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CONSULT YOUIt LAWYH UFO_. SIGNING THIS IN'TIUMINT - THIS INSTIlUMINT SHOULD II USID IY LAWYlaI ONLY
THlSINDENnJRE, 1I1lIde;" Aupsc 4. 200]'
BETWEEN Jolm 1';:.I'1.....rl:)' ..... Tracey Doubrava. b1s wife
830 Deerfooc Pach
Cuci:bogue. II'r 11935
rpr
lo~)~. Ci 1.../
party of !be rant pi.... lIIIJ!..
)[y;1-''''1.cllo1&
1200 J5~E ~ (? '1)~ lit:
e"dUJoHl~ ~ 1/13$
palt, of the _....... parI,
WITNESSETH. thai lhe party of the inl p.rt. in.consideradon o'Ten DoIlan &DCl odaer valuable --' .Ilntioa.
paid by lhe JNlrty of the _C'ODd ,,-rt. doea. )lnebY.'Brald and reteMe' unlu lhe pliny of the .-coacl part. the hein
or .~n aad ..ipa of the pan)' of Ibe IlICOIUl ,.".foreyer.
All that certain plot, piece or parcel of land, situate, lying and being at East Cutchogue, In the Town of
50uthold, County of Suffolk .nd State elf New York, known and designated a. Lot No. 20 on a certain map
entitled, "Map of Moo.e Cove" and nlod In the Office of the Clark of the County of Suffolk on August 30. 1960
as Map No. 3230; said lot being bounded and descrfbed as follows:
BEGINNING at a point In the westerly side of Deerfoot Path distant 130.74 feet northerly from the corner
formed by the Intersection of the westerly side of Deerfoot Path with the northerly side of Moose Trail;
RUNNING THENCE South 76 degrees 50 minutes 20 seconds West, 113.42 feet;
THENCE North 24 degrees 24 minutes 20 seconds West, 152,94 feet;
TIIENCE North 76 de9rees ~O minutes 20 seconds East, 143.24 feet to the westerly side of Deerfoot Path;
THENCE southerly along the westerly side of Deerfoot Path, South 13 degrees 09 minutes 40 seconds East,
150.00 feet to the point or place of BEGINNING
~~~~...h~~~,t.U ~
,J- ffi. ~~ A dtul ~ //'1/"3 r~
/l.UhtWl 1/-1'1 /f) J..h,' i ~ /~ I f9J'- ;} 1.
-f(M::.:-l'IU:K "..ith all rillhL title :and intf"res.t. if all!>_ ut t..... pIIrt) uf the hnlol I,art in .nd tu un,. li:llft't:!lo Qn.1
ro.ds abulIin,r Ih.. .1.0,,'1' de<<ribed prr.'llIi.n to thr CClltrr line. lhera.t: -rOc.a."THJ::R ,,"jth the l.Ipl'urteuaut.CJl
anti .11 the nt.tt! .'Id rilChta of the put)' of the firat part ill and to laid J,rclDi:lft: TO HAVE .-\I'\D TO HOLD
the- lirerni~ hcreill e:nmted untu the .lArt)" IIf the fC<<und .tan. Ihl!' h",iu. "1' IUL..-CJ'tII~"'" an,i iI..illn", of Ih.~ Ilal1) uf
tN- ~,"d pall turen.... .
,\:,\0 lhr. )Jilrh" "f the- lir.loll,...t covenlf.nl~ dr.1 the IUtn) ,,1111-= firll part II.,. nul ,lone.' ul' ""uflrred .u,.lhin~ ",'hcl'eh)
.hr said prC'roi.et. have lwen em:umben!'d ill un)" wa)" Whale'"er_ dCepI: .. alol'I!'Nhl.
A!\ID Ihr pany "f the fi..... pIIrt. in compliance wilh Srr.tion 13 'If lhl!" l.ir.n lAW. ..'u'"POlln" lItHt 111c,' )Jarr)" ulltk" lint
1,...1 will l"OI:ei,"e lhe ,'nn.idrratiun Inl' Ihi" con'"~'.n~ alld ,,"ill h"k{ the ria;ht In rec."I!'ivt" .uch c,"\IlI!tidforallo.. al1 .
trUJlI fund tu ~ awlied fil'll for the purpoae uf payine: tht' rust ur liar impru,,'elDellt and waJ apply the ..me tiht tu
the p.ymrnt 41f lhe ,,'_1 of the illlpronmeJlt bef~rc u.in, an)" ltarl nf the tolal ullh~ .BIOt' fQr any uthrr pUI'J.KtW.
