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Stlnd.rd N. Y .S. T.U Fclm 8002 .: 8IIrp1in .nd SIIe DMd, with c:;ovenllnt ag8inll o..ntor'l Acta - Unfl'orm AckT1OW'-dsJment
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CONSULT YOUR LAWYER BEFORI! _NINO TIt.. INalRUlIENT-Tlt.. INSlRUlIENT SHOULD BE USED BY LAWYI!RlI ONLY
THIS INDENTURE, made the '7f"day of December, 2003
BElWEEN
.
...
THOMAS H. WICKHAM, residing at 28770 Main Road, Cutchogua. N_ York 11935
party of the first part, and
MARY LOU WICKHAM, residing at 11752 Harford Road, Glen Ann, Maryland 21057
party of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten and 00/10~
($10.00)
dollars, and other good and valuable consideration paid by
the party of the second part, does hereby grant and release unto the party of the second
part, the heirs or successors and assigns of the party of the second part forever, ~.~Ive
and. oneJ'l1l1t (12-112~) Q:!trcent undivided iDteresl II) -
ALl. Ibot L..,rtain plot. or parcel orland. with the buildintlll and improvements lhe.....,n e""'tL'd, .
.ituate. Iyinllllnd heing at CUlehollue. in th" Town of Southold. SuOolk Counl)', NL"W York. boundL'<I
and de""rihed os follow.:
8EGINNING at a point on the'eilstcrly.).!!.!c of"ew SuOolk Road III the southwest"rl)' com"r
of land now or formerl}' of Freddy's I louse, IJ.C. said'p<'int being 180.0 t..'Ct so>ulberly along said
line from the SQulbw""terl)' comer of land now or tbrmerly of William RL'CbC': from said point of
""ginninll runninl! alonll said landofF".'dd}'-, House. LLC,two eou!llC': (II North 78 de~ IT
50r J:::ast222.0 1i.'Ct: thence (21 North 11 de:l,'I'eL'S 42- 10" West20J.23 1......'1 to land ofTen.'Sko: thence
alonll said lund ofTeresko. North 78 degn.'Cs 51' 20" ED.~t39J.36IcC1to 'nnd.ofWiekham'. Fruit
Farm: theRC'e along said other land Ihn..., COUIlk.'S (I J South 2 dell""'" 09' 20" Wcst 569.95 f""l:
thence (2) South 52 degn.'C. 23' 40" r'-8St286.10 fL'Ct: theneeP) South 87 de~... 31-30" East
260.17 feel to land lbrmerly of Henry Wickham: thence ulonl! ll8id land formerly of Henry Wickham
South 4 dL'grees 36' 30" West 725.06 fL'L'I to northeasterl)' line of New Suffolk Road: Ihence along
said northeasterly line. two course (I) "orth 49 dcgn.oes 19' 50" WL'St979.03 feet.; IhL'tICe (2)
NorthwL"Sterly on a e:un'e to Ibe: righl. having a radius 01'549.25 feci, a di~tanL'C alonllSllid curve
360.71 1......'1: Ihenee along the casterl)' line of New Sul1blk Road North 11 deg""'" 42' 10" Wesl
221.89 feci to the point of BEGINNI"G. Contuininll 15.2'16 acres.
The develo:ent rights to a portion of the aforesaid j!i!rcel have been conveyed to the
County of Suffo . . ~.~-
TOGETHER with all right, title and Interast, If any, of the party of the first part in and to any
streets and roads abutting the above described premises to the center lines thereof;
TOGETHER with the appurtenances and all the estate and rights of the party of the first part
in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the
party of the second part, the hell1l or successors and assigns of the party of the second part
forever.
AND the party of the first part covenants that the party of the first part has not done .or
suffered anything whereby the said premises have been encumbered in any way whatever,
except as aforesaid.
AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that
the party of the first part will receive the consideration for this conveyance and will hold the
right 10 receive such consideration as a trust fund to be spplied first for Ihe purpose of
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 of the total of the same for any other purpose. The
word "party" shall be construed as If it read "parties" when ever the sense of this Indenture
so requires.
I~ PRESENCF. OF:
iI. t:J..L
IN WITNESS WHEREOF, the party of the first part has duly e
year first above written.
uted this deed the day and
Th..m... tl. Wickham
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.
.
3
,
Certificate f# 1
Serlol f#
P.E'-::(IJ;.~'E[".
