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BARGAIN AND SALE DEED
""" WITH COYENANJ AGAINST GfWO'OR'S AcTS
...... ~~U
THIS INDENTURE, made Ihe ll.:. day of~EEN F. Xavier Flemlng;'residlng al116
. Shields Avenue, Willlslon Park, New York, parly of \he flrsl pari, and F. Xavier Fleming and Susan E.
Fleming, his wife, residing atl16 Shields Avenue, Willlslon Park, New York, party of lhe second pari,
I (5CllA -;;!3/.l
WITNESSETH, thai parly of tho fi....t pari, In conslderallon of Ten Dallars paid 'ri{ Ihe party orthe second
pari, daDs hereby grant and reloase unto the parly of the second pari, \he hoirs or succossars end
assigns of the parly of the second pari rarever, .
ALL that certain plot. piece or parcel of land, with the buildings and improvements thereon erected,
situate, lying and being In lho Town of Sauthold, County or Suffolk and Stale of New York, known and
dQsignaled as Lot NO.201 an a cerlaln map entitled, "Amended Mep A of Nassau Painl," and filed in tho
Office of the Clerk of SUffolk County an August 16, 1922 as Map No. 156.
The grantor described herain is the same as the grantee in deed filed an March 4, 1987 In Llber 10262
page 155.
Premises also known as 555 WunneWBta Road, Cutchague, New York.
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TOGETHER with all rlghL UUe end intel:BSt, If any, or party of the first part in and 10 any slreets and
road. abulling said prami...s 10 the center lines thereof; TOGETHER with the appurtenances and all the
estete end rights of perly or the first part In and 10 said premises, TO HAVE AND TO HOLD the
premises herein granted unto the party or .the second pari, the heirs or successors and assigns of the
party of the second part forever.
AND the pllrly of Ihe fi....t part covenants thatlhe party of the first pari has not done ar suffered anything
wheroby said premises have been encumbered in any way whatever, excepl as afo.......aid.
AND the parly or the first pari, In compliance with Section 13 or the Lien Law, covenants thet the party
of the fi....t part will receive the con.lderalian far this conveyence and will hold the right to receive such
consideralian a. a trust fund 10 be applied first far the purpose of paying the cost of the Improvement
and will apply the same firsl 10 the payment of the cast' of the Improvement before using any pari of the
lotal Dr lhe same far any ather purposa. Tha ward .party" shall be construed as if it reads "parllos'
when ever the sense of this indenture so requires.
IN WITNESS WHEREOF, the party of the IIrst pari has duly executed thi. deed the day and year first
ebove wrillen.
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TO BE USED ONLY WHEN THE ACKNOWLEGEMENT IS MADE IN NEW YORK STATe
STAtE OF NEW YO~UNTY OF N_au BO:
. ~ .
On the .12... day of ".tamr_ In the year _ bolonJ roo the undersigned, personally appeared F. xavier
Fleming, personally known 10 mo or proved to me on the belli. of oaU.factory evidence to be the Indlvldua~.)
-. nama(.) I. (are) aubtlctlbed to tha wllhln Instrument and acknowledged 10 me \hat haIlIheIlhoy executed the
same in hlelherllheir cepacltyties) end thai by hi8lhorllhelr .Ignelure{.) on the Instrument the Indlvidua~.), or tho
peI'1I the IntlilNmont.
II AA'tMONDA.~~'/l)IlC
NotarY PubliC. ~~31Z20
No. 01 F........ COUnIY . /
Qualified In Ne~ct':.ber 31, 20"-">
CommISsion EllPIr85 ,
On the _ day of Junlt in the year 2003 bofore me the undersigned. personally appesred . person any
known 10 me or proycd 10 mo on the be.. of ..tisfactory evidence to bo the Indlvlduat(s) whose name(s) 18 (ere)
aubacribod to lhe within i,.trument .nd ecknowIedged to me \hat hoI8helthey executed the ..me In hllllherltheir
capedly(lea) and thet by hllllheritholr slgnslure(o) on tho In.trument tha individua~s), or tha person upon behalf of
which the Indlvidual(s) Beted. executed the Instrument.
(.ignature and offICe of individual taking acknowledgement)
TO BE US~D QNL Y WHEN THE ACKNOWLEGEMENT IS MADE OUTSIDE NEW YORK STATE
STATE (or DlstriCl of Columbie, Tenllo'Y, or Foreign Counlly) of
Be;
On the _ day of _ In the year _ before me tha undersigned, personally appeared
. personally known to me or provod to me on the basis of saU.factory evidence to
be tha IndlvfduO~s) _. name(.) I. (are) .ubscribed to tho within Instrument and acknowledged 10 me that
helehalthoy executed the llama in hialhorllhelr caplIClty(les) and that by hislherllhelr .ignature(s) on thelnetrumant
the Indlvldue~s), or the poraon upon behelf of which the Indlvidual(.) aCled. .xeculod the Instrumen~ and IhaI.uch
Individual made such appearance before the underslQned In the
in
(InHR the Oly or other poIlllc8l ....bcftvI..on) (lII1d Insert the State or Country or othol' pI8CCIlho ecknowleuemenl was l8kan)
(signature ond office of Individual taking acknowledgement)
BARGAIN AND SALe DEED
WrrH CoveNANT AGAINST GRANTOR'S ACTS
T1I1oNo.: pq - S~7l/0 S.o"
