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B.argllln .nd SaIl Deed with Cowtn8ntl against Gnmto,.. ND. IndlYidulll or Corporation (Single Sheet)
CotUIUL T YOUR LAWYER BEFORE .MiNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY \.AWVERS ONLY
TH~S INDENTURE. made the ", day of J ""'t . Two Thousand and Three
Bel1_n
LORNA THOMAS residing at 453 East 14th StnIet, New York, NY 10009
party of the first part, and
BONNIE KAMEN residing st 1111 87th SIntet, Api. 29F, New York, NY 10023
party of the second part.
Wlt_h, that the party of tha first part, in consideration of Ten Dallars 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 heirs or succeasors
and assigns of the party of the second part forever,
ALl. that certain plot, piece or parcel of land, situate, lying end being at Orien~ Town of Southold, , County of
Suffolk and Slate of New York, known end designatas es plot no. 84 on a certain map entiUed, "Map of Orient-By-
Tht!-Sea, Section 2" end filed In the OffIce of Ihe Clerk of the County of Suffolk on October 26, 1961 as Map no.
34~14. said plot being bounded and described as follows:
BEGINNING at a point on the southerty side of North Sea Drive, distant 422.10 feet, easterty from the comer
fonned by the interseclion of the southerty side of North Sea Drive. with the easterly side of Ryder Farm Lane;
RUNNING THENCE North 74 degrees 29 minutes 40 seconds East, 148.00 feet;
THENCE South 15 degrees 30 minutes 30 seconds Eas~ 136.00 feet:
THENCE South 74 degrees 29 minutes 40 seconds. west 148.00 feet;
THENCE North 15 degrees 30 minutes 30 seconds West, 136.00 feet to the southerly side of North Sea Drive, the
poi!nt or place of BEGINNING.
BEING AND INTENDED TO be the same premises conveyed to the party of the first part h_in by deed dated
8118101 and recorded on 7/3101 In Liber 12127 cpo 828.
Tcgsther with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutling the
above descrtbed premises to the center lines thereof; Togsther 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.
ArId the party of the first part covenants that the party 01 the first part has not done or suffered anything whereby the
said premises have been encumbered in any way whatever, except as aforesaid.
Ar1d the party of the first part, In compliance with Section 13 of the Lien Law, covenants that tha party of the flTSt part
will receive the consideration for this conveyence end wil hold the right to receive such consideration as e trust fund
to be appliad firsl for the purpose of paying the cost of the Improvement and wil apply the seme first to the payment
of the cost of the improvement before using any part of the total of the same for eny other purpose.
The word "party" shall be construed as W ~ read "parties" whenever the sense of this indenture 80 requires.
INI WITNESS WHEREOF, the party c~ the first part has duly executed this deed the day end year first above written.
~~-
IN PRESENCE, OF:
/
,
.
USE ACKNOWLEDGMENT FORM BELOW WITHIN NEW YORK STATE
OM-Y..
STATE OF NEW YORK. COUNTY OF .Ile...l >>U< )01.'
OnI".z.30.oyc~ ~4 2003.
before me, the underalgned, .-.onalty ..,pured
LORNA THOMAS
personally knoillln to m. or proved to me 0t1 the b... aI.atlafBClOly ItVIdence
to be the indivktual(.) whoMI name(a) Is (are) aubecrbld 10 U. wlhln
lnaln.wneta IInd IIdtnDwtBdged to me IhIIt MIsheIthey elCllCUt8d the ....... In
hialherltheir cllJ)8City(lell). and thai by hllItlerlthelr aign81In(.) On the
inliburnent. the indivktUIIl(a), or the pemon upon be~~oI
IndNidwIIlI(a) llded. execuIed the lnatrunwnt. ---'
--- -<::--
~ C.eVi.,...,
---
Ift"I:IIL "_0llt1a, 7005
ACKI\IO""-EDGMENT FCIRM FOR USE WITHIN NEW YORK STA TE
ONLY:
STATE OF NEW YORK, COUNTY OF SUFFOLK )u .
