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BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8007
CAUTION: nllS AOREEMENT SIIOULD BE PRliPAIUID BY Ao'\l ATTORNF.V AND REVIE""ED BY AlTORNEYS FOR SEu.ER AND
PURCHA.~ER JruFtllW SIGNING.
THIS INDENTURE, made \!ho /1'),. 7
't,
2004
between
ROBERT WACKER, resldlngut %455 N....u l'olDt Rou, C.kbogue, NY 119J5
party of the first part, and
ROBERT WACKER .nd VERONICA WACKER. us ten.nts 10 common witbout rigbt of
Survivorsblp, resldlnl.t %455 N...... Point Ro.d, Cukbope, NY 119J5
party of the sccond part,
WITNESSETH, that the party oftbe first part, in considCl'lltion of Ten Dollars und other I.wful
consideration. I.wful money of the United States, paid by the party of the second part, does hereby granlund
relc85C unto the party of the second pan. the heirs or SUC""S!lOrs and assigns ofthc party orthe second part
forever,
ALL that ccnain plot, pic"" or parcel of lund. with the buildings und improvemenlsthercon erected,
situate, lying and being at Nassau Point or Little Hog Neck. County of Suffolk and State of New York, known
.nd designated at Lot 7 and the northerly 75 feet of Lot 8 on a certain map entitled ~Map of Proposed
Subdivision. Section A, Nassau Poinl Club Properties, Inc., situate on Nassau PoinL Suffolk County, New York,
surveyed by Wallacc H. Halscy. C. E., Southampton, NY. Junc 1919", and filed in the Office of the Clerk of
Suffolk County. ~YY\ if IS \0
The grantor herein is the same person as the grantee in Deed dated 7/26/89, recorded
7/27/89 in Liber 10901 Page280.
TOGETHER with all right, title and in\crcsL if any. oflhe party of the first part in and 10 any slreets and
roads abulling Ihe above described premises to Ihe ccnter lines thereof,
TOGETHER wilh Ihe appurtenanccs and all the eSlate and rights of the party of the first part in and 10
said premises,
TO HA VE AND TO HOLD the premises herein granled unto the party of the second part. Ihe heirs or
successors and assigns of the party of Ihe second part forever.
AND Ihc party ofthe fint part, covenants that the party oflhe first pan has not done or suffered anything
whereby the said premiscs have been encumbered in uny way whatever. except as aforesaid.
AND Ihe party of the first part, in compliance with Scction 13 of the Lien Law, covenants that the party
of the first part will receive the consideration for this convcyance and will hold the right to receive such
consideration as a trust fund to be applied first for thc purpose of paying the cost of the improvement and will
apply the same first to the payment of the cost of the improvement before using any part of the total of the same
for uny other purpose.
The word "party" shall be construed 8S if it read "panies" whenever the sense oflhis indenture so
requires.
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above written.
IN WITNESS WHEREOF, the party of the first pan has duly executed this deed the day and year first
~~~
It BER WA
STATE OF NEW YORK
COUNTY OF SUFFOLK
)
) 55.:
)
On the ..... day of tt'I-Z ' 2004. befon: me, the undersisned, personally appeared
ROBERT WACKER. personally known to me or proved to me on the basis of satisfllCtolY evidence to be the
individual whose name is subscribed to the within instrument and acknowledll"d to me that he executed the same
in his capacity, and that by his signature on the instrumenL the individual, or the person upon behalf of which the
individual acted, executed t instrument.
NOTARY PUBLIC
DEED
Title No.
WACKER
To
WACKER
-
~VIDW ClLIEN
.....No,PubIIc. am. of........
CIlIOI..lIOaOlI4
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-.........,.
Section 104.00
Block 13.00
Lot 006.000
County or Town SUFFOLK
Return Rv Mail To:
OLSEN & OLSEN LLP
P. O. BOX 706
CUTCHOGUE, NY 11935
Reserve This Soa"" For V... or Recordinlr Office
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NUlIlber uf pn&C5
TfUIIlI!NS
RECORI)E[l
2004 J.... 22 10,04:07 RIt
Edward P.Ro.aine
CLERK IF
SUFFOlK COUNTY
L 000012326
P 320
D1I 03-49189
Seriulll
CcrlificalC II
l'rio.C,r. H
I
IlcCc.l1 MUI1&IIA&1: Imun.lRlcnt
Dcc:otll MungHle TAlK SlulII,.
