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CO~UL1" \'01/. I.\W\'EK BEFOIU: SIGNI~G TIllS IN5TIlU~IEN'" - TIllS '!"'SI1lU)IE!'fI' SIIOl:LD HE .iSED B\'IAW"ERS Cl:'llL\'
THIS INDENTURE, made the f1V;y of December,2003BETWEEN "l "'J: ":2
, ' (M Bf) ~ I;}.- ;- oj-a ;>;(
NANCY S. HOBBS, residing at 873 Broadway, #1604, New Y~;~N';' York, 10003
as ExecULOr of and Trustee under the Last Will and Testament of Richard G. Green
late of Suffolk County, deceased, pursuantLO Letter Testamcntary dated 111161200 I. New Y ort Surrogate '5
Court File #2001-4039
party of the first part, and
DOUGLAS CARLEN and LISA CARLEN, husband and wife, both residing at 71 Laurel Hollow,
Wading River, New York, 11792
party of thc second pan,
WITNESSETH. that the party of the: first part, by virtue of the power and authority given in and by.said last
will and testament and in consideration ofTHIRTY FIVE THOUSAND and Do/l00ths (535,000.00)
dollars,
paid by the party or the: second pari, does hereby grant and release unLO the party ofthc second pan, the heirs
or successors and assigns of the party of the second part forever,
ALL that certain plot, pieee or parcel of land, with the buildings and improvements thereon erected,
situate. lying and being in the
SEE SCHEDULE 'A' ANNEXED HERETO
BEING AND INTENDED TO BE the salDe premises conveyed to Richard G. Green, dc:ceued, by deed
dated June I, 1953 recorded in the Omce of the Clerk oUke County of Suffolk on June 4. 1953 in
Llber 3526 page BO.
TOGETHER with all right, title and interest, ifany. of the: party of the: first part in and LO any streets and
roads abulling the above described premises to the center lines thereof; TOGETHER with the
appurtenances, and also all the estate which the said decedent had at the time: orthe decedent's death in said
premises, and also the estate therein, which the party of the first part has or has power to conveyor dispose
of, whether individual. or otherwise:
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 forever.
AND the party of the first part covenants that the party of the flr5l part has not done or suITered anything
whereby the said premises have been ineumbered in any way whatever. except as aforesaid.
"
-,
.
ALL STATE ABSTRACT CORP.
Title No. ALSTS63798-16
SCHEDULE A
ALL thai ccnain plot, piece or parcel of land. with the buildings and improvemenls
thereon erected. situale, lying and being al MaltilUck, Town of Southold, Suffolk
County New York, bounded and described as follows:
BEGINNING al a poinl on the Soulherly side or New Suffolk Avenue at the
Northwesterly corner of land now of Richard G. Green and wife;
RUNNING 'mENCE along said land Soulh 10 degrees, 58 minules, 30 seconds West
68.39 fectlo Deep Hole Creek;
RUNNING THENCE along Ihe general high waler line of Deep Hole Creck the
following Ihree courses and distances:
I) North 70 degrees, 24 minutes West, 120 feet;
2) North 82 degrc..'es, 54 minutes Wesl, 55 feel;
3) South 80 degrees. 22 minules Wesl, 110.02 feci 10 land now of fonnerly of John
Kosloski;
RUNNING 'mENCE along said land North 21 degrees, 14 minutes, Wesl. 84 fect to a
pipe in the Soulherly side of New Suffolk A venue distanl 150 feel easterly from road
monumenl on the Southerly side of New Suffolk A venue;
RUNNING THENCE along the Soulherly side of New Suffolk Avenue, South 82
degrees. 54 minules. Easl 322 reet to the point or place of BEGINNING.
FOR
CONVEYANCING
ONLY
Thl policy to bl 1.lUlIlI undlr thi. report wDl InlUre thl tItII to .uch buDdlngl Ind
Improvlll\llltllrlCtllll on thl prllllll... which by law can.tltutl reel proparty.
TOGETHER with IU thl right, tit.. and Intare.t of thl party of thl nrlt part. of. In and to
thl land lying In thl Itrelt In front of and adJoining Mid premi_.
..
'.
"", . ,
.
AND THE party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of
the first part 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 part of the total of
the same for any other purpose.
The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires.
IN WITNF.8S WHEREOF, the party of the first part has duly executed this deed the day and year first
above written.
IN PRF.5ENCE OF:
/JtI. ~,
NANCY
~~l8t}
STATE OF NEW YORK:COUNTY OF ) ss:
On the --11i:: day of December, 2003, before me, the undersigned, personally appeared NANCY S.
HOBBS, 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.
~J~
Notllry Pub
EUWETH J. Gem
NaIlay Public. ..... aI New v....
No. 31.A977Ool2
. QuaIled In New V.... ~ AD"?
<: . "'11' bpi". Joa. 22, ~ I
~ ~ i
Number of puge.
