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q \3S:' M~iN ~y,,; e...., R~d.
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JIUt7 '" .... liDII put. _ vos V'\..,o... ('n I l' n Q.l" vv ,
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- cO{ or:.... ~ I .~-r ," '~''':L'''loO
party 01 the __ put.
...... -"" .... - the JIUt7 '" the lint put, ia CXIIIOidaation 0I1aI ....... pUd ..., the JIUt7 '" the .-ad
put, doea honiI>T ...... .-.. - qaItdUm __ tile JIUt7 "', the -..ad put, .... bein ... 11ft _
....... '" the puty 01 the ..... put ~. ' . .
ALL.... -.. pial. ......arpmal af-, with.... buI~"'" iu...._.__... __ -,--'Iyi.."'"
beiaa in Ihc aI Bayview..JIC!II' Soutbald in.1he Town ofSoa1boId, eoUzdy of Suffolk IIIId staie of
New Yozk, bo~ IIIId dml:ribeil ~ Jbllowa: .. ." .
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BBGINNING aI a poiDt 011 1he'~ tiDe o(Main Bayview'Ro.d aI.tbe-~ com..
of!aDd IIOw 01' fbrrDariy of&ll....,'. fiom Mid poiDt of........;... ',......;... aIoDgllllid'lIOrtbaty
tine ofM8iD Bayview ROBd, North ~ .....:... 02 miD_ 40 ..,( C .d. We8t 110.00 filet;
TIlBNCB alcms !aDd now or a....-Iy ofNicld8, North 29 d..aa- 57 ...;n..- 20 ~ But.
166.0 r.t~k! lID iron pipe Elba lIOIdb...-ly cornel' of!aDd DOW or fimDarly of Conine
Richlada;
TIlBNCE 1Il0agllllid IIInd DOW or lOmuldy of~ South 60 ~_ 02111iDutel140 ~.
But 110.0 teet 10 lID iron pipe IIIId Mid lIIIId now 01' fbrm.-Iy of 13.1_;
THENCB aIoD8 aid Ilind DO,.- or ~ ofllhon. Sourh 29 aa.- 57 minutes 20 8eCcmds
West, 166.0 fililt 10 1he poiDt ofBBGINNING.
-, TOQ~ witb1he riaht to the.use. in e--....-... wilh ~ ora 8lri~ of land 50 ~ iJi WidtIi.
as an - 'mCDt Ibr inat- IIIId ear- to IIIId ftum Ccny Cnlet; said IIII'ip of IIInd beina ......""-'
on lba North by MaiD Bayview Roed; 011 the east by Janil DOW or fOnncdy OfBdmil,.oD the
SoDtb by Corey Cleek; IIIId 0Il1he West by lad now or flmnerIy ofToed1er IIIId Djdrin..... .
BBING A)\lD INTENDED TO BE lba __ JII"""";- as conveyed 10 the &/l!I1IOI" by d..t
.occmIecl in lJB:ER 12049... 319. ! ,': .., '.' ,. ", -
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TOGBTIIlqlwfth:.u ~ _ _ ....... H _. "'.... povt)' of ~~ _ to _ _ _
.... ~ .... ....... cIoocIrlIJm ... . to tbo - IiDei lboreaf; with tbo VI'A'
mod ....tbo _,mod rIaID "'the I'U9 of the lint put ill _ to ooid Ii.u. '-; TO SA AND TO
HOLD tbo ~ ' ...... IiOiiiIa paaied _ tbo JIUt7 '" iIIe IOCIllIIlI put,.... . ... _' . _ ........ '"
the piaI'lJ' '" the IOCIllIIlI 'put ~.
AND the puty '" tbo lint put. ill ...........- _ Sedioa 13 of the u... I.... ........., _. Rill tIoat tbo pul;y
01 tile &nO put wiD ...... .... .. 'f ... _ _._~ _ ,_ ...... the riFt to ..,.;"" _ ........
-- .. . ~ ...... to be ...... &nit ... the JlO'I"'- cJf PQ/IIIr tbo _ '" the ....... . _ _ apply
the _lint to the pa,- Dl tile _ '" tbo.. . _. -..loOfaii .... _ put '" the -' of .... .......1Dr
UI7 ....... .-..
