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CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the 28th
day of June,
2002,
~i d. {Ctl;ETWEEN
f/'iql,P
9~eenK~~a~ Home4, Inc.
59 Haw~hu~4t Road
CoLd Sp~~ng Ha~Ko~,
NIf 11724
lde
party of the first part, and
Jeanne P. Ham~Lton
965 9aK~~eLLa Cou~t
natt~tuck, NIf 11952
party of the second part.
WITNESSETH, that the party of the first part, in consideration of ten- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - 00/100- _ _ _ _ _ _ _ _ _ _ _ dollars
paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs
or successors and assigns of the party of the second part forever,
/....'\
? '-- l"
)-(:"llI/
and n~chaeL E. KeLLey an. =1-"7 Te"A"T~ ....T7h
I 'j2"ShTS ();:- -Suviv,:wS!...:r
ALL that certain plot, piece or parcei of land, with the buildings and improvements thereon erected, situate,
Iyingandbeing~ at natt~tuck, 70wn ot SouthoLd, County ot SuttoLk and
State ot New Ifo~k. .....S[[ SCH[DllL[ A, A77ACH[D H[R[70 AND nAD[ A
PAR7 H[RW7'.
Be~ng and ~ntended to Ke the 4ame p~em~4e4 conveyed to the 9~anto~
he~e~n Ky deed made Ky Joan n. C~on and ~eco~ded June 7, 2001, ~n
L~Ke~ 12122 cp 888 ~n the ott~ce ot the CLe~k ot SuttoLk County.
7h~4 conveyance ~4 made w~th the unan~mou4 con4ent ~n w~~t~ng ot
aLL 4tockhoLde~4 ot the pa~ty ot the t~~4t pa~t,
SuKject to covenqnt4, ~e4t~~ct~on4, ea4ement4 and ag~eement4 ot
~eco~d.
Sa~d p~em~4e4 Ke~ng known a4 6170 ALd~~ch Lane, natt~tuck, New Ifo~k.
TOGETHER with all right, title and interest, if any, of the party of the first part in and 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 party of the first part 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 encumbered in any way whatever, except as aforesaid.
AND the party of the first part, in compiiance 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" when ever the sense of this indenture so
requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF:
Home4 Inc.
By:
/t~
c::?Ld
~e~ne~ AdeL, P~e4.
Standard N.Y.BTU. Form 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts - Uniform Acknowledgment
Form 3290
~
sellEDilLE II
ALL that certain plot, piece or parcel of land, situate, lying and being at Mallituck, Town of Southold, County of Suffolk
mlu State of New York, knowlI amI designated as Lot No.4 on a cCI1ain map entitled, IIMap of Farmveu Associates", and
filed in the Office of the Clcrk of Suffolk on September I, 1989, as Map No. 8808, being bounded and described as
follows:
BEGINNING at a point on the easterly side of Aldrich Lane distant 475.11 feet northerly from the extended northerly end
of a curve connecting the northerly side of Ilarvest Lane with the easterly side of A Idrich Lane;
RUNNING T1IENCE along the easterly side of Aldrich Lane, North 23 degrees 09 minutes 16 seconds West, 125.00 feet;
TIIENCE North 70 deg.ees 19 minutes 30 seconds East, 323.53 feet;
TIIENCE South 25 degrees 36 minutes:30 seconds East, 47.27 feet;
TIIENCE South 19 degrees 40 minutes 30 seconds East, 77.74 feet;
TIIENCE South 70 degrees 19 minutes 30 seconds West, 320.83 feet to the easterly side of Aldrich Lane, the point or
place of BEGINNING.
TOGETIIER with the bene/its and subject to the burdens, covenants, .estllctlOns, by-laws, rules, regulations and
easements, all as set forth in the Amendment to Declaration (selling forth Covenants, Restrictions, Easements, Charges
and Liens) made by the party of the first part, dated June 7, 1993, and recorded in the Office of the Clerk of the County of
Suffolk on the 8th day of July 1993, in Liber 11635 of Conveyances at Page 684 and other covenants, restrictions,
eaSClncllts and rights-of--wuy or record.