ICC1.:ullling I FilillK SUUII)1'i
4
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ft.l'.T.S.A.
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Sub 1'01..1
!!A-52 17 (COIIIl'Y)
Sub Tulal
~ -'k:.
SpucJAssil.
Or
~1~.I^(M.
EA-S217 (S'R'C)
Conlin. or (!d.
5(10__
TOT. MTO_ TAX
nU1I1 TnwlI__ DUill CCJlmlY --....:.._
1"lclll (or ^'_11UI1iolllllcnl -:..-_
"'.nn:i(cl Tux ----5j11S~ _ -..:..."_
Mnusion TIIX
1111: I'mllClly clI\'rn:11 Ii)' Ihis IlUlIlgl'tigc is ur
,yill he ifUl..uvcd II)' II uric III I\\"U IUlIlily
dwelling ul1ly.
YES Ul NO__.
If tolD. S~C ollllr"l'rialc lax clouse on page II
.....,...."_ or Ihis imurlllltcul.
Affidavil
Cer1ilirll Cnpy
Rell. CUllY
P Su~l"or.1 _.-Lrrv _
~ (HIANUTOTAI. -----.ld!t.,!
Other
I
Jtcall'rollCrly 'liax Scrvil:t: Agency VerificDtion
6 c.:::ollunlluilY'Pl"l.::scrv;lIioll Fluid
CC"lIlsidc:rulioll AIII("lul :t
SUU'lIp
~t!._._ . _. S...ui.... _1..._-.--.-- ....Il
I 1000 10400 1300 006000
,
!
JO
Cf-IF "rllX l:lue
$
t/
DII'e
Implnvcd
Inilials
VilCllne l..aUlI
.
7 SlllisIi.U:li~llslDiscllargcsll(el~Bses List Pnlperry OWllcrs Moiling Address.
ftECOl1ll & Im:rUnN TO:
OLSIlII .. OLSIlII LLP
P. O. IIOl[ 706
ClJ"ICIIOGI/E. IIY 11935
...JCL _
TD
TO
TO
'n.is Jlnce 10m.. "'lfi or lhe: nUlIche:!
Tille C"lIIl'lIl1Y '1 II ("1"11111 Ii""
CllIIIlOIlWBALTIl
Co '--0
Suffolk County Recording & Endorsement Page
H
=:J
en.NAllle
Ti11t:'IJ
DIlED
un mndc hy:
(srECIFY TYI'[; OF INS"IlWMENT)
ROBER7 VA~
'nlC prellliscs"hc:rcin i~ SillUIlCd in
1";l.IFFOJ.K COUNTY, NEW YORK.
SOIlTHOLD
Illlhe Township 01"__.___
III ,h" VILLAGE
II" I-I,\MI.ET uf
TO
ROIIEIlT WACKBIl AIID VEIlOIO:CA WACKBIl
BOXES S '1llRU 9 MUST [IE TYPED OR rmNTED IN I3Lt\CK INK ONI. Y PRIOR TlllU.:CORDING 01{ 1'f1.1N<"i.
(OVL,Il)
.
1111111111111111111111111111111111111111111111111111111
II11I11111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICI
RECORDING PAGB
Type of Instrumentl DEEDS/DOD
Humber of Pagesl 3
Receipt NUmber I 04-0070108
TRANS PER TAX NUMBER: 03-48189
Recorded I
At:
06/22/2004
10104:07 AM
LIBER:
PAGE:
D00012326
320
District I
1000
Sectionl Blockr
104.00 13.00
1l!YllMINBD JUm CHARGED AS i'OLLOWS
$0.00
LotI
006.000
Deed AIIIountl
Received the rollowing Fees For Above Instrument
Exempt Exempt
Page/riling $9.00 NO Handling $5.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
BA-CTY $5.00 NO lA-STATE $50.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Transfer tax $0.00 NO COIIIIIl.Pres $0.00 NO
rees Paid $124.00
TRANSFBR TAX NUMBER: 03-48189
THIS PAGE IS A PART or THE INSTRtlHBNT
THIS IS NOT A BILL
Edward P.Roma1ne
County Clerk, Suffolk County
,
"
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.slale.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
C1. SWIS Code
~, ~ ), ~ q: 91
REAL PROPERTY TRANSFER REPORT
*,
, ,
......- ."
