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BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8007
CAUTION: nus AC.iREl:.'7t1ENT StlOULD BE PREPARF.D h\' AN A".TORNI:."Y AND IU:YIEWED BY ATJ'ORNEYS FOR Sln.LliR AND
PURl.' lASER BEFORE SIONlN'Cl
THIS INDENTURE. made the
~V1 vlji I ~r 2004
between
STELLA MEYER, .....ldlul.t t:zIS C_ Laue EXle..iou, CUleb"lue, NY 11\l3S
party of the fint: pari. .nd
JASON SCOTT, .....idlull.II:z15 C_ La_ Ex...lou, Culebogue, NY 11\135
party of the oec:ond part.
WITNESSETH. Ihalll1c party of the fint: part. in eonsidcl1ltion of Ten Dollars and other I.wful
consideration. lawful money oflhe United Slates. paid by the party of the second part. does hereby......1 and
release unto the party of the second part. the hcirs or successors and assill"S of the party ofthe second port
forever <0
ALL lhat c:crtsin plol, picc:c or parcel of land. with the buildin.. and improvements thereon erected.
situate, lying and being al Cutchogue. Town of Southold. Counly of Suffolk and SIa1e of New Yorio.
SEE SCHEDULE 'A' ATTACHED HERETO AND MADE A PART IIEREOF
The ...ntor herein i. the same person as the grantee in Deed dated 10130/86. recorded
11114/86 in Liber 10168 Page 267.
TOGETHER with all right. tide and interest. ifany. oflhe party oflhe firsl part in and 10 any streelS and
roads abutting the above described premises to the cenlo>r lines thereof.
TOGETHER with the appurtenanees and all the estate and rights ofthe party of the fint: part in and 10
said premises.
TO HA VE AND TO HOLD the premises herein IIf8Rted unlO the party of the second part. the heirs or
successors and assill"S of the party of the second part forever.
AND Ihe party of the first part. covenants thstthe party of the first part has not done or suffered anything
whereby the said premises have been encumbered in any way whatever. except "" aforesaid.
AND the party oflhe first part. in eomplian"" with Seclion 13 oft.hc Lien Law. covenants that the party
of the firsl part will receive the consideration for this eonveyance and will hold the right 10 receive sueh
consideration as a trust fund to be applied first for the purpose of paying the cosl ofthe improvement and will
apply the same fimto the paymenl of the cost oflhe improvement before using any part of the tOlDl 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 party ufthe lirst part has duly executed this deed the day and year first
above wrinen.
~~~~
STELLAME~ --~~ "
NYSBA Raklmtl..ItnII::SIIIIe JoIornB nil IIoIIJoc:s. .WOO}
.,.
<':OP)'riahI (..lIpeOn- o.."\o"dormcna
,
STATEOF NEW YORK
)
) $S.:
)
COUNTY OF SUFFOLK
On the 1'1 d.yof }41?1J))T . 2004. befo~ me. the undersilll1ed. pel'llOn.lly .ppeared
STELLA MEYER, personally known to me Dr proved to me on the basi. of SIIli.f""tory evidence to be the
individual whose name is subscribed to the within instrument and ""knowledged 10 me that she executed the
same in her capac:ily. and that by her .i....lUre on the instrument, the individual, or the person upon behalf of
...""..."'.....,~ -
NOTARY PUBLIC KENNETH 8. ZAHLER
_,., PubUC. 8_ 01 N_ YDrIc
8ul1olk County. No. 01ZA45171118
term e.pt.- Fa.......,., llII. 2llO7
DEED
Title No.
SKtion 109.00
Block 05.00
Lot 014.042
County or Town SUFFOLK
MEYER
To
SCOTT
Return By Mail To:
JVLlE MCGIVNEY, ESQ.
P. O. BOX 776
SOVTHOLD, NY 11971
Reserve Thia Snaee For VIe or Reeonlin.. Office
JIOysnA Reaidcm... Real EIIIldIi: Fnnns WI ......)cJcs.. (9JDOJ
-2-
;
Cup)'Qld. capsnftl'lJrcvdctpmmt
.. '.',
SCHEDULE A
TITLE NO: AQ-04-S-I124
ALL that certain plot piece or parcel of land, situate, lying and being in the Town of
SOUTHOLD, at CUTCHOGUE, County of Suffolk and State of New York, being bounded
and described as follows:
BEGINNING at a point on the ea~terly side of Cases Lane Extension dislant 652.25 feet
southerly as measured along the same from the division line between the southerly side of
land now or formerly of Caberon Propenies, Inc. and the nonherly side of land now or
formerly of Estate of Frank H. Case, said point being also distant 512.25 feet southerly from
a point on the easterly side of Cases Lane Extension where the same would be intersected by
the northerly side of Wood Way, if the northerly side of Wood Way were to be extended
easterly to the easterly side of Cases Lane Extension; THENCE south 85 degrees 58 minutes
20 seconds east, 329.57 feet to Branch of West Creek; THENCE along a tie line along the
approximate high water mark of Branch of West Creek, south 10 degrees 57 minutes 00
seconds west, 148.32 feet to the north side of lands on Map of Fairway Farms#6066;
THENCE along said line north 85 degrees 58 minutes 20 seconds west, 340.35 feet to the
easterly side of Cases Lane Extension; and THENCE along the ea'lterly side of Cases Lane
Extension nonh ] 5 degrees 02 minutes 30 seconds east, 150 feet to the point or place of
BEGINNING.