[~ 2
Number of pages
TORRENS
.If
RECORDED
2002 JuliO 03:23:02 PM
Edl<.lard F'.Rclmaine
CLERK OF
SUFFOLK coum',>
L [:,000121%
P 4%
[IT# 01-47578
Serial #
Certificate #
Prior Ctf. #
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
4
FEES
Page / Filing Fee
I~-=-
o-==-
x--
Mortgage Am!.
Handling
TP-584
I. Basic Tax
2. Additional Tax
Notation
Sub Total
RP.T.S.A.
-~=-
&~ ==-
GO
Sub Total
;;;7---
Spec.! Assi!.
Or
Spec. / Add.
EA-52 17 (County)
EA-52 17 (State)
Comm. of Ed.
_-----2 O~
Other
/0'-
_..L'",L _
Sub Total
J5--
/CQ
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment
Transfer Tax 1~0. -
Mansion Tax _
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES or NO
If NO, see appropriate tax clause on page #
of this instrument.
Affidavit
Certified Copy
Reg. Copy
GRAND TOTAL
Real Property Tax Service Agency Verification
Dist. Section Jl I...~L
1000 12000 0300 008006
'...ot
6 Community Preservation Fund
Consideration Amount
Initials
Improved
Stamp
02020246
pT s
R RTH A
08-JUL-Q
CPF Tax Due
$ t..(? :::l.lo
Date
Vacant Land
7 SatisfactiG..., ~"cllarges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
)0
cM~~; e-. RA-Ff'c. ~.r-~,
7 f-i3 ~.;{.{ If,'.u grrJ<...~,cr
4...0./")--3?
. (l.r,;' ,... Nyl/'tOI
~C)!l!l.#'ltj)/
TO
TO
TO
~
9
Suffolk Count
8
Title Company Information
Title #
& Endorsement Pa e
Tbis page forms part of the attached
made by:
(SPECIFY TYPE OF INSlRUMENT )
:G(ii:lU'Jh~~.( fk,~ /::hVr- ,
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO
~A,AJtUt; p. !fI'f-I'}'-'t-1PtV ,(fN Y
;t( ,'cbf!l.L E. K~LUy
In the Township of
In the VILLAGE
or HAMLET of
SrH.t VB.. 0 c.JJ
/U 1#-~'rl..Ac.t:.
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK. ONLY PRIOR TO RECORDING OR FILING.
(OVER)
111111111111111111111111111 1111111111 111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 4
TRANSFER TAX NUMBER: '01-47578
Recorded:
At:
LIBER:
PAGE:
07/10/2002
03:23:02 PM
D00012196
496
District:
1000
Section: Block:
120.00 03.00
EXAMINED AND CHARGED AS FOLLOWS
$386,300.00
Lot:
008.006
Deed Amount:
Received the Following Fees For
Page/Filing
COE
EA-CTY
TP-584
RPT
Transfer tax
$12.00
$5.00
$5.00
$5.00
$30.00
$1,546.00
Above Instrument
Exempt
NO Handling
NO NYS SURCHG
NO EA-STATE
NO Cert.Copies
NO SCTM
NO Comm.Pres
Fees Paid
$5.00
$15.00
$25.00
$0.00
$0.00
$4,726.00
$6,374.00
Exempt
NO
NO
NO
NO
NO
NO
TRANSFER TAX NUMBER: 01-47578
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
t11'rH-1f L1 C k..
VILLAGE
I J eo nilf'. R
FIASTNAME
I fl1 i C)IQ c; / t::..
FIRST NAME
15. Check one or more of these concIdons 81 aPPlicable to trensfer:
A Sale Between Relatives or Former 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 (Specify Below)
G Significant Change in Property Between Taxable Status and Sale Dates
H Sale of Business is Included in Sale Price
I Other Unusual Factors Affecting Sale Price (Specify Below)
J None
. .
, -
,. Pr"""!'Y I
Location
~/1P I
5 fETN BEA
~) (IV fh <lId
CITY OR TOWN
IJ,/ d r'/' c.b
S EET NAME
Lane.....
