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~- /~~~ ~~ ~ os~ i~~ -~-~~ CONSULT YOUR L.I111yYER BEFORE 8xiNINO THat aaSTRUYBIT-TN181NSTia1MENT SHOULD aE USED B1/ LAWYERS ONLY ~• PLEASE DO NOT PUBLISH'_-- -- ' _ " - • _- -• _• - THIS INDENTURE, made the ~~ ~' day of '-September, 2003 BETWEEN ANNETTA G. NORDL-INGFR-aurvtving tenant by the entlrety of~ALAN•NORDLINGER; msiding at 340 Azalea Road: Maltibrck, New York-11952 .. :. ........ :-.:.. :... - - ..- ~, ' party of the first part, and JAMES B. FOGARTY residing et 3312 Soundview Avenue, MattituCk, New York 11952 party of the second part, . WITNESSETH, that Ole party of the first part, in consideration of Ten (510.00) doYars paid by the party of tha - - -- second part, does hereby grant arld'rebaee unto the party ot'the•secorld part; the heks orsuocessore and -~- ~=•• assigns of Ole Party of Ole second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at MaltlWCk, in the Towri of SoulhoW, County of Suffolk and Slate of Now York, known and designated as ertd by LOt No. 14 es shown on a certain map entitled, 'Map of Subdivision for MatOtuck Estates, Inc., Mattituck, Town of Southold, Suffolk.County, New.YOrk, : and.filed in the Office of the Gark of the '.. County of Suffolk on September 8, 1985 under Flle'No. 4453.' ' BEING the same premises conveyed to the party of the first part and Alan Nordlinger (now deceased. Suffolk County Surrogates File No. 924P99) by dead dated October 18, 1988'snd recorded on October 20, 1988 in the Suffolk County Clerk's Office In L'iber 10148 page 207- -r . -.:: -- .. - -- THE GRANTOR HEREBY RETAINS•A LIFE ESTATETO THE SUBJECT PREMISES. ' TOGETHER with all right, Otle and interes4 if any, of the party of the-first part in and-to.eny streets and roads ebuthng the above descdbed premises to the center lines thereof, TOGETHER with the appurtenances and all the estate and rights of the party'of the first pert in arxd 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 partforever. - "' - - AND the party of the first part coirenants~that the party of the fast part has not done or suffered anything whereby the said premises have been enwmbered Imarry way whatever: except as aforesaid. ... - .- AND the party of the first paR;•irecompllance with Section 13 of the Lien Law; covenants'that~the party of the . first part will receve the consideration for this conveyance and will hold the right to receive such oonsideration as a bust fund to be applied first for the purpose of paying the cost of the improvement and wahapply the same ~ - • - first tD the payment Of the cost of the improvement before using any pert of the total of the same Tor any other purpose. The word 'party' shall tie construed as if-it read.'parties' when. ever ttie sense.of.this indenture so requires. M WITNESS WHEREOF, the party of Oie firsCpart"has duly exewted this deed the day and year brat strove written. . IN PRESENCE OF: ANNETTA G. NORDLINCb~'. ~.. . . Stantlard N.Y.B.7.U. Fonn 8002 - Bargain irid Sale Deed, with Cownerd asalnst Grenmrs Ads - Unllonn Adcnowledpment Form 3290 - ' TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK State oT New Yark, County of SlrRogc _' u: " _ . ~ .' _'. ~ .Slate of Naw York. County of .. - _ . u:. On the ~~ tlay of in the year 7003 On the ' ~ day of in the year before me, the unt)era d, personally appeared before mo. the undersigned, personally appeared ANNETTA G. NORDLINGER .. - _ _ .. .." peraorlally known to me ar proved to me on the basis of - - satistactory evidence to ba the Irldlvktual(s) wMae rame(e) Is personally known to rile a proved to me on' the basis ~ of'_ (ere) subsedbed to the within instrument and edcnowledged to satisfactory evidence m he the irxlividusl whose name is me that hehthsAhsy executed the same in Melher/their wbariibed to