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NYODS - BA1'JI:ain aad Sale Deed willi COVft\llnlapinst O..nlar':l MIS Individ..1 or Corporation (Sinal. Sh...) (NYBTU 8002)
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CONSUI.T YOUR I..A.WYER BEFORE SIGNING nlls INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE. made the I ~ ~ day of
BETWEEN
December
. in the year 2003
Tom Anshutz and Pamela ""nshutz, husband and wife, both residing at
2305 Laurel Lane, Laurel, NY 11948
party of the fi"'t part, and
Pamela L. Anshutz, residing at 2305 Laurel I..sne, Laurel, NY 11948
party of the second part,
WITNESSETH, that the party of the Ii"'t part, in consideration ofTen Dollan and other valuable consideration
paid by the party of the second part, does hereby grant and release unto the party of the second part, the hei... or
successors and assigns of the parly of the second part forever.
ALL that certllin plot, piece or palrcel ofland, with the buildings and improvementa thereon erected. situate. lying
and being in the
See Schedule IIA" att:ached hereto and made a part hereof~
Tax MIIp
Designa.ion
Dill. 1000
Sec. 121.00
81.. 04 . 00
This conveyance is made in consideration of Pamela L. Anshutz assuming the debt
secured by the mortgage,s recorded at l.iber 19559 mp 380 and Liber 20131 mp 324.
Lol(o) 018.000
Being and int~nded to bE~ the same premises conveyed to the party of the first
part by Deed dated 9/8/~~8 and recorded in the Suffolk County Clerk '8 O[ fiee on
10/9/98 in Libcr 11922 ep 38.
TOGETHER with all righI, till" and intcrelll, ir any, of the party of the Ii...t part of, in and 10 any s!ree1S anil
roads abutting the:: above::-describcd premises to the center lines thereof; TOGETHER with the appurtenances
and alllhe estate and righlS ofthe party of the first part in and to said premises; TO HA V.E AND TO HOLD
the premises herein granted unto the party of the second part. the:: heirs or successors and assigns of the pany of
the second part fORver. .
AND the party orthe lirst part co'.cnanlS thal the pany orthe first part haa not done or suITered anything whereby
the said premises have been inclllmbercd in any way whatever. except as aforesaid.
A:'iD the party of the lirst pan, in compliance with Section 13 of the Lien Law, eovenanlS that the party of ,he
lirst part will receive the consideration for this conveyance and will hold the right 10 receive such consideration
as a trust fund to be applied lirst for the purpose of paying the cost ofthe improvement and will apply the same
lirstto Ihe payment oflhe eoSI of the improvement before uSing any part of the lotal of the same for any olher
purpose. r:' . " -:' - J-
The word "party" shall be construd:i ~ ifit read np~ies" a,hencvcr the sense:: of this indenture so requires.
.~ ..~..c
IN WITNESS 'VHEREOF. the party of the lirsl part haa duly executed Ihis deed the day and year lirst above
written.
IN PRESENCE OF:
.
-
r
Tom Anshutz
a~o_~
Pamela Anshutz
L (d,lcJ.J) /
P !? Of
(c2.!_ '{ _( p
It
Fidelit~' National Title Insurance Company
of New York
TITLE NO. 03-3704-54882.SS
LEGAL DESCRIPTION
TJUC MAP NO. lOOO-121.011-04.00-018.0001
PJ~CBL I:
~JL that certain plot, piece or parcel of land, situate, lying and
bl~ing at Laurel in thl! Town of Southold, County of Suffolk and
State of New York, beillg bounded and described as follows:
BgGINNING at a point on the southerly side of Laurel Way a private
rt)ad or Right of Way I)f 20 feet in width and 25 feet in width,
distant the following 15 courses and distances measured along the
easterly and southerly side of said private road or Right of Way
f:rom the point of intersection of same with the southerly side of
SI)und Avenue;
1. South 21 degrees 15 minutes 40 seconds East, 172.50 feet;
2. South 42 degrees !54 minutes 30 seconds East, 141.15 feet;
3. South 26 degrees .34 minutes East, 324.0a feet;
4. South 23 degrees .47 minutes 30 seconds East, 496.97 feet;
5. South 20 degrees 39 minutes 30 seconds East, 740.ao feet;
6. South 22 degrees .45 minutes 40 seconds East, 115.50 feet;
7. South 1 degree 29 minutes 20 seconds West, 30 feet;
a. South 30 degrees 22 minutes 30 seconds West, 366.22 feet;
