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BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8007
CAU"I1ON: 1111$ AOREnMISNT SIIOULD BE PRl!PARED BY AN A1i'ORNEY AND REYIEWF.I) BY ATrORNEYS FOR 51lU.F.R AND
PURCIIASI~R ~G~ r:::::
THIS INDENTURE. made the J f day of 00/" ......... 2004
betweell
JOANNE ROBERTS, residllllat 740 COUDtry Club Dr.. C.te....ue. NY 119.35
puny ofrhe fj"" part. and
m,oI.4"'779JUD-'-, /1)_,-" .. L_ a '1.
DOMENICO~"'-""Bllt.lalldJOLANTAKUCZVNSKAr~~'-''RiLLI, A'o ~ ...\.011-
reaklllllat 1.325 Factory A"e~ Manlt.ek, NY 1I!15Z
pany of the second part.
WITNESSETH. dUll the pany oftbe fj"" pan. in """sidetation of Ten Dolla", and other lawful
consideration. lawful money of the United Sta_ JUlid by the plIrty of the second pan, dOllll hereby gnmt and
release unto the party of the second JUltt, the hei", or successors and _ips of the plIrty of th. second pan
forever.
ALL that certain plol, piece or pucel of land. with the buildinp and improvemenll thereon eM:ted.
situale, lying IInd being at East Marion. Town of Southold, County of Suffolk and Swc of New V ork.
SEE SCHEDULE 'A' ATTACHED HERETO AND MADE A PART HEREOF
The grantor herein is the same penlCn as the grantee in Deed dilled 10130114 recorded 11107/84 in Liber
9672 P_ 389.
TOGETHER with all right. title and interest. ifany, of the party of the fj"" pan in and 10 any streets and
roads abutting the above described promi8es to the center lines thereor,
TOGETHER with the appurtenances and aU the ..late and rights of the pany of the fj",1 part in and to
said premises.
TO HA "II AND TO HOLD the premises herein granted unlo the party of the second port, the heirs or
successo", and a..igns of the party of the second part forever.
AND the JUlrty ofthc lim part. covenants lhalthe pany of the fI"" pan has not done or suffered anything
whereby the said premises have been encumbered in any way whatever. exc:cpt as afuresaid.
AND the party of the fj"" part, in compliance with Section 13 of the Uen Law, COYeIUUlIIlhatlhe party
oflhe Ii"'t part will raceive the consideraticm for this conveyance and will hold the right 10 receive such
consideralion as a trust fund to be applied first for the purpose of paylDl the cost of the improvement and will
apply Ihe same first to the payment of the cost ofthe improvement before using any pan of the IOtal of th" 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 of the rust part has duly executed this deed the day and ~ first
above written.
--^~._~ ~.~~~
~ROBERTS
NYSBA RcsidenIi8I Mal ~ F~ 011 HoIDracsa (WOO)
-.-
c_....,.,Copoolt.,__
..
STATE OF NEW YORK
)
) IS.:
)
COUNTY OF SUFFOLK
On Ihe I '1 day of tk-nU1E7f.. . 2004. before me. lhe unclenilJMd. penonallyappeared
JOANNE ROBERTS. personally known 10 me or proved 10 me on the buis ohati.f'ac:tory evidcnce to be the
individual. whose names arc .ubscribed to the within Instrumenl and acknowlcdpd to me that they executed lhe
same in their capacity. and that by their sipatures on the instrument, the individual.. or the penon upon behalf of
which the individuals acled, executed the instrument.
..Plh~~I".I R .(\.,~.-.. ~
NOTARY PUBLIC
MTRIClA L I'AU.ON
"-Y::~D;=~:'-'WllrIl
~~ 8u1la11t County
-...- EIIpbw AjlrlllI4, ~ 7
DEED
Title No.
Section 109.00
B_k 03.00
Lot 002.010
County or Town SUFFOLK
ROBERTS
To
M.~I:JTARKbL.1
/l'l1kJ"'''IU;~
Ketont BY MlliI To:
MARTIN FINNEGAN, ESQ.
P. O. BOX 9398
RlVERHEAD, NY 11!101
Reserve T.... SDace For UN Of RecordtDl! OllIe..
