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COMULT YOtJR LAWYERIIEl'ORE SIGNING nllllNSTRUMENT - nus INSTRUMENT SHOULD BE WED BY LAWYERS ONLY
TaMoJ'
Dosisuticn
THIS INDENTURE, made the ,J"Htday of #1:) V.elinbPlL ,in the year Dl 00 1:
BETWEEN
trlin /J1(//2./~ 6,,-ef2J..,-pf'2... ~-IVDc..4!o1<
""V/VI!, 77J..V.rr-" ~VteVJI~. eq,p.eI2LeR.. .//1... 7l-vcff..f/.R......
1l~41r:Pf"l(,d- ;? Y;1,r u"g A'~ , /?o ~ J)- CV'fd?'Wv.....
Ir.tlAl"V(ff'ft!;~ I' q ~..r - () 0/--
party of the Iinl part. """
72 OVIoJi/) I!J. &I:).pn t-en.. l'/Z aJJ Ah 11 /I1t:f /2) c-
G f) en. J....p fZ.-" ~-RJ/"""5 a.:I ~ y A ~ ~ ~ ~ I //0 ~hd J-
C (ff chtJJ V-E 1 AI- Y II 'l-ar-t90 I 2-
party of thc scc:ond part.
WITNESSETH,ahat the party of the firsl part. in consideration ofTen Dollll1'lland Olhcr valuable consideration
paid by the party of the second part. does hereby gnnlend releasc unlo tho party of thc second part. the heirs or
II\ICCCIsors end _isns of the party of the second part forever,
ALL Jbat certain plol, jiece qr ~I ofland, with the buildil\&S and improvemenlS thereon erecled, situalC,lYjnj
andbeinainjhe~c;,,~""!:CMVtl'-e hiy 1/4.aJ- rlWt1 1)"'flM#/p
CDCI"'~ . ;r".r-o/~ J" 'f,g"k ~ Iry ,
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Db&.
Sec.
BII<.
Lal(o)
TOGETHER with all right, title end interest, ifany, of the party of the first part of, in and to any s_and
roads abullina the abovc-dcscribcd premises to the center lines thereof; TOGETHER with the appunemmces
and all the estate end rilblS of the party of the flm part in and to said premises; TO HAVE AND TO HOLD
thc premises berein gnnted unlO the party oflhe second part, the heirs or successors and usisns.of the party of
the second part forever.
Ai.'\fD thc party ofthc fim part covcoenlS that the party of the first part has not done orsulTered anythina wbcreby
the said premises have been incumbered in eny _y whatever. except U aforesaid.
AND the party of the first part, in compliance with Section 13 of the Lien Law. CDVCIIlIIlIS that the party of the
Iirst part will receive the consideration for tbis conveyance and will hold the rilbt 10 receive such COIIlIidcration
u a lrusl fund to be applied fim for the purpose ofpaYina me COIl of the improvement end will apply the same
first 10 the payment of the cost of the improvement before using eny part of the lolaI of the same for any other
PUIpOSC.
The word "party" shall be construed as if it read "parties" wbenever the acnae of this indenture so requires.
IN WITNESS WHEREOF,the party oftbe first part has duly executed this deed the day and year Iirsl above
wrillcn.
IN PREBENCE op,
lJDrAalWJlOUl.ll tENrFOlM _"""",;,NBWrau8J>l...OM."
"__oIN"'Y~CoaaI)'oI~ ,...,
Onlbe . dayof' \\-'0 . inll.!e~o-fI
bobe.....Ibe~~~~l.lIOI.,
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_in~~' '")(i _..,bIlI ~
Ihe~'~' 1hD__ ,,"'bicblhD
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PEGGYSUE
Hot.., ....bIIc . Stm of'
Na. 010050485
Qu.IUIod Ia
MtI Caaluloa &pIno
_FOaI_UIIlwmev__sr.....ON."
(1Nw Y",*8Mlum,.,. _..-.......~J
State "rN... yan, Ca.aty or ,....
On the clayof' in !be yaK
befi>n= me, Ibe -pcd. ....-wly __
tbelUbocnlrina _to !be Ibr.piDa _I, witbwbcmll"';
poonclII8Uy oa:quaimed, w..... beinaby me duly IWCIIII, did cIepaoe.....
.y!bat heIIheIlbey Nlide(.) in
f/fdwpillCul"-"'ni:o ,.1II_e/O'. brdwIa._____."
