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lile:ddatd N.Y.D. T.II. Farm 1001: - Uarpin aad Sale Deed. withC~~ .......O~.I Acta-liniRlna ^'*"'""tcdsmad
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULO BE USED
BY LAWYERS ONLY
THIS INDENTURE, made the lS day 01 November, 2003,
BETWEEN
JAMES GEORGE and UNDA SCHAFFER, .sjolnt tenants with right of survivorship, rssldingat 1775 York
Avanua,1t32H, Haw York, N_ York 10128
party 01 the first part, and
JONATHAN BLOOM, ...idingat 473 W.st End Avanua, N_ York, N_ York, .. to. 95% Inters.land
ROBER1;.BLOOM .nd JOAN BLOOM, ..sidingalUO We.t 23"' St.... 10011, as to. 5% Intarssl, as
tenants Iii convnon ~.
party 01 tha second part,
WITNESSETH, that tha party oltha _ part, In consideration often ($10.00) and otharveluabla considaration
paid by tha party 01 the second part, does hareby g..nt and release unto tha party 01 tha second part, tha hairs
or successors and assigns 01 tha party of tha second part forever,
ALL that certain plot. place or parcel of land, with tha buildings and Improvemants thereon aracled, situate, lying
and being in tha Town of Soufhold, County of Suffolk and Stale of New York, being mars particularly boundad
and described on Schedule "A" anna.ad harelo and made a part hareof.
BEING AND INTENDED TO BE tha sama premises as conveyed to tha party of tha first part by daed daled
1122101 and recorded in tha Suffolk County Clark's OIIIca on 1130101 In Uber 12099at Paga 729.
TOGETHER with all right, tilIa and interest, if any, 01 the party of tha _ part In and to any slreats and roads
abulllng tha above dascrlbed premises to tha cenler Una. tharaor; TOGETHER with tha appurtenanc... and all
tlia estate and rights of tha party of the first part In and to 881d premises; TO HAVE AND TO HOLD tha premises
harain granted unto tha party of tha .econd part, tha hairs or successors and assigns of tha party of tha second
part roravar.
AND tha party of the first part covenants that tha party of tha first part ha. not done or suffered enythlng wharaby
tha said pramlsas have been encumbered In any way whBlaver, BXC8pt as aforB88id.
ANDtha parlyoltha first part, in compliance with SaclIon 13 oftha Usn Law, covenants that the partyoftha first
part will recalve tha considaration for this conveyance and will hold tha right to receive such considara1lon as a
trust fund to be applied first for tha purpose of paying tha cost of tha bnprovement and will apply tha sama IIret to
tha payment of tha cost of tha bnprovemant befora using any part of tha total of tha 88me ror any othar purpose.
Tha word "party" shall be construed as If. read "parties" when avar tha 88n88 of this Indanture so raqulr....
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and yaar _above
written.
IN PRESENCE OF
UNDA SCHAFFER
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
Stale of New York. County of ~'fr'...:
State 01 New York. County 01 ~ Lz,....t..
On the Vi day of November in the year 2003 On the~ daY' of November in the year 2003
before me, the undersigned, personillly Bppellred before me, the unde..lgned, ptnOnBly Bppeered
JAMES GEORGE UNOA SCHAFFER
pemonlllly known to me Dr provedtD meon the baale of.....,.ctory peraonlllly kn~ to me or proved to me on the b-" ofllidi8factDry
evidence to be the In_8I(0) whoaa namolo) is (arel au_ evidence ID be the individu8l(e) whoaa ..molo) is (are) aub8cribad
to tho within inotrument and ocknowlodgod to mothat h",""oJIh"l' to the within lnatrument and _nowladgod to melhot h""'he/lh"l'
""""uled tho oeme in hllllherllheir """"clly(i.), end that by _ the oeme In hialhorllhelr ~...), end that by
hlalherlthelr rdgntlture(s) on the instrument, thelnc:NdulII(s), or the hl&lherlthelr llignature(s) on the inatrument, the indMdualCa). or the
peraon upon behalf of which the IndMduaJ(a) _. executed the peraon upon behelf of which the in_ual(o) 1ICtIId. executed the
lnstrumenL ~ instrument.
~~~ J,,-/7= I{)~t<~
(oirf!'tu d on.... 01 individuel "'king ecknowladgment) (fIlQnow(j,:::l.s;;;; i!! IncNduel toldng ecknowledgment)
-.v ~~_ YorIi JefFr1:-f <5 C4~d"" ,......; ~~:~_ YooIi
No. 3'.....76308 10 -""-0(0 r ~~I~_Now_~Y"'" Ca
Ouallfled In Now y~.~ _ _ _... =.,.
