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EXECUTOR'S DEED (INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8010
C;\IJTlON~ TIllS ACREE.\tE..'T SIIOUW BE PREPARED B\' AN' A:rroRN'E'o AND IlEVIEWED B\' A,1TORNE\'S FOR SELLER AND
PlIR(.1ioWER 8t:FOKE SIC~I:W;.
THIS INDENTURE, made the Oclober 31 . 2003
betweeD DONNA GOODALE, IDdlYlduaUy, aDd.. Encutrb oft"e Lat Will and Tntament 'or Artbur
W. Herbert, deceued, (SulJ"olk CoDDIy Sur......te.. COBrt File !IlllIPlOO3), _ldiDgat 138 Duryea SL,
RiYerhead, NY 11901
party of lhe first part, and
EILEEN TALBOT, raldla.at (no II) SouDd Ave., Matlltue'" NY 11952
pany of Ihe second pan.
WITNESSETH. lhallhe party of the firsl part. to whom lellers leSblmenl8ly were issued by the
Surrogate's Coun, Suffolk Counly, New York on Junc 3, 2003 and by Yinue oflhe power and authorily given in
and by said last will and ....tamenl. .ndlor b)' Aniel.. I I ofthc EsIllleS. Powers and TruslS Law. .nd in
eonsiderslion of5550.ooo.oo dollars, lawful money oflhe United SI.1es, paid by the pany oflhe second pan,
does hereby aranl and release unto Ihe ptny oflhe second pan, the distributccs or successors and assigns of the
pany of Ihe second pan fureyer,
ALL Ihal certain ploL piece or parcel of land, wilh Ihe buildings and improycmcolS thereon erected,
situate, lying And being in the
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SEE SCHEDULE 'A' ATTACHED HERETO
TOGETHER wilh all rigllL lillc and inleresl. if any, of the pany oflhe firsl part in and 10 any SlreelS and
roads abutting the above described premises to the center lines thereof.
TOGETHER with the appunenances. and also aUlhe estale which Ihe said decedenl had althe lime of
deceden~s dc.th in said premises, and also the estate therein, which the pany oflhe first part has or has power to
conveyor dispose of, whether individually.. or by vil1ue of said will or otherwise,
TO HA VE AND TO HOLD the premiscs h.rein granted unto th. pany of the second pan, the heirs or
successors and lISSigns oftbe party oflhe second pan lo~Yc:r.
AND Ihe party oflhe firsl ptrt COyenanlS Ihnllhe party oflhc firsl pan has nol done or .ulTered anyrhing
whereby the said premises have been encumbered in any way whatever, except as aforesaid.
AND Ihe pany ofthe firs! part, in compliance wilh Section 13 oflhe Lien Law, COYCnanls Ihal thc party
of the first pan will receive the consideration for this conveyance and will hold the right to receive such
consideralion as a tru.t fund 10 be applied firsl for the purpose of paying Ihe costs of the improycmenl and will
apply the same firsllo the paymenl oflhe cosl oflhe improvemcnl before using any pan oflhe lotal of the same
for any olher purpose.
The word "party" shall be construed as if it n=ad "parties" whenever the sensc oflhis indenture !it)
~uircs.
IN WITNESS WHEREOF. lhe party oflhe firsl part has duly .xecuted Ihis deed Ihc day and year first
above written.
~l7\v..-.. ~)~
DONNA GOODALE
NYSSA Rniclmtlllll. RaI EllIIIc Forms no 11oI0ucs'" (WOO)
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Copyrtg,Ist C..,.oR" Dcvelnpmenl
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STATE OF NEW YORK )
COUNTY OF SUFFOLK I sS.:
Jr )
On the 31 day of October, 2003, befurc me, the undersigned, personally appeared DONNA
GOODALE, personally known to me or proved 10 me on the basi. of satisfactoty evidence to be the
individual(s) whose name(s) is (are) subscribed to the wilhin instrumenl and acknowledged to me that she
executed the sam . her e.paeil . s). and that by her sillnalUre(S) on the instrument, th. individual(s), or th.
person upon be of iob I i ividual(s) acted. executed Ih. instrument.
NOTAR
IIICHARD L lIlnOnOHlCK
....,Publlo, ~OI__
No. 4777_
QuIdIIIad In 8u11c1k Caurtlf
CommI..IDn &plr.. AprI 30. 2008
/
Nl'!li.flA Rah.ca.... R.qJ F._ forms on HoIDucs. (9100)
-2.
Copyrlaht C.apaonll Oe\.-clopmcm
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SCHEDULE
"An
DES C RIP T ION
TITLE HUMBER. L-277784-S
ALL that certain plot, piece or parcel of land, situate, lying
and being in the Town of Southold, County of Suffolk and State of
New York. known and designated as Lot Number Four (4) on a certain
map entitled, "Map of Fairway Farms', . filed in the Office of the
Clerk of the County of Suffolk on February 15, 1974, as Map No.