NAMNAL LAND 1BIURE co., lLC
900 Men:hants Concou...
SuIl8 201
Wellbury, NY 11590
SECTION
BLOCK
lOT
COUNTY O~ TOWN
STREET ADDRESS
10400
1200
002000
Southold. Suffolk
555 Wunn_ ReI.. Culchoguo,
New Yorx
RET\JRN BY MAil TO:
Raymond A. Fleck, Jr
Flock, Flock & Fleck
1205 Franklin Avenue
Gorden Ci . NowYorl< 11530
.,
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VI
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Number of page.
TORRENS
Scrial#
Ceni ficate II
Priur Ctf. #
Deed I MUr1gage lnstrument
Deed I Murtgage Tux Slamp
FEES
3
Page , Filing Fee
Handling
,. J!!L
1'1'-'84
Notation
EJ\-'2 17 (County)
EA-'217 (Slale)
R.P.T.S.A.
Sub Total
-:;;j!O ~
Comm. of Ed.
'. J!!L.
Affidavit
Cenilied Copy
NYS Surcharge
Other
J S. J!!L Sub Total
/rr C(
Grand Total
4 Dist'/oa
RECORDED
2004 0<:, 25 10,23.29 Rl'l
Edo.Nlrd P,ROIl.ine
CLERl( OF
SUFFOLK COUHTV
L ??oo12350
p 912
Ort 04-12794
Recording 'Filing Slamps
I
Mortgage Ami.
I. nasie Tax
2. Additional Tax
Sub TOlDI
SpccJAssit.
ur
Spec. 'Add.
TOT. MTG. TAX
Dual Tuwn _ Dual County _
Held for Appointment
Trans.!"er Tax q
MWlliion Twr.
1bc prupcny coven.'<I by mis monpge is
or will be improved by a one or twu
fWlIily dwelling only.
YES or NO
1000 10400 1200 002000 ~ 5 CommUDity PnlHrvatloa Fwld
K~n-.c:w--& \=1~e~,rr..
F=l-cck I t==r ee.K d F/e.eJC
/2o!;"" r=-~I< l:i'>. ~~c:... S-t-e~
~'Q+") C'~ (l) '/ 7
\ -, 11530 Co. Name
1ille#
Suffolk Count Recordin
~ Deed
(SPECIFY TYPE OF INSTRUMENT)
The premiscs herein is situated in
SUFFOLK COUNTY, NliW YORK.
,.- . TO . Inm:.TownShiPof ~'ou-t-~c\d
It'"".' )(a..U,-eV- FI e.m. ~ InlhcVILLAOfi.f' I r
-;::),,!"::CLr\ E, Fle............\~ urHAMLETof ~c.....~O~IJ"'-
80XES Ii THRU 8 MUST BE TYPLiO OR PRI 0 IN BLACK INK ONLY PRIOR TO RIlCORD OR FILING.
(over)
Real Propeny
Tax Service
Agency
Vcrificaniun
6 SatisfuctionsIDischuq;cslReleascs List Pn.....ny Owners Mailing Address
RECORD .. RETURN TO:
8
This page forms pan of Ihc attached
F
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)( €)LV, ~v- 1-1 e.('r, \ ~
Consideration Amount $
CPF Tax Due $
Improved
Vucant Lund
TO
11)
TO
Ir.
e
made by:
11111111111111111 11111 11111111111111111111111111111 111I
IIIIIIIII~IIIIII 11111111
StJFPOLIC COUNTY CLERIC
RECORDS OFFICE
RECORDING PAGB
Type of Instrument. DBIDS/ODD
Number of Pagesl 3
Receipt Number I 04-0117208
TRANSFER TAX NUMBER: 04-12794
Recorded:
Atl
10/2S/2004
10:23:29 AX
LIBBR:
PAGE:
D00012350
912
District:
1000
Section: Block:
104.00 12.00
UIUlINBI) AND CHARGBD AS FOLLOWS
$0.00
Lot:
002.000
Deed AIIIount:
Received the Following Pees For Above Instrument
Exempt
NO
NO
NO
NO
NO
NO
Page/Piling
COE
IA-CTY
TP-S84
RPT
Transfer tax
$9.00
$S.OO
$S.OO
$S.OO
$30.00
$0.00
Hand.ling
NYS SRCHG
lA-STATE
Cert.Copies
SCTM
COIIIII.Pres
Fees Paid
$S.OO
$lS.OO
$7S.00
$0.00
$0.00
$0.00
$149.00
Exempt
NO
NO
NO
NO
NO
NO
TRANS PER TAX NUMBER: 04-12794
THIS PAGE IS A PART OF THE INSTRlDIBHT
THIS IS NOT A BILL
Edward P.Ramaine
County Clerk, Suffolk County
.