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- .
RI'-S217Rfl'3I'J7
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
cz. Date Deed Recorded
tOr:: I .2;2
Month Day
RP - 5217
ICYI
Year
C3. Book I /" 2, \, d,":'" C4. Pa.el
PROPERTY INFORMATION
I 31...2 I C1
, r~~~~~~ I 2455 Nassau Point Road
STREET NUMBER SffiEETNAME
Snllf"nold
CITY OR TOWN
2. Buyer 'W::If"1c""r
Name LAST NAME I COMPAfIlY
11935
Cutchogue
VILLAGE
liP CODE
Robert
FIRSTNA~E
Wacker
LAST NAME /COMPANY
Veronica
RASTNAM.
3. Tax Indicate where future Tax Bills ani to be sent
Billing if other than buyer address (at bottom of forml
Address
LAST NAME I COMPANY
FIRST NAME
$TAEET NUMBEfl.AND STAEH NAME
CITV OA TOWN
STATE
vreODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
{Only if Part of II Parcel) Check as thav apply:
4A. Planning Board with Subdivision Authority EKists
4B. Subdivision Approval was Required fer Transfer
4C. Parcel Approved for Subdivision with Map Provid&d
ORD
i /I of Parcels
Partofs Parcel
o
o
o
5. Deed
Property
Size
lOR I
'ACRES
-,
i "1' C I
Ixl
FI'IOr.lTFEET
OEPTH
6. Seller
Name
Wacker
lASTr.lAME/COMP/lr.l\'
Robert
Fll'ISTr.lAME
LAST~EICOMPAN\'
FIRST NAME
7. Check the box below which most accurately deltcribes the use of the property at the tlma of sale:
Ch811k tha boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
1DA. Property Locat&d within an Agricultural Districl
10B. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
o
o
o
o
A8 One Family Residential
B 2or3FamilyResidential
C ResidontialVacantLand
D Non-Residential Vacant Land
E ~ Agricultural I ~ Community Service
F Commercial J Industrial
G Apanment K Public Service
H Entertainment { Amusement L Forest
SALE INFORMATION
15. Check one or mcwe of then conditions all' IIpplicabla to 'lnlnsfer:
I I
Moo. D., ,-
.5' I Y I 04
Month D.' 'N'
A
B
C
D
E
F
G
H
J
J
11. Sill. Contract Dllte
Sale Between Relativln or Former Relatives
Sale Between Related Companies or Panners in Business
One of the Buyers is also a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Less than Fee Interest (Specify Below~
Significant Change in Property Between Taxable StalUs and Sale Dates
Sale of Busil1f.lss is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
12. DOIte of Sale I Transfer
- 0 -
13. Full Sele Price ,f, ~ 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.l Please round to thB nBarest whole dollar amount.
14. Indicate the value of personlll I , 0 , 0 I
property included in the s1l18, , .
ASSESSMENT INFORMATION. Data Should reflect the latest Final Assessment Roll and Tax Bill
16. Vellr of Assessment Roll from ~ 17. Total Assessed Value lof all pareefs in transfer) I
which informatIon taken
.' ,
I k +-~clj).
I
18. Property Class
'd-..',D I-U 19. Sohool District Name I
MA""'lliltlC
ZO. Ta)l Map Identifier!s) { Rollldentifier(sl (M more than four, attlloh sheet with additional identifier(sll
1000-104.00-13.00-006.000
I CERTIFICATION
I certify that all of the item~ of inlonnation entered on this form are lrue and correct (to fhe best of my knowledge and belieO and I under!itand lhat the makin~
ot' any willful false statement of material fact herein will subject mt! to the provisions of the pemd law relative to the milking and filing of false instruments.
BUVER
/~70RNEV
oL?' I t)o~-:1
LAST NAME Fll'ISTtlAM
&t.i/P.) ~J-'IA I ~?,5,Jo yot;.
2: ~!E"M'" I ;f/n~/?M~C;~.j ~
(~ Iti Jtl~
SELLER
~~ ~~'f
(h,)
AReA CODE
7 :H'7i~t.
nUPHoNE NUMBER
NEW YORK STATE
COPY