~2
I . '.'
, NUlnbet of pages
TORRENS
Prior Clf. N
RECORDED
2004 AUQ ;SO 11,07.44 AI'I
E....n:1 P._,M
CLERK Of
SUFFOU< COONTY
L 000012340
P 311
OTl 04-04641
$rrial II
<':cnilicalC Ii
Deed I Manpge Inslrumenl
Deed / Monlllac Tax Stamp
FEES
Recording I Filing Slumps
-I
Page I Filing Fee
--1:a: =-
5-=-
'5=--
Mortgage AmI.
Ilondling.
TP-5R-I
I, BasiC' Tax
2. Additional Tax
Notation
1;,\-52 17 (CounIY)
5.-
Sub TolBI
Sub Total
d.~-
Spec.IAssit.
0,
Spoc./Add.
TOT. MTG. TAX
Dual Town Dual COUIII)'_
Held for Apponiunmcnl _
nansr.r Tax ~_-=--
tt,"1ansion Tax _ ~ _
Tho propen)' covert:d by this 1Il0r1g."lgc is or
will be improved by a one or [WQ family
dwelling onl)',
YES orNO_
If NO. see appropriate lax claus.: on page tI
of this inslnnnenl. _ ell
6 Communi Preservlltion Fund
Consideration Alnount S
R.P.T.SA .
~-
l!A-52 17 (St.t.)
Comm. or Ed.
5 <lO..-
Aflida\'it
'1r
5 -=--
\ tf- -=- Sub TOIDI I 0 ~-
. ) 1 '""1~
- GRAND TOTAL ~ ::JO\-
Ccniried COP)'
Reg. Copy
Other
s
Reol Property Tex Service Agency Veriliation
Dill. Seelion R InrL-
1000 10000 OSOO 014042
. ot
JULIE MCGIVNEY. ESQ.
P. O. BOX 776
SOUTHOLD. NY 11971
.00
Slamp 04036655
::~al' ~
7 SatisraClionslDisch.rgeslRele:.scs Lisl Property Owner. Mailing Addres
RECORD & RETURN TO:
!
CPF Tax Due
Improved
Vac3nt Land
TD lo-uD
TD
TO
9
8 Title Company Information
Co. N~me AauebOllue Abstract
Tille 1# AQ04-S-1124
Suffolk Count Recordin & Endorsement Pa e
Ths page fonns pan of the allached
nl''J;'n
(SPECIFY TYPE OF INSTRUMENT)
_ __ made by:
STELLA MEYER
The premises herein is silualed in
SUFFOLK COUNTY. NEW YORK.
1"0
In the Township of
IIlItt.. VILLAGE
or liI\MLET of
SOUTIlOLO
JASON scorr
130XES S THRU 9 MUST BE TYPED OR PRlNrED IN BLACK INK ONLY PRIOR TO RECORDING OR FlUNG.
lOVER)
1111_111111111111111111111111111111111111111111111
111111111111111111111111
SUPPOLK COUNTY CLERK
RECORDS OrrICB
RECORDING PAGB
Type of Instrumsnt: DBIDS/DOD
Number of Pages: 4
Receipt Number : 04-0095708
TRANSPBR TAX HUMBER: 04-04641
Recorded:
At:
08/30/2004
11:07:U AM
LIBBR:
PAGB:
D00012340
311
District:
1000
Deed Amount:
Section: Block:
109.00 05.00
IDIIIHBD AND CHARGED AS FOLLOWS
$350,000.00
Lot:
014.042
Received the
Page/Filing
COB
BA-CTY
TP-584
RPT
Transfer tax
Following Fees For Above Instrument
RY""'I't
NO
NO
NO
NO
NO
NO
$12.00
$5.00
$5.00
$5.00
$30.00
$1,400.00
Handling
NYS SRCRG
BA-STATB
Cert.Copies
SCTJI
COIIIII.Pres
Fees Paid
$5.00
$15.00
$50.00
$5.00
$0.00
$4,000.00
$5,532.00
Exempt
NO
NO
NO
NO
NO
NO
TRANSFER TAX N1lMBBR: 04-04641
THIS PAliK IS A PART OF THI INSTRtJMINT
TRIS IS NOT A BILL
Bdward P.Romaine
County Clerk, Suffolk County
,
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// wvyw.orps.state.ny.us or PHONE 15181 473-7222
FOR COUNTY USE ONLY
I.{, 73, 8,3,0(1
I 84 / 30 tJ Lj
Month O~V YI""
C3....k I j, ~,.3, L() I C4. p,., 1"'\ (,/
REAL PROPERTY TRANSFER REPORT
it_-
A '
,.-
I :,
\;-' '. - \!.l.-
C1. $WIS Code
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C2. Date Deed Recorded
RP - 5217
RI'-5l17 R~. 31'17
PROPERTY INFORMATION
,. Property I 1215 Cases Lane Extension
Location STREET NUMBER ST":,H\A\'E
~n...,.hnld
CITY OR TOWN
2. Buyer ~h~r~! COM~ANY
NlIme
11935
Cutchogue
VilLAGE
ZIP CODE
Jason
Fi!lSTNAr.:,
.....-----J
.....-----J
