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BARGAIN AND SALE DEED WITH COVENANT AGAINST
GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION)
FORl1l1(I07
CA\rrKIN: TIllS AOKEEME"'" SIf"tiUlIII: PKEI'AKEIlII\' AN AHOKNI;Y A~1l KEVII,WF.IlIIY A'TORNf.YS FOIl
SEIJJ,K AND P1JRl'IlA~ER IIf.Ft JIlF. SKiNIi'ilj,
~
THIS INDENTURE. made Ihe , t da~' of MAY 2004.
between
J)OROTIIV S. CAR!.SON. nlk/a I)()ROTHY S. BAXTF.R.
"f 840 !.iridic Lan~. CUlehogu~. NY II 1J3S
pany oflhe firsl part. and
DOROTIIV S. BAXTF.R and CHARLES J. BAXTER.
of840 Aridle !.ane. CulchollllC. NY 11'135. as wile and husband
party of Ihe second pan.
WITNESSETH. Ihal Ihe pany oflhe lirsl pan. in ~"nsideralil'n l,fTen Dollars and No Cenls
ISIU.OOI.lawful mllne~' "fthe Uniled States. and other good and valuable .:tlnsideration. paid hy
Ihe party of the ~'Cond part. docs hereby gmnt and release unto the partYllf the ~'Cond pan. thc
heirs or su~cessors and assilllls of the pany oflhc lICC(lnd pan forever.
ALL Ihat ~ertain plot. piL'Ce or parcel Ill' land. wilh the buildings and impro\'emenlS Ihereon
erecled. situate. lying and bcinl! in IheT"wn Ill' Southold. County of SutTolk and SlDte of New
York. more particularly dL'SCribcd in Schedule A attached hcreto.
SEE .SCIIEDULI:: A" ANNEXED IIERETO AND MAD~ A PART HEREOF.
IlElNG AND INTENDED TO AE the same premillCs convCYL-d to Ihe pany oflhe lirsl pan by
Deed. daled AUl:!uSI 12. 2003. and recorded in the Oniee of the Clerk of Suffolk County on
January 1.2004. in Uller DOOOI:!21J7. Page 896.
PREMISES KNOWN AS: 840 Bridle I.ane. CUlch,'gue. NY 111J~S
TOGETlIER wilh all right. title and inleresl. ifany. ufthc pany llflhe lirst pon in and to any
stn-els and ro.ads abutting Ihe am'\'e de~rihL'tI premises III the center lines Ihereof.
TOGETHER wilh the appurtenances and alllhe eslale and righls (If Ihe pany Ilf Ihe Iirsl pan
in and 10 said premises.
TO HA I'E ."NO TO HOLD Ille premiSL'S herein 11l1lnl~'lI unllllhe pany (If Ihe SL'Cond pnn,
Ihe heirs or sueeeS.'llIrs and a.~sil!lls of the party oflhe 5CCllnd pan Itlrever.
AND Ihe pany of Ihe first part, covenanls Ihal Ihe pany (If the first pan has n(lt done III'
sulTered an)1hing whereby Ihe SIIid premises hKW Iwn encumbered in any way whalever. ex~-epl
os aforeSllid.
,"NO Ihe pan)' IIf lhe firsl pan. in ~'\'mpliance wilh Sc.'Ction 13 of Ihe Lien Law. covenants
that Ihc pany of Ihe firsl pan will ~'Ceive Ihe cllnsidel1llilln f(lr Ihis e,mveyance and will hllld Ihe
righllo ~'Cei\'e such considel1llion as a trusl fund III be applied firsl for the pUl'pllse of P.1yinll the
cost of the improvement and will apply the same fin.1 10 the pa)'ment IIf the e(lst "f the
improvemenl before usinll an)' pan oflhe IOta I of the liame f,'r any other purpllse.
The word "port)'" sholl be cl,nstruL'lI as if il read "parties" whene\'er the sense IIf this
indenture 511 requires.
IN WITNE.~ WHEREOF. Ihe party (lflhe firsl part has dul)' eXL'Cuted this dL'C;/ Ihe day and
ycal' lirsl ah..we wl'illen.