....". '.......; tbal heIIIWtbey know(l) .
to be I1uI individu.l dcKn"bcd in ..... who acculed !be "'-i...
_I; I1IaIDidllllblmibi... wi_ _ ...............w uid
_Ie..... _ ODd tbal laid wi_ at !be _lime IIIbocribcd
biIIheIftbeir liliiii(1) U . wi..... _.
BARGAIN A SALE DEED
WllllCOVDIAN1'I:~OItANTOR" ACTa
Tm.IlNo.
TO '.
II
If
II
.
lJDr~ -".____N__sr.....OM."
~ erN... Y...... ea..ty 01
,...
Onlbe dayof' inlhD_
befin me, IhD ............... ponoaoDy........
..u.. ""II So sq'iliiU 0""" .
jIOiIOnoIIJ kaawn III me ar ........ 11> .. _ Ihe ... ar ....~
-"'11> be IhD bIividuoI(I) -1IIIIIl(1) II (_) _11> Ihe
wiIbia _.....:1.-*IpcIlDmel1llll~..._1hD
_.~~...l1IIIby~~..~_
IbD __Ihe inIIIWUI(l), ar IbD _ _ -.rof'wlIIc1IlbD
individuoI(I)-._Ihe_
Ya
28 200s
_""_UIIl~NIJw__Qw.ft
(001"'_"""""_"-'" ~ nlCarllJla*I
.. . .. . . .. . .. .. . . . . . . . .. . . . . . . .. . . . . . . . . .. ,...:
~ ........... c:o.ur"."..... .,.11- . 1 ~'1
On !be c1ay"r in !be yaK
befiIno _!be undcniped....-aIIy__
...-ally kaawa to mear proved to nil _Iha lIuiaof'~
ovideMe to be..... individu8l(l) w'-e liliiii(1) ill (IN) 1Ubocn"bcd Ia
!be willlin i_I ..... ~d to me dial Ile/sbeItboy
_led lhaumc in billMrllbetr_ty(ilIo). tbal by h_1hair
~I) DIIIha 1.._1, I1uI individu.l(l), arthe__
bChaJrof'Wbich I1uI iadividual(l).....1IlIIICUlod the lnoirun.d, ODd
tbal....h ladI_ ...... ....... _ bcfiJn Ibe uadeniped
in the
(1_ dw city ....",.,. pal/IktM 611bt11tM. _ ,''' _ ... --"'"
"""'''''''.u1:.'1IlI4 ~ DlMII'IlIiIlMJ.
DISTKICT
SBcnoN
BLocx
Lar
CoutIrYoa TOWN
II'ff fiE IF MflI,ililFN
JlldoJIty N....... 'I1l1o........ ^-P'"'" oIN_ y_
urrnw.r MAlI. 70
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REC1lIlIlE1)
2004 Nov 05 01047,3'3 PM
Edward P.Roaoin.
CUllI( OF
SUFFOlI( ClUITY
L ??oo12353
P 314
DTt 04-14593
Num""r of_
TORRENS
Serilll#
Certificale #
Prior Clf. #
Deed I ~onllage Instrument
3
Deed I MlIItglIgC Tax Slamp
FEES
Recording I Filing Stumps
Page I Filing Fcc
Handling S. ....!!!L
TP-584 .5"-
Notatiun -~ c90
EA-S2 17 \Cnun'yl .~- Sub Total
EA-S217 \SllIlel ~~-
R.P.T.S.A.
-
Cnmm. of Ed. S. ....!!!L
~~. ~-S
NYS Sun:lulrgc IS. J!!L Sub Theal 5;y
Other ~
Gmod Tolul .
Mm'I"llCAmt.
I. BaIlie Tax
2. Additional Tax
Sub Ttlllll
SpccJA...it.
or
Spcc./Add.
TOT. MTG. TAX
Dual Thwn _ Dual Couney _
Held for Appointmcnt /.
Tnmsfer Tax Ij?'
Mansion Tax
The property eove~ by tbis monJlll8" is
or will he improved by 1I one or two
family dwelling only.
YES or NO
If NO. see appropriate: laX clause on
_ # of Ibis il1llllUmcnt.
4 Dist.
04047314 1000
rriP~
~~
oe500 0300 004006
5
ImpnlVed
Real Property
Tax Service
Agency
Vcrifi....alinn
Consideration Amount $
CPF Tax Due S
'II' jSulisraction.<lDiSChargeslRcleascs List Propcny ~nc'" Mailing Address
....... -- cR~Q.f!!J:~_~!:~~!C1'
. .K Dv, ~ ,f) fMJI A 1111 IliarlJ-e 9f0 ~ n J..., e.
