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BARGAIN AND SALE DEED'WlfH COVENANT AGAINST GRANTOR'S ACTS
(INDIVIDUAL OR CORPORATION)
STANDARD NYB'fU FORM 8007
C.AL.ION: nus .o\(;RJo;KME'lri'." SIl()UI..D R": PIU:JIAItKD BY AS A..T()R.....K\. AN'D RJo:VU;WEIl BY Al'''ORNI-:\'S FOR SEI.I.F.R ^="I)
PUKCllAbi":R BK"ORE SIGNING.
THIS INDENTURE. mode the3JdT day of 1~;l"Bllc, ~ lWO THOUSAND THREE. belween
ROBERT W. CLARK and RA VMOND J. I.eCUVER re..ldlng al3810 Mill Lane. Mattituek. New York
1195Z
pany of the first pan, and
TIIOMAS COLICCHIO and LORI SILVEKBUSH. hL. wife. residing at 95110ratio Street, Api.. 614. New
York, New York 10044
pany of the second pan.
WITNESSETH. that the pony of the first pan. in consideration of TEN dollars. lawful money ofthe
United States. paid by the pany of the second part. does herehy grant and ",lease unto the pony of the ","'Cooo
part. the:! heirs or successors and assigns of the party of the s~cond pan forever.
COIU.",.. ". .... _ . .. .
ALL that certain plot, piece .or I'arcel.~f ~~~d.'w;iii the buildings and improvements thereon erected,
situate. lying and bcing,at'Mattitu~k!_Town'\,f_~o~~old. County of Suffolk and State of New York being
more particularly bounded and.d"""ribed as (ollows:
BEGINNING at .. concrete monument marking the inlersection of Ihe northerly side of Middle
Road and tbe easterly side of MlIII.ane;
RUNNING THENCE along the easterly side of Mill Lane. North 18 dearers 58 minules 10 sKonds
West JOO reet to the land now or formerly of Adelaide S. Tuthll1;
RUNNING THENCE along said land two (Z) eoones and distances as foUows:
1. Nnrth 71 degrees 01 minutes 50 seeonds East 359.76 feel;
Z. South 18 degrees 58 minules 10 seconds East .\05.41 feet to Ihe northerly side of Middle Road;
RUNNING THENCE along the northerly side of Middle Road. South 71 degrees 5..\ minutes 30
seeonds West 359.80 feet to the polnl or place of BEGINNING. . -
. . . "l J/,e. '"<s~ ......t by
BEING and intended 10 be the same premises conveyed to par~... deed dated
Oclober 5,1998 and recorded October ZO. 1998 In Uber IIZ.\ Page 90 t . unty Clerk's'
Omce. s.. II",k C......,.
TOGETHER with all right, title and interest, if any, of the party of the fi... pan in and to any streets and
roads abutting the above described premises to the center lines thereof.
TOGETHER with the appunenances and all the estal~ and rights of Ihe party of the first part in and to
said premises.
TO HA VI:' AND TO HOW the premises her~in gr~nl~d unto Ihe party of th~ seeond pan. lhe heirs or
successors and assigns of the party of the second part forever.
!/ ~:.
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AND the party of the lirst part. covenants that the' ";'rty of the first .;an has not done or suffered anything
whereby the said premises have h~n encumbered in any way whatever. except as aforesaid.
AN!J the party of the first part- in compliance with Seclion:13 oflhe Lien Law, covenants that the pany
of the first part will rec~ivc the considt:ration for this conveyance" and will hold the right to receive such
consideration as a trust fund to be applied first for the purpusc 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 pan of the to(ol of the same
for any other purpose.
NYSBA PRAC11CE 11'OR..\.1S 10199
KE067.1'
-I.
The word "party" .hall be construed as if it read "panics" whenevo>r the sens" of this ind"nture so
requires.
. IN WITNESS WIIEREOF. the party of the lirst part has duly exo>cuted this deed the day and year lirst
above wrillen.