"-~oa~-~~-6
-. ".::;,
-:
.'
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
Slato (or Diatrlct of CoIumble, Territory, or Foreign Country) of
00:
On the
doyol
in the v-r
before me, the underWgned, peraonlllty appeared
p8n10naly known 10 me or provedtD me on the baia oflllltWactDry evidenceto be lhelnc:lvidulll(a) whOM narne(s) ill (....) aubacrlbed to
the within Instrument and acknoMedged to me that hMlhellhey executed the earne in hllllherlthelr C8pacity(i.), and thm by hllllherJtheir
Blgmiture(s) on the Instrument. the individual(s), or the peROn upon beIllIIf ofwhlch the individu8l(a) 1ICtBd, executed the instrument. and
that lIUch IndMdu" made such .ppe..nce t.ror. the undersigned In the
in
C.xI "-'the StM8 or Cow11ry or other pl8cebllClulOl.,~J ~ ......Iwn "ken)
(.... tho City or _ po/iIic8I..-.on)
(~1Ind affic. of individual_king KknowIedgnl8lTt)
BARGAIN AND SALE DEED
SECTION 107.00
BLOCK 05.00
LOT ooe.DD4
COUNTY OR TOWN
SOUTHOLO
STREET ADDRESS
7305 Wickham Avenue,
MeIlituck, New York
WITH COVENANT AGAINST GRANTOR'S ACTS
Title No.
JAMES GEORGE end UNDA SCHAFFER
TO
JONATHAN BLOOM, ROBERT BLOOM
.... JOAN BLOOM
Recorded at Request of
COMMONWEALTH LAND TITLE INSURANCE COMPANY
RETURN BY MAIL TO:
C_by
.monwealth
C IIWUL TH LAND TITLIi INSUItANCIi COIIP'ANY
ROBERT A. BLOOM, ESQ.
430 WEST 2300 STREET
NEW YORK, NEW YORK 10011
RDBNI! na. ~ lIaR USI! OP' .........,INO aplPICI!
,
.
'.
LEGAl DESCRIPTION
TllJeNumber: 3803-00912
ALL THAT CERTAIN PInr, PIECE, OR PARCEL OF LAND, SITUATE, LYING, AND BEING AT
MATTITUCK IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK AND STATE OF NEW YORK,
BEING BOUNDED AND DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT ON THE NORTHERLY SIDE OF WICKHAM AVENUE (MIDDLE ROAD, OLD
MIDDLE ROAD) AT 1017.78 FEET EASTERLY FROM THE CORNER FORMED BY TIIB INTERSECTION
OF THE EASTERLY SIDE OF MILL LANE WITH THE NORTHERLY SIDE OF WICKHAM AVENUE;
RUNNING THENCE NORTH 18 DEGREES 19 MINUTES 20 SECONDS WEST ALONG LAND NOW OR
FORMERLY BURT 270. 71 FEET TO LAND NOW OR FORMERLY UH FARMS LLC AND TOWN OF
SOUTHOLD;
THENCE NORTH 71 DEGREES 40 MINUTES 40 SECONDS EAST ALONG LAST MENTIONED LANDS
300.56 FEET TO LAND NOW OR FORMERLY B&H FARMS LLC;
THENCE SOUTH 22 DEGREES 21 MINUTES 30 SECONDS EAST ALONG LAST MENTIONED LANDS
43,17 FEET;
THENCE NORTH 71 DEGREES 40 MINUTES 40 SECONDS EAST STILL ALONG LAST MENTIONED
LANDS 38.02 FEET TO LAND NOW OR FORMERLY SIDOR;
THENCE SOUTH 22 DEGREES 21 MINUTES 30 SECONDS EAST ALONG LAND NOW OR FORMERLY
SIDOR 22.19 FEET;
THENCE SOUTH 21 DEGREES 54 MINUTES 50 SECONDS EAST ALONG LAST MENTIONED LANDS
234.59 FEET TO THE NORTHERLY SIDE OF WICKHAM AVENUE;
THENCE SOUTH 76 DEGREES 20 MINUTES 40 SECONDS WEST ALONG THE NORTHERLY SIDE OF
WICKHAM AVENUE 359.10 FEET TO THE POINT OR PLACE OF BEGINNING.
