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BARGAIN AND SALE DEED WITH COVElliiANT AGAINST
GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION)
FORM 8007
C:AITfION: 'rHl~ ^<1RI-:t:'-U',N I' SlInl1l.1.> 8f. 1-Kl:.ltr\Kt:I) BY AS A"I"n.)RSlH\' AI'IiI) REVmWI~I) Ity ^1TOR~r.YS FUR
!\1:lI.I~R ANU PUR(.'IIASI:IlIU:I:fJRI: SIc.iNI'=<J.
THIS INDENTURE. made the 22.... day of April. 2004.
betweeD
JOHN OXEE. residing at 2095 Lake Dri\'e. Soulhold. N~ York 11971
party "flhe firsl port. and
WARRF.:-: J. RF.RNSTEIN A:-:O :-:INA L. BER:-:STEI:-r. husband and wile. bolh "",iding at
121 1I..",,,r R....d. Sand Point. N~' York 11U~0
party oflhe se.>ond port.
WITNE.YSETII.lhal the party oflhe firsl port. in con.~iderdtion ofTEN DOLLARS ($10.001.
lowtiJl money of the United SllIlCS. paid b)' the party of the sec:ond part. does hereby grant and
reh.....Rc unll11hc pwty urthe !K."Cnnd pan. the h~il1i or gU&.~CN80rs and IIs.'cigns ...rlhe parl)" of the
s""ond pan fore\'er.
ALL tho! eenain plot. pi~ or poreel of land. with the huildings and improvements then.'On
en.-':Ied. oitu..le. lying and "'=inll in Ihe T"wn ofS"ulhold. Counly "fSuffolk and State nfN~
York. more partieularly bounch..d and d~...,rib...d as follows:
BEGINNING al a monumenl "n the southeaslerly line of Lake Drive 256.17 f~'C1
s')UthweJl~I)' aluns said !Wutheasterl~.line from the w~~ly end ora curve f.."C"Inn<<ting the
..'uthe.....rly line of Lake Dri,'e with the southwesterly line of Lake Coun; Said point of
IJeginninll being where the division line between the p...miseo he...in deocribed and land now or
fonn.,..ly of Fish.,.. inlerso::cto said s<>utheast.,..I)' side of Lake Drive:
RUNNING along said last mentioned dMsion line south 45 deg"",s 46 minutes 50 _ds
East 304.00 feet to the sh..re ofG.....t Pond.
THENCE southwc:stcrl). along said shore OS measured by a tie line Soulh 29 degrees 13
minutes 10 """onds West 125.0 f""l to land now or fonnerly of Ward;
TIIE:-:CE along last mention~-d land :-:orth 41 deW"<'" 35 minulCS 00 se.>onds Wcst 372.97
I;",t 10 said soulhea.oterlv line or Luke Drive:
THENCE al"ng said ....ulh.....terl).line of Lake Dri,'e Nonh 65 degrees OS minutes 00
"""nnd. bot 100 t;",t to the point orDEGI~"'ING.
BEING A:-:O I~"TENOEO TO BE the same premises conveyed 10 the rarty of the tirsl party
by deed dated 3/13/92 and recorded "n 4/:!:!192 in Li~.. 11454. JllIl!c 253.
TOGETHER with all right. title and inlen...t. ifany. of the pany of the first part in and to any
s~ and roods abutting the above de....ribed premi""" 10 the cen~T lines lhereof.
TOGETIIER with Ihe appurtenan~.. and all the estate and rights of the party of the first part
in and to said premises.
TO HA VE AND TO HOLD the premises he...in granted unto Ihe party of the """"nd part. Ihe
heirs or suc~""""rs and assigns oflhe party ofthe """ond pon to""'er.
AND the party of Ihe fin" port. co"enanlS that the party of the first pon ha.. not done or
suffered anything wherehy Ihe ""id premises have b<:c:n cneumbered in any way whalever. except
as of ores aid.
AND the pony nl"the firsl port. in compliance with Sectinn 13 of the Lien Law. covcnanls
that the party of the lirs. part will receive the eoosiderotion fnr this eonveyanc.'C and will hold the
rillht to recei,'e such consideratinn a. a tlUSt fuod to be: applied first for Ihe purpose 01" pa)'ing the
<:ost of the impro,..,ment and will apply the same first to the papnent of the cnst ofthe
intprovement beta... using any part of the tnlal of the same tor ony other pu"""",.
The word "pany" sholl be construed as iril read "'parties" whenevCl' the 5CJIS(" of this
incJenlure S4,) l'Lo.quin.oi. - . .
y of the first pan has duly ex""uled Ihis ~...-d the day and
.
STA.TEOF tJEw ~()"'f..:
COUNTY OF S\I f-fCl\..\L. ~llS.