~~)~ Rpr Z9 O~:S5:2; Ft
E~3~d P.P~i~A
~L.ER~ Of
~'.)~~O:...I!: SQ~TY
L [)fJOOI2~1;:
? !:?o
t.Tp .)3-4C.36~
Nwnb...Ofpoa.3
TORRENS
PriCll' Ctf. f#
, Deocll Mortao&o ~t
Deocll Mortpae Tax StOmp
FBIlS
~na I FUIn& Stompl
;;t.n
4
Pogel Filinl Fee
Hondlifta
TP-S84
Mo~ Amt.
1. Bul. Tax
N_doD
2. Acldltlonal Tax
SulI TallOl
EA-S2 17 (Cowtty)
EA-S217 (State)
R.P.T.SA
Comm. of Ed.
5~
SpecJAask.
Or
Spec./AcId.
TOT. M:I'G_ TAX
Sub ToIOI
--
--~-
'hie
Man. Oll Tax
Tho pocporty _ by lbl. monple Is or
will be Impl'llved by a one Dr two femU
dweUIna 0\IlY.
YES orNO_
If NO, ... 1IppI'CIpn,te _ .Iou.e on paae .
_or_
Amdavlt
Certlflocl Copy
Rrlg. ~opy
Other
Sob ToIOI .
- QRANDTOTAL~ if'
':
l
Rr:aIl\oporty TM Service AIIflIIIOY VerlflcatioIl
DIll. Sectloa B 10cIt
. - . -
1000 10;00 0700 010005
Lot
Stomp
'.2
CPF Tax Due
s .g
Improved
.cant Lud .I
TV 1&
TV
TV
04010962
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Dote (;PD~S~\
Inldals \,1__~
...- ----""
'I. Sat~f8ctlon"~'_''''lI_NII_1..I1t l'ro-'Y Ownen Maillns A
..,.~, .' RBCORD ,. RBTURN 'to:
IIIl:IIHAIf. -"'_1'" I!C.
Ja/1I....1IIIQ,... HU .
IIAJ11JUl:II. Lt._ '
9
Suffolk Coun
I Title Com
Co. Name "I-
Titlo*
Recordin & Endorsement Pa e
This plIiC forms pat of tile .-..JvvI Barsaln and Sale Deed
(SPECIFYTYPB OF INlmWMENT)
madel>:
Thoma. H. Wic:kblUll
The premises bezcin Is situalecl in
SUFFOLK. ootlNIY. NEW YORK.
TO
In tbc TCJ'MIIhip of
In tbc VILLAGE
or HAMLET of
Sbuthold
Mary Lou W~ckh.m
Cutchogu8
BOXES 51HRU 9 MUST BE n'PED OR PRlNIED IN BLACK INK ONL YPRlOR TO RECORDING OR FILING,
111111111111111111111111111
11111111111111111111
stJPl'OLlt COlJ'.w-.a:i CLBRlt
RBCORDS a....lCB
RBCORDlW PAGB
Typ. of ID8t~t: DBBDS/DDD
Number of P-S.8: 3
Recaipt HUmb.r : 04-0049349
TRAHS"ER TAX BbRDSR: 03-40362
Recorded:
At:
04/28/2004
03:55:26 PM
LlBBR:
PAGE:
D00012316
120
TJIOIWl H WICKJWI
MARY LOU WICKHAM
District:
1000
Daad Amcnmt:
SectiOD: Block:
109.00 07.00
BDIIINID AIm CHARGBD AS roLLOIfS
$60,968.00
Lot:
010.005
Received the PollowiDg 'ee. ror Above ID8tr1D8l1t
Bx8llpt
110
110
110
110
110
110
Page/riling
COB
IA-CTY
TP-584
RPT
TrllD8fer tax
$9.00
$5.00
$5.00
$5.00
$30.00
$0.00
H:mdling
NYS SRCBG
IIA-STAT!
Cart.Copi..
SCTM
Comm.Prea
r.a. Paid
$5.00
$15.00
$50.00
$0.00
$0.00
$0.00
$124.00
Bx8lllpt
110
110
110
110
NO
110
TRAHSnR TAl: NtJMBBR: 03-40362
THIS PAGB IS A PART or TBB IHSTROIIBHT
THIS IS HOT A BILL
Bdward P.RomaiDB
County Clerk, Suffolk County
.
.
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: htlp:// www.orps.slate.ny.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
FOR COUNTY USE ONLY
C1. SWIS Code
I <;<:,?, 5, ~,<f ,7
,
*
RP.SZ11Hev3l97
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
I €?f1- ,;:l;( IeV'I
Mo.. Dav YlI8f
C3. Book 1/..:2, ) ,/, hi co. P...I
PROPERTY INFORMATION
C2. Date Deed Recorded
RP - 5217
,/,..;) ,f'?1
.
