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BARGAIN AND SALE DEED WITH COVENANT AGAINST
GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION)
FORM 8007
CAUTION: TillS AOKF.F.ME~r SHOUI.D liE PREPARf!O BY Ap.,; ATrORNHY AND RF.VIF.Wf:l.> HY A"ITORNF.YS fOR
SllLLcR AI'I) PURCtlASF.R BF.FORE. SICiNII'C;,
TillS INDENTURE, made the Ill'. day of October, 2003,
beh\o'een
Mary V. Tannenbaum, Dlkal Mary Tannenbaum as <levis"" under the Last Will and Testament of
Rosalie Gowen. aIkIa Rosalie M. Gowen. deceased. residing at 600 Zcna Road, Mauiluek, New
York 11952
pany orth" firsl pan. and
Nicholas Rallis and lren" Rallis. husband and wife, both residing al 56 Bireh Lane. Manhasset.
New Yorl< 11030
pany of the second pan.
WITNESSETH, that the pany of the first pan, in consideration ofTEN DOLLARS (510.00).
lawful money of the United States. paid hy the pany of the second pan. does hereby Il'"~ntand
release unto the pony oflhe second pan. the heirs or successors and assigns oflhe pany of the
second pan forever.
ALL that certain plot. piece ur parcel of land. with the buildings and improvem.:nls thc:reon
erected, situate. lying and being in the State of New York. County of Suffolk. Town of South old
at MatlilUCk being known and designated as Lot No. 134 and Ihe nonherly pan of 154 in Block
No. lIon the map entitled "Map of Cap lain Kidd Estates at Mallituck Inlet" which map was filed
on Janauary 19, 1949 in the "Ilke of the County Clerk ..fSuffolk County as map file number
1672. ahsl1697 und which lot and pan ofa lot whL"JI lak"n togcther are more panieularly
boundL-d and described as follows:
BEGINNING at a point wh.:re the division line between lots numbers 134 und IJS inlers,,~lS the
southerly side ofC~nlral Drive as shown on the above refen=nced map:
RUNNING THENCE South 3 degrees 59 minutes 30 seconds West along said division line
between 101 numbers 135 &: 13fand lot number 1St 120.00 feet:
THENCE Nonh 86 degrees 00 minutes 30 seconds West through lot number 154. 133.61 feet. to
the easterly side of ana Road:
TH"-'NCE Nonh 12 degrees 34 minutes 00 seconds West along Ihe easterly side ofZcna Road.
91.67 feel. to a point:
THENCE nonherly and easterly along the arc or a curve bearing to the right which curve
connL'Cts the easterly side of Zen a Road and Ihe southerly side ofCentml Drive, a distance of
46.50 feel;
THENCE South 86 degrees 00 minutes 30 seconds East along the southerly side of Central Drive.
135.77 fect. to the poinl or place of BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed to the pany of the first pan by
deed dated 8/17/02 and recorded 1/6103, in liber 12228. page 718.
TOGETHER with all right. title and interest. ifany. of the pany of the first pan in and to any
st.....'CtS and roads ahulling the abovC' described pr~mises to the cent"... lines th~or~
TOGETHER with the I1ppuncnances and all the estate and rights of the pany aflhe first pan
in and 10 said premises,
TO HA VE AND TO HOLD Ihe premises herein granted unto the pan)' of the second pan. the
heirs or successors Bnd ussigns of the party of the second pan fOE'e'ver.
AND the pony of the first pan, covenant.. that the pany of the tirst pan has not done or
sulTc:n=d anything whereby the said premises have been encumbered in any way whatcvc.....~ except
as aforesaid.
AND the party of the fa",,1 pan. in compliance with Section 13 ufthe Lien Law. covenants
thallhc pany of the first pun will receive the consideration for this conveyance and will hold the
right to receive such consid~ration as a trust fund to be applied tirst for the purpt15e of paying the
cost orth.:: impro'lcmcnt and will uppl). the SBme first 10 the p:aymcnt of the cost of the
improvement before using any pan oflhe total of the same for any other pul'(lOSC.
The word "pany" shall be construed as if it read "panlt:::. '. whenever the sense of this
indenture so requires.
IN WITNESS WHEREOF. the party of the lirsl pan has duly executed this deed the day and
)'enr first above: written.
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STA'fE OF''''~ '(011..\<.
:j;,~.
