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NYOai - Ragein and Sek Deed viN Coaum esei~ul Gnnwrr Acu Individual a CanporYi"n (Sinale Sheaa) (NYDTU Boa?)
CONSULT YOUR LAN'1'ER BEFORE SIGIVIVG THIS INSTRUMENT -THIS INSTRUMENT SHOULD BE USED BY LAWYERS OVLY
THIS INDENTURE, made the ~ / day of November in ~ y~ 2002
BETWEEN RENEE PELLETIER,a/K/a RENEE PELLETTER-COLOMBO,
residing at 550 Fasbender Avenue,
Peconic, Town of Southold, NY 11958,
party of the filet pen, and
DEBRA A. ROTH,
235 East 22nd Street, Apt. 2G,
New York, NY 10010,
party of the second pan,
WITNESSETH, Heat the party ofthe first pan, in consideration oFTrn Dollars and other valuable consideration
paid by the party of the second part, does heroby grant and release unto the party of the sxond pan, the heirs or
successors and assigns of the party of the sewnd pan forever,
ALL that certain plot, piece or parcel of land, with the buildings and improvcmcnts thereon erected, situate, lying
and being in the
See Schedule A ~~ attached hereto and made part hereof.
BEING AND INTENDED TO BE the same premises conveyed to the party of the
First part by deed made by PAUL J. FORESTIERI and KATHLEEN L.
FORESTIERI, hie wife, deed dated 12/29/1988 and recorded 01/30/1989 in
Liber 10788 Page 492.
SUBJECT TO any state of facts an accurate survey may shoe.
SUBJECT TO covenants, agreements, easements and restrictions of record,
if any, affecting the premises conveyed herein.
TOGETHER with all right, title and interest, if any, of the party of the first part of, in snd 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 patty of the first pan in and to said premises; 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 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 incumbered in any way whatever, except as aforesaid.
AND the patty of the first part, in compliance with Section 13 of the Lien Law, wvensnts Hut the party of she
fast pan will receive the consideration for this conveyance and will hold the right to receive such consideration
as a trust fund to be applied first for the 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 pan of the total of the same for any other
The ward "party" shall be construed as if it read "parties" whenever the sense of this indenturo w rt:quires.
IN WITNESS WHEREOF, the party of the first pan has duly executed this deed the day and year first above
written.
vitneae
COLOMBO
i'l~wmMOwl'rrl0wareelawrtrAmvNea'YQalS7wlE Oilrr. I fJ~waoimwlBDravenrrawra9ow~wvJymvNerYar[STwtfOMr
Stab of New Yark, Cmrty of Suf` f o l k ) a: Sbb of New York, Cmrq of } a
~~ ~ November b~~2002
1~ n~1y~~d RENEE
PB~LLETIER a a- RENEE"PELLETIER-COLOMBO
pamlly koowr b tns or pmvad m me m dle brio of ssds8cesry
evidotm m be themdiv181s1(s) wlnee note(s) is (ale) wbea+bed m the
within mmtotmt and admowlellged m me that hdabdWey exeaued fie
rime n FtirAteldles espeaty(~a). and tlles by bislllv)dtetr signeae(s) m
Poe mmtmtea, the'rldwidtalgsiV or Ibe penste elpon behelP of whidl dte
vd'rvitW(a)+ese4Qecytsdthevt~lllep[. /
before me, 4 e ound~led. Pub sPPm~ m ~ ~
evym be 1be bndividlal(a)~whoee nmle(s) s (em) n16smy
wahin ilrotellent and admowledged m tae that hdaldthey execlred me
sslrevI bieAteotdt~ orpaeity(ia), and tltet by hirhe/~ sites) m
dte ittantaom4 the 6tdivid,ml(a), or dte person Ilpm bebaV Of whidl the
irrfividtml(a) a/~ exentmd the etstrlaller.
Ne~twylbrk
2t, 20
A~osr~a®vl'iraaNttOe L~WinmvAbr NareS7w7E OYILt:
(New Ymh SahserlbLrB Mperr Acham.iedglweer Cert/Jleme/
State of New York. Coraty of ) a:
On the day of b the year
before me, the undersigned, persmdly appeuved
the subscribing witness to the foregoing instrument, with whom I am
penmally slxrysinted, who, beingby me duly sworn, did depose and
ssy that hdsbdthey reside(s) in
((~lhe place ajnvldenee B A a ciy. raehlee the,r.eer old nrser mrs16o. U
say, rhere~; tltet hdshehhty kmw(s)
m be the individual described in and who executed the foregoing
irtstrmnenr Wat said subscribing witness was plescm and saw said
execute the same; sod that said wimeae at the same time subscribed
hialhtx/their llama(s) as a witneu thereto.
