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Borpi. .... s.It IIecd wllb eo.n..u Aplut G.lllo... Ara -lldIridUII or Corpanliaa
ar.oIliI.ll.T l'OUR U. Wl'ER BEFURF.IlIGNING nllS IN~TRU~It:.'T . nlls INSI1III~ItJ\T llJlOULD BE USED B"U Wl'ERS O~L r
THIS INDENTURE, made the ~ day of July. 2003 BETWEEN
JOHN T. GARDNER and ERIN GARDNER, being manied to each other and residing at 425
Marratooka Lane (Avenue), Mattituek, New York, 11952, as to a two-thirds (213) interest; and
ROBERTA}.. HEALEY, residing at 3625 First Avenue, Fernandina Beaeh, florida, 32034, as to a
one-third (113) Interest
party of the first part.
MARY DUNNE, raiding at 10S Third Street, Grec:nport, New York, 11944
party of the: second part,
WITNESSETH, that the party of the first part. in consideration ofTEN (510.00) dollllJ'S,
lawful money of the United States paid by the party of the second part, does hereby grant and release unto
the p:lrty of the: second part, the heirs or successors and assigns orthe party or the second part forever,
ALL that ftrtain plot, piece or parcel onand, with the buildings and improvements therc:Dn ereded,
situate, lying and being in the
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SEE SCHEDULE "A" ANNEXED HERETO
BEING AND INTENDED TO BE the same premises c:onnyed to the party orthe first part by deed
dated October II, 2001 and rcc:orded in the Suffolk County Clerk's Offift on February 2, 2002 in
Liber 12167 at page 14.
TOGETHER with all right, title and interest, if any. of the party of the Iirst pan in and to any streets and
roads abutting the above desc:rihed premises to the center lines thereof.
TOGETHER with the appunenanees and all the estate and rights of the party of the first part in and to said
pn:mises.
TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or
successors and assigns of the party of the second pan fotever.
AND the party of the first part covenants \hut the party of the first part has not done or sulTered anything
whereby the said premises have been incumbered in any way whatever, except as aforesaid.
AND THE ~ of the first part, in eomplianee with Section 13 of the Lien Law, covenants that the party
of the first part will receive the eonsidel'lltion for this eonveyanec and will hold the right to receive such
consideration as a truSI fund to be applied first for the purpose of paying the cost of the improvement, and
will apply the sonle 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 "pllJty" shall be construed as if it read "parties" whenever the
sense of this indenture so requires.
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First American rd/e Insuram:e Company of New Yo,*"
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ntle No. 3008-13704
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AU. TIiAT CERTAIN PlOT, PIECE OR PARca OF LAND, SITUATE;L'fING AND BEING IN THE HAMlET OF
MATTI1\JCK, TOWN OF SOUTliHOLD, COUNTY OF SUFFOU< AND STATE OF NEW YORK, BOUNDED AND
DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT ON THE EASTERLY SIDE OF MARRATOOKA LANE (AVENUE) DISTANT 400 FEET
SOUTliERLY FROM THE CORNER FORMED BY THE INTERSECTlON OF MAIN ROAD (NEW YORK STATE ROUTE
. 25) WfIllTHE EASTERlY SIDE OF MARRATOOKA lANE; .
RUNNING THENCE SOUTli 88 DEGREES 37 MINlITES 40 SECONDS EAST, 150 FEET;
THENCE SOUTli 1 DEGREE 22 MINlITES 20 SECONDS WEST, 100 FEET;
11iENCE NORTH 88 DEGREES 37 MINlITES 40 SECONDS WEST, 150 FEET TO lliE EASTERlY SIDE OF
MARRATOOKA LANE;
THENCE ALONG THE EASTERLY SIDE OF MARRATOOKA LANE, NORTH 1 DEGREE 22 MINUTES 20 SECONDS
EAST, 100 FEET TO THE POINT OR PlACE OF BEGINNING.
'THE' poIIc.y to be Issued under this report wllllll5ure the title to such buildings and Improvements en!ded on the
premises, which by law constitute real property.
FOR CONVEYANaNG ONLY: TOGETHER with aU the right, title and Interest of the party of the first part, of in and to
the land lying In the street In front of and adjoining said premises.
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iN WITNESS WHEREOF, the party of the: rust part has duly executed this deed the day lIIId year rU'St
above written.
IN PRESENCE OF:
~"iI.}L.
HN T. GARDNER
~~~
E GARDNER
....
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ROBERTA . HEALE Ii 0 T. Gardner,
Attorney-in-Fact e.-,...~., ,. ~"o..,..
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ST ATE OF NEW YORK:COUNTY OF SUFFOLK) 55:
On the JI'il' ~ day of July, 2003, before me, the undersigned. personally appeared JOHN T.
GARotNER. personally known to me or proved to me on the basis of satisfactory evidence to be the
individual whose: name is subscribed to the within instrument and acknowledged to me that he executed the
same in his capacity, and that by his signature on the instrument, the individual, or ~ person upon behalf
of which the individual acted, executed the instrument
JANEl' M. uSEWJCK V ,"--
._ Public, 8_111,.., 0 '\:.
