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NYOO5 . Ehrpin and s.k Deed wiIb. CoveMnt....... GdaIar"I AcI8 IDdividual_ COIpaNIkIn (SiIwIe SbeeI) (NYBTU 1002)
CONSULT YOUR LAWYJ:R BEFORE SIGNING TIU8 INlTRUMENI' - THIS INSTIWMENT SHOULD BE USED BY LA~"Y&RS ():lILY
THIS INDEl'lo"TURE. made the /i/7;I day of #t1V4!"'~'-
BETWEEN
~A7"'ANo_1 lJ~AJ<;S
l?-eS;,L-,." AT; ;;l;lo A'IA"'OA,, ~AI
/!!:;4~T _",-_. M Y '''3'1
, in the year iJeJo'f
party of the lirst pan. and
A"'br",-"" PI..TiS ..."'~
;;'><<S..~...., AT: I H4A7lI_
Hol... .LU
,
/1:</11.... PIATi.
H,/I wA.,
N.:T O??33
A"-.'Sj....~ AN.! tNlF-c
party of the second.......
WITNESSETH,lhatthe party of the lirsl....... in consideration ofTen Dollan and other valuable coa.sidenltion
paid by the party of the second....... does hereby gtUtand releac unlo the party of the second....... the heirs or
succeuors and assigns of the party of the second paut !brever,
ALL that certain plot, piece or parcel onand. with the buildinp and improvements thereon erectcd,situate.lying
and being in the
~ J..scr;p7";_ -'9-rr..cJ..c.L
3a....,,.. I %Nh.....u.o 7P "3.r 7M .:s-... Pr.....;se. CONw..,ell""" -n-. Bs""'f 0<'
-n.. Fira, p...-r b'f .LA<<.A ~"T"'Jl ~_ 30- _oS i?-&c_....... 101- ,,_ '8".s-
:r.. L; t...,. 't'l 'f' c:,. Dl 77
TOGETHER with all risht, title and intcrelt, ifany, ofdle pauty of the rant paut of, in and 10 any s_and
roads _nB the above-dcscribed pramilea to the center lineo thereof; TOGETHER with the appurtenances
and all the eatate and rights of the party of the r....t paut in and to said pram_; TO IIA VB AND TO HOLD
the pRmisea herein gtUted unto the party of the second....... tbe heirs or IUCC-..... and asai..... of the party of
the second paut forever.
AND the party oftbe lirst paut covenants that the party of the first paut has not done or suffered anything whereby
the said premisea have been iDcumbered in any way wbatever, except .. aforeoaid
AND the party of the iii'll....... in compliance with Section 13 of the Lien Law, covenants that the party of the
r_ paut will receive the coa.sideralion for this CODVC)'8IICC and will bold the righllo receive ouch consideration
.. a trwIt fimd 10 be applied first for the pIIIpOIC ofpayinlthe COIIl of lite improvement and will apply the .......
first to the payment of the cost ofllte improvement betbre using any paut of the total of the same for any other
pwpose.
The wcm:l"party" shall be construed.. ifit read "parties" whenever '" ofthi. indenture so requires.
IN WITNESS WHEREOF, the party of the first paut has cluly ex' this deed the day and year first above
written.
IN PRDENCE OF:
UirIl~_-.awrwnnNN__sr..mOM...
S1Io18orNewYark,CouIItyal S...F'g,,,, ,..:
On"'~"'~a1 /IIo__b~... in...year.....
___ -. ... .............t. .....-BY .........AI
~_............O"'~ , VOCArA It; oS .
.....-BY ~ II> ... ar pnned II> ... ... ... ... or .......... )'
_1d..._1I> be... indIviduoI(I) wl.-1WIIIl(.) II C-) __ 11>_
_ _ond-......II>__b.hI~..............
_In_~..).ond_by_~.)...
_ ....._......... ~ ar"'_ upon _or__
incIiYiduoI(.) -............ tho_
~
1IDlI~ oDEFltECE
Notary Public, 8ra&of New York
No. al.l)E .7
Quallfted In . c:aoo1l!l A L
Commle.ion Expires Oce..... ~ ~
___UirIl___sr.mrQlu:
(NrN r",*~ W_.....'D.I.4......c-/fIcrIIoJ
Sute of New yo.... COODly or , ..:
Oa !be doy of ill !be ymr
before me, the -sned, penDlUl!ly oppcored
the"'-'"binS W_1011u: foreJ!Oins In_~ with whom."';
penDlUl!ly""'luaintri. who, beiDs by m. duly sworn, did depooe and
oay _ belshelthey ....ide(.) in
"""'''''01'.-''''-- "''''.t:Ily. btt:wfttlw____, If
...,.. ,'--/}: thai helshelthey know(.)
to be tho individual _n...... ill aDd who executed the f"'"llOins
100""-0; _ Aid IUbocribina wi..._ wu _ _laW Aid
""ecule!be _; _ dultooid wi_ at the _lime IIIbscri_
hu.n-ftheir name(.) u a wi...... thereto.