BARGAIN & SALE DEED
W Rii CO V a~A\Ta wnAdar aaA,\T011' S ACR
TTTIE NO. RH 800?9598
RENEE PELLETIER a/k/a RENEE
PELLETIER-COLOMBO.
TO
AOTat7mritltAVT{'bteM rat I.ReQn~eN8tYlbsrSulsQar.
/Oar of Srate IV £orslgw fiare•el Acknowledgwm! CeK(IIroNJ
.... )sa:
/Cwpfere Yaww airh Sfine. Cerelry, prwtaee a AMklpslhy/
Or the day of in the yesr
before me. the undetigned, petaonslly appeared
personally known m me or proved m me m the basis of satisfactory
evince m be the individual(s) whose name(s) is (are) wbeibed m
the within instrument and aelmowledged m me thu hdahe/tbey
executed the same in his/Itcrhheir Ixpacity(ies), that by hisAtedthetr
signatllra(s) m the instrttlltent, the individual(s). or the persm upon
behalf ofwhich the individual(s) acted, exeeuxd the instrument, and
that such individual made such appeersnce before We undersigned
in the
(/nxn the c!y or ahrr polMrol sabdlwton nerd the .rraM or coaarry or
mho place the achaow/adgrnent wnr taken).
DISTRICT 1000
SECTION 067
BLOfK Ob
I.oi o 04
COUrnvORTOWN SuFFOII[
DEBRA A. ROTH•
FYDHLTTY NATIONAL TITLE INSURANCE
COMPANY OF NEW YORK
7N[ae•OIArro1977
to.e. N,w reeaw r..a nr•waertera.
REODaDED ATREQUErfOF
FldeBty Natkmal 77tle Insurance Company of New York
RETVeNerkulc ro
JENNIFER B. GOULD• ESQ.
210 NAIN STREET, P.O. HOX 177
GREENPORT, NY 11944
~.
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File No.: RH8002259B
SCHEDULE A -DESCRIPTION
ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, County of
Suffolk and Sate of New York known and designated as Lots 1 through 5, inclusive, on a certain map enUUed,
'Map of Bailey Park', and filed in the Office of the Clerk of the County of SuffolK on September 26, 1932 as
Map Number 1097, being more partialarly bounded and described as follows:
BEGINNING at a point on the southwesterly side of Sound view Avenue said point or place of beginning being
distant 54.80 feet southwesterly as measured along the northwesterly side of Fasbender Avenue from the
comer formed by the intersection of the northwesterly side of Fasbender Avenue with the southwesterly side
of Huntington Boulevard;
RUNNING THENCE from said point or place of beginning along the southwesterly side of Sound View Avenue
the following three (3) courses and distances:
i. south 27 degrees 15 minutes 00 seconds east, 50.00 feet;
2. south 49 degrees 24 minutes 00 seconds east, 160.08 feet;
3. south 27 degrees 15 minutes 00 seconds east, 132.57 feet to land as shown on "Map of Peconlc Homes,
Section", Map No. 5001;
RUNNING THENCE along said last mentioned land an said last mentioned map and along land as shown on the
"Map of Peconic Knolls", Map No. 6607, the following two (2) courses and distances:
1. north 41 degrees 46 minutes 00 sewnds west, 105.OD feet; '
2. north 54 degrees 30 minutes 00 seconds west, 257.62 feet; and
RUNNING THENCE north 62 degrees 45 minutes 00 sewnds east, 83.99 feet to the southwesterly side of
Sound View Avenue at the point or place of BEGINNING.
Fce Policy Insert
..
~~- ~ r,
Number of pages ~ 2402 DtscE19~11 D10s I1 (iM
TORRBNS Eduard P. Rooaine
CLERK OF
Scriul # SUFFOLK CAUNTY
L D00012226
Certificate # P 22i
DTI OZ-19982
Prior Ctf. #
Ds~cd / Mortgage Instrument I Dtx-al / Mortgage Taut Stamp ~ Recording /Filing Stamps
3 slats
Page /Filing 1°er I o~ Mortgage Amt.