the within kWrumaN and aoknowkdged re ma ~ rapedly(fes). and that by hieArerltheir-signabae(s) on. tl1e that she executed Ore same in her capapty, and tlfal by her tnstrumeN. the individual(s), or the pereen upon behalf of vvhldr signaaRture the InswmenL the i Ividual, or the person upon tl1e individual(s) acted, ezeeuted the inswmant. bah/~f~dt the ir~vidual a executed V1e inalrumeN.... ... ... .. i~ i~ i i (sigrtetue and olfxx of IrrdNidual taking adowarledgmerl0 TO BE USED ONLY WNEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE "' Stets (or District of Cdumtlia, Tertitory, or Foreign Country) oT - ss: On the day of ~ In the year before me. the urKtarsgned. personasy appured personasy known to me a proved to me on tl1e baste of satisfactory eNdenoe to be Ote irxfividual(s) whose name(s) re (are) subecdMd to the vdthin Instrument end ecWiowlsdged to me that halehslthey exegrted the aarrle in NaThemheir oepeGtyOea), and that by hlsRlarRlleir all$arture(s) on the Instrument. the individual(s), or the person upon behaf of which the individual(s) acted, " exeoutad the instrlarrerd, and that auoh udividual made such appearance before the undersigned in the ' . in (knart the City w dher poNtleal subdivision) .. ~ . _--(and:insert the Slate or Country or dher place tne.adcnowladgmaN wu taken) _ -- - (signature and dtkx, of indivktwl taking adcrrovAedpmem) .._...- - -- BARGAIN AND SALE DEED - - - - ---- WRH COVENANT AGAINST GRANTOR'S~ACTS - - - --- ~- - TNIa No. ANNETTAG. NORDLINGER -'"-~ - TO JAME3 B. FOGARTY ~ - - - ~ - - eTAre)ARO FORY OF IQYV YORK BOND OF 7171.! UralleRNYR~te - stewartTM - • rcctlty scrvlccs SECTION 115.00 __ _. BLOCK 06.00 " ' _ ,' _ _ _ LOT 018.000 ' COUNTY OR TOWN OF SOUTHOLD ' STREET ADDRESS: 340 AZALEA ROAD, " - : . MATTITUCK, NY ' ' Recorded at Request of STEWART TRLE INSURANCE COMPANY. . . ANNETTA G. NORDLINGER 340 AZALEA ROAD ~ ~ - .. . . P.O. BOX 428 MATTITUCK, NY 11952 W u t< - o - 0 v W a ~ _. a - ~ _ s d e @O _ F W - C Number of pages ~ REf,Ut7DED TORRENS 2003 Sep IS 11:14:59 RM Eduard P. Romaine CLtiRlc of Serial a SUFFOLK COl1NTV L 600012272 Certificate a P t$4 DTN 03-06066 Prior Ctf. p ' 4 Page /Filing Fec r _ Ilandling ~ _ TP-584 S/ Notation _ G-52 17 (County) 7 Sub Total ~~ FA-5217 (State) 5~ RP.T.S.A. Comm. of Ed Atli A Certified Copy Rcg. COPY Sub Total Other i ~Q~ ~, i• GRAND TOTAL r V s Real Proocnv Tax Scr vice A~ncv Verification Ihst. _ I Section I [31ock ' I.ot Stamp 03036065 a,ooo llsoo oeoo oa,sooo ~ ~~ I~te T R WVI A Initials I 1SSEP T Satisfactionsrutscnargesrtw:eases ust rrupt:rty owners manmg Addrrs RECORD & RETURN TO: ~ne,~~ I•bc-dl~r~,er 3t-l~ ~Za,.ttPA '~-oo~'~t p. o. fox ya$ 7'D Land ~~~ ~~ ~ ~ (q'S~ g Title Company Information t ro. Name Title # 9 Decd / Mortgage Instrument peed /Mortgage Tex Stamp Recording /Filing Stamps Mortgage Amt. 1. t3asic'fax 2. Additional Tax Sub Total Spec./Assn. Or Spec./Add. TOT. MTCt. TAX _ Dual Town Uual County Held for Apportionment 'fransfer'1'ax Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YfiS or NO If NO, sec appropriate tax clause un page N of this instrument. Amount 'ax Uue S 'Ibis page forms pan of the attached (SI~.CII~ 5f TYPE OF INSTRUMENT ) made Fry: ~ rte -\-~~ G , ~~o rrE• \ ~ neer the premises hrrein is siltwlcYl in SUFFOLK COUNiY,CNEW YORK TO In the Township of JOt.~~o~~ ~Q M.o S g9 F04ci~u In the VILLAGE or HAMLET of ~(~Q.`irEt ~~ 13UXL:S 5'1}IitU 9 MUSI' BE TYPED OR PRINTED IN BLACK INK ONLY 1'R10R'CO RECORDING OR 11LING. (OVER) SIIFFOLK COUNTY CLERK RECORDS OFFICE ' RECORDING PAGE Type of Instrument: DEEDS/DDD Recorded: 09/15/2003 Number of Pagest 3 At: 11:14:59 AM TRANSFER TAX NUI~IDSR: 03-06066 LIBER: D00012272 PAGE: 054 District: Section: Block: Lot: 1000 115.00 06.00 016.000 ' EXAMINED AND CHARGED AS FOLLOOPS I, Deed Amount: $0.00 Received the Following Fees For Above Instrument Exempt 8xempt Page/Filing $9.00 NO Handling $5.00 NO C08 $5.00 NO NYS SURCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $50.00 NO TP-584 $5.00 NO Cert.Copies $5.00 NO RPT $30.00 NO SCTN $0.