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BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS
(INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8007
CA""IO:'i: THL~ AGREr.~Ir.:'...r SIIOULD BE PKEPAIlED BY A~ ATfOR.'1EY AND 1lF.VIE\\'EII BY Al'lIR'IEVS FOil SELI.ER AND
PVRCHA.~EIl BHlIllF. SIGNISG.
THIS INDENTURt:, made th~' ~y of November , 2003,
between
IIERTZEL ABRAHAM & LISA K. KIRSCH, busband and wife
residing al195 Hudson Street, New York. NY 10013
pany of the lirst ptlrt, and
JSC RESOURC.:S. INC.
residing atp. ~ogue, t'N 11959
b 0 I~ CoAl\. Rd.,
pany "f the second ptlrt,
WI1NI':SSETH, that the ptlrly of the lirst part, in consideration of tcn dollars. lawful money of thc
United States, ptlid by the party of the second part, does hereby grolDt and release unto the ptlrty of the second
part, the heirs or successors and assigns of the party of the second part forever,
AI.I. that certain plot, piece or parcel onand, with the buildings and improvemcnts thcreon erected,
situate, lying and being
DlST: 1000
S EC: 111.00
BLK: 11.00
LOT: 013.000
As described on SCHEDULE hA" attach,-d hereto and made a Dart hereof
BEING THE SAME PREMISI:"S conveyed to the Grantors by deed made by Geraldinc Ferend
dat~-d September 1,2000 and recorded September IS, 2000 in Liber 12071, palle 080.
TOGETHER with ull right. titlc,und interest, if any, of the pany of the first part in and to any street and
roads abutting the above described premises to the ccnler line thereof;
TOGETHER with the uppurtenances and all the estate and rights of the pany of the first part in and to
lilIid premises:
TO HAH: AND TO HOLD the premises herein b'Tanted unto the party of the second part. the heirs or
successors and assigns of the pany of the second part forever.
AND the party of the first part. covenants that the pany ofthe first part ha.~ not done or sufiercd anything
wbereby the said premises have been encumbered in any way whatever. except as aforesaid.
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AND the pony of the first part. in compliance with Section 13 of the Lien Law, covenants that the party
(lClhe first part will receive the consideration for this conveyance and will hold the right to receive such
consicL:ration as a trust fund to be applil:d first for the pulpOsc III' paying the cost of the improvement and will
apply the same first to the payment of the cost of the improvement before using any part ..fthe total of the same
for any other purpose,
The word "party. shall be construed as if it read "parties" whenever the sense of this indenture so
requires,
IN WITNESS WHEREOF. the pony of the first parI has duly executed this dL'i.-d lhe day and )'ear first
abo\'e written.
IN PRESENCI:: OF:
-'
STATE OF NEW YORK )
) ss:
COUNTY OF 11_ '1>114'")
On the t'/day of November in the year 2003 before me, Ihe undersigned, a Notary Pubic in and
for the State, personally appeared Hertzet Abraham & Lisa K. Kirsch both known to me or proved to me
on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within
instrument and acknowledged 10 me that s/he executed the same in his/her capacity, and that by hislher
signature on Ihe instrument, the individuals, or the person upon behalf of which the individual acted,
e."ecuted the: inslrument.
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Schedule A Description'--
. Title Num~.v'tAPLS.15717.S .
,I'
Page 1
ALL that certain plot. piece or parcel of land situate, lying and being at Nassau
Point, Town of Southold, County of Suffolk and State of New York, known and
designated on a certain map entitled, "Map of Section D, Nassau Point Club
Properties, Inc., situated on Nassau Point Suffolk County. New York", surveyed
March 24,1.926 by Otto W. Van Tu~, C.E. and Surveyor, Gree"port, New York
and flied in the Office of the Clerk of the County of Suffolk under File No. 806,
known and designated as Lots Numbered Four Hundred and Eleven (411) and
Four Hundred and Twelve (412).