On Ole day ,0( 2003.
before me. thet underslgnedl, personaDy appured
the aUbliaming wttn.u '10 the fonIgolng Inlltrunwnt. with whom I em
personlllly IICCIUIIInted, whCI biting by me duty MWOm, did l:lepoM and ..y that
he'aI1e1they rellde(a) In
(if UIe pIaoe 01 ,..sidIInce is in II CIty. Inc:Iude the 8Intef end stINt nunDtK. if
.ny. u.eot); IthM helahWtMy knCM(a)
to be the IndMdual cIeM2ibed in and who _culed the foregoang lnatrumenl;
that ukt IIUbaCltbing wiIness was preMl1l: and saw..ieI
executB the 5III'nliI; ... 'th... said winne at the lame time aubllcrlbed
hlslherltheir nlllme<a) .. . wltneaa thereto.
Bargain and Sale Deed
WIth COV....nt Agalnat: Grantor's Acta
Title No.
LORNA T1iOMAS
TO
BONNIE "AMEN
USE ACKNOVVLEOGMENT FORM BELOW WITHIN NEW YORK SITE
ONI..Y:
STATE OF NEW YORK, COUNTY OF SUFFOLK
On 1M day of 2003.
befoIe me. the undeNlgned. personaly eppelrecl
peqan.-y known to me or proved to me on the belli of 88tisflldory
evidence to be the 1ndMd....(.) whoM neme(.) Ia (are) IlUbscrIbecI to the
witI*lln.atumem and ackIlOII.~-d 10 me that ~., eXBCUt8d the
..me in hllIheI1Iheir capllcityf_). .-.cI that by hialhet'Ahelr aIgnaIufWI(a) on
the l..an..rwnl, lhe Indlvidual{.). or the person upon behatf of which the
indivldualll(.) aded, executed the inatrument_
l_:
501;.....5
ACKNOWlEDGMENT FORM FOR USE OUTSIDE NEW YORK STATE
ONLY: fOut 01 sra,. orFontign GenereI~t eemnc.teJ
)..-:
CCclmp{ltle _..1tJ Stille. Cou""Y. PrDv/ncB or_/
On the day of 2003.
before me. the undersigned. ptnOI'I8l1y appNred
personally known to me or proved 10 me on the basis or utisfactory
evidence to be 1M nlivktuel(.) whole name(a) .. (...) aubacrlbecl to the
with., lnatn.ment. and Kknowledged to me that helahell:hey executed the
..me in hlllher#lhelr Cllpac:lyOa). arKIthal. by hlllherllhelt aign8lure(.) on
the inatrunenl. the Indlvldual(a), or \he perwon upon behalf of which the
indlvidulIIs(s) 1Ided, executed the Instrument, and that auch Individual
made IlUCh appearance betare the uncleralgned in Ihe
(In.." the city Of' other po/iUcIJI ~ ---.u.1isiotJ end the st.,. orcounlty orolhflr
",.,. Ihe acIa_~I"" tMIS rabn).
DISTRICT 1000
SECTION 015.00
BLOCK 05.00
LOT 029.000
COUNTY OR TOWN SUFFOLK
RF:TURN BY AUI/. TO
ONGIONI & BORRELLI
300 Pantigo PI, Suite 115
East Hampton, NY 11937
(631) 324-5209
IIIIIIIIIIIII~IIIIIIIIIIIIIIII ~IIIIIIIIIIIIIIIIII
1111111111111111111111
StJPFOLIC COmrrY CLBRIt
RlCORDS orrICI
BCORDING PMI
Type of Instrument I DBIDS/DDD
HUmber of Pagesl 3
TRANSPBR TAX NUMBIR: 03-02934
Recorded I
Atl
LIBBR:
PAGI:
08/22/2003
02125;34 PM
D00012268
152
District:
1000
Section: Block:
015.00 05.00
."lUIINBD AND CHARGED AS roLLOIfS
$395,000.00 .
Loti
029.000
Deed Amount:
Received the Pollowing P.e. Por Above In.trument
~'""Ipt
NO Handling
NO NYS SURCHG
NO IA-STATB
NO Cert . Copies
NO SCTII
NO COIIIIl. Pre.