6066. said lot being more particularly bounded and described
according to said Map as follows:
BEG1RNXNG at a point on the westerly side of Fairway Drive,
where the same is intersected by the southerly end of a curve
having a radius of 25.00 feet. a length of 39.27 feet, which said
curve connects the westerly side of Fairway Drive with the
southerly side of Tee Lane;
RtlRNI:NG TJU5IlICE from said point or place of beginning along the
westerly side of Fairway Drive, South 1 degree 00 minutes 40
seconds West, 177.00 feet to the division line between Lots 4 and
5 on the aforesaid Map;
TJIZNCZ along said last mentioned division line. North BB
degrees 59 minutes 20 seconds West. 200.00 feet to the easterly
side of a Right of Way;
TRZl'ICE along the easterly side of a Right of Way, North 1
degree 00 minutes 40 seconds East, 202.00 feet to the southerly
side of Tee Lane;
~E along the southerly side of Tee Lane, South BB degrees
59 minutes 20 seconds East, 175.00 feet to the westerly end of a
curve first above mentioned;
TIUinCB in a southeasterly direction along the arc of said
curve bearing to the right having a radius of 25.00 feet, a
distance of 39.27 feet to the westerly side of Fairway Drive at the
point or place of BEGrRRING.
rOR CllIIYDllIICDIG ClIILy, ~............. with all right, tit1. UI4 iat.r..t of, in ..... to
_ .tn.t. UI4 road. ebuttiag the above de.orilled pr.-i..., to the CRUr 11...
thereof.
Number or pages
TORRENS
Deed . Mortgage Instrument
Deed I Mongage Tax Slamp
FEES
. RECOROEll
'2003 Hov 17 12.12.21 PI!
Edward P. ROIi'laine
CLERr. OF
SUFFOLK COUtlTY
L ??oo12284
. P 135
DT' 03-15650
Rec~rdilig I Filing St3mps
Serial #
Cenific:ne #
Prior Clf. #
3
Page I Filing Fee
Handling
5 JllL.
MOrlgage AmI.
I. Busic Tax
2. Additional Tax
Sub TOlal
Spec. I Assil.
5:..'":::'&'"
TP-584
Notation
or
EA-5217 (Couoty)
EA-5217 (Slate)
Cenified Copy
Reg. Copy
Sub TOlal
5""". I Add.
TOT. MTG. TAX _." .
Dual Town _ Du~1 Counly _
Held fol' Appoinunen[ _
Trunsfer 11 .;} a...or>
Mansi
properlY covered by th.s mOlgage i.
will be improved by OJ one or two
mily dwelling oni;'.
YES or NO
O. seellppropriate .ax clause on
of this instrum
-
Sub To..1
Comm. of Ed.
5. .illL
R.P.T.S.A.
x_
Affiduvil
Other
Grand TOlal
4 d.ooa 109.
IStriCt Section
5
B loci<
14.4
Lot
5
nation Fund
--.
S J..JO
s r. rAfu
Improved ~
Real
Properly
Tax Service
Agency
Veri ficalion I
l
6
1000 10g00 0500 014004
CPF Tax Due
SUlisfactiorVDischargeslRelcBR": List Properly Owners Mailing Address
RECORD & RETURN TO:
VI1C~tnt Li.lnd _
TO_Ltr/J7)
Char1.. R. Cuddy. Esq.
445 Gr~ff~ng Ave.
R~verhead. NY 11901
TD
TO
,
7
Till.. Compuny Jnformutiun
Advocate's Abstract
8 Suffolk County Recording & Endorsement Page
CD. Name
TItle II
This page (onns J"lr! Df the anached
D.ed
nnwu. r~nAJE. INDIVIDUALLY. AND
AS EXECUTRIX OF THE LAST WILL AND
"'~fJTA"1n1'I' nil' A'D"MntD W HR.'DM~T
(SPECIFY TYPE OF INSTRUMENT)
made by:
TO
EILEEN TALBOT
The premisis herein is situated in
SUFFOLK COUNTY. NEW YORK.
SOUTHOLO
In the Township of
In the VILLAGE
Dr H~MLET of
I
BOXES 1\ THROUGH R MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
III~IIM IIII~ 1111111 111111111111111
11111111111 ~1I11" Inl
SUFFOLK COUNTY CLIRK
RBCORDS OFFICI
RBCORDING PAGE
Type of Instrument: DBBDS/DDD
NUmber of Pages: 4
TRANS PER TAX NUMBER: 03-15650
ARTImR W BBRBnT
BILBD TALBOT
District:
1000
Deed Amountl
Page/Piling
COB
0- CTY
TP-584
RPT
Transfer tax
Recorded.
At.