BARGAIN .. 8ALE DEED
wmI C'OVENAN'ft MIAbIn" CJltAH'Im"1 ACI'I
T\Tt..e No.
TO
.-
FmELITY NATIONAL TITLII: INSURANCE
-:.::OMPANY OF NEW YORK
lIwclM.ID&.:ru".
. Jllt.FIMIiIy '\l~ -'"
"..",.,..........,..." mr...........
i
!
~
l!i
III
::>
~
..
~
~
<1. t - "
UirIl..~_-.aw___sr..mQlu>
S1Iote a1New Yark, CoaIIly or
On_ ~or
---..... ...~......,..ny~
,..
in !be _
.....-BY ~ II> me ar pnned to me ... _ ... or " - ~
__ to be... indiYiduoI(O) _ --<.) is 1-) . ib.d 11>'"
_ __ad.-wlodpd.. --............"'Y..............
_ in bioII...olI... ~...).ond _by __ -......e.)...
_ --._ indIvllbI(l). artho _ upon _or_...
1ndiWIuaI(.) -............--
___UllrOVlslDl!___o.....
fOldof_",F....... -'"--1.4--''' C~J
. . .. . . .. .. . . . . .. . . . . .. . .. . . .. . .. . .. . .. ... ,...:
(~V___ "-"7.p.-"~J
Oath. dayof' in tho_
before me, !be _Ped. penDlUl!ly oppcored
.....--w1y _ to me or pIO'Ied to me on tho buil ofo.ti.f....,.y
evidenee to be !be indiYidual(l) w_ name(.) is C....)...-....... to
Ibe within illlllUJllel11 and _owledsed to me _ helsbeltbey
.......ted the_ in hi__ity(It:o), _ by_fibs
liplOllln(o) on the illllnlmClD~ the indiYiclual(.). or'" _ upon
bebalf ofwbicb Ibe iadiYidual(.) aetecI. ""ecuted the instnunent,-
_ouch indlvicluol mad. ouch _co befote the undenisned
in the
(I..." ,. city or 01"'" polltkGl RIbtlttVftM tDUI,Iw .ntJM tw ct1tmIry or
..... P'- tIw...........,." __lOtIm).
DISI1lICT
SI!C11ON
BLOCIC
LoT
COlJNTYORTOWN
JI~DATIlEQUESTOF
F1dollty N_" TIIIIlI......... Compaay orNew y_
ItETUIIN.r MAIL 70
~ .,...- ;.
FIDELITY NATIONAL TITLE INSURANCE COMPANY
TITLE NO. 04-3704-51 I 92-SUFF
SCHEDULE A-I (Dac'/pIItIII)
ALL that certain plot. piece or pan:el of land. sitUDte. lying and being near Greenport Village. Town of Southold. County
of Suffolk and Slate of New York. delillJllltcd as Lot No. 104 on . certain mop entitled "Map of Eastern Sho.... at
Greenport, Section Three" filed in the Office of the Clcrk ofthc County or Suffolk on Septcmbec 27,1965 OS Map No.
4475.
THE POLICY TO BE ISSUED IInJt!r this commitment ....iIIl"..IIn: the Illl.." to such buj/mngs UIJd i",~",."t.f on 1M pnmlus which
by law conslllJllC real p'op..~I'I}'.
FOR CONVEYANCING Oi'lL )': T "",'he, wi,h a/I ,he 'igh'. ,i./" and iltllU'erl af'N! parIJ' of''''' r"., pari. of in and '0 ,,,,, land lying
In the .ftI"Cet infront (if and adjoining .'dld pn.'mifc",_
SCHEDULE A~J (o,!Criptitm)
[12
Serial #
RECORDED
2'J04 IIou 20 10.49.04 RI1
E~rd P.Rceaino
Cl.ERk OF
SUFFllLK COl)/TY
L ??oo 12JS6
P 165
on 04-16795
Number of pages
TORRENS
Cenificate #
Pri... elf. "
Deed 1 Mort...o Instrument
Dco:d 1 Mort_ Tox Stamp
FEES
Rccunlin.1 Fili"ll Stamps
4.
Page 1 Filing Fee
llandlinll
.11'-514
I Mangage Ami.
I. Basic Tax.
2. Additional Tax
Notalion
Sub Total
Reg. Copy
SUbTOIaI
SpccJAsoil.
Or
Spcc./Add.