Pee. Paid
$9.00
$5.00
$5.00
$5.00
$30.00
$1,580.00
$5.00
$15.00
$50.00
$0.00
$0.00
U,900.00
$6,604.00
Ixlllllpt
NO
NO
NO
NO
NO
NO
Page/Piling
COB
IA-CTY
TP-584
RPT
Tran.fer tax
TRANSPlR TAX NtJMBBRI 03-02934
THIS PAGB IS A PART OP TEl INSTR'lDIINT
Idward P.Romaine
County Clerk, Suffolk County
::;
Number ot (lII81OS
TORRENS
SorWII
Ccnificate II
Prior C,f. 1/
])""d , Mortaall" (ostrum.""1
II""" 1 M.mpge 'Iax Slamr
I'Ims
3
I~. 1 1-11ina Fcc
Handling
.. .IllL
TP-~1I4
Nutaliun
E^-~2171IClluIIIY)
Su~ .1.....1_..
RA-5217 'lStale)
RJ'T.S.A.
900-
Comm. of Ed,
5, ..!l!L
Affidavit
Cenif'led Copy
Reg. Copy
Sub TOIaI
Gr""'ITnlal~
:Dll-IO
Olhcr
015.00 Illn.:k
05.00 LoI
4
RenJ
Prupeny
Tax Scrvke
^acnCY
Verification
019.000 5
Sa:-liun
03032174 1000 01500 0500 0251000
- -=--
I~~
It :1Y A
6
Sa'i.faL..i.lDIDischnlll""'Rok:alo: !.is! I'n'.-ry Own.".. Muiling t\ddrc..
RJo:COKD II< Kh'TURN TO,
KEVIN MCLAUGHLIN, ESQ.
44110 MAIN ROAD
P.O. BQX 1110
SOUTHOLD, NY 11971
RECORDED
2003 Au9 22 02: 25.34 PI!
Edward P.Roui~
CLERK IF
5lJFFl1)( COtJITY
L 000012268
P 152
011 03-~34
Ro"..rdinll' Filinll SlIlmrs
Mnngqe Anu.
I. Bali.: lax
2. Additional Tax
Sub "Ihlal
S""". 1 ASsil.
nr
Sp.:.:,1 Add.
Tar, MTG. TAX
J.>u:d 'I,.wn _ Dual CoWlIY_
Appoinlme1ll
001'.;'1.... I .,XO
MiilDildm 'Iax.-
The luor-:rty covered Iwy thi=; 1I1OIIJl&~ iK
(If will he impn:"..cd by a line or twn
family dwcllinll only.
YllS __"rNO
II' NO. see .pprur"",,, Ia" chnr... on
pagu *__Ilf this inSUUI'I'IeDt.
CI'I'
Communi
CUllsidcrntK'lJ1 ^mlunt
Impm...... )(
Vac:mll.and
TO /L2QO ,
T\) __.
TD
7 TItle Co y .....o......lion
Co. Nan.. Commonwealth Land Title Insurance
'1111" 1/ RH800~1348
8
Suffolk Count Recordin
& Endorsement Pa e
'Ihi. P"olJI" rom.. part III' !be al_d Barcain and &aIr Drt:d
(SPr,cIFY TYP); 01' (N:-"'RUMENT)
l.nrn. Thom..
II1lIdcby:
"Ibc I"fCmisi,; ooreill b; silWltL-d in
TO
~UI'J'OLK COUNTY. Nnw YORK.
In l~ li>WII.hip ot .swub.rI1d
10 Ihe VII.LAGE
Ronnie Kamen
or HAM 1.1,1' nr
(J~ 15tI C
BOXES 6 THROUGH H MUST DE TYPEU OR PRINTEU 1:'<1 BLACK INK ONLY PRIOR TO Rr,cORDlNG OR HLlNG
(owr)
FOR COUNTY USE ONLY
C1. SWIS Code
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
17<' , '7,3 ,.S? , ~ ,<;7 J
!