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OaIIIftIcIln W,-.ut :::. CoIdyl .~"
c,mmIu1on ElIPlr.. ...., .
STATE OF NEW YORK:COUNTY OF SUFFOLK) ss:
On the " day of July, 2003. before me, the undersigned. personally appeared ERIN GAR~ER,
personally known to me or proved to me on the: basis of satisfactory evidence to be the individual whose
name is subscribed to the within instrument and acknowledged to me that she executed the same in her
capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which the
individual acted, executed the instrument.
JANEl M. UtiEWld(
.loury Public. ....III~~_
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RECORI)E[.
-}003 s.p 10 11: 26: 53 RI1
Edward P.Rcm,;,i""
ClERI< OF --
SUFFOLK COlImY
L Doool2271
P 021
DTO D3-o5255
Number or pages
TORRENS
Serial #
Cenific,,", #
Prior cr. #
~ I Mnngngc Instrument
Deed , Mongagc Tax Stamp
Ams
ReeonJing' Filing Stamp"
3
Comm. uf Ed.
5. lK)
Mungagc Ami.
I. Basic Tax
2. Addilinnal Tax
SuI! TOIal
Spcc:JA...il.
or
Spec. ,Add.
TOT. MTG. TAX
Dual Town _ Dual County _
Held ror Appoinuncnt
Tran.rer Tax I ~.." '_ -==------
Mansion Ta.1.
Page' Filing I'cc
Handling
5. ....Q!.L
TP-584
N()taliun
EA-52 17 (County)
EA-5:!17 (Slate)
R.P.T.S.A.
SuI> TOOlI
..ib
Affidavil
Cenificd Copy
Reg. Copy
Otl>er
Sub Total
Gr.md Total ---1)-7/
{;?
The propeny covered by tl>i. m''''g"-l!e i.
or wiIJ he impm\'cd by a on-= llr twu
ramily dwelling only.
YES or NO
If NO. lICe appropriate lax clau~ on
page # of this in."t b'}
4
Distriel
Section
Real lOOJ
Propeny -
Ta., Scrvi..."C
Agency ! ~
Verification ~
--;;J Salisrnclions/DiScharge~Releuses Luil t'mpc'rty uwncrs MIIJllIIJ;"/\ddNlii5
~ RECORD'" RETURN TO:
115.00
Block
04.00
Lot
5 Co_WIIl:y PnllUVatioD hDd
lXl3.00J
Consideration Amolint $ JD,OOJ
030~6 1000 11500 0400 003000
CPF Tax Due
$
3,EOJ
Improved
x
Vacant Land
MarRsret Byrne, Esq.
c/o TIM ere!'
730 Third Avenue
New York, NY 10017-3206
TD
TD
TD
u. Name
TilhNi
Title Com an Information
;IR~ It..bl,~ <f,r,; '~I"""~,.#
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Suffolk Count
Recordin
& Endorsement Pa e
Thi. pase ll>nn. part of lbe utlaChcd
Bargain and Sale Deed
(SPECIFY TYPE OF INSTRUMENT)
made by:
John T. Gardner, Er~n Gardner and
Roberta J. Healey
The prcmi~ herein iK ~ituated in
SUFFOLK COUNTY. NEW YORK.
TO
In the Township or
Southold
Mary Dunne
In Ihe VILLAGE
or HAMLET or
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RI;CORDlNG OR FILING.
Mattituek
(uver)
1111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERX
RECORDS OPPICE
RECORDING PAGE
Type of Instrument: DBBDS/DDD
NUmber of Pages: 4
TRANSFBR TAX HUMBBR: 03-05255
Recorded:
At:
LIBER:
PAGE:
09/10/2003
11:26:53 AM
D00012271
021
District:
1000
Dsecl AmoUDt:
Section: Block:
115.00 04.00
1ZY~NBD AlII) CHARGED AS I'OLLOWS
$330,000.00
Lot:
003.000
Received the I'ollowing ree. Por Above Instrument
Exempt
NO IlaDd.ling
NO NYS S'DRCHG
NO EA-STATB
NO Cert.Copies
NO SC'l'M
NO Comm.Pres
I'e.s Paid
Page/riling
COB
BA-CTY
TP-584
RPT
Transfer tax
$12.00
$5.00
$5.00
$5.00
$30.00
$1,320.00
$5.00
$15.00
$50.00
$0.00
$0.00
$3,600.00
$5,047.00
llY""'lpt
NO
NO
NO
NO
NO
NO
TRANSI'ER TAX NUMBER: 03-05255
THIS PAGB IS A PART 01' THE INSTR1IMBNT
Bdward P.Romaine
COUDty Clerk, Suffolk COUDty
PLEASE TYPE OR PRESS FIRMLY WHEN'WR.'TING ON'FORM
INSTRUCTIONS: http:,',f www.orps.state.ny.us or PHONE ,519\ 473-7222
FOR COUNTY USE ONLY
C1, SWIS Code
REAL PROPERTY TRANSFER REPORT
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RP.5217 RcvJ~7
STATE OF NEW YDRK
STATE BOARD OF REAL PROPERTY SERVICES
C2 Date Deed Recorded
/ C')! t23 I
Dey Year
RP - 5217
C3. Book
1!'?.:2 I
C4. Page I
PROPERTY INFORMATION
,. r:=~~ I 425
STREET NUMBER
Southold
CITY OR TOWN
2. Buyer Dunne
Name ,Jl,STNAME,COMPA'JV
Marratooka Lane (Avenue)
STAEETNAME
Mattituck
VilLAGE
11952
Z+PCOI)[
Marv
FIRST NAME
L,o,STNAME/COMPA'JY
FIASTNAME
3. Tax
Billing
Address
Indicatu where future TalC Bills are to be sent
if o~her thall buyer adoress fat bottom of form)
FIRST NAME
LAST NAME fCOMPANV
STREET NUMBER AND ~HREET NAMI:'
CITYQR TOWN
STATE
ZIP CODE
4. Indicate the number of Assessment
Roll parcels tnmsferr.d on the deed
1 I # of Parcels OR 0 Part of a Pllrcel
(Only if PlIrt of II Parcel) Check as they apply:
4A. Planning Board with Subdlyisio1 Authority Exists
D
D
D
5. Deed
Propeny
Size
..