TOT. MTG. TAX
Dual TOWR_ Dual County_
Ilrld for Apportionment ~
Transfe-rTax Jt4 f8~.
Mansion Tax
Tho property o:ovcn:d by this mon_ i. Dr
will be improved by . ont' or two ram ily
dwelling only.
YI!S ",NO
If NOe see appropriDIt" lax clause on paae #I
_oflbi. instrument. _:;),{)
~
EA-52 17 (CounlY)
_ Sub TOlDl
EA-S217 (Sla..1
Convn. of Ed.
5 CW-..-
R.P.T.S.A
~o
Anidavil
Certified <-"up)'
SIamI'
Real Property Tax Service I\pncy Verilication
IlilU. ~...rti_ D 1-....
~282 1000 03300 0200 038000
prs-,
R Kn"Al
1..fK)V~
6
j
OCher
GRAND TOTAL
ConsiderBliun Amount S
..
:>c>
CI~F "','ax I>ue
S~3 yo.
Date
Improved
7
SalisfaclioosiDischiorgesiRcleues List Property Ownen Mailing Add",
RF.CORD'" RETUKN TO:
Vacantl.and
Initials
A~ tfZ~,. ,...n..o'
/ ;20 CJ:n.-..J.sJ.
f?O. 0_ ISS-
"k.1.:<."*' . ~. (1 IV. r.
- - ,
TD
TD
TI)
/0
RS't
9
Suffolk Count
. Title Company Information
Co. Name
Tille II
fO - ";1.
& Endorsement Pa e
11'101
"I hi. pugc forms purl of !he 8llaChed
nlade by:
(SPECIFY TII'" 01' INS1RUMENT )
/1____ _..~
VfW~ -- ~..AJ
The pn:misc:s herein is silllllled in
SUFFOLK COUNTY. NEW YORK.
TO In!heTuwnahipof ~~J.J.f1-,
A,.-I.._. ..o/~....~._)..... InlhcVILLAGE
y _, / . .. LJ L.~ .0' or HAMLET of t;.-. r....d-
11OXE..'i 5 TI-IRU 9 MUST BE TYPED OR 1'R1NTEIJ IN BLACK INK ~I.Y I>RIOR.IO RECORDING OR FILING.
(OVER)
IIIIIIII~IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
11111 III IMI 1111 1111
S01'POLK COUllr,n CLBRJt
RBCORDS OPPICB
RBCORDDfG PAGI
Type of Inst:n=eDt I DBBDS/DDD
NUmber of page.1 4
Receipt Number I 04-0127906
TRANSPBR TAX HUMBBR: 04-16795
Recorded I
Atl
11/20/2004
10 IUI 04 AM
LIBBR:
PMI:
D00012356
165
Deed AIIIouI1t:
Sectionl Block I
033.00 02.00
II!YIIIIINBD AJm C11Il.RGBD AS ~LLOWS
$417,000.00
Loti
038.000
Districtl
1000
Received the Pollowing Pee. por Above In.trument
Exempt
NO
NO
NO
NO
NO
NO
'page/Piling
COB
BA-CTY
TP-584
RPT
Tran.fer tax
$12.00
$5.00
$5.00
$5.00
$30.00
$1,668.00
Handling
BYS SRCKG
BA-STATB
Cert.Copie.
SC'l'Il
COIIIII.Pre.
I'ee. Paiel
$5.00
$15.00
$75.00
$0.00
$0.00
$5,340.00
$7,160.00
Bxempt
NO
NO
NO
NO
NO
NO
rRANSPBR TAX NUMBBRI 04-16795
THIS PAGB IS A PART 01' TBB INS'l'RlDID'l'
THIS IS NOT A BILL
Baarel P.Romaine
County Clerk, Suffolk County
FOR COUNTY USE ONLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: hltp:11 www.orps.s...e.ny.us or PHONE 1518) 473-7222
I
1Lf.73 .8'6 .~I
C2. Date Deed Recorded i I) / 20 / 0 41
Month DRY Ynr
OJ Book II J. AS \..(! I C4. P...
REAL PROPERTY TRANSFER REPORT
C1. SWIS Code
*
'. ".1,.
. .11
.
""
STATE OF NEW YORK
STATE BOARD OF REAl PROPERTY SERVICES
PROPERTY INFORMATION
RP - 5217
RJ'.5217 Rey Jllj7
,.
AJJ~uJ
FIRST"'AME
L# P.