IN PRESENCE OF:
r?aJv~<", ~
@~ w. (yaJe
ROBERT W. CLARK -
~~3'.&~
RA YM ND J. LeCUYER
-
STATE OF NEW YORK )
) ss.:
COUNTY OF SUFFOLK )
On the ~(" ""'- day of J.<<l~ in the year 2003 before me, the undersigned. persUIUIlly appeared
ROBERT W. CLARK personally known 10 me or proved to me on the basis of satisfactory cvidence to be the
individual(s) whose namees} is (are) subscribed to the within inslrumenl and acknowledged to me that
he/she/they exo>cutcd tho> same in his/her/their cupacityeies). and that by hislhcr/their signaturccs) on the
instrument. the individualCs), or the person upon hehalf of which the individualCs) acted. executed the instrument.
e. /
iI office of individual laking aekno ledgmenL)
M...r'J Eo b ;,.,..,. 340.7
NOlwa:-y ,......,oe ~{'.\I....,Y<ri<..
- /\/OIOI)E'foO""I'ISS
c.......k.... in :so.No,..e... 0...,..;. r.",;..... "I. Z-l-ZDD5"
STATE OF NEW YORK )
) sS.:
COUNTY OF SUFFOLK )
R>;4'l.c;I,
On the 3 I oi T day of . _:. y in the y"ar 2003 before me, the undersigned, personally appeared
RAYMOND J. LeCUYER personally known 10 me or proved to me on the basis of salisfaclory evidence to be
Ihe individualCs) whose name(s) is (arc) subscribed to the within instrument and acknowledged 10 me that
he/she/they ex.cculcd the 5amc in hisJ~r/thcir C~PQcity(ies). and that by his/her/their signuturc(s) on the
instrument. the indi idual{ 5). or the person upon behalf of which the indi\'idunl(s) acted. executed the instrument.
(signature and office of individual ta.king ac .nowl~dgmcnt)
VICTORIA CHARCZUK
Notary Public, Stata of Naw York
No. 4850488 0-' -
Quallned in Nassau County \p
Commission Expires January 20. 20
BARGAIN and SALE DEED
With Covenant Against Granlor's Acts
"'(In ~F! NO TS-400 16Q()
ROBERT W. CLARK and
RAYMOND J. LeCUYER
to'
DISTRICT : 1000
SEenON : 107.00
BLOCK : 05.00
LOT : 002.000
COUNTY OR TOWN: Suffolk
THOMAS COLICCHIO and LORI SIL VERBUSH
RETURN BY MAIL TO:
PIIIUP COLICCHIO, ESQ.
Taylor Colicchio and Silverman
5112 Carnegie Center. Suite 103
Princeton. New Jersey lJ8540
RESERVE THIS SPACE FOR USE OF RECORDING OFFICE
RE067.16
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N\"SBA PKAcnCE t'ORMS 10199
a,..
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.Number of pages
TORllENS
?
RECURI)Et'
2003 Rp, 16 03:32:27 PM
Edward P.Romaine
. CLERK OF
SUFFOLY COUIITY
L Doo012246
P 521
NI 02-35788
Serial H
Cenificate II
Prior Clf. II
Deed I Mortgage Instrument
Deed / Mortl!lllle Tax Stamp
FEES
Recording I Filing Stamps
4
IJage I Filing ...~
I land ling
TI'-584
Mongage Ami.
J. I).sic Tax
2. Additional Tax
Notation
Sub T alai
EA-52 17 (County)
Sub Total
Otht:'r
Sub Total
q'i
Spec.lAssil.
Or
Spec./Add.
TOT. MTG. TAX
Dual Town Dual Coullty_
Held for Appmtionment _
Transrer Tas ~ ~ 70 0
Mansion Tax
The propeny covered by this mong.'1gc is or
will he improved by a one or two family
dwelling only.
YES or NO .
If NO, see appropriate lax c~ poge 'Ii
_of this instrument.
EA-5217 (Slale)
Camm. of r:d.
,~
R.I'.T.S.A.
~b
Affidavit
Certified COllY
Reg. Copy
C,RAND TOTAl.