1> 0 rc, t!>~ I y
C \it C. hoo II~ fY'I
IJ t1~J'- f!1t!>/v
TO
VacllRt Land
J{/
TO
TO
7
Title Com an IDformatioD
Co
Tide #
This page forms pan of lbe auachL-d
1\ . ISPOCIFY TYP OF INSTRUMI'.NT)
~If""'l ~? The pnomi""" herein is situll1ed in
<3:> Oe..-- I) . k'r r...k-<Ll! SUFFOLK COUNTY. NEW YORK.
1.-0,," . ~'::ort- .:::=- ,_ ., ~_ " . ...a
.J 1'0 '. In lbe Township of ... 1Ii~~
~d\ II r'V\. ~ Q.,M...C.\ Q. 91_ In the VILLAGE <:::::.:... ,_,. __, ..J
6 c:i'~ or HAMLET of ~,~
BOXES 6 THRU 8 MUST HI; TYPED OR PRINTED IN(Bt,'\:...QQ.~:ONLY PRIOR TO RECORDING OR FlUNG.
Cn""r)
& Endorsement Pa
'8' :~l Suffolk Coun
made by:
,-
111111111111 11111 11111111 11111 IIUI 11111 1111 11111111
IIU~IIIIIIIIIIIIIIIIIII
StJPi'OLIC COUNTY CLERlt
RBCORDS OFFICB
RECORDING PAGE
Type of 1l18trument: DBEDS/DDD
NUmber of PageB: 3
Receipt Number : 04-0122421
TRANSFER TAX HUMBER: 04-14593
Recorded:
At:
11/05/2004
01:47:39 PM
District:
1000
Section: Block:
096.00 03.00
2YlLJlIHID AHD CKAJtGID AS roLLOWS
$0.00
LIBER:
PAGE:
Lot:
004.006
D00012353
314
Deed Amount:
Received the Following Fees For Above Instrument
Ixempt
NO
NO
NO
NO
NO
NO
Page/Filing
COB
D- C'l'Y
TP-584
RPT
Transfer tax
$9.00
$5.00
$5.00
$5.00
$30.00
$0.00
Handling
NYS SRCBG
D-STATB
Cert.Copies
SCTK
COIIIIIl.Pres
Fees Paid
$5.00
$15.00
$75.00
$5.00
$0.00
$0.00
$154.00
~-wt
NO
NO
NO
NO
NO
NO
TRANSFBR TAX NUMBER: 04-14593
THIS PAGE IS A PART or THB INSTRUIIlDlT
THIS IS NOT A BI~~
Idward P.Romaine
County Clerk, Suffolk County
~LcA:;c I Y~C VH PHESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: htlp:// www.orps.slal..ny.us or PHONE (518) 473-7222
FOt' COUNTY USE ONLY
Cl. SWIS Code
REAL PROPERTY TRANSFER REPORT
"-'I'
II' I )1
. .
'<;1J?,'t,rl
05/0YI
Day Y..r
*
RP-5117Re>Mn
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C2. Date Deed Recorded
M~t I
RP - 5217
C3. Book
PROPERTY INFORMATION
1. Property I
location
CCD'j.
STIlEETNA
-{liMe-
/10 #; L)<" J....-
Jl 'f)'" 1
STREET NUM8ER L
Ll/frL)(/,)fr/-€-
CITYOlITOWN V
~ 6) ~ tl.J,-C: fL
LASTNAMfICOM~ANY
1 M ~:r--{)'()/)-
"'''''''
VILLA~
:<~ 8, .f'n
, ...,
itJl/j? / e..
12ll;~P!JJ,P I JJt)n JJJI/I2 .!-<( I
r'l r V -i' k'(j' I f//P,:J-OC rr
U ' TE z!pCOD!;
o
o
o
~ . ~
/rfln) /f?VJ/I
I
2. Buyer
Name
(
AfI1jJ.