NY5BA RaldcndIII RaI E!DIc FOIMI 011 HoIDocs- (WOO)
.2-
"-'""'''-0.0..........-.
.' . '..
PIle NOI RHD43D1Ci14
SCHEDULE A - DESCRIPTION
Amended 09/14/04
ALL thBt certain plot, piece or parcel of lind, with the buBdlngs Ind Improvements thereon erected, sltu8te,
Ivlng Ind being It Cutchogue, Town of SOuthold, County of Sulfolk Ind StlIte of New York, known Ind
deslgnlted IS Lot No. 25 on I certain mlp entitled, "Map of Country Club Estlltes", flied In the SutfoIk County
Clerk's omce on October 17, 1978, as MlIp Number 6736; 581d lot being more particularly bounded Ind
desalbed IS follows:
BEGINNING at a point on the Northerly side of Country Club Drtve distant Westerly 653.28 feet from the
Northerly end of the alIVe which connects the Westerly side of Unden Avenue (I/k/I Moores Lane) and the
Northerly side of Country Club Drtve;
RUNNING THENCE Westerly llong said Northerly side of Country Club Drlve the following three (3) courses
and distances:
1) South 54 degrees 50 minutes 30 seconds West, 22.23 feet;
2) Along an II'C of a alIVe bearlng to the rlght hIving a radius of 70.00 feet, I distance of 73.30 feet; and;
3) Along In arc of I CUlVe bearlng to the lelt hiving a radius of 70.00 feet, a distance of 88.87 feet;
RUNNING THENCE North 47 degrees 54 minutes 00 seconds West, 240.25 feet;
RUNNING THENCE North 74 degrees 30 minutes 30 seconds EBSt, 225.01 feet;
RUNNING THENCE SOuth 35 degrees 09 minutes 30 seconds EIst. 226.88 feet to the Northerly side of Country
Club Drlve and the point or place of BEGINNING.
ALTA Owner's Policy (10-17-92)
Pege 2 of 3
..-
I NU~ber ~f :..cst1
TORRENS
G:2
. -.-.
l
Serial #
RECORDED
2004 NOY 01 09,1,.07 An
E~rd P._I...
CLERK OF
SUFfOlJ( CllUITY
~ OOOOI~
P232
Dr. 04-137Il2
Cenific:ate "
Prior elf. #
Deed I MonpKe Insuument
Deed I MoI1pp Tax S.amp
FEES
Recordina I Filina Slam..
4
Page J Filing Foe
MOl"l&D:le Am!.
Handling
TP-584
1. Basic Tax
J. Additiona. Tax
Notation
Comm. or Ed.
S~
Sub Total
Spec J Assi..
Or
Spec. JAdd.
TOT. MTG. TAX
Dual Town_ DlGll Coumy_
Held for Appurtionment _
:tax Ol 7/fD;
EA-S2 17 (COunly)
Sub TOlO1
EA-S217 (S...e)
R.I'.T.S.A.
3.0-
Amda\"it
Cenified Copy
Sub Total
NO TOTAL ~5b1..
10
Real Propeny TIIX Apncy Verificalion
Disl,__ _ S4!cli~ ___ ..~Ioc:k
Mansion Tax _
The propeny covered by this mortgage is or
will be improved by . one or two rUJII ily
dwelll"ll only.
YES orNO_
If NO, see appropriall: lax clauSlc on pHg..:."
_Oflhis instrument.
Reg. Copy
Other
l
6 Community Preservation Fund
,
Considera.tion Amount S 000,
s ~.s:to. /
CP
Lo.
S.amp 04045817 1000 101100 0300 002010
~e ~TS .
.. RRSKA
~"I.~ .
-;1 SatisfaclionsJUischargoslRel.ases LisiProperty Owners Mailing Addr..
..:.J RECORD '" RETURN TO:
Improyed ><
V.cent L.and
llARTIN FINNJ;;GAN. ESQ.
P. O. BOX 939g
RIVERHBAD, NY 11901
v
TO 10t:J()
TO
TO
9
a Title Company Information
Co. Name eo.aonv.a1th Land Tit1.