Ht5 Vl1/I1ClQ
LAST NAME! COMPANY
I(~: NL(c~fv
3. Tax Indicate where future Tax Bills are to be sent
Billklg if other than buyer address (at bottom of form)
Address
2. Buyer
Name
LAST NAME I COMPANY
STREET NUMBER AND STflEETNAME
CITY OR TOWN
4. Indicate the number of Assessment
Roll parcels tl'lmsferred on the deed
OR D
j
# of Parcels
Part of a Parcel
5. Deed
Property
Size
.131
Ixl
lOR I
'ACRES'
FRONT FEET
DEPTH
6. Sener
Name
I Gy"e eVl t,r,f}, V
LAST NAME I COMPANY
FIRST NAME
J-I f)rY/ e ') In e.. I
LAST NAME I COMPANY
FIRST NAME
7. Check the box below which most accurately describe. the use of the property at the time of sale:
A~ One Family Residential
B 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Vacant Land
---
E ~ Ag,',ultu,"' I ~
F Commercial J
G Apartment K
H. Entertainment I Amusement L
Community Service
Industrial
Public Service
Forest
I.f / 11' / Ooll
Month O'y Year
117 / J F / O~ I
Month O'y Year
11. Sale Contract Date
12. Date of Sale I Transfer
,3, g,~ ,3,0,0,0 , 0 I
, , .
(Full Sale Price is the total amount paid for the property including personal property.
This payment may be in the form of cash. other property or goods. or the assumption of
mortgages or other obligations.) Please round to the nearest whole dol/ar amount.
14. Indicate the value of personal I A~ 0 0 I
~ifiCttigJ
13. Full Sale Price
16. Year of Assessment Roll from 11'\1/011 17. Total Assessed Value (of all parcels in transferll
which information taken ~
18. Property Class
13, I ,I I-U 19. School Dh"".. Name I :J:t: I:J.
t~20. T~x Map Identifier(sll 'tllldentifier(slltf ~rej1han!o~r,' ~~ ,h'J't with ~ltionaJ i~el)tifi~~
1/000-./10.00
03.0 0 -OO~.O 0&"1
, , ,<~.
REALPR~Rn',TBAl\IS""B REPORT
.stAn! Of'NnY YORK
STATE BOARD'dI' IlEAL PROPERTY SERVICES
,;.; 'iI; l<'.i;l'
RP\"'S217
RP.5il'fRev 3m
I 11'152
ZIP CODE
FtRSTNAME
STATE
ZIP CODE
(Onty tf Part of a Parcell Check as they appty:
4A. Planning Board with Subdivision Authority Exists
48. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
o
o
o
Check the boxes below 88 they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
108. Buyer received a disclosure notice indicating
that the property is in an Agricultural Distri~t
o
Kl
o
o
;
) , ./..,:),0
,
;
(.
!uC~
I~b - 3 ~ 8:'{O
1
, ,
I
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I certify that aB"ofthe_ofinfllnnatl..._...1IIls_....liUealld""""""'(IO'lhe bes1 O'I"lDyknowledge arid beliel)arid I __ fila! thelnaking
~anY willful false statement of material fact herein will subject me to the provisions of the oenallaw relative to the making and filing of false instruments. ,_
, i BUYE1' BUYER'S ATTORNEY
f r, --,'! ,
\ "/Yl..4 /;/;r .pfC/Y )'" i I "R~ (I f'e
'/ /'V"-- . "v' t T C.fIG d:es.,
BUYER SIGNATURE DATE LAST NAME ~}~7'" Nffl~ ; ':"\
,
(, I l'
~. i _I
\ /r
10 31
STREET NUMBER
STREET NAME IAFTER SALE)
AREA CODE
CITY OR TOWN
I
I
STA~
.,
ZIPCOOE
SELLER
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!/~ ,/,1 L ///Lt:(
. SELLER SIGNATURE W"~.~ ;"',1; I"" A,:J e J.
OAT<
'F-,~ SO'
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'j.J 7 - 3(,'7),::'::,
!'\<;~j 1 : ,I'
TELEPHONE NUMBER
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