I CERTIFICATION
I certify that aD of the items of infonnation enlered on this fonn are true and correct (to the best or my knowledp and belie{l and I understand that the makiDg
of any willful f'Blse statement of . fact herein will subject me to the UnnisioDll of the oenallaw rel8tive to tlu! maltini and nllng of I'aIse Instnunents.
/7 ER BUYER'S ATTORNEY
/ &-t /v/oore f}dnCl~
BIJ'l'cRSIGNATUAE DAn lASTNA....E FIRST NAME
3<1%-
L.A!
STIl~ETNAMEIAFTEI\SA!-U
;V ~J /'7 'tV
STATE
(o,~,
AREACOC(
Ht-I3t.:-1Z ,s(,., to
STIl.EET'OVM6EII
6~,E,Jfo,er
CITY OR TOWN
ll~COOf
~
/.JQ~"!fdl '
ilo~
o.<n
*I~
705-43.30
TELEPHONE NUMeeIt
NEW YORK STATE
COPY