Tide II
Suffolk Count Recordin & Endorsement Pa e
"lllis page fonllS pan oCtile attached
DEED
(SPECIFY n'PE OF INSTRUMENT)
JtUld~ by;
JOAMNE ROBERTS
1he premises herein is situaled ill
SUFFOLK CO(JNIY, NEW YORK.
TO
DOMF.NICO MAUUTELLI AND JOLAJlTA KUCZYNSICA
rlAUA.L.l.A",oLol.
In the Township of
In lhe VIUAGE.
or IIAMLET of
SOUTHOLD
BOXES 5 lHRU 9 MUST BE n'PED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVERI
11111/1 UII/IIIIIIIIII/IIU 11111111
11111111111111111111
StJlI'POLlt COtJRTY CLBU
RBCORDS OPPICE
RBCORDING PAGE
Type of Instrument. DBBDS/DDD
NUmber of Pagesl 4
Receipt NUmber . 04-0120152
TRAHSll'BR TAX HUMBBR: 04-13782
Recorded.
At.
LIBER:
PAGE:
District.
1000
Section: Block.
109.00 03.00
E7_\JII1IBD AJm CJIARCDD AS POLLOWS
$679,000.00
Deed Amolmt.
Received the Pollowing Pee. Por Above Instrument
Il"'-.qpt
NO
NO
NO
NO
NO
NO
Page/piling
COB
IA-CTY
TP-584
RPT
Trusfer tax
$12.00
$5.00
$5.00
$5.00
$30.00
$2,716.00
Handling
HYS SRCHG
lA-STATE
Cert.Copies
SCTII
COID.Pre.
Pee. Paid
TRANSPBR TAX HUllBBR: 04-13782
THIS PASI IS A PART OP THI INSTRUMIIlT
THIS IS HOT A BILL
11/01/2004
09:15.07 AM
D00012352
232
Lot.
002.010
$5.00
$15.00
$75.00
$0.00
$0.00
$10,580.00
$13,448.00
Edward P.RoIIIaine
COUDty Clerk, Suffolk County
R1tlllllpt
NO
NO
NO
NO
NO
NO
FOR COUNTY USE ONLY
~LeA:;e I Y~e UK PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www,orps.s,ate.ny.us or PHONE (518) 473-7222
Cl~ SWIS Code
1<':.7. 3'. R.~. 9
i
lit"
,
'" Q ,
RP-!lI'ltllvJl')'
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF ReAL PRQPERTY SERVICES
C2. Date Deed Recorded
//1
Month
f.,/ 1 f.?Y'
~
5. -<I
/
C4. Page I
RP - 5217
C3. Book
PROPERlY INFORMATION
1. r~~:~ I
740
Country Club Dr.
STREHNAME
S"ffiHTNUMBER
Southold
CITVOR lOWN
mn~"At:EL-L,
Mau....-I...~"T"T i-
LASTNAME/COMPANV
/YIflUr"A-I!.M.'Lt...-1
!4""rj......111
LASTNAMEICOt,l~"'NY
3. Till: Indicate where fultlreTax Bills are to b$ sent
Billing ifotllerths'l buyer address (st bottom 01 form' I
Addrs"
Cutch02ue
VlL......GE
I 11935
ZIP CODE
2 BUyil:r
Name
nnmpni~o
F"'TNAME
Jolanta Kuczynska
FIIIS'_
LAST NAME / COMPA~
~IRSfHAME
STREETNUMllSR/l.NO STRHT NAME
CIT'l'OAfOWN
~-
STArt
4. Indiclte the number ot Assesament
Roll plmels tran.terr(td on the dUd
100
OR D
Part of a Parcel
(Only If hrt of a Parcell Ch_ a. they IPply'
4A.Planlling Boatdwith Subdivision AlIltJority Exi5t$
48. Subdivialoo Approval was Required for TrlH1lfllr
4C. Parcel Approvecllor Subdivision with Map Provided
II ot Parcels
5. Deed
Property
Size
Ix ,
lOR I
i'.'141
FMNTFHT
~~
~,
6. Seller
Name-
Roberts
Joanne
lA$T~AM!'ICOMPANV
Fl/\SfNAME
LAST NAME/COMPANY
FiASTIfAME
1. Check thlll box below which most accurately dHCribn the &15111 of the property at thlt time of Ale:
Check the box.,; below II they apply:
B. Ownership Type is Condominium
9. Nsw Constrllction on Vacant Land
lOA. Property Located within an Agricultural District
1aB.BuyerreCeivedadi8Clo.urenoticeind~irlg
thBtthe pr.rtv is in an Agricultural Diltrict
o
o
o
o
A~OrlSFamiIYRe'identi.1
R 2or3FemilyRe3idential
C Rssidential Vacant Land
D Non-ResidentialVacarrtLand
E~Agriculturel
F Commercial
G Apartmlnt
H Errterteinment f Amllsement
I ~ community. Service
J Industria!