The word .'part)'.' th.n he ClIn.rum.. if it read .'partin.' Wlwlle\o'~1' 1_ Mnse nf thi. indenlure su ~...irn.
IN WITNESS WHEREOF, the pia"'" df IhI" lint part ha!l. tlul~' t"Sf'CUled Ihill dl"t."d th~ eta.. and ,,'ear fint abtwe
wril1en.
I ~ I"RE!'ENCE "t':
:t:;:t-
ACICNCMI...&IXII1tf1EW YORK aTAn (NIL....
S..te or New York. County or SuCt='o1k ...:
On Auausl: 4, 2003 ...rore ..... .... unde",i8JlCd.
pe.-..lly appeom! Trac:ey Doubrava and _
JDbD P. P1.nnert:y
.......-J1y - '" .... or JIID"OlI '" .... On .... bail or wiifac-
'COY evidencz ID "" 11Io iDdlvidu8l\ll _ _") is (1ft)
Mlbtcribed .a Ibe widtin inannenl and .....__~ 10 me IIud.
1IeI_1IIoy elleCUlOd II1e some in hillihaflheir copodlylin).
.... IhoI by hisIhcTlJheir ~.) 011 11Io inolrummI. 11Io indi-
vidua!(s). or Ihe _ "'"'" belWf or _ 11Io . Sl
-=ted. e.ecullOd 11Io insuument.
lEORGE ... HllWEL
-.y _I" SIal. 01 ......'
IIa. IlIH
_001 In No.... l!DIIIlIl. ...., _
Term Ex_ M_ :10.,141' _I
&--owt.B IT 0III'8DE'" YORK 1ITA1'8............
s_or CoantyoT II.:
On
_Uyappe~
beron: me. lite- undcniped.
peninnoIly _ In .... or pnwed 10 .... "" Ihe _ or_.
rlClOly evidence '" ... II1e indilli.....(.1 whale nome(s) is (1ft)
lllboc:rihed ID II1e _in inocrumem lIIId -1ed8ed ID ....
_1IeI1beI1hcy euc:ulod Ihe some in hilllherflheir copodty(lesl.
....1hoI by hllllherf1hioir 1i,,-,,-.1 0II1he 11IlIIIII1IIOft1.1he ind;.
v_(o,. or Ihe person upllII _If or which Ihe individaoJ(.1
oned. execullOd Ihe inocrumem. lIIId _ llUt'b indiv_ mode
llUt'b ___ ""foIe Ihe underoi...... in
(hum rl1, tw f'DIilII:aI ~-w- """ 1MIc".. t."DIIIII7M""'" pla.v .......,_
-.....,
r~.ttIo.//ItY"'.....,.",IIIIiq..J. ~ 4.- MIl
..rpin .. am ~
WnII ConRAIlI' MAr...,. CuIl'l'O&'l Acn
TITLE No.
JltDDert:y/Doubrava
TO
" Nic:bo1.a
'. ~
"'
~8Y"
St.t.. or ..
County 01 p.
"'WING WI'f1irID8(D)
.'
" I...:
'-. .
On "
penmlllly _om!
""fare me. ,"" ul1deroi.ned.
thr mbscribinl witne'lst'es) let the forelOinJ: inNr'Umenl. wilb
whom I 1m penIDRlUy ocquolnted. who. hein. by me duly
.worn. did ~ lUId ..y 'hat belsheI1hey re.ideI.1 in 'if'"
p~ nf w#lttJmc"r ;$ ill . ...". UtrlMdr "", IorRrl uMJ ,.'IW!I ,."".t.rr.
if~ '''--It.
"'.. beI_lhey know(.)
to be che individual(.) described in and who eXKUled the fore-
going in!llibUment~ dial said mbscTihil\{! wiUleU(C5) Wa."i eweR'
preacn' IllId _ Slid
eKC'C'ule lhe sarmr; .... thai Aid witncu(elCI .. the lame time
subscribed hislherltheir name(s) as . wilnea<eS) d1erctn.
(I.I """""",~_N,w tbrI:SIIw """'ri~'II',,,,lllkwl"""WMrIIII..w....
