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CONSULT 'YOL'R lAWYER BEFORE SIGNING TIDS INSTRUMENT ~ THIS I:-ISTRUMLVI" SHOULD lIE USED BY LA"'"YERS ONLY
asuf
THIS INDENTURE, madeldle i 1..... day of November , in die year 2003
BETWEEN
Seen Cerroll Moffae alkla Sean C. Moffat, individually and as Ancillary Special
Gua~dian of Gregory Hamilton MOffat alkla Gregory Moffat,by Court Order filed
11/16/01 Index 101-13128. residing at 60 Crescente Avenue. Bolinae. CA 94924 and
Brian Howley Moffat. residing at 10 Deer Run Road~ HopkintoD.~MA 01748, &.
Devisees under the Last Will and Testament of John H. Carroll, Ancillary Probate
Suffolk County 1668P1979
party or!be rust pen. and
Sean Carroll Moffat, residing at 60 CresceDte Avenue, Bolln&8. CA 94924 as to .
ODa-third interest, Brian Howley Moffat. resldina at 10 Deer Run Road, Hopklnton.
MA 01748.. to a one-third interest and Sean C. Moffat AS trustee of the
Restatement of the Moffat Special Needs Trust dated July 21, 1994. residing at
60 Crescente Avenus. Bolines. CA 94924 as.to a one-third interest
put)' or die oeccmd pen.
WITNESSETH,dlat the party or!be fil'lt part. in consideration orTen DoIlIUS and othor valu.ble consideration
paid by !be party of die second pen. doc:s hen:by grant and release unto die party ordle sec:ond pen. die heirs or
1IW"~~rs and lISSigns or die party of the oeccmd part forever.
ALL tbatcertain plot, pieeeorpan:el orl8nd, with die huildinp and improvements thereon erected, situate. lying
and being in die .
TaMop
DalpodoD
See Schedule" ItAII aceached here co and made a part hereof.
. DUl. 1000
Sec" 055.00
BIt. 03.00
Lal(11OO7.000
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; . I'. . .. ~. t.JW "'.., ,f ..U1\
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........
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TOGETHER widl all rishl, tille and interest, ir any, of the party or !be first part of. in and to any ItrcelS and
roads ahuttinldle above..dacrihed prcmUes to die center lina Ibcreofl TOGETHER widl the appultenanca
and all the _te and riFts or!be party of!be r_ part in and to said prcmUes; TO HAVE AND TO HOLD
the pranisa herein granllld lDIto the party ordle second part, the heirs or once -.,. and usi.... or the party of
the second part forever.
AND ~e party of!be rln1 part covenants that die party of!be first part has not done or suffered anythilll wbercby
die laid prcmi_ have bea'I incumbered in any way whaleVer. ex<:eptu aflll'Cllllid.
AND the puty orthe finr pen. in compliance widl Sec:tion 13 of!be Lien Law, covenants that die party oftbe
lint part will receive !be consideralion for this conveyance and will hold !be rip! to rceeive such considerstion
u a trust fimd to be applied first ror die JllIIIICIIIC orpayina; !be Cost of!be improvement and will apply the_
finr ~ the payment ortbe cost of!be improvement before usina; any part or the loIaI of !be same for any oIbcr
JIUIJlOS".
The word "party" sha11 be construed u int read "pania" when_die __ oflhis indenture eo requires.
. .
.
IN WITNESS WIIEREOF,!be party of!be first part baa duly exeeuted this deed the day and year first above
writtea.
IN I'IlaBNCIl or.
.it . ~J~.r"'A .i/.f.~-..r-Ii
~ ./.:J'.JI -l~~ "-"';c.~_
~ ~ ~1~~tI wit... ~
Gregory H i ton Moffat a/k/a Gregory
Moffat by Sean Carro~l Koffac alkla
Sean C. Moffat as Ancil~ary Special Guardian
"
[l!IIr--DJatI!HT___NawYOuSrAmGo&..
SlIIlIe.,_ y..... c-ty.,
011 1be doiY of
w........ ....... .ij,...4,~...-1ld
UIIrACDIJIP.W JnI GfIlJ/1lT".. M1ZDII'WIDIIN NDr IbU .S7..fmC'R2
J .., SlIIlIe at_ yook, Camd7 at
;'111. >- ala... doiY of
bdnme..tbe'K_l -;'-4~,\'1 ..d
ill... >-
On lbe ; "Pl!.y of November in lbe)Wr 2003
bebe ...... the uncIcnianed. _lIy "w-.d
Sean Carroll Moffae a/k/a Sean C. Moffae .