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../
11111111111111111 1111111111111111111111111 1111111111111
1111111111111111111111111
SUJ!'I'OLK COUNTY CI.ERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 4
Receipt Number : 04-0029259
TRANSFER TAX NUMBER: 03-33728
Recorded:
At:
03/16/2004
08:31:04 AM
LIBER:
PAGE:
D00012307
355
HERTZEL ABRAHAM
JSC RESOURCES INC
District:
1000
Section: Block:
111.00 11.00
EXAMINED AND CHARGED AS FOLLOWS
$375,000.00
Lot:
013.000
Deed Amount:
Received the Following Fees For Above Instrument
Exempt
NO
NO
NO
NO
NO
NO
Page/Filing
COE
D.-Cn
TP-584
RPT
Transfer tax
$12.00
$5.00
$5.00
$5.00
$30.00
$1,500.00
Handling
NIS SRCBG
D.-STATE
Cert.Copies
SCTH
Comm.Pres
Fees Paid
$5.00
$15.00
$50.00
$0.00
$0.00
$6,000.00
$7,627.00
Exempt
NO
NO
NO
NO
NO
NO
TRANSFER TAX NUMBER: 03-33728
TBIS PAGE IS A PART OF THE INS!'RUMENT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk, Suffolk County
Numher of pages ~
TORReNS
RECORDED
2004 Mar 16 08.3!,04 AI1
Edward P.~OQiini
CLERK OF
SUfFOLI( COWN
L Dooo12307
P355
t'Tt 03-33728
Serial #
Cenificale #
Prior Clf. #
Deed / Mongage Instrumenl
3
Deed / Mongugc Tux Stump
FEES
Recording / Filing Stamps
Comm. of Ed.
S. ...Q!L
Mongagc Ami.
I. 8Wiie Tax
2. Addilional Tux
Sub Total
SpceJA.....it.
or
Spcc./Add.
TOT. MTG. TAX
Dual Tuwn _ Dual Coumy
Held for Appointment
Transfer 1'"" \")OD
Mansion 11uc
The propcny covered by Ihis mongage is
or will be improved by Ii one or lwo
family dw"lIing only.
YES or NO
If NO. ..." appropriate tax clauS<' un
page # uf Ihis in."rument.
Pag" / Filing F"e
Handling
1'1'-584
.5. ...Q!L
Notalion
EA-S2 17 (County)
EA-S217 <Slule)
R.P.T.S.A.
Sub TOlal
3JJ
Affidavil
C"nificd Copy
NYS Surcharge
IS. ...Q!L
Suh T<'lal
Olher
Grand T<1lal \a.."l
cf
4 Dist. .r-
Real Propcn;
Tax Scrvic" :
Agency I
Verilil"Ulion .
1000 11100 1100 013000
5 CommUDit)" Pre..nratloa had
Consideration Amount $ 315. 000'"
PF Tax Due
s loooc .-
---
Improved
Vncanl Land "-L
6 Sali.fuclionsll)ischurg"sIRc1ell.<Cs Lisl Pn'pcny Owne", Mailing Address
RECORD" IU.-rURN TO:
'3" s e.. R. e. ::.QUA.c.-e..s I "]:.V\ Q. .
b O\~ Cbu...V\~~ R.co..d.
Gu. O~I 1J '/1 ,qSlj
TD
\0
TO
TO
7
- I .
& Endorsement Pa
e
8
Suffolk Count
:5S:e.
In lhe Town.hip of
In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTeD IN BLACK INK OSLY PRIOR TO Rr:.CORDING OR FILING.
TO
(1 <.f'n!^ CfJ./) .:=:DA~ .
.
Record in
DQ~
<SPECIFY TYPe OF INSTRUMESTI
". 5",,", U-~ Th~ prcmis-=s m:n:in is situur.ed in
SUFFOLK COUNTY. NEW YORK.
Sro~olA
made by:
Thi. puge forms pan or the allacb..d
~~~l
(m'"r)
....