COUNTY OFSll~"~
On the lD<:tIay of Oclober, 2003, before me,lhe undersigned, a Notary n..Llie ill allll f'er said i...~, personally
appeared Mary V. Tannenbaum. personally known Il' me or proved 10 me on the basis of satisfactory
evidence to be the individual whose name is subscribedlu.the within instrumcnl and acknowledged 10 me that
she eKeculed the samc in her capacity, and thai by her signature on the instrument, the individuals, or the
person upon behal f of which the individual acted, eKecuted the inslrument.
+tv,;
NAY PUBLIC
JOSBPIIHOLAR.
NOrAIYPIlBI.IC. STAT! onmnoa
. NO. OiN0808&6l1O
QUALlPlBD IN NASSAU COUNTY'
COMMiSSION BXPIIIr.8 DEC. 9, 2008
l..!.Jz
~
Number of ges
TORRENS
RECQRDEl>
2003 Oct 2S 10.36:21 1111
Edward P.Rmaine
CLERK OF
SUFFOlJ( CO'A'.'TV
L 000012280
P 476
OT# 03-12767
Serial #
Cenific31e #
Prior Crt. #
Deed' Mongage InslrUment
Deed i Mongage Tax Stamp
FEES
Reeotding , Filing Sl3mps
3
Reg. Copy
e!)
Mongage AmI.
I. 8asic Tax
2. Additional Tax
Sub TOlal
Spec.lAssit.
or
Spec. 'Add:
TOT. MTG. TAX
Dual Town _ Dual Coun,y _
Held for Appointmenl _ '^ ;'\
Transfer Tax / 'f :J ~ ...J.l..Y
Mansion Tax
The propeny covered by Ibis mongase is
or will be improved by a one or two
family dwelling only.
YES or NO
If NO. see appropriate lax c lau.. on
page # of Ihis i nSlrUment.
,1
Page' Filing Fee
Handling
TP-S84
S. -2!L
Notation
EA-S2 17 (CounIY)
EA-S217 (Stale)
R.P.T.S.A.
Sub TotaJ
Comm. of Ed.
Affidavil
Cenified Copy
s. 00
Other
Sub TotaJ
GnmdTotaI ~
4 Disri?ci"
Real
Propeny
Tax Service
Agency
Verification
Section 101,-00 Lot 043.001
5 Co_WIlly Preservation l'aad
Consideration: Am ~ pO
03042717 1000 10600 0200 043001
~l) .'
6 SalisfactionsIDischargesIReleases List Propeny Owners Mailing Address
RECORD &: RETURN TO:
CPF T Due
~/~.!?-
Improved a/
s
Vacan, Lund
TO
/0
THoMAS
~ooo
~Atc..\!.
.... G:I<AHAIH, EScIl..
"A~C\.l.s ROc _
SllCC.SS, H'r.
TO
TO
110'-12..
~T'-rf:' WI~IATt T'HC.toVtS'
'.
.
Title Com 8D lDformatioD
Co. N~~ STC. .s.soe A"'~
nlle # s ~3o~ 1 'Is-
8 Surroik County Recording & Endorsement Page
This page forms pan of Ihe anached
DEED
(SPECIFY TYPE OF INSTRUMENT)
mllde 11)':
HAQ..... \I "'-""'PlI!''Nt1AuH ~~/A
/J1tlr'f 7ItHfleHLJAN-"1'}
TO In the Township of 30IlT"'ou>
N'eMcLA~ 'Rl\u...I( .. 1:. KC:r1e (l.AL-US [n the VILLAGE
or HAMLET of ...."'TTI TV" "-
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
The premises herein is situated in
SUFFOLK COlJNTY. NEW YORK.
(('I\"~rl
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBBR: 03-12767
Recorded:
At:
LIBER:
PAGE:
10/28/2003
10:36:21 AM
D00012280
476
MARY TANNENBAUM
NICHOLAS RALLIS
District:
1000
Section: Block:
106.00 02.00
EXAMINED AND CHARGBD AS POLLOWS
$357,000.00
Lot:
043.001
Deed Amount:
Received the Pollowing Fees For Above Instrument
Exempt BxeDlpt
Page/Filing $9.00 NO Handling $5.00 NO
COE $5.00 NO NYS BRCBG $15.00 NO
EA-CTY $5.00 NO lA-STAT! $50.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Transfer tax $1,428.00 NO COlIlIII.Pres $4,140.00 NO
Fees Paid $5,692.00
TRANSFER TAX NUKBER: 03-12767
THIS PAGE IS A PART OF THE INSTROMENT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk, Suffolk County
.
rL.t:M~t: I 'I'lL UN t"Ht:::>::> rltilVILY" VVHt::.N WHlllNb UN I-UHIVI
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
Cl. SWIS Code
REAL PROPERTY TRANSFER REPORT
)-< -?IJI :-?j,!-,? .&?