pcnonoIly known 10 me or pzuyed to me on .......... orlllilAcZory
_tobelbeiDdividwiJMw~~is~_1O
lbe wilbill ~t and clmowledJ"l!:lI!. me Ihm ~
--...., lbeame inhis/llo!lftbd'ClIplICity(~ Ihmbybllllldf
sipatUrof,o) on the i.-umoar. the indIvlcI~ or!be_lIpOII
bChalrorwbich \he indlvld~ 8Cled, ............lbe lnIlrwnent, and
to be lbe Incllvidml deocribed in and who ,"",cculcd the filregoins Ihm such indIvlcI-} ~ _h "PJl I ......4 beftn the UDIIcnianed
inmument; that IBid lIIbscn"bins wi-.s wu preoent and saw said ill the CHy of NapA.. . Seaee of Calirornia
........lelbe......; .....that said wimeu al the ...... time ouboc:ribed (l .. ~ or",1m peIl_, __ """ tIw _ or ~ or
hillllerlUlelr lWIIo(.) U · wi-.slbereto. """"""teda:ifE:.....,
e c:...._. · 1_116
-,,_.<;: - ...
- cc....ir
MotColllm.__._26. ry bl1e:
~ "'- ID DID ar ..- ID .... em ... .... of ......,. . ~
_id.._1D be... iadividuoI(.) ...... nmlI(s) Is (mI) .......ID ...
wtlIIIn --..-_ ~ ID me..............y --.j ...
_ in ~....-;I)("_), _....by ~ .........) em
... il...._-". .. iolividud(s), ar.......... _ beboIrGlwbldi ...
iadividuoI(.) -. -....,.....1be...........
-.. ___U.__NBw_SrAmQ\U:
(Ntrw r... Sf! ..fbIng ........11'..61...._ , c.n1jle:Ju.1
Ste..orN_y.......eoa.tyof . J..:
On !be day or ill lb. )Wr
befilre me, lbe uncIenIpcd, peIS!IIIaIly opPl....s
lbe ouboc:ribillJ wi_to the filregoina Inslrwnenr. with whom ,...;
pcnonoIly acquainted. who. beinl by me duly sworn, did depose and
say that beIsIIDIlhey noido(.) in
(//'''''"...of_oco'' '" IIc/oI.IItd...'''''_____.!f
_. ""'"-10; that hoishdlbey Imow(.)
Trru! NO.
BARGAIN '" SALE DEED
WI1HCOVDWn'SMIAIIG'I' GaA;HfOIl"s ACTS
.:.
TO
FIDELITY NATIONAL TITLE INSURANCE
e:::OMPAl'l"Y OI"NI!W YORK
'4IEIIIII'Q&fID "2'
. Af.FiIIItlJty ~ ..J'
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.......,.uy "'- ID .. ar ..- ID .... em ... ... of . - ~
evldt:dc61D be 1be iDdIvIduoI(.) ...... --<.) iI <-e) - . ib.d ID 1be
1IIiIhfn............ ...............ID me'" ~ -oood....
_in~ " . .f-),......by............... ~)on
.... ---. .... indivIlUd(.), ar 1be...... _ beboIratwbic:b ...
--..c.)-..~1beiuA_..... .
~__U._Nilw_SrAmQ\U:.
(OW~.,.orFu;I;o-r.J4C...~ ~~J
.~1;~t:E. . . . .CAL."1.F!l. . .If.... .C!JJ1!I:r:t. P'. . !J':e!'!-:. J ea.:
~--_c-,.._...JI....4~
D1mucr 1000
SeCTION 055.00
BLOCK 02.00
LoT 010.000
CouNTY_of Suffolk
IlECDllDEDAT IfE(llJESTOF
FIdoIIty N_a1 TItle ...._ C....p-.., ofN_ y_
RETlJ1tN n MAn; It)
Patrieia C. Moore. Esq.
51020 Main Road
Souebold. NY 11971
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Schedule "A"
ALL that certain plo~ piece or parcel of land, situate, lying and being at
South old, in the Town of Southold. County of Suffolk and State of New York,
bounded and described as follows:
BEGINNING at a monument on the easterly line of Boisseau Avenue 347.51 feet
northerly along said easterly line from a monument at the northwesterly corner
of land of the Moffat Sisters and the southwesterly corner of land of the Moffat
Farm; From said point of beginning running along said easterly line of
Boisseau Avenue, two courses as follows:
First: North 21 degrees 55 minutes 40 seconds East, 85.10 feet to a monument;
THENCE (Second): North 21 degrees 00 minutes Eas~ 15.0 feet to a
monument;
THENCE along said land ofthe Moffat Farm three courses, as follows:
First: South 78 degrees 15 minutes East, 200.00 feet to a monument;
THENCE (Second): South 21 degrees 47 minutes Wes~ 100.0 feet;
THENCE (Third): North 78 degrees 15 minutes West, 200.0 feet to the point of
BEGINNING. -
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STATE OF MASSACHUSETTS
COUNTY OF N\.i~Sloc...