TORRENS
L/
, p'EC1)I;OEI)
. 2004 Jon 22 08,22:17 RII
Edward P.Romeine
CLEw. OF
5IFFQL!( CIllJ!olTI'
i.. L 000012296
p~
on 03-=44
Serial #
Ccnifieale #
Prior C1f. ,
Deed / Mongogo loslrument
3
Deed / Monll"l.'C 'flu. Stnn.p
l'1iliS
Recording / Filing Stamps
EA-S2 17 ,c.>unlyl
EJ\-S217 (Slale)
R.I'.T.S.A.
.5 ~ Sub Total
)5
.~.-
027-
MongolO Amt.
J. a""ic Tax
2. Addilional Tax
Sub Tolal
Spec./A...i..
or
Page / Filing Fee
lIumlling
'1'1'-584
-
S. 00
5"-
Notation
Comn.. of Ed.
Affidavi.
5.~
Spcc./Add.
1"()"1: MTG. TAX
Dual Tbwn _ Dual Cuunty _
Held for Appoinlmen'
TransrerTnx It/a -
Mauion Tux.
G......dTo'al
/ c:t6 ~
1~7/1.A
The propeny co,'ere<! by .hiK mungagc is
or will be impnwcd hy a one or f\\,"(l
family dwelling only.
YES or NO
If NO. ""e appm!'riale lax clau"" on
page # of Ihis inK.rumenl.
Ccnilkd Copy
NYS Surcharge
IS. J!!L Suh Total
Other
~
5 Co__lty PNHrvatlon J'und
Real Propony
Thx Service
Agency
V~rilicDtion
, 04002267 1000 11500 1000 005000
~.
I/'P T ~"
~R DlY A
1l1-1AN
--
Consideration Amount $
CPF Tax Due $
Improved
Vacan. Land
6 Sati.fac.iom,/D;schal'g""'Rele3."'" Li., Pmpeny Own"", Moiling Address
RECORD'" RK1'URS TO:
~"'t)'> (leI sS I Bb'
(P, rLanda..l/ ~Or-l-t:>
P. V, 1bO)( S (p 7
wadlh ~(WA,fl
Suffolk Count
TD
TD
TO
Thi. page fonns pan of ,he allac:hed
7
(g;{
& Endorsement Pa e
(SPECIPY TYI'I:; 01' INSTRlIMEN'1)
(l 0.. Vl( -y,. s. J:.h..bb~ I ___ The prcmi""K herein i. siluo.ted in
o -e.,.~ c.~ SUFFOLK COUJI;TY. NEW YORK.
.1\ I ~ InlhuTownshipuf Sll~hulD
---1,JL")lA. Q.. q ~ Q. d LoU In Ihe VILLAGE -I-
1.-\ <,"~ c... .-, -e " or HAMLET or rYJ 0.. 1- I tdz.t c..'"
BOXES Ii THRU 8 MUST BE TYPIID OR PRINTRD IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
made hy:
(nver)
I11111111111111111111111111 ~IIIIIIIIIIIIII
1II1I1IIII111111111
StJPFOLlt COUNTY CLERIC
RICORDS OPPICE
RECORDING PAGI
Type of In.trument: DBEDS/DDD
NUmber of Page.: 4
TRANSFER TAX NUMBIR: 03-25544
Recorded:
At:
LIBER:
PAGE:
01/2~/2004
08122:17 All
D00012296
756
RICHARD G GRBIN
DOOOLAS CAPT.~
Dbtrict:
1000
Section: Block:
115.00 10.00
In'IUIDlBI) AIm CHARGED AS roLLOIIS
$35,000.00
Lot:
005.000
Deed AIIIount:
Received the ro11owing ree. Por Above Instrument
b-.pt
NO
NO
HO
NO
HO
NO
Page/riling
COB
BA-CTY
TP-584
RPT
Transfer tax
$12.00
$5.00
$5.00
$5.00
$30.00
$140.00
Handling
HYS SRCKG
BA-STATB
Cert.Copies
SCTM
COIIIIII.Pre.
r... Paid
$5.00
$15.00
$50.00
$0.00
$0.00
$0.00
$267 . 00
Bx8lllpt
NO
NO
NO
NO
NO
NO
TRANSFIR TAX NUMBBR: 03-25544
THIS PAGI IS A PART or THI IHSTRUIIBHT
THIS IS HOT A BILL
Idward P.Romain8
County Clerk, Suffolk County
.
I'L~A:;~ I Yl'~ UK I'K~:;:; ~'KML Y WHeN WKIIINl; UN ~UKM AtrL6lf.5 . 4)
.INSTRUCTIONS: hnp:11 www.orps.state.ny.us or PHONE (518) 473-7221' r087/B-lb
FOR COUNTY USE ONLY
ILl, '7, ;:<,S: ,'9;";7
I ~ 1 ~c~ I Q'-f
Man ay ear
C3.Book ,I ,;;)...,d..,ci.,c..,IC4.P...1 .'1,:;.<01
PROPERTY INFORMATION
C1. SWlS Code~.