~
FOR INFORMATION ONLY: DISTRICT 1000 SECTION 107.00 BLOCK 05.00 LOT 006.004
cnnlAM
-AMENDED LEGAL DESCRIPTION- 11/04/03
I "
r
!
Number of poges
TORRENS
G:2
,#.... . . ~.
)
Serial"
RECORDEl)
2004 Fob 04 05.22.35 PIl
Edward P.Roeoi...
QERK OF
SlM'Fll.K COI.IHTY
L DOOOl~
P428
DII 03-27578
Cenificale If
Prior Clf. N
Deed I Mongage Inslrume-nl
Deed I Mortgage Tax Stamp
FEES
Recording' Filing Stamps
4
Page I Filing Fee
Mortgage AmI.
Handling
TP-S84
I. Basic Tax
2. Additional Tax
Nolalion
Sub TOlal
r,^-S2 17 (Cuunty)
Sub To'al
CommA of &f.
S~
Spec/Assit.
O.
Spec. 'Add.
EA-S217lS18te)
K.P.T.SA
:=30 .il::::l
TO'r. MTG. TAX'
Dual Town_ Dual CoUnl)'_
Held for Apponionmcnt _
.;1.85::>-
by this ".el1gage is OJ:
d by II one or two family
Affidavil
Transfer Tax
Cenified Copy
GRAND TOTAL
lal,
Mansion Tax
The property
wiIJ be impro
dwelling only.
YES
If NO, .ee opp
_orlbi. ins
or NO
iate lax c~ pale II
mentA
Reg- Copy
Other
Sub Towl
l
Reall'ropcrty Till< Service Agcl1C)' V''I"ifieat;on
Disl. Section Block .
--_..- -..-.
Lot
6 Communi
Consider tio
CPF Tnx Due
ervolion Fund
S'ld "",,'\-
$ II. aSc::.
y
Slomp
1000 10700 0500 006004
Improved
,,'
Dale
Initials . ~E
1 Satisfactions' .....1_IKlI51C':t/nIC'IQSt..os-a.:;ISI-..ropeny.owners Mailing j\"'i:Iilre
. RECORD'" RETURN TO:
~A, r31oon-t, f..s."D'
Y 30 LA..:>. "2...3"& fa,
0Y J'"' 'Y I O:::)//' ..
Vacant Land
TO 6Cj
TD
TD
8
Title Company Information
c..a f+U
. ..... .
Suffolk Count Recordin & Endorsement Pa e
l1,ispagcronnspartOrthcallached ~^... c::v,..(" ODQ~
- lSPEOFY ITPE OF INSIRUMENr)
~ ~rc::y... q..
Ur'lCto\~
TO
~ -f'k,.A 8la;;n--,
~ ~:Scr."" &100"--
- - .,
Co. Name
TitJe#....-...:r-
.'
made b)':
'[he premises herein is situated in
. SUFFOLK COUNI'Y, NEW YORK.
~OlcP
M:i.fl.(-kac..
In the Township of
In the VILLAGE
or HAIvlLET of
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RlCORDS OFPICB
RECORDING PAGB
Type of Instrumentl DBEDS/DDD
Number of Pagesl 4
TRANSFBR TAX NOMBBR: 03-27578
JANIS G SCHAFFER
JONATHAN BLOOM
District:
1000
Sectionl Block:
107.00 05.00
EXAMINE AND CHARGED AS FOLLOWS
$712.500.00
Deed AIIIount 1
Received the Following Fees For Above Instrument
Exempt .
NO Handling
NO NYS SRCHG
NO IA-STATB
NO Cert.Copies
NO SCTK
NO Coaa.Pres
Pees Paid
Page/Piling
COB
IA-CTY
TP-584
RPT
Transfer tax
$12.00
$5.00
$5.00
$5.00
$30.00
$2.850.00
TRANSFBR TAX NDMBER: 03-27578
THIS PAGE IS A PART OF THE INSTRtIMBNT
THIS IS NOT A BILL
Recorded:
At:
LIBBR:
PAGB:
02/04/2004
05:22:35 PM
D00012299
428
Lot:
006.004
$5.00
$15.00
$50.00
$0.00
$0.00
$11.250.00
$14.227.00
Exempt
NO
NO
NO
NO
NO
NO
Edward P.Romaine
County Clerk. Suffolk County
II
PL~A~~ 1 YP~ UH PH~~~ FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: hllp:// www.orps.slale.ny.us or PHONE (518) 473-7222
FOR COUNTY USE QNL Y
C1. SWIS Code
~,7,3,q, >(,9"1
,
REAL PROPERTY TRANSFER REPORT
RP_Sl17 Rc..lN7
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C2. Date Deed Recorded I 0 Sll 09" 10,/ I
Month DilY Ydar
C3. Book I /;;:;l..::>. ,<;7, ('I C4. Page I ,L",I, .::2.,g I
PROPERTY INFORMATION
RP - 5217
1. Prope.rty L 7305
Location STREET NUMBEIl
I SOUl'llOLD
WICKHAM AVENUE
STREET NAME
f'l\dtrL.L J.....