*
C2. Date Deed Recorded I M5. / ~~? / q;! J
eJ. Book L/6,..;2 , 6, g'j C4. Page I ,/ ,5-,-<-1
PROPERTY INFORMATION
1. Property L...11 3 5
Location S1"F~EtT NUM5EI1
North SP-rI nr;v~
STREET NAME
~Southold
cnv OF! TOWN
VillAGE
2. Buyer L-.!.AMEN
N..me ~~.sT NAME {COMPANY
Rnnnip,
FI~STNAME
~
1..,t15T NAME I COMPAN't
~lRSTNAME
3, Tax
Billing
Address
lndicatllwhere future Tax Bills are to be sent
if other than tlUyer address (at bottorn of form)
lASTNAME/CQMF'A~'1V
~
SlFlEET NUMBER AN) STRHT NAME
CIT'iQI1TQWN
4. Indicate the number of Asselsment
Roll parcels tralnsferred on the deed
1 I # of Parcels OR D Part of a Parcel
.. Deed L lxl
Propert'i
Si:ze FRONTFEH DePTH
a. Seller L.T.HOMAS
Name ".sTNAMefCOMF'~NY
~
u.sT NAME I CaMPA","
10RL.
ACRES'
.. A. f>.
~IQ~
fiRST NAME
7. Check the box below which most accurately describes the 1.118 of the property at the time of sale:
A~ One Family Residential
B 20r3FamilyResidential
C Residential Vacant land
D Non-Residential Vacant Land
;~
G
H
I ~ Community Service
J Industrial
K Public Service
L forest
Agricultural
Commercisi
Apartment
Entertainment/Amusement
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
1l1'.S217a.,,\31'J7
11957
ZlPCOfrE
FIRST NAME
STATE
ZIP CODE
IOnly if PilIrt of ill Parcell CtIeck as they ilIpply'
4A. Planning Board wlth Subdivision Authority Exists D
48. SubdiviSion Approval was Required for Transfer D
4C. Ptllee\ Approved for SubdIvisIon with Map Provided 0
Check the bOIll!$ below a5 they apply:
8. Ownershlp Type is Condominium
9. New Construction on Vacant Land
o
o
o
o
lOA. Property located within an Agricultural District
lOB. Buyer received a disclosure notice indicating
that the property is in an AgricullUraJ District
SALE INFORMATION
15. ~k one or more of th.- cOfldltlons as appllceble to transfer:
7 ( 4 ( 03
Month Do> Year
?sf Df: f 03
Mcmh Year
A
B
C
D
E
P
G
H
I
J
11. Sale Contract Dilte
12. Date of Sale / Tranafer
2> 9" S- 'l/e; C::v
13. FuilSale Prica ~ ,4 1 :1 J 1 Q A 11 I
, , .
(Full Sale Price is the total amount paid for the property Including personal property.
This payment m.ay be in the form of cash, other property or gooda, or the assumption 01
mortgages or other obligations.) Please round to the nearest whole dollar amount.
14.. Indicate the vCllue of p..lIOnal , 0 , 0 , 0 I
property inoluded in the sale; , e
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Y.1tf of A~nssmlm1: Roll horn h? , n 1.1 Tot..1 AS5eS5ild Valuelof all parcels in transfer) I
whh;h informil!tlon tabn 17.
18. Property Clast
~......Qj-L.J 19. School District Name I
2 - <'> r J tc>J-r.'-
20. Tn: Map Iden1ifl..lsl/ Rollldentiflerlslllf more than four. attach sheet with additional identlfler{sll
1000-015.00-05.00-029.000
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seiler
Buyer or Seller is Governmenl Agency or lending Institution
Oood Type not Warranty or Bargain and Sale (Specify Below)
Sale 01 Fractional or Less than Fee Interest (Specify Below)
Significant Chl'lnge in Property Between Taxable Status and Sate Oat9$
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price ~Specify Below}
None
,
4 8
l
o 0
I
I CERTIFICATION
I certify that all of the items of infonnation entered on this form are true IUld correct (to t.he best of my knowledae and belief) and I understand that the making
of HIIY ,~;lIrul ral~;c statement of material fact herein will subject me to the orovisions of the uenal law relative to the making and ming of raIse inslrumcnls.
BUYER BUYER'S ATTORNEY
!t3i~
gfb!o 3
om
lAST NAME
McLaughlin
flflST NAM~
1 1 ~5
East 87th St. Apt. 29F
631
SffiEET NUMBE'~
t.TflEET NAME' IAHEll SAL~I
AFlEAOOOE
Ne'", York
NY
10023
CITY Ofl TOWN
STATE
ZlPCOOE
~ SELLER
}C,,"""'".,,~~
1:j~,'t/8'J
Kevin
765-6085
Tl'l~FHONE NUMBER
NEW YORK STATE
COpy