IN PRf.:fi/:.'NCE 0,..:
~ROT~~~~L~~ .\-
nIkIa DOROTlIY S, BAXTER
--
Aeknowledgmenl h)' a Person Wilhin New York Slall: (RPI. ~ 309-a)
STATE OF NEW YORK
)
) sS.:
)
COUNTY OF SUFFOI.K
1\...
On Ihe ~ day of Ml\Y". 2004. before me. lhe undersilllll.'d. personally appc-dM1
DOROTHY S. CARLSON n/kla DOROTIIY S. BAXTER. pel'Sl)nall)' known 10 me Ill' prov~'lIlo
me on Ihe ha.~is Ilf SDlisfaclQry evidence III be Ihe individual whose name is subscribed II' Ihe
wilhin inslrumenl and acknowledged 10 me Ihal she exccul~-d the same in her c:apaeily. and that
by her Sil!llalUre on the inslrumenl. Ihe il1dividllal. III' Ihe '1'5I1n uplln hchlllf IIf which Ihe
indh'idual aelc.J. eX~lIled lhe instAl nl.
Cv/
(si nalure and office III' individual taking ac nowk'llgmL'III)
IlI\la,I)...Ilhy"~_1JmII-OI
IllHUlJW. YNIlEIIlIIlIH
1~~~aI"M
Nt. . Mall_
O. ., .......11..z4D6
,
".. ..
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SClimllLE ",0\"
ALL that certaln plot, piece or parcel of land, situate, lying and being at Cutchogue. Town of Southold,
County of SUffolk and Slate of New York, known and designated as Lot 19 on "Map of Highland Estates'
which was filed In the Suffolk County Clerk's Office on April 26, 19n as Map No. 6S37, said lot being
bounded and described as follows:
BEGINNING at a point on the southeasterly side of Bridle Lane distant the following four (4) courses and
distances from the extreme sOuthwesterly end of the curve connecting the southeasterly side of Bridle
Lane with the 90uthweSteriy side of Highland Road:
1. Southwesterly along an arc of a curve bearing to the right having a radiuB of 411.72 feet a
distance of 162.04 feet:
2. South 42 degrees 26 minutes 10 seconds west 60.00 feet;
3. Southwesterly along an arc of a curye bearing to the light having a radIus of 428.71 feet a
distance of 99.56 feet;
4. South 55 degrees 44 minutes 30 seconds west 28.40 feet to the true point or place of beginning;
RUNNING THENCE South 37 degrees 50 minutes 25 seconds east 231.57 feet
THENCE South 35 degrees 52 minutes 27 seconds west 143.00 feet;
THENCE North 46 degrees 41 minutes 37 seconds west 271.36 feet:
THENCE North 47 degrees 57 minutes 17 seconds west 14.94 feet to the southeasterly side of Bridle
Lane: .
THENCE North 55 degrees 44 minutes 30 seconds east along the 90utheasteriy side of Bridl.e Lane
182.00 feet to thE!.'polnt or place of BEGINNING.
..
Number of pages
TORRENS
if
. RECORDED
1:004 Jun 21 08: 19: 35 All
Edward P.Roooa1ne
CL~ OF
Sl!FFOlK COUNTV
L 1>00012326
P 012
[IT. 03-4~?
Seriulll
Certincale #
Prior Of. II
Deed , Mortgage InSllUmenl
Deed , Mongage 1bx Stamp
PEES
Recording' Filing Stamps
J
Cnmm. of Ed.
Affidavil
"3 0 ---=::
3. 00
Mortguge AmI.
I. Basic Tax
2. Addilional Tax
Sub Thlal
SpecJAssiL
or ..
Spec./Add.
TOT. MTG. TAX
Dual 'Iown _ Dual Ct.>un.y
Held for Appoinlmenl
Tr..nsf"" TWI 0
Mansinn Tax
Page I Filing F""
Handling
TP-S84
5. .J!!L
Notalion
:BA-S2 17 (CounIY)
'.EA-S217 tSla\e)
R.P.T.S.A.