NlIlSX
111952
ZlF'CODE
ClT't'OR1OWN
VilLAGE
2. Buyer I BI..CX:M
Name lj\STNAME/COMPANY
1':>\<::><> W-
I ~}r NA~E~MPANY
-t-
1 JCNATHAN
:I~~ft.
I~o..", ~.
FIRST NAME
->--
3. Tex
Billing
AddreslI
Indicate where future Tax Bills are to be sent
if other than buyer address (at bottom offorml
LASTNAME/COMPANY
fiRST NAME
STRHT NUMBER ANOSTFIEH NAME
CITY OR TOWN
STATE
liP CODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
II # of Parcels OR D PiHt 01 a Parcel
(Only if Part of a Pilrcell Check as they apply:
4A. Planning Board with Subdivision Authority Exists D
4B. Subdivision Approval was Required for Transfer D
4C. Parcel Approved for Subdivision with Map Provided D
5.De&d
Property
Size
lOR I
2 2 7
.
L
I xl
FnONTFl;n
DEPTK
ACnl;S
6. Seller
Neme
I GEORGE
LASTNAMEfOOMPAN~
I JAMES
FlnSTNAME
I SClIAFFER
LAST NAME J COMPANY
I LINDA
F1ASTNAME
7. Cneck tne box below which most accurately describes the use of the property at the time of sale:
Check the boX8l!l below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property located wjthin an Agricultural District
108. Buyer received a disclosure notice indicating
that the property is!n an Agricultur..1 District
D
D
D
D
A~ One Family Residential
B 2 or3 Family Residential
C Residential Vacant land
o Non-Resjdential Vacant Land
E~A9riCultural
F Commercial
G Apartment
H Entert!linmentl Amusement
j~COmmunitYService
J Indust,i..1
K Public Service
L Forest
SALE INFORMATION
15. Cheek one or more of these conditions as applicabltl to transfer:
8 / 28 / 03
Month Day V~,
II z.5 / 03
Month D', Year
7 1 2 5 0 0
11. Sale Contract Data
A
B
C
D
E
r
G
H
I
J
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also .. Seller
Buyer or Selier is Government Agency or lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Belowl
Sale of Fractional or less than Fee Interest (Specify Below)
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting S..le Price (Specify Below)
None
12. Dllte of Sale I Transfer
14. Indicate the valutl of personal
property included In the sale
, ,0, 0, 0 , 0 I
, , .
- Data should reflect the latest Final Assessment Roll and Tax Bill
ASSESSMENT INFORMATION
16. Year at Assessment Roll from P2/03
Which information taken
18 PrQperty Class
I 2, 1 0 I-LJ
17. Total Assessed Value (of all parcelll in transfer) I 1 2 0 0
., \' ,
". S.hoDI ..,,,,,, N.m. 1 #12 (lA r;)4 ( CA.v-\-6l, \ ~I!.u{
o
20. Tu Map ldentifier!st I Rollldentiflerls) (If more than four, attach sheet with additional identifierls,)
1000-107.00-05.00- OO<'-O(\~
CERTIFICATION
I certify that aU of the items of Jnforntatton entered on this fonn are true >U1d eorre<:t (to the baJt Qf my knowledge and belief) and I understand that the milking;
of any wUl1'u1 false statement of material fact herein will subject me to the Drovislon.~ of the Denal law relative to the making and fdiog of fabe in.'ltruments.
BUYER
BUYER'S ATTORNEY
Il/z
Bloem
1)~
Robert A.
IlU~ER SIGNATUR~
than Bloem
4 3 West End Avenue
I
LAST NAME-
OAU
fiRST NAME:
212
691-4244
STREET NUM8ER
STn~ET NAME lAFTER SALf.)
AREACOOE
'rElEPHONENUMilER
New York
NY
I
IOo-:>..L}
CITV OR TOWN
mn
ZIPCOOE:
L
/J S~/ /'
! /C:::=-;V L-flf 12(; /0 ~
J~~ rge DATE:
NEW YORK ST ATE
COPY
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