Tbe _ ~ ...... be _..eel .. H ;& nad "'pad;a" ~ ._..... _ '" _ ........... .. reqainL
IN. ,..._ ................ the puty "'.... lint put _ ....,. 1 _ _ .... ..., mod ,... lint .......
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"STATBOFNBWYORK)
.~ 01)"" .
COUNTY OF ,",AlII..., .
OII~or &..1' in......... ~ ~me,Jho.\1
................-~..t.V/-c..nit r&-CL..-
~Iy kMwn to IN: _ .. 1M'" 1M _ or........-y
evidence ID be.... indiYiilual(I) _liliiii(1) II (_) _..... '"
the wiIhin -.....in .... _...... ..... ID... _ ho'IIlIIlIIey
u_...._iD_~Ia),__by
h_~I)an""__""ladl'U'.'(I),...1he
. _ upon .......ror.wbich.... indiYiduII(l) -. .._....
~.:.'.'. ,.......
'.'
J.M.SCHOFI~MER. ~-.. .
..-ry PublIa, s_ at N_ "alii' .' .
No. 01 BC4118l1057 ClIft"" 0III0e '"
au.llfied In Su1folk CounIY "... ... ........ .... LA I
CarNnluion &pI,.. JUMI 1, 20 ~ --- ...
. STATBOFNEWYORK)
) ..,
COUNTY OF )
Oa...._da7or 10...._0'1 _.........
~..- IJrq1J..d \./i~hwI ~....,. .
.p..;....,.1inDWn ID aII.... proved ID.... an.... _I or_~
..w..._ID be Ihe Indl.idull(1) _liliiii(1) II 1_) _.....ID
.... wbld. inIIIuIM.r.... ......IU_I " ..I lID II1II ... WIIheIIbey
......-"'_lab_~IoI),"""'by
_olpMwIlI) an ... -...... indi> .....l(.),.......
_ upon .......rorwhicb.... indlvidull(l) _._....
.......... .
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* For acIuMI..........1S .~ I. NlIW yo.... State.
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On 1bc_da7 of i1IM__-.........-..........-..,.... ....
....-.,. _II> 1M... proved 10 1M aa tho: _ or_-*)' .... II> be... indlvldull(l) _11lIIOI(1) iI 1_) IIIllIoribod ",!he
wilhin -. ...._1Idpd 10...._ ...,........,.......- __In _-'triils), _ by h-"lipIIurc(l)
an .... i--...,the Individall(l), or the _ upon beholrorwbicb_ Indl-CI) -..._.... 1-.......u,1nd........
individual..... 8UCh I ~ un Wore 1M. -" ";"'...4 iD die . (I....t Ibe cily or allier poIirical
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IDdlvldaalIaIdaa ............-,
.. ForHIUII.-~ ~ -bta..._.......,N....Vo......t&
.......... ...
n-n.. No. L'" Cr.'S'''t 0
.'-li c.\O~ ?c.lt.e.,-
IICTQO 01g.oo
ILOCK Oq. 00
LOT 0'" $'. 000
COUNTY ... TOWN S&)F'FO\..K./ ~
TO
.........
. J J AI ......01
It.-..... - t'1 .... at..... y~
........ .y IIAIL"TOr
".,......--....~__.ftftI ___
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'i'3 "l:lle.\a..roJcl 'X~e....
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Number of I"'llcs
TORRENS
RECORDED
2004 Jul 16 11,11.16 ~
Edward P.Rouine
ClERK OF
SUFfOlK COUHTY
L ??oo12331
P 239
DTlI 03-52113
Seri..IH
Ccnifjc.tc H
Prior CIf. 1#
Deed I Mortgqc instrUment
3
Deed I Mongage TOll Stamp
FEES
Recording I Piling Sl8mps
Page I Filing Pee
Handlinlo'
S. .J!!L
)
Mongogc Amt.
I. Bu;" Tax
2. Additional Tu
Sub Total
Spec/Asllil.
or
TP-S84
Notation
EA-S2 17 (County)
EA-S217 (Stal<:)
R.P.T.~.^.