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $129.00 TRANSFER TAX NUMBER: 03-06066 THIS PAGE I8 A PART OF TH8 INSTRUMENT 8dward P.Romaine County Clerk, Suffolk County PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222 FOR COUNTY USE ONLY Ct. SWIS code C2. Data Deed Recorded C3. Book G. REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES RP - 5217 1. Properly I ~ 4 0 ~ / \ C~~ ~~ ~GCK~ Location sTgEET xumaE/q~, ~~L~y(~ 1 smser rvAME I CITY OP T~VL.L \ IBC\~ ~ f \ CST ~L~ F "~~~ VILLAGE _ ZIP LnOE Y. BUYM Name ~ I IAST NAME/COMPANY FIgaT NAME 3. Taz Indicate where fuwre Taz Bills are to be sent Billing if other then buyer atltlrecs (a[ bottom of farm) Atldrecc L STPEET NUMaER AND $TflEET NAME I CITY OP TOWN STATE LP COUE 9. Indicate the number of Aaseaarrlard Roll parcels trans/emed on the deed ~ ~ , ~ a of Parcels OR O Pan of a Parcel s. D.ea \ Property ~ ~ X: ~ OR ~ .~~ I Size mom EEET oEmn Acqas 8. Seller Noma ). Check the baz below which moat accurately tlescdbes the use of the property ai the time of sale: A One Family flesidential B 2 ar 3 Femity Residential C Residential Vecent Land U Non-Residential Vacant Land it. Sale Contract Date I ~~ ~ I~CL E Agricu l[urai F Commemiai G Apartment H Entertainment! Amusement j Community Service J Industrial K Public Service L Forest 12. Date of Sale / Traveler / / Month Oay Year ~ 9 / ly,a31 Monty Day Year 13. Full Sele Price ~ _Q~ D B 7 7 (Full Sale Price is the total amount paid for the pmperty including Personal properly. This payment may be in the form of cash, other property or gootls, or the assumption of mortgages or other obligations.) Please round to the nearest whole dollar amount. 1{, Indicate the value of personal property inclutletl In the Bale (Only H Part M a Parcel) Check as they apply: 6A Planning Board with Subdivision Authonry Ezists ^ 6B. Subtlivision Approval was Required for Transfer ^ aC. Parcol Approved far Subdivision~wirth Mep Provitletl ^ _~ V Check Me baxea bebw as they apply: e. Ownership Typa is Condominium ^ 9. New Construction on Vacant Land ^ 1gA. P.openy Locatetl within an AgricWtural District ^ 1gB. Buyer receivetl a disclosure notice intlicating ^ that the property is in an Agricultural Dlnrie, q. UTep rte or mMe at Mesa carmitionc as apphta[Na to tmna(ec A Sale Between Relatives or Farmer Relatives B Sale Between Related Companies or Partners in Business C One of the Buyers is also a Seller D Buyer or Seller is Government Agency or Lending Institution E Deed Type not Warranty or Bargain and Sale (Specify Below) F Sale of Fractional or Less than Fee Interest SSpecify Below) G Significant Change in Property Between taxable Status and Sale Dates H Sale of Business is included in Sale Price ) Other Unusual Factors Affecting Sele Price (Specify Below) J None 16. Year o/ Assessment Roll from O.3 1] Total Aasaaoerl Value lof all parcels in transieri Lr/ ~ u which in(ormatlon taken 7 7 7 l8. Properly Class •L.I~LL.~ -J~~ 18. School District Name I ` ' `^ ~ \ ' ^L 20. Tax Mep Itlemifierlsl /Roll Identifierlat (e more than four, setech ahoet with atltldional itlentifiensU I tooo- 11~.ac~-bG~.oo-©~lo Boa I CERTIFICATION I certify that ell of Me items of irdurmatlon entered on this form are true arM correct (lo [he best of my knowiedgc and belie0 and i untletstand that the making of am~ aillful false statement of material fact herein will subjtt[ me to th¢ pro•isions of the cenai lea' rela[ire to the making and Rling of false insirvmenta. BUYER SELLER aCLLEfl SIGNATUflE ~ TE BUYER'S ATTORNEY NEW YORK STATE COPY