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NYpo! - Barpia and SUe Derd .hII CoveMDt...... 0nnI0r'II Am IDdiYid.I. Dr CarpanIion (siaP= m-t) (NYBTU 100'2)
CONSUI~T YOUR LAwYER 8&roRE SIGNING THII IN.....UMENT -TIllS IMrrRUMENT SHOULD BE USED BY LAWYEIUI ONLY
c....t ~ I
THIS INDENTURE, made the /..., day of , in Ibe year two thousand four
BETWEEN DOR7.l'HY 1<<>8SClN. residing at 65 Clcuntry Club Drive. CUtchogue. New York 119351
party of the first part, IUId
DCIlOl'HY HOBSaiI REIIOCl\BI.B TRUST. Dorothy Hobson~ 'l'I:ustee.
under "",~~.~.t dated July 15. 2004. 865 Country Club Drive.
CUtchcgue. New York 11935
party of the oecond part,
WITNESSETH, that the pArty orthe lirst part, in consideration ofTen DollenlUld other valuable consideration
paid by the party of the second part, does hereby grant IUId rei_ unto the party of the second put, the hein or
lIUCCe8Ion and ...igna of the party of the second put forev.....
ALL that c:ertain plot, piece or plII"Cel ofllUld, with the buildinp IIIId improvcmenll thereon erected, situate, lying
IIIId being in the
al CutehoJPle. Town of Suulhold. Counly of Sullolk and S\l1le of New York.
known I1nd designaled as 1.01 9 as shown on a eenain map cntitled. "Map of Counlry Club &lalCs" and
filed in the Suffolk Counly Clerk's Omee on 10117178 as Map No. 6736 and bounded and d.-scribcd as
follnw!\.:
Tax Map
Dai...tiOI1
81k.
BEGINNING 11111 puinl on Ihe southeasterly side ofCounlry Cluh Drive dislant637.07 t<<l weslerly and
southwesterly when rneu,sun."C.I alung the soulhc:asterl)' and southw4.$lcrly sides ufCountry Club I)rlve Irom
the C'xlrcme wC'sterly end "r the arc or Ii curve connecting the southerly side of Country Club Drive with thc
wesl.:rly side or Linden A,,,nue: RUNNING THENCE soulh 33 degrees 55 minules 40 ...'Conds cast 233.20
f.",I; TIIENCE soulh 59 delO"ees 04 minutes JO seconds wesl 257.17 feet 10 the nonheasterly side of
Coontry Club l.>rive; THfiNCE nonh,,,,"slerly. nonhcrly and northeasr..rly nlonlllhc nunheasterly. easterly
and soulheasr..rly s.des of Counlry Club Drive, the following 3 courses nnd disll1nees (I) nonh 30 degrees
55 minutes JI) seconds WC'fOt. 75 fLoct: (2) along the arc of D curve Ik!aring to the right hAving 0 radius of
110.00 lect u di~tance of 107.06 fee-tto po pOint of compound cun.c; (3) along the arc of a cun.c bearing to
Ihe ril;hl bu,-ing a ",dius 01"392.49 leet a d.stanee or 205.51 feet 10 lhe puinl or place ofBEGI:>''XING.
Dial.
Sec.
LGI(.)
SlJBJECr to covenants. e&senten15 and n:~trictions of record.
TIEING AND INTENDED 10 be the same premise. eon,,,,)'Cdto the pany of Ihe lirsl pan by .Iced daled
June 7.1982. and recorded in Ihe CounlY Clerk's Olliee. Suffolk Counly on June II. 1982.
TOGETHER with all right, title and interest, if any, oflbe party oflbe lint part or, in IUId to IUIY streets IUId
roads abulling the above-described premisea to the center lines thereof; TOGETIIER with the appurtenances
and all the estate IIIId righll oftbe party of the fint part in IUId to said premiaes; TO IIAVE AND TO HOLD
the premisea herein granted unto the party of the sec:oncI part, the bein or IUCcesson and Uligna of the party of
the oecond put forever.
AND the party of the lirat part covenanll thBllbe puty of the lint part h.. not done or lOITered lUIytbing whereby
the said premisea have been incumbered in lIIIY _y whateVer, except.. aforaaid.
AND the party of the fust part, in compli_ with Section 13 oflbe Lien Law. covenlUlts lIutt the party ofthe
finl put will receive the consideration for this conveyance and will hold the right to receive lOch cotlllideration
as a trust fund to be applied finl for the PUlJ'Ol" of paying the cost of the impnlvementlllld will apply the orne
fint to the payment oflbecoBl of the improvement befOre using IUIY put of the total of the lIII11e for any other
putpose.