Sub Total
Grand TOIal
IJ.'"T:
TIle ,,">peny covered by Ihis n,ongage is
or will be improved by a Qne or Iwo
family dwelling only.
.YES or NO
If NO. see appropriale lax clause on
page II of lIti. inslrumenl.
Cenified Copy
Reg. Copy
Ollter
Sub Tolal
~
:::;] odffig
Real
Propeny
Tax Service
Agency
Verifiealion
~
1000 10200 0800 016000
po
5 Community ......natloa Faacl
Consideration Amount $ -Q-
CPF Tax Oue $
Improved
Vacant Laitd __
I) Snlisf""lionsIDischargcslReleases Lisl Property Owners Mailing Address
RECORD .. RETURN 1'0:
TO
!!'OSTER & VANDENBURCH. t.LP
4 Montauk Hi9hway
Westhampton. NY 11977
TO
TO
Attention: Richard W. Vandonburgh, Esq.
& Endorsement Pa e
7
Information
Suffolk Count Recordin
This page f"ems pan of the auached
nEEO
ISPECII:Y TYPE OF INSTRUMENT)
made I>y:
DOROTHY S. CARLSON
n/k/a Dorotl>v S. ~~~er
TIle premises herein is situalN in
SUFFOLK COUNTY. NEW YORK.
TO
DOROTHY S. BAXTER and
In the ThwMhip of ~nH"h,..l~
.In the VILLAGE
rUAgT.~~ ~ RaY~RR
or HAMLIIT of
Cutchoque
BOXES tI THRU 8 MUST BF. TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FlLlNG.
(over)
.
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUPPOLK COUNTY CLBRK
RECORDS OPPICB
RECORDING PAGB
Type of Instrument: DEIDS/DDD
Humber of Pages: 4
Receipt Humber : 04-0069461
TRANSFER TAX NUMBBR: 03-47949
Recorded:
At:
06/21/2004
08:19:35 AM
LIBER:
PAGB:
D00012326
012
District:
1000
Section: Block:
102.00 08.00
DAMIHID AND CHARGID AS POLLOWS
$0.00
Lot:
016.000
Deed AIIIouDt:
Received the Following Fees Por Above Instrument
Exempt Exempt
Page/Filing $12.00 NO RancHing $5.00 NO
COE $5.00 NO RYS SRCBG $15.00 NO
EA.-corY $5.00 NO IA-STATB $50.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SC'l'II $0.00 NO
Transfer tax $0.00 NO CCIIIIIII.Pres $0.00 NO
Fees Paid $127.00
TRANSI'IR TAX NUMBER: 03-47949
'l'BIS PAGE IS A PART 01' '1'BI INSTRtJMINT
THIS IS NO'l' A BILL
Idward P.Romaine
County Clerk, Suffolk County
PLEASE TYPE OR PRESS fiRMLY WHEN WRITING ON fORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (5181 473-7222
FOR COUNTY USE ONLY
C1. SWIS Code
AI, ~,"3 ,6 , 8/71
REAL PROPERTY TRANSfER REPORT
..
IlI'.Sll7Kc'3I'n
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C2. D.t. D.o. Roco,.o. I 0(" I;l. / J2Ct)<,f
Month Oay Year
O3.800k I /,;>-'7,;2..(" I C4..8.01 0, / ,^
PROPERTY INFORMATION
RP - 5217
, Property I 840 Rrir'll... T;>In""
Location ST~EETNUMBER smEETNAME
SOlltho 1 d
Ctn'ORTOWN
2. Buyer BAXTER
Name LASTNIIME/COMPANV
('~:Lt.~EhtigI1P
11 Q 1C:
ZII'CODE
DOROTHY S.
FIRST""""E
BAxn:R
CHARLES J.