Sub Tooll
Ccnifird Copy
Reg. Copy
Other
Sub Total
Spec.IAdd.
TOT. MTG. TAX
Dual Thwn _ Dual countY:EJ
Held for Appoinlmen~ . __ _ ~
Transfer Tax J . U
.
Mansion Tax
The propcny covcrrd by Ibi. monpgc is
or will be: improved hy a ODe or Iwo
family dwelling only.
YES or NO
If NO, !lCC appropriate tax clause on
page 1# of Ibis insbUme
VI
Connn. of Ed.
s. 00
>'=
Affid:lv;1
Gnmd Thill!
4
0'8.0 Oq.oo
Seclion Block
~28~ 1000 07800 0~00 0&5000
V""lIRl Land
R"..I
Property
Tax Service
Agency
Verification
5 CommDlllty Flu. w..tioa hIul
Conaide tion Amount III ~:1;..~~~
$
6 S:ltisfacliunslDi""har&esIRelcascs Lis. Propeny Owncno Mailinl Address
R":CORD" RETURN TO:
-::fcJJ" /lr#y(~ I .es<b
'("7:' '#C,(,/r'A.f- r'( K"e:
'1!..1.~/ ;- "Y.YL C:f-:. ~ 17:
. I . 7 Title Com n Information
IIZJI Co. Name LQ.~~ ..... T(~\e.
TtlleH
TO
TO
....
TO
Suffolk Count
e
".
This page fl1rms p-olrt of lhc aUlIehed
made by:
"
.. 'j) 'cfo~
The premi""s h=in is situ:lk:d in
Peee--z.'- SUFFOLK COUNTY. NEW YORK.
TO
~O&h"o... 'S,..,.,.., \ ~'"
VJt"d'f Sm; ~ r.. or HAMLET of ~\}~\nol d
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR PILING.
In the Township of
In the VILLAGE
f;o~\.-o\ A
(over)
.
111111111111111111111111111111111101111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGB
Type of Instrument. DBEDS/DUD
HUmber of Pages. 3
Receipt HUmber . 04-0078877
TRANSFBR TAX HOMBBR: 03-52113
Recorded.
At.
07/16/2004
11.11.16 AM
LIBBR:
PAGE:
D00012331
239
Dis tric t .
1000
Section; Block.
078.00 09.00
....~NBD AlII) CHARGED AS WOLLOWS
$390,000.00
Lot.
065.000
Deed Amow1t.
Received the Following Fees For Above Instrument
B7M1lpt
NO
NO
NO
NO
NO
NO
Page/Piling
COB
BA-CTY
TP-584
RPT
Transfer tax
$9.00
$5.00
$5.00
$5.00
$30.00
$1,560.00
Handling
NYS SRCHG
IA-STA'l'B
Cert.Copie.
SC'1'II
COIIIII\.Pre.
Pee. Paid
$5.00
$15.00
$50.00
$0.00
$0.00
$4,800.00
$6,484.00
Exempt
NO
NO
NO
NO
NO
NO
TRANSFER TAX NUMBBR; 03-52113
THIS PAGB IS A PART 01' 'l'BB INSTRtnIBNT
THIS IS HOT A BILL
Bdward P.Romaine
County Clerk, Suffolk County
.
.
FOR COUNTY USE ONLY
C1. SWIS Code
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222
IY, 7, 's, ~ <;f, 9"1
,
1 e..?I/t;
C3. Book 1/'.;2.. 5,
PROPERTY INFORMATION
'{ I ~S- 1 lJ.a.i N 13o..,/-.lil:u.J
STREET NtJMBER STREET NAME
:::'0 01 1+0 I...D
CITY 011 TOWN
SlY\ i~",",
LAST NAME I COM~ANY
Sl'"Y'\\ \-\-..
C2. Date Deed Recorded
,?, / I C4. Pagel
1. r::~~~ I
2. Buyer
Name
lASTiIIAME/COMPAIIIV
3. Tax Indicate where future Tax Bins are to be &em
BIlling if other than buyer address (;It bottom 01 forml
Address
L
STI1EH NUMBER 101110 STREET NAME
4. Indicate the number of Asseasment
Roll parcels transferred on the d.ed
5. Deed
Property
Slu
FRONTFHT
I X I
OEf'TH
vld.c~
FIFlSTNAME
Pe~e"Z-
6. Seller
Name
LASTNAME/COMPAN....