On the 21 \\l\l day of M~IL..l004 belen: me. Ihe undersigned. a Notary Publie in IInd lor said State.
personally aPrean."d John Ollee. pL"I1I(lnally known to me lIr proVl.'d to me lIn Ihe hasis ol'satisraetory evidence
to be the individual whOlll." name is suhscribed to Ihe within instrument and acknowledged to me Ihat he
ellL'I."uted the same in his capacity, and that by his signature on the instrumL'Rt, Ihe individuals, or the person
upon hehalrofwhich the individual acted.execull.'lI the ilJstrumenl.
.~~
O' ARY "UBLlC
JAMES C. MILLER
Notary P~b!ic. State 01 New York
No. 01 ;,116(153518
Qua1il:ed In S~f1olk County J. aD 7
Comm!.slon EKplre. Jllnuary 9._
~~\ I\J~ N..iJ (1..~~
JrfFf~Y ~PN~\ 'r~
~ l ~ FirPo. k. It VL
Nt\}.) ~.A.I.. I ~ ~
{::Jo1J. - ~rtj'2?
J'[ff-\tf.~ KA P NE~ I ESQ
~ ~ S rA~t<- Ai'=.-
Ntw '1t>lL~ , -.J Y loo~-~qe 7
SUffolk Count Recordin
D ~tt>
(SPECIFY TYPE OF INSTRUMBNT)
.-
Number of pages
TORRENS
Seri.I/I
Cen;nc:"", /I
Prior Clf. /I
Deed I Monaage InSlrumc:nl
Deed I MorIgagc: 'IluI Slump
FI:lIl.,
3
Page I Filing Fee
Handling
TP-SB4
S. 00
~~
Notation
[;H-
EA-S2 17 (Counly)
EA-S217 (Sl""')
R.P.T.S.A.
S ..:: Sub Thlal
,:/7)-
'~JU)
Comm. of Ed.
Affidavil
S. ...QQ....
Cc:rtilied Copy
NYS Sun:ha'l!C:
Other
IS....QQ.... Sub Total
Orand Thlal
4 I D~ D
DiSL
BlockOS.Df>
Rc:..IPropc:ny
Tax Servic:c:
^sc:ney
Veri ncathm
04021741 1000 05900 0500 003000
r.f~\\
\;:"'AY~
......---
6 Salisfac:liunslDillChargeoIRc:leasc:s Usl Propeny Owners Mailing Addrns
RECORD It RETURN TO:
RECORl)E!)
2004 ~ 27 09:~: ~ 1m
Edwat"d P.Fl:maineo
CLERI<OF
SUFFOLK COUHT'I
l. 000012321
P 603.
Dn 03-44507
Rc:c:onling I FilillJ: Slamps
Mortgage: AmL
I. Basic: 'IluI
2. Additional 'IluI
Sub Thlal
Spec:JAssiL
or
Spec:. I Add.
TOT. MTO. TAX
Dual Town _ Dual CounIY~
Held for Appoinl-=mc:n1
Tnmsfc:r Tax
Mansion TIIX' ~;
Tho: propeny covered by this mort... i.
or will be: improved by a one or two
family dwc:lling only.
YES or NO
If NO. _ appmprialC lIIX c:la..... on
page /I uf thi. inslrumc:nl.
5 Co_aalty PruenatioD I'Iuul
Consideration Amount $
CPF Tax Due
~
I:provc:d~ .
Vacant Land, ~ .
TO 10 .
TO
TO
"
--
.
8
300
& Endorsement Pa e
The premises lu:n:in is sillllllCd in
SUFFOLK COUNTY. NEW YORK.
In \he Township of So l) 'r "0 '^ f\
In \he VILLAOE C--
or HAMLEr of ...:x, '0 T tI 0 I...lJ
BOXES 611fRU B MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
This page fonDS part of the allllCbc:d
l To (-I- .00
DK~E.
I. ~~{ t.J L.:::'7J~l"NN :;'~~ll ~\_
made: by:
.'
11111111111111111111111111111111111111111111111111111
1111111111111111 1111 1111
SUPFOLlC COUNTY CLERIC
RECORDS OPPICE
RBCORDIHG PAGE
Type of Instrument: DIIDS/DDD
Humber of Pages: 3
Receipt Number : 04-0060788
TRANSPER TAX NUMBER: 03-44507
Recorded:
At:
OS/27/2004
09:39:38 AM
LIBER:
PAGE:
D00012321
603
District:
1000
Section: Block:
059.00 05.00
Il!TlIJlINBD AND CHARGID AS FOLLOWS
$1,025,000.00
Lot:
003.000
Deed Amount:
Page/Piling
COB
1A-t'TY
TP-584
~ RPT
Transfer tax
Camm..Pres
Received the Pollowing Pees por Above Instrument
Bz8lllpt
NO
NO
NO
NO
NO
NO
NO
$9.00
$5.00
$5.00
$5.00
$30.00
$4,100.00
$17,500.00
Handling
RYS SRCSG
lA-STATE
Cut. Copies
SCTK
Mansion Tax
$5.00
$15.00
$50.00
$0.00
$0.00
$10,250.00
ib'-.pt
NO
NO
NO
NO
NO
HO
Pee. Paid
$31,974.00
TRAIISPBR TAX RmlBBR: 03-44507
THIS PMI IS A PART 01' TEl IRSTRUIIDT
THIS IS NOT A BILL
Idward P.RoIIlaine
County Clerk, Suffolk County
.