The word "Party" shall be construed .. ifit read .parties" whenev.... the sense of this indenbJrc so requires.
CtIWUO~"I;~: .n.r.'WFIN.JrS WlIEREOF. the party of the lint part hu duly executed thi. deed the day and year lint above
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SlaleofN_Vol1<,Coanty of ~ MI.t:::.. ).:
On,.rct.yor ~4r lnlbo,....~Y'
boIbnl n;e.1he ..4...._ pasanoI\y .....,....-:1. , . . "
'. IXlK7DIY RlBSCIiI ." -'. . ,.
pllIIllIIIIly Imawn III l1li or IJIUVId to IIIIID 1118 ... or ~I""""J'
cvidonco 10 be tho incIividIaJ(.) ...... ......c.) io (_) "",,-ib.d 10 tho
wilhin irRurncnt ...d """'...1cdsc>11n me _ ............... I --1IIe
..... in 1DboJd.... ~)I(iIs), _ _ by hir.f_........ 1ipoIun(.) on
IIIe ~ the DIivIduoI(.), ..-lhe .- ...... behoIf vlwhlcb tho
indMcIuoI(.) octIllI, ........Ilod.... __
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Slale ofN_ Vo.., Coooly of )...:
On lbe day of ~ In lbe year
before me,the undenigned. ~Iy ~
. ,
Ibe oublCriblna MInaS to lbe foreaolna inotrumenl, wilb WhOm I....
penon.lly Kqu.inted, who, belnaby modaly 1Iwom, did depooe and
oay Ibol helsbelthey.....ide(.) i~' '. .. .
- . . .
(lfrArplm:. 01""'- Is In a cIIy,lndlllla rAo."..,__IIIIliibor, ff
any, r'-ooJ); _ helsbelthey know(.) - . . ."'...., .
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10 bo Ibe iadivldaol _bod In and who ...""".... Ibo f.......1Da
instrumCllti that aid aubscn1linl witnell ~ praen.l and lAW aiel
execute the MInei and that Aid witness at 1M ..me time .ubKribed
hislher/lheir IIIIme(.) .. a wilneOll thereto.
BARGAIN .It SALE DEED
wrnt"b:wmIANT. AOAIfaTOIlAN1'al". AcrII
TlTLBNo.
Dul<unIY RlBSCIiI
TO
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FIDELITY NATIONAL TITLE INSURANCE
e:::OMPANYOII'NEWYORK
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Onlbo ct.yor mille,....
bdbre me; the UIIIIa1danaI. ......,.uy .....-.d
~.~ III me;" ~ III me on the boIis or ~
....~..., 10 be !he D1iYiduol(.) wn.: -ne(.) is <_) ..........lb.od 10 Ihe
wilhin ........ _ .....1DlIlIIedrd In me _ ............... ex_ !he
_1n_...~),_lhotby~~.)on
Ibo __ Ibo indiviclIaJ(.). ..-1IIe _ upon behoIf ofwhidt "'"
individuoJ(.) octIllI, --..., the insInJmom.
~-_talr~l\IIiw_SntIBOw...
(0fII 01"-.... F...,.., Cknoro/ .c_.......... Cmur-a}
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(~--_ a..-,.,-.....M_"'~""J
~~ _or ~~year'
belbre ...... !he andrraigned. penooally ~
__Iy known to me or provad to me on Ihe bo.ie of..tieracto,.y
. evideIuleto bo lhe indivldail1(.) w_ name(e) io <are) ouboCn'bed In
. lhe.withln.inOllUlllllllt _ admow1edpd 10 me lb.. bel_hey
execu.... .... _In blolherlthei. ca-">'(ieo), that by hiolher/lheir
. lianatuie(l) ilh'o;e lnotnunenl, Ibe indlvldual(.), or lbe'penon upon
boIbaIforwhlch Ihe indjvidual(a,-........ __.... inllnliaent, and
that ..eb 1nd1_1.......lueh ___ belbre the undenipod
inthe .'. ., .". .' . . .
(htnrI 1M dlJ' ",. Drll.. political ..m4h116ltm and ,II. ~uit. or cotI"''JI or
01_ pIm:. rlllt ~..,......r ....101ft}. .
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DJmucr
SI!CT1ON
BLOCIt
LoT
COUNTY OR TOWN
10900
0300
002030
SUFroU</Oltchogue
. . . - -- .IIIlCOIiDIwATIlIiflUBSTOfI" ... .