D.;;"fI4C
€R,.J
John T.
Subdivision Approval was Required 'Of Transfer
Parcel Approved 'or SubdivisiQn with Map Provided
lOR I
hi
OEPTH
ACR~S
FFlONTFEET
G.A;~l:>~t:X:...
Gardner
aRB. E~ ..:.~~
6. Seller
Name
lAST NAME I COMPANY
FIRST NAME
Healey
LAST NAME I COMPANY
Roberta ~~
FIFtSTNAME
7. Check the box below which maR aoc:urately dellcribes the use of the property at the time olllale:
Check the boxes below as they apply.
8. Own<'lrship Type is Condominium
9, New Construction on Vacam Land
10A. "roPE'rty Located withir'l an Agricultural District
10B. Buye! received a disclosure notice indicating
Ihatthe property is inan Ag-icuttural D:strict
D
D
D
D
A~ One Family Residential
B 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Vacant Land
E~A9ricUltural
F Commercial
G Apartment
H Entertainment I Amusement
~~
Community Service
Industrial
Public Service
Forest
SALE INFORMATION
15. Check ona or more- of these conditions as applicable to transler:
11. SiIIle Contract Oat8
106 23 ! 03
Month Day Yellr
107 ! fi! 03
Monlh 0., Year
A
B
C
D
E
F
G
H
I
J
Other Unusual Factors Affecting Sale Price (Specify Below)
None
Sale Betweer Relatives or Former Relatives
Sale Betwee" Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seller is Governmen: Agency or Lendmg Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sijle of Fractional or Less than Fee Interest (Specify Below)
Significant Change in Property BelWeen Taxable Status and Sale Dates
Sale of Business is Included In Sale Price
12. Date 01 Sale f Transler
13. Full Sale Price L ..1 , 3, 3 0; 0 0 O. 0 0 I
(Full Sale Price is the totalllmount paid for the property Including personal property.
This payment may be in the form of cash, other property or goods, or the assumption 01
mortgages or other obligations.) Ple<I$e round to the naarest whole dollar amount.
14. Indicate the value 01 per.oonal NONE 0 , 0 I
property included in the sale, , e
I ASSESSMENT INFORMATION. Data should reflect the latest Final Assessment Roll and Tax Bill I
16. Year of Assessment Roll from I 0 3
which inlormation taken
.5 c;l 0 01
,
17. Total An"Md Velue (of all percels in transfer) I
,
\4.', ~bCk.
,
18. Property Class
1,2 ,,1,liLJ-LJ
.t'fb
fl/".
19. School District Name I
20. Tax Map Identifier(sl f Rollldentlfler(s} (If more than lour, attach sheet with additional identifier(sl)
1000-115.00-04.00-003.000
I CERTIFICATION
[ certify that all of the items of information entered on lius fonn are true and correct (to the best of my knowled2i" and belief) and I 11lldt>rstand that the makinj.!
lJf any l\illCuJ falo;e statement of material fact herein will subjed me to the oro,isions of the oenaJ law relathe to the making Ilnd filing of blo;.e inslrurlll.nl~.
BUYER
BUYER'S ATTORNEY
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al)Y<Rs'~.;O."
j/~ ~;d,
'!argaret
Byrh_~_. Esq.
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STREET..,n..'S,'l
/1"1"-/"'/9 T'Or;kA
"TAc,-'-.A'.",
LAhe...
N""r"r/T"{},,~j<,
CITY OR TOWN
v'!
STAn
L:w
YORK STATEj'
COPY
/ / '1,$- J.
ZIP coo~
~ ~ SELLER
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SElLERSIGNATUAE
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