&
/
s
Reall'ropcrty Tax. Service AgetlC}' VerUication
N.t <<;:.......1"," 1<I'1V"1r
I.ot
Stamp
03014615 1000 10700 0500 002000
000
6 Community Preservation F...nd
Consideration ^Illount $ ~ .,'-' ;>.,".) ~"."'
. .
CI'I' Ta" 1:>,,<: S i(,~ 8'"00.
Improved
Dote
/
Vacanti_and
Initials
7 SalisfaclionslDischargeslRelcascs Lisl Property Owners Mailing Addres
RECORD & RETURN TO:
to
Philip Colicchio, Esq.
. Taylor, Col~cch~o and Silverman
502 Carneg~eCenter. Suite 103
Pr~nceton. New Jersey 08540
TO
TD
TI)
9
Suffolk Count
B Title Company Information
Co. Name TSNY Agency of New York/Fidelitf..__
Title # TS-4001690
Recordin & Endorsement Pa e
'[his palo'" fomlS pout oflhc altach.,d
Deed
(SPECIFY "IYPE OF IN!>"TRUMENT )
mode by:
Robert W. Clark and Raymond J. LeCuyer
lhc premises herein is silualw in
SUFFOI.K COUN"IY. NEW YORK.
TO
In the Township of Southold
In the VILlAGE
or I-lAM LET of Mattituck
Thomas Col~cchio and Lor~ S~lverbush
Ill}XI~C; 5 num 9 MUST BE TYPED OR PRIN"I"ED IN ULACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
,-
1111111111111111111111111111111111111111111111111111111
11111111111111111 11111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBER: 02-35788
Recorded:
At:
LIBER:
PAGE:
04/16/2003
03:32:27 PM
D00012246
521
District:
1000
Section: Block:
107.00 05.00
EXAMINED AND CHARGED AS POLLOWS
$890,000.00
Lot:
002.000
Deed Amount:
Received the
Pollowing Pees Por Above Instrument
Exempt
NO Handling
NO NYS SURCHG
NO EA-STATB
NO Cert.Copies
NO SCTM
NO CODDII.Pres
Pees Paid
$9.00
$5.00
$5.00
$5.00
$30.00
$3,560.00
$5.00
$15.00
$25.00
$0.00
$0.00
$14,800.00
$18,459.00
Exempt
NO
NO
NO
NO
NO
NO
Page/Filing
COE
EA-Cn
TP-584
RPT
Transfer tax
TRANSPER TAX NUMBBR: 02-35788
THIS PAGE IS A PART OP THE INSTRUMENT
Bdward P.Romaine
County Clerk, Suffolk County
--------PLEASE TYPEOR PRESS F1RMLYWHENWRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
C1. SWIS Code
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Rf'-5117 R,,,'.l/97
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C2. Date Deed Recorded I Mo"i I {"f
C3. Book I /,;). ~ v: 0 I C4. Page I
PROPERTY INFORMATION
01' I
Year
RP - 5217
.~.2)
1. Property I 3810
location ~~EETNuMe~R
Mill Lane
STREET NAME
L Southold
CITY OR TOWN
M~"tt"it'l1{'k
VILLAGE
]]952 .J
Zl~ CODE
2. Buyer
Name
COLICCHIO. THOMAS
L"'ST NAME iCOMPANY
STT VF.RRTT~J..r ~ TORT
fLRSTNAME
~-
lASI NAME I COMf'ANY
FIHSTNAME
3 Tu)( Indicate where futura Tax Bills <Ire to be sent
Billing if other than buyer address let bottom of form)
Addrllss
lASTl,AMEtCOMPAhV
FIRST NAME
STRHr NUMBeR ANV STREET .,"AME
OTYORTOW~
$T...TE
Z,p COO~
4. Indicate the number of Assessment
Roll parcels transferred on the deed
!.J # of Parcels OR 0 Part of a Parcel
(Only if Part of a Parcel) Check as they apply;
4A. ?Iannrng Board with S\.Ibdivision AutnorityExists 0
48. Subdivlsiol1 A:Wrov31 was Required for Transfer 0
4C. Parcel Approved for Subdivision with Map Provided 0
L
5. Deed
Property
Size
6. Seller
Name
I X ~.------..J OR L
O~PTH
2. 5
Q-,
FAONrFE:Er
ACReS
CLARK, ROBERT W.