JI1dellty NatJolllll:ntl.........;:.;..e Compaay orNew Y_
.. - -- ... . . llI:rrRNarMAILTO .
'!b8' i.w OffiCe of
JaIN M. BIGLER
1421 Wantagh Avenue
Wantagh. New York 11793
....-...
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._.0
Number of pages
3
...:....J
TORRENS
RECORDED
2004 Rug 31 03.53: 03 PH
Edward P.ROlIai""
CLERK OF
SUFFOlK COUNTY
L 000012340
P %3
Ort 04-05171
Scrial/l
Certificate"
Prior Clf. /I
Deed I Monglll" Instrument
t
o.cd I Mortgage Tax Stamp
FEES
Rl:Cording I Filing Slarnps
~
Pagel Filing Fee
Handling
TP-S84
Mortl88e Ami.
I. Basic Tax
2. Additional Tax
Not81ion
Sub TOlal
EA-S2 17 (County)
EA-S217 (Sllle)
Sub Tolal _.
l
(J'JI'L
Spec.lAssil.
O.
Spec:. I Add.
TOT. MTG. TAX
Dual Town Dual Cuuury _
I h:hl (or ^PIJOrtiunment ,
Tran.rcr Tax c1J
MansiCHl Tax" _
The propcny covered by Ihis mortpae is or
will be improved by . unc or two family
dwelling only.
YES or NO
I r NO, see apprupriale lax clause on page (I
_ orthis instrumenl.
R.P.T.S.A.
~
~
co
Cumin. or Ed.
S <lll.-
AJ"fidavil
Cei;tilied Copy
Reg. Copy
OIher
Sub Total
-.--
dl
ORAND TOTAl.
Rcull'roperty Tax Service Agency Verification
nin ~~r..inn n n.t
ttlt
6 Communily Preservation Fund
Consideration ^'nount S
Stanlp
04036158 1000 10g00 0300 002030
CPF T"x Due
s
llIle P T s~
R LPA A
Initials 4-AUO
7 Satisfactions/DischargcslReleases I.ist prOperty Owners Mailing Addre
RECORD A RETURN TO:
Impwvcd
e---
VacauI Lund
'D1e I.- Office of
.DIM M. 'AT~.RIt.
U2J. WiIIltagh -....
wantagh. """ "lI.'aI:II: ll793
TO
TO
TO
9
B Title Company Informution
Co. Na.ne
Tillcll
Suffolk Count Recordin & Endorsement Pa e
"(his page forms port of lhe lIIIached
deed .
(SPEaFY TYPE OF INSTRUMENT)
made b)-':
l.A.&'&I.D:Iz. ,. - d
1he premises herein is silll8led in
SUFFOL.K COUNIY. NEW YORK.
TO
In !he Township of
In !he VII.LAGE
or I-lAMUiT of
SuuU....I.d
.._...-...~~.R-:l'IIl!!I'r
a.t:d1cque
OOXES 5 THRlJ 9 MUST BE "IYPED OR PRJNI'ED IN BlACK INK ONLY PRIOR TO RECORDING OR FlUNG.
(OVER)
111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SOFroLIC COONTY CLERK
RBCORDS orrICE
RECORDING PAGE
Type of Instrument: DBEDS/DDD
Number of Pages: 3
Receipt HUmber I 04-0096666
TRANSPBR TAX NUMBER: 04-05171
Recorded I
Atl
08/31/2004
03153103 PM
LIBER:
PAGE:
D00012340
963
District:
1000
Section: Block:
109.00 03.00
lI!YlUlINBD AND CHARGID AS rOLLOWS
$0.00
LotI
002.030
Deed Amount:
Received the rollowing rees ror Above Instrument
Exempt Bxempt
Page/riling $9.00 NO Handling $5.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA- C'rY $5.00 NO IA-STATB $50.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Trusfer tax $0.00 NO COIIIIII.Pres $0.00 NO
I'ees Paid $124.00
TRANsrBR TAX NOMBBRI 04-05171
THIS PAGB IS A PART or THE INSTROMBNT
THIS IS NOT A BILL
Bdward P. RDlllaiDe
County Clerk, Suffolk County
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.slale.ny.us or PHONE (5181 473-7222
FOR COUNTY USE ONLY
Cl. SWIS Cod..