1.r'O:~1
.5~qS-
,A.J".w .J"V,q:rz1e. -?cw/,
:)6U.~kl
I
111?35 I
ZIP coot:
(' t.Jfr:ho~
STllEETNUMBER STREETNAIolE
{!ord;~
C1lY(>>ITOWN
Wickham
V'LlAG~
2. Buy.r
N.me
Mary Lou
FIASTNAto'IE
LAST NAME I COMPANY
lAST NAME I COMPANY
flA5TNAME
3. Tax
Billing
Add.....
Indicate where future Tax Bills are to be sent
if olher than buyeraddl'\19S (at bottom offorml
FlflSTHAME
~
LAST NAME' COMPANY
STlIefT NUMBER AIIIO STIlEET NAME
STATE
ClTVOflTOWN
ZIP CODE
4. Indicate the number of A.....m.nt
Roll parcels transferred on the dMd
/ I # of Parcels OR D Part of a Parcel
(Only if Part of. P81'Ct11) Check as they apply:
4A. PIBnning Board with Subdivision Authority Exists 0
48. Subdivision Approval WlIS Required for Trllnsfer 0
..c. Parcel Approved for Subdivision with MlIp Provided 0
s. _d
Property
Siu.
. Sell...
Name
/ '::'3
~"
t X I
"'~
I OR I
FRONTFfET
Wickham
LAST MMf I COMPA~V
'J'nnm~c> II
FIRST NAME
Ul.$Tl\IA,MEfOOMPA,NY
_-....J
FI~NAME
7. Check rhe box below which most accurately de.Ct'ibe. the use of the proparty at the tlma of .ala:
Check the box.. balow as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacanl Land
1OA. Property Located within an Agricultural District
108. Buver received a disclosure notice indicating
Ihat lhe propllrty is in an Agricultural District
~oneFamilYRe8idenli81
2 or3 Family Residanlial
C Residential V8cant Land
D Non-Residential Vacant Land
I SALE INFORMATION I
11. Sale Contnet DIIte
E ~ Agricultural
F 8 Commercial
G Apartmltnt
H Entertainment! Amusement
~~
Community Service
rndustrial
Public Service
For&St
15. Check one or monI of the.e conditions 81 applkable to t...n_er:
r 2- I
~onlh
g
o.y
IIX3
YM'
A
B
C
D
E
F
G
H
I
J
Sale Between Relatives or Former Relativ$8
Slle Between R&latad Companies or Partners in Business
One of thu Buyers is also 8 Seller
Buyer or Seller is Government Agency or Lending InsliMion
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Less than Fee Interest (Specify Below)
Significant Cl1ange in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sala Price
12. Date of Sal. I Traneler
/21
MCrlIh
D"
'i1
103
Yq,
, b ,0 . &7,(; ,g . 0 , 0 I
, , .
(Full Sale Price is the totll amount paid for the property Including pftlllonal property.
This payment may be in the form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Plf;Ulse round to the near8st whole dollar amount.
13. Full Sal. Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
:p.,,,,[cp,,,,,,d
114. h.
"",Id
14. Indicate the value of personal
property Inllludad In the ..I.
0,0. OJ
.
ASSESSMENT INFORMATION Data should reflect the latest Final Assessment Roll and Tax Bill
16. Veal' 01 AaMMment Roll f,om I 0 Z-+. I
whillh infolTllelion talken . 17. Totel As....d Value (01 all pare'" In transfer)
3fjoOl
,
,
18. Property Class
1/ ;< .0 I-U 19. Sdlool Disbict Name I /;<-
:h7...if: -luck ('uk~;o<~
20. Tax Map Idenrlfi...(.I! Rollldentilierl.l IN more than Io...".rtach w-et with addltlona. identiflflt"(.n
/000. /01--2=.-10..2..
I CERTIFICATION
I certify that all or the items of infonnation enteud on thfs form are true and correct (to the best of my knowledge and bdIe1) end I understand that the making
of any willful false statement of material fact herein w1U subject me to the provisions or the oenal law rellltive to the maldng and ftling or false hutnunents.
BUYER BUYER'S ATTORNEY
!A./ICkf/,Q.,>7
/11.3 (6-// Ie
F1~lITN""ME
LAST NAME
/ 17~2...t
SlllEETNUMUII
H::v.f~ Rei.
STREETNAMEIAI'J1:IISA,l~)
63/
Z'1<< - l?3 5'3
AAEACODE
TELEPHONENUMIlEII
~~57
NEW YORK mru J
COpy
,
03
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