)
) IS.:
)
-f-h \,allUll" I JcoLI-
On the 9 day 0~;i003. befon: me, the undersigned. pmonally appeared
BRIAN HOWLEY MOFFAT, personally known to me or proved to me on the basis of
satisfactory evidence to be the individual whose name is subscribed to the within instrument and
acknowledged to me that he executed the same in his capacity, and that by his signature on the .
instrument, the individual. or the person upon behalf of which the individual acted, executed the
instrument, and that such individual made such appearance before the undersigned in the City of
Jib,.. Lhfl'lA_ , Slate of Massachusctls.
~w~n_
,~~:~Y, n .~'
0InIII M. BIOlIIcI, NlIIIrY NIIa
My..AlllII1IIIIIIII expir8I NllY.13, 2008
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'!:la.YU.AU in, 6'\cv\l6.
Notary Public
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Number of pIIOS
5
RECQRDE[>
2004 1'1"", 04 IO.52:~ RI'I
Edward P.Roa~ln.
CLERIC OF
SUFFOLK COONTV
L OOOOI:?317
P 046
[>1'1 ~1055
TORRENS
Serial.
Certificate.
Prior Of. .
Deed / Mortga8e Instrumenl
Deed / MortPlle Tax Stamp
FEES
ReconIin8/ Filln8 Stamps
~
4
Poge / Filing Fee
Handling
TP-S84
15~
5--
1~
Mor1_e AmI.
I. Baie Tax
2. AddilioRBI Tax.
Notation
EA-S2 17 (Counly)
EA-S217 (SIa1e)
5/" Sub TOIaI
~(> ,/
.X>
Sub ToIal
Certified Copy
ReI- Copy
Other
t.5~ Sub ToraI
ORAND TOTAL
/30/
SpecJAssil.
Or
Spec. ,Add
TOT. MTO. TAX
Dual Town_Dual Counly_
Held fur Apportionmenl _
Transfer Tax ---
Manaion Tax
The property covered by Ihis mongaae is ur
will be improved by . one or two ramily
dwelling only.
YES arNO_
If NO. see appropriate lax claule on paae II
_oflhis inllrumenL .'?- .
I'.' I) ...
6 Communi Preservaiiol1 Fund
Conslderalion Amount S .
RP.T.S.A.
Comm. of !;d.
S <10-
Amdavil
s
RaIl Properly Tax Service Aaen<:Y Verilicalion
~.....i__ . Block
1.01
--
1000 05500 0300 007000
CPF Tax Due
s .
04018245
.-pT~
Date ~CFE A
N-MAY
Initials _ .__
7 SatisfaclionslDischa'1leslRcleases Lisl Property Owners.Mailing Add
RECORD" RETURN TO.
S1amp
10(
Improved
Vacantl.and
,/""
Patricia C. Hoore, Eaq.
51020 Main Road
Southo1d, NY 11971
TO /0
TO
TO
8
Title Company Inrormation
9
Co. Name Pec:onic: Abstract, Inc:.
Tille 1# 641-S-01873
Suffolk Count Recordin & Endorsement Pa e
1lIis page fonns pari of \he allal:hc:d
Deed
(SIOOCU:Y TYPE OF INS1RUMEI'IT)
made by:
Moffat et .1
The pn:miscs herein is silUllled in
SUFFOLK COUNIY. NEW YORK.
TO
In lhc To,",nsbip of
In !he VILLAGE
or HAMLET of
South old
J
Moffatel: .1
Sout:holii
BOXES 5 nlRu 9 MUST BE TYPED OR PRIN1ED IN BlACK INK. ONLY PRIOR TO RECORDING OR FlUNG.
(OVER)
11111111111111111111111111111111 11111111111111111111111
1111111111111111111111111
StJI'POLK COUNTY CLERK
RECORDS OPPICE
RECORDI!fG PAGB
Type of Instrument I DBIDS/DDD
HUmber of Pagesl 5
Receipt Number I 04-0051447
TRAHSPBR TAX NUMBER: 03-41055
Recorded I
At:
05/04/2004
10152120 AX
LIBER:
PAGB:
D00012317
046
District I
1000
Section: Block:
055.00 03.00
BXAKINBD AND CHARGID AS roLLOWS
$0.00
Lot:
007.000
Deed AIIIount:
Received the Pollowing Pees Por Above Instrument
1x8lllpt
NO
NO
NO
NO
NO
NO
Page/Piling
COB
BA-CTY
TP-584
RPT
Transfer tax
$15.00
$5.00
$5.00
$5.00
$30.00
$0.00
Handling
NYS SRCHG
BA-STATI
Cert.Copies
SCTM
Camm.Pre.