I L.\ ,1 , ,;,'1) ,"6' ~l I
1m /3i lOt+-I
Month DaV Year
,q ,(a ,3
REAL PROPERTY TRANSFER REPORT
~
!lit
C2. Dat8 Deed Recorded
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
03. Book I I ,9- ,"2, i+....D.J Cf. Poge I
1lJ4211Rn'3197
PROPERTY INFORMATION
-1.r:::1
865
ST~EETNUMBl'R
I Cbuntrv Club Drive
SfIlEETNAME
2. Buyer
Name
L CUt:d1ogue
my '" rowN
~ IXlVmY IfilSCXiI RE\IOCl\IlLE 'I1UJS'l'.
LO,STNAME/COI/IPi\.NY
DQrothv 1i:>b6on. Trustee
FIIlSTNAME
Vl~LA(iE
11935
liP CODe
lAST NAME I COMPMlY
3. Tax Indicate where future Tax Bills ant to be sent
Billing if other than buyer addl1l$$ (a1 bottom of fOrm!
.......
FIASTNAI/IE
LAST NAME I COMPANY
F1~TNAME
STJI~TNUMII~"'NOSTREETNAME
ST~n:
CrTVOR TQWN
ZIP CODE
4. Indicate the number of Assessment
Roll parcel, tnonsfernrd on the deed
1 I # of Parcels OR 0 Pilrt of II Parcel
IOnly "Pert of . hrcell Check as they apply:
4Jt Planning Board with Subdivision Aulhority EKists 0
48. Subdivision Approval was Required for Transfer D
4C. Parcel Approved for Subdivision with Map Provided 0
5.o..d
Property
Siu
L-
FRONT FEET
Ix I
lOR I
.
OEPTfi
ACRES
8. Seller
Nania
iJJIllni
DoIOthv
LASTNAMf/COMP...NV
f'RSTNAME
U\STN"'~/COMPANV
F'RSTN"'ME
7. Check tha box balow whidl most accurately de$l;ri~1I the un of the proparty lit the time of Ale:
Check the box.. belOW as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Locatad within an Agricultural District
108. BlJYer received a disclosure notice indicating
that the pl"(lpllrty is in lln Agrlculturl.ll District
o
o
o
o
A~DneFamjlyAesidBntial
B 2 Or 3 Family Residen!ial
C Residential Vacant Land
D Non-Residential Vacllnt Land
E~A9ricultural
F Comm8rci~1
G Apartment
H Entertainment! Amusement
I ~ Community Service
J Industrial
K PubIic5ervice
L Forest
SALE INFORMATION
15. Ch.:k one 0/' mON of these conditions.. applic8ble to transfer:
11. 5.le ContraC1 Date
I n/" 1
Monll1 DRY Year
AX
B
eX
D
E
F
G
H
I
J
Sale Between Rellltiv6S or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Sellar
Buyar or Selle, is Governmenl Agency or lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Less than Fee Interest {Specify Below)
Significant Ch8nge in Property Between Taxable Status and Sale Dates
Sale of BusinftSS is InCluded III Sale Price
Other Unusual Factors A.ffecting Sale Price ISpecify Belowl
None
12. Dlltll of Sale! Tf1lnsfer
7//5"10<11
Month Day Year
13. Full Sale Price , ,0 , 0 , 0 I
, , .
(Full Sale Price is the Iota I amount paid tor 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,) Pllflflle round to the nearest whole dollar amount.
14.. Indicate the value of person81
property included in the sale
.0.0 I
, .
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Rolland Tax Bill
16. V.., of Assessment Roll from ~ Total Assessed V.lue (of all pan:els in t...n"'rl i
whldl informetion taken 17.
----...-.J
,
18. Property Class
I 2 1. 0 I-U 19. School Distriet Name I
10001
20. Tn M.p Identiflltf(sl I Roll Identiflerls) (If mOre than four, attach sheet with additIonal identlfier{s))
~ 10900 - 0300 - 002030
~
I CERTIFIC. TION
I certify that all of the items of infonnation entered 00 this fonn are true and correct (to the best of my knowledge and belief) and ( undet'lltand that th~ making
of any willful false statement of material fact herein will mbject me to lhe Drovisions of the uenallaw relative to the making and filing of ral~ instruments.
BUYER BUYER'S A rrORNEY
s,'~ lh,
l--f-cl-,~
'.
JoIm M.
BIGLER
~ME
~'~ RE\IOCl\IlLE =.
fIRSTN..M.
Rlil:)
ST1'lH"NUMllE~
Cbunt-;]ilE Club Drive
STAH NAM~ rAFTER SALE'
516
409-6565
AREACOOE
TElEPHONE NUMBU
Olt-.r.hos;plF!
CITYOATOWN
NY
STAH
11935
Z'PCOOE
SELLER
NEW YORK STATE
COPY
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