LAST NAME, COMPA-.V
,:~s: ~A\';;:
3. Tall Indicate where luture TalC Bills are to besenl
Billing if other than buyer address (at bonom offo,m'
Addre$s
..AS~.~ __ .',,',,'
F.~S: ""'I.'E
Sl"AeETNUMeERANDS,REETNAr.1E
C,-- C~ :,:Y:.\
ST~TE
ZIPtODE
4. Indicate the number of Aneument
Roll parcels transferred on the deed
L.~
#ofParcels
01'1 0 Pan of a Parcel
\.3~ I
IOnly if Pan of . Parcel) Check as they apply:
4A.?lanning8oarowithSubdivisionAuthorityExists D
4B. Subdivision Approval was Required for Transfer 0
4C. Parcei Approved lor Subdivision with Map Provided 0
5. Deed
Property
Size
lOR I
I X I
':'C~ES
i)o~lH
rRONr~HT
Stella
Meyer
6. Seller
Name
LAST NAME :COMPA~V
':RS-';A','E
~ASTNAMEICOMPANY
.:~sr NAr.~E
7. Check the bOil below which mOllt accurately delicribell the use of the pr'l)perty at the time of sale:
Check the bolles below as they apply:
8. Ownership Type is Condominium
9. New Cr:mstruction on Vacant L8nd
10A. Prope!'tyLocated wilhin an AgliclIltural District
lOB. Buyer received adisclOS\Jre notice indicating
that the property isin ,HI Agricult\lral District
o
o
o
o
A8 One Family Residential
B 20r3Fam!lyRe>>idential
C Residential Vacant Land
D Non.Resldential Vacant Land
E~Agricultural
F Commercial
G Apartment
H Enle:'lainmen! Ar:lusel1~ent
I ~communitYservice
J Industrial
K Public Service
L ~orcSl
SALE INFORMATION
15. Check one or more of theM conditions as applicable to transfer:
04
28
11. Sale Contract Date
L6
\'.c~I'1
Yea'
A
B
C
D
E
F
G
H
I
J
Sale Between Relatives or former Relatives
Sale Betl....een Related Compan;es or PClrtners in Business
One of the BLlyers is also a Seller
Buyer or Seiler is Go....ernment Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Less than Fee Interest (Specify Belowl
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in SClle Price
Other Unusual factors Affecting Sale Price (Specify Below)
None
0.,
12. Data of Sale I Transfer
't / J 1
r.1onlh Day
;:J
13. full Sale Price ,3 ,5 0,0 0 0,0 0 I
, , ,
(Full Sale Price is the tolal amount paid for the property including persona; property.
This payment may be in the form of cash. other property 01 goods, or the assurr.phon of
mortgages or other obligations.) Plr~ase rouna fa the nearest whole dollar amount
14. Indicate the value of personal
property included in the nle
ASSESSMENT INFORMATION.
.!L.JL:
, ; ~
Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Ass...ment Roll from, /J cL
whichinformationtakan ~
11. Total Assessed Value (of all parcels in tranlEfer) L-.....-
18. Property Class
L'2., (Ol-U
19. School District Name
20. Tax Map tdentifier(s) I RollldantifieT(s) IIf more tnan four, attaeh sheet with additional identifier!s)1
1000-109.00-05.00-014.042
I ------.J
I CERTIFICATION
I (ertlf~- that all of thl' items of informalion enll'rro Oil this foml are lrut' and corn:d (to the lx'St of my knnwltdgr and belien und I under<oland that the nlakln/!:
of an I faLw stalement uf material fact herein "ill subje..::t me to the PTo\'i~ions of the oenallaw Tf;:latln.' to lhe makinjt ;md fUlll;: of !":Jlst' instrlllllt'lIl'i.
BUYER
BUYER'S ATTORNEY
~ <;?I,,/or
B ' _A ;o.T~R, :0.\7::
~~~j.~,~,~-1
,,~mogut~~. w~ I
~ ~.J~~ -?:7 ~-"-'/ 1<;)<,' c. - 0', I
SELtl"\SION...ruR~ ~ U~.
:~~Vli:~
NEW YORK STATE
COPY