FIRST NAME
LAST NAME I COMPANY
3. Tall. IlldicBte where future Tax Bills arBfO be ssnt
Billing if other than buyer llddreti$ (at bottom of form) I
Addra$
LAST NAME I COMPANY
~IRST NAME
STllEET NUMBER ANOSTllEET NAME
sTAn
ZIFCODE
CIT'IOR 10WN
4. Indicate the number of Assessment
Roll plresls transferred on the deed
{Only if Part of II Parcell Check as they apply:
4A. Planning Board with SubdivisiOtl Authority Exists
48. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
ORD
II
#ofParcels
Panofa Parcel
o
o
o
S.Deed
Property
Si;re
lOR I
'ACRES
. 'I ~ I
Ixl
FRONT fEET
,,~
6. Seller
Name
CARLSON (n/k/a Baxtec)
LASTNAME/COMPANV
DOROTHY S.
FIRST NAME
lAST NAME ICOMPANY
FIASTNAME
7. Check the box below which most aceurate1v de$Cfibn the UN of the property at tha tlma of lele:
Check the boxe5 below el they apply:
8. Ownership Type is Condominium
9. Naw Construction on Vacant Land
10A. Property located within an Agricultural Distric1
1DB. Buyerreceivad a di'llclosure notice indicating
thatlhe property is in an AgricullUral District
o
o
o
o
A~ One Family Residential
B 2 or3 Family Residential
C Residential Vacant land
D Non.Residential Vacant land
E ~ Agricultural I ~ Community Service
F Commercial J Industrial
G Apartment K Public Service
H Entertainment I Amu'llement L Forest
SALE INFORMATION
15. Chllclr. one or more of these conditions as applicable to transfer:
11. Sale Contract Date
N/A
Vear
I
I
A
B
C
D
E
F
G
H
I
J
Sale Between Relatives or Former Flelatives
Sale Betwsen Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seller is Government Agency or lending Institution
Deed Type mJt Warranty or Bllrgsin (lnd Sale (Specify Below)
Sale of Fractional or less than Fee Interl;'St (Specify Below)
Siijnificant Change in Property Between Taxable Status and Sale Dates
Sale of Busin8$S is Included in Sale Pries
Other Unusual Factors Affecting Sale Price (Spedfy Below)
None
Month
0",
'2. Dat8 of Sal8 I Transfer
4'"
/:A. I 04
0.,
Moo.
Ye,
-0- ,0,01
, , '.
!Full Sale Price is the total amount paid for lhe propeny including personal property.
This payment may be in the form of cash, other property or goods, or the assumption of
mongages or other obliglllions.) Please round to th8 nearest whole dollar amount.
'3. Full Sale Price
Tralsfer from tvi fi=> to hll"lh",nn ;. ,.r; rp
14. Indicete the velue of per$Onlll 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 Assessment Ron from 1t'.J /"/'I n. Total Assessed Valuelof all parcels in transfer) I
which information taken ~
7;!1.. (;) 01
'8. Propertyela"
I :l., / ClI_LJ ".S<h~ID"'n""'m. I IIAT7lTtlCK S"el1#l!J/
20. Tax Map Identifierls] I Rollldentltlet(slllf mo,.. then four, attach sheet with additional idantifier(sll
SCTM if 1000
]0;>.00
08.00
016.000
I CERTIFrCA TION
I certify that all of Ihe items of information entered on thi.. fonn are true and correct (to the Ixst of m)" knowlc(h::e and belief) and ( undl'r.stand lhal the makinp:
of an" 'AiUM false sla~ment of material fact herein ,\i11 subject me to Ihe Drovlsioru; of the nenallaw relalive to the making and tiling or raL;e instnmlent.'i..
BUYER'S ATTORNEY
&
DATE
Fost-er & vaNDENBURGE, I LLP
LAST NAME F:FlSTNAMf.
840
STIIEETNUMIIER
631
288-5550
Rril"llp. r..::m~
STIlEET NAME IAJ'TERSAlEl
A~EA,COOE
TELEPHONE NUMBER
Cutchogue
CITV OR TOWN
NY
I 11935
ZlPCOOE
STAn
~
X'!::::: ~~~~ I .zJ ,>,\;y
Dorothy S. Caclson n/k/a Dorothy S. Baxter
NEW YORK STATE
COPY