9. Southwesterly along a curve to the right having a radius of
141.25 feet a distance of 77.96 feet;
10. South 62 degrees 00 minutes West, 76 feet;
11. Westerly along a curve to the right having a radius of 112
feet, a distance of 175.93 feet;
12. North 2a degrees 00 minutes West, 40 feet;
13 . Northwesterly alclng a curve to the left having a radius of
267.50 feet a distance of 102.72 feet to a monument, the point
or place of beginning;
RUNNING THENCE South 45 degrees 00 minutes 00 seconds West 217.42
feet to the waters of Laurel Lake;
24 Commerce Drive 0 Hl...rhead. NY 11901 016311727-0600. FAX (631) 727.1796
e
Fidelity National Title Insurance Company
of New York
TITLE NO. 03-3704-54882.SS
LBGAL DESCRIPTION
THENCE along the shorl~line of Laurel Lake as defined by 2 tie
lines:
1. North 47 degrees 3!~ minutes 01 seconds West, 57.54 feet;
2. South 74 degrees 30 minutes 43 seconds West, 54.40 feet to
lands now or formerly of Donald Rosen;
TI~ENCE North 35 degrees 37 minutes 40 seconds East along said lands
nl)W or formerly of Donald Rosen, 252.47 feet to a mcnument which
marks the southerly side of Laurel Way;
THENCE Southeasterly along the southerly side of Laurel Way:
1. South 57 degrees 39 minutes 00 seconds East, 55 feet to an iron
pipe;
2. South 50 degrees 00 minutes 00 seconds East, 72 feet to the
monument, the point or place of BEGINNING.
P.~CBL II I
ALL that certain plot, piece or parcel ~f land, situate, lying and
being at Laurel in the Town of Southold, County of Suffolk and
State of New York, being bounded and described as follows:
BEGINNING at a point 011 the southerly side of Laurel Way a private
roaa or Right of Way of 20 feet in width and 25 feet in width,
distant the following 15 courses and distances measured along the
easterly and southerly side of said private road or Right of Way
from the point of intersection of same with the southerly side of
Sound Avenue;
1. South 21 degrees ll5 minutes 40 seconds East, 172 . 50 feet;
2. South 42 degrees !i4 minutes 30 seconds East, 141.15 feet;
3. South 26 degrees 34 minutes East, 324.08 feet;
4. South 23 degrees '17 minutes 30 seconds East, 496.97 feet;
5. South 20 degrees 39 minutes 30 seconds East, 740.80 fee!:;
6. South 22 degrees 'IS minutes 40 seconds East, 115.50 feet;
24 COIIIII",.n Drive * Rlve.llead. NY 11901 * (631) 727-8600 * JiAX (6311 727-1796
fit
Fidelity National Title Insurance Company
of New York
TITLE NO. 03-3704-54882.SS
LEGAL DESCRIPTION
7, South 1 degree 29 minutes 20 seconds West, 30 feet;
8, South 30 degrees 22 minutes 30 seconds West, 366.22 feet;
9, Southwesterly aloI~ a curve to the right having a radius of
. 141. 25 feet a distance of 77.96 feet;
Ill. South 62 degrees 110 minutes West, 76 feet;
11. Westerly along a c=urve to the right having a radius of 112
feet, a distance of 175.93 feet;
I:!. North 28 degrees 110 minutes West, 40 feet;
1:3 . Northwesterly al'ong a curve to the left having a radius of
267.50 feet a distance of 102.72 feet to a monument, the point
or place of beginning;
RUNNING THENCE South 45 degrees 20 minutes 00 seconds West along
lands conveyed by Barbara Jazobek to Belz in Liber 3556 cp 515,
2 L 7.58 feet to the watlers of Laurel Lake;
~~CE along the shoreline of Laurel Lake as defined by a tie line:
1. North 46 degrees 0:9 minutes 41 seconds West 13.92 feet;
THENCE North 45 degree,s 00 minutes 00 seconds East 217.42 feet to
a monument which marks the southerly side of Laurel Way, the point
or place of BEGINNING.
14 Comllll>r<e Drive. Rlverh..d. NY 11901 · (631) 717-8600. FAX (631) 717.1796
UsE AClC,"mt'U!DGMENT FORM lJEl.DJt' WI7II1N NEW YiJU' STAm OM.r.
Stale orNew~ York, County or Suffolk t a.:
'1#,
Onlhcl ml)'of December inthc)'ell' 2003
be~ me, the undmisned, penonoIJyll/lP<llnd Tom Anshutz
and PamElla Anshutz .
pcnonsIly kr.,w" to me ... puwd to me on the basis of IlIIisfiIc:by
ovidenoe to be the indi,;clJol(s) whose 11lIIIO(.) is (....) subocribecIto the
,,;thin ~ IIId IclcnowJ<dgod to me that ho'lIbo'lbcy execuIIIld the
...". in hislho:n'lheir ~icz).1IId thai by hisIIK:mh<Ir sipaIuro(l) on
the insIrumm~ the individuoJ(s), ... the ..,...,.. upon _If of whic:h the
individUOI(I) .1Cl<d. ..oalllOd the ins1rurTan.