-<; --s ~\J7NtY ,()
"'~
I
"~
/J1otJr-t.3
STMETNAME
-
r- ,
2. Buyer
Name
Ti
lAST ~ EICOMPANY
PL,..,.; s
LA!'.TNj\M~ICOM!>ANY
~I''''-
FIRST E
Tall
Billing
Add...u
Indlcatewhcre future Tal(Bills are to rntsent
ifotherlhanbuyeraddrll$s(atbonomoflorml
lAS7NAMEICClNPANY
FIRST NAMe
L-
STREH NlIMDERAflO STREH NAME
crrvORTOWN
LJ 1# of Parcels OR 0
STAn
ZII'CODE
(Only if Pen of. Percetl Ch.ck a, tn.v apply:
4A.Planning BoardwithSutxlivision Authority Ellist$
48. Subdivision Approval was Required for Tranafer
4C. PIlfCllI ApprovBd for Subdivi5ion with MlIp Provided
4.lndiclltlttle number of Asse5Smlnt
Roll plrcels transfer rid on the deed
Partofa Parcel
o
o
o
5. Dead
Property
Size
ACRES
.'/'11
L__.Jxl.
F~O;l/f FfFT
lOR I
~~~
6. Seller
Name
L- VDu.A" ",c,
lAS1IIIAME/COIIIPANY
~ .m_A~dL..-' '-
flRSTN.foNE
L-
lAST IIIAME ICOMPANV
FIRSTliANe
~neFamilYRe5idential
B 20r3Fam'lyRe$idential
C Residential Vacant Land
o Non.Residential Vacant Land
Check the boxes below as they appty:
8. Ownllfllhlp Type Is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
1OB.Bu'fill" received a discl06ure notice indicating
that the property is in an Agriculturel Dislrict
15. Ct.ok one or more of th_ oondItiom; as. appIGable to tr,""'r:
A Sale Between Rllhrtives or Former Aelatives
B Sale 8etwIlen Aelated Companies or Partnfll'll in Business
C Onll of the Buyers Is also Ii Seller
D Buyer or Seller is Government Agency or Lending Institution
E Deed Type not Warranly or Bargain and Sale {Specify Below}
F 5al& of Fractional or leu than Fee Interest (Specify Below)
G Significant Change in Property Betwtlen Taxable Status and Sale Dates
H Sale of BUfliness i. Included in Sale Price
I Other Unl.llluel Factors Affecting Sale Price (Specify Belowl
J ,~
7. Check; the box below which mo.t accuflItely describes the UN of the property Bt Ute time of ..Ie;
o
o
o
o
E~A9';,"""," l~
F Commercial J
G Apartment K
H Entertainment / Amu.ement L
Community5ervice
Industrial
P\.JbllcService
Forest
I SALE INFORMATION I
11. Sele Contract Date
10
Moo.
Is I 0 Y I
Day Yur
12. Date of Sale' Trensfer
/1
0'1'1
,~,
/~
0",
Monlh
13. Full Sale Price i.f. I 17 I 0 I 0 . 0 I 0 0 I
, , .
(FuIlSlllePriceifilhelotalamountpaldforthepro~rtyinclud;ngpersona.lproperty.
Ths payment may be in the form of cash, other property or goods. or the lIuumption of
mongages or other obligations.) Please round to thfJ nearest whole doll.' .mount.
.~.O.OI
, .
ASSESSMENT INFORMATION. Oat., should reflect the latest Final Assessment Rolf and rax Bill
14./ndicate the vllue of pe...oMI I
property IncludlMi In theelle
16. Velr of AueMmertt Roll from !OJ 0'" I 17. Totll Assessed Value (of aU ....cela in trandlli'")I
which information ~kllf\ .--
5,;;(SQI
,
18. Property CllIss
~~-LJ 19. School District N.me I
~~t?..T 10
20. Tall Map Identiftllr!t.11 Rollldentlfier1s) (It more thin four, lItt.Ic:h WlMt with additional identiflerlsll
:O;ST
LSI ""
/000
Oiiil,oo
--.----J
~c..
03'3.00
loT
tJ3T. 000
CERT1FICATIO
I certif:!, thai of the item.~ of infonnll.tion t"ntered on tills fonn are true and currec:t (to the besl or m~. knowledge and belieO and I understand thai the making
of lln~' ~illful tl'1se statement of materilll fact herein '10m subject me tn the Drovisions of the oenalla,," nJative tu the making and filing of falw inslnunenUi.
II Ii BUVER BUYER'S ATTORNEY
I
QrnSSMA4IV"
LASTMAME
AdA",
FI~'T 'lAME
~~
S......HTIIIUMBER
moor.e~ L..-
ST1l~E..-tfAME IAFlEA SALE)
No
(,3t
AIlIi:ACOOE
7";;>7- 7".200
TElf!'KlN(NUMBER
Q....u I
J(j \ff
'1
YORK STATE J'
COpy
[~W
N'j,
STTE
It
~~
1'l.!C'1