..,."..,..........pIat:r................... And..... Mid-baTibina
witneaCes) mme such"'r _.ce before the untleniiped in
______1
'n",.,.,-r n4 P//irt' rtfMJI,,,,,, .......,. m___.'".,,,......,'
SECI10N 103.00
BLOCI[ 04.00
LOT 004.000
COUNTY OR TOWN Suffullt/Soul:hDld
_TURN BY IIAIL TO:
Ga-.y Flanner, OlseIl, Esq.
PO _ 706"
CuI:i:hoRae. 1IY
Z1~ No. 11935
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111111111111111111111111111111111111111111111111111 1111
1111111111111111111111111
SurPOLK COUNTY CLBRK
RBCORDS OPPICE
RECORDING PAGE
Type of Instrument: DIBDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBBR: 03-02932
Recordeell
At:
LIBER:
PAGE:
08/22/2003
02:25:34 PM
D00012268
150
District:
1000
Deed Amount:
Section: Block:
103.00 04.00
lZlI':uaNID AND CHARGBD AS pOLLOWS
$345,000.00
Lot:
004.000
Received the Pol1owing Pees por Above Instrument
B7-q;>t
NO Handling
NO NYS SlJRCHG
NO lA-STATE
NO Cert . Copies
NO SCTM
NO COIIIIII. Pres
Pees Paid
Page/Piling
COI
IA-CTY
TP-584
RPT
Transfer tax
$9.00
$5.00
$5.00
$5.00
$30.00
$1,380.00
$5.00
$15.00
$50.00
$0.00
$0.00
$3,900.00
$5,404.00
--..pt
NO
NO
NO
NO
NO
NO
TRANSFER TAX NCMBER: 03-02932
THIS PAGE IS A PART 01' THB INSTR'DHBNT
Edward P.Ro:maine
County Clerk, Suffolk County
Nunlbcr of pag""
TORRENS
-3
REClRDEI)
2003 Rug 22 02.~. 34 PI!
E_rd P._I...
ClERK IF'
SUFFa.K caMTV
L 000012268
P ISO
DTI 03-02932
Serial It
Cenincnt~ #
Prior Clf. #
0..""; I Mongage Instrument
3
J)"ed I Mangage l,!x Stamp
I'ur.s
Rcconling I Filing Stamps
Grand Total
io.4
~.
Monl!alle Anll.
I. Basic Tax
:!. Additional Tax
Sub Total
SpceJA..it.
or
Spec./A.Jd.
TOT. MTG. TAX
Dualli,wn _ Dual County _
Appoinlmc:nl
Transfer 11 I... "J >? () _
Mansion Tax.
The pfupcny covered hy this mongage is
or will he- impn..Y~ hy il one or two
family .Jw.lling only.
YES 0' NO
]( NO. see appn'JX'iatc tax clause un
page # uf lhi! instrument.
Page II'i ling Foe
Handling
TP-S84
S. .-!!!!...
Notaliun
EA-S2 17 (County)
F.A-S217 (Slate)
R.P.T.S.A.
Sub Tolal
Cumm. of Ed.
s. on
~-
Affidavit
Cenifi..J Copy
Reg. Copy
Su" Total
Ot""r
4
"
Real
Pmpcny
Tax Sc:orvic.:e
Agency
Verification
03032170 1000 10300 0400 004000
0S'~
~(R DTY A
1-AUG-O
.---'"
5 CommllDity PNHrn.tioD FuIId
Consideration Amount s:J4S"; OOD
Tax D"';i;, S , fO 6
",
.&~ c.~~.
/0 & /'11
~ JfJ;//f.f;L
v
Vacant Lund
6 SatisfactionolDisc""'ll,-.lRcle...<e< Li<l Propcny Ownen; Mailing Address
RECORD .. RETURN TO.
TD
TO
TO
7
Title Com an Information
8
Suffolk Count
~II OJI'I'7
Recordin & Endorsement Pa e
1J..u.d ,db.
(SPECIFY TYPE OF INSTRUMENT)
Cn.Name
Tltle#
Thh" page fonns part of the ntl3C'hed
made "y:
Plbe p~lni~ he~in i!' 2'ilualcd in
SUFFOLK COL"NTY. NEW YORK.
In me Tuwnshipof ~J/
In the VILLAGE
or HAMLET of f1~
BOXES 6 THRU 8 MUST SF. TYPI:;D OR PRINTED IN BLACK INK ONLY PRIOR. TO RECORDING OR FILING.
jt:::;~~OY
. "fa
~~.~
(over)
.