K PubUcServlce
L Forest
I SALE INFORMATION I
11. Sallll Contract Date
8 1 30 1 04
"- Day Year
1-0 1 t,i 1 04
Month Vu,
15. Chect 01lB CN" more of tt1_ conditfoM a. Ippicable to tnln.r:
A Sale Between Reletivll8 or Former Relative.
B SIll! Between RBIOIted Companies or Portner. in Business
C One of the Buyers i. also a Seller
D BlIyer or Sellor Is GOvernment Agency or Lending Institllt!on
E Deed Type !lOt Werranty or Bargain end Sale (Specify Below)
F Sale of Fraotionlll or less than Fee Interest rspvcify Below]
G Signiflclnt Cnaoge in Propeny Between Taxable Status end Sele Dates
H Sale of EJu5inllM I. Included ill Silo Price
] Other Unusual Factor5 Affecting Sale Pri"e (Specify Belowl
J None
12_ Date ot Sale f Transfer
13. FulISalePriclI L 6,7,9, O. OJ 0.0.0 I
, , .
(Full Sale Price isthslOlal amOlll'lt paid for the property Including personal proplilrty.
Tflis payment may be in the form of cash, OIlIer property Or goods. or th, usumption of
mortgages or other oblig~tiol'ls.) Please rou"d to the m",rest whole do/Ill, amOlmt.
14. Indicate the value of "er$onal I '-;- C O. (I r
property includad in the sale , e
ASSESSMENT tNFORMATION - Data should reflect the l&test Final Assessment Roll and Tax Bill
16. Yltarol AsaassmlHtt Roll from I D~ iO^u.u.,
which Information taken ~ 17 Total A_sed Vllue tof alllMrcels in trlnsfer) I
/l '-10 01
,
18. Property Class
~-u 19. School Distr~Nlm. I
SOUT>ttJJ..I'
ZOo Tax Map ldentifiarjsl f Rollldentifier(s) (If 1nCN"t! than four, attKh shaet with Iddidonal idlntiHer(l"
1000-109.00-03.00-002.010
L
~
I CERTIFICATION
I ctrtlr~' fhut all or the itern~ of infonlmtion entered on this form are froe lllld cBrred (to the oc'!il of HI)" koowledl!:f' ..nd belief) and [ unden.l.and that the Ittllkilljl
"I' lIn~ "-iIIful false ~tllh:ml'llt flf lll11k'rilll ra(t hi:rein will ~ubjet1 me tll the pnn"i~nns of the Pi'mlllllW l'l'llltlw It> the rnaki~ "nd flIlnl.( m CalM' ill~trumt'nl,.
L-
", ,',0: rUYER
C1-)~ /~... a..dt
~.<<iA IC':.'':J'..t- h,..L,~. lollG~
/ . ElJVERSIGNATURE DATE
BUYER'S A TTORNEV
J::'N,\l,zC-AAi
LA$T'IAII't:
iI1JtJ:.TI IV
. FIRST \A~'f'
cL!t 0
srREn"ur.la.R
C~"N~7' CMf1 ~
STREOTNI\MEIAHElISAlfl
<c3i
7:2,-JLIg'C
T,I,EPHO"~ NUMBER
AIIEACODf
C. i...' ;- C t1',) c;..v i=
INY
IsTAn
II'lJ.>
ZIPCOoe
[~W YOAA "'''''
COpy
---,,'
CITY OR TOWN
SELLER
.~-- ~- ~ .~... ~
.SELL~(lNATURE
) D I \'1)0 'f
DATE
o
o
o