FOR COUNTY USE ONLY
PLEASE TYPE OR PRESS FIRML V WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (5181 473-7222
/.f, 7, ~,f.3 Jj, 91
I 07 1:( 1-- f< CO '*
Month Oay Year
03. Book II ,:2,7 .2 j I C4. Pag.1 ~,tJ , ~ ,
REAL PROPERTY TRANSFER REPORT
CT. SWlS Code
8:
C2. Date Dud Recorded
STATE OF NEW YORK
5T Ate BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP-S217 RevJN1
PROPERTY INFORMATION
1. Pro~ I 2095
location STIlEET NU....8E~
Lake Drive
STf\EETNAME
CITYOIlTO~..t'hO'...I
VIL"",GE
T
L/
~M {(f N
11 2.l '
lip e
2. Buyer
Nama
Bernstein
lASTNAME/COMPANY
Warren
FIJISTN"''''E
BernRtein
LAST NAME I COMPANY
Nina
FIASTHAME
3. Tax Indicate where future Tax Bills are to besen!
BIIUng if other than buyer address (at bottom of form)
Add_
-
4. Indicate the number of Assessment
Roll parcels transfe....ed on the deed
J I # of Parcels OR D
IOnlv if Part of . Parcell Check H they apply.
4A. Planning Board with Subdivision Authority Exisrs
48. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
Part ofa Parcel
o
o
o
5. Deed
Property
Size
Ix I
lOR I
'ACRES
.87
fRONT FEET
"""
6. Seller
Name
Oxee
lASTNAME/COMPANV
John
FIASTNAME
LASTNAME/OOMPANV
FI~ST NAME
7. Check the box below which most IICCl1rately de.cribe, the U&e of the property at the time of sale:
Check the boxes below 115 they IIpply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
1OA. ProperlV located within an Agricultural District
108. Buyer received a disclosure notico indicating
thotthe property is in an Agricu!tutlll District
o
o
o
o
A~ One Family Residential
B 20r3FamHyResidential
C Resldenlial Vacant land
D Non-Residential Vocant Land
I SALE INFORMATION ~
11. Slle Contrect Date
E~Agrlcultural
F Commercial
G Apartment
H Entertainment I Amusement
I ~ Community Service
J Industrial
K PubJicSarvice
L Forest
15. Check one or mOI1l of these conclhions II applicable to transfer:
04
M~.
I
01 I
Da,
04 I
Yu,
A
B
C
o
E
F
G
H
I
J
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seiter is Government Agency or Lending lnstitution
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 Status end Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
Nona
12. bate of Sale J Transfer
04
I
04 I
Yu,
22
M~.
Do,
,1,0.2,5,0,0,0,0,01
, , .
(Full Sale Price is the total amount paid for the propeny inclu(lTng personal property.
This payment may be ill the form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Please rovnd to the nearest whole dolfar emovnt.
13. Full Sale Price
14. Illdicebl the valUI of personal I 0 . 0 . 0 I
property induded In the sail, , I
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of AlSessment Roll from I 03/041 17. Total AMused Value (of all par eels in transfer))
which information taken '
4 8 0 01
,
18. Property Clan
I 2 I 1 0 I-U 19. School District Name I
Southold
20. Tax Map Iderrtifier(al I RollldentiflerlsJ (If more than fOllr. attach sheet with addhlonill identifier!s})
]000-OS9.00-05.00-001.000
I CERTIFICATION
I certify that all of the items of informatinn entered on Ibis fann are true and correct (to the hesl of my knowledw: t...d belief) and I understand that the making
of any uilltul fal.'le statement of materiaI fad herein will subject me to the OrovisiOM of the penal lB.'" relative 10 the maldng and mlna of false jnsh"UmcnL~.
BUYER BUYER'S ATTORNEY
( ,VL--
War~~~f~::gstein
2~E~NU~
~~ -6rl7A~ ~/JJ-l)Y
'/ OAT<
Nina Bernstein
~1J::-,~,J0 ILl J f
N ~ r
I~ fi\J H... I ,-"Tf ff RL 'I
lAST ~AME FIRST NAM(
~l::>" 'X3l, -)lDDO
AREA COIlE TEU~HONE HUMBEIl
NEW YORK STATE
COPY