lASTNAMEtCO'V\PANV
LeCUYER. RAYMOND T
fiRST NAME
_-.J
LAST NAME I f:OMPANY
FI~ST NAME
1. Check the box below which most accurately describes the use of thll property at the time of sale:
Check the boxes below as they apply:
8 Ownership Type is Condominium
9. Now Constructio'l on Vacant Land
10A. PrOfJ"rtv Localed wit\lin an Agriculturai '.)istrict
10B Buyer received a d;sclosul('nctice indicating
that the property is i.~ Qrl Agricultural District
o
o
o
o
A~oneFamilYReSidential
B :! or3 Family Residential
C Res;dential Vacant Land
D Non-Resrdential Vacarn Land
E~Agricultulal
F COrl1merc;al
G Apartment
H Entertilinment I Amusement
j~ Com11un;tyService
J Industriill.
K Public Service
L Forest
SALE INFQRMATIO:\,'
15. Check on& or more of these conditions as applicable to transfer.
11. Sale Contract Date
~.L. 4 / 02
'v1e;nth Day Year
.3 I' I 0:;>
MOl'\lh Do, Year
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Pannels in Business
Olle of the Buyers is also a Seller
Buyer or Seller is Government Agency or le~ding Ins,itution
Deed Type not Warranry or 8argain and Sale (SPecify Belowl
Sale o' Fractional or Less than Fee Interest (Specify Below)
Sign;ficant Change in Propeny Between Taxable Status anc Sale Dates
Sale of Business is InclUded in Sale Price
Other Unusual Factors Affecfing Sale Price (Specify Below\
None
A
B
C
D
E
F
G
H
J
J X
12. Date of Sale I Transfer
13. Full Sale Price 8 I 9 I 0 I 0 0 tOO , 0 I
, , .
{FilII Sale Price is the total amount paid for the property incl~'ding personal prope~y.
This payment m~y be in the forfT, of cash. other property or goods, or the assumption of
mo~gageg or otne'. obligations.l Please round (0 tha -'Iearest whole dollar amount.
14. Indicate the value of personal
property included in the sale
L.c-.
, ,
ASSfSSMENT INFORMATION - Data should reflect the latest Final Ass*ssment Roll and Tax Bill
; <Lr.JL1
16. Year of Assessment Roll from
which information taken
10
2 I 11. Total Assessed Value (of aU Pilrccls in transferl ~_._
~8
,
o
o
,
,
18. Property Class
12,1. Ol-U 19,5chooIDlstrictNarne~ M;:!-rr-ir-llC.k T;:Illr",l
20. Tax Map ldentifier(sl I Ro]) ldentmer(sl {If more than four, attilch sheet with additional Identifierlsll
~000-107.00-05.00-002.000
~.'- ---
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CERTIFICATIQ,'\! I
( certify th~t all of tht' itCDl~. of informulion entered /Ill thh form are tnI(' and CQrrt'd (to tht' be.~" /If my knowlengt' and bdieJ) and (understand that the making
of any ",illful false sfatement of material fact hel.cin .fill suhjE:'ct me to the nro.isions IIf the Dcnallaw n'lalin fo the making and filing of false instrunumts.
~
BUYER
BUVER'S ATTORNEY
3/31/0.3
tl~~!~r-hi n Pn:IR'S;N:~E
TMI!I1M.oemc'i.cchio
,.~
95
---sTiiion '-lllMll~R
Horatio Street. Ant. 614
STREErN"'M~ {AFTER SAL~I
60Q
AR~A CODE
qsn nO??
TELIOI't'ONE NUMaE~
New York
CITVOR TOW~
10044
ZIPCODr,
r NEW YORK STATE
COpy
~
NY
STAT~
SELLER
WHw.t- ~
ROOOtt't:s!'\\M.1u't:lark
'3>13110 :::>
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