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
F.OR COUNT)( USE ONLY
C1. SWIS Code
REAL PROPERTY TRANSFER REPORT
y,' '1,.3, 5]', ft, fl
<f? I ~~
Month DIIY
~.'.""'I
JIlt
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
1a3
Yl!lI'
CZ. Date Deed Recorded
RP - 5217
/ -, ) ".' ...,.
C3. Book I ,. I ~.-( I v:1 I >f I C4. Page I
PROPERTY INFORMATION
/,501
RP-5217RlO'/3/'Y/
g-~o I DHIl-C.u,-f
STREET NlJMBEA STFIEETNAME
5, <9 ",-t\u, ( J
C!TVORTO~
I c.Lts
?n. --l"t,
(" ,-,..(cLlO~
"
1. Prope.rtv I
Locatlan
1143<;-
ZlPCODE
2. Buyer
Name
FIRST NAME
LAST NAME I COMPANY
3. Tax Indicate where future Tax Bills are to be sent
Billing jf other than buyer address (at bottom of forml
Address
LAST NAME I COMPANY
FIASTNAME
STREET NUMBER AND STREET NAME
ClfY OR TOWN
STATE
ZIP CODE
(Only if Part of " Parcell Check as. tRey apply:
ORO
4. Indrcate the number of Assessment
Roll parcels transferred on the deed
# of Parcels
Part of <'l Parcel
o
o
o
4A. Planning Board witrt Subdivision Authority Exists
. i-?, 41
T0:9h/U
"IP$TIV<ME
48. Subdivision Approval was Require-<:! for Transfer
,. Deed
Property
Size
.. Seller
Name
lOR I
4C. Parcel Approved for Subdivision with M..p Provided
....CRES.
'"F
Cheek the boxes below as they apply:
8. Ownership Type is Condominium
9. N_ Construction on Vacant Land
1M Property Located within an Agricultural District
108. Buyer received a disclosure notice indicating
that the property is in an AgriCultural District
7. CheCk th. bOl( below which most accur.tely de5cribes the us. of the property at the time of sale:
A~neFamilYReSidential
B or3 Family Residential
C Residential Vacant land
D Non.R.sidenti,IlVilcantLand
o
o
o
o
E ~ A"",II,,,' [ ~
F Commarcial J
G Apartment K
H Entert..inment I Amusement L
Community Service
Industrial
Public Service
Forest
I SALE INFORMATION I
11. Sale Contract Date
15. Check one or more of these eonditlons al .ppllcab1e to transfer:
A
B
C
D
E
F
G
H
[
J
&"~ I
I)" I 05
Day Year
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or $eller is Governml!lf1t Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Belowl
Sale of Fractional or Less than Fee Interest (Specify Below)
Significant Change in property Between Taxable Status and Sale DalQ!li
Sale of Business Is Included in Sille Price
0'610'-tIO~
12. Dat. of Sale I Transfer
MOnlh
Da,
,,~,y .S-, 0.0 0, 0 0 I
, , .
(Full Sale Price is the total amount paid for the property including personal property.
This payment may be in the form of cash, other property or goods. or the assumption of
mortgages or other obligations.) Please round to the nearest whole dollar amount.
13. Full Sale Price
ar Unusual Factors Affecting Sale Price (Specify Below)
"'
14. Indicate the value of pMsonal, ,'0, 0 . 0 I
property included in the sale, , .
I ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax B1II
~.o
,
16. Year of AUe$sment Roil from I C9. SI
which InlorTllation taken
I'~ ~,Ol-W
01
o
17. Total Assessed Valull (01 all parcllls in transfer) I
-:li I ).
19. School Distriet Nam. I
18. Property Ciass
20. Tax Map ldentifier(sll Rollldentifier(s} (II more than four, attach sheet with additional identifier!s)}
lOOn -lo'S .COO -OLI.OO-OOY.O""
I CERTIFICATION
I certify that all of lJJe Items of lnfonnation eotette! un Ibis fonn are true and corred- (10 the belli of my knowledge and beliet) and I understand that lhc making
of any wilU'ul false statemt'llt of material fact herein wiD subject me to the DrD'vislollS of the oenaI IllW relative to the nudr.lng and fiUna o[ false instruments.
BUYER BUYER'S ATTORNEY
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STllEETNUMSER STM.nNAME/AFTIIlSAlEI
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ClT'I01'I'TOWN
() (SQ..N
lASTIIlAME
ro'S I
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FIIISTNAME7
;"SLj-;606
TELEPHONE NUMaER
A~~A COCE
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ZlPCON.
NEW YORK STATE
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