I . Basic Tax
H•rndling 5• tx1 2. Additional Tax
TP-5!(4 Suh Total
Spcc./Assn.
Notation
or
EA-53 17 (County) Sub 7 otnl Spcc. /Add.
EA-5217 (Statel TOT. MTG. TAX
~ Dual Town ~ Dual County -
-
R.P.T.S.A. Hcld fix App+intmenl
Comm. of Ed. 5• (K> TransfcrTuz I~~ __
A17idavil Mansion Tux
'Ihe property covered by this mortgage is
Ccrtiticd Cu v
P. ~-- - ar will be improved by a one or two
Reb. Copy family Jwclling Holy.
- Sub Total YIS or NO
aner - ~
Grand Tutul ~~ Ir vo. kti a
ppropri;ttc tax clause on
,. p page # of this imtmmrnt.
4 Di:tn00 Sc~t6c7in 00 Block 0 1-c+t S Colmmtiaity P'reaervatioa Fnad
Real Consideration Amount $33S.Ofx7.LC
Property 02~~10 1000 06700 0600 004000
Tax Scn•ice p T ~ ' ` CPF Tax Due
Agency R KTI A
~
Verificrliun 78-DEC Improved `
Vacant L.rnd
6 Satisfactiasns/Uixhargcs/Rclcuscs List 1'nspeny Owners M•riling Address
RF TD I O
.CURD & RETURN TO:
JENNIFER B. GOULD. ESQ. TD
210 MAIN STREET Tp
P.O. BOX 177
GREENPORT, NY 11944
7 Title Coro an Information
Cu. Name
Title # RH80022598
8~ Suffolk County Recording & Endorsement Page
BARGAIN S SALE DEED WITH COVENANT...
This page (amts part of the attached ntadc by:
RENEE PELLETIER a/k/a RENEE (SI+ECIFY TYPE OF INS"fRUMENT)
PELLETIER-COLOMBO, The premises herein is situated in
SUI'FOLK CUUNTY. NI:W YORK.
TO In the Township a+f SOIITHOLD
DEBRA A. ROTH, In the VILLAGE
- ~- PECONIC
nr HAMI.I:T a+f
BOXI?S 6'f11R1: 8 MUST 131? -TYPED OR PRINTED IN I3LACK INK ONLY PRIOR TO RECORDI!~G OR FII-ING.
(ovrrl
r
SIIFFOLK COIINTY CLERK
• RECORDS OFFICE
RECORDING PAGE
Typo of Instrument: DEEDS/DDD Racordsdt 12/19/2002
Number of Pages: 4 At: 11:10:11 AN
TRANSFER TAX NONBER: Oa-19982 LIBER: D000122a6
PAGE: aal
District: Section: Block: Lot:
1000 067.00 06.00 004.000
88ANINSD AND CHARGED AS FOLL01i3
Deed Amount: $335,000.00
Received the Following Fees For Abova Instrument
8xempt Sxempt
Page/Filing $12.00 NO Handling $5.00 NO
COE $5.00 NO NY3 SURCHG $15.00 NO
8A-CTY $5.00 NO 8A-STATE $25.00 NO
TP-584 $5.00 NO Cert.Copiee $0.00 NO
RPT $30.00 NO SCTN $0.00 NO
Transfer tax $1,340.00 NO Comm.Pree $3,700.00 NO
Fees Paid $5,142.00
TRANSFER TAX NON BRR: 02-19982
THIS PAGE IS A PART OF THE INSTRIIIO;NNT
SdMard P.Romaiae
County Clerk, Suffolk County
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.o rps.state.ny.us or PHONE 15'181 473-7222
FOR COUNTY USE ONLY
Ct. SWIS Code ~ }r ~ ~ g ~ ~
C2. Date Deed Recortletl I / ~/ ~ ~ / ~Z
ll Month Day Veer
C3. Book ~i1 ~ i~ I ~ I C4. Page
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
L Property 550 I Fasbender Avenue I
location smEar NUmerR sTPEEr NAMr
Town of Southold _..~econic NY I 11958
z. anyer Roth Debra A.