L-
lAST NAME ICOMPAI\IV
_.
'1
\;~I . '.
1.0,>" 1
Y~ar
,.;2, ~"71
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP_5lt7RuJI97
R.OC'<.A.
SOU\'\'tCl-!'l
VILLAGE
--\Of:. '" V C\
~I"ST NAME
\.AJ~cl .
F"I$TNAME 1
LAST NAME I COMP....NV
OTYOR TQWN
\ J # of Parcels OR D Part of a Parcel
lOR 1
~\\c..C\ .
AelllES \
I
7. Check the bOil; below which most IIccurately desctibn the use of the property at the time of sale:
fiRST NAME
~~
A~ One Family Residential
B 2 or 3 Family Residential
C Residential VlIcant land
o Non-Residential Vac.ant laml
E~AgriCUllural
F Commercial
G Apartment
H Entertainment I Amusement
SALE INFORMATION
1'. Sale Contract Data
12. Datil of Sale I Transfer
Community Service
lnduS1rlal
Public Service
Forest
\lqll
Z1PCOOE
FIRST NAME
STATE
ZIPCOtlE
IOnly If Part of a Pal'Oltll Check 81 they apply:
4A. Planning Board with Subdiviaion Authority Exists
48. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
Check the boxa below al they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
lOA. Property Located within an Agricultural District
lOB. Buyer r9C8ived a disclosure notice indicating
Ihat the property is in Cln Agriculturul District
15. Chec:k one or more of th_ ccmdhions liS a~icable to transfer:
03 1 ~, O<-J
Month "" Year
Ii 1 ~ 1 v~j
MOrllh D.,
A
B
C
D
E
F
G
H
I
J
.3,Q,Q 0.0.0,0,01
, , .
(Full Sale Price is the total amount paid for the property including personul property.
This payment mtly be jn the form of cash, other property or goods, or the assumption of
mortgagas or other obligations.) Please round ro thtt neuresl who/e dollar amount.
13. Full Sale Price
14. Indicate the vatue of personal I () Ie IG D
property included In the ..,Ie
a,C),o, 0 ,0 1
.
Sale Between Relatives or Former Relatives
Sillle Btttween Related Companies or POIrtners in Business
One of the Buyers Is also a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed .Type not Warranty or Billrgain and Sale (Specify Below)
SOIIe;:of Fractional or Less than Fee Interest (Specify Below)
Siqhifieanl Chunge in Property Between Ta:xable Stetus and Sele Dates
S Ie of Business is Included in Sale Price
her Unusual Factors Affecting Sale Price (Specify Below)
None
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of A_ment Roll from I 0 lJj I
which information taken
18. Property Class
G.-L.9J-LJ
17. Total Ass_d Value (of lllll parcels in transferl I
20. Tax Map Identifierls) I Roll klentifler(s) (tf more than fo.,r, athlch sheet with additionalldentffier(sll
19. School District Name I
lODO
IS-=- q- "-6""
;
-'.{\,C".c\
\ it, C. C: ~I
,
\)<,V, ;l.~
~J\ \-X)\~
CERTIFICATION I
I cf'rtif)' Ihat all of the items of inform"hloll entered on this form are true and correct (to the best of ffi)- kllC)wled~e and belief) and J ullde~tand that the mRking
of a false slatement of rial r f henin \\ill subject me to the DrO\islons of lhe oenal law ~lative to the making and filing of false inslnlmenlo;.
BUYER'S AITORNEY \
CJ-;; "",d he N
votet,s ry
C,3i
AFleAOOOE
--9'.1"~< ~N 13<4"''''
STFlEI!TNUMBER STREETNA,ME [AFTEFlSA,U)
~D~\.\ fV'1
CITY 01'1 TOWN
SELLER
~~r;/~
(2~
STAn
I (C[:::t L
ZlPCOOE
4!2o! c--1
M~
~
FIf'STNA,M!:
,
.
Z-I;;.y- 0000
TELEPHONE NUI,IIBER
NEW YORK STATE
COpy
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