,
~
1D
lU'.~217 R.v3l<n
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C2. Date Deed Recorded .- /,t? I.d.'! q I 0 ,.
Month Day YliIllr
C3. Book I .,~,.:;;?, ~Ol CO. Pa.ol
PROPERTY INFORMATION
RP - 5217
s{P.h I
,. Property I 600 Zena Road
Location STFlEETffUMB~R STIlEETNAME
Mattituck
CITY OR TOWN
2. Buyer Rallis
Name LAST AAME I COMPANY
--.J
NY
V(LLAGE
11952
ZIP CODE
Nicholas
FIRST~E
Rallis
Irene
F=IRSTNAME
lAST NAMe/COMPANY
3. Tax Indicate where future Tax Bills are to be sent
Billing if otner than buyer address [at bottom of form)
Address
LAST:-.lAME/COMf'ANY
FlRSTNAME
STREET NUMElEFI AND STREfT NAME
CITY OR TOWN
STATE
ZlPCODE
4 Indicate the number of Assessment
Roll parcels transferred on the deed
1# of Poncels OR D Part of a Parcel
(Only if Part of a Parcell Check as they apply:
4A. Planr"\ing Board with Subdivision Authority Exists D
48. Subdivision Approval was Required for Transfer 0
4C. Parcel Approved for Subdivision with Map Provided D
5. Deed Ixl
Property
Size ~RONT fE~T DEPTH
.. Seller lAST N~~;t6'~::;'N~ <>, nn
Name
lOR I
ACA€S'
.
M~TV "
FIASTNAME'
LAST NAM~ I COMPANY
FIASTNAME
7. Check the box below which most accurately describes thl! use of the property at the tll1.e of sale:
Check the boxes below as they apply:
8. Qwnlitrship Type is Condomir"\ium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
10B. Buyer received a disclosure notice indicating
that the property is lnan Agricultural District
o
o
o
o
^~one Family Residential
B ') or 3 Femily Residential
C Residential Vacant Land
D Non-Residential Vacar'lt land
E~Agricuttural
F Commercial
G Apartmenl
H Entenainment I Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
SALE INFORMATION
15. Check one or more of thaI! conditions as applicable to transfer:
08
01 / 03
11. Sale Contract Date
A
B
C
D
E
F
G
H
[
J
Sale Between Relatives or Former Rel..tives
Sale Between Related Companies or Partners in Business
One 0' the Buyers is also a Seller
Buyer or Seller is Government Agency or Lending Institulion
Deed Type not Warranty or Bargain and Sale (Specify Beiow)
Sale of Fractional or Less than Fee Interest (Specify Below)
Significant Change in Property Between Taxable Status and Sale Dates
Sale 0' Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price [Specify Belowl
None
Moo~
D"
12. Date 0' Sale I Transfer
10
Month
/ 03
Year
110
D"
13. FuJI Sale Price , 1, '), 7, 0 0, 0, 0 0 I
, , .
(Full Sale Price is the tOlal 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.) Please round to the nearest whole dOlliJr amount.
14. Indicate the value of personal
property included in the sale
0,0 , 0 I
, .
ASSESSMENT INFORMATION. Data should reflect the latest Final Assessment Roll and Tax Birr
16. Year of Assessment Roll from 02 / O~ 17. Total Assessed Value (of all parcels in transfer) I
which information taken
7 5
,
o
o
;
18 Property CCass
lJ...........l_ LQ,J-U 19. School District Name I Mattituck
2Q. Tax Map IdantifierlsJ I Ron ldentifier{slllf more than four, attach sheet with additionalldantifier(sll
11000-106.00-02.00-043.001
I CERTIFICATION
I certlf~' that all of the item~ of inronnlltion entered on this ronn lln~ tnIe and l.'"Qrrect (to the best of m~' knowledge and belief) and I understand that the making
of an~ willful fake statement of material f3et herl'in wiU suhje.::t me to the pro\i~ion~ of the oenal law relath'e to thE' making and riling of raise inslruments.
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F'~S- '.-"'.'E
BUYER'S ATTORNEY
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CITY OR 1'OWN
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STATE
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ZIPCOO€
SELLER
NEW YORK STATE
COPY
~~ IA L//11.Ja(~
. SE .IGNAT'JRE
Mary V. Tannenoaum
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