Peea Paid
$5.00
$15.00
$50.00
$0.00
$0.00
$0.00
$130.00
z.v-.pt
NO
NO
NO
NO
NO
NO
TRAHSI'BR TAX NtlMBBRI 03-41055
THIS PAGB IS A PART 01' THE INSTRUJIBNT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk, Suffolk County
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
-
FOR COUNTY USE ONLY
C1. SWIS Code
REAL PROPERTY TRANSFER REPORT
IY,7,
I .
"?, ?,&pr
OS! 0,/ I O~
Month Day Year
*
' . . I
I
.... .
Rl'-52t7Re"J/97
C2. Date Deed Recorded
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
I 71 C4. Page I
0, 9'./.
PROPERTY INFORMATION
1. Property I
Location
48460
CR 48
STR.ETNUMBEA
STIlEHNAME
South old
CITVOATOWN
Southold
VMAGE
11971
ZlPCODE
Moffat
Mgfy~t I COMPANY
Sean C. Moffat as trustee of the
dAteNt1MEjH'ryNYZ1. 1994
3. Tax Indicate where future Tox Bills are to bl! sent
Billing if other than buyer address (al bottom of form)
Address
2. Buyer
Nama
Sean Carroll
Bf"i:a.~MRowley
Restate~nt of the Moffat
FIRST NAME
Special Needs Trust
I.AST !'tAME I COMPANY
FIRST NAME
STIlEETN\lMBER ANDSTIIEET NAME
CITV011 'lUWN
STATE
~PCODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
(Only if Part of a Parcell Check as they apply:
I # of Parellls OR D Part of a Parcel
1
D
D
D
4A. Planning Board with SLlbdivision Authority Exists
4B. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
5. De'"
Property
Sil"e
6. Seller
Nam~
I X I
lOR I
.4
6
7. ChftCk the box below which most accurately deBCl'ibes the use of the property at the time of sale:
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vaeant land
lOA. Property Located within an Agricultural District
lOB. Buyer received a disclosure natire indicating
thCltthe property is in an Agricultural District
D
D
D
D
A~ One Family ResidentiClI
B 2 or 3 Family Residential
C X Residential Vacant land
D Non-Residential VaeClnt land
E~AgfjCultural
F Commercial
G Apartment
H Entertainment I Amusement
I ~ Community ServiclI
J Industrial
K Public Service
L Forest
SALE INFORMATION
15. Che<:k one or mora of these conditions as applicable to transfer:
n/a I I
Mtlnlh D" Yu,
11 I i'7 I 03
Month Do, Year
A
B
C
D
E
F
G
H
I
J
Sale Between Relatives Of Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seller is Govemment Agency or Lending Institution
Deed Type neat. Wam.OOj or Bargain and SalQ (Specify Below}
Sale of Fractional or Less than Fee Inter-est {Specify Belowl
Significant Change in Property Between Taxable Status and Sale Dateg
Sale of BusiMtiS is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Bolow)
None
11. Sale Contract Date
12. Date of Sale I Transfer
13. Full SalePriee 1 , , " , 0 , 0 I
, , .
(Full Sale Price is the total o!Imount pClid for the property including personal property.
This payment may be ill the forrn of l;ilSh, other property or goods, or the assumption of
mortgages or other obligo!ltions.1 Please round co the nearest whole dollar Clmount.
14. Indicate ttle value of personal I . 0 , I) , 0 I
property Included in the sale, , e
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Vear of Assessment Roll from I 0 3 I 17. Total Assessed Value (of all parcals in transferll
which Information taken
5
o 0 I
,
18. Property ClaM
13
1. ll-U 19. School District Name I
Southold
20. Tax Map Idllntifler(sll Rollldentifierls) (If more than four, attach sheet with additionallden-tifier{sll
1000-055.00-03.00-007.000
CERTIFICATION
I certify that aU of the items of inConnation entered on this Corm are true and cornet (to the bellt. of my knowled&e and belicl) and I understand that the making
of any willful Cal'le statement qf material Cact htlrdn will subject me CO the Drovisiun:s 01 the oenaIlaw relallvc to the making mid ftJing of false imtrnmenfS.
BUYER
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..;-~-{",<!.... C...c1'7'r',;,~'l. . ..-~/~
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BUVl:IISIGNATUIIE
BUYER'S ATTORNEY
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~"
Moore
LAST NAME
Patricia C.
F1FlSTNAME
60
Crescente Avenue
STRl1:I'.TNAMI'.lAFltRSALEI
631
765-4330
TELEPHONE NUMBER
STFlEETN!JMRER
AREACOD~
Bolinas
I;fTY 011 TOWN
CA
94924
ZIP CODE
STATE
SELLER
NEW YORK STATE
COPY
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SEU~II SIGNATUI\t:
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