Name EAST NAMErcoMPAnv Pwsr rvnme
`,PS' NAME: CpMPANV FIRar NAME
3. Tex Intlicate where future Tax Bills are to he sent p./~~ly~ ^
flilling if other than buyer address let bottom of form) L~. b rem. 71
Address tgsr NnME : comPPNV FiRSr NgME
i X35 ~dafi ~audsf. Aptlac-, N IIUYI loniDi
sraEEr NUmssa PNO SmrET UgM:E ,rv oa rowN ~ srA zlP COOS
a. Indicate the number o/ Assessment U 0 1 )Only if Part of a Parcel) Check as they apply:
Roll parcels transferred on the deed N of Parcels OR ^ Pan of a Pemel 4A. Planning Board with Subdivision Authority Exists Q
5. Deed a8. Subdivision Approval was Requiretl for Trenshr
Pro en _ X ~ OR 2' 7 ^
Size y raonr rrtr nePrrv ~PCaes 4C. Parcae) Apkpr/oved for Subdivision with Mep Providetl
Pelletier Renee ( Pelletier-Colombo, Reneg)
6. Seller
Name tASr rvgMErcouPPNV - '-- Pnsr rvAMs
)PST NgMF: t:OMaPr.'v FIPST NAME
]. Check the box below which most accurately describes She use of the property at the time of sale: Check the boxes below as they apply:
B. Ownership Type is Condominium
A~ One Family Residential $ ~ Agricd'dural I ~ Community Service 9. New Construction on Vacant Lantl
B 2 or 3 Family Residential F Commercial I Industrial 10A. Property Located within an Agricultural District
C Residential Vacant Lantl G Apartment K Public Service 10B. Buyer received a disclosure notice indicating ^
D Nora Pesidemial Vacant Land H Entertainment /Amusement L Forest nrat Orp property Is in an Agricultural District
SALE INFORMATION 15. Check one or more of theca conditions as applicable to barWec
it. Sale Conbact Date 09 / 16 / Q 2 ~ A Sale Between Relatives or Former Relatives
h+onm Day rear g Sale Between Related Companies or Partners in Business
11 Q2 C One of the Buyers Is also a Seller
12 Date of Sele !Transfer / / / / D euver or Seller is Government Agency or Lentling Institution
Nonm Day Vear B Oeatl Type not Warranty or Bargai and Sale (Specify Below)
F Sale of Fractions. or Less than Fee Interest (Specify Below)
13. Full Sale Price 3 3 5 Q p 0 B B t+ Significant Change in Property Between Taxable Status antl Sale Dates
~ r~ H Sale of Business is Includetl in Sale Price
(Pon Sage Price !s the total amount paid for the pmperry Indutling personal property. I Other Jn usual Factors Affecting Sale Price ISpcciN Below?
Thls payment may be In tho Corm of cash, other property or goods. or the assu metier of f Nonc
mortgages or other obllgations.l Please round ro the nearest whole do0aramcwrt.
ta. Indicate me value of personal ~ 0 0 1
property included in the sale >
ASSESSMENT INFORMATION -Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from 0 1. 0
which information taken 1). Total Assessed Value lot all parcels in transfed 4 5 p
7 1 7
a 1 o No. s
18. Properly Class I -U 19. School District Neme
20. Tax Map Idantifierls) /Roll Itlemifierlsl (B more than four, anach sheet with atltlitipnal ideniifierlsll
1000-067.00-06.00-004.000
CERTIFICATION
I certify [hat all nY the itnn5 oP infonoatiao entered on This form are true and rprrecl Ito the best n(luy knowledge :cod be11e0 and I nndetstaod that the making
of am willful 1'atve elatemm~t of material fact herein will subject me to the pro.isions M'the lxtml law rclalive tp [he making and filing of Calu instruments.
BUYER BUYER'S ATTORNEY
~ ~ fA.. _ I 11~ ~I~02
SIGNPTURE HATE
Gould I Jennifer
t ST.\'AME .ST NAME
550 Fasbender Avenue
s. nEEr rvunlaEa I sTaeEr NPMe mrTea sAtn
Peconic NY 111958
CITY Oa TOWN STATE ZIn CODE
SELLER ,
nPrP
631 477-8607
rrtsrnoue numesx
NEW YORK STATE
COPY j