-nW W4e1 "W~U..::a..'-
Notary Public MEUSSA
NoIlIIy PublIc, S
No.4
au_In
Canll... .-.-.,
AOI7\I'JI'ZEDG"""T FOIl.\f I'D/f um IflmlfN NEw JbRJr 5TA7!!0IYLr.
(Ntw y",* Sv6sc:rlblng JfilllG.' Aclmowlft/glftt!'lt,.C~n(f'lt:GkJ
Srate orNe~r York., COUDty of J IL:
On the day of in the year
before me. the undersigned, personally appeared
lite subscribing witness to the foregoing initrummt, 'with whom r ~
personally 3O:Juainted. who, being by me duly.wom, did depose.nd
say that helshclthey ",.ide(s) in
(iflhc plaer ofraithmct! is in tJ rl.ty. indtuk rhe SIrftI and SII'HI flUmber. if
any. rhrl'ftj); lba. he/shc:lthey know(S)
to be the individual described in and who executed the foregoing
instrument: (hal said subscribina witness was present and .aw said
execute the Slime; and that said witness at the Jlame time subscribed
hislherlthcir rl&lTle(s) a~ 3. witncJI!Ii thereto.
TITLe No.
BARGAIN' & SALE DEED
Wlllt C'OYENA...."TS AGAlNSTOlA:ro."TOl'S ACTS
-
Tom Anshutz and Pamela Anahutz
TO
Pamela L. Anshutz
FIDELITY NATIONAL TrrLEIJliSURANCE
e COMPAJliY OF NEW YORK
IMXNII'fMAfU ,,,.
"c~~._.~...Fldaity ~ fl
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UtBACItNOJII'U!DGMBNT FOIlM /JEL(JW wrtH1N NEw YOJrK STII.f11 ONLr.
State or New York. County or
'"L
Onthe day of December inlbe)'C8l' 2003
bef_ me, the IIIIlIersisned, penoaoIIy ~
pmonoIly known to me or prowd to me on the bosis of 511i-Y
cMdcnc:e to be Ihe indivilb1I(.) whose rwn<(1) is (....) subscribed to the
wid1in insIruIT8IllIId ocIcmwIecIpd to me thai haIsbeIIbey .._lad the
IIIIII! in hlslbeu\beir CllpKity(ios). snd that by his.t1orflbeir ~s) on
the instrumo:nt, the individuol(l). or the _ upon behoIr ofwhieh the
individual(l) -. _the UWumenl
OWAN
ol_'IbIIr
13
kCaunlrDI.
May4.~
~FoIIM_laIrOlnstDBNEwI'l>K5TA"'OIYLr.
(OfII o/Stok or Fore/BIt Chtwral Aclmowl~, C~Vicat.)
. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,"..:
{~ YMW wiliStllhl. eo-",.. PnwIItc#.-MN.k/pflllty}
On the day of in the year
before me. the WKleraigned, personally appeued
personally known 10 me or proved to me on the basil of satisractorY
evidence 10 be the individual(l) whose name(l) i. (.....) subscribed to
the within instnnnent and acknowledged to me that helshelthey
..ecuted lhellUllC in hislheil1heircapacity(ies), that by hislherl their
lrigmlture(s) on the instrument, the individual(s). or the pclWn upon
behalfofwhieh the individUIII(I) acted. ex.ec:ulcd Ihe instrument, and
thatluch individual made such appearance before the undersigned
in the
(11Ut1rt ,''' c/'Y or OIlrn- political ndJdIvulOlt Qlld III. !l'al~ IN COli"'''' or
0111., pla~ ,II. acIatoM'/rdpr.., w.u ttllen).
DIS11UCT 1000
SecnON 121.00
BLOCK 04.00
LoT 018.000
CoUNTV___ of Suffolk
RECORDED AT IfEQUESTOF
Fidelity National nile Inlurance Company nr New York
RETURN BY MAIL TO
Patricia c. Hoore~ Esq.
51020 Main Road
Southold, NY 11971
.:4C--.