C2. Date Deed Recorded
1.=1
5550 New Suf1jolk Avenue
STlU;lITNUMIII;R ST'l'IEETNAMI!!
~rrllt-hnlrl
aTYORTOWfII
2. Bup,
N._
Carlen
lAST NAME {COMPANY
c...aV\~,J
lAST NAME J COMPANY
3. Tex Indicate where future Tax Bills are to be sent
Billing If other thIn buyer address (at bottom of form)
Ad.....
lAlITNAMI!/COMPANV
STREET NUMBf'R AND STRJ;IOT NAME
c. Indicate the number of Assessment
Roll parcels transf."" on the deed
ORD
1
flof Parcels
6.DINld
Property
Size
1 X 1
~~
IORI
FRONT FEET
8. s.n...
Neme
Estate of Richard G. Green
l.ASTNAME ICOMPANY
lAST NAME I COlolPAN'V
I+D bbs) t'1l~{u-hn
*
REAL PROPERTY TRANSFER RE'PORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP-5217Ru'll97
Mattituck
.~
Douglas 1~1KI
11952
ZII'COOE
FlRSTNAME
'--15iA-
RRSlN.va::
FlflSTNAME
CITV OR TOWN
STAH
21PCODE
Part of . Parcel
(Only If 'art of. P....,.II ChIlCk .. they 1IppIy:
CA. P111nning Board with Subdlvi&ion Authority Exists
48. Subdfvilllon Approval was Required for Transfer
.c. Parcel Approved for Subdivision with Map Provided
D
D
D
~,
.
5 0
FlRSTNAME
Forest
~K~:~...~l ~ :'''PP~.
8. Ownership Type is Condominium
9. New Construction on Vacant Land
1M. Pmperty Loc8ted within en Agricultural DistrIct
lOB. Buver received a disclosure notice indicating
that the property is in an Agricultural District
15. Check one or roore of th..e condition. .. .pprlGllble to transfer:
7. Check the box below which most .ccurately descrtbes the use of the property at the time of sale:
FIRST NAME
, "/0. CJJf1? , 0 . 0 I
, ~, .
(Full Sale Prica is the total amount paid for the property including perlonal property.
ThIs payment may be In the form of cash, other property or goods, or the .ssumption of
mortgeges or other obligations.) PI(M8(t round to thll neerm whole do;?;:",.r em m.
:>
14. IndiGatftthe value ~f ptWaon.1 I , . , , , '. , 0 , 0 I
prop..-ty Jnotuded In the sale ,.
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
A~one Family Residential
B 2 or 3 Family Residential
C Rasidential Vacent Land
D Non.Residential Vacant Land
I SALE INFORMATION I
11. Safe Contl'llC'l Date
E ~ AG",,)M,' [ ~
F Commercial J
G Apartment K
H Entertainment I Amusement L
112 I 15 I 2004
Month Day Yaar
112 I 1/;1 200~
Momh Day Year
12. DIrte of S.le I Transfer
13. Full S.le Price
16.. Vear of AMeMmant Roll from I 0 ,3
whIc:b Information takan
Community Service
Industrial
Public Service
D
D
D
D
A
B
C
D
E
F
G
H
I
I
Sale BetwElen Relatives or Former Relatives
Sale Between Related Companies or Partnel"l> in Business
One of the Buyers is also a Seller
Buyer or Seiter is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Less than Fee Imerest (SpecIfy Below)
Significant Change in Property Between Taxable Status and Sale DaIea
Sale of BUliness is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Bel(jw)
N"~
EXecutor Deed
18. Property Class:
~~-u 19. School DI.vict N.me I
17. Totel AMessed Value lofan p_lslntransfarll
Mattituck
,
9 0 0 I
,
20. Tax Map Identifier(sll Rollldendfler(s) {If more than four. ettech sltMt with MlditioMl identifier{sll
1000-115.00-10.00-005.000
I
I CERTIFICATION
I certify that aD of the Items of Infonnatlon entered on this 'onn are true and corred: (to the best of my knowledge and belief) IIDd I understand that the making
of any wiUfuJ raise statement of material fact berein will subject me to tbe orovisions of the oenal law relaUve to the making and ming of false instrwnentlli.
BUYER BUYER'S ATTORNEY
~tf
~;""" oJ~\"
I
I 1~02-103
> Co. (\eyV OA~
Laurel Hollow
STllEETNUMBER
STIIEET "lAME IAFT~A SALE)
Wading River
NY
11792
=~2~ J ;dB
~-~~~1 .s I-tob~~.
"A~
ll~COD!
A:;1{Y ff4
~ ~(,v~
Reiss, Esq..
Dennis M.
LAST NAME
F1RSTNAME
631
929-4711
JOJIiACODi
UI.B'HONENUMBEA
NEW YORK STATE
COPY