""
e;; 0 € Q. h-e~
lAST NAME I COM",fr,NY
(' I Jf.r).,
CITY OR TOWN
lAST NAME ICOMPANY
3. Tall Indicate whefe future Tax Bills are to be sent
Billing if other 1han buyer address lat bottom of form) I
Address
11 0 JO E> 'i(
STIIEfl NUMBER AND STlt~H NAME
(2--
4. Indicate the number of Assessment
Roll peroebJ trarlsf.rred on the deed
II #ofParcels
4A,ptanning Board with Subdivision Autl10rityExlsts
48. StJbdivilion ApproVllI W8S Required for Transt'er
.c. Parcel Approved for Subdivision with Map Provided
Oft 0
(Only If Part of a Perwll Check .. they apply:
Part ofa Parcel
5.DHd
".-
Size
Ixl
lOR I
AC~E$'
.
fAONTffH
~~
6. S.ller
Nam.
Ad~r 11J.fJ.Cl.;-t
LASTNolMEICO PNIY
GI) f?(L L-f'rz...
/If!I/O Ullb /,0
F1RSTNAMf .
L.A8TNAMfICOMPAAY
FlASTrv.ME
7. Check the box b.lowwhich most accurately describHthe r.t81! ofth. property 111: th.tlme of.a:
ChedI: the boxes below II they appty:
8. Ownarship Type Is Condominium
9. New Construction on Vacant land
1OA. ProptJrtyLooatedwJthinanAgricvllurel District
'08. Buyar receivetl a diKiollura notice indicating
that the property la fn an Agricultural Dlstricf
o
o
o
o
A One Family Residenlial
B 2 Of3FamllyResldanlial
C Rasidential Vecant Land
D Non-Residantial Vacant land
I SALE INFORMATION ,
11. Sel. Contract Data
E ~ Agricultural J ~ Community Service
F Commarclal J InduSl:rlel
G Apartment K Public Service
H Entertainment f Amusament L Forest
M!J."
,....
/ q~ /1.~!,,1
16. ChlCt one 01' more of these conditions a. _icaIM to tnInaf...:
A Sale Between Relatives or Former Relatives
B Sale Batween Rel8t8d Companies or Partners in Business
C One of the BIJYElr8 is also a Selklr
o Buyer or Seller is Government Agency or Lending Institution
E Dead Type not Warranty or Bargain al'ld Sale iSpecify Belowl
F SlIllI of Fractional or Leas than Fee Interest (Specify Below)
G Sigl'lificant Change in Property Between Taxable Status and Sale Dates
H Sale of Buainess is Included in Sale Prios
I Other Unusual Factors Afft,cting Sale Price (Speoify Belowl
J None
12. Date of Sala I Transfer
If / ()r /:l.IJnYl
Month Day V....
, , 2,e/:<. 0 . 0 , 0 I
, , .
IFullSalePriceisthatotalamounlpaidforthepropertyincluaingperaonalproperty.
This payment may be in the form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Plaase round to the nf/8,est whole dolla, amount.
13. Full SalePrica
14. Indicate the value of personal I, , .2.. -e. d2..... 0, 0 . 0 I
property included in the $8la , .
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
18. Year of Aslusment Roil from ~ 17. Total AsaKSecl Valuelof all pan*1 in transferll
which information 111ken
;
2-€rlO
,
18. Property Clasa
1 ;Z /~ I-LJ
AI'i[ IrYh 6U
19. School DiltriR Nama I
......
20. Talt Map ldentin.rilll Roll Id.ntifier(s) m mora than four. attach ,.hllld with addhlonalldentlftertsll
I ('llX)
n'?<Jo
I CERTIFICATION I
I certify that all or the it8lDll ollnfonnation entered on this fonn are true and ClOITed (to the best of my Iwowledae and befier) aod J understand thultlle IDllkiDg
of any willful r~ statement of malerial fltct herein will subject me to the Drovisions or the oenallaw relative to the maklna; and I1Iiag or I'aJse 1IuitnHnents.
f- 2~~~ BUYER'SATTORNEV
j atA'JOtcU.vZ. ~{~'- I II J O('/,p, &-()~, !JI/~
8UYERSIGIfATUII! U OAT! L.A8TNAMe
( ~ )...0 fl .-e ;Y~.>;;'C/
STREH fIIAMI: INTER SAlel I /
('f( (p ().)
oo'fL.D1,o
flASTNANlE
;;( 'f)..,\-
STREET NUMIIEll
AREAOOOf.
reLfP~f\lfNLlMBt~
(' lif c..A G:f ".... 1 rl'f.
1- <:~~~".
+ ~';fllJf;'~
114M-oo!
ZIPCOtlE
NEW YORK STATE
COPY
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