~LeA~e IWe UK ~KE~~ FIRMLY WHEN WRITING ON FORM
INSTRUOTIONS, http://www.orps.state.ny.us or PHONE (5181 473-7222
FOR COUNTY USE ONLY
C3. Book I
1'1, 7:3: 'S, g, ql
1'.3 / 16 /CJ5!;
Monlh Dav Y&l!Ir /'
;, ~J. C, 1Ic4Pa.eI3,S:-0 ,
RI'-5217 R~,:JI97
REAL ~ROPERTY TRANSFER REPORT
C1. SWIS Code
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114, II
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C2. Date Deed Recorded
STATE OF NEW YORK
STATE BOAAD OF REAL PROPERTY SERVICES
RP - 5217
PROPERTY INFORMATION
2. Buyer
Name
1 ~l'X'L~
STFlEETNUMBER STREET ME
I Sou...+1r. c i c1
CITY OR TOWN
10 ::::')G 12.e-_'V~VCb
LAST NAME I COMPANY
fiRST NAME
1. Prop~rty I
Location
Po; .'\ \--
VI~LAGE
Inc- ,
LAST NAOI1E I COMPANY
FIRST NAME
3. Tax Indicate when~ future Tax Bills are to be sent
Billing if other than buyer ..ddress (at bottom of form)
Address
lAST NAME, COMPANY
FIFlSTNAME
STREET NlIMBm AND STREH NAME
CITY OR TOWN
STATE
ZIP CODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
t I # of Parcals OR 0
4A. Planning Board with Subdivision Authority Exists
4B. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
(Only if Part of a Parcel) Check as they apply:
Part of a Parcel
5. De&d
Pr(lperty
Size
.g(11
,,8~(:r2f- \
L-6C<... L
FIRSTNAMf
1 X 1
lOR 1
FFlONTFEET
DEPTH
ACflES
6. Seller
Name
LAl0Y?~J(\('uY\
LAST NAMf I COMPA Y
K.l,...-Sdrl
lAST NAME/COMPANY
7. Check the box below which most accurately describes the use of the property at the time of sale:
Check tile boxes below Ill' they apply:
8. Ownership Type is Condominium
9. New Constrllction on Vacant Land
D
D
o
o
A~OneF>'lmilYAeSidenti<J1
B 2 or 3 Family Residential
C ResidentialVacan1 Land
D Non-Residential Vacant Land
E~A'"C"''"''' I~
F Commercial J
G Apartment K
H Entertainment I Amusement L
Community Service
Industrial
Public Service
Forest
10A. Property Located within an Aijricultural District
108. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
SALE INFORMATION
15. Check one or more of these conditions as applicable to transfer:
11. Sale Contract Date
10 / II /O'~I
Monlh Uoy Year
/1 6</ /O"},
MOrlth Doy Y(l;lr
Sale Between Relatives or Former Relatives
Sale BelWeen Related Companies or Partners in Business
One of the Buyers is also e Seller
Buyer or Seller is Govemment Agency or Lending Institution
Deed Type n(lt Warranty or B<lrg<lin and Sale (Specify Below)
Sale of Fractionsl or Less than Fee Interest (Specify Below)
Significant Change in Property BelWeen Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affacting Sale Price (Specify Below)
None
A
B
C
D
E
F
G
H
I
1
12. Date of Sale I Transfer
3,76,009,0,01
, , .
(Fuli Sale Price is the total amount paid tor the property inciuding personal property.
This payment may be in the form of CElsh, other property or goads, or the assumption of
mortgages or othar obligations.) Please round to the nearest who!1I dollar .amount.
13. Full SIIIl!! Price-
14. Indicate ttle value of personal
property included in the sale
o 1
, , 0
, , .
- Data should reflect the latest Final Assessment Roll and Tax Bill
ASSESSMENT INFORMATION
16. Vear of Anes.sment Roll from
which informll1ion taken
1(),31
, ;
fJicd~-\-L.\.c.:..t-1 u~GI
I .I
,
,00
17, Total AsSElssl!!'d Value (of III parcels in tran:;.fcrJ I
18. Property Class
13,
19. School District Name I
I
\ I-LJ
20. Tax Map Identifier(s) J Rollldentifierlsl (If more tl1an fOllr, attech sheet with additional identifierls})
/000- Il\
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CERTIFICATION
I certl(y that all of th~ items of information entered on Ihi... form are true and con-ect (to the !Jest 01' my knowledge and belief) and I underst.'lnd that the making
01" nnJ v.illful false stalemenl nf mat.erhll fact herein wlU subjecr me 10 the DruvisimL'l of Ihe JJenal law relative to (he making and filing of false inslrumctlts.
BUYER
BUYER'S ATTORNEY
I) ,
, f~T7()11J)';'
/ LAST NAME
51&
ARE/l,CODE
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O/l,TE
?~
(;llhI7,-(::
FIRSTNAMF.
)~t:t/l,L';!t!effA~ <, 7,-J
7 ;"f/ - 7.100
T~IFPHnNF N')MRI;fl"
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:iliff ;z: _'.'
LEfl.SIGNATURE
J J "1'1
ZI CODE
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NEW YORK STATE
COPY
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