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.5tate.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
C.. SWIS Co.. I,SL, '/', ?,;(,f!',r'
C2. Date Deed Recorded I 11 / ~f / ;:.? 1
co. Book 1 / ,;;(, 3 , )"';' 6(:4. P... q /
.
REAL PROPERTY TRANSFER REPORT
S.
I Ii
,~-
STATE OF NEW YORK
STATE BOARD OF REAL PROpeRTY SERVICES
RP - 5217
RP.5117 ikv3I'J7
PROPERTY INFORMATION
,. PLo~,P.::~ I " i:; l:\ .
ST~fET ~UMB<A
Wllnnewp.t-a 'Rnr.tn
STREHNAME
Southold
Cutchogue
VILLAGE
119351
ZlPOOllE
CITY OR lQWN
2. Buyer
Niilme
Fleming
usrNAMEiCOMPANV
flllSTNAME
F. Xavier
Fleming
Susan E.
lASTNAME/COMPI\NY
~IRsr i'U.ME
3. Tax Indicate where future Tax Bills are to besenl
Billing if other than buyeraddres.s latbonom oflorml
Address
LASTNAME'ICOMPAt~Y
FlRSTN"'ME
STlloET NVMiiI,R A.~D STA.n ~JAME
CITY 011 TOWN
STAT!:
ZIP CODE
4 Indicate the number of Assessment
Roll parcels transferred on the deed
I
I #ofPllfcels
o
o
o
(Only if Part of a PBreel) Chacka&theyapply:
4A. Planning Board with Subdivision Authority E"lIists
4B. Subdivision Approval was Re(luiredforTransfer
4C. Parcel Approved for Subdivision with Map Provided
OfIDPartofa?areel
5. Deed
Property
Size
.7q
lOR I
I X I
FRONTFEH
D~F'T"
ACRES
o. Seller
Name
Flerninq
<..ASTtlA.".-COMPANY
F. Xavier
FIRST NAME
LilSTNAM, COMPANY
FIRST NAME
7. Ch~k the bOI( below which most accura1ely describes the use ot the property at the time of ,ala:
Check the boxes below as they apply'
8. Ownership Type is Condominium
9. New Construction on Vacant Land
lOA. Property Located w~hin en ~riculll.lral DiSTrict
108. Buyer received adisclOSl.lre notice indicating
that the property isin an Agricultural District
o
o
o
o
A~oneFamilYReSidential
8 20r3Family Residential
C Residential Vacant Land
D Nan-ResidenhalVacant Land
r SAlt INFORMATION I
11. Sale ContrlWt Date
E~Agricultural
F Commercial
G Apartment
II Entertainment Amusr.ment
[ ~ com.munity Service
J Industrial
K Public Service
L Forest
f.J!1' ""
I?,.. /2DO..fr
15. Check one or more of these conditions as applillllble to transfer:
A
8
C
D
E
F
G
H
,
J
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyors isalsa a Seller
Buyer or Seiler is Government Agency or Lending InstitutiQrl
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale 01 Fractional or Less than Fee Interest (Specify Below)
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Busine!>s is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
Mo'"
12. Date 01 Sale I Transfer
ID /
Month
Year
Do,
, ,Lo 01
, ".
(Full Sale Price is the total amount paid for the property including personal property.
This payment maybe in the torm of cash,ather property Dr goods, or the assumption of
mortgages or other obligations,) PI8aSf' round to the nearest whole dollar amount.
14. Indicate the value of personal L, K 0 0 I
property included in thll sale , , .
I ASSESSMENT INFORMATION. Data should reflect the latest Final Assessment Roll and Tax Bill I
13. Full Sale Price
16. Vnr of Assessment Roll from I 0 -J; I
which information taken
IArep I-LJ
6(.:,00
,
17. Total Assessed Value (of aU parcels in transfer,1
18. Property Class
19. School Di,trict Name I
'I'\) a:..~'..-t-u ok
20. Tax Map Identifier(,11 Roll Identifierls) (U mor... than tour, attach sheet with additional idantitllll'(s)l
Sec. 10400, Blk. 1200, Lot 002000
'"D \ 000
I CERTIFICATION
I ~rtiry tbat all of the items of information enlt!red on tlUs tonn are tme and correct (fo the best of m~' knuwledge and belief) and J undehtand that the milking
of any 1-I-i11ful false statement of material fact herein wID sUbjed me to Ibe provisions of the uenIIllaw relalh'e to the makini': and filing of wise inslrulRenL~.
BUYER
BUVER'S ATTORNEY
Fleck
lAST/'IAME
RaV1l1ond A. Jr.
FIRST NAME
555
516
742-5200
TH~PIIOI\iENUt,S(lER
STREETN(.IMBER
STAEET NAME IAFTEA SA~.J
AREA CODE
Southold
CITY OR TOWN
NY
STAT'(
11935
liP CODE
;l~
NEW YORK STATE
COPY
'/-.78'"tJ1
S,LlERSIGNATl;RE DATE
F. Xavier Fleming