I~ 2
J
Number of pall:n
Lo
RECOROED ,
2004 Fell 06 10; IS' 28 ~
Edw~rd P.RoMalne
CLERIC OF
SUFFOLK COUNTY
L OOOOI22~~
POOl
DTlI 03-27864
TORRENS
Serial #I
Certificate N_
Prior Ctr. #
Deed I Mortgage Instrumenl
Deed I Mortgag. Tax Slamp
FEES
Recording I filing Stamps
2]
Puge I FiJin. ,rec
Mortgage Amt.
llandling
TI)-S84
I. llasic Tax
2. Additional Tax
Notation
Sub Total
~-S2 17 (Cc'unlyl
Sub Total
GRAND TOTAL
J'1o . <;l)
SpeciAsoit
Or
Spe../AdeI.
TOT. MTG. TAX
Dual Town_ Dual Cuunly_
IleW fur Apportlcmment _
Transfer Tax If>
Mansion Tax
1111: property covered by Ihis moopge is or
will he improved by lone or IWfJ family
dwelling only.
VI",s_orNO_
If NO. see appropriate lax clause on page H
uflhis instrument.
EA-S217 (Stille)
Comm. ofl;d,
s <2.0-
R.P.T.S.A,
.3()OQ
Affidavit
Certified COl~
~
1~
lUg. Copy
SubTOllB1
Other
J:I:::
sb.nlp
"
Dol..
Real Prop.rty Tax Service Agency Veri ficatioll
Di'll:t ~Iion . B lock ~
,
04005046 100ClI 12100 0400 0180ClO
6 Cummunit Preservation Fund
ContlidcrBtiul1 Alnount $ 0
,
10, '
CPF Tax I:>ue
s
Ii!
Initials
Improved
Vacant Land
3
Satiofa.lionslDis.harg.slReICllSe' List Property Own..... Mailing Add
RECORD of. RETURN TO,
II)
Patricia C. Moore, I:!:sq_
51020 Hain Road
Southold. NY 11971
TO
TO
TO
~
8 Title Company Infurmatiun '
Co. Name Fidelity National Title Ins. Co.
Title # 03-3704-54882. 5S
Suffolk County Recording -& Endorsement Page
-2.)
"Illi" pogc ronns part ofthc otlaChcd
Deed
made by:
(SI'ECIFY TYPE OF INSTRUMENT)
Tom Anshutz and Pamela An8hut~
, lbc premises herein i. SitU8trd in
SUI'l'()LKCOUNTY. NEW YORK
TO
In the Township of
In the VILLAGE
or HAMLET of
Southold
Pamela L. Anshutz
"'at.t.it.uck
,
III JXES :\ "11IRU 9 MUST BE 'IYPID OR I'RINlED IN BLACK INK ONLY 1'R10R TO RECORDING OR FILING.
(OVERI
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERIC
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DBIDS/DDI)
Number ()f Pages: 6
TRANSFBR TAX NtlMBBR: 03-:Z7864
Recordedr
At:
LIBBR:
PAGE:
02/06/2004
10r18:28 AM
D00012299
801
PAMELA ANSHUTZ
PAMBLA ANSHUTZ
Districl~ :
1000
Deed AmJunt:
Sectionr
121.00
BXAMIRBD AND
$0.00
Block:
04.00
CBARGID AS
Lot:
018.000
FOLLOWS
Receivel:! the Pollowing Fees :ror Above Instrument
Exempt Bxempt
Page/Piling $18.00 NO Handling $5.00 NO
COB $5.00 NO NYS SRCHG $15.00 NO
D. - C'l'Y $5.00 NO D.-STATE $5D.00 NO
TP-584 $5.00 NO Cert.Copie. $7.50 NO
RPT $30.00 NO SCTH $0.00 NO
Transfer tax $0.00 NO COI\III\.Pr.. $0.00 NO
P.e. Paid $140.50
TRANSPKR TAX NUMBBR: D3-27864
THIS PAGE IS A PART 01' TIll INSTR'DIIBNT
THIS IS NOT A BILL
Bdward P.Ramaine
County Clerk. Suffolk County
'.
FOR COUNT" USE ONLY
~LcA~c IYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
// -?.3 - " r;:.,"
I~ , /, , t, fS,:LJ
I c? / t /6 ~~
Momh ::AY _ Vaal
C3. Book I j, 4, ~ ';,91 CUago I g, 0
PROPERTY INFORMATION I
C1, SWIS eode
*. .
, '
, 'Ii
.... !u., .
C2. Date Deed Recorded
Prop"'.rty ~305
Location STRcFTNLJMBFft
Laurel Lane
STAHTNAME
I l:,outhold
CITY OA TOWr.