LIBER:
PAGE:
11/17/2003
12.12.21 PM
D00012284
135
Section I Block:
109.00 05.00
BXAMINBD AND CBARGBD AS FOLLOWS
$550,000.00
$12.00
$5.00
$5.00
$5.00
$30.00
$2,200.00
Handling
RYS SRCHG
BA-STATB
Cert.Copies
SC'l'M
COIIIIII.Pres
Pees Paid
Received the Po11owing Pees I'or Ahove Instrument
Bxlllllpt
NO
NO
NO
NO
NO
NO
TRANSI'BR TAX tmMBBR: 03-15650
TRIS PAGI IS A PART 01' THE INSTRtlMBNT
TRIS IS HOT A BILL
Lot:
014.004
$5.00
$15.00
$50.00
$0.00
$0.00
$8,000.00
$10,327.00
Bdward P.RQIII8ine
County Clerk, Suffolk County
Bx8lllpt
NO
NO
NO
NO
NO
NO
,
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
C1. SWIS Code
IS<::'I
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C2. Da1e Deed Recorded I II / / :7 /
Mo:ttt ~8V
C3. Book I / d,,;z, rt, <,( Cd. Po.e
PROPERTY INFORMATION
c?;J1
YeAr
1'r:=~1 680
ST~EETNUM8ER
F~~Il~~E DT
Sout:hold
CITY Oil 'TOWN
Cutchogue
VILLAGE
2. Buyer
Name
Ei1een
FIIlSTNAME
T;ilbot
lASTNAME/COMPA.'II'\'
LASTNAM(ICOMPA\lY
FIIlSTNAME
3. Tax Indicate where future Tax Bills IHe to be senl
Billing jf other than buyer addre6ll (at bottom of form)
Address
lAST NAME/COMPANY
STREET NI,IMBEFl AND STREH NAME
CITY 011 TQwN
4. Indicate the number of Assessment
Roll parcels tran.ferrad on the deed
\ I Ii 01 Parcels
Port of a Parcel
OR 0
5. Ileo. J xl
Property FIlONTFEET
Size
.. Seller Gooda1e
Name lAST NAI>4E I COMf"ANY
o t 2.--1
10RI
'ACflES'
Domta (Individual1y and as Executrix) I
FIRST NAME
DEPTH
lAST NAM~ I COMPANY
~II'ISTNAME
7. Check the box blllow which most aCl:urately de_ibes the uHofthe prop'rtv at the time of .ale:
A~ One Family Residential
B 2or3FamilVRes;dential
C Residential Vacant Land
o Non.Residential Vacant land
I SALE INFORMATION I
11. Sale Contract Date
~~
Agricultural
Commercilll
Apartment
Entertoil1ment/Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RI'-52t7l1.cv3l'n
11935
ZlPCOOE
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FI~T"""ME
STAT:E
ZIPCOOE
(Only If Part of . Pal'C4ll) ctIeck e5 thltV apply.
<lA. Planning Board with Subdivision Authority Elo:ists
46. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
o
o
o
Check the boxea below as they apply:
8, Ownership Type is Condominium
9. New Comltruction on Vacant Land
o
o
o
o
lOA. Property Located within an Agricultural District
1OB. Buyer received ill disclosure notice indicating
that the property is in an Agricultural District
15. Check one or more of these conditio..... a.. applicable to transfer:
10 I 7 03
Monlh Do, y,~
10 'P'\ I 03
Monlh Do, Year
5 5 0 0 0 0 0 01
A
B
C
D
E
F
G
H
I
J
12. Date of Sale I Transfer
13. Full Sale Price
, , 0
(Full Sale Price is thl!o totel amount paid for the property including personal property.
This payment may be in the form of cash, other property or good.., or the assumption of
mortgages or other obligations,1 Please round to the nearest whole dol/flr amount.
,.... Indicate the value of per$onal I 0 . 0 I
property included In the sale ; e
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax 8111
16. Y~r of AssftAment Roll from I at .~ 17. Total Au_d Value (of all paroel.. In lransfer) I
which information taken
18. PTopertyClas$
~.,[)I-LJ 19. Sohoo'DIot"ctN,mo L-G,...~~>et C~.
20. Tax Map ldenttfler(sJ I Roll Identifierls} IIf more than four, ettaah sheet with addltlonal identlfierhd)
l00D-109-5-14.4
Sale Between Relatives or Former Relatives
Sala Between Related Companies or PZlltners in Business
One of me Buyers ;6a150 a Seller
Buyer or Seller is Government Agency or Lending institution
Del'ld Type not Warranty or Bargain and Sale {Specify Belowl
Sale of Fractional or Less than Fee Interest (Specify Below)
Significent Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
;
/ J d!-r"~-V I
,
I CERTIFICATION
I certify that allot the items of infonnatJon entered on this fonn are tnJe and correct (to the best of my knowtedge aDd belief) and I understand that the making
of any willful false uatement of material fact herein will subject me to the unntslons of the penal law relative to the making and filing of false- Inst.nunents.
~ BUYER'S ATTORNEY
L' ~ fr
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0;;3; 3r;9 8l-cFD
AREACOOE TElEPliONENUMilER
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SELLER
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NEW YORK STATE
COPY