Laurel
VillAGE
2. Buyer U.nshutz
Name liST NAME ICOI\.'PANY
IPamela L.
f1ASTNAME
L
LASTNAME/COMP"NY
FIRSYN-AME
3. Tax
BIlling
Address
Irldicat9 where fLJIUre Tax Bills are to be sent
if other than buyer address (at botforn of form)
L-
LASr NAMEICOMPA"lY
L_.
STflHl NUMOfR ANtl STREET NAME
CfTYOA'TOWN
4 Indicate the rIllmber of Ass8ssment
Roll parcels transferred on the deed
L--
L~~ # of Parcels OR 0 Part of a Parcel
5. Deed
Property
Size
I X L
10RL
'ACRES
. 0 6
'RONTnn
DEPTH
6. Seller
Name
L Anshutz
LAST NAME iCOM~AN'I'
ITom
FIRST NAME
~nshutz
LAST NAME I COMPAN'I'
lPamela
FIRST NAME
7 Check the bo;, below which most accurately describe, the lIS'1 of the property at the time of sale:
A~oneFamiII'ReSide"lia:
B 2 or3 'amily Residential
C Reside1tial Vacanl Land
D f'l;on-RElsidential Vecant Land
E~AgriCUllural
F Commercial
G Apartment
H Entertainment' Amusement
[~ Community Service
J Industrial
K Public Service
L roresl
I SALE INFORMj~
11. Sale ContritCt Dllte
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP.~21T }U,~ .INT
i 11948
Z1PCOOE
.,RSTNIIME
c;l~n;
21PCODE
IOnly if Part of a P;lIrcell Check as they apply:
4A. Planning Board wilh Subdivision Authority Exists D
48. Subdivision Approval was Required for Transfer 0
4C. Par~el Approved for SubdiviSion with Map Provided 0
Check the boxes below as they apply'
8. Ownarship Type is Condominium
9. New Construction on Vacant Land
10A. Property Located w,lhn an Agricuitucal Dis:riGI
10B. Buyer received a disclosure notice indicating
thettlle property is in an Agricultura' District
o
o
o
o
15. Cheek one or more of these conditions lIS applicable to transfer:
n/a / /
Monlh 0" ,~,
L 12 / IS' / 03
"'onlh 0", Year
A X
B
C
D
E
F
G
H
I
J
12. Date of Sale I Transfer
13. Full Sale Prl~e ~__L...__........L.-.--L ' 0 0 , 0 I
, , .
fFul1 Sale Price is the total amount paid for the propeny including personal property
This payment nay be in the lorm of cash, other property or goods, or the assumption of
mortgages or other oDI'gations.1 Please round ta the nearest who/& dollar amount.
1.. IndiC8te the value of personal
property included in the sllle
I ASSESSMENT INFORMATlON-
L ; ; 11 ~ 0 , OJ
Dati'! should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assel,sment Roll from 10
which information taken
3 I 17. Total ASlIMsad V;lIlue [of all pare.hlln transf8f"1 I
18 Property Class
I1-.....L~-LJ 19. School District Name I Mattituck
20. Tax Map Identifierls) I Rolf Identifierl.) m more than four, Iltta~h sheet with additional identifler(sH
1000-121.00-04.00-018.000
Sale B4tween Relatives or Former Relatives
Sale Betwmln Related Companios or Panmm'~ in E3usineS5
One of the Buyers is also a Seller
Buyer or Seller is Government Agency or Lerding Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Less than Fee Interest (Specify Below)
Significant Change in Property Between TlIx;;Iblo Status and Sale Dates
Sale of Business is Included in Sale t'rice
Other Unusual Factors Affecting Sale Price (Specify Below)
None
460
,
L L
I CERTIFICATION---1
I certify thlll all of the items or infonnatioo entered on this fGnu are troe and COlTect (t<J the best of my kn<Jwlooge and belief) and I understand that the making
of any willful fal>e statemenl of material fact herein will subject me to the provimns of the oenaIlaw relative 10 the makins: and filing of false instruments.
BUYER
~~y~6v
IlUVERSIGNAn'RE
.-...-.-"
:.-L:~~~.i.:..:. /;;"
C_7
DATE
AXXRIlt:X Moore
lAST NAME
Patricia C~.~
FIRSTNIIME
v'\
_~,~ox 1108
STRoETNUMael< :;TREFNAMEIIIJ-II:RSALlJ
631
AllEACODE
Mattituck
NY
11952
ZIP (~OOE
CITY OR TOWN
STATE
'_.......'.._~~~..
~.//.~.
/,{2h->.4Li~ ~/.~~L~, ~ I
SHURSIGNAT',IR( /~
om
BUYER'S ATTORNEY
765-4330
THEPHONENUMaER
NOW YORK m~E '
COpy ~
o I